NRC 2003-0065, Pbnp Excellence Plan
| ML032090443 | |
| Person / Time | |
|---|---|
| Site: | Point Beach  |
| Issue date: | 07/18/2003 |
| From: | Cayia A Nuclear Management Co |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| NRC 2003-0065 | |
| Download: ML032090443 (156) | |
Text
NuE Committed to Nuclear Excellen Point Beach Nuclear Plant Operated by Nuclear Management Company, LLC NRC 2003-0065 July 18, 2003 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555 DOCKETS 50-266 AND 50-310 POINT BEACH NUCLEAR PLANTS, UNITS 1 AND 2 PBNP EXCELLENCE PLAN The purpose of this letter is to transmit selected elements of the Point Beach Nuclear Plant (PBNP) Excellence Plan. During a meeting conducted between the Nuclear Regulatory Commission (NRC) and Nuclear Management Company, LLC (NMC) on June 24, 2003, we provided the NRC a summary overview of the PBNP Excellence Plan. The purpose of our Excellence Plan is to provide a roadmap for successful performance improvement at PBNP.
The Excellence Plan focuses the PBNP organization, site programs, and initiatives on our goal of excellent performance.
The PBNP Excellence Plan is broad-based and includes action plans that address both improvement initiatives and business initiatives. Action plans contained in the PBNP Excellence Plan possess the following attributes: 1) A problem statement which defines the problem or problems to be resolved; 2) a causal factor which provides a synopsis of what is causing the problem; 3) objectives which define outcomes and desired results, and 4) executable action steps intended to accomplish the stated objective(s).
The objective statements in each of the action plans are forward looking and define the results that are expected from the successful execution of the action plans. We will measure our progress against the action plan objectives. We will execute the Excellence Plan to accomplish the objectives in each action plan. Our PBNP leadership team is committed to achieving our Excellence Plan objectives. Our Excellence Plan is a "living plan" and we expect to continue to develop and revise action plans as necessary to achieve our stated objectives.
We have identified 36 Excellence Plan action plans having stated objectives, which: 1) Directly address regulatory compliance; 2) address a performance deficiency in an area covered by regulation or commitment, or 3) directly address performance in a cornerstone or cross-cutting issue in the Reactor Oversight Process. We have provided a copy of these 36 action plans in.
4 6590 Nuclear Road
- Two Rivers, Wisconsin 54241 Telephone: 920.755.2321
NRC 2003-0065 July 18, 2003 Page 2 of 2 The PBNP Excellence Plan also includes action plans that are related to management issues, communication issues, and organizational issues such as work management and training. It also contains action plans that address financial issues and business planning issues. These action plans are available at PBNP for NRC review.
Each of our action plans identifies employees who are accountable for management oversight of the plan; overall plan execution, and completion of individual action steps. We have removed the employee names from the action plans provided in Attachment 1 to protect the personal privacy of the individuals.
This letter contains no new regulatory commitments.
Please contact us should you have any questions or require additional information regarding this transmittal.
RDS/kmd Attachment cc:
Regional Administrator, Region Ill, USNRC Project Manager, Point Beach Nuclear Plant, NRR, USNRC NRC Resident Inspector - Point Beach Nuclear Plant
ATTACHMENT I NUCLEAR MANAGEMENT COMPANY, LLC POINT BEACH NUCLEAR PLANT DOCKETS60-266 AND 50-301 July 18, 2003 PBNP EXCELLENCE PLAN
NRC 2003-0065 July 18, 2003 bcc:
G. P. Arent K. M. Duescher (2)
M. E. Holzmann File A. J. Cayia D. P. Fadel J. N. Jensen D. A. Weaver (P346)
J. P. Cowan R. R. Grigg (P460)
L. A. Schofield (OSRC)
E. J. Weinkam III
INDEX OF ATTACHED ACTION PLANS
- 1.
OR-01-001
- 2.
OR-02-001
- 3.
OR-08-003
- 4.
OR-08-005
- 5.
OP-09-001
- 6.
OP-09-002
- 7.
OP-09-003
- 8.
OP-10-001 9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
OP-10-002 OP-10-003 OP-10-004 OP-10-005 OP-10-006 OP-10-007 OP-10-008 OP-10-009 OP-10-010 OP-1 0-011 OP-12-001 OP-13-009 OP-14-001 OP-14-003 OP-14-005 OP-14-007 OP-14-008 EQ-15-001 EQ-15-003 EQ-15-006 EQ-15-011 EQ-15-012 EQ-15-014 EQ-15-015 EQ-15-016 Improve Human Performance and Work Practices Nuclear Oversight Effectiveness Reduce the OE Backlog Improve Human Performance (HU) in Engineering Improve EP Infrastructure (Processes, Programs and Technology)
Improve Process for Conducting Drills and Exercises Revise Emergency Plan Implementing Procedures Improve CAP Action Request Screening and Prioritization, Operability Determination, and Problem Reporting CAP Activity Completion Prior to Due Date and Backlog Minimization Effective CAP Monitoring CAP Resolutions Effectively Address Problems CAP Trending Effective Root Cause Evaluations CAP Action Request (AR) Feedback CAP Effectiveness Reviews CAP Assignments are Based on Knowledge and Skills Operating Experience (OE) Improvement Plan Improve Effectiveness of Self Assessments Improve Quality of Technical Procedures Time Validation of Service Water Manual Actions Improve the Configuration Management Program Validate Design Bases for High Risk Systems Validate and Integrate Calculations and Setpoints Update Vendor Technical Information Program (VTIP)
AFW Design Basis Validation Project AFW Appendix R Firewall Project Replacement of Plant Perimeter Project High Energy Line Break Project Bolted Fault Manhole and Cable Vault Flooding Auxiliary Feedwater Orifice Replacement Auxiliary Feedwater Electrical Modifications Determine Condition of Underground Electrical Cables That Have Been Submerged Identify Program Owner and Upgrade Flow-Accelerated Corrosion (FAC),
Service Water (SW) (GL 89-13) Program Upgrade Fire Penetration Seal Documentation Environmental Qualification (EQ) Program Upgrade
- 34. EQ-16-006
- 35. EQ-16-008
- 36. EQ-16-013
PBNP Excellence Plan Revision 1 Pillar of Excellence:
OR Priority I 1A1A CAP# 031915 Focus Area:
Human Perlobanoe Action Plan Tile:
Action Plan Number:
Resp Group:
Focus Area Owner:
Improve Human Performance and Work Practices OR-01-001 Assessment
-Problem Statermt.
Management has not been fully effective at Improving human performance.
I No well defined or documented program exists.
2 Lack of line ownership and support of human performance improvements.
3 Human performance tools have not been consistently provided or utilized.
'I 2
3 4
Develop and Implement a documented human performance program that includes a communications strategy.
Develop and implement a Human Performance Working Team to champion human performance improvements.
Provide tools for improving human performance.
Track and trend job observations.
5 Clearly defined expectations and reinforcements for behaviors at all levels In the organization.
6 A management structure that provides sufficient oversight and sponsorship of human performance.
7 Procedure guidance that assists in the identification and prevention of error-likely situations.
a High quality effveness reviews of human performance.
Action Steps:
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.1 Develop and communicate a human perfonmance vision, strategy, and values statement.
Assessment 2Q03 3003 Issued statement tTrack IDs A030222 300270 3009 10 J
5 l
l 300380 3005 1
30 PrInted:
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PBNP Excellence Plan Revision I Number Action Step Action Step Owr Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.2 Establish a Human Performance Working Group (HPWG) sponsored by the Plant Manager.
Assessment 1Q03 3003 Documented HPWG charter and membership.
tTrack lDs CA030226 300010 3005 1
80 20 hr/quarter 300020 3005 1
80 20 hr/quarter 300030 3005 1
80 20 hr/quarter 300130 3004 1
80 20 hr/quarter 300140 3005 1
80 20 hr/quarter 300150 3005 1
80 20 hr/quarter 300270 3009 10 1
300380 3009 1
5 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.3 Implement the PACE program to track and trend the group and leadership job observations (also see CA028603).
l tTrack ID Assessment 08-Jul-03 2Q03 See Action Plan OP-10-01 1.3 and its substeps for completion of this item. This Item is being accomplished via the noted Action Plan OP-1001 I and this item Is considered closed to avoid duplication.
9-17""T?!'-.M' No resources assigned.
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.4 Analyze and report site and department clock resets, leadership job observations and other data to determine actionable Items.
Assessment 2Q03 4003 Results documented in a report tTrack IDs CA030228 300380 3005 130 Printed: 7Q003 1:20:50 PM Page 2 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.5 Revise NP 13.1.1 to require "paired" Assessment 2Q03 4Q03 Issued NP 13.3.1.
observations.
tTrack IDs CA030229 300 3009 15 24 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> per month per person 300380 3005 1
5 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.6 Establish a procedural requirement for selected Assessment 4003 4Q03 Procedurally documented departments to conduct human performance requirement Action Plan Step OR-mini-stand-downs (approximately 30 minutes)01-001.14 accomplishes this action.
periodically using materials provided by the human performance working group.
tTrack IDs CA030230 300380 3005 0
0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.7 Selected departments to assign department-Assessment 0nn Documented assignments of level human performance liaisons.
w Human Performance liaisons.
tTrack IDs CA030231 3000103005 1
80 20 hr/quarter 300020 3005 1
80 20 hr/quarter 300030 3005 1
80 20 hr/quarter 300130 3004 1
80 20 hr/quarter 300140 3005 1
80 20 hr/quarter 300150 3005 1
80 20 hr/quarter 300160 3004 1
80 20 hr/quarter 300170 3004 1
80 20 hr/quarter 300170 3004 1
80 20 hr/quarter 3002103009 1
80 20 hr/quarer 300270 3009 1
15 1
Printed:
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PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-Ol01-.8 Direct supenrisors and managers to look for Assessment 2Q03 4Q03 Revised job observation checklist.
and promote the use of 'peer to peer" coaching during job observations.
tTrack IDs CA030234 300270 3009 is 15 1
104 12 hr/week 300380 3005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.9 Assign a chairperson for each designated Assessment 1Q03 12-May-03 2Q03 List of HPIT assignments departments respective human performance Improvement team and ensure that the team meets regularly to carry out Ks responsibilities.
tTrack I0s CA030235 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.10 Equip the department HPITs with a method to Assessment 2Q03 4Q03 Documented methodology.
diagnose recurring human performance problems and make recommendations.
tTrack IDs CA030236 300010 3005 1
80 20 hr/quarter 300030 3005 1
80 20 hr/quarter 300130 3004 1
80 20 hr/quarter 300140 3005 1
80 20 hr/quarter 300150 3005 1
80 20 hr/quarter 300170 3004 1
80 20 hr/quarter 300210 3004 1
80 20 hr/quarter Printed: 7/18/2003 1:20:51 PM Page 4 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.11 Revise NP 1.6.10 to mprove identification of critical steps, error-likely situations at each critical step, and possible consequences of active errors at each critical step as well as defenses or contingencies for each critical step. Clarify the difference between task assignment and a preob brief.
Business Procedures 2Q03 3Q03 Revised NP 1.6.10 which addresses errorikely situations tTrack IDs CA028864 300020 3005 1
20 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.12 Brief First line supervisors on revised NP 1.6.10.
Assessment 2Q03 3Q03 Documented briefing tTrack 10s CA030238 QRes~uice
_~
~
~Comments 7
300010 3005 3
1 3000203005 20 1
300030 3005 5
1 3000503005 10 1
300130 3004 30 1
300140 3005 5
1 3001503005 5
1 300160 3004 5
1 300170 3004 5
1 3002103004 10 1
Number Action Step Action Slap Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.13 Conduct an effectiveness review of improvements to date.
Assessment 3Q03 1004 Completed effectiveness review tTrack lMs EFR030243 3003803005 3
20 Printed:
7182003 1:20:51 PM1 Page 5 of I151 Eff6dive Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Group Owner Start Date Comp Date Due Date Dellverable OR-01-001.14 Develop a Human Performance Program Assessment 2003 4Q03 Issued Human Pereomance Procedure that contains the details of P8NP s Program Procedure Human Performance Program.
tTrack IDs CA030244 300270 3009 10 2
300380 3005 1
80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.15 Implement a site wide plan to communicate our Assessment 3Q03 3003 Documented plan human performance initiatives tTrack IDs CA030246 300380 3005 1 1 240 120 hr/mo 300390 3005 1
60 15 hr/mo Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.16 Implement a standard method of publicizing Assessment 3Q3 Documented standard format lessons learned from both site and department human performance clock resets.
tTrack IDs CA030247 3003803005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.17 Evaluate the human performance "Coachs Assessment 3003 4Q03 Minutes from FLS, CRC meetings.
Camp" for use at PBNP (First Line Supervisors Curriculum Revlew Committee).
tTrack IDs CA030248 3003803005 1
10 PrInted:
7/1812003 1:20:52 PM Page R of I151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.18 Incorporate human performance error reduction Assessment 3Q03 4Q03 Documented enor reduction tools tools in the Safety Simulator for the fall outage.
used in Safety Simulator.
tTrack l0s CA030250 300340 3005 4
I 40 1
l 300380 3005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-O01.19 Provide training to Instructional staff on human Training 4Q02 20-Feb-03 1003 Training attendance records.
performance fundamentals and how to Incorporate them Into training materials.
tTrack IDs RFT028704 300130 3006 2
16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.20 Conduct an assessment of Work Package Maintenance &C 2Q03 17-Jul-03 3Q03 Assessment report Walk downs.
tTrack s CA030251 300050 3005 3
4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-0l-W1l.21 Ensure the Work Package Walk down form Maintenance &C 2Q03 17-Jut-03 3Q03 A!essment report documents (PF-9175) meets Me requirements of NP 1.1.7.
wherner form meets procedure requirements.
tTrack IDs CA030252 3000503005 1
4 Printed:
7/1812003 1:20:52 PM Page 7 of 15' Eff6clive Date: 711-03
PBNP Excellence Plan Revislon I Number OR-01-001.22 Action Step Conduct an effectiveness review of station human performance.
Action Step Owner Group Owner Assessment Start Date Comp Date Due Date Deliverable Documented effectiveness review.
3004 3004 tTrack IDs EFR030254 300380 3005 1
4 30 I
Printed:
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PBNP Excellence Plan Revision I Pillar of Excellence:
OR Priority I 3C 3A CAP# 033241 Focus Area:
Action Plan T1110:
Action Plan Number Resp Group:
Oversight & Assessment Nuclear Oversight Effectiveness OR-02-001 Nuclear Oversight (PB)
Focus Area Owner ProbleM Statement Causal Factors:
Oblectives:
NOS has not been fully effective at issue identification and management response to issues.
I Staffing Issues, including insufficient training and development opportunities, Inadequate resources, and insufficent technical expertise.
2 NOS was not fully effective In identifying problems.
3 NOS was not fully effective In obtaining adequate management response to NOS identified issues.
I Improve NOS staffing effectiveness by implementing a rotation policy, assigning assessors to maintain functional area cognizance, and Implementing the personnel qualification matrix tool.
2 Issue a procedure that Implements the intrusiveness methodology.
3 Implement a process for statusing and reporting NOS significant QA findings.
4 Implement the process for Integrated assessment of performance.
Action Sers Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.1 Plan and conduct a critical Self Assessment of the NOS Organization.
Nuclear Oversight 2Q03 20-Jun-03 2Q03 Self-assessment report tTrack IDs CA030260 642sCLE 1
40 642LCLER 1
40 642LCLER 140 CONTPRO 2
80 100000 1000 3
80 300010 3008 1
40 300140 3005 1
40 300140 3005 1
40 300330 3005 1
40 Printed:
711812003 1:20:53PM Page9 f 151 EfL-lie Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Stop Action Stap Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-01.1 A Analyze the self-assessment results, create Nuclear 2Q03 23-Jun-03 2Q03 Revision I of this Action Plan (OR-action plan steps, and revise Excellence Plan Oversight 02-01) submitted.
Revision 0 action plan steps as necessary to address the causes of NOS performance weaknesses Identified in the self assessment tTrack IDs CA030261 300140 3005 40 300140 3005 1
40 300330 3005 1
40 Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OR-02-001.2 Develop a Qualification needs ma that Nuclear 3Q03 1Q04 A qualification matrix listing the Identifies the skill set needed to conduct Oversight (PB) appropriate skill set necessary to effective assessments.
be an effective NOS organization.
tTrack I1s CA030263 300140 3005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownr OR-02-001.2A Use the Performance Assessment model Nuclear 2Q03 1Q04 A qualification needs list for the develped by NMC to Identify each assessors Oversight (PB) assessors.
developmental needs.
tTrack l0s CA030264 300140 3005 1
40 300330 3007 8
2 i
PrInted:
7/18/2003 1:20:53 PM Pope100tf 151 Effieclive Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2A.1 Assign functional area cognizance based on Nuclear 3003 1004 List of ndiviuals assigned the Performance Assessment Model.
Oversight (PB) fundional area cognizance.
tTrack ls CA031640 300140 3005 1
1 80 300140 3005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.2.B Implement a plan to achieve the training and Nuclear 3003 3004 Plan approved. Scheduled actions, developmental needs as identified In the Oversight (PB) through current date, complete.
Performance Assessment model and functional area cognizance.
tTrack Is CA030267 3001403005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.2.C Implement a rotational plan and have it Nuclear 2Q03 1004 Rotational plan endorsed by the endorsed by the Site Vice President.
Oversight Site Vice President.
tTrack IDs CA028109
_=_~~~
~
Peron=
300140 3005 1
80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.2.D Retain the aporoorlate skill set in the areas of Nuclear 09Jul-03 AMA This step is dosed by incorporation Operations, Engineering and Support functions, and those areas Identified in the qualification needs matrix that are not met by the current assessors.
Oversight Into Action Steps OR-02-001.2.B and OR-02-001.2.C.
tTrack lDs CA030269 Reso=
Perso-t omment No resources assigned.
Printed:
7/18/2003 1:20:53 PM Pago 11 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.3 Implement a communication plan that includes Nuclear 1003 4Q03 Approved communications plan.
periodic meetings between line management Oversight and NOS leadership.
tTrack lDs CA030270 300140 3005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.4 Implement an Intrusive methodology to identify Nuclear 3003 2004 Approved procedure and assessor issue significance.
Oversaht (P3) brlefng sheets.
tTrack IDs CA030271
_~~~~~~~~~~~~~~~~~~~
t 300140 3005 1
r 20 300330 3007 8
20 Number Action Step Action Step Owner Group start Date Comp Date Due Date Deliverable t
~~~~~~~~~~Owner OR-02-001 AA Implement a standard format for action Nuclear 3Q03 4Q03 Defined standard format requests based on fleet procedure FP-NO-iA-Oversight (PB) 08.
tTrack IDs CA031962 300140 3005 1
40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.5 Evaluate relocation of NOS assessors to within Nuclear
'AMM AA Documented decision on the the protected area of the plant or the south gatehouse.
Oversight socw relocation of assessors.
tTrack iDs CA030272 655LCUST 5
40 300060 3005 1
40 Printed:
7/18120031:20:54 PM Pap 12 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.6 Execute the Integrated Assessment of Performance, carry out the actions as detailed in Change Management Plan 2003-08.
Nuclear Oversight 1Q03 3Q04 An ntegrated presentation of plant performance.
tTrack IDs CA030273 3001403005 2
20 300140 3005 1
40 300330 3007 2
40 300330 3007 8
8 300380 3009 1
40 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7 Develop a formal process for monitorlng/reporting the status of open Significant QA Findings. (CA028648)
Nuclear Oversight (PB) 1003 4Q03 Approved guideline or procedure.
tTrack IDs CA030274 64LCLER 2
20 300140 3005 1
40 300330 3007 1
80 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7.A Establish a process for the NOS Manager or NOS Supervisor to discuss the status of NOS Significant QA Findings with plant management Nuclear Oversight (PB) 2003 4003 Documented process.
tTrack IDS CA030275
~~2. S~
Uf~&~4
~ etson 1W," kr*
ca f K
300140 3005 1
1 10 I
Printed:
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PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Delverable OR-02-001.7.B Provide a briefing to NOS assessors and upper Nudear 3Q03 1Q04 Briefing documentation.
station management on the newly developed Oversight (PB) process for reporting NOS Significant QA Findings status.
tTrack IDs CA030277 300140 3005 a
300330 3007 8
2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.7.C Implement the process for reporting NOS Nuclear 3003 1004 Issue an NOS Significant QA significant QA findings.
Oversi (PB) finding status report.
tTrack IDs CA030278 300140 3005 1
8 300140 3005 1
8 Number Action Step Action Stop Owner Group Start Dat Cornp Date Due Date Deliverable Owner OR-02-001.7.D Conduct the first NOS Significant QA Findings Nuclear 3003 09Jul-03 1004 This action Is dosed by status meeting.
Oversight incorporation into Action Step OR-02-001.7.C (CA030278).
tTrack IDs CA030280 No resources assigned.
Printed:
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PBNP Excellence Plan Revision I Number Action Step Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7.E Perform an effectiveness review.
Nuclear Oversight 3Q04 4004 Effectiveness review report tTrack lOs EFR030281 4~~~~~~~~~~~~~~~~~~~~~~"
- doM, fi-6i 642LCLER 1
40 CONTPRO 2
40 100000 1000 3
80 3001403005 1
40 300140 3007 1
40 300330 3005 1
48 300330 3007 2
48 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.8 Perforn interim self-assessment effectiveness Nuclear 3Q04 09-Ju-03 3Q4 This step Is closed by incorporation review using an approved assessment process Oversight into Action Step OR-02-001.7.E.
to assure schedule/plan adherence and determine the effectiveness of the completed Individual actions.
Revise the action plan based on the results of the assessment.
tTrack IDs EFR030283 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.8.A Perform Final Effectiveness Assessment using Nuclear 3Q05 09-Jul-03 3Q05 This step is dosed by Incorporation an approvea assessmem provss to estaiisn that the implemented actions have improved NOS effectiveness.
Owmsighn IMU ACE10ni.-Arei) %JK-UZ-W1-f-r--
tTrack IDs EFR030285 No Resourcs Pesions Fned 1
Comment4 No resources assigned.
Printed:
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PBNP Excellence Plan Revision I Number OR-02-401.9 Action Step Action S owne Perform benchmarking for Ideas to improve NOS effectiveness.
tTrack Is CA030287 top Owner Group r
Nuclear Oversight Start Date Comp Date 3003 Due Date Deliverable 4003 Documentation of benchmarking results.
300140 3005 1_
80 I
Printed:
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PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan Tle:
Action Plan Number Resp Group:
OR Priority 2 3C 38 Engineering Organizational Effectiveness Reduce the OE backlog OR-08-003 Engineering Processes CAP# 033266 Focus Area Owner.
Problem Statemeant:
Causal Ftr:
Obledtives:
AStlon Stevs.
Engineering has a large number of OE items that have been open longer than the expected evaluation time of 60 days.
I Lack of reinforcement of timely evaluation of OE Items.
2 OrganIzation does not view timely review of OE as a valuable tool in improving performance.
I Engineering OE inventory meets expectations and procedural requirements.
Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-003.1 Establish population of OE Evaluation and Engineering 11-May-03 2Q03 Spreadsheet with OE backlg Action items for backlog reduction population.
Prooesses items. Complete.
tTrack IDs CA030381 our eem No resources assigned.
Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-003.2 Establish backlog reduction approach for OE.
Engineering 12-May-03 2Q03 Documented approach.
Processes tTrack ls CA030382 No resources assigned.
Printed: 7/18/2003 1:20:55 PM Page 17 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Star Date Comp Date Due Date Deliverable OR-08-003.3 Establish workdown curve and metrics Engineering 2Q03 12-May-03 2Q03 Spreadsheet with target completion Processes dates.
tTrack IDs CA030390 300180 3009 1
2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-003.4 Review Site OE Improvement Plan (under Engineering 1003 13-Jun-03 2Q03 Document review.
development) and adjust this plan accordingly Processes tTrack IDs CA030391 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08 003.5 Complete OEs Identified in Action #1 in Engineering 203 4003 Completed OE tems.
accordance with workdon curve.
Processes tTrack IDs CA030392 300150 3004 33 1
300160 3004 40 1
300170 3004 35 j
3001803004 12 1
Printed:
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PBNP Excellence Plan Revision I Pillar of Excellence:
OR Priority I IAIA CAP# 033271 Focus Area:
Action Plan Tile:
Action Plan Number Resp Group:
Engineering Organizational Effectiveness Improve Human Performance (HU) in Engineering OR-08-005 Engineering Processes Continuous Improvement Focus Area Owner Problem Statement Causal Factors:
Engineering Management has not been fully effective in Improving human performance.
I No well defined or documented program exists.
2 Lack of line ownership and support of human performance improvements.
3 Human performance tools have not been consistently provided or utilized.
I Establish an Engineering Human Perfromance Improvement Team.
2 Establish a process for Identifying and evaluating human performance events.
3 Provide Engineering personnel with training on human performance topics.
Action Stme Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.1 Establish a draft Charter for a Point Beach specific Engineering Human Performance Improvement Team (HPIT).
Engineering Processes Continuous Improvement 2Q03 28-Apr-03 2003 Draft Charter contained in ESG 1.8 tTrack IDs CA030402 300180 3005 1
16 l
Printed:
7/18/2003 1:20:56 PM page 9 f 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.2 Identify members of new PBNP Engineering HPIT.
Engineering 2003 12-May-03 2003 Llst of HPIT Members tTrack IDs CA030403 3001503009 1
300160 3009 1
300170 3009 1
1 300180 30092 I
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.3 Conduct first meeting of now PBNP Engineering 2Q03 12-May-03 2003 HPIT Meeting Minutes Engineering HPIT.
Processes Continuous Improvement tTrack IDs CA030404 J~~~~~~~
3001803005 1
4 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR408-005.4 Evaluate Engineering HU events.
Engineering 26-Jun-03 2Q03 HPIT Meeting Minutes Processes Continuous Improvement tTrack IDs CA030406 300130 3004 1
2 300150 3004 1
2 300150 3005 1
2 300160 3004 1
2 300170 3004 1
2 300170 3005 1
2 3001803004 1
2 300180 3005 2
2 Printed:
7/1812003 1:20:56 PM Page 20 of 151 Effeclive Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OR-08-005.5 Identify training recommendations for HU topics.
Engineering Processes Continuous Improvement 26-Jun.03 2003 HPIT Meeting Minutes tTrack IDs CA030408 wii; Twis;;
v.7; eN~rl-Comn 1
300130 3004 1
2 300150 3004 1
2 300150 3005 1
2 300160 3004 1
2 300170 3004 1
2 300170 3005 1
2 300180 3004 1
2 3001803005 2
2 Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OR-08-005.6 Evaluate training recommendations on HU Engineering 3Q03 TAC meeting minutes topics.
tTrack IDs CA030409 3001803009 1
4 Number Action Step Action Step Owner Group Start Dat Comp Date Due Date Deliverable Owner OR-08-005.7 Implement training on HU topics.
Training General 2Q03 20-May-03 2Q03 Approved lesson plan and documented training.
tTrack IDs CA030411 No resources assigned.
Printed:
7/18R003 1:20:56 PM Pap 21 of I1S1 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Stap Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OR-08-005.8 Establish a process for Identifying, evaluating, Engineering 2003 22Apr-O3 2Q03 Draft communication plan and communicating Eng. HU events Processes Continuous Improvement tTrack IDs CA030412 300180 3005 1
2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.9 Finalize HPIT Charter and communication plan Engineering 26-Jun-03 2Q03 Approved Charter and for HU initiatives Processes Communication Plan.
Continuous Improvement tTrack IDs CA030413 300130 3004 1
5 300150 3004 1
2 300150 3005 1
2 300160 3004 1
2 300170 3004 1
2 300170 3005 1
2 300180 3004 1
2 3001803005 2
2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.10 Implement communication plan for HU initiatives Engineering Processes Continuous Improvement 2(Jun-03 2Q03 HPIT meeting minutes and copy of June, 2003 EngineerIng Alignment meeting topics.
tTrack IDs CA030414 300180 3005 8
Printed:
7/18/2003 1:20:56 PM Pae 22 of I151 Eff6cfive Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OR-08-005.11 Conduct initial assessment on HU Error Engineering 24-Jun-03 2003 Assessment Results documented.
Reduction tool use.
Processes Continuous Improvement tTrack Os CA030415 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.12 Implement Engineering specific Engineering 08-Jul-03 3003 Revise ESG 1.7 to include Observation/Coaching Program.
Processes observation program.
Continuous Improvement tTrack lDs CA030416 300180 3005 1
16 Printed: 71812003 1:20:57 PM Pae 23 of 151 Effedive Date: 7-11-03
PBNP Excellence Plan Revision I Pillar of Excellence:
OP Priority I 3B IC CAP# 033294 Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
Improve EP Infrastructure (Processes, Programs and Technology)
OP-09-OOl Emergency Planning PBNP Focus Area Owner:
Caulem atrs:
Causal Factors:
The Emergency Preparedness infrastructure was not consistently maintained.
I Management oversight was not fully effective.
2 Emergency Preparedness staff was Inadequately trained In plant processes and procedures.
3 The Emergency Preparedness staff did not fully understand roles and responsibilities.
4 The corrective action program was not fully/effectively implmented In the Emergency Preparedness group.
5 SAMG ownership was nappropriately assigned to EP.
6 External and Internal Operating Experience have not been fully utilized.
Oblectives.
I Enhanced management oversight of Emergency Preparedness program and training.
2 Established processes for enhancing knowledge of Emergency Preparedness staff.
3 Defined Emergency Preparefness staff roles and responsibilltles.
4 Corrective action program in emergency Preparedness is Implemented in accordance with site procedures and standards.
5 Structured practices for staffing and training Emergency Response Organization (ERO) positions.
6 SAMGs are owned and maintained by Operations.
Action Stens:
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP3-09-001.1 Implement an Emergency Preparedness Advisory Committee (EPAC) which includes membership of senior site leadership Radiation Protection 08-Jul-03 3Q03 Approved EPAC charter tTrack Is CA030458 R o c es rs No resources assigned.
Printed:
7/18/2003 1:20:57 PM Page 24 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-09-001.2 Implement an EP Training Advisory Committee Training 2Q03 3003 TAC Members assigned and first (TAC) which includes selected members of the meeting minutes documented.
ERO.
tTrack IDs CA030459 300360 3009 1
10 H
q Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.3 Develop and communicate an EP vision and Emergency 2003 13-Jun-03 2003 Article printed In NMC Today.
mission statement for the site.
Planning PBNP tTrack IDs CA030460 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.4 Transition the PBNP ERO to full compliance Emergency 3004 Issued EP 5.0.
with NUREG 0654, Table B-1 staffing.
Planning PBNP tTrack I0s CA030461 300030 3009 r 1
20 300360 3009 1
20 Number Action Step Action Step Owner Group Start Date Cornp Date Due Date Deliverable Owner OP-09-001.5 Implement a structured approach to ERO Site VP & ECP 2Q03 15-Jul-03 3003 Memo outining responsibiliites and staffing by transitloning to rotating ERO duty Rev. 0 rotation schedule.
roster teams for key positions.
tTrack l3s CA030462 300360 3009 1
2 Printed:
7/112003 1:20:57 PM Page 25 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP09011.6 Identify a new site custodian for SAMGs.
Emergency 2Q03 1 1-Jun-03 2Q03 Memo from EP Manager identifying Planning PBNP SAMG custodian.
tTrack IDs CA030463 Resource M=#_ersons PeiPeton
<.Comments No resources assigned.
Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.7 Improve station practices for assigning, training Emergency 3Q03 Procedure defining the practice is and retiring ERO staff positions.
Planning PONP approved and issued.
tTrack IDs CA030464 300360 3005 1
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable owner OP)9-001.8 Improve implementation of the corrective Emergency 10-Jul-03 3003 Training attendance records.
action program by training the EP staff.
Planning PBNP tTrack IDs CA030465
~~~a y
No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP409-0011.9 Implement effective document control and Emergency 2Q03 4003 Document turnover records to records retention practices used by te EP group.
Planning FNP NIM.
tTrack IDs CA03046 7F1,sot K4rs" Perseai
~
2 chmIt4 664LCLER 1
100 Printed:
7/18/2003 1:20:58 PM Page 2 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.10 Define roles and responsibilities of Emergency Emergency 2003 4003 Approved organizational chart and Preparedness staff members.
Planning PBNP list of routine callups assigned by person.
tTrack 1i0 CA030486 300360 3005 1
5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable owner OP-09-001.11 Implement procedures, guidelines, or job aids Emergency 2003 4Q04 Approved procedures, guidelines that formalize the processes for Emergency Planning PBNP and/or job aids.
Preparedness staff members responsibilities.
tTrack IDs CA030487 e s o u r c o P e=so n s t i r e P e r s o i r
_ ~ -~ 4 >
664LCLER 1
200 664LTECH 1
200 300360 3005 1
200 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP409-001.12 Implement cross training' of Emergency Emergency 2004 2005 List of routine callups with a Preparedness staff members based on the procedures, guidelines and job aids to strengthen Emergency Preparedness staff members integrated knowledge of EP.
Planning MN-primary and at least one atremate person assigned.
tTrack IDs CA030488 3003603005 1
1 100 l
300360 3009 1
1 50 I
Printed:
7/18/2003 1:20:58 PM1 Page 27 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-09-001.13 Implement an effective process for Emergency 2003 4003 Procedure descrbingprocess documenting, collecting, assirnilating, and Planning PBNP approved and Issued.
validating EP cornerstone performance indicators.
tTrack IDs CA030489 100000 1000 1
20 300360 3005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.14 Conduct an effectiveness review.
Emergency 4003 10-Jul-03 4004 Effectiveness review report Planning PBNP tTrack IDs EFR030491 300380 3005 1
1 80 Number Action Step Action Step Owner Group Start Date Camp Dat Due Date Deliverable Owner OP-09-001.15 Conduct an effectiveness review.
Emergency 4Q04 4004 Effectiveness review report.
Planning PBNP tTrack IDe EFR030493 300360 3005 1
1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.16 Review the current requirement to do an Operations 4003 4Q03 Revised E-Plan, required.
annual review of SAMGs and adjust frequency of review as appropriate.
tTrack IDs CA031478 300020 300711 Printed:
7/18/2003 1:20:58 PM Page 28 of 151 Eff6ctive Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.17 Re-review Emergency Planning OE evaluations Emergency 3Q03 4003 Document review and write CAPs performed since 7/1101 for adequacy.
Planning PBNP to address any inadequacies.
tTrack IDs CA032088 300360 3005 250 300360 3009 1
50 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.18 Review Emergency Planning related CAPs Eergency 3003 4Q03 Quarterly effectiveness review written since 7/1101 for recurring and unresolved issues.
Planning PBNP (QElR) tTrack IDs CA032089 300360 3005 1
250 300360 3009 1
so 5
Printed:
7/18/2003 1:20:58 PM Page 29 of 151 Effective Date: 711-03
PBNP Excellence Plan Revislon 1 Pillar of Excellence:
Focus Area:
Action Plan Tile:
Action Plan Number Resp Group:
OP Priority 1 3E Emergency Preparedness (EP)
Improve Process for Conducting Drills and Exercises OP-09-002 Emergency Planning PBNP 3 1C CAP# 033301 Focus Area Owner Proble-Stateent Causal Facto"s:
Oblectives:
Emergency Preparedness drills and exercises have not been fully successful.
I There was no structured process for drilVexercise development and preparation.
2 Drill objectives were not always effectively factored into scenario development.
3 Critiques not fully effective In Identifying scenario development deficiencies.
I Implement a structured administrative process for scenario development that ensures Emergency Preparedness drill/exercise objectives are scoped into the scenario.
2 Implement an enhanced Emergency Preparedness drill/exercise critIque process.
Action Steps:
Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-09-002.1 Implement a drill and exercise procedure that Is Emergency 3003 1Q04 Drill and exercise procedure milestone driven.
Planning PBNP approved and issued.
tTrack 10s CA030497 Brilliant
~3/4o~i~~ns 300360 3005 2
30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.2 Include drill/exercise dates In the production Emergency 3003 4Q03 Copy of 2004 production work work schedule.
Planning PNP sdiedule wh EP drills induded.
tTnrck ID CA030499 300360 3005 1
2 Printed: 7/18/2003 1:20:59 PM Page 30 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-09-002.3 Verify 6-year and annual historical data for Emergency 2003 27-Jun-03 2Q03 Memo documenting verification.
completeness and accuracy.
Planning PBNP tTrack IDs CA030500 300360 3005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.4 Review and revise 6-year plan objectives to Emergency 2Q03 3Q03 Revised 6-year plan.
ensure conformance to regulatory references.
Planning PBNP tTrack IDs CA030501 300360 3005 1
1 50 300360 3009 1
20 Number Action Step Action Step Owner Group Start Date Camp Date Due Date Deliverable Owner OP-09-002.5 Implement a tracking method to ensure all Emergency 3Q03 4003 Document showing history and objectives are demonstrated in each 6-year Planning PBNP project implementation schedule.
cycle.
tTrack IDs CA030502 300360 3005 1
4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.6 Define pass-fail criteria for planning standards Emergency 303 1Q04 Approved and issued drill/exercise and use these criterIa to support drill/exercise objectives.
Planning PBNP procedure.
tTrack IDs CA030503 300360 3005 1
50 Printed: 7/1812003 1:20:59 PM Page 31cof 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-09-002.7 Develop a 2004 drill schedule that tests various Emergency 3003 4Q03 SVP memo documenting approval aspects of program Implementation using Planning PBNP of drill/exercise schedule for 2004.
various techniques.
tTrack IDs CA030504 300360 3009 1
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP09-002.8 Formalize the critique process.
Emergency 3Q03 1Q04 Issued drill and exercise procedure.
Planning PBNP tTrack IDs CA030505 300360 3005 1
20 Number Action Step Action Step Owner Group Start Dat Comp Date Due Date Deliverable Owner OP09-002.9 Conduct an effectiveness review.
Emergency 4Q04 4004 Effectiveness review report.
Planning PBNP tTrack IDs EFR030506 300360 3005 1
80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.10 Formalize the process to capture and track Emergency 3Q03 1004 Issued drill and exercise procedure.
lessons leamed from drills and exercises.
Planning PBNP tTrack IDs CA031479 300360 3005 1
1 1
3 Printed:
7/18/2003 1:20:59 PM Page 32 of I151 Effective Date: 711-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Reap Group:
OP Priority I 3CIC Emergency Preparedness (EP)
Revise Emergency Plan Implementing Procedures OP-09-003 Emergency Planning PBNP CAP # 033302 Focus Area Owner:
Problem Statement Causal Factors:
Objectives:
The Emergency Plan and supporting procedures are not adequately aligned.
I Changes were made to supporting procedures without recognition of their effect on the Emergency Plan.
2 The change process did not ensure that proposed changes to the program were adequately reviewed.
1 Revised Emergency Plan and supporting procedures are aligned.
2 The Emergency Response Organization (ERO) Is trained on the Emergency Plan and procedure revisions.
3 The change process will reliably assist in identifying effects of change on Emergency Plan.
Action Stens Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.1 Evaluate the Emergency Plan to determine Emergency 2003 13-Jun-03 2Q03 Document non-conformance in compliance with 10 CFR 50, Appendix E, and Planning PBNP accordance with the CAP. If NUREG-0654.
required, submit temporary changes to Plan or Procedures.
tTrack IDs CA030509 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.2 Staff a team of plant personnel to upgrade and Site VP & ECP 2003 08-Jun-03 2Q03 NMC Today article outlining project revise the Emergency Plan, Emergency Plan Implementing Procedures, Emergency Plan Maintenance Procedures, and Position Instruction Manuals.
members and responsibilities.
tTrack IDs CA030510
_Resizrc #I'rson Hrs e n kim7 No resources assigned.
Printed:
7/18/20031:21:00 PM Page 33 of 151 Effective Dete 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.3 Provide existing documentation of current Regulatory 1003 12-Jun-03 2Q03 Deliver existing CLBs related to license basis to the EP staff.
Affairs -
Emergency Plan and procedures.
Lcensing tTrack IDs CA030511 No resources assigned.
Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP.09-003.4 Review CLU document, NUREG-0654, and 10 Emergency 2Q03 3003 Procedures in draft form, through CFR 50, Appendix E, and NEI 99.02 against Planning PBNP technical review, as documented existing Emergency Plan and supporting on PBF-0026a procedures. Draft changes to Plan and procedures as necessary.
tTrack IDs CA030543 664LCLER 2
30 3000103005 1
100 300020 3005 1
100 300030 3005 1
100 300130 3006 1
100 300270 3009 I
100 300360 3005 1
100 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.5 Complete 50.54(q) reviews for Identified procedure revisions.
Emergency Planning PBNP 3Q03 3Q03 Completed reviews as documented on PBF-0026a and PBF.1301 tTrack IDs CA030544 300030 3005 2
40 Prfnted: 718/2003 1:21:00 PM Pagqe 34 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.6 Leadership team to review changes to Site VP & ECP 3Q03 3Q03 Completed reviews as documented Emergency Plan and supporting procedures for on PRF-0026a,Section III, understanding and to detemine training needs.
Document Owner Review tTrack IDs CA030545 3002703009 10 1 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.7 Perform commitment changes, if appropriate, Regulatory 3Q03 3003 Approved commitment changes.
In accordance with NP 5.1.7.
Affars-Licensing tTrack Is CA030546 66OLCLER 1
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.8 Design and develop continuing training Training 3Q03 4003 Approved lesson plans.
materials fr the Plan and procedure changes Identified.
tTrack IDs CA030547 661 LCLER 3
20 300360 3005 4
80 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.9 Implement continuing training as required for Training 3Q03 1Q04 Approved training schedule and the plan and procedure changes.
corpleted attendance records tTrack IDs CA030548 300360 3005 4
40 Printed: 7/18/20031:21:00PM Page 35 of 151 Effective Date: 711-03 I
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.10 Issue the revised Emergency Plan and Emergency 4003 104 Revised procedures.
supporting procedures.
Planning PBNP tTrack IDs CA030549 66OLCLER 2
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.11 Upgrade initial training materials for EaRO Training General 4003 2004 Approved training program, lesson members.
plan and qualification cards for each ERO position.
tTrack IDs CA030550 300130 3006 2
500 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.12 Upgrade NP 1.8.3 and PBF-1301 to assist with Emergency 2003 02-Jul-03 3003 Approved procedure NP 1.8.3 and completing appropriate 50.54(q) reviews.
Planning PBNP form PBF-1301.
tTrack IDs CA030552 R e~, tx r'ersta A4~
ninns No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.13 Conduct an effectiveness review.
Emergency 2004 3Q04 Effectiveness review report.
Planning PBNP tTrack IDs EFR030554 SM 300360 3005 2
1 80 Printed:
718/2003 1:21:01 PM Page 36 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revislon I Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.14 Revise PIMs to match the Plan and procedure changes.
Emergency Planning PBNP 3003 4Q03 Draft of PiMs as necessary. (PIMs will be issued under step OP-O-003.10) tMack II~s CA031943 300360 3005 I
1 80 Printed:
7/1812003 1:21:01 PM Page 37 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision 1 Pillar of Excellence:
OP Priority I 3C 3B CAP# 031160 Focus Area:
Action Plan Tite:
Action Plan Number Reasp Group:
Corrective Action Program (CAP)
Improve CAP Action Request Screening and Prioritization, Operability Determination and Problem Reporting OP-10-001 Performance Assessment Focus Area Owner Problem Statement Causal Factors:
(1) The CAP screening process has not been fully effective at establishing station focus on the most risk significant issues.
(2) The quality of Operability Determinations (ODs) is Inconsistent I
The CAP Screening Team did not adequately screen Action Requests (AR) that emphasized nuclear risk and operability.
2 The CAP Screening Team did not fully understand their roles and responsibilities.
3 Some Operability Deteriminallons have lacked rigor and have needed to be revised.
I The CAP Screening Team effectively establishes CAP priorities and focus for CAP ARs based upon defined screening criteria.
2 Implement the NMC fleet operability determination process.
Action Stegn Number Action Step Action Stop Owner Owner Group Start Date Cmp Date Due Date Deliverable OP-10-001.1 Revise the CAP AR screening process to Performance 14-Feb-03 2003 Documented screening criteria.
provide car focus on the most significant Assessment items based upon nuclear safety and risk.
tTrack IDs CA030558 No resources assigned.
Number Action Step Action Stop Owner Group Start Dat Comp Date Due Dat Deliverable Owner OP-10-001.2 Conduct briefing for CAP Screening Team Performance 22-May-03 2Q03 Documentation of briefing.
members on their roles and responsibilities and on CAP program elements.
Assessment tTrack IDs OTH028137 r esoure asen edmm No resources assigned.
Printed:
7118120031:21:01 PM Page 38 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Delhverable OP-10-001.3 Provide tools to aid in CAP Screening.
Performance 14-Feb-03 2Q03 Issued workflow/decision-making Assessment chart.
tTrack ID CA030558 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.4 Communicat the new CAP screening Performance 14-Feb-03 2Q03 Internal memo from Site VP.
practices and reasoning to site personnel.
Assessment tTrack IDs CA030558 rurru w urr
& ~ ~
o rn m e No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.5 Implement screening criteria that emphasizes Performance 10-Apr-03 2Q03 Revised NMC Corrective Action EP Risk Significance Planning Standards into Assessment Procedure to Include EP Risk Station procedures.
Significance Planning Standards.
tTrack IDs CA027792 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1O-001.6 Perform benchmarklng of screening Performance 15-Apr-03 2Q03 Documented assessment report.
improvements.
Assessment tTrack IDs 0TH028220
-tE S
No resources assigned.
Printed:
718/2003 1:21:01 PM Page 39 of 151 Effective Date: 711-03
P1BNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-001.7 Assess the effectiveness of the CAP Screening Nuclear 2Q03 29-Jun-03 2Q03 Issued effectiveness review report.
Team during the 2nd quarter of 2003.
Oversight tTrack IDs OTH029052 If_
~~~~~~~~~~~~~~
I 300140 3007 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.8 Assess the effectiveness of the CAP Screen Nuclear 4Q03 403 Issued effectiveness review report.
Team during the 4th quarter of 2003.
Oversight tTrack IDs OTH028136 300140 3007 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.9 Develop a Conditions Adverse to Quality status Performance 2Q03 1Q04 Published status report.
report.
Assessment tTrack I0s CA030564 300380 3009 2
80 Number Action Stop Action Step Owner Group Start Dat Comp Date Due Date Deliverable Owner OP-10-001.10 Brief Operabililty Determination expectations &
Plant Manager 14-May-03 2Q03 Completed record of briefing.
requirements with Shift Managers at monthly meeting.
tTrack Is CA030565 No resources assigned.
Printed:
718/2003 1:21:02 PM Pae 40 of I151 Eft-clive Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.11 Implement the NMC Fleet Operability Engineering 2Q03 3Q03 Fleet Procedure record of Determination procedure.
Programs acceptance.
tTack IDs CA030567 300150 3004 50 4
300160 3004_
54 4
300160 3004 2
120 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 0-001.12 Provide Operators and Engineers training on Training 2Q03 3Q03 Completed training record.
the Operability Determination process.
tTrack IIs OTH029032 300020 3005 50 2
3001303005 1
40 300150 3004 50 2
300160 3004 40 2
300170 3004 50 2
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.13 Develop specific plans for implementation to reinforce reporting of problems.
Assessment 14-Mar-03 2Q03 Completed plans.
tTrack lDs OTH028195 OTH028196 OTH028197 OTH028198 OTH028200 OTH028201 OTH028202 OTH028203 OTH028204 OTH028205 OTH028206 OTH028207 OTH028208 OTH028729 OTH028730 I
soi' s
rs%.
r e
mme No resources assigned.
Printed:
718/2003 1:21:02 PM Page 41 f 151 Effer.*e Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-001.13A As follow-up to Step OP-10-001.13, provide a Assessment 3003 4003 E-mail showin plant group reinforcement of problem Identification identified in Aion Step OP expectations to the site.
001.13 acknowledgement of distributed message.
tTrack IDs CA031696 30038030 1
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable
}
~~~owner OP-10-001.14 Perform an external assessment of the Performance 1Q04 2Q04 Assessment report effectiveness of the screening process Assessment tTrack IDs EFR030568 300380 3009 2
40 11 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 0-001.15 Perform an effectiveness review of ODs via the Engineering 3003 1004 Completed Effectiveness Review CRT process and report results to Senlor Design Report Management tTrack IDs EFR031948 300170 3004 1
20 Printed:
718/2003 1:21:02 PM Page 42 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
OP Priority 1 3C 38 Corrective Action Program (CAP)
CAP Activity Completion Prior to Due Date and Backlog Minimization OP-10-002 Performance Assessment CAP# 031160 Focus Area Owner:
Problem Statement, Causa Fctors:
Oblectives:
Action Stepws.
Number Corrective Actions have not been timely.
I Oversight of the Corrective Action Program has not been fully effective.
2 Overdue activities were not closely monitored and actions were not taken to correct this problem.
3 Due date extensions were not monitored.
4 Personnel were held to various levels of accountability in meeting dates.
i Reduce the number of overdue and extended CAP actions.
Action Step Action Step Owner Group Owner Start Date Cp Date Due Date Deliverable OP-10-002.1 Provide status updates to CARB on overdue Performance 1003 28-Feb-03 2Q03 Standard CARB agenda item for CAP Activities.
Assessment overdue CAPs.
tTrack (Ds OTH028161
[.Ame 41SMe~
No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-I0-002.2 Develop and communicate Manaement Site VP & ECP 4fam 28-Feb-03 rna NMP 2003-0153 issued.
Expectations regarding overdue items and due date extensions.
I wUd
&WvJ tTrack IDs OTH029862 No resounces ass
-n No resources assigned.
Printed:
7118/2003 1:21:03 PM Page 43 of I151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-1O-002.3 Establish a CAP Overdue Clock Performance Performance 1003 28-Feb-03 2003 Performance Indicator established.
Indicator.
Assessment tTrack ID9 0TH029866 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.4 (1) Develop a plan for reducing overdue items Performance 1003 06-Mar-03 2003 NPM 2003-0153 issued.
and use of extensions.
Assessment (2) Develop and communicate Management Expectations to ensure program accountability.
tTrack IDs OTH028184 ureure S ar Person':.T; PeSo IC Coim iiien ts No resources assigned.
Number Action Step Action Stap Owner Group Start Date Comp Date Due Date Deliverable I
Owner OP-10-002.5 Conduct Root Cause Evaluation revision Engineering 1Q03 08-Jul-03 2Q03 See Action Plan Step OR associated with lack of bias toward action.
002.18 associated with the streaming analysis performed from SOER 02-04. This step considered closed to avoid duplicate tracking.
tTrack lOs No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.6 Develop a plan to reduce the CAP open action Engineering 103 07-Mar-03 2003 Issued backlog reduction plan.
item backlog.
Processes tTrack IDs 0TH028170 No resources assigned.
Printed: 7/182003 1:21:03 PM Page 44 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-002.7 Reduce CAP backlog in Engineering.
Engineering Processes 1003 2004 Completed backlog reduction plan.
tTrack IDs CA031697
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~..... i.
300150 3004 33 6
300160 3004 40 9
300170 3004 35 25 300180 3004 12 10 Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-002.8 Review backlog of Level "C' & "D" CAPs and Performance 1Q03 26-Jun-03 2003 Documented review of backlog.
reduce backlog.
Assessment tTrack Ds CA030579 m5~~~~~~~~~10 300270 3009 6
10 300380 3005 2
18 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.9 Perform an effectiveness review.
Performance 1Q04 1Q04 Documented effectiveness review Assessment repor.
tTack IDs EFR030580 Hesource
1PerSOn.4 3
tnmens 300380 3009 1
2 1
40 1
I I
Printed:
7/18/2003 1:21:03 PM Pae 45 of 151 Effecti-ve Date: 7-11-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan Titie:
Action Plan Number Reap Group:
OP Priority 1 3C 3B CAP# 031160 Corrective Action Program (CAP)
Effective CAP Monitoring OP-10-003 Performance Assessment I
Focus Area Owner Problem Statement Causal Factors:
Oblectves:
CARB has not effectively provided oversight and monitoring of the Corctive Action Program.
1 CARB has not focused on overall CAP perfomanece such as CAP Performance Indicators, CAP Trend Reports, and general CAP performance.
2 CARB members had an inconsistent understanding of their roles and responsibilities.
3 CAP Performance Indicators have been narrowly focused.
I CARB members execute their roles and responsibilities as CARB members.
2 CARB routinely monitors CAP performance and provides appropriate oversight and direction of the CAP.
Action mten.
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-003.1 Develop a CARB Charter. Standardize CARB Perlommance 12-Mar-03 2Q03 Approved and published CARB meeting agenda.
Assessment charter. Published standard meeting agenda.
tTrack IDs OTH028161
! Resource
- n Ir Pe e No resources assigned.
Number Action Step Action Stop Owner Group Start Date Cornp Date Due Date Deliverable Owner OP-10-003.2 Provide CARB member briefing covering key Performance 20-May-03 2003 Documented record of briefing.
CAP elements an Meir role in te oversight or the program.
Assessment tTrack IDs OTH028167 No resources assigned.
Printed:
7118/2003 1:21:03 PM Page 46 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-003.3 Review and revise performance Indicators.
Performance 20-May-03 2Q03 CAP Performance Indicators Assessment issued.
tTrack IDs OTH028210 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.4 Assess the quality of corrective actions on a Nuclear 1003 1Q05 Issued Assessment Reports and quarterly basis through 4th qtr 2004. Results Oversight documentation of presentations in presented to CARB on a quarterly basis.
CARB meeting minutes.
tTrack IDs OTH029055 OTH029056 OTH029057 3001403005 5
120 l10perrmonth Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.5 Present the CAP activity rejection rate Performance 1Q03 tQ05 Documentation of review in CARB Information to CARB on a periodic basis Assessment meeting minutes.
through 4th qtr 2004.
tTrack IDs OTH028539 OTH029058 OTH029059 OTH029060 300380 3005 3
48 4 per month Number Action Step Action Step Owner Group Start Date Comp Dat Due Date Deliverable owner OP-10-003.6 Perform assessment of CARB improvements.
Performance 15-Apr-03 2Q03 Issued assessment report.
Assessment tTrack IDs OTH028220 No resources assigned.
Printed: 718/2003 1:21:04 PM1 Page 47 of 151 Effkfte Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-003.7 Implement a method for monitoring the quality Nuclear 30-Apr-03 2003 Results documented in CARB of conective actions. Present the 102003 Oversight (PB) meeting minutes.
results to CARB.
tTrack IDs OTH028185
~~~~~~~~
No resources assigned.
Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.8 Present corrective action rejection data to Performance 1 -Apr-03 2Q03 CARB meeting minutes record CARB.
Assessment presentation.
tTrack ls OTH028186 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.9 Monitor self-reporting ratios on a quarterly Peformance 01-Apr-03 2Q03 Approved Quarterly Trend Report basis and include in CAP Trend Reports.
Assessment containing SIPR data.
tTrack IDs OTH028209 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.10 Assess the effectiveness of CARB In Nuclear 2Q03 1004 Completed effectiveness report.
monitoring the health of the CAP and Oversight promoting line ownership of the CAP (after the new CARB process Implemented).
tTrack Ds ER030582 300140 3005 1
30 Printed:
7/18/2003 1:21:04 PM Page 48 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision Pillar of Excellence:
OP Priority 1 3C 3B CAP# 031160 Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
Corrective Action Program (CAP)
CAP Resolutions Effectively Address Problems OP-10-004 Performance Assessment Focus Area Owner:
Problem Statement Causal Factors:
Corrective actions do not always resolve problems.
I Some corrective actions taken have not resolved the Identified problems.
2 Ownership of significant station Issues was not consistently assigned to ensure timely Issue resolution.
3 Some personnel do not understand their roles & responsibilities in the Corrective Action Program.
1 A Technical Review Boad is established (and in place until the Site VP and Plant Manager agree the need no longer exists) to review selected corrective actions to ensure the actions taken adequately to resolve the Issue.
2 Issue Owners are assigned to significant issues.
3 Station personnel are aware of their roles and responsibilities in the Corrective Action Program.
Action Steps:
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.1 Develop a method to assign an 'Issue Owner' Assessment 28-Feb-03 2Q03 CAP Screening Team guidance to significant Issues.
form.
tTrack IDs OTH028191 No resources assigned.
Number Action Step Action Step Owner Group Start Date Cp Date Due Date Deliverable Owner OP-10-004.2 Review all open Priority 5 CAP items and either Performance 28-Feb-03 2Q03 Documentation of completed scrub.
close with no action or re-prioritze theI item.
Assessment tTrack IDs OTH028171 thru OTH028183 esource..
e P A
No resources assigned.
Printed:
7/18120031:21:04 PM Page 49 of I151 Eft-cfte Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Stop Owner Owner Group Start Date Cmp Date Due Date Deliverable OP-10-004.3 Conduct a Stream Analysis of the Crectlive Performance 08-Apr-03 2Q03 Documented CAP Stream Analysis Action Program issues.
Assessment results.
tTrack IDs OTH028169 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-104-04.4 Conduct briefing for station personnel Performance 1Q03 20-Jun-03 2Q03 Briefing attendance records.
(individual contributors) covering key elements Assessment of the CAP and their roles & responsibilities.
tTrack IDs OTH028216 No resources assigned.
Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable owner OP-10-004.5 Review lesson plan ORI-01-LPARP for Training 06-May-03 2Q03 Documented review of ORI changes to the new employee CAP lesson plan LPARP, or issued revision of that against program changes and improvements.
lesson plan.
Revise as required.
tTrack IDs OTH028218 No resources assigned.
Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.6 Reduce Quality Check backlog. Communicate Performance 10-Apr-03 2Q03 CARB minutes of initial review of problems noted during Quality uneck to tne CARB. Clarif Quality Check guidance to ensure emphasis Is placed on CAPs that involve CAQs.
Assessment quality eck inormaon and copy of CAP performance Indicator for quality check.
tTrack IDS OTH028539 No resources assigned.
Printed:
7/1812003 1:21:05 PM pap 50 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.7 Create a technical panel to perform a multi-discipline review of the Corrective Actions from root causes and other significant Corrective Actions to ensure appropriate actions are being taken to address the problem. The panel will remain In place until the Site VP and Plant Manager agree the need no longer exists.
Assessment 2003 15-Apr-03 2Q03 Documentation of Technical Review Board.
tTrack Ds OTH029030 OTH029031 No resources assigned.
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.8 Develop desktop guide to assist supervisors Performance 2003 14-Jul-03 3003 Desktop guide issued.
and CAP Liaisons In the review and closeout of Assessment corrective actions.
tTrack l0s CA030586
- 1 P ets ns" i
j P e r 6 i p 9 '
300380 3009 1
40 Number Action Step Action Stop Owner Group Start Date Cmp Date Due Date Deliverable Owner OP-10-004.9 Conduct briefing to improve Apparent Cause Performance 2Q03 3Q03 Briefing attendance records.
t
_l
_^1__
~~~~~~~~~~- -- - ---- --............
l___..
Aoi Evaluavon and Conamon Evaluation awareness.
Assessmem tTrack IDs CA030587 300270 3005 15 2.5 3002703005 50 2.5 300380 3009 1
120 I
Printed:
7/18/20031:21:05 PM Pop 51 of 151 EffecOve Date 711-03
PBNP Excellence Plan Revision I Numbr Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-004.10 Assess feedback from CAP Key Element and Performance 2003 3Q03 Documentation of feedback Roles & Responsibilities briefing provided to Assessment assessment and any necessary station personnel.
CAP changes implemented.
tTrack IDs CA030588 3003803009 1
5 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.11 Conduct an assessment of the use of the CAP Maintenance 4003 4Q03 Assessment report.
by Maintenance.
Programs &
Facilities tTrack I0s CA031300 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.12 Perform an effectiveness review.
Performance 1004 2004 Documented effectiveness review Assessment report.
tTrack IDs EFRO31301 300380 3009 2
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-i10-004.13 Provide hands-on workshops of t-Track as Performance 2Q03 1004 Attendance lists.
familiarization to personnel who request workshop attendance.
Assessment tTrack IDs CA031698 No resources assigned.
Printed:
718/2003 1:21:05 PM Page 52 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan Tie:
Action Plan Number Resp Group:
OP Corrective Action Program (CAP)
CAP Trending OP-10-005 Performance Assessment Priority 1 3C3B CAP# 031160 Focus Area Owner Problem Sament Causal Factors:
Oblectives:
Action steps Number Trend coding and trend analyses have not been used effectively to identify and correct adverse trends.
I The CAP trending process was not considered a value added activity or priority by station management.
2 Some CAP Liaisons have not received training on trend coding and trend analysis.
3 CAP trending information is not an Input Into Training.
I CAP Trend Reports refect station peformance and identify potential adverse trends.
Action Stop Action Stop Owner Owner Group Start Date Comp Date Due Date Defiverable OP-1 0-005.1 Develop a method to address the CAP AR Performance 24-Feb-03 2Q03 Documented method to address trend coding backog.
Assessment CAP trend coding backlog.
tTrack IDe 0TH028138 No resources assigned.
Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.2 Trend code the Level A & B CAPs from 2002.
Performance 12-Jun-03 2Q03 A report shows no 2002 Level A &
Assessment B CAPs that have not been trend coded.
tTrack lDs OTH029881 No resources assigned.
Printed:
7182003 1:21:0 PM11 Page53 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.3 Develop a method to trend code CAP ARs In a Performance 24-Feb-03 2003 Documented method for trend timely manner.
Assessment coding ARs at the front end of the process.
tTrack Da OTH028138 OTH028150 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.4 Identify trigger thresholds for adverse trend Performance 06-May-03 2003 Documented thresholds defining identification (E, PM, PO, PC, PR, T)
Assessment adverse trend criteria for appropriate departments.
tTrack IDs OTH028139 thru OTH028147 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date DelIverable Owner OP-10-005.5 Review CAP trend capabilities and Trend Performance 21-Apr-03 2003 Issued 4th Qtr 2002 CAP Trend Report format with CARB using a completed Assessment Report.
Trend Report.
tTrack l0s OTH028148 w-
=4 4f
- g No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.6 Establish standard CARB agenda and Charter.
Performance 12-Mar-03 2Q03 Approved CARB Charter & meeting Assessment agenda that directs the review of CAP Trend Reports.
tTrack IDs OTH028161 No mues
'rs eia No resources assigned.
Printed:
718120031:21:06 PM Pop 54 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.7 Determine a method for System Engineering to Engineering 02-May-03 2Q03 Documented method for trending trend and analyze equipment failures.
Equipment and monitoring equipment failures.
Performance tTrack I0s OTH028151 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owr OP-10-005.8 Provide trend coding and trend analysis Performance 10-Apr-03 2Q03 Briefing attendance sheets.
briefing to CAP Uialsons.
Assessment tTrack IDs OTH028157 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.9 Perform benchmark of CAP trending.
Performance 20-May-03 2Q03 Trending benchmarking report Assessment tMrack IDs OTH029028 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.10 Incorporate CAP trending data into the Training 3003 TAC & CRC process revised.
TACICRC processes.
tTrack [Ds CA030589 300130305 1
0 S
Printed: 718/20031:21:06PM Page 55 of 151 Effecfive Date: 7-11-03
PBNP Excellence Plan Revision I Number OP-10-005.11 Action Step Implement program to trend and ani equipment failures.
lalyze Action Step Owner Group Owner Engineering Start Date Comp Date 2003 Due Date Deliverable 1004 Dowmented program.
I E~~~~~~qulprnnt Performance tTrack IIs 0TH029883 3001503009 1
120 Number Action Step Perform an Effectiveness Review.
Action Step Owner Group Owner Performance Assessment Start Dat Camp Date 1004 Due Date Deliverable 10Q04 Effectiveness review report.
OP-10-005.12 tTrack IDs EFR030590 3001403007 1
80 Printed:
7/18/2003 1:21:06 PM PageS6 f I151 Effective Date: 7-11-03
PBNP Excellence Plan Revision 1 Pillar of Excellence:
OP Priority I 3C 3B CAP# 031160 Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
Corrective Action Program (CAP)
Effective Root Cause Evaluations OP-10-006 Performance Assessment Focus Area Owner:
Problern Statement Causal Factors:
Root Cause Evaluations (RCEs) have not been fully effective at Improving station performance and preventing some repeat events.
I Root Cause Evaluations were typically performed by Individual evaluators instead of root cause teams.
2 There are no formal requirements for root cause team evaluators or team leaders.
3 Root Cause Evaluation progress was not monitored by station management 4
CARS Root Cause quality assessment scoring methodology was not fully effective.
I Average Root Cause Evaluation quality grade is greater than/equal to 80.
2 Root Cause Evaluations are monitored by management.
3 Individuals are designated and receive instruction to become root cause evaluators and team leaders.
Actioners Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.1 Establish a Root Cause mentor and strengthen Perfomiance 21-Mar.03 2Q03 RCE charter documenting mentor the RCE Management Sponsor criteria.
Assessment and sponsor criteria.
tTrack IDs OTH028187 7~~~~~~~~~~~~~~~~~~~~
L7=
No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.2 Provide Root Cause Evaluator refresher Performance 22-May-03 2Q03 Briefing attendance records.
riering.
Assessment tTrack IDs 0TH028188 No resources assigned.
Printed:
7/18/2003 1:21:07 PM I
Page 57 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Stap Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1006.3 Promote the use of RCE Teams vice single Performance 1003 21-Mar-03 2Q03 Documented in RCE charter.
investigators for significant event investigation.
Assessment tTrack IDs OTH028187 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 0-06.4 Develop RCE Evaluator certification ttandard.
Performance 1Q03 22-Apr-03 2003 Approved RCE certification card.
Assessment tTrack Ms OTH028189 esO~~~fc~~~ ~~t U~~rUT~~~uuI~.1
~
Z i,
off'~
No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-104006.5 Develop a defined approach or methodology Performance 1003 21-Mar-03 2003 RCE Charter template.
for RCE Charter and Scope development Assessment tTrack IIs OTH028187 No resources assigned.
Number Action Step Action Step Owner Group Start Date Camp Date Due Date Deliverable Owner OP-10-006.6 Develop guidance for improved Extent of Performance 1Q03 3Q03 Improed guiance for Extent of Condition assessment.
Assessment Condioniassessmonts.
tTrack IDs PCR028386 300380 3009 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Dae Deliverable Owner OP-1 0006.7 Develop a certification to function as a Root Performance 30Apr-03 2Q03 Approved RCE Team Leader Cause Evaluation Team Leader.
Assessment Certification Card.
tTrackIDs CA028119 otircer is er arson
=NM No resources assigned.
Printed: 71812003 1:21:07 PM Pae 58 f 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Cmp Date Due Date Deliverable OP-10-006.8 Revise NMC Fleet CAP procedure to direct the Performance 1003 03-Apr-03 2Q03 Revised NMC Fleet CAP procedure performance of a RCE for any NRC finding that Assessment is greater than GREEN.
tTrack Is CA027792 No resources assigned.
Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10006.9 Develop station expectation that RCE Performance 1003 12-Jun-03 2003 Revised RCE charter template and Management Sponsor provide periodic Assessment CARB charter.
progress updates to CARB of an RCE In progress.
tTrack IDs CA028121 300270 3009 6
f 300380 3009 1
50 Number Action Step Action Step Owner Group Start Date Cmp Date Due Date Deliverable Owner OP-10-006.10 Develop a standard RCE grading Performance 1003 21-Mar-03 2Q03 Documented RCE grading criteria.
criterlalchecklist for CARB to utilize when Assessment reviewing RCEs.
tTrack IDs CA030591 No resources assigned.
Number Action Step Action Step Owner Group Start Date Camp Date Due Dat Deliverable Owner OP-1 0-006.11 Assess recent root cause evaluations to verify Performance 1003 3003 CAP Self Assessment report.
that multi-disciplinary teams are being used for Assessment Root Cause Investigations where appropriate.
tTrack IDs EFR028122 300380 3009 3
40 Printed:
7/18/2003 1:21:07 PM Page 59 of 151 Effective Date: 711-03
I PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-1 0-006.12 During 2004 CAP Sef Assessment verify that Performance 1Q04 3Q04 Completed CAP Self Assessment multi-disciplinary teams are being used for Assessment report.
Root Cause Investigations where appropriate.
tTack IDs EFR028124 300380 3009 3
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Dat Deliverable Owner OP-10-006.13 Train personnel on equipment root cause Engineering 2Q03 16-Jun-03 2Q03 Completed training records or evaluation approachLprocedure.
Processes briefing sheets.
tTrack IDs OTH029029 300380 3009 1
120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.14 Establish a continuing/refresher training course Training 2Q03 3Q04 Training lesson plan developed.
for Root Cause Evaluators.
tTrack IDs CA030592 3001 3005
,A 3001303005 1
T 80 Printed:
718/2003 1:21:08 PM Page 60 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Pillar of Excellence:
OP Priority 1 3C 3B CAP# 031160 Focus Area:
Action Plan Tite:
Action Plan Number Resp Group:
Corrective Action Program (CAP)
CAP Action Request (AR) Feedback OP-10.007 Performance Assessment Focus Area Owner.
Causal Factors:
Problems and issues dispositloned under the CAP have not been well communicated to station personnel when they have requested t.
I When CAPs are closed during screening, the initiator has not always been informed of closure.
2 Some personnel do not fully understand the CAP including their rols & responsibilities.
3 Personnel who request feedback during the evaluation are not always contacted.
Objectives:
I Personnel are aware of their roles and responsibilltles within the Corrective Action Program (CAP).
2 The CAP Initiator Is contacted when a CAP Is dosed with no action and the CAP Initiator requested feedback.
3 A process is established for providing feedback for problems and issues dispostioned under the Correcive Action Program (CAP).
Action Stes Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-07.1 Develop a protocol to improve feedback to the CAP initiator and communicate to employees.
Assessment 1Q03 28-Feb-03 2003 Management expectations documented for the CAP Screening Team to provide feedback.
trrack IDs TH028188 No resources assigned.
I Printed:
7/18/2003 1:21:08 PM Pae 61 of 151 Effective Date: 711-03
PBNP Excellence Plan Revislon 1 Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-007.2 Conduct briefing for Individual contributors Performance 1Q03 20-Jun-03 2003 Documentation of briefing covering the key elements of the CAP and their Assessment attendance.
rolestresponsibiitles.
tTrack IDs OTH028216 300130 3006 T 1
40 TI 300380 3009 2
120 Number Action Step Action Step Owner Group Start Date Comnp Date Due Date Deliverable Owner OP-1i0-007.3 Develop/Implement an approach to promote Performance 1003 23-May-03 2Q03 Summrny of actions taken to assist the long-term benefits of the CAP to the end Assessment with promoting the CAP.
user.
tTrack IDs 0TH028537 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-007.4 Communicate/adverfise success stories.
Performance 2Q03 3003 Doa atnofsuccessstories Assessment icated.
tTrack IDs CA030595 300380 3009 2
120 Number Action Step Action Step Owner Group Start Date Conp Date Due Date Deliverable Owner OP-10-007.6 Perform an Effectiveness Review.
Performance 4003 Documented effectiveness review Assessment report.
tTMack IDs EFR030596 300380 3009 2
40 Printed:
7/18/2003 1:21:08 PM Page 62 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Printed:
7/18/2003 1:21:08 PM Page 63 of 151 Effective Date: 7-11403
PBNP Excellence Plan Revision Pillar of Excellence:
Focus Aa:
Action Plan Tile:
Action Plan Number Resp Group:
OP Corrective Action Program (CAP)
CAP Effectiveness Reviews OP-10-008 Performance Assessment Priority 1 3C 3B CAP # 031160 Focus Area Owner:
Problem Stment Causal Factors:
Obiectives:
Action-Steps:
Number CAP effectiveness reviews of compiLed corrective actions have not always been consistent.
I Effectiveness reviews were only performed on events/issues where a Root Cause Evaluation was conducted.
2 Guidance for when to perform an effectiveness review was not sufficient I Implement a method for ensuring that effectiveness reviews are consistently conducted.
Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-008.1 Assess existing guidance for adequate detail to Performance 1o3 3D03 Documented assessment conduct RCE effectiveness reviews.
Assessment tTrack IDs OTH028530 300380 3009 2
30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-008.2 Develop and implement a method to ensure Performance 1003 04-Apr-03 2003 Issue worlidlow/decision-making issues identmea by UAP sceen team mat are not root cause evaluations are verified by an effectiveness review when warranted.
Assessment chart.
tTrack IDs OTH028193 No resources assigned.
Printed:
7182003 1:21:09 PM Page 64 of I151 Effective Dte: 7-11403
PBNP Excellence Plan Revision 1 Number OP-10-008.3 Action Step Perform an effectiveness review.
Action Step Owner Group Owner Performance Assessment Start Date Comp Date 4003 Due Date Deliverable 4Q03 Documented effectiveness review report.
tTrack IDs EFR031302 I
Printed:
718/2003 1:21:09 PM Page 65 of 151 Effective ate: 7-11-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan Tle:
Action Plan Number Reap Group:
OP Priority 1 3C3B Corrective Action Program (CAP)
CAP Assignments are Based on Knowledge and Skill OP-1 0-09 Performance Assessment CAP# 031160 Focus Area Owner:
Problem Statement:
Causal Factors:
CAP performance needs improvement because some departments have not fully implemented the CAP liaison concept.
I Several departments do not have a CAP Uaison assigned to mentor the process.
2 The roles and responsibilities of the CAP Liaisons are not well defined.
3 There Is no formal indoctrination for CAP Liaisons.
I Appropriate departments have a fully certified CAP Liason.
Qblactlves:
Action Stes Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-009.1 Develop and implement a CAP Lialson Performance 1Q03 22-May-03 2003 CAP Liaison certification standard.
certification standard.
Assessment tTrack IDs OTH028213 No resources assigned.
Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-009.2 Clarify CAP Lalson roles and rsponsibilities.
Performance 1003 22-May-03 2Q03 Documented CAP Liaisons roles Assessment and responsibilities.
tTrack IDs OTH028213 No resources assigned.
Printed: 71812003 1:21:09 PM Page 66 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revislon I Number Action Step Action Step Owner Group Owner Start Date Cmp Date Due Date Deliverable OP-i0-009.3 Identify gaps in CAP Liaison coverage and Assessment 1003 22-May-03 2003 CAP Liaison gaps dentified and develop plans to fill gaps where appropriate.
plans completed.
tTrack Os OTH028548 0TH028549 OTH028565 Resourc.~-
2 or n
f~
~
n,
t~~~~~~~~~~~~~~'
E No resources assigned.
Number Action Step Action Step Owner Group Start Dat Comp Date Due Dat Deliverable Owner OP-1 0009.4 Identified departments to fill CAP Liaison gaps.
Assessment 2Q03 3Q03 Department CAP liaisons assigned.
tTrack lDs OTH029899 CA027787 CA031305 300040 3009 1
40 300210 3009 1
40 300350 3005 1
40 300360 3009 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-009.5 Review CAP Liaison positions forgaps to Assessment 2003 08-Jul03 3Q03 See Action Step OP-10-009.4.
ensure adequate support and coverage of the This tem is considered closed to CAP.
avoid duplicate tracking.
tTrack IDs "K
Ml' en AO V'
No resources assigned.
Number Action Step Action Step Owner Group Start Dat Comp Date Due Date Deliverable Owner OP-10-009.6 Assess progress of CAP Liaisons certification.
Performance Assessment 2004 3004 Assessment Report tTrack l~s EFRO31303
[ + R e 6 ~ i ~ ~
7 4 ~ ' P ~ i s n s H s P o ' ~ e i I V-X
?
C r n ' i i s 300380 3009 2
40 I
Printed:
7118/2003 1:21:09 PM Page 67 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-i0-009.7 Provide new CAP Liaisons with expectations and certification cards at an indoctulnation meeting.
Performance Assessment 3003 3003 Meeting minutes.
I tTrack IDs CA031840 300040 3004 1
2 300210 3004 12 300350 3008 1
300380 3009 1
10 Printed:
7118/2003 1:21:09 PM Page 68 of 151 Effeclive Date: 7-11403
PBNP Excellence Plan Revision 1 Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
Focus Area Owner Problem Statement:
Causal Factors:
Oblectives:
OP Priority 2 3C 3B CAP# 031808 Corrective Action Program (CAP)
Operating Experience (E) Improvement Plan OP--00 Assessment Operating Experience (E5) has not been effectively used to prevent events and mprove station performance.
I Expectations have not been communicated or reinforced that CE Is part of our core business.
2 CE data s spread between two databases.
3 Theme s no procedure for plant personnel to acquire OE, nor any documented expectation for its use.
4 The Implementing procedure for processing CE lacks sufficient detail.
I Expectations ame communicated.
2 CE Is consolidated within a single database.
3 Procedures for acquiring and processing CE are ssued.
Action Steps:
Number Action Stop Action Stop Owner Owner Group Start Dat Camp Date Due Date Delliverable OP-1o-0ib.1 Develop and Implement a new external Operating Experience Procedure that specifies roles and responsibilIties, managements expectations for the use of CE and details of the CE program and process.
Assessment 4003 1Q04 Approved Procedure tTrack l~s CA029464 OTH28689 300020 3005 1
6 300140 3005 1
20 300180 3004 1
6 300270 3009 1
10 300380 3005 1
120 Printed: 7/18/2003 1:21: 10 PM Pgeo 5
fetv ae
-10 Page 69 of 151 Effective Date: 7-11-03 I
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.2 Revise AM 3.13 to reflect current practices.
Assessment 4Q03 1Q04 Revised AM 3.13 tTrack IIs CA030600 300380 3005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.3 Develop a procedure on the acquisition and Assessment 4Q03 1Q04 Approved Procedure expectations for use of OE.
tTrack IDs CA029465 662LTECH 1
40 300380 3005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.4 Establish Operating Experience Points of Assessment 3Q03 3003 OEPOCs established and briefing Contact (OEPOC) and brief the OEPOCs on their duties.
documented.
tTrack IDs CA030601 300010 3005 1
5 300010 3005 1
5 3000203005 1
5 3000303005 1
5 300130 3004 1
5 3001403005 1
5 300150 3004 1
5 3001603004 1
5 300170 3004 1
5 3002103004 1
5 Printed:
7/18/20031:21:10 PM Page 70 of 151 Effedive Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.5 Once established, the OEPOC will conduct a briefing for their respective groups on the OE action plan and the role of the OEPOC.
Assessment 3Q03 3Q03 Briefing documented.
tTrack IDs CA031759 300010 3005 1
5 300020 3005 1
5 300030 3005 1
5 300130 3004 1
5 300140 3005 1
5 300150 3004 1
5 300160 3004 1
5 300170 3004 1
5 300210 3004 1
5 Number Action Step Action Step own"r Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.6 Conduct an assessment of the use of Maintenance 2Q03 3Q03 Copy of the Assessment Report Operating Experience in the development of Programs &
Maintenance work plans.
Facilities tTrack s CA030602
~~~~~~~~~~~~~~~~~~~~or-300050 3009 3
8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.7 Revise NP 10.2.1. 10.2.2 and 10.2.4 to require Production Ae 4 ~tA Revised and issued NP 10.2.1.
planners to search for and use OE in the work plans Planning Law NP10.2.2, NP10.2.4 I
tTrack lIs CA030603 fj b~ '7
- 'oron y~!T x
':'~~
C~a
( orniii~i a m
300040 3004 190 Printed:
7/18/2003 1:21:10 PM Page 71 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Stap Owner Group Owner Start Date Comp Date Due Date Deliverable OP-10-010.8 Brief the planners on the new standalds for Maintenance 1004 I104 Briefing documented.
work packages.
Programs &
Facilities tTrack IDs CA030S04 3000503005 1
8 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.9 Develop an OE website.
Assessment 3Q03 1004 Accessible OE web page tTrack IDs OTH028689 662LTECH l
90 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable owner OP-10-010.10 implement a stnrctured process for acquiring Assessment 4Q03 1004 Documented procedure or and disseminating OE for major work week guideline.
activities.
tTrack IDs CA030S05 300380 3005 1
5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.11 Assess the effectiveness of the use of OE at Assessment 1Q04 1004 Documented assessment.
tTrack Ds CA030606 3003803005 140 Printed:
7/1812003 1:21:11 PM Page 72 o 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Start Dae Comp Date Due Date Deliverable Owner OP-1 0-0 0.12 Improve the software Interface to INPO Business VT 3Q03 4Q03 Completed Software Work Request newsgroups.
Support &
Infrastructures tTack IDs CA030607 Resource
~ f Perso
, r sper Verson
~
300220 3008 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.13 Conduct an assessment of the use of Maintenance 2003 3Q03 Assessment report Operating Experience In the conduct of Programs &
Maintenance pre-ob briefings.
Facilities tTrack IDs CA030608 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.14 Develop and implement procedural guidance to Assessment 4Q03 1Q04 Revised procedure.
ensure that significant SOERs are living documents that are systematically revisited tTrack Is CA030610 300380 3005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.15 Eliminate the use of two different databases for Assessment 2Q03 3003 Open OE Is available in t-Track.
the tracking of OE.
tTrack l1s CA030611 300220 3008 1
120 300380 3005 140 Printed:
7/18/20031:21:11 PM Page 73 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Stop Owner Group Start Date Comp Dat Due Dabt Deliverable Owner OP-10-010.16 Develop and implement a communication plan.
Assessment 4003 4Q03 Documented Communication Plan.
tTrack IDs CA030812 300380 3005 1
25 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.17 Generate a Request for Training (RFT) to Assessment 1004 1004 Completed RFT evaluate OEPOC training and end user training.
tTack IDs CA030613 300380 3005 1
5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.18 Revise the RCE guide to ensure we send Assessment 4Q03 4003 Revised guide.
applicable OE out to the industry tTrack IDs CA030614 300380 3005 1
5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.19 Conduct an effectiveness review.
Assessment 2004 2Q04 Documented effectiveness review.
tTrack IDs CA030615 300380 3005 3
40 Printed: 7182003 1:21:11 PM Page 74 of 151 Effective De: 7-11-03
PBNP Excellence Plan Revislon 1 Number OP-10-010.20 Action Step Develop a performance indicator which measures evaluation quality.
Action Step Owner Group Owner Assessment Start Date Comp Date 4003 Due Date Deliverable 1004 Documented performance indicator and requirements for monitoring.
tTrack IDs CA031912 R 3e0038 300P P. VW 1
l 1300380 3005
¶ 20 Printed: 718120031:21:11 PM Page 75 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Pillar of Excellence:
OP Priority 2 3C 6C CAP # 033342 Focus Area:
Action Plan Tte:
Action Plan Number Resp Group:
Corrective Action Program (CAP)
Improve Effectiveness of Self Assessments OP-10-01 1 Assessment Focus Area Owner.
Problem Statement Causal Factors:
Important elements of the continuous performance improvement process are not effective In driving needed station Improement.
I Benchmarking has been over-reliant on Informal comparisons with other NMC facilities.
2 Management and group observations are fragmented and not analyzed to detect or prevent adverse trends.
3 Self-assessments are often not performed as scheduled and do not take full advantage of industry peers.
Oblectives.
I Benchmarking is conducted In formal, systematic methods against industry top-performers.
2 Data from the job observation program is analyzed and disseminated to detect and prevent adverse trends.
3 Quality, focused self-assessments are routinely conducted.
Action Sftm Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10011.1 Create a change management plan to Implement this plan.
Assessment 3Q03 4003 Approved Change Management Plan.
tTrack l~s CA030617
-~~ 77W~esourcev i
'2 Printed: 7/18/2003 1:21:12 PM Page 76 of I151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Dae comp Date Due Date Deliverable OP-10-011.2 Validate the scope of this action plan by Assessment 3Q03 3Q03 Documented assessment report conducting a self assessment of our continuous improvement efforts.
tTrack IIs CA030075 300140 3007 1
40 300380 3005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.2A Following validation of the scope, revise this Assessment 3Q03 3003 Revised action plan If required.
action plan if appropriate.
tTrack IDe 300380 3005 1
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3 Improve the Job observation process.
Assessment 2003 2Q04 No deliverable required. This Is a high level step to capture action steps associated with Job Observation Process Improvements.
tTrack IDs No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable owner OP-10-011.3A Revise NP 13.3.1 todefinestandards, Assessment 3Q03 4003 Revised NP 13.3.1.
expectations, trending, and reporting of observations.
tTrack IDe CA028604 300380I3005 10 Printed:
711 82003 1:21:12 PM Page 77 o 151 Efftmfte Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.3.B Revise NP 13.2.1 as necessary in paralel with Assessment 3Q03 4Q03 Revised NP 13.2.1.
revision to NP 13.3.1.
C tTrack IDs CA030618 300380 3005 1
10
- '-r x
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3.C Implement PACE database forob observation Business IT 2Q03 4Q03 Useable common database on processes. Specific details are documented in Support &
PBNP LAN.
Change Management Plan 2003-10.
Infrastructures tTrack IDs CA028603 300010 3005 1
1 1
40 300020 3007 1
1 1
40
_3000303005 1X~-
1 1
40 300050 305 1
1 1
40 300220 3008 1
40 3003803005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3.D Perform an effectiveness review of site leadership observation programs.
Assessment 1Q04 2Q04 Documented effectiveness review.
tTrack IDs CA028467 300380 3005 1
1 20 1.
Printed:
7/18/2003 1:21:12 PM Page 78 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner ownerGroup Start Date Comp Date Due Date Deliverable OP-10-011.3.E Develop Change Management Plan for PACE Assessment 2Q03 3Q03 Approved Change Management implementation.
Plan.
tTrack IDs CA030227 300220 3008 1
40 300380 3005 1
40 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.4 Improve the benchmarking process.
Assessment 2003 2Q04 No deliverable required. This Is a high level step to capture action steps associated with Benchmarking Process Improvements.
tTrack lOs No resources assigned.
Number Action Sep Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.4A Develop a benchmarking procedure.
Assessment 4Q03 1Q04 Issued procedure.
tTrack IDs CA028607 CA028465 30 0380 3005 110 Number Action Step Action Step Owner Group Stat Date Comp Date Due Date Deliverable Owner OP-10-011.4.B Develop a performance indicator for Assessment 4Q03 1Q04 Approved Performance Indicator.
benchmarking.
tTrack IDs CA030619 300380 3005 10 Page 79 of 151 Effective Date: 7-11-03 Printed:
7/18/20031:21:13 PM I
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.4.C Perform benchmarking effectiveness review.
Assessment 2Q03 2Q04 Documented effectiveness review.
tTrack IDs CA028465 300380 3005 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Dote Deliverable Owner OP-10-011.4.D Revise NP 13.1.1 to eliminate requirement for Assessment 2003 2Q04 NP 13.1.1 revision trip report for benchmarkng since benchmarking report Is required.
tTrack IDs CA030621 3003803005 1
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5 Improve focused self assessmentprocess.
Assessment 2003 2Q04 No deliverable required. This is a high level step to capture action steps associated with Self Assessment Process Improvements.
tTrack IDs No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5A Revise NP 13.1.1 to ndude additional detail on Assessment 4Q03 1Q04 NP 13.1.1 revision.
the conduct of self assessments.
tTrack IDs CA028605 300380 3005 1
40 PrInted:
7/18/2003 1:21:13 PM Page 80 of 151 Eftelive Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Stop Owner Group owner Start Date Comp Date Due Date Deliverable OP-10-011.5.B Revise AM 3.6 to refiet changes to PB self-Assessment 2Q03 2Q04 AM 3-8 revision If needed.
assessment philosophy, If needed.
tTrack IDs CA030622 300380 3005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5.C Implement NMC SnapShot self-assessment Assessment 2Q03 3Q03 Procedure issued for performing process.
snapshot self-assessments.
tTrack IDs CA030623 300380 3005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5.D Proceduralize PB Quarterly Effectiveness Assessment 4003 2004 Procedure issued for performing Review guideline.
quarterly effectiveness reviews.
tTrack IDs CA03062f R e s o u r c.
- P e r s r
~e t e r s o i 1-1/2<
7
. o r e 300380 3005 1
40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5.E Reinforce procedural requirements for self Assessment 2Q03 3003 Memo issued.
assessments.
tTrack IDs CA030627 300380 3005 1
20 Printed: 7/18/2003 1:21:13 PM PS el f 151 Effective Date: 7-11-03
I PBNP Excellence Plan Revision 1 Number Action Step Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.5.F Develop a process for CARB review and Assessment 1Q04 2Q04 Documented process.
grading of completed self-assessments.
tTrack l0s CA030635 300380 3005 2
60 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6 Maintenance Self Assessment Improvements.
Maintenance 1003 303 h lvel step to capture acTion steps associated with Maintenance Sell Assessment Improvements.
track IDs No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6A Assign a Maintenance Self-Assessment Maintenance 2Q03 16-Jun-03 2Q03 A copy of the notification to the Coordinator Programs &
individual assigned and to the Facilities organization, which Identifies the reporting relationships, and the roles and responsibilitles of the Coordinator.
tTrack lWs CA030628 300050 3009 1
4 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6.B Establish and publish the criteria for selecting Maintenance 2Q03 07-iul-03 2Q03 Copy of the selection criteria.
topics for Maintenance Sell-Assessments.
Programs &
Facilities tTrack IDs CA030629 300050 3009 1
6 PrInted:
7118/2003 1:21:14 PM Page 82 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Stop Action Stop Owner Group Owner Start Date Comp Date Due Date Deliverable OP-1 0-011.6.C Incorporate the Maintenance Self-Assessment Maintenance 3Q03 4003 Copy of the applicable section(s) of Program in the Conduct of Maintenance the Conduct of Maintenance Manual.
Menuar.
tTrack l0s CA030630 300050 3009 1
1 1
8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 0-011.6.1 Establish a three year Maintenance Self-Maintenance 2Q03 08-Jul-03 3Q03 Copy of the Plan and Schedule.
Assessment Plan and Schedule.
Programs &
Facilities tTrack IDa CA030632 7~W6aet c6id#einn tCsfTef 300050 3009 1
6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownr OP-10-011.6.E Integrate results of Self Assessments Into the Maintenance 3Q03 4003 A copy of the applicable section(s)
Maintenance Quarterly Reports (QER) and of the Conduct of Maintenance ensure that the QER are used to refine the Manuar.
assessment plan and schedule. Include this In the Conduct of Maintenance Manual.
tTrack ID CA030634 ze
_S~~~~~~~~~~~~~~~~~
300050 3009 1
8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.7 Implement a site wide integrated assessment Nuclear 1003 3004 Process implemented as required reporting process.
Oversight by OR-02-001.6.
tTrack IDs CA030273 No resources assigned.
Printed:
7/1812003 1:21:14 PM Pape 83 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.8 Establish an expectation that managers review Plant Manager 1003 03-Apr-03 2Q03 Plant Manager expectations the key performance Indicators with their conveyed at POD and 2C's departments on a monthly basis.
meetings.
tTrack IDs CA028606 No resources assigned.
Number Action Step Action Step Owner Group Start Date Cmp Date Due Date Deliverable Owner OP-1 0-01 1.9 Conduct an effectiveness review of the Assessment 3004 4Q04 Completed Effectiveness Review continuous performance Improvement process.
report.
tTrack ID9 EFR030837 3003803005 2
60 Printed:
71812003 1:21:14 PM Page 84 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Pillar of Excellence:
OP Priority 2 3C 3B CAP # 033363 Focus Area:
Action Plan Tle:
Action Plan Number Resp Group:
Technical Procedure Quality Improve quality of technical procedures OP-12-001 Business Procedures Focus Area Owner:
Problem Statement Causal Factors:
Oblectives:
Performnance errors and job delays are attributed to usability of technical procedures.
I Large backlog of requested procedures changes exist In Operations and Maintenance.
2 Inattention to detail during performance of procedure reviews for new and revised procedures have resulted In procedure performance issues.
3 Lack of understanding of procedure writers' guide requirements results in procedures that are not user-friendly and that contain human error traps.
4 Lack of understanding of procedure revision/change processes makes incorporating requested changes very time consuming and difficult.
5 Large number of procedure revisions/changes per year makes it difficult to keep up with the changes to assure proper understanding of technical procedure requirements I Reduce backlogs of requested procedure changes.
2 Improve quality of procedure reviews during development process.
3 Improve awareness of writers' guide requirements and procedure change processes.
Action Stem, Number Action Step Action Step Owner Owner Group Start Date Comp Dat Due Date Deliverable OP-12-01.1 Perform a Site Procedures Assessmrsnt to validate the concerns identified in the Problem Statement and to ensure no other problems exist by developing corrective actions based on findings from the assessment Business Procedures 2Q03 3003 Completed self-assessment.
tTrack Is CA030705 CONTPRO 2
60 300020 3005 1
50 300050 3005 1
50 3001403007 1
50 300210 3004 1
40 300210 3008 1
40 Printed:
7/18/20031:21:15 PM op 85 of 151 Effecfte Date: 7-11-03
PBNP Excellence Plan Revision I i
300210 3009 1
60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.2 Incorporate or remove outstanding temporary Maintenance I&C 2003 3Q03 Temporary change database report.
changes >180 days old against I&C Procedures except for those specifically required for existing plant conditions.
tTrack IDa CA030706 300050 3008 1
80 300320 3005 2
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.3 incorporate or remove outstanding temporary Maintenance 2Q03 12-Jul-03 3003 Temporary change database report.
changes >180 days old against Maintenance Services Procedures except for those specifically required for existing plant conditions.
tTrack IDs CA030707 300050 3005 1
1 10 300050 3008 1
60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.4 Provide briefings for Operations and Business 3Q03 3003 Copy of Information Sharing Sheets, Maintenance procedure wrters to ensure process and writers' guide requirements are understood Proceaures tTrack IDs CA030708 300210 3009 1
32 PrInted:
7/18/2003 1:21:15 PM Page 6 of I151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Operations Start Date Comp Date 2003 27-Jun-03 OP-12-001.5 Provide each crew and operations staff a copy of existing feedbacks on their associated responsible procedures. Place copies of these feedbacks into binders, one for each operating crew and one additional for staff review for the individual crew/staff teams to review for validity, duplication, accuracy, sufficient detail and of the correct priority.
Due Date Deliverable 2Q03 Cover page with nstructions for each of the seven binders and an e-mail from step owner.
tTrack s CA030709
- 'C. g FF. T<i.'t JE,28t
,,~
, 7r_>!<J~S<s No resources assigned.
Action Stop Owner Group Start Date Comp Date Due Date Delivera Owner Number Action Step ble OP-12-001.6 Reduce the procedure feedback backlog for Operations 2003 1 04 A listing of ARPIARB Procedures procedure ARB/ARP, dated prior to 1/1/03 to feedbacks dated prior to 1/1/03 less than 20 feedbacks.
tTrack lOs CA030711 300020 3005 2
200 Number Action Step Action Step Owner Group Start Date Comnp Date Due Dat Deliverable Owner OP-12-001.7 Crew/staff representatives conduct an Operations 3Q03 1004 A listing of feedbacks evaluated.
evaluation of the crew specific binder of feedbacks. This evaluation shall consider if feedback Is valid, duplicated, accurate, sufficient detail and of the correct priority.
tTrack 1D CA030713 CA031626 CA031627 CA031628 CA031629 CA031630 CA031631 CA031632 300020 3005 30 40 I
Printed:
7/1812003 1:21:15 PM Page 87 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Stap I
Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable OP-12-001.8 Create milestones and work priorities to Operations 1004 1004 Milestones are approved by support crew priorities and backlog reduction.
Operations Manager.
The Procedures Group will obtain Operations Managers concurrence with these milestones.
tTrack IDs CA030716 300020 3005 210 300020 3009 1
2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.9 Assign a craft owner for each Maintenance Maintenance 2Q03 3Q03 A copy of the owner list.
Procedure.
Mechanical tTrack Is CA030722 A_~
~
.V¢ nL 3000503005 2
r 12 r
n 300050 3009 2
12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.10 Provide each craft owner a copy of existing Maintenance 3Q03 3003 A copy of the document of feedbacks on their assigned procedures.
Mechanical transmittal of the folders to each of Place copies of these feedbacks assignei to the craft owners.
each craft owner into folders for the Individual owners for review.
tTrack Is CA030724 3001050 3005 28 3000503008 3
20 300050 3009 1
4 Printed:
7/18/2003 1:21:16 PM11 Page ea f 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-12-001.11 Craft owners conduct an evaluation of feedbacks for assigned procedures. This evaluation shall consider if feedback I valid, duplicated, accurate, sufficiently detailed and correctly prioritized.
Maintenance Services 3003 1Q04 A report of the feedback reviews Identifying actions taken.
tTrack Is CA030725 655LELEC 6
20 655LINST 6
20 655LMECH 6
20 300050 3005 2
12 300050 3008 3
20 300050 3009 1
4 Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable OP-12-001.12 Following completion of the craft owner evaluations, create milestones and work priorities to support crew priorities and backlog reduction. Maintenance Services will obtain Maintenance Manager's concurrence with the milestones and work-off rate.
Maintenance Services 1Q04 1Q04 A copy of the maintenance procedure backg reduction work-off rate and milestones.
tTrack IDs CA030727 300050 3005 2
4 300050 3008 1
4 300050 3009 1
4 Number Action Stop Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable OP-12.001.13 Perform effectiveness review.
Business Procedures 3Q04 3004 Effectiveness review report.
tTrack l~s EFR030729 R e s o u r c e p
r s o n s~~~~~ r ~ P e w 7 Mer a
4 44 4~~~~
- 4. ~~ ~-
4
~ ~ C et CONTSRVS 2
16 300100 3005 1
4 300170 3004 1
16 Number E1-15-001.11 Action Step Complete Mod Implementation MR99-034A (Modify Halon Detection and Annunciation System)
Action Step Owner Group Owner Maintenance Construction (General Supervisor Installation Services)
Start Date Comp Date 3Q03 Due Date Deliverable 1004 Modification Installed and accepted.
tTrack IDs CA030840 e s o W
r s o n s,
t, $
CONTSRVS 1
776 300100 3005 1
100 300170 3004 1
80 Printed:
7/18/2003 1:21:22 PM Pap 114 of 151 EffecOve Date: 711-03
PBNP Excellence Plan Revslon I Number Action Step Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.12 Complete Mod Implementation MR99-033 (Install fire wrap). Some Field Engineering will be required.
Maintenance Construction (General Supervisor Installation Serices) 2003 104 Modification installed and accepted.
tTrack IDs CA030841 CONTSRVS 1830 300100 3005 2
80 300170 3004 1
80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.13 Modification Closeout Business 4Q03 1Q04 Modification close out package.
t
~~~~~~~~~Projects I tTrack l0s CA030842 3003703005 1
138 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.14 Complete Mod Implementation MR99034 Maintenance 2003 1Q04 Modification Installed and accepted.
(Install 3 hour3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> firewall).
Construction (General Supervisor Installation Services) tTrack IDs CA031651
_~~1N CONTSRVS O
1830 Contract Services 300100 3004 2
80 300170 3004 1
80 Printed:
718/2003 1:21:23 PM Pae1150of 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
Focus Area Owner EQ Priority 2 3C 3B CAP # 033395 Equipment Reliability Replacement of Plant Perimeter Project EQ-15-003 Security PBNP Problem State-ment:
Causal Factors:
Objective Actlon-Steps:
Number EQ-15-003.1 The plant protected area perimeter Intrusion detection system (PIDS) equipment needs to be replaced. Replacement of the PIDS Is a NRC commitment I
The original equipment installed in the late 1970s can no longer be repaired because spare parts are no longer available as the technology Is obsolete.
1 PIDS upgrade completed and accepted.
Action Step Action Step Owner Owner Group Start Date Comp Date 1Q03 27-Jun-03 Due Date Deliverable Issue approved Civil package MR99-01 1*B Engineering Design CMvIUStructural -
PB 3003 Approved MR99011*B tTraCk Is CA030854 Resource Persons Hi s P1 esiKo en CONTPRO 2
5 300170 3004 2
20 3001703005 1
4 Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-15-003.2 Presentation of MR99-011 *B and Approval from PRB for Phase 3 Business Projects 2003 12-Jun-03 2003 Phase 3 Approval from PRB tTrack IDs CA030855 CONTPRO 1
40 SECURITY 3 10 300370 3009 5
Printed:
718/2003 1:21:23 PM Pae 16 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-15-003.3 Implementation/completion of MR99-011 *B Business Projects 2003 4Q03 Security declares civil portion of modfcaton usable.
tTack IDs CA030856 CONTCFT 6
360 CONTPRO 3
360 CONTSRVS 2
280 300100 3005 1
360 300170 3004 2
80 300350 3005 1
160 Number Action Step Action Step Owner Owner Group Start Dat Comp Date Due Date Deliverable EQ-15-003.4 Issue approved package for Electrical MR99-011*E Engineering Design I&C 1003 4003 Approved MP99-01 *E, or partial releases that support the implementation schedule.
tTrack IDs CA030857
~~~~~~~~~I CONTPRO 3
80 300100 3005 1
80 3001703004 2
j 160 300350 3005 1
j 40 I
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-15-003.5 Presentation of MR99-0 1*E and Approval from Project Review Board (PRB).
Business Projects 2Q03 3003 Phase 3 Approval from PRB tTrack IDs CA030858
¶ lb SV~~~~~~~~~~~0fifi-,7 CONTPRO 40 SECURITY 1
10 300370 3009 5
Printed:
7/18/2003 1:21:23 PM Page 117 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable FO.1 54-O'A A Imnlomwntafion/ennletinn nf MROO-1 I *F Ruminammf Sam~iritv fIk-afrrAm flAw RAetv Projects JtW System operabe.
tTrack Is CA030859 CONTCFT 6
420 CONTPRO 3
420 CONTSRVS 2
320 300100 3005 1
420 300170 3004 2
120 300350 3005 1
200 Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-1 5-003.7 Issue approved package for Dernolition and Abandonment MR99011*F Engineering Design CivllStructural -
PB 3003 4Q03 Approved MP9901 1*F.
tTrack Is CA030860 CONTPRO 3
80 3001003005 I
1 80 300170 3004 2
160 300350 3005 1
40 Number Action Step Action Step Owner Owner Group Start Daft Comp Date Due Date Deliverable EQ-15-003.8 Presentation/approval of MR99-01 1 *F from PRB Business Projects 2Q03 4Q03 Phase 3 Approval from PRB.
tTrack IDs CA030861 Res mtiree-=-
=erwons
~ < Krs er~et~oi N
CONTPRO 1
40 SECURITY 1
10 300370 3009 1
Printed: 7182003 1:21:24 PM Page I I 8 of 151 Effixcllve Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-15-003.9 Impiementation/completion of MR99-01 1F Business Projects 3Q03 2004 Acceptance by Security.
tTrack IDs CA030862
~ 'isfk4 Com"em CONTCFT 6
240 CONTPRO 3
240 CONTSRVS 2
180 300100 3005 1
240 3001703004 2
60 300350 3005 1
120 Number Action Stop Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-15-003.10 MR9901 1 Modification coseout Business Projects 4003 3004 Plant Design Checklist signed by Supervisor.
tTrack IDs CA030863 CONTPRO 2
80 CONTSRVS 2
120 300100 3005 1
40 300170 3004 2
80 300350 3005 1
60 Number Action Slop Action Slop Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-1 5-003.11 Complete schedular commitment chfnges necessary to execute this Action Plao. The NRC commitment date Is 12131/03. his Plan will not be completed until mkd-2004.
Business Projects 3Q03 3Q03 Documented commitment change In accordance with NP 5.1.7.
tMck ID9 CA031971 CONTPRO 1
40 Printed: 71812003 1:21:24 PM Page 19 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Page 120 of 151 Effective Date: 7-1103 Printed: 71812003 1:21:24 PM
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
EQ Equipment Reliability High Energy Line Break Project EQ-15-006 Engineering Design Priority 2 3C 3B CAP # 033405 Focus Area Owner:
Problem Statement CausatFactors:
Oblectives:
Action ser Number A High Energy Line Break (HELB) could expose safe shutdown equipment located on the 26 ft elevation and below of the Primary Auxiliary Building (PAB) to a harsh environment.
I Equipment In the PAB on the 26 ft elevation and below was not included in the original EQ program. (Recent engineering analyses determined that harsh environments may exist In these areas [CAP0015591 for certain steam line breaks.)
I Install walls, ducts and dampers that will prevent safe shutdown equipment from being exposed to a harsh environment.
Action Step I
Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-154006.1 Gain Project Review Board (PRB) approval for Engineering 2Q02 01-Jun-02 2003 Signed Request for Phased Study Phase Design Approval (RPA)
Mechanical - PB tTrack IDs CA030918 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 54006.2 Gain Approval for the Design Phase Engineering 2Q02 15-Aug-02 2003 Signed RPA Design MechanIcal - PB tTrack IDs CA030918 No resources assigned.
Printed:
7/18/20031:21:24 PM Page 121 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Stop Action Stop Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-15-006.3 Gain Approval for the Implementation Phase Engineering 4Q02 0Wan-03 2Q03 Signed RPA Design Mechanical - PB tTrack IDs CA030918 M
a 3S :,
s<)>ZW1X No resources assigned.
Number Action Step Action Stop Owner Group Start Date Comp Date Due Dat Deliverable Owner EQ-15-006.4 Complete Engineering for Mod MR99-003 Engineering 3002 25-Mar-03 2Q03 Approved Mod Package Design Mechanical - PB tTrack IDs CA030918 ourceisto
- ti ersors rs
~
il g
r yso om m s No resouroes assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-006.5 Engineered Materials on Site Engineering 1Q03 3Q03 Materials ready to Install Design Mechanical - PB tTrack IDs CA030919
- ~~ ifft O 7 1 T
~'~offl CONTPRO l
1 40 l
Number Action Step Action Step Owner Group Start Date Comp Date Due Dat Deliverable Owner EQ-15-006.6 Complete Prefab Construction Maintenance 2Q03 14-Jul-03 3
Prefab duct const. complete Construction (General Supervisor Installation Services) tTrack IDs CA030920 CONTCFT 1
350 300100 3005 2
120 3001703004 1
80 Printed:
71812003 :21:24 PM Page 122 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable 3Q03 Modification Installation documentation.
EQ-15-006.7 Complete Implementation Maintenance Construction (General Supervisor Installation Services) 2003 tTrack 10s CA030921 CONTCFT 1
700 300100 3005 2
200 3001703004 1
80 Number Action Step Action Step Owner Owner Group Start Dat Comp Date Due Date Deliverable 4003 Modification closeout documentation.
EQ-15-006.8 Modification Closeout Business Projects 4003 tTrack l~s CA030922 300370 3005 1
1 138 I
Printed:
7/18/2003 1:21:25 PM Pope 123 of 1 51 Effecfive Date: 7-11 W3
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan Tite:
Action Plan Number.
Reap Group:
EQ Equipment Reliability Bolted Fault EQ-1 5-011 Engineering Design Priority 1 3 38 CAP # 033426 Focus Area Owner Problem Statement:
Causal Factors:
Obiectives:
The calculated worst case fault current does not Include the correct design basis assumptions and may exceed the design rating of some motor control centers and power panel breakers.
I Changes made to plant electrical load configurations may have increased fault current beyond original design margin.
2 Reanalysis of plant eecrical systems revealed previously unknown design limitations for worst case ult interruping capabilfty.
I Calculations to support fault protection
~eect design basis assumptions.
2 Plant equipment is restored to capability that can withstand calculated fault current Action Stens Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-1 5-011.1 Obtain budget approval from WE Business 3003 Signed PAR Projects tTrack IIs CA031021 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-011.2 Complete design field eng. For MCCs Engineering 2Q02 4005 Modpcation accepted by Design Electrical Operations
-PB tTrack IDs CA031023 300170 3004 1
5000 300370 3005 2
1750 Printed:
7/18/2003 1:21:25 PM Page 124 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-1 5-011.3 Procure and Receive MCC Buckets Business Supply 1002 1Q05 All MCC Buckets On-site and Chain accepted.
tTrack ls CA031024 Fleto Om en~{ < y
$ ~
om e t 300240 3004 1
96 Procurement Engineer 300240 3004 l
1 96 lReceIpt Engineer Number Action Stop Action Step Owner Group Start Date Comp DEt Due Date Deliverable EQ-1 5-011.4 Procure and Receive MCC Bracing Business Supply 1002 15-Feb-03 An Bracing On-site and accepted.
Chain tTrack ls CA031025 No resources assigned.
Printed: 718/2003 1:21:25 PM Page 125 of 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-1 5-011.5 Complete Design Analysis Engineering.
Revise degraded grid caklulatons to support changing transformer tap settings. Revise short circuit calculations based on tap settings.
The following actions are tied to LER 266197-032-00:
A) PNP 4160V and 480V system operating voltages are signiflently higher than normal system voltages and therefore increase the magnitude of available fault current (related to the new fault duty calculation, N97-0154, Rev.0). Action from losed CR 93-137, Action 4).
B) Operating the 480V system at voltages higher than 50W causes equipment to be de-rated from ratings at 480V to ratings at 600V for fault current (related to the new fault duty calculation, N97-0154, Rev.0). (Action closed from CR 93-137. Action 5).
C) Calculation assumes all the contributing loads are on. System model should be revised with plant operations to determine more realistic equipment alignments (related to the new fault duty calculation, N97-0154, Rev.0).
(Action closed from CR 93-137, Action 6).
D) Additional scenarios should be analyzed and existing scenarios should be revised to more accurately reflect how PBNP is operated (related to the new fault duty calculation, N97-0154, Rev.0). (Action cosed from CR 93-137, Action 7).
Engineering Design Electrical
- PB 4Q02 3004 Design Engineering Approved Calculations tTrack IDs CA031027 300170 3004 1
850 300370 3005 2
3270 Printed:
7/1812003 1:21:25 PM Page 126 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Stop Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-1 5-011.6 Complete MCC New Bucket Installation Maintenance 3Q02 1Q07 Ops Accepts MCC modification.
Electrical tTrack IDs CA031030 J ~ ~ ~
I J E U ~
P 1 51-5V i' s P e rlleo r c
- ,T 655LELEC 4
6750 300310 3005 2
7000 300330 3007 2
3300 Number Action Step Action Stop Owner Group Start Date omp Date Due Date Deliverable Owner EQ-1 5-011.7 Complete MCC Bracing Installation Maintenance 1Q07 Ops And Eng Accept bracing Electrical modifications.
tTrack IDs CA031031
~ R e a ~ u r c e P o i s o n s,
P r t P e r p s t 655LELEC 3
1280 r
300310 3005 1
1 1460 300330 3007 1
640 Number Action Sp Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-011.8 Determine Scope of Power Panel (PP) Breaker Engineering 2Q04 4Q07 Issue OM to Procurement Replacement Design Electrical
- PB tTrack IDs CA031033 300170 3004 2
1 200 Printed:
711812003 1:21:26 PM Page 127 of 151 Effec~ve ate: 7-11-03
PBNP Excellence Plan Revision I Number Action Stop Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.9 Procure PP Replacement Breakers Business Supply 3Q04 4Q04 All PP Breakers On-Site and Chain accepted.
tTrack IDs CA031035 300240 3004 1
40 jProcurement Engineer 300240 3004 1
12 lRecelpt Engineer Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-011.10 Complete Implementation Of PP Breaker Maintenance 4003 2Q05 OPs And Engineering Accept PP Replacements Electrical modifications.
tTrack IDs CA031036 XRe~ource.
~
4Persons~
Hrsl~er arson e
654LOPR1 1
40 655LELEC 3
120 300050 3008 2
40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-i 5011.11 Determine Scope Of XFMR Tap Changes and Engineering 2Q04 4Q04 Approved change package.
issue change package.
Design Electrical
- PB tTrack IDs CA031037 300170 3004 2
400 Number Action Slap Action Stp Owner Group Start Date Comp Date Due Dat Deliverable Owner EQ-1 5-011.12 Procure XMFR Tap Change Material Business Supply 304 404 Material On-Site And Inspected Chain tTrack IDs CA031038 300240 3004 1
24 Procurement Engineer 300240 3004 1
40 Receipt Engineer Printed:
7/18/2003 1:21:28 PM Page1280of t51 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-011.13 Perform XMFR Tap Changes Maintenance 4Q04 2005 Ops And Eng. Accept PP Electrical modification.
tTrack IDa CA031039 654LOPR1 2
320 655LELEC 2
320 300050 3008 1
360 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.14 XMFR project Closeout Business 4Q06 1Q07 Plant Design Change Checklist Projects signed by Supervision tTrack IDs CA031041 e ~~~~ n s~~~ v s~%
4,
e-rs o n.`-
300170 3004 1
320 3001703004 1
320 300370 3005 1
480 I
Printed!
718/2003 1:21:26 PM Page 129do 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan Tite:
Action Plan Numben Resp Group:
EQ Equipment Reliability Manhole and cable vault flooding EQ-15-012 Engineering Design Priority I IA IA CAP # 033430 Focus Area Owner Problem Statement:
Causal Factors:
ActNoters Numbor Several Electrical manholes/vaults are regularly flooded with groundwater.
I Original design of these electrical vaulh and duct runs were not made watertight.
2 Means of dewatering these vaults were not made permanent I Implement an effective solution to keep the cables fom becoming submerged if required.
Action Step Action Step owner Owner Group Start Date Comp Date Due Date Deliverable E1-5-012.1 Meet with ArchItect Engineering Company Engineering 04-Feb-03 Meeting documentation.
(A/E) to assess scope of engineering stdy.
Design Chvil/Structural -
PB tTrack IDs CA031046 No resources assigned.
Number Action Step Action Step Owner Group Start Dat Comp Date Due Date Deliverable Owner EQ-15-012.2 Request proposal for engineering study Engineering 18-Apr-03 Proposals Submitted Design CMvlUStructural -
PB tTrack I0s CA031046 No resources assigned.
Printed:
7/18/2003 1:21:27 PM Pop 130 of 11 Effective Date: 711-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Dat Comp Date Due Date Deliverable EQ-15-012.3 Request funding to perform engineering study Engineering 02-May-03 Copy of the Request for Phased Design Approval (RPA).
CivilStructural -
PB tTrack IDs CA031046 esource S
teror e
s on t
No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.4 Award contract for engineering study Engineering 13-May-03 Purchase Order Issued Design CivlStructural -
PB tTrack IDs CA031046 I~~~
t No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.5 Receive and review engineeringstudy Engineering 2Q03 01-Jul-303 Documentedtrevew completion.
anemaetves Design CiviUStructural -
PB M~acklIDs CA031048
~~ ~ ~
k-c~ ~ ~ ~~3 ~,12 Printed:
718/2003 1:21:27 PM Pop 131 of I 1 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Dato Deliverable EQ-1 5-012.6 Request funding to design modification and Engineering 4Q03 4Q03 Modification Package complete detailed design based upon Design recommendations from CA031048.
CMI/Structural -
PB tTrack lDs CA031049 CONTPRO 3
I 60 300170 3004 1 1 500 1
Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.7 Request funding to install modification Engineering 4Q03 1Q04 RPA Design Civil/Structural -
PB tTrack [Ds CA031051 300170 3004 1
40 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.8 Complete installation of modification Engineering 1Q04 2Q04 Modification Installed and accepted.
Design Civi/Structural -
PB tTrack IDs CA031053 CONTCFT j
2 400 300170 3004 1
200 Printed:
7118/2003 1:21:27 PM Pap 132 of 151 EffecOve Date: 1-103
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-15-012.9 Monitor effectiveness of installed modification Engineering 3004 Documented effectiveness review.
Design Civil/Stuctural -
PB tTrack IDs EFR031055 300170 3004 1
100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.10 Initiate follow-up actions If necessary Engineering 3Q04 CAP documentation.
Design CiilStructural -
PB tTrack IDs CA031056 V 300170 3004 1
17 I II 300170 3004 1100 Printed: 7/18/2003 1:21:27 PM Page 133 f 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan TMe:
Action Plan Numben Resp Group:
EQ Priority I IA1A Equipment Reliability Aux. Feedwater Orifice Replacement EQ-15-014 Engineering Design CAP # 033001 Focus Area Owner Problem Statement Causal Factoes:
Obetle:
Auxiliary Feedwater Restriction orifices installed per modifications99-029 A/B/CID did not meet some design basis requirements.
I Ineffective Corrective Action. (This causal factor is being addressed in general by action plans In the CAP Focus Area.)
2 Inadequate design control. (his causal factor is being addressed in general by action plans OR-08-007, OR-08-009, OR-08-010,and OR-08-01 1.)
I Replace the orIfices with a design which will pass adequate flow under all design conditions (Service Water).
2 Eliminate compensatory operator actions.
Action Stes Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-1 5-014.1 Complete test of new orifice Engineering 1003 04-Mar-03 Test results provided to Engineerln%
Programs tTrack IDs CA031074 Resouce
==L Persos e
E' rs Per arson Co ents No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-014.2 Issue mod for new orifice design Engineering 402 06-Mar-03 Modifications02-039 A/BICID I
Design released or im=a8aTIon tTrack IDs CA031074 No resources assigned.
Printed:
711M2003 1:21:28 PM Pae134 f 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-1 5-014.3 Install new orifices Maintenance 11-Mar-03 Modifications02-039 A/B/C/D Mechanical accepted tTrack IDs CA031074 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-014.4 Close out Modification Engineering 1003 26-Jun-03 3Q03 Completed Mod Package to Design Records Mechanical - PB tTrack IDs CA031074 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQi5-014.5 Complete Safety Evaluation 2003-0001 to Engineering 2Q03 4003 Completed Safety Evaluation remove compensatory Actions. (hIs step is dependent on completion of step 2 In action plan EQ-1 5-015).
Design Mechanical - PB tTrack IDs CA029988
[r' 300170 3004 2
40 300170 3004 2
1 40 I
Printed:
7/18/2003 1:21:28 PM Page 135 of 151 Effedive Date 711-03
PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
EQ Priority 2 3C 3D Equipment Reliability Aux. Feedwater Electrical Modifications EQ-1 5-015 Engineering Design Electrical
- PB CAP# 033442 Focus Area Owner:
Problem Statement Causal actrs-Obiectives.
Action Stens.
Number Some Auxiliary Feedwater (AFW) system component power supplies do not meet current design basis requirements.
I Original AFW system design classification was upgraded to safety-related, however some aspects of the design were not upgraded to meet current design for safety-relted systems.
I AFW component power supplies meet design basis requirements.
Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-15-015.1 Issue electrical modifications forSR powerto Engineering 1003 19-May-03 Approved modification packages DPIS devices and re-power recirculation valves.
Design Electrical MR 03-005, MR 03-006.
- PB tTrack Is CA027029 CA027154 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Dat Due Date DelIverable Owner EQ-15-015.2 Implement electrical modifircations for SR Maintenance 2003 3003 Modffheaffon installed and accepted.
power to DI-r anr re-power reculavon valves.
tieamcai tTrack IDs CA031086 CONTCFT n
5 P 200 300100 3004 1
1 262 PrInted:
7/1812003 1:21:28 PM Page 136 of 151 Effedive Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-I 5-015.3 Issue an electrical modification to eliminate a Engineering 3Q03 4004 Approved modification package MR potential common mode failure of the SW Design Electrical 03-007.
supply to three of four AFW pumps durlng a
-PB postulated seismic event tTrack IDs CA027167 3170 3004 1
60~~
300170 3004 1
200 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-015.4 Implement electrical modification for SW Maintenance 4Q05 4Q05 Installed and accepted modification.
supply to AFW pumps.
Electrical tTrack IDs CA031088 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-015.5 Closeout modification package and Operability Engineering 4Q05 1006 Modification paperwork completed Determination.
oesign iectical
- PB and Operabilty uetermination dosed.
tTrack IDs CA031901 300170 3004 1
1 1
80 Printed:
7/18/2003,1:21:28 PMP Page 137 f 151 Effective Date: 7-11-03
PBNP Excellence Plan Revision 1 Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number.
Resp Group:
EQ Priority 1 4B4D CAP# 033444 Equipment Reliability Determine condition of underground electrical cables that have been submerged.
EQ-15-016 Engineering Design Focus Area Owner Problem Statement Causal Factors:
Underground medium voltage cables may be degraded due to being frequently submerged in water.
I Original design installation prone to flooding.
2 Original electrical manhole/vault design basis was poorly documented.
3 Ineffective and untimely corrective actions.
I The condition of the PB underground Safety Related cables is understood.
2 An appropriate cable monitoring program that trends cable status and a replacement schedule is in place to replace any cables identified as having unacceptable margin.
ActlonSteos:
Number Action Step Action Step 0wner Owner Group Start Date Comp Dat Due Date Deliverable EQ-15016.1 Presentation to PRB to obtain funding.
Engineering 04-Apr-03 PRB Decision Equipment Systems Electrical tTrack IIs CA031097 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-016.2 Identify cables and determine method to Engineering 15-May-03 List of cables to be tested and the determine cable condition Equipment method that will be used.
Systems Electrical tTrack Is CA031097 resource d
- r.
=
No resources assignedi Printed: 7/1812003 1:21:29 PM Page 138 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-016.3 Perfbrm data collection and analysis.
Engineering Equipment Systems Electrical 09-Jul-03 3Q03 Cable condition assessment report(s) tTrack IDs CA031638
~Rasourc-,
eeos a
ro
~~-;
.,V D
CONTSRVS 1
$50,000 300010 3008 1
80 300150 3004 1
160 Number Action Stop Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-15-016.4 Establish plans for future cable condition Engineering 2Q03 2Q04 CablMonitorngPlan monitoring, testing and/or replacement Equipment Systems Elctrical tTrack IDs CA031639 300150 3005 1
1 1
60 Number Action Step Action Step Owner Group Start Dat Comp Date Due Date Deliverable Owner EQ-1 5-016.5 Complete and implement cable monitoring Engineerina 1m AVVn Cable condition monitoring OoramI program for cense Renewal Equipment Systems Electrical
.w99 In place.
tTrack lMs CA031099 300150 3004 1
1 120 1
300150 3005 1
i 120 1i Printed:
7/1812003 1:21:29PM Pop 139 of 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Number Action Stop Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-1 5-016.6 Perform effectiveness review of steps EQ Engineering 1005 1Q05 Effectiveness report 016.1 to EQ-15-016.4.
Equipment Systems Electrical tTrack IDs EFRO31101 300150 3005 1
20 Number Action Step Action Step Owner Group Start Dat Comp Date Due Date Deliverable Owner EQ-15-016.7 Verify effective cable monitoring program Engineering 2Q06 2Q06 Effectiveness report established Equipment Perfbrmancoe tTnck IDs CA031103 13001503005 1
10 3001503009 1
10 PrInted:
7/1812003.1:21:29 PM Pap 140 f 151 Effective Date: 711-03
PBNP Excellence Plan Revision 1 Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Resp Group:
EQ Prlorty 130 3G Engineering Programs Identify program owner and upgrade FAC, SW (GL 89-13) Program EQ-16-006 CAP # 033427 Engineering Programs Inspection Services Focus Area Owner:
Problem Statement Causal Factors:
Generic Letter 89-13 program requirements, as specified In the program document, are not being completely implemented. In addition, portions of the Service Water (SW) systems are degraded due to macrofouling.
1 Implementation of Flow Accelerated Corrosion (FAC)/Service Water Inspection (SWI)/ Generic Letter 89-13 (GL 89-13) Programs withou adequate resources assigned.
2 Macrofouling has degraded the condition of the Emergency Diksel Generator (EDG) coolers.
3 Macrofouling countermeasures are not effective.
I Designate and qualify a SWIGL 89-13 program owner and backup owner.
2 Designate and qualify a FAC program owner and backup owner.
3 Reduce macrofouling of the EDG coolers to a manageable level.
4 Evaluate the effectiveness of the copper on generator to manage zebra mussel intrusions.
Action Steps:
Number Action Step Action Stop Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-16-006.1 Obtain funding for Zebra Mussel control in 2003 Engineering Programs 01-May-03 2Q03 Purchase Order issued.
tTrack IDs CA031026 No resources assgned.
Printed:
718/2003 1:21:29 PM Page 141 of 151 Effective Date: 711-03
PBNP Excellence Plan Revislon 1 Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-16-006.2 Perform Zebra Mussel kill in 2003 Engineering 4003 Effectiveness ReporL Programs Inspection Services tTrack IDs CA031026 300160 3004 190 300170 3004 1
8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.3 Hire SWVGL 89-13/FAC program owner.
Engineering 30M Individual hired and available on Programs site.
Inspection Services tTrack IDs CA031028 3001103007 1
1 20 3001603005 1
20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.4 Qualify new SW1/GL 89-13/FAC program Engineering 1004 Qualification documentation.
owner.
Programs Inspection Services tTrack IDs CA031029 3W0160 3004 1
1 100 300160 3004 1
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PBNP Excellence Plan Revision I Number Action Step Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EO-16-006.5 Designate backup SWGL 89-13/FAC program Engineering Individual assigned as backup owner.
Programs FAC/SW/GL 89.13 program owner.
Inspection Services tTrack IDs CA031028 300160 3005 1
16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.6 Qualify backup SWUGL 89-13/FAC program Engineering 1Q04 Qualfication dmnton.
owner.
Programs Inspection Services tTrack IDs CA031029 300100 3004 1
60 300100 3004 1
240 300100 3005 1
16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EO-16-006.7 Complete study phase of G01/G02 EDG cooler Engineering 1Q04
- 1. Provide recornmendation to replacement to address Lake Grass fouling.
Equipment Systems Electrical Plant Heaith Committee (Pi C).
- 2. Initiate action item to replace coolers.
tTrack lIs CA031032 300020 3007 1
20 300040 3008 1
8 300100 3004 1
40 300150 3004 1
40 300170 3004 2
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PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-16-006.8 Evaluate modification of Cu ion generator.
Engineering 4Q03 Documented evaluation with Design corrective actions identified as appropriate.
tTrack IDs EFR031034 mn~
300170 3004 1
80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.9 Complete the June and December 2002 SW Engineering 3003 Inspection Reports.
Inspection Reports.
Programs Inspection Servces tTrack IDs CA029996 3001803005 1
160 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.10 Perform annual update of GL 89-13 program.
Engineering 3003 Revised GL 89-13 program Programs Inspection Services document.
tTrack IDs CA030001 30016030051 1
1 120 Printed:
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PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number:
Resp Group:
EQ Priority 2 3C3B Engineering Programs Upgrade Fire Penetration Seal Documentation EQ-16-008 Engineering I
Programs -
Long Term Programs CAPS 033431 Focus Area Owner:
Problem Statement Causal Factors:
Obfectives.
An NRC Inspection Identified need to improve design basis documentation for fire penetration seals.
I The NRC identified differences between penetration configuration in the plant and documented test reports on file (CAP001058).
I Procedure and database developed for administering fire penetration seal database.
2 Design documentation available for Appendix R credited seals.
Action Stens:
Number EQ-16-008.1 Action Stop Action Step Owner Owner Group Start Date Comp Date Diis Date Deliverable 3Q03 Procedure issued.
Develop procedures for maintenance of penetration seal database & performance of walkdowns.
Engineering Programs -
Long Term Programs 2003 M~ack l~s CA031044 CA004098 300160 3004 1
80 II Printed:
71812003 1:21:30 PMP Page 145 f 151 Effective Date: 7-11403
PBNP Excellence Plan Revision 1 Number Action Stop Action Stop Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-16-008.2 Prepare penetration fire seal database.
Engineering 2003 4Q03 Database developed.
Programs -
Long Term Programs tTMack Ds CA031045 CA004096 3001603004 1
80 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 -008.3 Develop list of Appendix R credited seals, Engineering 1004 2Q04 Approved listing of credited seals.
barriers.
Programs -
Long Term Programs track ls CA031047 CA004095 300160 3004 1
40 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.4 Comp&ete walkdowns evaluations f Engineeing 1004 4QO5 Approved walkdown documentation.
Appendix R credited barriers, seals (CA004099)
Programs -
Long Term Programs tTrack lDs CA031050 655LCUST 3
300 657LHPTE 1
160 300160 3004 2
900 300160 3005 1
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PBNP Excellence Plan Revision 1 Number Action Stop Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-16-008.5 Acquire fire test reports, as necessary, to Engineering 1004 4004 Complete set of Test Reports for support generation of new or upgrade of Programs -
App. R seals.
existing typical design details.
Long Term Programs tTrack IDs CA031043 CONTPRO I
300
$25,000 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.6 Perform a self assessment of these1ctQon Engineenng 1005 1Q05 Completed self assessment.
steps following completon of steps Q 008.1 thru EO-16-008.5.
I Programs -
Long Term Programs tTrack IDs EFR031052 300160 3004 1
1 40 3001603004 1
16 I
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PBNP Excellence Plan Revision I Pillar of Excellence:
Focus Area:
Action Plan
Title:
Action Plan Number Reap Group:
EQ Priority 2 3C 3F Engineering Programs Environmental Qualification (EQ) Program Upgrade EQ-16-013 Engineering Programs -
Long Term Programs CAP# 033443 Focus Area Owner:
Problem Statement Caul Faetors:
Obietives:
Some EQ Program documentation does not meet current industry standards.
I Insufficient resources applied to keep program up to industry standards.
I Updated EQ Design Basis Document (DBD).
2 Updated EQ Summary Sheets (EQSSs) and EQ Maintenance Requirements (EQMRs).
3 EQ file upgrades complete.
Action Steps:
Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-16-013.1 Walk down accessible equipment outside of containments.
Engineering Programs -
Long Term Programs 3Q03 EQ field verification data outside containment.
tTraCk IDs CA031084 3001703004 1
100 300160 3004 40io0 300170 3004 1
100 Printed:
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PBNP Excellence Plan Revision I Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Date Deliverable EQ-16-013.2 Walk down accessible Unit 2 equipment in Engineering 4Q03 EQ field verification data for U2 containment Programs -
Containment.
Long Term Programs tTrack IDs CA031085 300160 3004 1
200 300170 3004 1
80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1013.3 Walk down accessible Unit 1 equipment in Engineering 2Q04 EQfieldveriicationdatahrU1 containmont.
Programs -
Containment.
Long Term Programs tTrack IDs CA031087 3001603004 1
200 300170 3004 1
eo Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-013.4 Implement long term plan to validate Engineering 4Q03 Maintenance procedure and fors inaccessible equipment.
Programs -
revision completed.
Long Term Programs tTrack IDs CA031089 3001603004 T
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PBNP Excellence Plan Revision 1 Number Action Stop Action Step Owner Group Owner Start Date Comp Date Due Date Deliverable EQ-16-013.5 Complete pilot project to upgrade of EQSSs Engineering 3003 This step will be cosed to EQ-16 Programs -
013.7 Long Term Programs tTrack IDs CA031090 No resources assigned.
Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-013.6 Update EQ DBD as required to reflect new Engineering 4004 Revised DBD issued.
analyses, etc.
Programs -
Long Term Programs tTrack IDs CA031091 CONTPRO 1
400 Number Action Step Action Step Owner Group Start Date Comp Date Due Dae Deliversble Owner EQ-16-013.7 Complete EQ checklists License Renewal 4Q04 Completed EQ checklists.
tTrack IDs CA031092 CONTPRO 2
1900 Number Action Step Action Step Owner Group Start Date Comp Daft Due Date Deliverable Owner EQ-16-013.8 Complete backlog elimination project of EQSS License Renewal 4004 Completed EQSS checklists and issues.
EQMRs.
tTrack IDs CA031093 CONTPRO 2
1900 I
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PBNP Excellence Plan Revision 1 Number Action Step Action Step Owner Owner Group Start Date Comp Date Due Dat Deliverable EQ-16-013.9 Approve completed backlog ftm EQSS Engineering 404 Documented completed reviews.
consolidation, EQ checklist, review and Programs -
approve calculations.
Long Term Programs tTrack lDs CA031094 300160 3004 51 0 350 300160 3005 1
10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-013.10 Review completed EQ checklists Engineering 2Q05 This p will be dosed to EQ Programs -
Long Term Programs 013.9 tfrack IDs CA031095 No resources assigned.
.1A Printed:
711812003 1:21:32 PM Page 151 of 151 EffecOve Dote: 711-03