Text

Submittal of Excellence Plan, Revision 2
	ML040680304
Person / Time
Site:	Point Beach
Issue date:	02/27/2004
From:	Vanmiddlesworth G; Nuclear Management Co
To:	; Document Control Desk, Office of Nuclear Reactor Regulation
References
	NRC 2004-0024
	Download: ML040680304 (491)
	v • d • e

NM Committed to Nuclear Excellen Point Beach Nuclear Plant Operated by Nuclear Management Company, LLC February 27, 2004 NRC 2004-0024 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555 Point Beach Nuclear Plant, Units 1 and 2 Dockets 50-266 and 50-301 License Nos. DPR-24 and DPR-27 Submittal of Point Beach Excellence Plan - Revision 2

References:

1) Letter from Nuclear Regulatory Commission to Nuclear Management Company, LLC, dated February 4, 2004, Inspection Report 05000266/2003007; 05000301/2003007 EA-02-031, EA-03-057, EA-03-059, EA-03-181

2) Letter from Nuclear Management Company, LLC, dated February 13, 2004, submitting commitments in response to Reference I and providing schedule for submittal of Excellence Plan The purpose of this letter is to submit the Point Beach Nuclear Plant (PBNP) Excellence Plan, Revision 2. Reference 1 requested that Nuclear Management Company, LLC (NMC) inform the Nuclear Regulatory Commission (NRC) of the schedule for submittal of the PBNP Excellence Plan, Revision 2. Reference 2 stated that NMC would submit Revision 2 of the PBNP Excellence Plan to the NRC by February 27, 2004.

Revision 2 of the PBNP Excellence Plan is provided in Enclosure 1. The purpose of our Excellence Plan is to provide a roadmap for successful performance improvement at PBNP.

The PBNP Excellence Plan is a comprehensive improvement plan focused on progressing toward our goal of overall excellent performance.

PBNP issued Revision 0 of the Excellence Plan on May 30, 2003. Subsequent revisions to the Excellence Plan have been made primarily to respond to station priorities, self-assessment results, and lessons-learned from the NRC IP-95003 inspection conducted at PBNP. NMC has applied significant management attention to the implementation of the Excellence Plan. NMC senior management oversight will continue to monitor the progress and effectiveness of Excellence Plan implementation. The PBNP Excellence Plan is a "living plan" and we expect to continue to develop and revise action plans as necessary to achieve our improvement objectives.

6590 Nuclear Road

Two Rivers, Wisconsin 54241 Telephone: 920.755.2321 A

Document Control Desk Page 2 The enclosed PBNP Excellence Plan is submitted for information only. Specific commitments made by NMC associated with the PBNP Excellence Plan were provided in Reference 2.

NMC management is committed to the individual and organizational behavior changes necessary to achieve the objectives defined in our Excellence Plan and to achieve overall excellence in station performance.

Summary of Commitments There are no new commitments contained in this letter or its enclosure. The enclosure to this letter fulfills a commitment made in Reference 2 to submit Revision 2 of the PBNP Excellence Plan.

Gary Van Middlesworth Site Vice-President, Point Beach Nuclear Plant Nuclear Management Company, LLC Enclosure

1) PBNP Excellence Plan, Revision 2 cc: Regional Administrator, Region 111, USNRC Project Manager, Point Beach Nuclear Plant, USNRC, wo/e Resident Inspector - Point Beach Nuclear Plant, USNRC, wo/e

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 1A1A CAP# 031915 Plan Type Commitment Plan Revision No: 2 Focus Area: Human Performance Plan Status Open Action Plan

Title:

Improve Human Performance and Work Practices Action Plan Number: OR-01-001 Problem Statement: Management has not been fully effective at improving human performance.

Causal Factors: 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.

Oblectives: I Human Performance infrastructure is established to facilitate improved station performance.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.1 Develop and communicate a human Assessment 2Q03 29-Aug-03 3Q03 Issued statement performance vision, strategy, and values statement.

tTrack IDs CA030222

..,Resource : l # Persons -

ft . Hrs PerPerson . Comm-ents I 1. 01-'-'--.'

300270 3009 10 5 300380 3005 I 1 30 Page 1 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.2 Establish a Human Performance Working Assessment 1Q03 12-Aug-03 3Q03 Documented HPWG charter and Group (HPWG) sponsored by the Plant membership.

Manager.

tTrack IDs CA030226 Resource # Persons Hrs Per Person ,Comments 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/quarler 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 Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.3 Implement the PACE program to track and Assessment 08-Jul-03 2Q03 See Action Plan OP-10-011.3 and its trend the group and leadership job substeps for completion of this item.

observations (also see CA028603). This item is being accomplished via the noted Action Plan OP-10-0 1 and this item Is considered closed to avoid duplication.

tTrack IDs N/A Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.4 Analyze and report site and department clock Assessment 2Q03 24-Oct-03 4Q03 Results documented in a report.

resets, leadership job observations and other data to determine actionable items.

tTrack IDs CA030228 l,,Resource -l # Persons lHrs Per Personl Comments l 300380 3005 1 30 Page 2 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-01-001.5 Revise NP 13.6.1, Point Beach Site Assessment 2Q03 26-Nov-03 4Q03 NP 13.6.1 issued, including Observation Program. requirement for 'paired' observations.

tTrack IDs CA030229 Resource # Persons lHrs Per Person - Comments. ;

300270 3009 15 24 12 hours1.388889e-4 days 0.00333 hours 1.984127e-5 weeks 4.566e-6 months per month per person 300380 3005 1 5 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.6 Establish a procedural requirement for Assessment 4003 03-Dec-03 4Q03 Procedurally documented selected departments to conduct human requirement. Action Plan Step OR-performance mini-stand-downs01-001.14 accomplishes this action.

(approximately 30 minutes) periodically using materials provided by the human performance working group.

tTrack IDs CA030230 Resource # Persons Hrs Per Person Comments 300380 3005 0 0 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.7 Selected departments to assign department- Assessment 2Q03 28-Jul-03 3Q03 Documented assignments of Human level human performance liaisons. Performance liaisons.

tTrack IDs CA030231 Resource # Persons Hrs Per.Person - Comments 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 300160 3004 1 80 20 hr/quarter 300170 3004 1 80 20 hr/quarter 300210 3004 1 80 20 hr/quarter 300270 3009 15 1 Page 3 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.8 Direct supervisors and managers to look for Assessment 2Q03 26-Nov-03 4Q03 NP 13.6.1 issued directing peer-to-and promote the use of 'peer to peeor peer coaching during job coaching during job observations. observations.

tTrack IDs CA030234 Resource Persons HrS Per Person Comments -

300270 3009 15 1 104 2 hr/week 300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.8.A Perform an effectiveness review of utilization Assessment 25-Feb-04 1Q04 Completed EFR054128.

of peer-to-peer coaching monitoring during the performance of Job Observations.

tTrack IDs EFR054128 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 Ust of HPIT assignments department's respective human performance improvement team and ensure that the team meets regularly to carry out its responsibilities.

tTrack IDs CA030235 Page 4 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop 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 03-Dec-03 4Q03 Documented methodology.

diagnose recurring human performance problems and make recommendations.

tTrack IDs CA030236 Resource' # Persons' Hrs Per Person Comments' 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 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownnr OR-01-001.11 Revise NP 1.6.10 to improve identification of Business 2Qo3 29-Aug-03 3Q03 Revised NP 1.6.10 which addresses critical steps, error-likely situations at each Procedures error-likely situations 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 pro-job brief.

tTrack IDs CA028864

- Resource. # Persons ,Hrs Per Person I I ' I Comments: ;

300020 3005 1 20 Page 5 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable nwnpr OR-01-001.12 Brief First line supervisors on revised NP Assessment 2Q03 10-Sep-03 3Q03 Documented briefing 1.6.10.

tTrack IDs CA030238 Resource # Persons Hrs Per Person 'Comments.

3000103005 3 1 300020 3005 20 1 300030 3005 5 1 300050 3005 10 1 300130 3004 30 1 300140 3005 5 1 300150 3005 5 1 300160 3004 5 1 300170 3004 5 1 300210 3004 10 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.13 Perform an effectiveness review for Assessment 3Q03 15-Jan-04 1Q04 Completed effectiveness review improvements to the pre-job brief process.

tTrack IDs EFR030243 l Resource .l,-;#Porsons a, orsPerPerson l ;Comments .

300380 3005 3 20 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.14 Develop a Human Performance Program Assessment 2003 03-Dec-03 4Q03 Issued Human Performance Proaram Procedure that contains the details of PBNP's Procedure Human Performance Program.

tTrack l1s CA030244 I Resource . # Persons Hrs Per Person ' Comments 300270 3009 10 1 2 300380 3005 1 80 Page 6 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 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 23-Sep-03 3Q03 Documented plan human performance initiatives MTrack IDs CA030246 Resource # Persons Hrs Per Person l - Comments 300380 3005 l 1 l 240 120 hr/mo 300390 3005 1 l 60 l5 hr/mo Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-01-001.16 Implement a standard method of publicizing Assessment 3Q03 17-Oct-03 4Q03 Documented standard format lessons learned from both site and department human performance clock resets.

tTrack IDs CA030247 Resource Persons Hrs Per Person Comments 300380 3005 1 40 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.17 Evaluate the human performance 'Coachs Assessment 3Q03 20-Nov-03 4Q03 Documented Comparison of Camp' for use at PBNP (Felicia Hennessy). 'Coach's Camp' Lesson Plan to existng NMC Supervisor Training.

MTrack IDs CA030248 l Resource l ;#Persons

. HrsPerPerson . Comments_'

300380 3005 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.18 Incorporate human performance error Safety 3Q03 30-Sep-03 4Q03 Documented error reduction tools reduction tools In the Safety Simulator for the used in Safety Simulator.

fall outage.

MTrack IDs CA030250 Resource : #Persons Hrs Per Person Comments

300340 3005 4 I 40 300380 3005 1 40 Page 7 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.19 Provide training to instructional staff on human Training 4Q02 20-Feb-03 1Q03 Training attendance records.

performance fundamentals and how to incorporate them into training materials.

tTrack IDs RFT026704 l Resource Persons Hrs Per Person - Comments 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 I&C 2Q03 17-Jul-03 3Q03 Assessment report Walk downs.

tTrack IDs CA030251 Resource l # Persons lHrs Per Person Comments l 300050 3005 3 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.21 Ensure the Work Package Walk down form Maintenance l&C 2Q03 17-Jul.03 3Q03 Assessment report documents (PBF-9175) meets the requirements of NP whether form meets procedure 1.1.7. requirements.

tTrack IDs CA030252

Resource Persons lHrs Per Personl - Comments 300050 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001.22 Conduct an effectiveness review of station Assessment 1Q05 1Q05 Documented effectiveness review.

human performance.

tTrack IDs EFR030254 Resource - # Persons Hrs Per Perso Comments

_ 300380 3005 1 4 1 30 Page 8 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-001 .23 Conduct an interim effectiveness review of Assessment 3Q04 3Q04 station human performance.

tTrack IDs EFRO55971 Page 9 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP # 050744 Plan Type Improvement Plan Revision No: 0 Focus Area: Human Performance Plan Status Open Action Plan

Title:

Operations Human Performance Improvement Plan Action Plan Number: OR-01-002 Problem Statement: Supervisor job observation program has not been effective in contributing to human performance improvements in Operations.

Point Beach Operations is not performing as a superior performing Operations organization.

Causal Factors: I Operations management and supervisors have not been sufficiently self-critical of human performance and have not adequately re-enforced performance expectations during Job Observations and routine plant operations.

Obiectives I Job Observation requirements for Operations supervisory personnel are redefined and performance expections, related to the Operations Core Values (monitoring the plant, quality Pre-Job briefings, excellent procedure usage, human performance tools, Radiation Protection and Safety), are included in PMPs. 2. Establish an effective Supervisor Job Observation Program as demonstrated by improved human performance.

Action Stevs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-002.1 Re-evaluate and prescribe the number of Operations 4Q03 13-Oct-03 4Q03 A communication (copy of email or required Job Observations, per position, that memo) to all operations exempt will be required to be performed each month. personnel the number of required observations per month required as part of their PMPs.

tTrack IDs CA052922 Resource UPersons IHrs Per Person Comments 300020 3005 2 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-002.1.A Re-evaluate and prescribe the number of Operations 1Q04 1Q04 A communication (copy of email or required Job Observations, per position, that memo) to all operations exempt will be required to be performed each month. personnel the number of required observations per month.

tTrack IDs CA055707 Page 10 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-01-002.2 Revise OM 6.1 to measure the required Operations 4Q03 13-Oct-03 4003 Copy of OM 6.1 revision number of job observations for both quality and quantity and provide feedback, with conclusions, to personnel on a monthly basis.

tTrack IDs CA052925 Resource - Persons lHrs PerPerson Comments 300020 3005 1 4 300020 3007 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-002.3 Publish required monthly-targeted Operations 4Q03 19-Dec-03 1Q04 Copy of Monthly Report.

observations that will be evaluated on a monthly basis.

tTrack IDs CA052926 Resource # Persons Hrs Per Person -Comments l 300020 3007 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-002A Ensure that supervisor PMPs incorporate Operations 4Q03 2Q04 Correspondence (copy of email or expectations related to quantity and quality of memo) from Point Beach HR group job observations. Also include measures staling that Operations 2004 PMPs related to performance. are on file.

tTrack lDs CA052927 Resourcel # Persons. Hrs Per Person l-Comments l 300020 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-002.5 Ensure that the "Operations Core Values' and Operations 3Q04 3Q04 A copy of the Effectiveness Review the specific expectations are understood by Report.

performing an effectiveness review of this action plan.

tTrack IDs EFR052929 Resource # Persons .Hrs Pr Prson . Comments -

300020 3007 1 10 Page 11of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 12 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP # 053724 Plan Typo Improvement Plan Revision No: 0 Focus Area: Human Performance Plan Status Open Action Plan

Title:

Chemistry Human Performance Improvement Action Plan Number: OR-01-003 Problem Statement: Chemistry human performance errors are occuring at an unacceptable rate.

Causal Factors: I Chemistry has lacked method to reward and reinforce desired human performance behaviors. The Chemistry group lacked a forum to maintain focus on improving human performance. Internal and external operating experience has not been effectively used to improve Chemistry human performance.

Obiectives: I Improve Chemistry Department human performance measured by the Chemistry Human Performance Event Clock. A method of consistent reward and reinforcement of desired human performance behaviors. A method to capture internal and external operating experience in the Chemistry Department.

Action SteDs:

Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-01-003.1 Establish Chemistry Human Performance Chemistry 10-Jun-03 No Deliverable Required. This is a Improvement Team (HPIT) cross-reference to step OR 002.4.A. which has been completed.

tTrack IDs CA031579 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.2 Implement Chemistry GO Card Program. Chemistry 10-Sep-03 Copy of GO Card.

tTrack IDs CA055645 Page 13 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.3 Develop a Mission and Vision statement for Chemistry 3Q03 22-Sep-03 4Q03 Approved Mission and Vision the Chemistry Human Performance Statements.

Improvement Team.

tTrack IIs CA055646 Resource # Persons. Hrs Per Person [ Comments : .

505LCHTE 4 0 300010 3005 2 0 300010 3008 1 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.4 Benchmark another plants Chemistry Chemistry 20-Jun-03 Benchmarking Report.

Department with industry-leading human performance.

tTrack IDs CA055647 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.5 Provide recommendations to the Chemistry Chemistry 3Qo3 18-Dec-03 1Q04 Chemistry CRC Meeting Minutes.

Curriculum Review Committee (CRC) for internal and external Operating Experience to be included in Chemistry continuing training.

tTrack lDs CA055648 Resource # Persons HrsPerPerson Comments.

505LCHTE 4 0 300010 3005 2 0 300010 3008 1 0 Page 14 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.6 Develop a method to track internal and Chemistry 4Q03 29-Sep-03 1004 Document Method.

external Chemistry Operating Experience.

tTrack IDs CA055649 Resource # Persons .IHrs Per Person Comments, 505LCHTE 2 8 300010 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-01-003.7 Perform pre-job briefings prior to chlorination Chemistry 27-Aug-03 Approved procedures with signoff evolutions. steps requiring briefing.

tTrack IDs CA055650 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.8 Required peer checks of radiological effluent Chemistry 12-Sep-02 Copy of expectation.

discharge permits.

tTrack IDs CA055651 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.9 Conduct periodic Chemistry group meetings to Chemistry 1Q04 3Q04 Meeting Minutes.

reinforce human performance principles.

tTrack IDs CA055652 Resource # Persons Hrs Per Person Comments 300010 3009 1 4 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.10 Post signs in laboratory areas to prompt to Chemistry 05-Aug-03 Copy of sign and listing of areas check for chemical expiration dates. posted.

tTrack IDs CA055653 Page 15 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownpr OR-01-003.11 Develop a method for placekeeping in Chemistry 3Q03 1Q04 Document Method.

Chemistry procedures.

tTrack IDs CA055654 Resource l #Persons IHrs PerPersonI - Comments . .

505LCHTE 2 8 300010 3005 1 4 300010 3008 1 4 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.12 Perform an interim effectiveness review. Chemistry 1Q04 1Q04 Effectiveness Review Report.

tTrack lDs EFR054256 Resource , # Persons Hrs Per Person . l Comments . -

505LCHTE 2 20 300010 3005 1 20 l 300010 3008 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.13 Conduct Chemical Control Program training. Chemistry 4Q03 09-Jan-04 1Q04 Training attendance records.

tTrack l0s OTH053984 Resource;' #Persons lHrsPrPerPrson Comments 300010 3008 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.14 Post error reduction tools in Chemistry work Chemistry 4Q03 1Q04 Copy of tools and listing of areas areas. posted.

tTrack [Ds CA055655 Resource U Persons Hrs Per Person - ~ Comments, I 300010 3005 1 1 8 Page 16 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.15 Determine which Chemistry tasks where Chemistry 1Q03 2Q04 Listing of tasks and spreadsheets spreadsheets would assist in performing needed.

calculations.

tTrack iDs CA055656 Resource- UPersons Hrs Per Person Comments 505LCHTE 2 8 300010 3008 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.16 Implement spreadsheets identified in step Chemistry 2004 4Q04 Copies of implemented above. spreadsheets.

tTrack IDs CA055657 Resource l Persons Hrs PerPerson Comments 300010 3008 2 40 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-003.17 Perform an Effectiveness Review of Chemistry 3Q04 4004 Effectiveness Review Report.

Chemistry Human Performance.

tTrack IDs EFR055659 I: Resource; l - #Persons l Hrs Per Person - - . Comments .

505LCHTE 2 20 _

300010 3008 2 40 _

Page 17 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 1A 1A CAP# 052553 Plan Type Commitment Plan Revision No: 0 Focus Area: Human Performance Plan Status Open Action Plan

Title:

Individual Behavioral Excellence Action Plan Number: OR-01-004 Problem Statement: Point Beach's performance needs improvement to guarantee long-term success.

PBNP processes and procedures are adequate; however, individual behavioral changes are necessary to successfully implement the processes and procedures to improve overall plant performance.

Causal Factors: I Changes to processes and procedures were emphasized in 2003, in part because these are easier to control and measure than changes to behavior.

Oblectives: I A PBNP 'Picture of Excellence" is developed to require individual behaviors and accountability necessary to sustain performance improvement.

2 The PBNP "Picture of Excellence' is communicated to PBNP employees and the workforce is briefed on the application of and expectations for the program.

3 Infrastructure and tools required to execute and reinforce the "Picture of Excellence" are established.

4 Tools to monitor effectiveness of and recognize "Picture of Excellence" program successes are established.

5 ACEMAN Is effectively used to Improve performance of station personnel.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.1 PBNP management validates the picture and Site VP & ECP 4Q03 30-Jan-04 1Q04 Approved Change Management Plan.

process developed by the Human Performance Working Group (HPWG) and the HIT team.

tTrack IDs CA054768

. -Resource I #,Persons l Hrs Per Person l - - Comments . -

3002703009 8 1 4 1 Page 18 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownear OR-01-004.2 Import ACEMAN 'thumbs up/thumbs down' Business Irr 1Q04 04-Feb-04 1Q04 Database available on the PBNP LAN.

database Support &

Infrastructures tTrack IDs CA054770 Resource - Persons - Hrs Per Person Comments 645LCLER 1 20 300220 3008 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.3 Publish Behavioral Examples Brochure Communications 4Q03 1Q04 High Level Step intended to capture actions contained within substeps.

No deliverable required.

tTrack IDs Seo Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.3.A Develop brochure containing Communications 4Q03 30-Jan-04 1Q04 Draft brochure.

explanations/examples of results/behaviors.

(i.e. What does 'no rework' mean? What does pride look like?). Brochure should also contain 2004 focus areas.

tTrack IDs CA054771 l Resource.lI # Persons l H rs Per Prson . .* Comments, 300390 3005 1 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.3.B Finalize Brochure. Communications 4Q03 16-Feb-04 1Q04 Final Brochure.

tTrack IDs CA054772

-: Resource U Persons Hrs Per Person Comments.

3003903005 1 5 Page 19 of 489 Effective Data: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.3.C Publish Brochure. Communications 1Q04 1Q04 Published Brochure.

tTrack IDs CA054773 I.Resource l Roour l '#,Persons~ i~s~resn

,lHrs l PerPortion l , ,, Comments ,

300390 3005 14 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.4 Implement ACEMAN training. Performance 1004 2Q04 High Level Step intended to capture Assessment actions contained within substeps.

No deliverable required.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.4.A Prepare Briefing Material: Create power point Training 1Q04 16-Jan-04 1004 Documented training material.

presentation; make blank ACEMAN cards.

develop explanation of barriers.

tTrack IDs CA054775

[..Resource 7:., -#Co sons I'le Ps ' i" l 300270 3009 10 6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.4.B Brief Senior Managers: Review Change Training 1Q04 22-Jan-04 1Q04 Completed briefing form.

Management Plan/project schedule; Small group session led by an executive to explain basics and specifics; Pilot All-Hands training.

tTrack IDs CA054776

, Resource l Persons lHrs Per Person Comments 300130 3005 1 300270 3009 10 6 Page 20 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.4.C Brief remaining Managers and General Training 1004 20-Feb-04 1Q04 Completed briefing forms.

Supervisors, Work Week Managers (two sessions).

tTrack IDs CA054781 Resource l Persons Hrs Per Person Comments 300130 3006 1 8 300270 3009 4 4 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.4.D Brief Supervisors. Training 1Q04 1004 Completed briefing forms.

tTrack IDs CA054783 l Resource. l Persons Hrs Per Person Comments 300130 3006 I 6 4 300270 3009 12 4 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.4.E Brief Workforce Training 2Q04 2Q04 Completed briefing forms.

tTrack IDs CA054785 Rosourco 4.

R rsowson Pe r Comments' 300130 3006 30 3 300270 3007 30 3 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.4.F Revise 'New Employee Checklist" to cover Human 1Q04 2004 Revised checklist.

ACEMAN. Resources tTrack lDs CA054787 l - Resource . 7. # Persons,I Hrs Per. Personl .Comments -I 1 300110 3007 1 1 1 10 I Page 21 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner ,

OR-01-004.5 Revise standard Plan-of the-Day (POD) Production 1Q04 26-Jan-04 1Q04 Revised agenda in use at POD.

meeting agenda to include ACEMAN focus. Planning tTrack IDs CA054788 Resource. ' Persons ' Hrs Per Person 'Comments 659LCLER 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.6 Produce and post 'Picture of Excellence' Communications 1004 14-Jan-04 1Q04 Posted picture.

poster in Front Office Conference Room.

tTrack IDs CA054790 Resource -l Persons lHrs Per Person Comments 300390 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.7 Implement ACEMAN assessments at POD Plant Manager 1Q04 30-Jan.04 1Q04 ACEMAN rating system employed at meeting. POD.

tTrack iDs CA054791

,# P,,Resourcen Pro sL ns

Hrs Per Person - 'l Commoents"'" '

300270 3009 15 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.8 Form a communications team. Communications 4Q03 1Q04 Documented minutes from the first team meeting.

tTrack IDs CA054793

. Resource #Persons- Hrs Per Perso Comments I

I 300390 3005 1 1 H 8 Page 22 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverablo Owner OR-01-004.9 Develop a four-week rotating schedule for D- Communications 1Q04 26-Jan-04 1Q04 Documented first four week cycle.

15s; Incorporate human performance and safety information; draft first several weeks.

tTrack IDs CA054797 l Resource l # Persons lHrs Per Person l. Comments 300390 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.10 Implement D-15 meetings. Performance 1Q04 27-Jan-04 1Q04 High level step intended to capture Assessment substep requirements. No deliverable required.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.10.A Decide best way to do D-15s given our lack of Plant Manager 1Q04 22-Jan-04 1Q04 Documented methodology.

a rigid work schedule.

tTrack IDs CA054799 Resource ; Persons . Hrs Per Person - ; Comments; - '

300180 3004 300270 3009 1 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.10.B Institute D-15s Performance 1Q04 27-Jan-04 1Q04 D-15s implemented (copy of D-15 Assessment material and schedule).

tTrack IDs CA054800, CA054801, CA054802, CA054803, CA054804, CA054805, CA054806, CA054807, CA054808, CA054809, CA054810, CA054811, CA054812, CA054814, CA054815, CA054816, CA054817, CA054818, CA054819, CA054820. CA054821, CA054822, CA054998 Page 23 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.11 Begin communication strategy to re-inforce Communications 1Q04 2Q04 Slides from PBTV and briefing ACEMAN program. sheets from hallway display.

tTrack IDs CA054824 Resource #Persons .HrsPorPerson : - .- Commonts .

[300390 3005 2 20 ll Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.12 Institute more frequent 'NMC Today' Communications 1Q04 1Q04 Evidence that NMC Today publications. Newsletters are issued more frequently than weekly.

tTrack IDs CA054826

-Resource # Persons Hrs Per Person Comments - l 300390 3005 1 50 10 per newsletter.

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.13 Implement ACEMAN job observation card. Performance 1Q04 3Q04 High level step capturing actions in Assessment substeps which implement the ACEMAN job observation card. No deliverable required. Satisfactory completion of this step requires completion of only a portion of step OR-01-004.13.C.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.13.A Develop and implement job observation card Operations 1Q04 12-Feb-04 1Q04 Observation card available in the job for ACEMAN attributes. observation database.

tTrack IDs CA054838 Resource # Persons lHrs Per Personl Comments 300020 3008 1 1 1 10 I Page 24 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.13.B Brief supervisors on ACEMAN card and use. Operations 1004 1004 Documented presentation at the First Line Supervisors Meeting.

tTrack IDs OTH055255

[ Resource~ -- l # Persons lHrs Per Personl Comments l 300020 3008 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.13.C Job Observations - managers and supervisors Performance 1004 1Q05 Manager job observations will assess ACEMAN behaviors/results once Assessment conducted to assess ACEMAN per month. implementation and effectiveness (one observation per manager per month).

tTrack IDs CA054839, CA054840, CA054841, CA054842, CA054843, CA054844, CA054846, CA054848, CA054850, CA054851, CA054852, CA054854, CA054856, CA054857, CA054859, CA054860, CA054861, CA054862, CA054864, CA054865, CA054867, CA054868, CA054869 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.14 Implement ACEMAN assessments at Production 1Q04 18-Feb-04 1Q04 ACEMAN rating system employed at Production Meetings. Planning Production meetings. (Copy of revised agenda and results of rating from first meeting).

tTrack IDs CA054870 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.15 Compare POD and Production Meeting Production 1Q04 1Q04 Copy of presentation of Production assessments to ensure alignment. Planning Meeting Results at POD.

tTrack IDs CA054876 Resource # Persons . Hrs Per Person I Comments ; l 300270 3009 15 1 0 Page 25 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.16 Assessment of work week performance vs. Production 3004 3Q04 Copy of assessment from first E+1 ACEMAN attributes at E+1 Meetings. Planning meeting, copy of revised agenda.

tTrack IDs CA054877 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.17 Build additional accountability into work week Production 2004 2Q04 Documented sample presentations process via review of work week Planning to POD.

performance at POD.

tTrack IDs CA054878 Rosource # Persons Hrs Per Person Comments --

300040 3009 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.18 Begin Monthly group/department/site rollups Performance 2Q04 2004 Rollup documented In Electronic with month of March. Assessment Database.

tTrack IDs CA054879 l, :Rsouice' - l Persons Hrs PerPersonI. Commonts '

300270 3009 17 12 1 hour1.157407e-5 days 2.777778e-4 hours 1.653439e-6 weeks 3.805e-7 months per month.

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.19 Begin review of department indicators at Business 2Q04 2Q04 ACEMAN indicators reviewed at Management Review Meetings. Procedures monthly Management Review Meetings. Copy of agenda and ACEMAN slides.

tTrack [Ds CA054880 Resource I l # Persons Hrs Per Person I Comments l 300270 3009 l 30 l 12 1 hour1.157407e-5 days 2.777778e-4 hours 1.653439e-6 weeks 3.805e-7 months per month.

Page 26 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.20 Begin weekly group ratings. Performance 3Q04 3Q04 Copy of weekly assessments; Copy Assessment of D-15 agenda specifying rating activity.

tTrack lDs CA054881 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.21 Build accountability into PBNP processes. Assessment 2Q04 4Q04 High level step intended to capture substeps. No deliverable required.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.21.A Build accountability in CAP/OE Process (CAP Assessment 2Q04 2Q04 Documentation of changes Coaches). implemented.

tTrack IDs CA054883

.;Resource lHr Per Person Commernts.," "

300380 3009 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.21.B Conduct self-assessment to determine other Performance 2Q04 2Q04 Documented recommendations.

ways to build in accountability. Assessment tTrack IDs CA054884 Page 27 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.22 Review existing represented employee Human 2Q04 2Q04 Published method for use of form performance feedback form with the union to Resources with represented employees.

determine best way to incorporate ACEMAN.

tTrack iDs CA054885 Resource - l #Persons -HrsPerPersonf- Comments' 655LELEC 1 20 655LMECH 1 20 l 3001103009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.23 Install Lite Boards and Human Performance Performance 1004 2Q04 Installed equipment, article explaining stanchion. Assessment in NMC Today.

tTrack IDs CA054888

.Resource '- - # Persons -Hrs Per Person Comments 655LMECH 2 20 300390 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.24 Revise Human Performance Program Performance 1Q04 1Q04 Revised NP 1.1.10 consistent with Procedure to be consistent with the Picture of Assessment Picture of Excellence.

Excellence.

tTrack iDs CA054891

'Resource -.' Persons' Hrs Per Person [ Comments l 300160 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.25 Implement "Safety Focus of the Day". Safety 1Q04 1Q04 High level step intended to capture substeps. No deliverable required.

tTrack IDs See Substeps Page 28 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-01-004.25.A Develop use of 'Safety Focus of the Day". Safety 1Q04 1Q04 Documented expectations for Safety Focus of the Day.

tTrack IDs CA054892 l Resource. l #Persons HIrs Per Person [ Comments . -

300340 3005 10 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.25.B Begin Safety Focus of the Day. Nuclear 1Q04 1Q04 Documented NOS Observations of Oversight stated safety focuses.

tTrack IDs CA054893 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.26 Revise CAP Trend reports to bin vs. barriers, Performance 1Q04 2Q04 Issued 1st quarter CAP trend report results and attributes. Assessment organized around ACEMAN principles.

tTrack IDs CA054894

Resource l Prsons Hrs Por Porson Comments -

300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.27 Implement the "right person, right picture, right Plant Manager 1Q04 4Q04 High level step intended to capture process, right coaching and Involvement' substeps. No deliverable required.

model.

tTrack IDs See Substeps Page 29 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.27.A Include the 'right person, right picture, right Plant Manager 1Q04 1Q04 Materials used for ACEMAN rollout.

process, right coaching and involvement' model as we analyze information.

tTrack IDs CA055218 Resource l Persons lHrs Per Person-l - Comments .

300270 3009 10 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.27.B Verify effectiveness. Nuclear 1Q04 4Q04 Documented NOS observations.

Oversight tTrack IDs CA055220 Resource #Persons. lHrs Per Personl Commentsl 300140 3007 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.28 NOS will perform periodic assessments of Nuclear 1Q04 2Q04 Documented NOS Observations.

ACEMAN implementation. Oversight tTrack IDs CA054899 l Resource l,: #Persons - HrsPPerson : - Comments - l 300140 3007 4 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.29 Re-focus on ACEMAN after the outage by Site VP & ECP 2Q04 2Q04 Named Exemplars, documented naming exemplars (people who do a particular report from each exemplar on behavior really well) for each behavior and his/her observations from their one have their full-time job be in-the-field mentoring week in the field.

for that particular behavior.

tTrack IDs CA054900 Resource #,Persons Hrs Per Person - Comments 300270 3009 6 1 40 Page 30 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.30 Use NMC Bucks and Quick Thanks Programs Performance 1Q04 4004 Use monitored regularly as part of to recognize individuals successfully Assessment excellence team meeting.

demonstrating elements of the 'Picture of Excellence".

tTrack IDs CA054901, CA054902, CA054903, CA054904, CA054905, CA054906, CA054907, CA054908, CA054910, CA054911, CA054912, CA054913, CA054914, CA054915, CA054917, CA054918, CA054919, CA054920, CA054921, CA054922, CA054923, CA054924, CA054925 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.31 Institute ACEMAN parking spots, which Performance 2Q04 2Q04 Parking spaces marked and employees nominate. Assessment available.

tTrack IDs CA054926 lResource l #Persons U Hrs Per Person Comments 300380 3005 1 5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.32 Celebrate ACEMAN successes. Performance 3Q04 4Q04 High level step intended to capture Assessment substeps. No deliverable required.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.32.A Plan a celebration late 2004 to reinforce Performance 3Q04 4Q04 Published program for the event.

learning and celebrate ACEMAN successes. Assessment tTrack IDs CA054934

- Resource

. # Persons Hrs Per Person Comments 300380 3005 7 40 Page 31 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.32.B Hold celebration. Performance 4004 4004 Completed briefing sheets signed by Assessment attendees.

tTrack IDs CA054936 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.33 Implement ACEMAN in the Performance Human 1Q04 3Q04 High level step intended to capture Management Process (PMPs). Resources substeps. No deliverable required.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.33.A Develop standard PMP language for NMC Human 1Q04 2Q04 Standard language published by employees. Resources Human Resources.

tTrack IDs CA055002 Rosource> .- #Persons.. Hrs Per Person Comments-. . ..

300110 3007 2 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.33.B Implement standard language (this can be Human 2Q04 2Q04 Mid-Year PMPs revised.

used as a method to refocus us after the Resources outage).

tTrack lDs CA055005, CA055006, CA055007, CA055008, CA055009, CA055010, CA055011, CA055012, CA055013, CA055014, CA055015, CA055016, CA055018, CA055019, CA055020, CA055021, CA055022, CA055023, CA055024, CA055025, CA055026, CA055027, CA055028 Page 32 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.33.C Verify implementation. Human 2Q04 3Q04 PMPs sampled for assessment of Resources ACEMAN attributes.

tTrack IDs OTH055256 Resource # Persons lHrs Per Person - Comments :

3001103007 2 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.34 Revise Human Performance trend reports to Performance 1Q04 2Q04 Documented 1st quarter human bin vs. barriers, results, and attributes. Assessment performance trend report organized around ACEMAN.

tTrack IDs CA055029 Resource U Persons lHrs Per Person Comments

3003803005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.35 Publish Department Excellence Plans Business 2Q04 3Q04 High level step intended to capture Procedures substeps. No deliverable required.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.35.A Determine best method for implementing Business 2Q04 3Q04 Documented methodology.

department excellence plans (actual plans, Procedures matrices, or other).

tTrack IDs CA055031 l Resource

l Persons lHrs Per Personl. Comments l 3002103009 1 20 Page 33 of 489 Effective Date: 2-27-04

PBNP Excellei ice Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.35.B Create department excellence plans. Business 3Q04 3Q04 Documented plans.

Procedures tTrack IDs CA055032, CA055033, CA055034, CA055035, CA055036, CA055037, CA055038. CA055039, CA055040, CA055041, CA055042. CA055043, CA055044, CA055045 Resource: - # Personsw Hrs Per Person . Comments 300010 3009 1 40 300020 3009 1 40 300030 3009 1 40 300040 3009 1 40 300050 3009 1 40 300110 3009 1 40 300130 3005 1 40 300140 3005 1 40 300150 3009 1 40 300160 3009 1 40 300170 3009 1 40 300180 3009 1 40 300210 3009 14 40 300220 3009 1 40 300240 3009 1 40 300270 3009 1 40 300280 3009 1 40 300290 3005 1 40 300340 3005 1 40 300350 3005 1 40 300360 3009 1 40 300370 3009 1 40 300380 3009 1 40 300390 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.35.C Publish Department Excellence Plans Business 3Q04 3Q04 Published plans.

Procedures tTrack IDs CA055046 Resource l # Persons Hrs Per Person l Comments - l 300210 3009 1 1 20 1 Page 34 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-01-004.36 Conduct Effectiveness Review. This review Assessment 4Q04 4004 Completed effectiveness review will Include a review of the identified report.

performance indicators to determine whether the focus area objectives have been met and whether improvements in this focus area are sustainable.

tTrack IDs CA055030 Page 35 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3C3A CAP # 033241 Plan Type Commitment Plan Revision No: 2 Focus Area: Oversight & Assessment Plan Status Open Action Plan

Title:

Nuclear Oversight Effectiveness Action Plan Number: OR-02-001 Problem Statement: NOS has not been fully effective at issue identification and management response to issues.

Causal Factors; 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.

Oblectives: I Improve NOS staffing effectiveness by implementing a rotation policy, assigning assessors to maintain functional area cognizance, and completing the personnel qualification matrix tool.

2 NOS is effective in communicating significant issues to Site Management.

3 NOS is effective in assuring management response to QA findings.

4 Implement integrated assessment of performance.

5 NOS is effective in Identifying major weaknesses within the PBNP organization, ensuring problems are resolved, and ensuring timely implementation of corrective actions to address findings.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001 .1 Plan and conduct a critical Self Assessment of Nuclear 2003 20-Jun-03 2Q03 Self-assessment report.

the NOS Organization. Oversight tTrack IDs CA030260 Resource l Persons Hrs Per Person Comments 642LCLER 1 40 642LCLER 1 40 CONTPRO 2 80 100000 1000 3 80 300010 3008 1 40 300140 3005 1 40 300140 3005 1 40 300330 3005 1 40 Page 36 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.1.A Analyze the self-assessment results, create Nuclear 2Q03 23-Jun-03 2003 Revision 1 of this Action Plan (OR-action plan steps, and revise Excellence Plan Oversight 02-001) submitted.

Revision 0 action plan steps as necessary to address the causes of NOS performance weaknesses identified in the self assessment.

tTrack IDs CA030261 Resource - # Persons Hrs Per Person . - - Comments 300140 3005 1 40 300140 3005 1 40 300330 3005 1 40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.2 Develop a Qualification needs matrix that Nuclear 3Q03 22-Jan-04 1Q04 A qualification matrix listing the identifies the skill set needed to conduct Oversight (PB) appropriate skill set necessary to be effective assessments. an effective NOS organization.

tTrack IDs CA030263

[ Resource - #Persons'. Hrs Per Personl Comments l 300140 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.2A Use the Performance Assessment model Nuclear 2Q03 29-Jan-04 1Q04 A qualification needs list for the developed by NMC to Identify each assessor's Oversight (PB) assessors.

developmental needs.

tTrack IDs CA030264

. Resource . .l # Persons Hrs Per Person , . Comments. '

300140 3005 1 40 300330 3007 8 2 Pagte 37 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.2.A.1 Assign functional area cognizance based on Nuclear 3Q03 17-Feb-04 1Q04 List of individuals assigned the Performance Assessment Model. Oversight (PB) functional area cognizance.

tTrack IDs CA031640 Resource # Persons Hrs Per Person . Comments 300140 3005 1 80 300140 3005 1 20 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Dato Deliverable Owner OR-02-001.2.B Implement a plan to achieve the training and Nuclear 3Q03 3Q04 Plan approved. Scheduled actions, developmental needs as identified in the Oversight (PB) through current date, complete.

Performance Assessment model and functional area cognizance.

tTrack IDs CA030267

[ Resource l #Persons lHrs Per Person l Comments 300140 3005 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 24-Feb-04 1Q04 Rotational plan endorsed by the Site endorsed by the Site Vice President. Oversight Vice President.

tTrack IDs CA028109 Resource #Persons l Hr PerPerson Comments -

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 approDriate skill set in the areas of Nuclear 09-Jul-03 4Q05 This step is closed by incorporation Operations, Engineering and Support Oversight into Action Steps OR-02-001.2.B functions, and those areas identified in the and OR-02-001.2.C.

qualification needs matrix that are not met by the current assessors.

tTrack IDs CA030269 Page 38 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 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 1Q03 08-Dec-03 4Q03 Approved communications plan.

periodic meetings between line management Oversight and NOS leadership.

tTrack IDs CA030270 Resource ' l Persons ' Hrs Per Person Comments 300140 3005 1 40 Number Action Step Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-02-001.4 Implement an intrusive methodology to identify Nuclear 3Q03 2Q04 Approved procedure and assessor issue significance. Oversight (PB) briefing sheets.

tTrack IDs CA030271 Resource l Persons Hrs Per. Person Comments 300140 3005 1 20 300330 3007 8 20 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.4A Implement a standard format for action Nuclear 3003 08-Dec-03 4Q03 Defined standard format.

requests based on fleet procedure FP-NO-IA- Oversight (PB) 08.

tTrack IDs CA031962 l Persons H'rs Per Person ' Comments .

300140 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.5 Evaluate relocation of NOS assessors to Nuclear 3Q03 4Q04 Documented decision on the within the protected area of the plant or the Oversight relocation of assessors.

south gatehouse.

tTrack IDs CA030272 Resource' # Persons Hrs Per Person Comments 655LCUST 1 5 1 40 300060 3005 1 40 Page 39 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.6 Execute the Integrated Assessment of Nuclear 1Q03 3004 An integrated presentation of plant Performance, carry out the actions as detailed Oversight performance.

in Change Management Plan 2003-08.

tTrack IIs CA030273 Resource " # Persons Hrs Per Person Comments 300140 3005 2 20 300140 3005 1 40 300330 3007 2 40 300330 3007 8 8 300380 3009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.6.A Develop a method to evaluate the performance Nuclear 3Q04 Approved method to rate the of the integrated Assessment of Performance. Oversight Integrated Assessment of Performance.

tTrack IDs CA056016 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.7 Develop a formal process for Nuclear 1Q03 25-Sep-03 4Q03 Approved guideline or procedure.

monitoring/reporting the status of open Oversight (PB)

Significant QA Findings. (CA028648) tTrack IDs CA030274

. Resource - l.. # Persons . Hrs Per Person . . . Commentsm .. .

642LCLER 2 20 300140 3005 1 40 300330 3007 1 80 Page 40 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.7A Establish a process for the NOS Manager or Nuclear 2Q03 10-Nov-03 4Q03 Documented process.

NOS Supervisor to discuss the status of NOS Oversight (PB)

Significant QA Findings with plant management.

tTrack IDs CA030275 Resource #Persons Hrs Per Person Comments 300140 3005 1 10 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.7.B Provide a briefing to NOS assessors and Nuclear 3Q03 19-Dec-03 1Q04 Briefing documentation.

upper station management on the newly Oversight (PB) developed process for reporting NOS Significant QA Findings status.

tTrack IDs CA030277 Resource ; # Persons Hrs Per Person Comments .

300140 3005 1 8 300330 3007 8 2 Number Action Step Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-02-001.7.C Implement the process for reporting NOS Nuclear 3Q03 29-Jan-04 1Q04 Issue an NOS Significant QA finding significant QA findings. Oversight (PB) status report.

tTrack IDs CA030278 Resource # Persons -Hrs Per Person Comments;.

300140 3005 1 8 300140 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.7.D Conduct the first NOS Significant QA Findings Nuclear 3Q03 09-Jul-03 1004 This action is closed by status meeting. Oversight incorporation into Action Step OR 001.7.C (CA030278).

tTrack IDs CA030280 Page 41 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.7.E Perform an effectiveness review. Nuclear 3004 4Q04 Effectiveness review report.

Oversight tTrack IDs EFR030281 Resource-. # Persons Hrs Per Person - Comments 642LCLER 1 40 CONTPRO 2 40 100000 1000 3 80 300140 3005 1 40 300140 3007 1 40 300330 3005 1 48 300330 3007 2 48 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.8 Perform interim self-assessment Nuclear 3Q04 09-Jul-03 3Q04 This step is dosed by incorporation effectiveness review using an approved Oversight into Action Step OR-02-001.7.E.

assessment process 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 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001.8A Perform Final Effectiveness Assessment Nuclear 3Q05 09-Jul-03 3Q05 This step Is dosed by incorporation using an approved assessment process to Oversight into Action Step OR-02-001.7.E.

establish that the Implemented actions have improved NOS effectiveness.

tTrack IDs EFR030285 Page 42 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-001 .9 Perform benchmarking for ideas to improve Nuclear 3Q03 13-Dec-03 4Q03 Documentation of benchmarking NOS effectiveness. Oversight results.

tTrack IDs CA030287 Resource. . # Persons - Hrs Per Person_ .. . Comments I .. 3 . . .1., . . 0. , . I . I 1300140 3005 1 1 80 I Page 43 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 3 5E 7C CAP # 033937 Plan Type Improvement Plan Revision No: 2 Focus Area: Oversight & Assessment Plan Status Open Action Plan

Title:

Nuclear Oversight Quality Assurance Topical Report (QATR) Implementation Action Plan Number: OR-02-002 Problem Statement: NMC has significant efficiencies available which have not yet been realized because a common NMC Quality Assurance Topical Report does not exist.

Causal Factors: I Business Initiative - Causal Factors not required.

Obiectives: I Implement the NMC common Quality Assurance Topical Report at PBNP.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.1 Support development of a draft NMC Quality Nuclear 4Q02 07-May-03 2Q03 NMC QATR Draft A available for site Assurance Topical Report (QATR). Oversight (PB) review.

tTrack IDs CA031822 Page 44 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownnr OR-02-002.2 Collect PBNP input from site representatives Nuclear 2003 13-Sep-03 3Q03 Draft QATR with site comments and address comments. Oversight (PB) included submitted to QATR Lead.

tTrack IDs CA031822 Resource. # Persons Hrs Per Person Comments 300010 3009 1 8 300020 3009 1 8 300030 3009 1 8 300040 3009 1 8 300050 3005 1 8 300050 3009 1 8 300140 3005 1 40 300140 3007 1 160 300150 3009 1 8 300160 3009 1 8 300170 3009 1 8 300180 3009 1 8 300210 3009 1 24 300220 3009 1 8 300230 3005 1 8 300240 3009 1 8 300270 3009 2 16 300290 3005 1 8 300290 3008 2 16 300330 3005 1 8 300360 3009 1 8 300380 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.3 Obtain Site Vice President concurrence for Nuclear 3Q03 25-Sep-03 3Q03 Transmittal letter.

submital of the QATR to the NRC. Oversight (PB) tTrack IDs CA031823 Resource l -# Persons Hrs Per Person l Comments 300140 3005 1 8 300140 3007 1 40 300270 3009 1 8 Page 45 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.4 Identify procedures to be revised and Nuclear 3Q03 30-Sep-03 3Q03 List of procedures and owners.

responsible person. Oversight (PB) tTrack IDs CA031824 Resource Hrs.Per Person Comments 3001403007 l P 1 H P 32 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.5 Develop training/briefing materials for QATR Nuclear 3Q03 2Q04 Training/briefing material approved.

Oversight (PB) tTrack IDs CA031825 l Resource # Persons Hrs Per Personl - Comments 300140 3007 1 80 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.6 Coordinate, develop, and implement procedure Nuclear 2Q04 3Q04 Procedures required for changes supporting QATR issuance. Oversight (PB) implementation issued.

tTrack IDs CA031826 jResourceb, # Persons HrsPer Person -; Comments -,i 642LCLER 1 80 66OLCLER 2 80 _

3001403005 1 80 3001403007 1 280 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.7 Coordinate training or briefing for site Nuclear 2Q04 4Q04 Copies of attendance records.

personnel on QATR Oversight (PB) tTrack IDs CA031827 Resource . - # Persons Hrs Per Person ' Comments 661LCLER 1 40 3001303006 1 120 3001403007 1 134 Page 46of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.8 Implement QATR Nuclear 3Q04 4Q04 Approved FCR.

Oversight (PB) tTrack IDs CA031828

,Resource #Persons Hrs Per Person -Comments --

300140 3005 1 40 300140 3007 1 80 300290 3008 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-02-002.9 Perform an effectiveness review. Nuclear 2Q05 Effectiveness review report.

Oversight (PB) tTrack IDs EFR031829 I

Resource I # Persons Hrs Per Person Comments.

300140 3007 1 120 300140 3007 2 I 40 Page 47 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3C 3B CAP # 033248 Plan Type Improvement Plan Revision No: 2 Focus Area: Culture Survey Plan Status Open Action Plan

Title:

ECP Integrated Program Improvements Action Plan Number: OR-03-001 Problem Statement: (1) Some employees do not understand the Employee Concerns Program was only designed for addressing safety-related concerns.

(2) No change management plan for the 3-unit site position.

Causal Factors: 1 Initial fleet rollout of ECP was broader than nuclear safely.

2 Limited ability to manage contingencies with one individual working in a 3-unit site position.

Obiectives: 1 Culture survey and self-assessment results indicate an Improved understanding of the focused role of ECP as well as alternative paths to reconcile non-safety related concerns.

2 There is an ECP Manager assigned to PBNP.

Action Stevs Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.1 Prepare and post position to acquire Site VP & ECP 28-Jun-03 3Q03 Posting applicants for the ECP position at PBNP.

tTrack IDs CA030288 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.2 Select applicant for position. Site VP & ECP 2Q03 25-Jun-03 2Q03 Announcement of assignment tTrack IDs CA030289 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.3 Revise ECP advertising and marketing Site VP & ECP 2Q03 15-Aug-03 3Q03 Revised advertising and marketing information. Information available for distribution.

tTrack IDs CA030291 l Resource # Persons l Hrs Per Person Comments . II 300270 3007 0 0 Page 48 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.4 Revise PEACH communications materials. Site VP & ECP 2Q03 13-Aug-03 3Q03 Revised communication materials.

tTrack IDs CA031340 Resource #Persons ,Hrs Per Person Comments., -

300270 3007 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.5 Revise NMC Net ECP Home Page and other Site VP & ECP 2Q03 12-Aug-03 3Q03 Updated web page electronic promotional materials.

tTrack IDs CA031343 Resource # Persons' Hrs Per Person Comments l 100000 1000 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.6 Review and revise ECP Policy CP-0021 as Site VP & ECP 2Q03 11-Sep-03 3Q03 Revised policy on web or necessary. documented review.

tTrack IDs CA031344 V Resource.,o ; [.'#Prs er ereson .4Commonts., ',

100000 1000 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.7 Review and revise ECP Procedure FP-EC-ECP- Site VP & ECP 2Q03 11-Sep-03 3Q03 Revised procedure or documented 01 as necessary. review.

tTrack IDs CA031345

Resource #Persons lHrsPerPerson - Comments . 1 100000 1000 I 0 1 0 1 I

Page 49 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.8 Revise GAT Training Module N-G-L001-H and Site VP & ECP 2Q03 15-Aug-03 3Q03 Revised training materials General Awareness Module.

tTrack IDs CA031346 Resource #Persons lHrsPorPorson Comments 100000 1000 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.9 Review and revise ECP internal administrative Site VP & ECP 2Q03 11-Sep-03 3Q03 Revised administrative documents or documents as necessary. documented review.

tTrack IDs CA031348 Resource Persons Hrs Per Person Comments 100000 1000 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.10 Review and validate the 2003 RP culture Radiation 2Q03 25-Aug-03 3Q03 Action steps added to approved survey regarding nuclear safety culture as Protection Action Plan.

well as effectiveness of ECP within RP.

Develop action plan to improve the RP culture in this area.

tTrack IDs CA030315 Resource # Persons Hrs Per Person Comments -

657LHPTE 2 40 300030 3005 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.11 Review and validate the 2003 Operations Operations 2Q03 29-Sep-03 3Q03 Action steps added to approved culture survey regarding effectiveness of ECP action plan.

within Operations. Develop action plan to improve the Operations culture in this area.

tTrack IDs CA031350 Resource l # Persons lIHrs Per Person Comments 300020 3005 1 1 20 Page 50 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.12 Review and validate the 2003 NIM culture Business 2Q03 12-Sep-03 3Q03 Action steps added to approved survey regarding effectiveness of ECP within Procedures action plan.

NIM. Develop action plan to improve the NIM culture in this area.

tTrack IDs CA031351 Resource # Persons Hrs Per Person Comments.'

300210 3009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.13 Review and validate the 2003 Maintenance Maintenance 2Q03 28-Jul-03 3Q03 Action steps added to approved culture survey regarding nuclear safety action plan.

culture within Maintenance. Develop action plan to improve the Maintenance culture In this area.

tTrack IDs CA031352 Resource, l -#Persons.l Hrs Per Person l Comments:; --

300050 3009 1 50 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.14 Perform focused self assessment of program Site VP & ECP 2Q04 2Q04 Self-assessment report initiatives tTrack IDs CA030293 l,Resource . #Persons Hrs PerPerson Comments 100000 1000 3 24 300270 3007 1 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-001.15 Validate focused self-assessment results by Site VP & ECP 3Q04 1Q05 Completed 2004 Culture Survey performance of 2004 culture survey (reference action plan OR-03-002) tTrack IDs CA031353

- Resource -# Persons Hrs Per Person Comments I

300110 3009 1 60 300270 30091 20 I Page 51 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 52 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 13C3B CAP # 033249 Plan Type Improvement Plan Revision No: 2 Focus Area: Culture Survey Plan Status Open Action Plan

Title:

Implement Culture Survey Improvements Action Plan Number: OR-03-002 Problem Statement: Some improvements are needed in work prioritization. general communications, and work environment.

Causal Factors: i The Causal Factors related 1o the desired improvements In work prioritization are identified in the following action plans:

OR-05-001, Organizational Effectiveness Improvement OR-06-004, Elimination of Low-Value Added Work OR-08-006, Improve Work Management Process in Engineering OP- 1I-001, Improve Work Management Process 2 The Causal Factors related to the desired improvements in general communications are identified in the following action plans:

OR-04-002. Improve Internal and Extemal Communications OR-05-004. Improve Implementation of Performance Management Process 3 For work environment concerns, the major issues are general communications (see action plan OR-04-002); Improve the Performance Management Process and Employee Recognition (see action plan OR-05-004); and improve the change management process (action plan to be developed).

Oblectives: 1 The 2004 Culture Survey ratings for 'General Culture' and 'Leadership, Management, and Supervisory Skills and Practices' are Improved.

Action Stens:

Number Action Step Action Sti 3op Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.1 Utilize external consulting agency to administer Human 1Q03 20-Jan-03 1Q03 Completed culture survey.

the employee culture survey at Point Beach. Resources tTrack IDs CA030294 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.1A Brief Site Senior Management on Culture Human 1Q03 03-Mar-03 1Q03 Documented briefing.

Survey results. Resources tTrack IDs CA030295 Page 53 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.1.B Department Managers roll out survey results Human 1Q03 15-Apr-03 2Qo3 Documented roll outs.

to their respective departments. Resources tTrack IDs CA030296 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.1.C Each Department Manager provides a list of Human 2Q03 30-Apr-03 2Q03 Documented Department focus the department strengths, areas for Resources issues.

improvement, and their 2-3 most important AFIs.

tTrack IDs CA030297 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.1.D Identify the 3 most significant survey issues Human 2Q03 23-Jul-03 3Q03 Approved action plans for the top 3 from a site perspective. Incorporate the Resources site culture survey focus items.

needed actions into Action Plans. Three significant survey issues identified: Work prioritization - See OR-05-001; OR-06-004; OR-08-006; OP-11-001. General Communications - See OR-04-002; OR-05-004. Work Environment -

See OR-04-002; OR-05-004.

tTrack IDs CA030298 IResource I # Persons Hrs PerPerson : Comments l 300110 3009 3 1 20 300270 3009 2 20 Page 54 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.1.E Develop a site communications plan that Communications 2Q03 30-Jul.03 3Q03 Issued site communications plan.

addresses Culture Survey results.

tTrack IDs CA030299 Resource - # Persons Hr. Per Person - .Comments.

300110 3009 1 6 300270 3009 2 2 300270 3009 1 6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.1 .F Conduct a follow up employee culture survey. Site VP & ECP 3004 1Q05 2004 culture survey results.

tTrack IDs EFRO30300 Resource # Persons. [Hrs Per Person l Comments 300110 3009 1 60 300270 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2 Each Crew, including the Staff Crew, will hold Operations 2Q03 30-Apr-03 2Q03 Each crew provide a top three iist of meeting(s) to discuss the results of the 2003 improvements to the operations PBNP Culture Survey. Each group will provide manager.

their 'top three" improvements items to the Operations Manager.

tTrack IDs CA030301 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2A Operations Manager determine the Operations Operations 2003 15-May-03 2Q03 Operations Manager determine Top Three improvement items based on inputs Operations Group Top Three AFfs.

from the Crews.

tTrack IDs CA030301 Page 55 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2.B Create an Action Plan to address operations Operations 2Q03 22-Aug-03 3003 Approved Action Plan created to concerns with Job Satisfaction. address Job Satisfaction concerns.

tTrack IDs CA030302 l Resource l #Persons lHrs Por Person Comments l 300020 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2.C Create an Action Plan to address operations Operations 2003 22-Aug-03 3003 Approved Action Plan created to concerns with Personnel Development. address Personnel Development concerns.

tTrack IDs CA030303 Resource # Persons Hrs Per Person Comments 300030 3005 1 20 Number ActIon Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2.D Develop an operations staffing plan. Operations 2Q03 22-Jul-03 3Q03 Operations Staffing plan issued.

tTrack IDs CA030304 l,,Resourcj I .#,Perso s .IHrs PerPerson . , Comments ,

300020 3009 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2.E Add work control center staffing positions to Operations 2Q03 20-Nov-03 4Q03 Revised Operations Manual.

the Operations Manual.

tTrack IDs CA030305 Resource' # Persons Hrs Per. Person I Comments 300020 3005 1 1 1 10 I I Page 56 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2.F Perform a comparison of the compensation Operations 2Q03 24-Nov-03 4Q03 Memo from Operations Manager that received by Operations and Maintenance for data has been received/compared.

operator retention planning.

tTrack IDs CA030306 Resource # Persons Hrs Per Person Comments 300020 3005 1 20 300020 3009 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2.G Perform an assessment of the Operation's Operations 4Q03 10-Jul-03 4Q03 Step OR-03-002.2.H tracks this Section of this Action Plan, steps 2.2 to 2.2.F, work. See EFR030308.

and document the results in the Corrective Action for this Action Plan.

tTrack IDs CA030307 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.2.H Perform an effectiveness review of the Operations 1Q04 11-Feb-04 1Q04 Documented effectiveness review.

Operation's Section of this Action Plan.

tTrack IDs EFR030308 Resource' #Persons lHrs Per Person.- Comments . - l 300020 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3 Develop action steps to improve the Chemistry Chemistry 2Q03 27-Jun-03 3Q03 Action Steps added to an approved Departments communications. Action Plan.

tTrack IDs CA030309 Resource - l # Persons l Hrs Per Person IComments - l 300010 3008 2 8 300010 3009 1 4 Page 57 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.A Present Culture Survey Results to the Chemistry 01-May-03 2003 Briefing Attendance Sheets.

Chemistry Group.

tTrack IDs CA031573 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.B Develop Mission and Vision Statements for the Chemistry 21-May-03 2Q03 Culture Survey Team Mission and Chemistry Culture Survey Team. Vision Statements.

tTrack IDs CA031573 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.3.C Conduct an open forum for resolution of Chemistry 15-May-03 2003 Chemsitry Dialogue Meeting Minutes.

outstanding Chemistry issues and concerns.

tTrack IDs CA031573 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.D Conduct 2Cs meetings with Chemistry Chemistry 2Q03 10-Dec-03 4Q03 Meeting Minutes.

Manager.

tTrack IDs CA031574

.Resource . .# Persons Hrs Per Person Comments 505LCHTE 12 2 300010 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.3.E Develop standard agenda for Chemistry plan Chemistry 11-Jun-03 2003 Standard agenda published.

of the day meetings.

tTrack IDs CA031573 Page 58 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.F Establish use of plant status boards to track Chemistry 11-Jun-03 2003 Review of status boards included in current status of Chemistry systems. Chemistry plan of the day standard agenda.

tTrack IDs CA031573 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.G Complete Insights survey. Chemistry 1Q03 10-Jul-03 3Q03 Meeting minutes from teambuilding session.

tTrack IDs CA031575 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.H Step deleted in Revision 2. Chemistry 2Q03 1Q04 Step deleted 02-21-04. No deliverable required.

tTrack IDs CA031576

- . Resourceo . # Persons irs Per Person - Comments... -

505LCHTE 5 8 300010 3005 1 a8 300010 3008 1 8 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.1 Develop standard turnover template to improve Chemistry 3003 05-Sep-03 3003 Standard turnover template.

communications of technicians between shifts.

tTrack IDs CAO31577 Resource #Persons . Hrs Per Person Comments 3505LCHTE 3 4 300010 3005 2 4 Page 59 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.3.J Place a suggestion box in the Chemistry Area Chemistry 3Q03 22-Aug-03 3003 Standard agenda item in Chemistry to allow for anonymous feedback and review Department Meeting to review during Chemistry Department Meeting. suggestions.

tTrack IDs CA031578 l Resource . #Persons lHrs Per Person "Comments :

300010 3005 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.4 Develop action steps to improve the Chemistry Chemistry 2Q03 26-Jun-03 3Q03 Action Steps added to an approved Department's employee involvement. Action Plan.

tTrack IDs CA030310 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.4.A Establish Chemistry Human Performance Chemistry 10-Jun-03 2Q03 Meeting Minutes.

Improvement Team.

tTrack IDs CA031579 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.4.1 Establish Chemistry Culture Survey Team. Chemistry 08-May-03 2Q03 Meeting Minutes.

tTrack IDs CA031579 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.4.C Assign new subject matter experts (SME) for Chemistry 3Q03 30-Jul-03 4Q03 Listing of SMEs for Chemistry Chemistry instrumentation. instrumentation.

tTrack IDs CA031915 Resource. # Persons Hrs Per Person Comments I

300010 3005 1 1 1 8 Page 60 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.4.D Include Chemistry Group corrective action Chemistry 3Q03 24-Jul-03 3003 Meeting agenda with corrective assignments in Chemistry plan of the day action assignment discussion.

meetings.

tTrack IDs CA031580 l Resource l - #Persons Hrs Per Person l Comments 300010 3009 1 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.4.E Review upcoming Chemistry projects and Chemistry 3Q03 27-Aug-03 3Q03 Agenda with standing item.

request involvement in department meetings.

tTrack IDs CA031581 Resource # Persons - Hrs Per Person Comments 300010 3009 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.5 Develop action steps to improve the Chemistry Chemistry 2003 26-Jun-03 3Q03 Action Steps added to an approved Departments performance recognition. Action Plan.

tTrack IDs CA030311

-Resource >1 - # Pers Hrs Per Person Comments : -,

300010 3008 2 8 300010 3009 1 L 4 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.5.A Present current available site performance Chemistry 3Q03 03-Oct-03 4Q03 Briefing attendance sheets.

recognition programs to the Chemistry Group.

tTrack IDs CA031582 Resource # Persons Hrs Per Person Comments 300010 3009 1 1 300110 3007 1 1 Page 61 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owneir OR-03-002.5.B Conduct feedback sessions with Chemistry Chemistry 3Q03 10-Dec-03 4Q03 Meeting minutes.

management and Culture Survey Team craft members to determine what concerns technicians have with current process to recognize performance.

tTrack IDs CA031584

.IResource; - : # Persons . Hrs Per Person Comments. -

.. .. I - . . I - ..

505LCHTE 4 = 1 1 300010 3005 2 1 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.5.C Include agenda item for department meetings Chemistry 3Q03 26-Aug-03 4Q03 Agenda with standing item.

to ensure Chemistry celebrates successes on a more timely/consistent basis.

tTrack IDs CA031585 Resource l # Persons Hrs Per Personl. Comments.

23000103009 1 1 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.5.D Poll Chemistry Group to determine the Chemistry 3Q03 12-Sep-03 3Q03 Copy of poll.

preferred means of performance recognition.

tTrack IDs CA031587 Resource - # Persons- Hrs PrPrson Comments 505LCHTE 2 1 300010 3005 2 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.6 Develop action steps to improve the Radiation Radiation 2Q03 29-Aug-03 3Q03 Action Steps added to an approved Protection Departments communications. Protection Action Plan.

tTrack IDs CA030312 Resource . # Persons- l Hrs Per Person l Comments - l 657LHPTE 2 40 300030 3005 2 40 Page 62 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.6A Complete Radiation Protection management Radiation 3Q03 18-Dec-03 4Q03 RP Management Roles and team alignment. Protection Responsibilities document.

tTrack IDs CA031588 Resource - Persons lHrs Per Person Comments 657LCLER 1 8 300030 3005 13 8 300030 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.6.B Establish expectation for daily Radiation Radiation 3Q03 11-Aug-03 3Q03 Documented expectations and Protection management meeting and create Protection agenda.

standard agenda items.

tTrack IDs CA031589 Resource l Persons lHrs Per Person Comments 657LCLER 1 2 3000303005 13 1 300030 3009 1 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.6.C Develop and implement an agenda for the Radiation 3Q03 22-Sep-03 3Q03 Standard agenda.

weekly Radiation Protection management Protection meetings.

tTrack IDs CA031590 Resource # Persons Hrs Per Person - -Comments 657LCLER 1 2 300030 3005 13 1 300030 3009 1 1 Page 63 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.6,D Combine the Radiation Protection Field and Radiation 3Q03 17-Dec-03 4Q03 Documentation of roles and Station Supervisor into one position to ensure Protection responsibilities.

a single point of contact for the RP Field Operations Group.

tTrack IDs CA031591

'Resource - ' Persons ' Hrs Per Person ' ' ' Comments ' '-

657LCLER 1 2 657LHPTE 2 4 300030 3005 5 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.7 Develop action steps to improve the Radiation Radiation 2Q03 29-Aug-03 3Q03 Action Steps added to an approved Protection Department's issue resolution and Protection Action Plan.

decision-making.

tTrack IDs CA030313 Resource < . #Persons' PerPerson - ' " Comments 657LHPTE 2 l 40 300030 3005 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.7.A Present the Decision Making Model to the Radiation 3Q03 22-Jan-04 ¶Q04 Briefing material and attendance Radiation Protection Group. Protection sheets.

tTrack IDs CA031592 Resource. # Persons - Hrs Per Person l Comments 657LCLER 1 8 657LCUST 7 5 657LHPTE 26 5 300030 3005 6 5 Page 64 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.7.B Step deleted in Revision 2. Radiation 4Q03 24-Feb-04 1004 Step deleted 02-25-04. No Protection deliverable required.

tTrack IDs CA031593 Rsource { Persons Hrs Per Person:Comns - :

657LHPTE l 4 4 300030 3005 2 4 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-03-002.7.C Step deleted In Revision 2. Radiation 1Q04 4Q04 Step deleted 02-25-04. No Protection deliverable required.

tTrack IDs CA031594 Resource - #Persons Hrs Per Person - Comments 657LHPTE I 16 2 300030 3005 4 3 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.8 Develop action steps to improve the Radiation Radiation 2Q03 01-Aug-03 3Q03 Action Steps added to an approved Protection Department's job knowledge. Protection Action Plan.

tTrack IDs CA030314

.Resource - . Persons Hrs Per Person Comments 657LHPTE 2 40 300030 3005 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.8A Step deleted in Revision 2. Radiation 3Q03 1Q04 Step deleted 02-25-04. No Protection deliverable required.

tTrack IDs CA031595 Resource .#Persons l Hrs Per Person Comments 657LCLER 1 8 300030 3005 2 40 300130 3006 1 10 Page 65 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.8.B Step deleted in Revision 2. Radiation 1Q04 2Q04 Step deleted 02-25-04. No Protection deliverable required.

tTrack IDs CA031596 Resource l # Persons Hrs Per Person Comments 657LCLER 1 8 657LHPTE 2 20 300030 3005 2 20 300130 3006 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.8.C Step deleted in Revision 2. Radiation 4Q03 1Q04 Step deleted 02-25-04. No Protection deliverable required.

tTrack lDs CA031597 l Resource l #Persons Hrs P2rPerson0 Comments 657LePTE 2 20 300030 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.8.D Step deleted in Revision 2. Radiation 3Q03 4Q04 Step deleted 02-25-04. No Protection deliverable required.

tTrack lDs CA031598

-Resource # Persons Hrs Per. Person Comments 657LHPTE 2 80 300030 3005 2 80 Page 66 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.9 Review and validate the RP Culture Survey in Radiation 2003 11-Jul-03 3Q03 Step transferred to Action Plan OR-the area of Effectiveness of the Employee Protection 03-001, ECP Integrated Program Concerns Program within Radiation Improvements. (Reference Protection. Develop action steps to improve CA030315) the Radiation Protection Department culture in this area.

tTrack IDs N/A Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.10 Develop action steps to improve the Maintenance 2Q03 11-Jul-03 3Q03 Action steps added to an approved Maintenance Department's First Line Action Plan.

Supervisor Presence in the Field, and Configuration Management.

tTrack IDs CA030316 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.1i Assign an owner for the Change Management Site VP & ECP 2003 24-Jul-03 3Q03 Documentation of assignment.

Process.

tTrack I~s CA031641 Resource l #Persons lHr.Per son l Comments -

300270 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002.12 Improve Leadership, Management and Training 1Q03 2Q05 Completed Action Plan OR-07-001.

Supervisory Skills and Practices by implementing action plan OR-07-001.

tTrack I~s CA031642 Resource l Persons Hrs Per Person Comments 300130 3005 1 8 Page 67 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-03-002!.13 Develop an Action Plan to Improve the Change Business 3003 09-Sep-03 3Q03 Approved Action Plan.

Management Process. Procedures tTrack IDs CA031643

. Resource - # Persons Hrs Per Person Comments .- I 300270 3009 1 1 l 8 Page 68 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3C 6C CAP # 033256 Plan Typo Improvement Plan Revision No: 2 Focus Area: Communications Plan Status In Closure Action Plan

Title:

Improve Relations with NRC Action Plan Number: OR-04-001 Problem Statement: Ineffective actions have been taken to build and maintain a strong relationship with the NRC.

Causal Factors: I Inadequate means of identifying and promulgating plant wide expectations for dealing with the NRC.

Objectives: 1 Establish and maintain effective regulatory communications between internal PBNP organizations, Nuclear Management Company organizations and all levels of the NRC. This objective includes both verbal and written communications.

2 Provide performance indicators (NMC Fleet and/or internal) that measure the effectiveness and quality of the regulatory Interface.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.1 Review and revise as appropriate NP 5.1.1, Regulatory 2Q03 16-May-03 2Q03 Procedural guidance has been

'Nuclear Regulatory Commission Protocol' to Affairs - developed that established ensure standards of excellence in Compliance expectations and standards for communications with the NRC are specified communication with the NRC.

and to document expectations concerning attendance at NRC entrance and exit meetings.

tTrack IDs CA028693 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.2 Training will develop a lesson plan based on Training General 2Q03 02-Sep-03 3Q03 Completed training module and procedures NP 5.1.1 and AM 5-1 and provide records provided to Point Beach training on practices to improve relationships Managers on roles & responsibilities.

and communications with the NRC.

tTrack IIs CA028696 Resource # Persons Hrs Per Person Comments 300130 3006 1 80 Page 69 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.3 Regulatory Affairs to conduct a Regulatory 1Q03 24-Apr-03 2Q03 Completed Round Table discussion seminar/roundtable to identify other methods Affairs - and developed actions. OTH029383 to raise Staff sensitivity to Resident Inspector Compliance issues.

tTrack IDs CA028695 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.4 Develop a communication schedule to facilitate Plant Manager 2Q03 03-Apr-03 2003 A schedule for communications has contact between the Plant Manager and the been established.

PBNP Region IlIl Branch Chief to facilitate a better relationship with the Region.

tTrack IDs CA028694 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.5 Establish the practice of discussing the Regulatory 04-Mar-03 2Q03 Regulatory Impact provides a regulatory health of PBNP at the Monday, "Plan Affairs - snapshot of all routine interface of the Day' (POD) meetings. Compliance activities with the NRC. This is discussed at the POD on Mondays.

tTrack IDs ACE001193 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.6 Evaluate the effectiveness of the Plant Regulatorv 2Q03 19-Jun-03 3Q03 Assessment of Plant Managers communications with the PBNP Affairs - Manager/Region ill interface.

Region IlIl Branch Chief at improving Compliance relationship with the Region.

tTrack IDs EFR030319 Resource I # Persons Hrs Per Person Comments 300270 3009 1 0 300270 3009 1 1 16 Page 70 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.7 Evaluate the effectiveness of discussing the Regulatory 2Q03 30-Jul-3 3Q03 Assessment of Effectiveness of the regulatory health of PBNP at the Monday, 'Plan Affairs - Regulatory Impact Process.

of the Day' (POD) meetings as it relates to Compliance improving the Sites understanding of open Regulatory Issues.

tTrack IDs EFR030321 Resource -- Persons . Hrs Per Person -I Comments

. . I .. I,. I. . . I 300270 3009 10 1 300290 3004 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.8 Development of a top 10 risk significant issues Regulatory 2Q03 18-Jul-03 3Q03 Top ten risk significant issues and list that would be communicated at both the Affairs - 30-minute rule guide.

POD and senior management meetings and Compliance develop 30 minute rule style approach for raising significant issues to management's attention.

tTrack IDs CA030322 Resore - -PPersons.. jHsPr Prson Comments- - -

662LCLER 120 300270 3009 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-001.9 Issue guideline for implementation of Step OR- Regulatory 3Q03 18-Jul-03 3Q03 Issued guideline.04-001.8. Affairs -

Compliance tTrack IDs CA031644 Resourceo l- # Persons - I Hrs Per Person l- - - I Comments. l 300290 3005 I 1 1 0 l l Page 71 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 5C 6F CAP # 033257 Plan Type Improvement Plan Revision No: 2 Focus Area: Communications Plan Status Open Action Plan

Title:

Improve Internal and External Communication Action Plan Number: OR-04-002 Problem Statement: There are weaknesses in the communication protocol at PBNP.

Causal Factors; I Insufficient acknowledgement of expectations and recognizing important topics.

Obiectives 1 Improve internal and external communication.

2 An effective communications plan.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.1 Maintenance Communication Maintenance 2Q03 2Q04 No deliverable required. This is a high level step to capture all action steps associated with Maintenance communications.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.1.A Usina input gathered during the PBNP Culture Maintenance 2Q03 07-Jun-03 2Q03 A copy of the DRAFT Maintenance Survey Group Interview, the off-site Communication Plan. This living Maintenance Management Improvement document should identify the Seminar, and discussions with the workforce, responsible Person (Group) and due prepare a Maintenance Communication Plan dates (when applicable). Areas to that identifies the actions and schedule for be included in the initial plan are:

Internal and External Maintenance Recurring Meetings, Communication Communication improvements. Strategies, Customer/Supplier Communications, Key Stakeholder Communications tTrack IDs CA030326 Resource # Persons Hrs Per Person l Comments 300050 3009 1 1 1 12 l Page 72 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.1 .8 Review and Approve the Maintenance Maintenance 2Q03 09-Jul-03 3Q03 An approved copy of the Communication Plan that identifies the actions Maintenance Communication Plan, and schedule for Internal and External which provides instructions for Maintenance Communication improvements. maintaining the plan. The initial plan to be input as an element of Revision I to the Point Beach Excellence Plan.

tTrack IDs CA030328 Resource 300050 3009

Persons 8

T 1

Hra Per Person 2

Comments Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.1.C Incorporate the Maintenance Communications Maintenance 3Q03 10-Dec-03 4Q03 A copy of the applicable section(s)

Plan and process into the Conduct of of the 'Conduct of Maintenance Maintenance Manual. This is to include Manual".

quarterly staff meetings (all employees) tTrack IDs CA030330 Resource. l Persons lHrsPerPerson . : Comments 300050 3009 1 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.1.D Conduct an Interim Self-Assessment of the Maintenance 4Q03 09-Jul-03 4Q03 This item is being closed with no effectiveness of actions taken under this plan. Programs & action taken, step OR-04-002.16 is Facilities to perform an interim assessment of the entire plan.

tTrack IDs EFR030332 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.1.E Conduct a Final Self-Assessment of the Maintenance 2Q04 09-Jul-03 2Q04 This item is being closed with no effectiveness of this plan. Programs & action taken, step OR-04-002.17 is Facilities to perform a final assessment of the entire plan.

tTrack IDs EFR030334 Page 73 of 4119 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.2 2 Cs Meetings with Sr. NMC Management Site VP & ECP 2Q03 30-Dec-03 4Q03 A schedule for communications with (Cross Section) Internal and PBNP organizations shall be established tTrack IDs CA030335 Resource l Persons . Hrs Per Personl Comments 300270 3009 2 40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.3 2 Cs Meetings with Sr. PBNP Management Site VP & ECP 2Q03 30-Dec-03 4Q03 A schedule for communications with (Cross Section) internal and PBNP organizations shall be established tTrack IDs CA030338 l Rosource l # Persons Hrs Per Person Comments I 3002703009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.4 2 Cs Meetings with PBNP Site Plant Plant Manager 2Q03 23-Dec-03 4Q03 A schedule for communications with Management (Rotating departments under internal and PBNP organizations Plant Management direction. l.e., OPS, RP, shall be established Chemistry) tTrack IDs CA030340 lRosource l Persons

Hrs Per Person l- Comments 300270 3009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.5 Articles submitted to NMC Today on Plant Manager 2Q03 22-Dec-03 4Q03 NMC Today will provide a snapshot Department Excellence of all Department Excellence activities tTrack IDs CA030341 l Resource # Persons - Hrs Per Person Comments l 3002703009 1 1 25 r Page 74 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.6 Steward / Manager Discussions Plant Manager 2003 10-Dec-03 4Q03 Continuing Steward / Manager discussion and will develop actions as needed tTrack IDs CA030342 Resource #Persons lHrs Per Person Comments - l 300270 3009 1 25 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.7 Union Leadership I Plant Manager Discussions Plant Manager 2Q03 23-Dec-03 4Q03 Continuing Union Leadership Plant Manager discussion and will develop actions as needed tTrack IDs CA030343 Resource #Persons. IHrs PerPersonI Comments .i 300270 3009 1 25 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.8 Department Briefings on Corrective Action Assessment 2Q03 19-Dec-03 4Q03 Document completion of briefings to Program Point Beach Managers on the Corrective Action Program tTrack [Ds CA030344 Resource #Persons p l Hrs Per Person Comments .

300380 3009 1 35 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.9 MRM Update to the Site Business 2Q03 23-Dec-03 4Q03 Provide to Point Beach Managers briefings on the MRM Update tTrack IDs CA030345

-Resource # Persons Hra Per Perso Comments , I 1 300210 3009 1 2 1 80 T Page 75 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Awner OR-04-002.10 All Hands Meetings Site VP & ECP 2Qo3 08-Jul-03 4003 A schedule for All Hands meetings with internal and PBNP organizations shall be established tTrack IDs CA030346 Resource #Persons Hrs Per Person 'Comments 300270 3009 1 45 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.11 Plant Update articles submitted to NMC Today Plant Manager 2Q03 22-Dec-03 4003 NMC Today will provide a snapshot of all Plant Update activities.

tTrack IDs CA030347

-Resource - Persons lHrs Per Person Comments 300270 3009 1 25 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.12 PB Leadership Team Site VP & ECP 2Q03 30-Dec-03 4Q03 Continuing Leadership Team discussion and will develop actions as needed tTrack [Ds CA030348 Resource l. # Persons it Hrs Per Person Comments - -

300270 3009 1 45 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.13 Develop a communications plan. Regulatory 2Q03 28-Jul-03 3Q03 Approved communication plan.

Affairs -

Compliance tTrack IDs CA030349 Resource : # Parsons Hrs Per Person I Comments -.

-II 300270 3009 1 80 Page 76 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownpr OR-04-002.14 Hire a Site Communications Manager Site VP & ECP 16-Jun-03 2Q03 Documentation of new Site Communications Manager.

tTrack IDs N/A Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.15 Consult with the Communications Manager and Regulatory 2Q03 08-Jul-03 3Q03 List of actions to be taken and a identify additional methods that will be used to Affairs - method to track the items.

improve communications Licensing tTrack IDs CA031336 l Resource l Persons Hrs Per Person Comments .

100000 1000 2 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.16 Conduct an interim effectiveness review. Communications 4Q03 12-Nov-03 4003 Effectiveness review report.

tTrack IDs EFR031338 l Resource -lI: > #Porsons: lIHrsPer.Person lCornmonts, 100000 1000 1 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.17 Conduct a final effectiveness review. Communications 3Q04 3Q04 Effectiveness review report.

tTrack IDs EFR031339 Resource . Persons ,Hrs Per Personl Comments ]

100000 1000 1 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.18 Prepare mid-year brochure, communicate plant Communications 2Q03 31-Jul-03 3Q03 Approved mid-year brochure.

status and major issues. highlighting plant status.

tTrack IDs CA054468 Page 77 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.19 Prepare year-end brochureto wrap up 2003 Communications 4Q03 23-Dec-03 4Q03 Approved 2003 year in review brochure.

tTrack IDs CA054470 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20 Prepare a schedule for PBTV, requiring each Communications 4003 23-Dec-03 4Q03 Develop schedule for major department manager to supply information deaprtments to create slidestideas each month. for PBTV.

tTrack IDs CA054472 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.A Department Manager or designee is to supply Training 1Q04 24-Jan-04 1004 Powerpoint slides (or other information to the Communications Department electronic media acceptable to for January, 2004 in the form of approximately Communications) provided to 10 Powerpoint slides to be used on PBTV Communications Department for use (idea is to highlight successes of your with PBTV.

department).

tTrack IDs CA054730 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.B Department Manager or designee is to supply Radiation 1004 04-Feb-04 1Q04 Powerpoint slides (or other information to the Communications Department Protection electronic media acceptable to for February, 2004 in the form of Communications) provided to approximately 10 Powerpoint slides to be used Communications Department for use on PBTV (idea is to highlight successes of with PBTV.

your department).

tTrack IDs CA054731 Page 78 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.C Department Manager or designee is to supply Maintenance 1Q04 1Q04 Powerpoint slides (or other information to the Communications Department electronic media acceptable to for March, 2004 In the form of approximately Communications) provided to 10 Powerpoint slides to be used on PBTV Communications Department for use (idea is to highlight successes of your with PBTV.

department).

tTrack IDs CA054732 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.D Department Manager or designee is to supply Engineering 2Q04 2Q04 Powerpoint slides (or other information to the Communications Department electronic media acceptable to for May, 2004 in the form of approximately 10 Communications) provided to Powerpoint slides to be used on PBTV (idea is Communications Department for use to highlight successes of your department). with PBTV.

tTrack IDs CA054733 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.E Department Manager or designee is to supply Operations 2Q04 2Q04 Powerpoint slides (or other Information to the Communications Department electronic media acceptable to for June. 2004 in the form of approximately 10 Communications) provided to Powerpoint slides to be used on PBTV (idea is Communications Department for use to highlight successes of your department). with PBTV.

tTrack IDs CA054734 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.F Department Manager or designee is to supply Production 3Q04 3Q04 Powerpoint slides (or other information to the Communications Department Planning electronic media acceptable to for July, 2004 in the form of approximately 10 Communications) provided to Powerpoint slides to be used on PBTV (idea Is Communications Department for use to highlight successes of your department). with PBTV.

tTrack IDs CA054735 Page 79 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.G Department Manager or designee is to supply Emergency 3Q04 3Qo4 Powerpoint slides (or other information to the Communications Department Planning PBNP electronic media acceptable to for August, 2004 in the form of approximately Communications) provided to 10 Powerpoint slides to be used on PBTV Communications Department for use (idea is to highlight successes of your with PBTV.

department).

tTrack IDs CA054736 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.H Department Manager or designee is to supply Chemistry 3Q04 3Q04 Powerpoint slides (or other information to the Communications Department electronic media acceptable to for September, 2004 in the form of Communications) provided to approximately 10 Powerpoint slides to be used Communications Department for use on PBTV (idea is to highlight successes of with PBTV.

your department).

tTrack IDs CA054737 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.1 Department Manager or designee is to supply Business 4Q04 4Q04 Powerpoint slides (or other information to the Communications Department electronic media acceptable to for October. 2004 in the form of approximately Communications) provided to 10 Powerpoint slides to be used on PBTV Communications Department for use (idea is to highlight successes of your with PBTV.

department).

tTrack IDs CA054738 Page 80 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.20.J Department Manager or designee Is to supply Human 4Q04 4Q04 Powerpoint slides (or other information to the Communications Department Resources electronic media acceptable to for November, 2004 in the form of Communications) provided to approximately 10 Powerpoint slides to be used Communications Department for use on PBTV (idea is to highlight successes of with PBTV.

your department).

tTrack IDs CA054739 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-04-002.20.K Department Manager or designee is to supply Performance 4004 4Q04 Powerpoint slides (or other Information to the Communications Department Assessment electronic media acceptable to for December, 2004 in the form of Communications) provided to approximately 10 Powerpoint slides to be used Communications Department for use on PBTV (idea is to highlight successes of with PBTV.

your department).

tTrack IDs CA054740 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.21 Develop a method where major plant Communications 4Q03 23-Dec-03 4Q03 Establish schedule for highlighting a departments and committees are highlighted in department of month.

Communications publications.

tTrack IDs CA054474 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-002.22 Step deleted in Revision 2. Communications 4Q03 4Q04 Step deleted 02-24-04. No deliverable required.

tTrack IDs CA054478 Page 81 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Ownnr OR-04-002.23 Design a website to allow all employees to Communications 4Q03 30-Dec-03 4Qo3 Develop a website that contains reference communiques issued at Point Beach. Communications-related information that employees can access. (The specific contents of the website will change based upon feedback from employees).

tTrack IDs CA054482 Page 82 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 25C 5D CAP # 033259 Plan Type Improvement Plan Revision No: 2 Focus Area: Communications Plan Status In Closure Action Plan

Title:

Improve Communications In Operations Action Plan Number: OR-04-003 Problem Statement: Operations communication of business Issues and daily operational Issues requires improvement.

Causal Factors: I Communication between Operations Management and six rotating crews is difficult.

Oblectives: 1 Improved Operations Intra-group communications.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-003.1 Continue publishing the monthly Operations Operations 25-Jun-03 2Q03 Published Newsletter.

Newsletter.

tTrack IDs CA030350 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-003.2 Continue the training class each cycle with Operations 17-Jul-03 3Q03 Operations OE sessions operations management, preferably the documented as part of the cycle Operations Manager, performing selected training schedule.

Operational Experience discussions and giving the crew time for additional direct feedback to operations management.

tTrack IDs CA030351 Page 83 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-04-003.3 Establish a crew briefing requirement for each Operations 1Q03 23-Jun-03 3Q03 Revised OM 3.9.

oncoming shift. This brief should include, but is not limited to, plant status, daily priorities, safety and operational experience for the day.

tTrack IDs CA030352 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-003.4 Establish criteria in OM-2.7 for the Operations Operations 2Q03 23-Jun-03 2Q03 Revised OM-2.7.

Staff to tour' the control room on various shifts throughout the week to determine operations personnel concerns and overall disposition of the operations group.

tTrack IDs CA030353

,Resource # Persons Hrs Per Person Comments 300020 3005 1 4 300020 3007 1 5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-003.5 Add requirements to OM-2.7 for Operations Operations 2Q03 23-Jun-03 2Q03 Revised OM-2.7.

Staff to visillattend initial training classes.

tTrack I~s CA030354

-Resource ,.# Persons Hrs Per Person . :Comments, 300020 3005 1 4 300020 3007 1 5 Page 84 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-04-003.6 Develop an Operations Home Page on the Operations 3Q03 29-Dec-03 1Q04 Web Page on NMC Not.

intranet to aid in communicating with the operators. This page can include OE, staff guidance and information, safety topics, and a general monthly theme for operations.

tTrack IDs CA030355 Resource l #Persons lHrs Per Person Comments -

300020 3005 2 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-003.7 Perform an effectiveness review. Operations 3Q03 01-Nov-03 4Q03 Documented Effectiveness Review.

tTrack IDs EFR030356 l Resource l # Persons- Hrs Per Person Comments .

300020 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-04-003.8 Perform an effectiveness review of this Operations 1Q04 28-Jan-04 1004 Effectiveness review complete. AP Action Plan and document the results in the Owner and Focus Area Owner Corrective Action for this Action Plan. concur that the objective of this plan has been met. This Action Plan may be closed.

tTrack IDs EFR031257 l -..Rsot~ # Persons ; l Hrs Per Person l Comments -...

300020 3005 2 1 20 1 Page 85 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3B 3B CAP# 033318 Plan Type Improvement Plan Revision No: 2 Focus Area: Management Effectiveness Plan Status Open Action Plan

Title:

Organizational Effectiveness Improvement Action Plan Number: OR-05-001 Problem Statement: Sustainable performance improvement has not been realized at Point Beach since the 1996 regulatory shutdown. A number of events have occurred over the past few years that point to issues with organizational effectiveness. This action plan documents the actions taken by Nuclear Management Company to determine and understand the barriers to sustained performance improvement at Point Beach.

Causal Factors: I Roles and responsibilities are not well defined.

2 Weaknesses in Corrective Action Program effectiveness.

3 Lack of site-wide integrated prioritization.

4 Lack of understanding of day-to-day expectations.

5 Lack of understanding and internalization of picture of excellence.

Oblectives: 1 Correct the causal factors that have resulted In continued issues in Operations and Engineering performance at Point Beach and barriers to Improving plant and personnel performance.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-001.1 Perform an independent assessment of Point Site VP & ECP 4Q02 17-Jan-03 1Q03 Point Beach Organizational Beach. The assessment was conducted by Effectiveness Assessment - PBSA Nuclear Management Co. and consisted of - Site Assessment-03-01 senior nuclear industry executives tTrack IDs CA030530 Page 86 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-05-001.2 Conduct stream analysis of 17 problem Site VP & ECP 1Q03 07-Feb-03 1Q03 Stream analysis, which identified the statements identified by the Organizational relationships between the 17 Effectiveness Assessment issues. Five key drivers were identified as contributing to the problems Point Beach has had in sustaining performance improvement. They are: roles and responsibilities, understanding expectations, using the corrective action program effectively, and prioritization of resources and use of the Picture of Excellence and the Excellence Plans to drive sustained performance improvement.

Excellence plan Action plan # OR 005 and OR-05-008 address the roles and responsibilities and understanding expectations driver, the corrective action program action plans are found under the OP-10 section of the operational excellence action plan and Rev. 0 of the excellence plan will become the vehicle the station will use to drive sustained performance improvement.

tTrack IDs CA030533 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-001.3 Site re-organization Including new roles for a Site VP & ECP 4Q02 22-Jan-03 1Q03 A change management plan was number of leaders to strengthen the overall used to change the reporting organization. relationships of some functional organizations and to transition new leaders into their roles.

tTrack IDs CA030541 Page 87 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-O01.4 Utilize organizational development consultants Site VP & ECP 4Q02 28-Jul-03 3QO3 An Industry recognized to accelerate organizational effectiveness organizational development team improvements and to drive teamwork and has been supporting Point Beach alignment as quickly as possible Into the since November 2002. They have organization provided direct support to the entire management team. Effective June 1.

2003. their support will continue on a one week per month basis.

tTrack l1s CA030542 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownar OR-05-001.5 Conduct a separate stream analysis of the Assessment 1Q03 27-Feb-03 1Q03 A separate stream analysis for the corrective action program problem statements corrective action program was to enable development of a corrective action conducted on February 27, 2003.

program improvement plan The results of the stream analysis were factored into the Excellence Plan for improving the corrective action program. (OP-10 Series Actions Plans)

M~ack IDs ACE001200 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-001.6 Conduct interim effectiveness review on Site VP & ECP 3Q03 01-Aug-03 3Q03 Self-assessment report Organizational Effectiveness (6 months after NMC assessment) tTrack IDs EFR027800 Resource # Persons l Hrs Per Person l I Comments - I l

. ON PI . I54 CONTPRO 5 1 40 Page 88 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner .

OR-05-001 .7 Conduct effectiveness review of Site VP & ECP 1Q04 3Qo4 Self-assessment report Organizational Effectiveness (12 months after NMC assessment) tTrack lDs EFR027801 l Resource- ' : # Persons,. . Hrs Per Person I . Comments' *.-

I CO&JPRO I 5 l 40 l Page 89 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3B 3B CAP # 033251 Plan Typo Improvement Plan Revision No: 2 Focus Area: Management Effectiveness Plan Status Open Action Plan

Title:

Improve Understanding of Roles and Responsibilities Action Plan Number: OR-05-005 Problem Statement: A lack of knowledge of site policies and processes contributes to a poor understanding of roles and responsibitlies by some personnel.

Causal Factors, I Lack of understanding of key processes and policies.

2 Inadequate reinforcement of expectations.

3 Duplication of efforts between work groups.

Obiectives: 1 An indoctrination program is established to ensure new hires are trained on processes and programs.

2 Provide training for the incumbent workforce on processes and programs.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.1 Define the scope of the Site VP & ECP 27-Mar-03 2Q03 See OR-05-005.10.

procedures/processes to be included in the orientation checklist tTrack IDs CA028709 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.2 Provide briefings for existing supervisors and Site VP & ECP 15-Jun-03 3Q03 Documentation of briefings.

managers on the procedures/processes that are included in the orientation checklist.

tTrack IDs CA030318 Resource l # Persons Hrs Per Person l

Comments 300270 3005 150 1 2.5 1 3002703009 I

1 2.5 1 Page 90 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.3 Conduct analysis to determine which Training 1Q03 15-Jun-03 2Q03 Documented analysis.

process/procedures (scope) will be Included in new employee classroom training.

tTrack IDs CA028712 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.4 Present the scope to the Training Oversight Training 1Q03 02-Sep-03 4Q03 Document approved by TOC that Committee for approval contains the scope of classroom training.

tTrack IDs CA030320 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.5 Conduct gap analysis between existing Training General 2Q03 28-Oct-03 4003 Document listing gaps between orientation programs and scope approved by existing orientation programs and TOC the scope approved by the TOC.

tTrack [Ds CA030323

-,,Resource. : # Perors. Hrs PerPerson .. !. : comments ,. .

31 ... 3005 ,, .. I . .... ,I . . . . ..1. -C .- t . .,- e, .. -I.. I-1300130 3005 en2 1 2 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.6 Develop lesson plans and training materials to Training General 4Q03 31-Dec-03 4Q03 Lesson plan created/revised to address the gap address the gaps identified in the orientation program.

tTrack IDs CA030324 lResource l;# Persons lHrs Per. Person Comments 300130 3006 1 2 1 40 l Page 91 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.7 Conduct training needs analysis for existing Training General 2Q03 29-Sep-03 3Q03 A list of training required for now site groups to Identify which portions of the hires for each group.

new training will be required for new hires into that group tTrack IDs CA030325

'Resource Persons lHrs Per Personl Comments: .

3001303005 1 15 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-05-005.8 Conduct a training needs analysis for Training General 2Q03 25-Nov-03 4Q03 A list of trainees and required incumbents in each group to determine gaps training by group between old process and new process tTrack IDs CA030327 Resource l Persons Hrs Per Person - Comments 300130 3005 1 15 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.9 As necessary, develop a work-down curve Training General 4Q03 29-Dec-03 4Q03 Work-down curve created for each for incumbents to attend gap training for the group desiring training.

new process tTrack IDs CA030329

.Resource ; l Persons' lHrs Per Person Comments 3001303005 1 30 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.10 Revise orientation checklist to remove those Human 1Q04 23-Jan-04 1Q04 Revised checklist.

items covered in classroom training Resources tTrack IDs CA030331 I Resource l # Persons. Hrs Per Person Comments l 300110 3007 1 1 2 1 300130 3005 1 2 I Page 92 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.11 Schedule implementation of first classroom Training General 4Q03 1Q04 Training schedule created with first session no later than March 2004 session no later than 3/31104.

tTrack IDs CA030333 Resource #Persons - Hrs Per Person - Comments l 300130 3006 1 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.12 Monitor first implementation and solicit Training General 1Q03 2Q04 MOT and Trainee Feedback feedback from trainees Summary.

tTrack IDs CA030336 Resource - #Persons Hrs Per Person Comments 300130 3006 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.13 Evaluate feedback and revise training Training General 2Q04 2Q04 Training materials revised based on materials as required. feedback.

tTrack IDs CA030337

- 7-p lp;rsns.I HrsPer Personf. Comments.9, : ',

300130 3006 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-005.14 Perform an Effectiveness Review using Training General 2Q04 1Q05 Effectiveness Review Report employee feedback an an input.

tTrack IDs EFR030339 Resource l # Persons, . Hrs Per Person l Comments I

1 300130 3006 I 1 I 10 I I Page 93 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3B 3B CAP # 033262 Plan Type Improvement Plan Revision No: 2 Focus Area: Management Effectiveness Plan Status In Closure Action Plan

Title:

Improve Organizational Alignment and Supervisory/lndividual Accountability Action Plan Number: OR-05-006 Problem Statement: There is a lack of clear understanding by many managers, supervisors, and the workforce regarding expectations for what they need to do to ensure the success of Point Beach. Roles and responsibilities are not well defined.

Causal Factors: 1 Inadequate change management in the past.

2 PBNP standards and performance not keeping pace with industry.

3 KNPP and PBNP leadership merger.

4 Tumover among management level personnel.

5 Management personnel were not effectively integrated into the organization.

6 Key station processes, policies and procedures were not used or reinforced.

7 Leaders have not been able to drive or inculcate lasting change.

Obiectives: 1 Improved organizational alignment.

2 Improved supervisory/individual accountability.

Action Steps-Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.1 Identify target organizations that would benefit Site VP & ECP 1003 25-Mar-03 2Q03 t-Track update and CAPs to from the Team Alignment Process using the organizations to schedule their team organizational development consultants and alignment sessions.

use this process to improve alignment and understanding of roles and responsibilities.

tTrack IDs CA028707 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.2 Schedule and complete team alignment Site VP & ECP 1Q03 16-May-03 2Q03 CA028707 closed.

sessions for targeted organizations.

tTrack IDs CA028707 Page 94 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.3 Develop action plans, organization charts and Business 1Q03 30-May-03 2003 Initial PMPs have been completed.

PMPs that are aligned to drive fundamentally Procedures Revision 0 of the Excellence Plan by improved alignment and organizational 05130103.

effectiveness.

tTrack IDs CA028706 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.4 Evaluate AM 2-18, "New Employee Site VP & ECP 1Q03 25-Mar-03 2003 List of AMs and NPs was developed Indoctrination" to ensure that it identifies by Site Vice President and provided indoctrination to key station processes that to Human Resources to update the are pertinent for new employees, particularly new employee checklist.

those in leadership positions. Evaluate AMs and NPs to identify the subset of procedures and policies that new employees must be aware of to improve their understanding of roles and responsibilities. This will ensure that we effectively incorporate new individuals into our organization.

tTrack IDs CA028709 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.5 Update new employee checklist. Human 1Q03 11-Apr-03 2Q03 Updated new employee checklist.

Resources Revised AM 2-18 issued on 04/25/03.

tTrack IDs CA028710 Page 95 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.6 Reinforce and monitor that Human Resources Human 2003 15-Apr-03 2Q03 Human Resources has created a requires and management supports use of the Resources process that the Site VP sends a protocol in AM 2-18 and the associated 'new copy of the checklist and employee checklist." This action will ensure expectations to each supervisor that new individuals will better understand prior to a new employee's arrival.

their roles and responsibilities and The Site VPs EA tracks completion expectations. This must be established as an of the checklists for Human expectation for every new employee who Resources.

joins Point Beach.

tTrack IDs CA028711 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable f.nn OR-05-006.7 Identify the critical AMs and NPs that should Training 1Q03 15-May-03 2Q03 The Training Manager discussed the make the organization function effectively if plan for completion this action and they were understood and followed by the new employee training has been organization. Use the Initial list developed by devised that the station will CATPR 1 above. Identify leaders that are implement in 2004. A separate plan process owners or key process Implementers is being developed for this action and ensure that they are aware of the source See CA029815.

documents and understand their roles and responsibilities in implementation. Evaluate whether training is required for work groups that determine process effectiveness. Use the source documents to drive improved organizational compliance.

tTrack IIs - CA030371 Page 96 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.8 Implement POD changes to focus the Plant Manager 1Q03 03-Apr-03 2Q03 These attributes have been leadership team and ensure alignment: incorporated into our daily POD Establish action register for POD to improve discussions. POD improvements will accountability. Split the POD into separate be implemented as they are production meetings and a leadership team. recognized. See the standard POD to drive improved department alignment. agenda for the daily POD.

Establish review of high risk processes daily.

Establish expectation for working CRIPs as soon as possible. Establish Learning Organization attribute model as part of POD.

Improve safety focus as part of POD daily.

Establish weekly ALARA goals and daily review of exposure to drive improved ALARA accountability. Reinforce use of three-part communications during POD when giving direction.

tTrack IDs CA030371 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.9 Implement the Prevention/Detection/Correction Plant Manager 1Q03 03-Mar-03 3Q03 These models are being used daily Model and Leaming Organization and Self- during the POD meetings, have been Improving culture models as tools to improve included in the station's 2003 alignment and establish new behaviors and Business Plan. The models are roles and responsibilities. visible in conference rooms on site.

tTrack IDs CA030373 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.10 Re-invigorate the Plant Health Committee (PHC) Plant Manager 1003 03-Mar-03 3Q03 Documentation of past Plant Health and link to the Project Review Board (PRB) Committee meetings and meeting schedule.

tTrack IDs CA030375 Page 97 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.11 Change the requirement for management field Plant Manager 2Q03 04-Apr-03 3Q03 Leadership observations are being observations from quarterly to weekly for POD performed, tracked and trended on a managers to Improve presence in the field and weekly basis. Training observations drive Improved alignment and provide are tracked and reported at MRMs.

Increased opportunities to reinforce expectations. Change the frequency of training observations from 3 per quarter to monthly to spread observations more evenly across the quarter.

tTrack IDs CA030377 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.12 Revise station mission and vision statements Site VP & ECP 1Q03 03-Mar-03 2Q03 1) Revised mission and focus.

and improve the 'picture of excellence' to 2) Revised mission/focus used on drive improvement in alignment and roles and POD coversheets.

responsibilities. 3) New signs at plant entrance.

tTrack IDs CA030379 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.13 Increase frequency of leadership team Site VP & ECP 1Q03 04-Apr-03 2Q03 The meetings are held every other meetings to twice a month and separate form Wednesday from 3:30 to 5:00 in the KNPP. Energy Center. The meeting agenda Is focused on accomplishments and key topics necessary to drive improvement in alignment and roles and responsibilities with the extended leadership team.

tTrack IDs CA030380 Page 98 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Ownnr OR-05-006.14 Provide briefings on key topics In accordance Site VP & ECP 2Q03 15-Jun-03 2Q03 Leadership Team Presentation with the NPs and AMs evaluated in ACE 1240 materials.

to the extended leadership team. This is a specific action to improve organizational alignment and reinforce roles and responsibilities and day-to-day expectations.

The following will be presented: How to Obtain Resources (Funds/People), AM 2-21, NMC Staffing Process, NMC CP 0041.

Integrated Planning Process, NP 9.6.4, Procurement-General, NMC FP-E-PHC-01, Plant Health, NP 12.2.1, Project Management Process. How to Improve Performance/Make Changes - NMC CP 0026, Change Management, NP 5.3.2, Industry Operating Experience, NP 6.1.3, SAT Overview Procedure Performance Management Guidelines, (NMC Human Resources Web Page) NP 13.1.1, Self-Assessment Program, How to Get Work Done in the Plant, AM 3-15, Work Control Manual.

tTrack IDs CA030388 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.15 Complete the Point Beach Business Plan and Business 2Q03 30-May-03 2Q03 The Business Plan and high level list 2003 Excellence Plan rollout to the site. of action plans are being rolled out to the site to be completed by the end of May.

tTrack IDs CA030419, CA030431 Page 99 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.16 Complete mid-year PMPs and provide Human 2Q03 28-Jul-03 3Q03 Completed PMPs provided to Human performance ratings to all NMC employees. Resources Resources and feedback to Site VP that PMPs have been completed.

tTrack IDs CA030394 l Resource [ # Persons- Hrs Per Person -Comments -

300270 3009 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.17 Complete mid-year Performance Improvement Human 2Q03 12-Aug-03 3003 Completed PIPs will be provided to Plans (PlPs) for all "C"level performers. Resources Human Resources and feedback to Site VP will be provided.

tTrack IDs CA030396 Resource # Persons Hrs Per PPrson Comments 300110 3009 0 0 300270 3009 0 0 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.18 Perform self assessment to evaluate Site VP & ECP 01-Aug-03 3003 Effectiveness review report.

organizational effectiveness.

tTrack IDs EFR027800 Resource U Persons .

Hrs Per Person _ - Comments -

300110 3009 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.19 Complete survey of new employees and Human 21-Jul-03 3Q03 Completed survey.

obtain feedback on use of checklist and Resources process effectiveness.

tTrack IDs CA031645 I Resource l - # Persons IHrs Per Person l X v Comments - - I -

300110 3009 1 0 1 0 1 Page 100 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-05-006.20 Perform communications survey in July to Communications 3003 31-Jul-03 3Q03 Completed survey.

determine effectiveness of internalizing roles and responsibilities, excellence plans and organizational effectiveness.

tTracklDs CA031646 Resource Persons Hrs Per Person Comments l 300390 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.21 Perform communciations survey in September Communications 3Q03 18-Sep-03 3Q03 No deliverable required. Per to determine effectiveness of internalizing conversations with SVP and Plant roles and responsibilities, excellence plans Manager, survey was not issued in and organizational effectiveness. September.

tTrack IDs CA031647 l Resource l Persons . Hrs Per Person Comments -

300390 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-006.22 Perform communications survey in November Communications 4Q03 24-Nov-03 4Q03 Completed survey.

to determine effectiveness of internalizing roles and responsibitlies, excellence plans.

and organizational effectiveness.

tTrack lDs CA031648 Resource l # Persons Hrs PerPersonl Comments :

300390 3005 2 20 Page 101 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3B 3B CAP # 033847 Plan Type Improvement Plan Revision No: 2 Focus Area: Management Effectiveness Plan Status Open Action Plan

Title:

Maintenance Organizational Effectiveness Action Plan Number: OR-05-007 Problem Statement: Sustainable performance Improvement has not been realized within the Maintenance Department.

Causal Factors: I The infrastructure to ensure sustained improvement was less than adequate, and was exacerbated by the turnover of Maintenance supervision.

Oblectives: 1 Maintenance team alignment.

2 Common set of Maintenance goals.

3 Common set of Maintenance expectations.

4 Conduct of Maintenance document.

5 Maintenance organization that shares support of Emergency Planning.

6 Maintenance leadership team that possesses the necessary skills.

Action SteDs' Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.1 Maintenance Team Alignment. Maintenance 2003 05-Dec-03 1Q04 No deliverable required. This is a high level step to capture all action steps associated with Maintenance Team Alignment.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.1A Prepare a Maintenance Team Alignment Maintenance 2Q03 08-Jul-03 3Q03 Maintenance Team Alignment Process Plan that identifies the actions and Process Plan issued.

schedule for Maintenance Team Alignment.

tTrack IDs CA029427 Resource # Persons IHrs Per Person Comments :

300050 3009 1 12 Page 102 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.11.8 Begin implementation of the Maintenance Team Maintenance 2Q03 18-Aug-03 3Q03 Phase I Team Alignment Meeting Alignment Process Plan. materials, attendance sheets and recommendations.

tTrack IDs CA031659

.. Resource . -Persons Hrs Per Person Comments 3000503005 2 4 300050 3009 2 4 300060 3005 1 4 300100 3005 1 4 300300 3005 1 4 300320 3005 1 4 Number Action Stop Action Stop Owner Group Start Date Camp Date Due Date Deliverable Owner OR-05-007.1.C Complete implementation of the Maintenance Maintenance 2Q03 05-Dec-03 1Q04 Completed Maintenance Team Team Alignment Process Plan. Alignment Process Plan.

tTrack IDs CA031660

Resource-- #Persons - Hrs PerPerson Comments '- -

300050 3005 2 10 300050 3009 2 20 300060 3005 1 10 300100 3005 1 10 300300 3005 1 10 300320 3005 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.2 Maintenance Department Goals. Maintenance 2Q03 17-Nov-03 4Q03 No deliverable required. This is a high level step to capture all action steps associated with Maintenance Department Goals.

tTrack IDs See Substeps Page 103 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.2.A Review Maintenance Departmental Goals and Maintenance 2003 18-Aug-03 3Q03 Documented review.

Performance Indicators.

tTrack IDs CA031661 Resource # Persons Hrs Per Person .-Comments .

300050 3005 2 2 300050 3009 1 6 300060 3005 1 2 300100 3005 1 2 300300 3005 1 2 300320 3005 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.2.B Refine Maintenance Departmental Goals and Maintenance 3Q03 26-Aug-03 3Q03 Documented meeting minutes with Performance Indicators. Programs & Maintenace Manager approving Facilities proposed changes.

tTrack IDs CA031662 Resource n Persons .IHrsPerTPersonl .Comments 2",

300060 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.2.C Provide copies of Maintenance Department Maintenance 3Q03 18-Sep-03 3Q03 Copy of forwarding e-mail including Goals and Performance Indicators to summary statement of review Maintenance Personnel conducted under Action Step OR 007.2.A.

tTrack IDs CA031663 Resource l Persons Hrs Per Person Comments 300050 3005 2 3 300050 3009 2 2 300060 3005 1 2 300100 3005 1 2 300300 3005 1 2 300320 3005 1 2 Page 104 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.2.D Implement revised Maintenance Departmental Maintenance 3Q03 17-Nov-03 4Q03 Revised performance indicators.

Goals and Performance Indicators.

tTrack IDs CA031664 Resourc # Persons l iHrsPer Personl Comments 300050 3009 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.3 Maintenance Expectations. Maintenance 2Q03 08-Jan-04 1Q04 No deliverable required. This isa high level step to capture all action steps associated with Maintenance Expectations.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.3A Meet with Maintenance General Supervisors Maintenance 2Q03 10-Jul-03 3Q03 Phase I Team Alianment Meeting to review Maintenance Performance Principles minutes.

Handbook, Team Alignment Process, and Site Picture of Excellence and obtain their acceptance.

tTrack IDs CA031667 Resource #Persons Hrs Per Person Comments 300050 3005 2 4 300050 3009 1 4 300060 3005 1 4 300100 3005 1 4 300300 3005 1 4 300320 3005 1 4 Page 105 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.3.B Meet with IBEW Local 2150 Leadership to Maintenance 2Qo3 10-Jul-03 3Q03 Meeting Minutes.

obtain their buy-in to Maintenance Performance Principles Handbook revision.

tTrack IDs CA031670 Resource #Persons Hrs Per Person l Comments -

655LMECH 2 ons 2 300050 3009 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-05-007.3.C Review Maintenance Performance Principles Maintenance 2Q03 29-Jul-03 3Q03 Team Alignment Meeting minutes.

Handbook with Maintenance Supervisors to obtain their input and buy-in.

tTrack IDs CA031671

'Resource l Persons Hrs Per Person Comments 300050 3009 6 4 l l 300060 3005 2 4 300100 3005 6 4 300300 3005 6 4 _

300310 3005 6 4 300320 3005 6 4 _

Page 106 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Doliverable Owner OR-05-007.3.D Review Maintenance Performance Principles Maintenance 3Qo3 04-Aug-03 3Q03 Meeting minutes and briefing Handbook with Maintenance Leads and Craft attendance sheets.

to obtain their input and buy-in.

tTrack IIs CA031672 Resource # Persons Hrs Per Person Comments .

625LCLER 1 2 655LCLER 3 2 655LCUST 8 2 655LELEC 25 2 655LINST 25 2 655LMECH 25 2 655LSTOR 4 2 300050 3005 2 2 300050 3008 15 2 300050 3009 2 2 300060 3005 2 2 300300 3005 6 2 300310 3005 6 2 300320 3005 6 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.3.E Make final adjustments to Maintenance Maintenance 3Q03 08-Aug-03 3Q03 Copy of document sent to be Expectations Handbook. published.

tTrack l1s CA031673 lResource l #Persons Hrs Per Person l . Comments- .

300050 3009 14 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.3.F Publish Maintenance Expectations Handbook. Maintenance 3Q03 23-Sep-03 3Q03 Published handbook.

tTrack I~s CA031674 Resource #Persons IHrs Per Person Comments -

300050 3009 1 4 Page 107 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.3.G Conduct a Maintenance self assessment to Maintenance 3Q03 08-Jan-04 1Q04 Self Assessment report.

identify barriers to increasing Supervisory Field presence.

tTrack IDs CA031675 Resource l # Persons lHrs Per Person Comments' 300050 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.3.H Develop and rollout a 'Roles and Maintenance 3Q03 08-Jan-04 1Q04 Issued matrix.

Responsibilities Matrix" for Maintenance personnel.

tTrack IDs CA031677 Resource. # Persons Hrs Per Person Comments-300050 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.4 Conduct of Maintenance Manual. Maintenance 3Q03 10-Dec-03 4Q03 No deliverable required. This isa high level step to capture all action steps associated with Conduct of Maintenance Manual.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.4.A Assemble industry information and references Maintenance 3Q03 26-Aug-03 3Q03 List of assembled information.

related to the Conduct of Maintenance.

tTrack IDs CA031678 Resource # Persons l Hrs Per Porson Comments

- -.1 300050 3009 1 1 1 8 Page 108 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.4.B Prepare outline and rough draft of Conduct of Maintenance 3Q03 24-Sep-03 3Q03 Copy of outline and rough draft.

Maintenance Manual.

tTrack IDs CA031681 Resourceo Persons. Hrs Per Personl Comments 300050 3009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.4.C Review and incorporate comments into rough Maintenance 3003 20-Oct-03 4Q03 Copy of final draft.

draft Conduct of Maintenance Manual.

tTrack IDs CA031682 Resource # Persons Hrs Per Person :Comments 300050 3005 2 6 300050 3009 2 6 300060 3005 1 6 300100 3005 1 6 300300 3005 1 6 300320 3005 1 6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.4.D Final review of Conduct of Maintenance Maintenance 3Q03 26-Nov-03 4Q03 Conduct of Maintenance Manual Manual. approved.

tTrack IDs CA031683

- Resource # Persons Hrs Per Person Comments 300050 3005 2 2 300050 3009 2 2 300060 3005 1 2 300100 3005 1 2 300300 3005 1 2 300320 3005 1 2 Page 109 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable wnenr OR-05-007.4.E Develop a change management plan for the Maintenance 3Q03 14-Nov-03 4Q03 Change management plan. (Note -

Conduct of Maintenance Manual. this does not require a formal plan as described in CP 0026).

tTrack IDs CA031684 Resource - # Persons Hrs Per Person Comments :

300050 3009 1 12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.4.F Implement Conduct of Maintenance Manual. Maintenance 4Q03 10-Dec-03 4Q03 Issued Condcut of Maintenance Manual and completed change management plan.

tTrack IDs CA031686 Resource # Persons Hrs Per Person Comments 300050 3005 2 2 300050 3009 2 2 300060 3005 1 2 300100 3005 1 2 300300 3005 1 2 300320 3005 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.5 Maintenance Emergency Planning. Maintenance 3Q03 29-Jan-04 1Q04 No deliverable required. This is a high level step to capture all action steps associated with Maintenance Emergency Planning.

tTrack IDs See Substeps Page 110 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.5A Determine which Maintenance personnel will Maintenance 3Qo3 13-Aug-03 3Q03 List of Maintenance personnel be assigned to which ERO position. assigned ERO positions.

tTrack IDs CA031687 Resource- # Persons Hrs Per Person Comments 300050 3005 2 2 300050 3009 2 2 300060 3005 1 2 300100 3005 1 2 300300 3005 1 2 300320 3005 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.5.B Develop an ERO Training and Qualification Maintenance 3003 20-Jan-04 1004 Training and Qualification Schedule.

Schedule for applicable Maintenance personnel.

tTrack IDs CA031688 Resource:: #Porsons HrsPer Prson Comments I 300050 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.5.C Develop and implement a Maintenance ERO Maintenance 3Q03 29-Jan-04 1Q04 Maintenance ERO Training and Training and qualification indicator. Qualification performance indicator.

tTrack IDs CA031689 Resource #Persons Hrs Per Person Comments -

300050 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.6 Maintenance Leadership Development. Maintenance 2Q03 4Q04 No deliverable required. This is a high level step to capture all action steps associated with Maintenance Leadership Development.

tTrack IDs See Substeps Page 111 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-05-007.6A Schedule Training for applicable Maintenance Maintenance 2Q03 29-Sep-03 4Q03 Training schedule.

personnel.

tTrack IDs CA031690 l.Resource .1l -#Persons Hrs Per Person Comments ' ;

300050 3005 1 24 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.6.B Applicable Maintenance personnel complete Maintenance 2Q03 4Q04 Completion report of training for training. Maintenance management personnel onboard prior to 10/1103. Personnel beginning leadership development training after that date will have specific assigned dates.

tTrack IDs CA031691 Resource: l Persons Hrs Per Person . Comments '

300050 3005 1 10 Resource estimate Is for report generation and tracking. It does not include training time.

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.7 Perform an interim effectiveness review. Maintenance 2004 2Q04 Effectiveness review report.

tTrack IDs EFR031692 Resource # Persons . : Hrs Per Person . Comments 300050 3005 2 2 300050 3009 2 10 300060 3005 1 2 300100 3005 1 2 300300 3005 1 2 300320 3005 1 2 Page 112 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-007.8 Perform an effectiveness review. Maintenance 2Q05 2Q05 Effectiveness review report.

tTrack IDs EFR031693 Resource-, Persons Hrs Per Person Comments - l 300050 3005 2 2 300050 3009 2 10 300060 3005 1 2 300100 3005 1 2 300300 3005 1 2 300320 3005 1 2 Page 113 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3B 3B CAP # 053962 Plan Type Commitment Plan Revision No: 0 Focus Area: Management Effectiveness Plan Status Open Action Plan

Title:

AFW RCE Corrective Actions Action Plan Number: OR-05-008 Problem Statement: Corrective actions from AFW RCE's 069 rev 1, 191 rev 1, and 202 must be effective and completed in a timely manner to improve PBNP's regulatory standing.

Causal Factors: 1 Loss of design and configuration control of the AFW system was the major contributor to PBNP being classified in column 4 of the NRC action matrix.

Objectives: 1 The Auxiliary Feedwater Root Cause Evaluation corrective actions are complete and correct the root causes and contributing causes identified in the RCEs.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-008.1 Assign a management lead for performing an Engineering 1Q04 Name of management lead.

effectiveness review of corrective actions Processes from the 3 AFW RCEs and AFW issues Identified in the NRC 95-003 Suppemental Inspection Report, dated February 4, 2004.

tTrack IDs CA055857 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-008.2 Develop an effectiveness review plan and Engineering 2Q04 Plan and schedule for effectiveness schedule. Processes review.

tTrack IDs CA055859 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-008.3 Establish a cross functional team to perform Engineering 2004 List of team members.

the effectiveness review. Processes tTrack IDs CA055860 Page 114 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-05-008A Perform interim effectiveness review. Engineering 3Q04 Interim effectiveness review report.

Processes tTrack IDs EFR055861 Number Action Step Action Step Owner Group Start Dato Comp Date Due Date Deliverable Owner OR-05-008.5 Perform final effectiveness review to address Engineering 2Q05 Final effectiveness review report.

corrective actions remaining after completing Processes the interim effectiveness review.

tTrack IDs EFR055862 Page II15 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 5B 5B CAP # 033278 Plan Type Improvement Plan Revision No: 2 Focus Area: Business Plan Status Open Action Plan

Title:

Five Year Strategic Planning Process Action Plan Number: OR-06-001 Problem Statement: The Strategic Planning Process has not been integrated to assure that budgets are consistent with proposed major projects and station initiatives such that station management can effectively use this process to accurately predict future costs and planned work activities.

Causal Factors: 1 Minimal line management involvement in the strategic planning process results in lack of ownership of the results.

2 Lack of line ownership has led to the inability to predict future cost and effectively plan future work.

Obiectives: 1 Implement a strategic planning process that ensures linkage between station initiatives, major projects, and the budget.

Action SteDs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-001.1 Gather data for updating business plan. Business 3Q03 23-Dec-03 4003 2004 Budget information, 2004-08 Procedures major projects list tTrack IDs CA030467

- ..Rosourc -; - #Persons ,- Hrs Per Person . :. -. ..: CommentsI:

300010 3009 1 8 300020 3009 1 8 300030 3009 1 8 300040 3009 1 8 300050 3009 1 8 300110 3009 1 8 300130 3005 1 8 300140 3005 1 8 300150 3009 1 8 300160 3009 1 8 .-

300170 3009 1 8 l 300180 3009 1 8 300200 3005 1 8 300210 3009 1 40 __

300220 3009 1 8 300240 3009 1 8 300280 3009 1 8 3002903005 1 8 Page 116 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 300330 3005 1 8 l l 300350 3005 1 8 300360 3009 1 8 300370 3009 1 8 300380 3009 1 8 ____ _

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-001.2 Develop 2004-2008 business plan draft Business 1Q03 2Q04 2004-08 Draft Business Plan Procedures tTrack IDs CA030468 Resource # Persons Hrs Per Person l Comments 300210 3009 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-001.3 Publish 2004 - 2008 business plan Business 1Q04 2Q04 Final printed copy of 2004-2008 Procedures business plan tTrack IDs CA030469 Resource . # Persons Hrs PerPrsoni Comment '

1300210 3009 1 1 4 Page II17 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-001.4 Rollout 2004-2008 business plan to PBNP site Business 2Q04 2Q04 Completed Information Sharing personnel Procedures sheets for each group tTrack IDs CA030470 Resource. # Persons Hrs Per Person Comments, 663LCLER 1 8 300010 3009 1 3 300020 3009 1 5 300030 3009 1 2 300040 3009 1 1 300050 3009 1 5 3001103009 1 1 300130 3005 1 1 300140 3005 1 1 300150 3009 1 1 300160 3009 1 1 300170 3009 1 3 300180 3009 1 1 300200 3005 1 1 300210 3009 1 16 300220 3009 1 1 300240 3009 1 1 300280 3009 1 1 300290 3005 1 1 300350 3005 1 3 300360 3009 1 1 300380 3009 1 3 Page 118of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3B13B CAP# 033272 Plan Type Improvement Plan Revision No: 2 Focus Area: Business Plan Status In Closure Action Plan

Title:

2003 Business Plan and Excellence Plan Rollout Action Plan Number: OR-06-002 Problem Statement: Previous Business Plans and Excellence Plans have not been effectively implemented to assure station alignment and produce sustainable improved performance.

Causal Factors- 1 Previous rollouts were treated as directed tasks rather than as tools to engage the work force to improve overall performance.

2 Lack of line ownership integration and buy-in to previous plans resulted in "silo based plans".

Oblectives: 1 Make employees aware of their roles and responsibilities associated with the Excellence Plan and Business Plan.

Action Steps:

Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-002.1 Present overview of 2003 Business Plan and Business 14-Apr-03 3Q03 Leadership Team Meeting Excellence Plan to PBNP Leadership Team Procedures presentation.

tTrack IDs CA030405 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-002.2 Present overview of 2003 Business Plan and Business 23-Apr-03 3Q03 All Hands Meeting presentation.

Excellence Plan to all station personnel Procedures tTrack IDs CA030407 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-002.3 Publish 2003-2007 Business Plan Business 17-Apr-03 3Q03 Copy of 2003-2007 Business Plan.

Procedures tTrack IDs CA030410 Page 19 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-002.4 Develop talking points for Business 05-May-03 3Q03 NPM 2003-0312 Managers/Supervisors to use In rolling out Procedures Business Plans to their Groups tTrack l0s CA030417 Number Action Step Action Step Owner Group Start Date Comp Date Due Data Deliverable Owner OR-06-002.5 Communicate rollout via NMC Today to all site Business 08-May-03 3Q03 NMC Today articles for May 1 and personnel Procedures May 8 editions.

tTrack IDs CA030418 Page 120 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-06-002.6 Managers/Supervisors rollout Business Plan to Business 2Qo3 16-Jul-03 3Q03 Documentaton of Information group personnel Procedures Sharing Sheets.

tTrack lDs CA030419 Resource # Persons Hrs Per Person Comments 663LCLER 1 8 300010 3009 1 3 300020 3009 1 5 300030 3009 1 2 300040 3009 1 1 300050 3009 1 5 300110 3009 1 1 300130 3005 1 1 300140 3005 1 1 3001503009 1 1 300160 3009 1 1 300170 3009 1 3 300180 3009 1 1 300200 3005 1 1 300210 3009 1 1 300220 3009 1 1 300240 3009 1 1 300280 3009 1 1 300290 3005 1 1 300330 3005 1 1 300350 3005 1 3 300360 3009 1 1 300370 3009 1 1 300380 3009 1 3 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-06-002.7 Make the 2003-2007 Business Plan available Communications 19-May-03 3Q03 Web Link established - document via a web link viewable from KPB homepage.

tTrack lDs CA030423 Page 121 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-002.8 Complete Excellence Plan Rev 0 Prioritization Business 2Q03 13-May-03 3Q03 Excellence Plan Revision 0.

and Resources Procedures tTrack IDs CA030424 Resource. Persons Hrs Per Person Comments 300040 3009 1 3 300210 3009 1 11 300270 3009 2 5 300320 3005 1 3 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-002.9 Issue the PBNP Excellence Plan Revision 0 Business 2Q03 30-May-03 3Q03 PBNP Excellence Plan Procedures tTrack IDs CA030426 Resourco # Persons Hrs Per Person Comments CONTPRO 150 300210 3009 1 72 Page 122 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-002.10 Department Managers roll out Excellence Plan Business 2Q03 27-Jul-03 3Q03 Documentation of Information to department personnel Procedures Sharing Sheets.

tTrack IDs CA030431 Resource UPersons Hrs Per Person - Comments 663LCLER 1 8 300010 3009 1 3 300020 3009 1 5 300030 3009 1 2 300040 3009 1 1 300050 3009 1 5 300110 3009 1 1 300130 3005 1 1 300140 3005 1 1 300150 3009 1 1 300160 3009 1 1 300170 3009 1 3 300180 3009 1 1 300200 3005 1 1 300210 3009 1 1 300220 3009 1 1 300240 3009 1 1 300280 3009 1 1 300290 3005 1 1 300330 3005 1 1 300350 3005 1 3 300360 3009 1 1 300370 3009 1 1 300380 3009 1 3 Page 123 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 5B 5B CAP # 033298 Plan Type Improvement Plan Revision No: 2 Focus Aroa: Business Plan Status Open Action Plan

Title:

Project Management Improvement Action Plan Number: OR-06-003 Problem Statement: Several major projects have exceeded their budgets and schedules.

Causal Factors: I Significant financial impacts to the plant asset owner.

2 Delayed or challenged the resolution of important plant issues.

Obiectives: I Project teams consistently deliver projects on schedule and within budget.

Ac~ion Sep Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.1 Review study and design phase estimates of Business 2Q03 20-Aug-03 3Qo3 Documented review major projects in process to determine accuracy, using appropriate tools/resources.

tTrack IDs CA030471

.Resource ;#erso . sr Ponl - Comrnonts 300370 3005 8 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.2 Develop recovery plans for at-risk projects Business 2Q03 22-Oct-03 4Q03 Recovery plans for at risk projects identified during performance of Step 1.

tTrack IDs CA030472 Resource l #Persons Hrs PerPerson- Comments' 300270 3009 4 12 300370 3005 4 16 Page 124 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.3 Develop generic project performance Business 2Q03 06-Nov-03 4Q03 Performance Indicator(s) indicators that are predictive in nature.

tTrack IDs CA030473

-Resource # Pers PPerserson Comments 300270 3009 1 12 300370 3005 1 24 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.4 Provide project managers briefing on Business 2Q03 21-Aug-03 3Q03 Briefing sheets and information techniques and tools related to scoping and presented.

estimating.

tTrack IDs CA030474 Resource # Persons fHrs Per Person Comments 300270 3009 2 12 300370 3005 8 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.5 Fill the Manager of Projects vacancy Business 2Q03 29-Jul-03 3Q03 Documentation of named Manager.

tTrack IDs CA030475

'Resource.- l #Persons lHrsPerPerson -. Comments l 300270 3009 4 12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.6 Develop a Project Manager qualification Business 2Q03 21-Aug-03 3Q03 Qualification document document tTrack IDs CA030476 Resource # Persons Hrs Per Person Comments 300130 3005 2 8 300270 3009 1 4 300370 3009 1 4 Page 125 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.7 Review and revise, if appropriate, PMG-003, Business 2Q03 21-Aug-03 3Q03 Documented review or revised PMG-Project Estimating, and its supporting 003 and/or checklists/forms.

forms/checklists.

tTrack IDs CA030477 Resource # Persons Hrs Per Person Comments 3003703005 2 12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.8 Brief site leaders on the Project Approval Business 28-May-03 3Q03 Completed presentation; signed process, including roles and responsibilities of briefing sheets.

Project Manager, Project Sponsor, and project team members.

tTrack IDs CA030478 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-003.9 Perform an effectiveness review. Business 4Q03 2Q04 Effectiveness review report.

tTrack IDs EFR030479

-. Resource_-* #Persons: i Comments 300270 3009 2 12 300370 3009 2 12 Page 126 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP # 051931 Plan Type Improvement Plan Revision No: 0 Focus Area: Business Plan Status Open Action Plan

Title:

Change Management Process Improvements Action Plan Number: OR-06-006 Problem Statement: Inconsistent change management techniques have been used when evaluating and implementing changes at Point Beach.

Causal Factors: I Lack of clear guidance for when change management techniques should be used.

2 No single site-wide process exists for evaluating and managing changes.

3 Some personnel implementing changes are unaware of the tools available to evaluate and manage changes.

Obiectives I Establish clear guidance for evaluating changes for application of change management techniques.

2 Establish a site wide process for managing and implementing changes including effectiveness reviews, as appropriate.

3 Familiarize personnel responsible for implementing changes on the tools available to manage changes.

Action SteDs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-006.1 Draft framework for evaluating changes to Business 4Q03 11-Dec-03 4Q03 Draft matrix provided to Leadership determine change management rigor required. Procedures Team for review.

tTrack IDs CA053985 l Resource .l #Persons IHrs PerPersonI .Comments 300210 3009 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-006.2 Draft site-wide procedure for managing Business 4Q03 17-Dec-03 4Q03 Draft procedure provided to change. Procedures Leadership Team for review.

tTrack IDs CA053986 Resource I l # Persons l Hrs Per Person Comments.

I' I 1 300210 3004 1 1 1 80 l Page 127 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-06-006.3 Incorporate comments received Into draft Business 4Q03 08-Jan-04 1Q04 Revised draft procedure.

procedure. Procedures tTrack IDs CA053987

.Resource # Persons Hrs Per Person Comments 300210 3004 1 25 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-006.4 Brief Leadership Team on procedural Business 1Q04 26-Jan-04 1Q04 Briefing material and Information requirements for change management Procedures Sharing Sheets.

process.

tTrack IDs CA053988 l.Resourco.l # Persons Hrs Per Person Commnts .

300210 3009 1 8 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-006.5 Develop briefing material for tools available on Training 1004 23-Feb-04 1Q04 Briefing material developed.

managing change.

tTrack IDs CA053989 Resource. - ,Persons IHrsPer Personl , Comments :

300130 3005 1 80 Page 128 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-006.6 Complete briefings for tools available. Business 1Q04 1Q04 Documentation of briefings.

Procedures tTrack IDs CA0539990 Resource # Persons Hrs Per Person Comments..

300010 3009 1 5 300020 3009 1 5 300030 3009 1 5 300040 3009 1 5 300050 3009 1 5 300110 3007 1 5 300150 3009 1 5 300160 3009 1 5 300170 3009 1 5 300180 3009 1 5 300210 3009 1 5 300220 3009 1 5 300240 3009 1 5 300280 3009 1 5 300360 3009 1 5 300370 3009 1 5 300380 3009 1 5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-006.7 Implement site-wide process for managing Business 1Q04 1Q04 Issued procedure.

change. Procedures tTrack IDs CA053991 Resource # Persons Hrs Per Person -Comments 300210 3004 1 20 300210 3009 1 10 Page 129 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-06-O00 68 Perform effectiveness review. Business 4Q04 4Q04 Completed effectiveness review.

Procedures tTrack IDs EFR0539992 Resource l # Persons I Hrs Per Person l - .Comments : l 300210 3004 l 3 40 l Page 130 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3A 3B CAP # 033306 Plan Type Improvement Plan Revision No: 2 Focus Area: SOER 02-04 Plan Status Open Action Plan

Title:

SOER 02-04 Recommendation #1 Action Plan Number: OR-07-001 Problem Statement: The lessons learned as a result of the Davis-Besse event need to be communicated throughout the PBNP organization to provide personnel with an awareness of the event and its potential applicability to PBNP.

Causal Factors: I The lessons learned from Davis-Besse have been provided to the Industry and need to be disseminated to the plant.

Obiectives I Develop and implement a plan for communicating to the plant staff the lessons learned from Davis-Besse.

2 Develop and administer training to the current plant staff.

3 Develop and Implement initial and continuing employee training on Davis-Besse lessons learned.

Action Steps:

Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.1 Create a videotape of senior managers Training 4Q02 07-Feb-03 2Q03 Documentation of videotape being discussing the significance of the Davis Maintenance complete.

Besse event.

tTrack IIs CA030512 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.2 Schedule SOER 02-04 training for all Training 4Q02 20-Jan-03 2Q03 Supervisors and above scheduled Supervisors and above. for training, tTrack IDs CA030513 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.3 Develop Lesson Plan to meet SOER 02-04, Training 4Q02 10-Feb-03 2Q03 Lesson Plan Recommendation 1.

tTrack I~s CA030514 Page 131 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.4 Schedule SOER 02-04 training for remaining Training 1Q03 07-Mar-03 2Q03 Training attendance report plant staff.

tTrack [Ds CA030515 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.5 Conduct SOER 02-04 training for supervisors Training 1Q03 17-Feb-03 2Q03 Training attendance report and above.

tTrack I~s CA030516 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.6 Conduct SOER 02-04 training for remaining Training 1Q03 13-Jun-03 2Q03 Training attendance report.

plant staff.

tTrack IDs CA030517 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.7 Ensure SOER 02-04 initial training added to Training 2Q03 11-Dec-03 4Q03 Revised Fleet LD program that Fleet Leadership Development (LD) program includes initial training.

tTrack lDs CA030518 Resource #Persons :-Hrs Per Person Comments - -

300130 3006 3 6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-001.8 Plan continuing training for the LD program Training 4Q04 4Q04 Training schedule for LD program (SOER 02-04, Rec. #3) continuing training tTrack lDs CA030519 Resource l. # Persons lHirs Per Person Comments.

I. I I 300270 3009 1 4 Page 132 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-0011.9 Develop and conduct continuing training for LD Training 1Q05 2Q05 Training attendance report.

program tTrack IDs CA030520

-Resource I. # Persons , Hr Per Person , Comments 300130 3006 Dn1 1 40 300270 3009 1 8 Page 133eof 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 3A 3B CAP # 033309 Plan Type Improvement Plan Revision No: 2 Focus Area: SOER 02-04 Plan Status In Closure Action Plan

Title:

SOER 02-04 Recommendation #2 Action Plan Number: OR-07-002 Problem Statement: An assessment should be performed to determine whether there is an appropriate focus on nuclear safety at PBNP.

Causal Factors: I Industry experience resulting from the Davis-Besse event should be assessed to determine whether the management and oversight breakdown that occurred at Davis-Besse could be applicable to PBNP.

Obiectives 1 Completed assessment reports.

2 Completed evaluations of data acquired by assessments.

Action Stens:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.1 Review SOER 02-04 recommendation #2 Training 07-Jan-03 2Q03 Document completed review.

requirements.

tTrack IDs CA030523 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.2 Review 'Comparison of Davis-Besse Event Training 07-Jan-03 2Q03 Document completed review.

Reports from INPO and NRC".

tTrack IDs CA030524 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.3 Review 2002 PB and KPB self-assessment Training 07-Jan-03 2Q03 Document completed review.

reports tTrack IDs CA030525 Page 134 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.4 Present PB SOER 20-04 panel with list of Training 07-Jan-03 2Q03 List of recommendations provided to recommended assessment activities for SOER 02-04 panel for consideration Inclusion in addressing SOER 02-04 or action.

recommendation R2.

tTrack IDs CA030526 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.5 Identify gaps between goals and completed Training 07-Jan-03 2Q03 Document completed work.

PB assessment activities appropriate for inclusion.

tTrack IDs CA030527 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.6 Present PB SOER 02-04 panel with gaps Training 07-Jan-03 2Q03 List of gaps between goals and between goals and completed PB assessment completed PB assessments activities appropriate for inclusion. provided to SOER 02-04 panel tTrack IDs CA030529 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-07-002.7 Incorporate gaps identified in Step OR Site VP & ECP 08-Jan-03 2Q03 Revised NMC organizational 002.6 into the NMC organizational effectiveness review charter effectiveness review charter.

tTrack IDs CA030530 Page 135 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable wn r OR-07-002.8 Conduct organizational effectiveness review Site VP & ECP 31-Jan-03 2Q03 Assessment notes at Point Beach tTrack IDs CA030530 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.9 Communicate results of organizational Site VP & ECP 20-Jan-03 2Q03 Organizational effectiveness review effectiveness review to PB personnel results communicated to PB personnel via various means (newsletter article, discussion at plant meetings).

tTrack IDs CA030531 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.10 Generate organizational effectiveness review Site VP & ECP 11-Feb-03 2Q03 Assessment report report tTrack IDs CA030530 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-07-002.11 Compile findings from the organizational Performance 31-Jan-03 2Q03 Stream analysis notebook effectiveness review and the previously Assessment completed assessment activities tTrack IDs CA030532 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.12 Conduct stream analysis Assessment 07-Feb-03 2Q03 Completed Stream Analysis report tTrack IDs CA030533 Page 136 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.13 Input major drivers into the PB corrective Performance 10-Feb-03 2003 CAP and action Items initiated for action program Assessment each of the major drivers tTrack IDs CA030534 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.14 Generate Integrated SOER 02-04 Performance 25-Feb-03 2Q03 Self-assessment report completed Recommendation #2 Self-Assessment Report Assessment for SOER 02-04 Rec #2 tTrack [Ds CA030535 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.15 Communicate results of stream analysis and Site VP & ECP 28-Feb-03 2Q03 Results communicated to PB overall SOER 02-04 Recommendation #2 Self- personnel via various means Assessment. (newsletter article, discussion at plant meetings).

tTrack IIs CA030536 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.16 Determine number and scope of Root Cause Performance 04-Feb-03 2003 RCE action items initiated in PB Evaluation(s) to initiate from Stream Analysis. Assessment Corrective Action Program tTrack IDs CA030537 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.17 Assign resources to conduct Root Cause Assessment 04-Feb-03 2Q03 RCE team(s) assigned Evaluation(s) tTrack I~s CA030537 Page 137 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.18 Conduct Root Cause Evaluation revision Engineering 3Q03 23-Jul-03 3Q03 RCE199 revision approved.

associated with lack of bias toward action.

tTrack lDs RCE000199 Resource # Persons. . Hrs Per Person Comments 300160 3004 1 16 300160 3005 1 8 300160 3009 2 4 300380 3009 1 8 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.19 Determine scope of Apparent Cause Performance 04-Feb-03 2Q03 ACE(s) scope Evaluation(s) from Stream Analysis Assessment tTrack IDs ACE001185, ACE001186, ACE001187, ACE001188, ACE001189, ACE001190, ACE001191, ACE001192, ACE001193, ACE001199, ACE001200, ACE001240 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.20 Assign resources to Apparent Cause Assessment 04-Feb-03 2Q03 ACE assignment(s) made in PB Evaluation(s) from Stream Analysis Corrective Action Program tTrack IDs ACE001185, ACE001186, ACE001187, ACE001188, ACE001189, ACE001190, ACE001191, ACEOOi192, ACE001193, ACE001199, ACE001200, ACE001240 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-002.21 Conduct Apparent Cause Evaluation(s) from Plant Manager 04-Apr-03 2Q03 Completed ACE(s)

Stream Analysis.

tTrack IDs ACE001185. ACE001186, ACE001188, ACE001189, ACE001190, ACE001191, ACE001192.

ACE001193, ACE001199, ACE001200, ACE001240, ACE001187 Page 138 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 1 1A 1A CAP # 033319 Plan Type Improvement Plan Revision No: 2 Focus Area: SOER 02-04 Plan Status Open Action Plan

Title:

Implement Action Plan for Davis Besse Event, SOER 02-04, Rec. 3 Action Plan Number: OR-07-003 Problem Statement: There is industry experience that indicates some licensees may be allowing safety significant conditions to remain unresolved. This industry experience should be thoroughly investigated at PBNP.

Causal Factors: 1 SOER 02-04 Rec.3 indicates the need for Licensees to review for abnormal or unexplained long standing equipment issues.

2 SOER 02-04 Rec.3 warrants that Licensees identify, effectively prioritize and manage equipment issues.

Oblectives: I Identify and document issues at PBNP that may be within the scope of SOER 02-04, Recommendation #3.

2 Upgrade communication and tracking tools to allow improved management of significant issues.

3 Evaluate the worst case outcomes of the conditions identified as being significant, both individually and in aggregate.

4 implement a method for resolving safety significant issues identified during SOER 02-04 Rec.3 review.

Action Steps Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.1 Kickoff meeting with stakeholders Engineering 22-Jan-03 2Q03 Kickoff meeting conducted Programs Inspection Services tTrack IDs CA030551 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.2 Identify abnormal or degraded conditions and Engineering 08-Mar-03 2Q03 Report identifying issues needing indications Programs followup. CAPs to be submitted to Inspection track issue resolution.

Services tTrack IDs CA030551 Page 139 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.3 Identify industry issues that were not Engineering 15-Apr-03 2Q03 Report identifying issues needing adequately reviewed or are overdue for Processes followup. CAPs submitted to track review issue resolution tTrack IDs CA030553 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.4 Conduct Focus Group debrief. Site VP & ECP 29-Apr-03 2Q03 Meeting presentation.

tTrack IDs CA030555 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.5 Create or upgrade existing communication and Business lIT 1003 18-Sep-03 3Q03 1) Project plan for communication tracking tools to keep track of the issues and Support & and tracking tools.

progress in correcting the issues. Infrastructures 2) Upgraded communication tool per project plan.

tTrack IDs CA030556 o:-#Persons. Hrs .Person. - CoPrnonts. . di 300220 3008 3 260 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.6 Evaluate conditions and indications which Engineering 27-Apr-03 2Q03 Completed ACEs for nine issues have been identified as safety significant and identified.

need expedited evaluations tTrack IDs CA030559 Page 140 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-07-003.7 Prioritize issues and ensure station resources Operations 1Q03 17-Jul-03 3Q03 Documented prioritization list.

are properly allocated to address the higher priority safety significant issues tTrack IDs CA030562 Resource # Persons Per Person Comments :

300270 3009 1 16 300270 3009 4 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.8 Conduct Aggregate Review of conditions and Engineering 2Q03 27-Jun-03 2Q03 1. Report summarizing the results of indications which together could have safety Programs the aggregate review. 2. CAPs as significance required to document adverse conditions identified in review.

tTrack IDs CA030566 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.9 Identify process weaknesses, which interfere Plant Manager 22-May-03 2Q03 Process weaknesses identified will with proper identification, prioritization and be documented in a CAP and management of safety significant issues. processed accordingly.

tTrack IDs CA030569 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.10 Develop equipment root cause evaluation tools Engineering 1Q03 13-Jun-03 2Q03 Training Records.

for engineering personnel Processes tTrack IDs CA030570 Page 141 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.11 Conduct a self assessment of safety Nuclear 1Q03 14-Jul-03 3Q03 Self assessment report.

significant corrective action Items completed Oversight (PB) over the last two years tTrack IDs CA030571 Resource Persons

- Hrs Per Person Comments'..

300140 3005 1 80 300140 3007 4 50 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.12 Conduct self assessment of Implementation of Nuclear 3Q03 29-Aug-03 3Q03 Self assessment report.

SOER 02-04 Recommendations 1,2 and 3 Oversight (PB) tTrack IDs CA030572 Resource #.Persons Hrs Per Person Comments 300140 3005 1 80 300140 3007 4 50 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.13 Conduct an effectiveness review of action Nuclear 4003 30-Jan-04 1004 Effectiveness review report.

plans for Recommendations #1, #2 and #3 six Oversight (PB) months after implementation.

tTrack IDs EFR030573 3R0sourc0 # Persons Hrs Per Person Comments - :

300140 3005 1 80 300140 3007 4 50 Page 142 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.14 Validate that the 'equipment issues areas' Engineering 2Q03 22-Aug-03 3Q03 Documented validation.

identified by the SOER 02-04 Rec 3 Equipment engineering team are documented and being Systems l&C tracked by appropriate corrective actions.

Initiate CAPs as necessary.

tTrack IDs CA030575 l Resource, #Persons lHrs Per Person l Comments -

300150 3004 1 50 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.15 Review all evaluated Focus Group area Engineering 2Q03 18-Sep-03 3Q03 1. Validation Report listing focus comments related to equipment issues. Ensure Equipment group Issues along with tracability to there are no more Focus Group area issues Systems I&C resolution requiring further evaluation. Validate findings document such as CAP.

and conclusions for all issue evaluation 2. CAPs initiated for valid issues sheets. identified.

tTrack IDs CA030576 Resource! 1 ;# Persons Per Person [ . Comments cHrs , :

300150 3004 150 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.16 Perform a final effectiveness review of this Nuclear 4Q03 30-Jan-04 1Q04 Effectiveness Review Report.

action plan. Verify that all steps have met their Oversight deliverables. Generate new steps if necessary tTrack IDs EFR030578 Resource l #Persons - Comments 3001603005 1 1 16 1 l Page 143 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-07-003.16.A Review Self Assessment Report PBSA-NOS- Performance 1Q04 Revised Excellence Plan action plan.

04-01, Focused Self-Assessment of Assessment Implementation of SOER-02-04 Recommendations 1, 2, and 3. and determine what actions are required to achieve effectiveness and add actions to the Excellence Plan.

tTrack IDs CA055365 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-07-003.16.B Perform an additional effectiveness review. Performance 4Q04 Effectiveness Review report.

Assessment tTrack IDs EFR055367 Page 144 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 5C 5D CAP# 033260 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Communicate roles and responsibilities to Engineering Action Plan Number: OR-08-001 Problem Statement: Roles and responsibilities of engineering are not clearly understood by engineers.

Causal Factors: 1 Engineering roles and responsibilities are not defined and documented.

Obiectives 1 Engineering personnel are aligned in understanding their roles and responsibilities.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.1 Restructure engineering manager position and Engineering 05-May-03 2Q03 Organization Chart personnel tTrack IDs CA030358 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.2 Conduct new manager assimilation meeting Engineering 05-May-03 2003 Meeting Agenda with Invitation List.

with direct reports tTrack IDs CA030359 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.3 All direct reports conduct new manager Engineering 05-May-03 2Q03 Meeting Agenda with Invitation List.

assimilation meetings tTrack IDs CA030360 Page 145 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.4 Initiate weekly staff meetings Engineering 05-May-03 2Q03 Meeting agenda.

tTrack IDs CA030361 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.5 Develop roles and responsibilities for Engineering 05-May-03 2Q03 Conduct of Engineering document.

engineering sections tTrack IDs CA030362 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.6 Develop roles and responsibilities for individual Engineering 05-May-03 2Q03 Conduct of Engineering document.

contributors tTrack lDs CA030363 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.7 All direct reports initiate weekly staff meetings Engineering 05-May-03 2Q03 Documented meeting schedule.

tTrack IDs CA030364 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.8 Initiate monthly all hands meetings Engineering 05-May-03 2Q03 Documented meeting schedule.

tTrack IDs CA030365 Page 146 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.9 Developtdistribute Engineering Code of Engineering 05-May-03 2Q03 Code of Conduct document Conduct distributed tTrack IDs CA030366 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.10 Revise Engineering Code of Conduct and Engineering 3Q03 18-Sep-03 3Q03 Revision of Code of Conduct Attributes of Engineering Excellence as document.

necessary.

tTrack IDs CA030367 lResource Parsons Hrs Per Person Comments 300270 3009 5 12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.10.A Review Code of Conduct and Attributes of Engineering 1Q03 09-Sep-03 3Q03 List of changes needed.

Engineering Excellence and identify needed changes tTrack IDs CA030368 l Resource l #Persons lIHrs Per Personl Comments: :

300270 3009 5 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.10.B Incorporate changes into documents Engineering 1Q03 18-Sep-03 3Q03 Documents revised as required tTrack IDs CA030367 Resource # Persons Hrs Per Person

Comments 300270 3009 2 16 Page 147 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.11 Incorporate Excellence Plans into Engineering Engineering 05-May-03 2003 Documented verification that PMPs PMFs reflect the Excellence Plan.

tTrack IDs CA030369 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.12 Communicate expectations to include Engineering 05-May-03 2Q03 Documented expectations.

projections, short-term plans, use of status Programs reports to document program health and to update monthly tTrack IDs CA030370 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-001.13 Conduct an effectiveness review. Engineering 1Q04 1Q04 Effectiveness Review Report.

tTrack IDs EFR031649 1, Resource, -- - '.# Persons- - Hrs Per Person l ; ',;, -I. ... ,

Comments

. I, ., . e '

I 300270 3009 I 1 1 40 I Page 148 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 5C 5D CAP # 033264 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status In Closure Action Plan

Title:

Communicate Plant Engineering roles and responsibilities to stakeholders outside engineering Action Plan Number: OR-08-002 Problem Statement: Engineering roles and responsibilities have not been effectively communicated to external stakeholders.

Causal Factors: I Communication of Engineering roles and responsibilities to external stakeholders was not a station priority.

Obiectives: I External stakeholders understand roles and responsibilities of the Plant Engineering Organization.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.1 Establish key elements to be communicated Tom Carter (Eng) 17-Mar-03 2Q03 Change Management plan created.

tTrack IDs CA030372 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.2 Prepare summary document and distribute Tom Carter (Eng) 24-Mar-03 2Q03 Memo to communicate changes tTrack IDs CA030374 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.2.A Review organizational changes in Plant & ------------ 24-Mar-03 2Q03 Systems Engineering tTrack IDs CA030374 Page 149 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.2.B Determine key elements that change due to the ............ 24-Mar-03 2Q03 reorganization tTrack IDs CA030374 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.3 Perform effectiveness review of Tom Carter (Eng) 06-May-03 2Q03 Documented Effectiveness Review.

communication.

tTrack IDs EFR030376 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.3A Conduct interviews with site personnel to 06-May-03 2Q03 determine effectiveness of communication tTrack IDs EFR030376 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.3.B Observe organizational actions and 06-May-03 2003 communication tTrack IDs EFR030376 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.4 Revise summary document as required and Tom Carter (Eng) 20-May-03 2Q03 Memo to communicate changes distribute tTrack IDs CA030378 Page 150 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.4.A Prepare revision to communication document 20-May-03 2Q03 tTrack iDs CA030378 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-002.4.B Distribute revised communication document 20-May-03 2Q03 tTrack IDs CA030378 Page 151 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP# 033266 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status In Closure Action Plan

Title:

Reduce the OE backlog Action Plan Number: OR-08-003 Problem Statement: Engineering has a large number of OE items that have been open longer than the expected evaluation time of 60 days.

Causal Factors: 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.

Oblectivos: I Reduce existing Engineering OE inventory that is beyond procedural requirements.

Action Steps:

Number Action Step Action Step 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 backlog items.

Action items for backlog reduction population. Processes Complete.

tTrack IDs CA030381 Number Action Step Action Step 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 IDs CA030382 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-003.3 Establish workdown curve and metrics Engineering 2Q03 12-May-03 2Q03 Spreadsheet with target completion Processes dates.

tTrack IDs CA030390 Resource l # Persons l Hrs Per Person Comments 300180 3009 1 2 Page 152 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 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 1Q03 13-Jun-03 2Q03 Document review.

development) and adjust this plan accordingly Processes tTrack IDs CA030391 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 2003 15-Dec-03 4Q03 Completed OE items.

accordance with workdown curve. Processes tTrack IDs CA030392

- Resource # Persons Hrs Per Person Comments.

300150 3004 33 1 __

300160 3004 40 1 _

300170 3004 35 1 300180 3004 12 1 1 1 Page 153 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority I 1A1A CAP# 033271 Plan Type Commitment Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Improve Human Performance (HU) in Engineering Action Plan Number: OR-08-005 Problem Statement: Engineering Management has not been fully effective in improving human performance.

Causal Factors: 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.

Oblectives: 1 Establish an Engineering Human Performance Improvement Team.

2 Establish a process for identifying and evaluating human performance events.

3 Communicate expectations and provide human performance tools to improve Engineering performance.

4 Achieve an improving trend in the Engineering Event Clock performance indicator.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.1 Establish a draft Charter for a Point Beach Engineering 2Q03 28-Apr-03 2Qo3 Draft Charter contained in ESG 1.8 specific Engineering Human Performance Processes Improvement Team (HPiT). Continuous Improvement tTrack IDs CA030402 Resource # Persons Hrs Per Person Comments 300180 3005 1 [ 16 16 Page 154 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.2 Identify members of new PBNP Engineering Engineering 2Q03 12-May-03 2Q03 List of HPIT Members HPr.

tTrack lDs CA030403 Resource - - # Persons Hrs Per Person Comments 300150 3009 1 300160 3009 300170 3009 1 300180 3009 2 1 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-08-005.3 Conduct first meeting of new PBNP Engineering 2Q03 12-May-03 2Q03 HPIT Meeting Minutes Engineering HPIT. Processes Continuous Improvement tTrack I~s CA030404 l , [ #Persons , IHrs Per Person - Comments 300180 3005 14 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.4 Evaluate Engineering HU events. Engineering 26-Jun-03 2Q03 HPIT Meeting Minutes Processes Continuous Improvement tTrack IDs CA030406 Resource # Persons Hrs Per Person : Comments 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 300180 3005 2 2 Page 155 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Awner OR-08-005.5 Identify training recommendations for HU Engineering 26-Jun-03 2QO3 HPIT Meeting Minutes topics. Processes Continuous Improvement tTrack IDs CA030408 Resource l Persons Hrs Per Person Comments.

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 300180 3005 2 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.6 Evaluate training recommendations on HU Engineering 31-Jul-03 3Q03 TAC meeting minutes topics.

tTrack IDs CA030409 l eource l:#Person ; Comments .a'l I'lHrsPerPerson1.;-

300180 3009 1 4 Number Action Step Action Step Owner Group Start Date 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 Page 156 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.8 Establish a process for identifying, evaluating, Engineering 2Q03 22-Apr-03 2Q03 Draft communication plan and communicating Eng. HU events Processes Continuous Improvement tTrack IDs CA030412 Resource l Persons lHrs Per Person l Comments 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 Issue ESG 1.8 and HPIT Meeting for HU initiatives Processes Minutes Conlinuous Improvement tTrack IDs CA030413 Resource Persons l Hrs Per Person Comments 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 300180 3005 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 26-Jun-03 2Q03 HPIT meeting minutes and copy of Processes June, 2003 Engineering Alignment Continuous meeting topics.

Improvement tTrack IDs CA030414 Resource # Parsons l Hrs Per Person I Comments -

300180 3005 1 1 1 8 Page 157 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner 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 IDs CA030415 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 IDs CA030416 l Resource # Persons Hrs Per Person Comments 1 300180 3005 1 1 1 16 1 L Page 158 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.13 Conduct HU Training with focus on use of the Training General 1Q04 2004 Approved lesson plan and Pre-Job Brief, Verbal Communication, documented training.

Challenging Information, Stop When Unsure, and Procedure Use and Adherence HU Tools.

tTrack IDs CA055638 Resource:- # Persons Hrs Per Person 'Comments 300130 3006 1 8 300150 3004 25 4 300150 3005 3 4 300150 3009 1 4 300160 3004 30 4 300160 3005 3 4 300160 3009 1 4 300170 3004 25 4 300170 3005 4 4 300170 3009 1 4 300180 3004 20 4 300180 3005 2 4 3001803009 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner Evaluate existing PACE observation cards for OR-08-005.14 Engineering 1QO4 25-Feb-04 1Q04 Completed evaluation.

capability of assessing HU tools use in Processes Engineering and revise as needed. Continuous Improvement tTrack IDs CA055639 l Resource.. # Persons lHrsPerPersonl Comments .

300180 3005 1 1 1 32 l Page 159 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.15 Identify Engineering tasks in U1R28 that can Engineering 1Q04 2Q04 U1R28 Engineering Task List be used as observation activities to assess Processes distribution memo.

HU tool use and provide list to Engineering Continuous Supervisors and Managers. Improvement tTrack IDs CA055640 Resource # Persons Hrs Per Person Comments 300180 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.16 Evaluate ability of Engineering Supervisors to Engineering 2Q04 2004 Completed evaluation.

spend time observing/coaching work group Processes members (use Work List or other methods). Continuous Improvement tTrack IDs CA055641 Resource . # Persons Hrs Per Person 'Comments, 300180 3005 1 32 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.17 Solicit post-training feedback on effectiveness Training General 2004 2Q04 Training feedback summary.

of 1Q04 HU Training and evaluate results.

tTrack IDs CA055642 Resource - Persons.. Hrs Per Person Comments 300130 3005 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.18 Perform interim effectiveness review (at - 6 Engineering 3004 3Q04 Completed evaluation.

months) of actions taken to date. Processes Continuous Improvement tTrack IDs EFR055643 Resource: # Persons Hrs Per Person l Comments 300180 3005 *1 1 32 7 Page 160 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-005.1 9 Perform effectiveness review (at - 12 Engineering 1Q05 1Q05 Completed evaluation.

months) of actions taken to date. Processes Continuous Improvement tTrack IDs EFR055644 Resource # Persons Hrs Per Person ;Comments' - -

3001803005 1 32 Page 161 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 4A 4C CAP # 033273 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Improve work management process in engineering Action Plan Number: OR-08-006 Problem Statement: Engineering work load is not effectively managed to support plant needs.

Causal Factors: 1 Lack of an effective tool for resource loading Obiectives: 1 Resource management tool used to manage peak engineering resource demands.

Action SteDs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-006.1 Finalize input detail, definitions, and format of Engineering 2Q03 05-May-03 2Q03 Issued process guideline.

work management database. Processes tTrack IDs CA030421 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-006A Revise Departmental structure and information Engineering 2Q03 12-May-03 2Q03 Issued process guideline.

to match Step OR-08-006.1 Processes tTrack IDs CA030421 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-006.5 Solicit and input updated information. Engineering 2Qo3 12-May-03 2Q03 Issued process guideline.

Processes tTrack IDs CA030421 Page 162 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-006.7 Evaluate tool and process used at Engineering 2003 05-May-03 2003 Benchmark trip report.

PI/MontIDAEC - Based on the DAEC evaluation Processes an access database interface will be used instead of P3.

tTrack IDs CA030425 Resource # Persons Hrs Per Person Comments' 300180 3004 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-006.11 Perform Process Self-assessment Engineering 1Q04 Self-assessment report.

Processes tTrack IDs CA030427

[Resource # Persons Hrs Per Person Comments 300180 3009 1 24 Number Action Step Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-08-006.12 Implement access database application at Business l/T 27-Jun-03 3Q03 Application installed at PBNP.

PBNP. Support &

Infrastructures tTrack IDs CA030428 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-006.13 Pilot application in EDC group. Engineering 25-Jun-03 2Q03 EDC resources entered into new Design application.

CivillStructural -

PB tTrack IDs CA030429 Resource l Persons Hrs Per Person Comments 300170 3004 7 8 300170 3005 1 40 Page 163 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable mwner OR-08-006.14 Document Process in desktop guide. Engineering 13-Jun-03 2Q03 Desktop guide issued.

Processes tTrack IDs CA030430 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-006.15 Implement application in engineering groups Engineering 30-Jun-03 2003 Documented direction for use of Processes work management tool and expectations for use.

tTrack IDs CA030432

- Resource # Persons-- Hrs Per Person Comments 300150 3004 33 8 300160 3004 40 8 300170 3004 28 8 300170 3005 1 40 300180 3004 12 8 Page 164 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 6C CAP# 033274 Plan Typo Commitment Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Utilize the Quality Review Team Action Plan Number: OR-08-007 Problem Statement: There are concerns with the quality of some plant modifications and Engineering products.

Causal Factors 1 Quality standards and metrics were not used to assess/measure quality of modification packages.

Obiectives I Develop a metric to measure the quality of Engineering modification packages.

2 Implement an Engineering Quality Review Team.

3 Improve the quality of Engineering products.

Action Stevs:

Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-08-007.1 Schedule and conduct monthly review of Engineering 01-Aug.03 3Q03 Established procedural requriements selected completed mod packages. This will Design for periodic reviews by the QRT.

be accomplished through the Quality Review Team (QRT), which is comprised of the Design Engineering Manager and a rotating selection of Engineering supervisors. Selected design products are reviewed for quality and completeness. The team grades the packages and provides feedback via the corrective action program to the design engineers.

tTrack IDs CA030433 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner crtei an a pefracniao Deeo OR-08-007.2 Develop criteria and a performance indicator Engineering 2Q03 11-Jun-03 2003 Performance Indicator to measure quality of mod packages Design tTrack IDs CA030434 Page 165 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-007.3 Provide feedback to affected engineers on Engineering 01-Aug-03 3Q03 Establish procedrual expectations lessons learned from monthly reviews Design for CAP initiation for lessons learned identified by the ORT.

tTrack IDs CA030435 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-007.4 Perform an effectiveness review of the QRT. Engineering 3Q04 Completed effectiveness review.

Design tTrack IDs EFR055708 Page 166 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP # 033277 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Implement the Fleet Modification Process Action Plan Number: OR-08-008 Problem Statement: NMC has developed a fleet modification process for use at all NMC plants.

Causal Factors: I Fleet initiative for standard modification process expected to enhance quality of modifications and improve engineering staff effectiveness.

Obiectives: I Successfully implemented fleet modification process.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-008.1 Participate in development of the fleet Engineering 27-Dec-02 2Q03 FP-E-Mod-01 thru 12 Issued modification process Design Mechanical - PB tTrack IDs CA030436 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-008.2 Develop site specific implementation procedure Engineering 1Q03 08-Oct-03 4Q03 Issued procedure.

Design Mechanical - PB ItTrack IDs CA030437 Resource #Persons .Hrs Per Person Comments 300170 3004 1 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-008.3 Train users in new process Engineering 23-May-03 2003 Training Record Design Mechanical - PB tTrack IDs CA030438 Pago 167 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-008.4 Provide Operations Notebook Entry for Engineering 2Q03 26-Jan-04 1Q04 Operations Notebook Entry.

Operations Shift Management. Design Mechanical - PB tTrack IDs CA030439 Resource. # Persons Hrs Per.Person . Comments 300170 3004 1 20 300170 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-008.5 Prepare procedure changes for all impacted Engineering 2Q03 30-Dec-03 4Q03 List of procedures/forms.

procedures and forms Design Mechanical - PB tTrack IDs CA030440 Resource U Persons l Hrs Per Person Comments l 300170 3004 2 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-008.6 Issue site specific procedure and Implement Engineering 2Q03 08-Oct-03 4Q03 Issued procedures.

the new process Design Mechanical - PB tTrack IDs CA030441 Resource #Persons. Hrs Per Person - Comments 66WLCLER 1 200 300170 3004 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-08-008.7 Modification Self Assessment Engineering 1Q04 3Q04 Self assessment report.

Design Mechanical - PB tTrack IDs EFR030442 Resource # Persons Hrs Per Person Comments I , Il 300170 3004 3 1 40 Page 168 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 169 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP # 033287 Plan Typo Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status In Closure Action Plan

Title:

Initiate the Design Engineering Review Board Action Plan Number: OR-08-009 Problem Statement: Some plant modifications have been completed in a less than satisfactory manner.

Causal Factors: I Design engineers have limited knowledge of the operational/maintenance aspects of the station modifications.

2 Lack of station ownership of plant modifications.

Oblectives: I Functioning Design Engineering Review Board.

2 Performance indicator for monitoring effectiveness of Design Engineering Review Board.

Action Steps Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-009.1 Develop design engineering review board Engineering 23-May-03 2003 Issued Procedure.

procedure. Design tTrack IDs CA030443 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-009.2 Brief design engineering supervisors on Engineering 20-Jul-03 3Q03 Briefing documentation.

purpose and expectations for the review Design board.

tTrack IDs CA030444 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-009.3 Brief leadership team on purpose and Engineering 01-Aug-03 3Q03 POD Briefing documentation.

expectations for the review board. Design tTrack IDs CA030445 Page 170 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-009 '.4 Develop a performance indicator for review Engineering 27-Jun-03 3Q03 Performance Indicator board. Design tTrack lDs CA030446 Resource #Persons Hrs Per Personi. Comments .

300170 3005 1 1 l 16 l l Page 171 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP # 033290 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status In Closure Action Plan

Title:

Initiate 3rd Party Reviews for Critical Modifications Action Plan Number: OR-08-011 Problem Statement: Complex station modifications done on an accelerated basis increases the potential for errors.

Causal Factors: I Required 'fast track' modifications have created error-likely situations.

Oblectives: 1 High quality modifications prepared under unavoidable time pressure.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-01 1.1 Develop criteria for when 3rd party reviews Engineering 23-May-03 2Q03 Criteria established via e-mail.

are required (interim measure). Design tTrack IDs CA030452 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-01 1.2 Incorporate criteria into procedure or guideline. Engineering 2Q03 05-Sep-03 3Q03 Procedure or ESG issued.

Design tTrack IDs CA030453 Resource #Persons -Hrs Per Person Comments 300170 3004 1 20 300170 3005 1 20 Page 172 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 5B 5B CAP # 033465 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status In Closure Action Plan

Title:

Utilize the 3 phase process more effectively Action Plan Number: OR-08-012 Problem Statement: The process to budget and obtain funding for projects is not well understood by Engineering.

Causal Factors; 1 Lack of guidance on the use of the 3 Phase procedure.

Obiectives: 1 Guidance to clarify and improve use of the 3-phase budget process.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-012.1 Develop a simple flow chart to graphically Engineering 19-Aug-03 3Q03 Flow Chart demonstrate the three phase process - Plant Design Health Committee (PHC), Project Review Board (PRB), Plant Budget Cycle tTrack IDs CA031225 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-012.2 Develop a performance indicator that tracks Engineering 2Q03 30-Jun-03 2Q03 Performance Indicator was projects and progress through the three Design determined not necessary.

phase process tTrack IDs CA031226 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-012.3 Issue updated Engineering Supplemental Engineering 2Q03 19-Aug-03 3Q03 Issued ESG Guideline (ESG) Design tTrack IDs CA031225 R source l # Persons l Hrs Per Person Comments I

I 300170 3009 1 1 1 16 l Page 173 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 174 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 5B 5B CAP # 033293 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Organizational Effectiveness Plan Status In Closure Action Plan

Title:

Formalize Modification Request Backlog Reduction Methodology Action Plan Number: OR-08-013 Problem Statement: There is a large backlog of requests for plant modifications.

Causal Factors: I Controls on plant modification initiatives were less than adequate.

Oblectives: I Limit plant modifications to those reviewed and approved by plant management using the three phase process (referred to in Action Plan OR-08-012).

2 Functioning Backlog Reduction Committee.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-013.1 Obtain endorsement of the Plant Health Engineering 23-May-03 2Q03 PHC Meeting Minutes.

Committee (PHC) to form a backlog reduction Design committee.

tTrack IDs CA030454 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-013.2 Develop a charter for the backlog reduction Engineering 23-May-03 2Q03 Approved Charter.

committee. Design tTrack IDs CA030454 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-013.3 Group outstanding modification requests by Engineering 23-May-03 2Q03 The list of outstanding mod requests system. Design grouped by system.

tTrack IDs CA030454 Page 175 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-013.4 Systematically review and eliminate items that Engineering 2Qo3 29-Aug-03 3Q03 A final list of potential modifications.

do not meet the NMC modification criteria. Design tTrack IDs CA030455 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-013.5 Develop a performance indicator to track work- Engineering 2003 15-May-03 2Q03 Performance Indicator.

off of modification backlog. Design tTrack IDs CA030456 Page 176 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 1A 1A CAP # CAP034288 Plan Type Improvement Plan Revision No: 0 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Operability Determination (OD) Tracking - Process Improvements Action Plan Number: OR-08-014 Problem Statement: The status of some Operability Determinations cannot be determined using the OD Matrix Causal Factors: I The OD Matrix is not a formally controlled database.

2 The OD process owner is not automatically informed when an OD items action status changes.

Objectives: 1 OD issues and related sub items are formally tracked as OPRs/OBDs in the Corrective Action Database.

2 The status, stage, owner and due date of OD issues and related sub items is up to date.

3 The Corrective Action Program database is the OD database, no separate matrix exists.

Action Stots:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.1 Perform an assessment on the OD Process Engineering 07-Aug-03 3Q03 Copy of Assessment Report per an approved procedure. Design Configuration Management (and Q-List items) tTrack IDs CA030092 Resource. #Persons Hrs Per Person Comments 300170 3004 1 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.2 Edit/Adjust this action plan to incorportate Engineering 3Q03 28-Aug-03 1Q04 This plan updated steps as necessary from assessment results Equipment Systems l&C tTrack IDs CA032343 Resource # Persons Hrs Per Person Comments l 300150 3004 1 30 Page 177 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.3 Validate the Status of each open OD Issue In Engineering 15-Oct-03 4Q03 Validation Report the OD Matrix: Design

-What stage it is In Configuration

-What 'Sub' items does the OD isssue have Management

-What actions are required (what is keeping it (and Q-List open) items)

-Due Dates and owners for open items tTrack IDs CA033106 Resource # Persons I Hrs Per Person . -Comments 300150 3004 . 1 40 300170 3004 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.4 Catalog the Gaps(OD issues and sub items Engineering 20-Oct-03 4Q03 List of Gaps.

that are not formally tracked in tTrack as OPRs Design or OBDs) from the OD Matrix - and other Configuration applicable sources. Management (and Q-List items) tTrack IDs CA033107 Resource.- '.#.Persons, .H. PPersonIK r , ::.;

.J.Commn'ents l ,

300170 3004 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.5 Create the proper OPR/OBD tracking items for Performance 14-Nov-03 4Q03 List of created items.

items cataloged In the list of Gaps. Assign to Assessment required groups with due dates.

tTrack IDs CA033108 Resource -Il # Persons lHrsPerPerson Comments .

300380 3005 1 1 1 8 Page 178 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.6 Assign new OPRJOBD tracking items to Engineering 17-Nov-03 4Q03 Documentation showing that items appropriate individuals are assigned tTrack IDs CA033109

[ Resource #Persons lHrs Per Person Comments 300160 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.7 Validate that tTrack is up to date and tracking Engineering 12-Dec-03 4Q03 tTrack OBD report (canned ENG all 'migrated' items with correct individuals Design report) and due dates Configuration Management (and Q-List items) tTrack iDs CA033111 Resource # Persons Hrs Per Person Comments 300170 3004 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.8 Align existing guidance/direction to reflect the Engineering 3Q04 Revised ESG 1.10 Fleet standard processes and terminology as Design necessary. Configuration Management (and Q-List items) tTrack IDs CA033112 l Resource - l # Persons I Hrs Per Person[ Comments 300170 3004 1 1 1 40 TI Page 179 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.9 Revise the summary reporting of ODs as Engineering 13-Jan-04 1Q04 Copy of listing from POD.

appropriate to support Excellence Plan item OR-08-016 step 1: Increase visibility of outstanding Operability Issues by presenting a list of open issues weekly in the POD'.

tTrack IDs CA033114 Resource # Persons Hrs Per Person Comments -

300160 3009 1 4 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OR-08-014.10 Perform Effectiveness Review Engineering 3004 Effectiveness Report Design Configuration Management (and Q-List items) tTrack IDs EFR033115 l Resource #Persons Hrs Per Person Comments 300170 3004 1 25 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.11 Develoo an Enaineering SuoDlemental Guide Enaineerina 3003 08-Oct-03 4003 Issued ESG.

(ESG) for processing OD related corrective Design actions. Specifically, the ESG must include Configuration directions to perform periodic reviews of the Management open OD Part 2s. The reviews check the (and 0-List status and completeness of restoration plans items) and present findings to the Plant Health Committee (PHC).

tTrack IDs CA051928

- Resource l # Persons Hrs Per Person Comments . . l 66OLCLER 1 5 300170 3004 1 25 Page 180 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-014.12 Perform an aggregate review of the population Engineering 1Q04 2004 1) Copy of the OD report.

of degraded and non-conforming items and 2) Meeting minutes from the PHC present the findings I results to the Plant documenting it was reviewed.

Health Committee (PHC).

tTrack IDs CA052033 1Resource # Persons IHrs Per Person Comments - :

300020 3005 1 10 300150 3004 2 30 300170 3004 2 30 Pagel181 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellonce: OR Priority 2 3C 3B CAP # 053497 Plan Type Commitment Plan Revision No: 0 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Establish an Engineering Safety & Design Review Group Action Plan Number: OR-08-015 Problem Statement: PBNP Engineering products require improvement to sustain consistently high standards and quality that satisfy two fundamental attributes of Engineering Excellence,

'Rigorous Application of Engineering Principles' and 'Strong Design Basis & Configuration Ownership'.

Causal Factors: 1 Weaknesses in the preparation and review cycle of Engineering products.

2 Inconsistent understanding of the attributes of a quality Independent review.

Obiectives: I Improve quality of Engineering products.

Action SteDs Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-015.1 Develop Engineering Supplemental Guideline Engineering 19-Dec-03 4Q03 Copy of issued Engineering for the Engineering Safety & Design Review Processes Supplemental Guideline.

Group Charter.

tTrack IDs CA055470 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-015.2 Implement the Engineering Safety & Design Engineering 22-Oct-03 4Q03 Memo reflecting assignment.

Review Group (ESDRG) Processes tTrack IDs CA055472 Numbor Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-015.3 Develop a Change Management Plan. Engineering 15-Dec-03 4Q03 Copy of Change Management Plan.

Processes tTrack IDs CA055473 Page 182 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-015.4 Communicate establishment of the ESDRG and Engineering 29-Sep-03 3Q03 Copy of memo.

scope of review. Processes tTrack IDs CA055474 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-015.5 Conduct Training Needs Analysis for ESDRG. Engineering 17-Nov-03 4Q03 Copy of needs analysis.

Processes tTrack IDs CA055475 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-015.6 Establish feedback vehicle(s) to Engineering Engineering 17-Feb-04 1Q04 Copy of memo or report.

personnel related to issues found by ESDRG. Processes tTrack IDs CA055477 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-015.7 Perform an Effectiveness Review. Engineering 3Q04 Effectiveness Review.

Processes tTrack IDs EFR055478 Page 183 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 2 3C 3B CAP# 053390 Plan Type Commitment Plan Revision No: 0 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Reduce Operable But Degraded / But Non-Conforming Backlog.

Action Plan Number: OR-08-016 Problem Statement: There are 32 Operable But Degraded and Operable But Non-Conforming Conditions. This does not meet the NMC goal (20 or less).

Causal Factors: 1 Issues discovered during self-assessments increased focus on discovery rather than correction.

2 The emphasis upon discovery and application of Immediate compensatory measures impacted the station's ability to resolve the conditions in a timely manner.

Obiectives I Reduce the backlog to meet the NMC goal.

Action Sters Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-016.1 Increase visibility of outstanding Operability Engineering 4Q03 17-Dec-03 4Q03 Copy of OD list from a POD meeting.

issues by presenting a list of open Issues weekly in the POD.

tTrack IDs CA055360 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-016.2 Designate a Manager accountable for Engineering 4Q03 08-Dec-03 4Q03 Name of designated Manager.

continual improvement in OD backlog.

tTrack IDs CA055361 Page 184 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-016.3 Reduce number of outstanding ODs to 20 or Engineering 4Q03 3Q04 Number of open ODs <21.

less with support from all individual groups.

Track progress / status of open ODs on a weekly basis until backlog is consistently less than the goal.

tTrack IDs CA055362 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-016A Reduce the number of ODs older than 1 fuel Engineering 1Q04 3Q04 No open OD's > 1 fuel cycle cycle to the greatest extent possible In (exceptions per step 5 below).

accordance with GL 91-18 requirements.

tTrack IDs CA055363 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-016.5 For any OD's that are, or will be open longer Engineering 1Q04 3Q04 Documentation (via t-Track) of than I fuel cycle, fully document justification justification.

and obtain Plant Mangager approval for each in accordance with GL 91-18 requirements.

tTrack IDs CA055364 Page 185 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OR Priority 13B13B CAP # 054219 Plan Type Commitment Plan Revision No: 0 Focus Area: Engineering Organizational Effectiveness Plan Status Open Action Plan

Title:

Improve Operations Department and Engineering Department Interface Action Plan Number: OR-08-017 Problem Statement: Ineffective communication between Engineering and Operations contributed to the lack of a common understanding of some system design basis and operational practices.

Causal Factors: I Less than adequate understanding of Operations and Engineering priorities and associated communication of those priorities.

Obiectives: I Improve the interface between Operations and Engineering to ensure that the station priorities are reflective of actions necessary for achievement of equipment excellence.

Action Stens Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-017.1 Implement an Operational Decision Making Operations 1004 3Q04 Operational Decision Making Procedure. Procedure issued.

tTrack lDs CA056045 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-017.2 Conduct a Self Assessment of the Eng Equip 2004 3004 Self Assessment Report.

effectiveness of the Plant Health Committee. Systems Maintenance Engineers -

Electrical tTrack IDs SA056046 Page 186 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-017.3 Complete action step OP-14-005.2.F, Operations 1Q05 4Q05 Action step OP-14-005.2.F complete.

Implement revised EOP selpoints in Emergency Operating Procedures.

tTrack IDs CA056047 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-017.4 Conduct a Self Assessment of the Engineering 4Q04 4004 Self Assessment Report.

effectiveness of the Design Engineering Design Review Board (reference Action Plan OR 009).

tTrack IDs SA056048 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-0 17.5 Reduce the number of Operable but Engineering 3Q04 Action Plan OR-08-016 complete.

Degraded/But Non-conforming backlog per Action Plan OR-08-016.

tTrack IDs CA056049 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OR-08-017.6 Reduce Total Operator Burden to exceed NMC Operations 1004 4Q04 Point Beach Operations Department fleet expectations (<36 total). Total Operator Burden <36.

tTrack IDs CA056050 Page 187 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3B 1C CAP # 033294 Plan Typo Commitment Plan Revision No: 2 Focus Area: Emergency Preparedness (EP) Plan Status Open Action Plan

Title:

Improve EP Infrastructure (Processes, Programs and Technology)

Action Plan Number: OP-09-001 Problem Statement: The Emergency Preparedness infrastructure was not consistently maintained.

Causal Factors: 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 impimented in the Emergency Preparedness group.

5 SAMG ownership was inappropriately assigned to EP.

6 External and Internal Operating Experience have not been fully utilized.

Obiectives 1 Enhanced management oversight of Emergency Preparedness program and training.

2 Enhance knowledge of EP staff.

3 Defined Emergency Preparedness staff roles and responsibilities.

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 Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-09-001 .1 Implement an Emergency Preparedness Radiation 08-Jul-03 3Q03 Approved EPAC charter Advisory Committee (EPAC) which includes Protection membership of senior site leadership tTrack IIs CA030458 Page 188 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.2 Implement an EP Training Advisory Committee Training 2003 21-Jul-03 3Q03 TAC Members assigned and first (TAC) which includes selected members of meeting minutes documented.

the ERO.

tTrack iDs CA030459 Resource #Persons ,Hrs Per Person Comments 300360 3009 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.3 Develop and communicate an EP vision and Emergency 2Q03 13-Jun-03 2Q03 Article printed in NMC Today.

mission statement for the site. Planning PBNP tTrack IDs CA030460 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.4 Clarify minimum staffing requirements for Emergency 1Q05 Issued EP 5.0.

Emergency Response. Planning PBNP tTrack IDs CA030461

_.-Resource----' # Persons'. Hrs Per Parson . Comments 300030 3009 1 20 300360 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.5 Implement a structured approach to ERO Business 2Q03 15-Jul-03 3Q03 Memo outlining responsibiliites and staffing by transitioning to rotating ERO duty Rev. 0 rotation schedule.

roster teams for key positions.

tTrack IDs CA030462

l. Resource, # Persons' .Hrs Per Person l ':,. . Comments . .

300360 3009 1 1 1 2 l Page 189 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.6 Identify a new site custodian for SAMGs. Emergency 2Q03 11-Jun-03 2Q03 Memo from EP Manager identifying Planning PBNP SAMG custodian.

tTrack IDs CA030463 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-09-001.7 Improve station practices for assigning, Emergency 3Q03 01-Oct-03 4Q03 Procedure defining the practice is training and retiring ERO staff positions. Planning PBNP approved and issued.

tTrack IDs CA030464 Resource #Persons lHrs Per Person l - Comments -

300360 3005 1 10 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.8 Improve implementation of the corrective Emergency 10-Jul-03 3Q03 Training attendance records.

action program by training the EP staff. Planning PBNP tTrack IDs CA030465 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.9 Implement effective document control and Emergency 2Q03 26-Dec-03 4Q03 Signed copy of documents records retention practices used by the EP Planning PBNP reviewed by Excellence Team group. quality check representative.

tTrack IDs CA030466 l Resource # Persons - Hrs Per Person Comments * -

II 664LCLER I 1 I 100 l Page 190 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.10 Define roles and responsibilities of Emergency Emergency 2Q03 26-Dec-03 4Q03 Approved organizational chart and Preparedness staff members. Planning PBNP list of routine callups assigned by person.

tTrack I~s CA030486 lResource l # Persons Hrs Per Person Comments l 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 2Q03 4Q04 Approved procedures, guidelines that formalize the processes for Emergency Planning PBNP and/or job aids.

Preparedness staff members responsibilities.

tTrack IDs CA030487 Resource : Persons Hrs Per Person Comments, 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 OP-09-001.12 Implement cross trainina' of Emeraencv Emergencv 2Q04 1Q05 List of routine calluos with a Drimarv Preparedness staff members based on the Planning PBNP and at least one alternate person procedures, guidelines and job aids to assigned.

strengthen Emergency Preparedness staff members integrated knowledge of EP.

tTrack IDs CA030488 Resource . - # Persons. l Hrs Per Person l : , Comments - l 300360 3005 1 100 300360 3009 1 50 Page 191 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-09-001.13 Implement an effective process for Emergency 2003 22-Dec-03 4003 Procedure describing process documenting, collecting, assimilating, and Planning PBNP approved and issued.

validating EP cornerstone performance indicators.

tTrack IDs CA030489 Resource. Persons Hrs Per Person Comments .

1000001000 1 20 300360 3005 1 20 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.14 Conduct an effectiveness review. Emergency 4Q03 10-Jul-03 4Q04 Effectiveness review report.

Planning PBNP tTrack IDs EFR030491 Resource l Persons Hrs Per Person l - Comments - - l 300360 3005 1 80 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.15 Conduct an effectiveness review. Emergency 4Q04 4004 Effectiveness review report.

Planning PBNP tTrack IDs EFR030493

'Resource #Persons Pe lHrs Per Person Comments ;

300360 3005 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 4Q03 27-Oct-03 4Q03 Revised E-Plan, if required.

annual review of SAMGs and adjust frequency of review as appropriate.

tTrack IDs CA031478 Resource l Persons l Hrs Per Person- Comments -

300020 3007 1 1 Page 192 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-001.17 Re-review Emergency Planning OE Emergency 3Q03 13-Dec-03 4Q03 Document review and write CAPs to evaluations performed since 7/1/01 for Planning PBNP address any inadequacies.

adequacy.

tTrack IDs CA032088 Resource - # Persons llHrs Per Person Comments 300360 3005 1 250 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 Business 3Q03 07-Dec-03 4Q03 Document review and write CAPs to written since 711101 for recurring and address any inadequacies.

unresolved issues.

tTrack IDs CA032089 I Resource # Persons Hrs Per Person ; Comments- - :

300360 3005 1 1 250 _

1300360 3009 1 _ 50 _ I Page 193 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 13B 1C CAP # 033301 Plan Type Improvement Plan Revision No: 2 Focus Area: Emergency Preparedness (EP) Plan Status Open Action Plan

Title:

Improve Process for Conducting Drills and Exercises Action Plan Number: OP-09-002 Problem Statement: Emergency Preparedness drills and exercises have not been fully successful.

Causal Factors: 1 There was no structured process for drill/exercise development and preparation.

2 Drill objectives were not always effectively factored into scenario development.

3 Critiques not fully effective in identifying scenario development deficiencies.

Oblectives: 1 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 Stens:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.1 Implement a drill and exercise procedure that Emergency 3Q03 03-Feb-04 1Q04 Drill and exercise procedure is milestone driven. Planning PBNP approved and issued.

tTrack IDs CA030497 l Resource, l . Persons Hrs PerPersoni

Comments - .

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 3Q03 08-Dec-03 4Q03 Copy of 2004 production work work schedule. Planning PBNP schedule with EP drills inciuded.

tTrack IDs CA030499 Resource l - # Persons l Hrs Per Person Comments :- I 1 300360 3005 1 1 1 2 Page 194 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.3 Verify 6-year and annual historical data for Emergency 2Q03 27-Jun-03 2003 Memo documenting verification.

completeness and accuracy. Planning PBNP tTrack I~s CA030500 Resource l # Persons Hrs Per Person Comments 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 29-Aug-03 3Q03 Revised 6-year plan.

ensure conformance to regulatory references. Planning PONP tTrack IDs CA030501 Resource # Persons Hrs Per Person Comments 300360 3005 1 50 300360 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.5 Implement a tracking method to ensure all Emergency 3Q03 22-Dec-03 4Q03 Document showing history and objectives are demonstrated in each 6-year Planning PSNP project implementation schedule.

cycle.

tTrack IDs CA030502

- Resource U# Persons ; lHrs Per Person l: : . Comments ..

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 3Q03 03-Feb-04 1Q04 Composite objectives database with and use these criteria to support drill/exercise Planning PBNP pass/fail criteria.

objectives.

tTrack IDs CA030503 Resource l # Persons - Hrs Per Person Comments 300360 3005 1 50 Page 195 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.7 Develop a 2004 drill schedule that tests Emergency 3Q03 12-Dec-03 4Q03 SVP memo documenting approval of various aspects of program implementation Planning PBNP drill/exercise schedule for 2004.

using various techniques.

tTrack IDs CA030504 Resource #Persons Hrs Per Person Comments l 3003603009 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.8 Formalize the critique process. Emergency 3Q03 03-Feb-04 1004 Issued drill and exercise procedure.

Planning PBNP tTrack IDs CA030505 Resource l Persons Hrs Per Person - Comments l 300360 3005 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-002.9 Conduct an effectiveness review. Emergency 4Q04 4Q04 Effectiveness review report.

Planning PBNP tTrack IDs EFR030506 l :. Resource j, # Persons - HrsPerPerson - . Comments. .

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 03-Feb-04 1Q04 Issued drill and exercise procedure.

lessons learned from drills and exercises. Planning PBNP tTrack IDs CA031479 Resource l - # Persons l Hrs Per Personl . Comments - - l 300360 3005 1 3 _

Page 196 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C 1C CAP# 033302 Plan Type Improvement Plan Revision No: 2 Focus Area: Emergency Preparedness (EP) Plan Status Open Action Plan

Title:

Revise Emergency Plan Implementing Procedures Action Plan Number: OP-09-003 Problem Statement: The Emergency Plan and supporting procedures are not adequately aligned.

Causal Factors 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.

Obiectives: 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 Steos:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.1 Evaluate the Emergency Plan to determine Emergency 2Q03 17-Jun-03 2Q03 Document nonconformance 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 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 members and responsibilities.

Implementing Procedures, Emergency Plan Maintenance Procedures, and Position Instruction Manuals.

tTrack IDs CA030510 Page 197 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.3 Provide existing documentation of current Regulatory 1Q03 16-Jun-03 2Q03 Deliver existing CLBs related to license basis to the EP staff. Affairs - Emergency Plan and procedures.

Licensing tTrack IDs CA030511 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.4 Review CLB document, NUREG-0654, and 10 Emergency 2Q03 18-Jul-03 3Q03 Procedures in draft form, through CFR 50, Appendix E, and NEI 99-02 against Planning PBNP technical review, as documented on existing Emergency Plan and supporting PBF-0026a procedures. Draft changes to Plan and procedures as necessary.

tTrack IDs CA030543 Resource # Persons Hrs Per Person Comments 664LCLER 2 30 300010 3005 1 100 300020 3005 1 100.

300030 3005 1 100 300130 3006 1 100 300270 3009 1 100 300360 3005 1 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.5 Complete 50.54(q) reviews for identified Emergency 3Q03 12-Sep-03 3Q03 Completed reviews as documented procedure revisions. Planning PBNP on PBF-0026a and PBF-1301 tTrack IDs CA030544

..Resource l #Persons HrsPerPerson Comments .

300030 3005 1 2 1 40 1 Page 198 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Data Deliverable Owner OP-09-003.6 Leadership team to review changes to Site VP &ECP 3Q03 25-Sep-03 3Q03 Completed reviews as documented Emergency Plan and supporting procedures on PBF-0026a,Section III, Document for understanding and to determine training Owner Review needs.

tTrack IDs CA030545 l Resource #Persons l Hrs Per Person 'Comments 300270 3009 10 10 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 28-Jul-03 3Q03 Approved commitment changes or in accordance with NP 5.1.7. Affairs - return to Licensing Basis approved Licensing by NRC SER dated 6/10183.

tTrack IDs CA030546 Resource l # Persons Hrs Per Person Comments 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 19-Dec-03 4Q03 Approved lesson plans.

materials for the Plan and procedure changes identified.

tTrack IDs CA030547 Resource l Persons Hrs Per Person Comments 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 Completed attendance records the plan and procedure changes.

tTrack IDs CA030548 Resource Persons Hrs Per Person Comments '

3003603005 4 40 Page 199 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-09-003.10 Issue the revised Emergency Plan and Emergency 4Q03 1Q04 Index showing procedures were supporting procedures. Planning PBNP issued.

tTrack IDs CA030549 Resource Persons - Hrs PerPerson[ Comments l 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 ERO Training General 4Q03 2Q04 Copies of indices showing training members. materials were issued, as necessary.

tTrack IDs CA030550 Resource #Persons IHrsPerPersonl Comments l 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-1 301 to assist with Emergency 2Q03 02-Jul-03 3Q03 Approved procedure NP 1.8.3 and completing appropriate 50.54(q) reviews. Planning PBNP form PBF-1301.

tTrack IDs CA030552 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003.13 Conduct an effectiveness review. Emergency 2Q04 3Q04 Effectiveness review report.

Planning PBNP tTrack IDs EFR030554 l Resource - :#

U Persons - I Hrs Per Person l Comments 1 300360 3005 1 2 1 80 l Page 200 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-003 .14 Revise PlMs to match the Plan and procedure Emergency 3Q03 12-Dec-03 4Q03 Copy of approved PBF-0026a and changes. Planning PBNP PBF0026c's as necessary. (PlMs will be issued under step OP-09.

003.10) tTrack IDs CA031943 Resource; -.1 # Persons Hrs Per Person Comments 1 300360 3005 1 1 1 80 Page 201 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C 3B CAP # 050434 Plan Type Commitment Plan Revision No: 0 Focus Area: Emergency Preparedness (EP) Plan Status Open Action Plan

Title:

Upgrade EALs Action Plan Number: OP-09-004 Problem Statement: EALs are not consistent with current industry standards and are cumbersome to use.

Causal Factors: 1 Addition of the barrier matrix resulted inless than rigorus maintenance of NUREG-0654 standards.

2 Historic original process and knowledge did not result in NRC pre-approval of EALs.

3 Did not move to industry standard.

Oblectives: I Develop an EAL scheme that is consistent with NEI 99-01 and submit to NRC.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.1 Obtain a vendor to initiate the EAL upgrade Emergency 3Q03 29-Aug-03 3Q03 Purchase order project. Planning PBNP tTrack IDs CA052680 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.2 Draft revision to EALs to restore regulatory Emergency 3Q03 16-Jan-04 Draft of EP Appendix B and EPIP 1.2.

compliance. Planning PBNP tTrack IDs CA052681, CA055057 Resource # Persons Hrs Per. Person Comments *- -

664LTECH 1 8 300020 3005 2 8 300360 3005 1 2 300360 3009 1 2 Page 202 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.3 PORC approval of EAL revisions restoring Emergency 1Q04 16-Jan-04 PORC minutes documenting review.

regulatory compliance. Planning PBNP tTrack IDs CA052682, CA055057 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-09-004.4 Obtain appropriate State and County approval Emergency 1Q04 16-Jan-04 Copy of State and County Approvals.

of EAL revisions restoring regulatory Planning PBNP compliance.

tTrack IDs CA052683, CA055057 l Resource' #Persons lIHrs Per Personl . Commentsl 664LCLER 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.5 Conduct training on EAL changes restoring Training 1Q04 22-Jan-04 1Q04 Copy of completed training records.

regulatory compliance.

tTrack IDs CA052686, CA055057

, :eorc .;,~ ( esons.-

Per Hrs Per Person, ';; .;-.;comments: . ; ,- ;

662LCLER 1 2 300360 3009 1 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.6 Implement EAL revisions restoring regulatory Emnergency 1Q04 16-Jan-04 1Q04 Copy of PBF-0026a/c showing issue compliance. Planning PBNP date for EP Appendix B and EPIP 1.2.

tTrack IDs CA055057 Page 203 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Ownnr DP-09-004.7 Draft EAL upgrade to NEI 99-01 scheme. Emergency 3Q03 2004 Copy of PBF-0026a/c for EP Planning PBNP Appendix B and EPIP 1.2 drafted.

tTrack IDs CA052688 Resource Persons Hrs Per Person Comments -

66OLCLER 2 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner DP-09-004.8 PORC approval of EAL upgrade changes. Emergency 2Q04 2Q04 PORC meeting minutes documenting Planning PBNP review.

tTrack IDs CA052689 Resource Persons Hrs Per Person Comments 664LTECH 2 40 CONTPRO 3 700 300020 3005 3 120 Includes usefulness review by end users.

300130 3006 2 80 __

300360 3005 120 300360 3009 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.9 Submit site approved EAL upgrade changes to Emergency 2Q04 2Q04 Copy of transmittal letter.

state and counties for approval. Planning PBNP tTrack IDs CA052690 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.10 Obtain state and county approval of EAL Emergency 2Q04 2Q04 Copy of State and County approvals.

upgrades and Incorporate comments. Planning PBNP tTrack IDs CA052691 Resource - # Persons lHrs Per Person - Comments:

664LCLER I 1 2 l Page 204 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.11 Submit site approved EAL upgrade changes to Emergency 2Q04 2Qo4 Copy of transmittal letter.

NRC for pre-approval. Planning PBNP tTrack iDs CA052692 Resource - # Persons Hrs Per Person Comments 662LCLER 1 2 300360 3009 1 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.12 Conduct training on site approved EAL Training General 3004 2Q05 Copy of completed training records.

upgrade changes.

tTrack IDs CA052693 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.13 After NRC approval, implement upgraded EALs. Emergency 1Q05 2Q05 Copy of PBF-0026a/c showing issue Planning PBNP date for EP Appendix B and EPIP 1.2.

tTrack IDs CA052694

- Resource l ;#Persons jHrsPerPersonI, - Comments,.,: -

66OLCLER 2 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-004.14 Conduct an effectiveness review of upgraded Emergency 3005 4Q05 Assessment Report.

EALs. Planning PBNP tTrack IDs EFR052695 Resource #Persons . Hrs Per Person Comments 300130 3006 1 16 300360 3005 1 16 Page 205 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3B 3G CAP# 050222 Plan Type Commitment Plan Revision No: 0 Focus Area: Emergency Preparedness (EP) Plan Status Open Action Plan

Title:

Control / Maintenance of EP Required Equipment Action Plan Number: OP-09-005 Problem Statement: The process and controls to implement EP required equipment is ineffective.

Causal Factors: I Configuration Control of some facilities has not been maintained effectively.

2 Equipment required for emergency response is not documented adequately.

3 Equipment required for EAL classifications is not well documented.

Oblectives: I EP equipment and facilities are documented and controlled.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.1 Develop a matrix of EP required equipment. Emergency 3Q03 13-Dec-03 4Q03 This is a high level step to capture all Planning PBNP action steps associated with developing a matrix of EP equipment.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.1.A Develop matrix of EP equipment required to Emergency 3Q03 28-Sep-03 3Q03 Ust of equipment added to the EP support SBCC / EOF facilities. Planning PBNP equipment matrix.

tTrack IDs CA052384 Resource l # Persons l Hrs Per Person l Comments . l 300360 3005 1 35 Page 206 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.1.B Develop matrix of EP equipment required to Emergency 3Q03 14-Oct-03 4Q03 List of equipment added to the EP support TSC facilities. Planning PBNP equipment matrix.

tTrack IDs CA052385 Resource,l #Persons Hrs Per Person Comments 300360 3005 1 35 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.1.C Develop matrix of EP equipment required to Emergency 4Q03 17-Oct-03 4Q03 List of equipment added to the EP support OSC facilities. Planning PBNP equipment matrix.

tTrack IDs CA052386 Resource #Persons - Hrs Per Person Comments, 300360 3005 1 35 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.1.D Develop matrix of EP equipment required to Emergency 4Q03 31-Oct-03 4Q03 List of equipment added to the EP support CR facilities. Planning PBNP equipment matrix.

tTrack IDs CA052388 l 'l#Persons; IHrsPorPorson - Comments-:

300360 3005 1 35 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.1.E Develoo matrix of EP equipment required to Emeraencv 4Q03 21-Nov-03 4Q03 List of eauipment added to the EP support AEOF / JPIC facilities. Planning PBNP equipment matrix.

tTrack IDs CA052389 Resource # Persons iHrs Per Person Comments l"I 300360 3005 1 1 35 Page 207 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.1.F Develop matrix of EP equipment required to Emergency 4Q03 13-Dec-03 4Q03 List of equipment added to the EP support EAL classification. Planning PBNP equipment matrix.

tTrack IDs CA052390 Resource Persons Hrs Per Person Comments '

300360 3005 1 35 Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-09-005.2 Update facility matrix to include administrative Business 3Q03 06-Jan-04 1Q04 List of equipment added to the EP configuration control of EP related facilities Projects equipment matrix.

and equipment.

tTrack IDs CA052408 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.3 Review matrix drafted in step 1. Emergency 1Q04 06-Jan-04 1Q04 Copy of signature shoots from Planning PBNP review documents.

tTrack IDs CA052408

[iResource I < Persons .HrePer Person C 1 Comments . :1 300020 3005 1 5 300030 3005 5 l 300360 3009 1 5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.4 Document the licensing basis of required EP Emergency 1Q04 2Q04 Basis summary document.

equipment contained in the matrix. Planning PBNP tTrack IDs CA052409 Resource . # Persons Hrs Per Person . .I . Comments :

. . I , , I II . . . I . I . . . I ...

300290 3008 1 60 300360 3005 1 60 Page 208 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.5 Evaluate whether each piece of EP Equipment Emergency 1Q04 2Q04 Evaluation report.

In the matrix meets its associated EP functional Planning PBNP requirements.

tTrack IDs CA052413 Resource:" Persons Hrs Per Person Comments 300150 3004 n 60 300170 3004 2 60 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.6 Perform an assessment of the equipment in Emergency 1Q04 2Q04 Copy of Assessment Report the matrix for reliability / maintainability / Planning PBNP obsolescence.

tTrack IDs CA052414 Resource # Persons Hrs Per Person Comments 300140 3005 I 1 20 300150 3004 3 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.7 Evaluate the adequacy of preventative Emergency 1Q04 2Q04 Report of maintenance scope Maintenance (PM) performed on EP equipment Planning PBNP adequacy.

contained in the matrix.

tTrack IDs CA052415 Resource # Persons Hrs Per Person Comments 300150 3004 3 40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.8 Revise/ initiate PM procedures performed on 2Q04 3Q04 List of actions taken vs. findings EP equipment contained in the matrix and from the report on the Maintenance generate additional call-ups, as required. scope.

tTrack IDs CA052417 l Resource l # Persons Hrs Per Person lComments. l 300150 3004 1 3 1 60 Page 209 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.9 Create and formalize channel specific Radiation 2Q04 3Q04 Copy of PBF-2068g forms created.

equivalent information as presently captured Protection on PBF 2068g forms (Status of an RMS Channel Not in Service) as well as EAL data for each RMS channel.

tTrack IDs CA052419 IResource - . # Persons Hrs Per Person ^ . Comments 657LCLER 2 20 300030 3005 1 5 300360 3005 1 5 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.10 Revise RMSASRBs that are affected by EP Operations 3Q04 4Q04 Approved procedure cover sheet.

equipment.

tTrack IDs CA052420 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.11 Implement a procedure to address EP Emergency 4Q04 1Q05 Approved procedure cover sheet.

equipment that is not addressed via CHAMPS Planning PBNP or RMS data forms.

tTrack IDs CA052421

. Resource- # Persons Hrs Per Person l - Comments -

66OLCLER 1 16 300360 3005 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-005.12 Conduct an effectiveness review. Emergency 2Q05 2Q05 Effectiveness review report.

Planning PBNP tTrack IDs EFR052422 Resource N Persons . Hrs Per-Person Comments .

3003603005 1 1 16 Page 210 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 211 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C3B CAP# 051288 Plan Typo Improvement Plan Revision No: 0 Focus Area: Emergency Preparedness (EP) Plan Status In Closure Action Plan

Title:

Include Sheltering in PARs Action Plan Number: OP-09-006 Problem Statement: PBNP protective action recommendations do not include sheltering.

Causal Factors: I Changes in state and county plans after implementation of EPA-400 resulted in removing sheltering from PBNP's protective action recommendations.

Obiectives: I PBNP's protective actions recommendations include a full range of recommendations.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-006.1 Meet with state and counties to discuss re- Emergency 4003 25-Feb-04 1Q04 Meeting minutes.

implementing sheltering as a PAR. Planning PBNP tTrack IDs CA053364 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-006.2 Revise appropriate Eps and EPiPs to allow Emergency 4Q03 25-Feb-04 1Q04 Copy of Index reflecting changed discussion of sheltering. Planning PBNP EPs and EPIPs.

tTrack IDs CA053364 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-006.3 Conduct briefing on changes to allow Emergency 4Q03 25-Feb-04 1Q04 Copy of briefing material.

discussion of sheltering. Planning PBNP tTrack IDs CA053364 Page 212 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-006.4 Meet with PBNP Dose/PAR Coordinators to Emergency 4Q03 25-Feb-04 1004 Copy of Dose/PAR coordinators' discuss when to specifically recommend Planning PBNP recommendation(s).

sheltering to the state and county.

tTrack IDs CA055679 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-09-006.5 Meet with State of Wisconsin, State of Emergency 1004 25-Feb-04 1Q04 Copy of Meeting Minutes.

Minnesota, Prairie Island, and KNPP EP Planning PBNP personnel to discuss specifically recommending sheltering and including the recommendation on the NARS form.

tTrack IDs CA055680 Page 213 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C3B CAP# 031160 Plan Type Commitment Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

Improve CAP Action Request Screening and Prioritization, Operability Determination and Problem Reporting Action Plan Number: OP-10-001 Problem Statement: (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.

Causal Factors: 1 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 Deteriminations have lacked rigor and have needed to be revised.

Obiectives 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.

3 Senior plant management owns CAP screening.

Action SteDs Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.1 Revise the CAP AR screening process to Performance 14-Feb-03 2Q03 Documented screening criteria.

provide clear focus on the most significant Assessment items based upon nuclear safety and risk.

tTrack IDs CA030558 Number Action Step Action Step Owner Group Start Date Comp Date Due Date 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 Assessment and on CAP program elements.

tTrack IDs OTH028137 Page 214 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.3 Provide tools to aid in CAP Screening. Performance 14-Feb-03 2Q03 Issued workflow/decislon-making Assessment chart.

tTrack IDs CA030558 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.4 Communicate the new CAP screening Performance 14-Feb-03 2Q03 Intemal memo from Site VP.

practices and reasoning to site personnel. Assessment tTrack IDs CA030558 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 09-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 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.6 Perform benchnmarking of screening Performance 15-Apr-03 2Q03 Documented assessment report.

improvements. Assessment tTrack IDs OTH028220 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.7 Assess the effectiveness of the CAP Nuclear 2Q03 30-Jun-03 2Q03 Issued effectiveness review report.

Screening Team during the 2nd quarter of Oversight 2003.

tTrack IDs OTH029052 l#Resource l -#Persons.. lrs Per Person . Comments -

I I 300140 3007 1 1 r 20 Page 215 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 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 12-Dec-03 4Qo3 Issued effectiveness review report.

Team during the 41h quarter of 2003. Oversight tTrack IDs OTH028136 Resource, Persons Hrs Per Person Comments 300140 3007 1 20 Number Action Step Action Step Owner Group Start Data Comp Date Due Date Deliverable Owner OP-10-001.9 Develop a Conditions Adverse to Quality Performance 2Q03 09-Jan-04 1Q04 Published status report.

status report. Assessment tTrack IDs CA030564 Resource -l Persons l Hrs Per Person Comments 300380 3009 2 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.10 Brief Operability Determination expectations & Plant Manager 14-May-03 2Q03 Completed record of briefing.

requirements with Shift Managers at monthly meeting.

tTrack IDs CA030565 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.11 Implement the NMC Fleet Operability Engineering 2Q03 10-Sep-03 3Q03 Fleet Procedure record of Determination p!ocedure. Programs acceptance.

tTrack IDs CA030567 Resource . Persons Hrs Per Person Comments 300150 3004 50 4 300160 3004 54 4 300160 3004 2 120 Page 216 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.12 Provide Operators and Engineers training on Training 2Qo3 22-Aug-03 3Q03 Completed training record.

the Operability Determination process.

tTrack IDs OTH029032 Resource # Persons Hrs Per Person Comments 300020 3005 50 2 3001303005 1 40 X 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 Assessment 14-Mar-03 2Q03 Completed plans.

reinforce reporting of problems.

tTrack IDs OTH028195, OTH028196, OTH028197, OTH028198, OTH028200, OTH028201, OTH028202, OTH028203, OTH028204, OTH028205, OTH028206, OTH028207. OTH028208 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.13.A As follow-up to Step OP-10-001.13. provide a Assessment 3Q03 23-Oct-03 4Q03 E-mail showing plant group identified reinforcement of problem identification in Action Step OP-10-001.13 expectations to the site. acknowledgement of distributed message.

tTrack IDs CA031696 lResource # Persons l Hrs Per Person I Comments . - l 300380 3009 1 1 1 10 Page 217 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 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 1004 2Q04 Assessment report effectiveness of the screening process Assessment (assessment is to include review for Level 'A' event misclassification, and percentage of Level ABE events properly categorized).

tTrack IDs EFR030568

[ Resource . #Persons. Hrs Per Person Comments 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-001.15 Perform an effectiveness review of ODs via Engineering 3Q03 20-Feb-04 1Q04 Completed Effectiveness Review the QRT process and report results to Senior Design Report.

Management.

tTrack IDs EFR031948 Resource l # Persons Hrs Per Person . , Comments w .

1 300170 3004 1 1 1 20 Page 218 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C38 CAP# 031160 Plan Type Improvement Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

CAP Activity Completion Prior to Due Date and Backlog Minimization Action Plan Number: OP-10-002 Problem Statement: Corrective Actions have not been timely.

Causal Factors: 1 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.

Oblectivos: 1 Reduce the number of overdue and extended CAP actions.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.1 Provide status updates to CARB on overdue Performance 1Q03 28-Feb-03 2Q03 Standard CARB agenda item for CAP Activities. Assessment overdue CAPs.

tTrack IDs OTH028161 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.2 Develop and communicate Management Site VP & ECP 1Q03 28-Feb-03 2Q03 NMP 2003-0153 issued.

Expectations regarding overdue items and due date extensions.

ItTrack IDIs OTH029862 Page 219 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.3 Establish a CAP Overdue Clock Performance Performance 1Q03 28-Feb-03 2Q03 Performance Indicator established.

Indicator. Assessment tTrack IDs OTH029866 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 1Q03 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 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.5 Conduct Root Cause Evaluation revision Engineering 1Q03 08-Jul-03 2Q03 See Action Plan Step OR-07-002.18 associated with lack of bias toward action. associated with the streaming analysis performed from SOER 02-

04. This step considered closed to avoid duplicate tracking.

tTrack IDs N/A Number Action Stop 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 1Q03 07-Mar-03 2Q03 Provide documentation for item backlog. Processes implementing the backlog reduction of open CAP action items.

tTrack IDs OTH028170 Page 220 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner DP-10-002.7 Reduce CAP backlog In Engineering. Engineering 1Q03 2Q04 Completed backlog reduction plan.

Processes tTrack IDs CA031697 Resource #Persons Hrs Per Person Comments.

300150 3004 33 6 300160 3004 j 40 9 300170 3004 35 25 300180 3004 J 12 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.8 Review backlog of Level ECU & 'D' CAPs and Performance 1Q03 26-Jun-03 2Q03 Documented review of backlog.

reduce backlog. Assessment tTrack lDs CA030579 Resource # Persons Hrs Per Person Comments 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 27-Jan-04 1004 Documented effectiveness review Assessment report.

tTrack IDs EFR030580 l Resource # Persons - Hrs Per Personl Comments 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.10 Perform an effectiveness review on the CAP Performance 4Q04 Completed effectiveness review Performance Indicator associated with Due Assessment report.

Date Extensions.

tTrack IDs EFR055311 Page 221 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-002.1 1 Evaluate the results of EFRO30580 with CARB Performance 18-Feb-04 1Q04 CARB Meeting Minutes and followup and determine what actions are needed to Assessment actions, if required.

continue improvements in this area.

tTrack IDs CA055254 Page 222 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C 3B CAP# 031160 Plan Type Improvement Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

Effective CAP Monitoring Action Plan Number: OP-10-003 Problem Statement: CARB has not effectively provided oversight and monitoring of the Corrective Action Program.

Causal Factors: I CARB has not focused on overall CAP performance 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.

Oblectives: 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 Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.1 Develop a CARB Charter. Standardize CARB Performance 12-Mar-03 2Q03 Approved and published CARB meeting agenda. Assessment charter. Published standard meeting agenda.

tTrack IDs OTH028161 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-003.2 Provide CARB member briefing covering key Performance 20-May-03 2Q03 Documented record of briefing.

CAP elements and their role in the oversight of Assessment the program.

tTrack IDs OTH028167 Page 223 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.3 Review and revise performance indicators. Performance 20-May-03 2Q03 CAP Performance Indicators issued.

Assessment tTrack IDs OTH028210 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 1Q03 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. Completion of substeps OP-10-003.4.A through D.

tTrack lDs OTH029055, OTH029056, OTH029057, See Substeps Resource l Persons Hrs Per Persons , Comments, ,

3001403005 5 120 10permonth Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.4.A Assess the quality of corrctive actions for the Nuclear 2Q04 2Q04 Issued Assessment Reports and first quarter of 2004. Results presented to Oversight (PB) documentation of presentations in CARB. CARB meeting minutes.

tTrack IDs CA054209 l Resource ' Persons Hrs Per Person [ . Comments 300140 3005 5 120 110permonth Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-003.4.B Assess the quality of corrective actions for Nuclear 3Q04 3Q04 Issued Assessment Reports and the second quarter of 2004. Results Oversight (PB) documentation of presentations in presented to CARB. CARB meeting minutes.

tTrack iDs CA054210

[ Resource l: # Persons lHrs Per Person l Comments 3001403005 l 5 l 120 10permonth Page 224 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.4.C Assess the quality of corrective actions for Nuclear 4Q04 4Q04 Issued Assessment Reports and the third quarter of 2004. Results presented Oversight (PB) documentation of presentations in to CARB. CARB meeting minutes.

tTrack IDs CA054211 l Resource #Prsons Hrs Per Person l Comments l 300140 3005 5 120 0 per month Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.4.D Assess the quality of corrective actions for Nuclear 1Q05 1Q05 Issued Assessment Reports and the fourth quarter of 2004. Results presented Oversight (PB) documentation of presentations in to CARB. CARB meeting minutes.

tTrack IDs CA054212 Resource # Persons lHrs Per Person Comments l 300140 3005 5 120 10 per month 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 22-Jan-04 1Q04 Completion of substeps OP information to CARB on a periodic basis Assessment 003.5A through D and cration of through 4th qtr 2004. new step to track presentation to CARB for 2004 information.

tTrack IDs See Substeps Resource.l # Persons Hrs Per Person - Comments, ;

300380 3005 3 48 14 per month Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.5.A Improve the Value added by Quality Checks by: Assessment 15-Apr-03 1Q04

1) Reducing the backlog

2) Better communicating problems noted during Quality Checks to the Leadership Team

3) Clarify Quality Check guidance to ensure empasis is placed on CAPs that reflect Conditions Adverse to Quality tTrack IDs OTH028539 Page 225 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.5.B Present corrective Action rejection information Assessment 26-Jun-03 3Q03 A copy of the Quality Check to CARB, 2nd Quarter. rejection rate Indicator and a copy of the CARB Minutes tTrack IDs OTH029058 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.5.C Present corrective Action rejection information Assessment 3Q03 10-Oct-03 4Q03 A copy of the Quality Check to CARB, 3rd Quarter. rejection rate indicator and a copy of the CARB Minutes tTrack IDs OTH029059 Number Action Step Action Step Owner Group Start Data Comp Date Due Date Deliverable Owner OP-10-003.5.D Present corrective Action rejection information Assessment 4Q03 22-Jan-04 1Q04 A copy of the Quality Check to CARB, 4th Quarter. rejection rate indicator and a copy of the CARB Minutes tTrack iDs OTH029060 Number Action Step Action Step Owner Group Start Date Comp Date 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 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.7 ImDlement a method for monitoring the qualitv Nuclear 30-Aor-03 2Q03 Results documented in CARB

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

of corrective actions. Present the 1Q2003 Oversight (PB) meeting minutes.

results to CARB.

tTrack IDs OTH028185 Page 226 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.8 Present corrective action rejection data to Performance 15-Apr-03 2Q03 CARB meeting minutes record CARB. Assessment presentation.

tTrack IDs OTH028186 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 Performance 01-Apr-03 2Q03 Approved Quarterly Trend Report basis and include in CAP Trend Reports. Assessment containing SIPR data.

tTrack IDs OTH028209 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.10 Assess the effectiveness of CARB in Nuclear 2Q03 1Q04 Completed effectiveness report.

monitoring the health of the CAP and promoting Oversight line ownership of the CAP (after the new CARB process implemented).

tTrack IDs EFR030582 l-Resourceo l #Persons& lHrs PrPerson -:Comments - _

300140 3005 1 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.11 Present the CAP activity rejection rate Performance 2Q04 1Q05 Completion of substeps OP information to CARB for first through fourth Assessment 003.11.A through D.

quarters 2004.

tTrack IDs See Substeps l; Resource I - # Persons. lHrsPerPrsonl Comments 300380 3005 l 3 1 48 14 per month Page 227 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-003.11.A Present first quarter 2004 corrective action Performance 2Q04 2Q04 A copy of the Quality Check rejection information to CARB. Assessment rejection rate indicator and a copy of the CARB minutes.

tTrack IDs CA054215 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-003.11.B Present second quarter 2004 corrective action Performance 3Q04 3Q04 A copy of the Quality Check rejection information to CARB. Assessment rejection rate indicator and a copy of the CARB minutes.

tTrack IDs CA054216 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 0-003.11 .C Present third quarter 2004 corrective action Performance 4Q04 4Q04 A copy of the Quality Check rejection information to CARB. Assessment rejection rate indicator and a copy of the CARB minutes.

tTrack IDs CA054217 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1i0-003.11.D Present fourth quarter 2004 corrective action Performance 1Q05 1Q05 A copv of the Qualily Check rejection information to CARB. Assessment rejection rate indicator and a copy of the CARB minutes.

tTrack IDs CA054218 Page 228 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 30C3B CAP # 031160 Plan Type C~ommitment Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

CAP Resolutions Effectively Address Problems Action Plan Number: OP-10-004 Problem Statement: Corrective actions do not always resolve problems.

Causal Factors: I Some corrective actions taken have not resolved the identilied 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.

Obloctives: I A Technical Review Panel is established (and in place until the Site VP and Plant Managment agree the need no longer exists) to review selected corrective actions to ensure the actions taken effectively 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 (CAP).

4 Corrective Action Program Improvements have led to timely corrective actions that resolve problems.

5 Managers monitor and Improve the health of the CAP Program at a station and an Individual department level.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.1 Develop a method to assign an 'Issue Owner' Assessment 28-Feb-03 2Q03 CAP Screening Team guidance form.

to significant issues.

tTrack IDs OTH-028191 Number Action Step Action Step Owner Group Start Date Comp 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-prioritize the item. Assessment tTrack IDs OTH028171. 0OT1028172, OTH028173. OTH028174, OTH028175. OTH028176, OTH028177, OTH028178, OTH028179. OTH028180. OTH028181, OTH028182. OTH028183 Page 229 of 489 Page29o 489Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.3 Conduct a Stream Analysis of the Corrective Performance 08-Apr-03 2Q03 Documented CAP Stream Analysis Action Program issues. Assessment results.

tTrack IDs OTH028169 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.4 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 Number Action Step Action Step 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 LPARP. or issued revision of that plan against program changes and lesson plan.

improvements. Revise as required.

tTrack IDs OTH028218 Number Action Step 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 Check to the Assessment quality check Information and copy CARB. Clarify Quality Check guidance to of CAP performance indicator for ensure emphasis is placed on CAPs that quality check.

involve CAQs.

tTrack IDs OTH028539 Page 230 of 489 Effective Date: 2-27.04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.7 Create a technical panel to perform a multi- Assessment 2Q03 15-Apr-03 2Q03 Documentation of Technical Review discipline review of the Corrective Actions Board.

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.

tTrack IDs OTH029030, OTH029031 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.8 Develop desktop guide to assist supervisors Performance 2Q03 14-Jul-03 3Q03 Desktop guide issued.

and CAP Liaisons in the review and closeout Assessment of corrective actions.

tTrack IDs CA030586 l Resource; - #Persons, Hrs Per Person l Comments -

300380 3009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.9 Conduct briefing to improve Apparent Cause Performance 2Q03 14-Aug-03 3Q03 Briefing attendance records.

Evaluation and Condition Evaluation Assessment awareness.

tTrack IDs CA030587 Resource - . # Persons.. . . Hrs Per Person . - .-: Comments . l 300270 3005 15 2.5 300270 3005 50 2.5 300380 3009 1 120 Page 231 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.10 Assess feedback from CAP Key Element and Performance 2Q03 30-Jul-03 3Q03 Documentation of feedback Roles & Responsibilities briefing provided to Assessment assessment and any necessary station personnel. CAP changes implemented.

tTrack IDs CA030588 Resource #Persons lHrs Per.Person l Comments' 300380 3009 1 60 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 4Q03 22-Dec-03 4Q03 Assessment report.

by Maintenance. Programs &

Facilities tTrack IDs CA031300 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-004.12 Perform an effectiveness review (including Performance 1Q04 2Q04 Documented effectiveness review validation of effectiveness of Technical Assessment report.

Review Panel, Issue Managers, and station personnel awareness of their roles and responsibilities in CAP). Employee surveys are to be used as a method of validation.

tTrack IDs EFRO31301 Resource . # Persons Hrs Per Person 'Comments 3003803009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.13 Provide hands-on workshops of t-Track as Performance 2Q03 09-Jan-04 1Q04 Attendance lists.

familiarization to personnel who request Assessment workshop attendance.

tTrack IDs CA031698 Page 232 of 489 Effoctivo Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C3B CAP # 031160 Plan Type Commitment Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

CAP Trending Action Plan Number: OP-10-005 Problem Statement: Trend coding and trend analyses have not been used effectively to identify and correct adverse trends.

Causal Factors: 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.

Oblectives: i CAP Trend Reports reflect station peformance and identify potential adverse trends.

2 CAP Trend Reports are used by station managers and supervisors to resolve emerging issues.

Action Stevs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.1 Develop a method to address the CAP AR Performance 24-Feb-03 2Q03 Documented method to address CAP trend coding backlog. Assessment trend coding backlog.

tTrack IDs OTH028138 Number Action Step Action Step 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 IDs OTH029881 Page 234 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-i0-004.14 Perform a follow-up Effectiveness Review to Performance 4Q04 4Q04 Documented effectiveness review ensure that actions taken remain effective. Assessment report.

tTrack IDs EFR055571 Resource #Persons lHrs Per Person Comments; 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.15 Nuclear Oversight assessment of procedure Nuclear 2Q04 Documented assessment report.

compliance and effectiveness of issue Oversight manager program.

tTrack IDs SA055911 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-004.16 Expand CARB membership. Performance 2004 Documented CARB membership Assessment change.

tTrack IDs CA055913 Page 233 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownar OP-10-005.3 Develop a method to trend code CAP ARs in a Performance 24-Feb-03 2Q03 Documented method for trend timely manner. Assessment coding ARs at the front end of the process.

tTrack IDs OTH028138, OTH028150 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-005.4 Identify trigger thresholds for adverse trend Performance 06-May-03 2Q03 Documented thresholds defining identification (E, PM, PO, PC, PR. T) Assessment adverse trend criteria for appropriate departments.

tTrack I~s OTH028139, OTH028140, OTH028141, OTH028142, OTH028143, OTH028144, OTH028145, OTH028146, OTH028147 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 2Q03 Issued 4th Qtr 2002 CAP Trend Report format with CARB using a completed Assessment Report.

Trend Report.

tTrack [Ds OTH028148 Number Action Step Action Stop 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 Page 235 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.7 Improce CAP trending (develop an approach Engineering 02-May-03 2003 Recommendation on how to for acceptance by Senior Management). Equipment implement equipment failure trending.

Determine how to include trending of Performance equipment failures.

tTrack IDs OTH028151 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.8 Provide trend coding and trend analysis Performance 10-Apr.03 2Q03 Briefing attendance sheets.

briefing to CAP Liaisons. Assessment tTrack IDs OTH028157 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 tTrack IDs OTH029028 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 24-Jul-03 3Q03 TAC & CRC process revised.

TAC/CRC processes.

tTrack IDs CA030589 Resourco. - U Persons-. : irs Per Person Comments:

-I 300130 3005 1 1 1 60 Page 236 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.11 Develop process to trend and analyze Engineering 2Q03 16-Feb-04 1Q04 Documented process for trending selected equipment failures. Programs failures of selected equipment types..

tTrack IDs OTH029883 Resource l #Persons lHrs Per Person Comments

300150 3009 1 120 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.11.A Implement process to trend and analyze Engineering 3Q04 3Q04 Completed call-up and initiation of selected equipment failures. Programs CAPs for identified trends, as required.

tTrack IDs CA055572 Resource l- # Persons Hrs Per Person Comments 300160 3004 10 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-005.12 Perform an Effectiveness Review of how well Performance 1Q04 1Q04 Effectiveness review report.

CAP Trend Reports are used by managers Assessment and supervisors to correct emerging issues.

(Review to include assurance that periodic reports are issued and reviewed by plant management and that declining performance trends are identified and actions are taken to correct performance).

tTrack IDs EFR030590 Resource l Persons Hrs Per Person Comments:

3001403007 1 80 Page 237 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownar OP-1 0-005.13 Perform a closeout effectiveness review. Performance 1Q05 1Q05 Documented Effectiveness Review (Review to include assurance that periodic Assessment Report.

reports are issued and reviewed by plant management and that declining performance trends are identified and actions are taken to correct performance).

tTrack IDs EFR055573 Resource #Persons l Hrs Per Person l Comments l 1300380 3005 1 2 1 40 Page 238 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C 3B CAP # 031160 Plan Type Commitment Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

Effective Root Cause Evaluations Action Plan Number: OP-10-006 Problem Statement: Root Cause Evaluations (RCEs) have not been fully effective at improving station performance and preventing some repeat events.

Causal Factors: 1 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 CARB Root Cause quality assessment scoring methodology was not fully effective.

Obiectives: I Average Root Cause Evaluation quality grade is greater than/equal to 80.

2 Reduce recurrent problems through improved root cause quality.

3 Individuals receive instruction to become root cause evaluators and team leaders.

Action SteDs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.1 Establish a Root Cause mentor and strengthen Performance 21-Mar-03 2Q03 RCE charter documenting mentor the RCE Management Sponsor criteria. Assessment and sponsor criteria.

tTrack IDs OTH028187 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 2003 Briefing attendance records.

briefing. Assessment tTrack IDs OTH028188 Page 239 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.3 Promote the use of RCE Teams vice single Performance 1Q03 21-Mar-03 2Q03 Documented in RCE charter.

investigators for significant event investigation. Assessment tTrack IDs OTH028187 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.4 Develop RCE Evaluator certification standard. Performance 1Q03 22-Apr-03 2Q03 Approved RCE certification card.

Assessment tTrack IDs OTH028189 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.5 Develop a defined approach or methodology Performance 1Q03 21-Mar-03 2Q03 RCE Charter template.

for RCE Charter and Scope development. Assessment tTrack IDs OTH028187 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.6 Develop guidance for improved Extent of Performance 1003 29-Aug-03 3Q03 Improved guidance for Extent of Condition assessment. Assessment Condition assessments.

tTrack IDs PCR028386 Resource #Persons -Hrs PerPerson Comments .

300380 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.7 Develop a certification to function as a Root Performance 1Q03 30-Apr-03 2Q03 Approved RCE Team Leader Cause Evaluation Team Leader. Assessment Certification Card.

tTrack IDs CA028119 Page 240 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner 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 IDs CA027792 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.9 Develop station expectation that RCE Performance 1Q03 12-Jun-03 2003 Revised CARB Charter.

Management Sponsor provide periodic Assessment progress updates to CARB of an RCE in progress.

tTrack IDs CA028121 Resource Persons Hrs Per Person Comments R300270 3009 6 C 300380 3009 1 50 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.10 Develop a standard RCE grading Performance 1Q03 21-Mar-03 2Q03 Documented RCE grading criteria.

criteria/checklist for CARB to utilize when Assessment reviewing RCEs.

tTrack iDs CA030591 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.11 Assess recent root cause evaluations to Performance 1Q03 21-Aug-03 3Q03 CAP Self Assessment report.

verify that multi-disciplinary teams are being Assessment used for Root Cause Investigations where appropriate.

tTrack IDs EFR028122 Rosource : l; # Persons - Hrs Per Person l Comments 300380 3009 1 3 1 40 l Page 241 of 489 Effective Data: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.12 During 2004 CAP Self Assessment verify that Performance 1Q04 3Q04 Completed CAP Self Assessment multi-disciplinary teams are being used for Assessment report.

Root Cause Investigations where appropriate.

tTrack IDs EFR028124 Resource. #Persons IHrsPerPrsonI; Comments 300380 3009 3 40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.13 Train personnel on equipment root cause Engineering 2Q03 16-Jun-03 2Q03 Completed training records or evaluation approach/procedure. Processes briefing sheets.

tTrack IDs OTH029029 Resource # Persons l Hrs Per: Person Comments .

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 Training 2Q03 3Q04 Training lesson plan developed.

course for Root Cause Evaluators.

tTrack IDs CA030592 R ourco

- Persons, -. Hrs Per Person Comments 300130 3005 1 80 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-006.15 Perform a closeout effectiveness review Performance 4004 4Q04 Documented effectiveness review (independent assessment). Assessment report.

tTrack IDs EFR055574 Resource # Persons Hrs Per Person Comments 100000 1000 2 40 300380 3005 1 40 300380 3009 1 40 Page 242 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C 3B CAP# 031160 Plan Typo Improvement Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status In Closure Action Plan

Title:

CAP Action Request (AR) Feedback Action Plan Number: OP-10-007 Problem Statement: Problems and issues dispositioned under the CAP have not been well communicated to station personnel when they have requested it.

Causal Factors: 1 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 roles & responsibilities.

3 Personnel who request feedback during the evaluation are not always contacted.

Obiectives: 1 Personnel are aware of their roles and responsibilities within the Corrective Action Program (CAP).

2 The CAP Initiator is contacted when a CAP is closed with no action and the CAP Initiator requested feedback.

3 A process is established for providing feedback for problems and issues dispositioned under the Corrective Action Program (CAP).

Action Steos:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-007.1 Develop a protocol to Improve feedback to the Assessment 1003 28-Feb-03 2003 Management expectations CAP initiator and communicate to employees. documented for the CAP Screening Team to provide feedback.

tTrack IDs OTH028168 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-007.2 Conduct briefing for individual contributors Performance 1Q03 20-Jun-03 2Q03 Documentation of briefing covering the key elements of the CAP and Assessment attendance.

their rolestresponsibilities.

tTrack IDs OTH028216 Resource l # Persons - Hrs Per Person l : , . Comments .-

300130 3006 1 40 300380 3009 2 120 Page 243 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-007.3 Develop/implement an approach to promote the Performance 1003 23-May-03 2Q03 Summary of actions taken to assist long-term benefits of the CAP to the end user. Assessment with promoting the CAP.

tTrack IDs OTH028537 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-007.4 Communicate/advertise success stories. Performance 2Q03 29-Jul-03 3Q03 Documentation of success stories Assessment communicated.

tTrack IDs CA030595 Resource - #Persons. HrsPerPerson . Comments,. l 300380 3009 2 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-007.6 Perform an Effectiveness Review. Performance 4Q03 03-Dec-03 4Q03 Documented effectiveness review Assessment report.

tTrack IDs EFR030596

3Resourc; 3 I Persons 2

, ., P Person MC................

Comments

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1300380 3009 1 2__ 40-s0$"

Page 244 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C3B CAP# 031160 Plan Type Improvement Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status In Closure Action Plan

Title:

CAP Effectiveness Reviews Action Plan Number: OP-10-008 Problem Statement: CAP effectiveness reviews of completed corrective actions have not always been consistent.

Causal Factors: 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.

Oblectives: I Implement a method for ensuring that effectiveness reviews are consistently conducted.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-008.1 Assess existing guidance for adequate detail Performance 1Q03 21-Jul-03 3Q03 Documented assessment.

to conduct RCE effectiveness reviews. Assessment tTrack IDs OTH028530 ResourceOi!- ^I#Peorsons , HrsPerPerson. Comments - .

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 1Q03 04-Apr-03 2Q03 Issue workflowldecision-making issues identified by CAP screen team that are Assessment chart.

not root cause evaluations are verified by an effectiveness review when warranted.

tTrack IDs OTH028193 Page 245 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-008.3 Perform an effectiveness review. Performance 4Q03 17-Dec-03 4Q03 Documented effectiveness review Assessment report.

tTrack IDs EFR031302 Resource. . # Persons Hrs Per Person Comments I 3 .. 3 . 2 . . - I . .. . .: . . .

1300380 3009 1 2 1 40 Page 246 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority I 3C 3B CAP# 031160 Plan Typo Improvement Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

CAP Assignments are Based on Knowledge and Skill Action Plan Number: OP-10-009 Problem Statement: CAP performance needs improvement because some departments have not fully implemented the CAP liaison concept.

Causal Factors: 1 Several departments do not have a CAP Liaison 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.

Oblectives: I Appropriate departments have a fully certified CAP Liaison.

Action Steps:

Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-009.1 Develop and implement a CAP Liaison Performance 1Q03 22-May-03 2Q03 CAP Liaison certification standard.

certification standard. Assessment tTrack IDs OTH028213 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-009.2 Clarify CAP Liaison roles and responsibilities. Performance 1Q03 22-May-03 2Q03 Documented CAP Liaisons roles and Assessment responsibilities.

tTrack IDs OTH028213 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-009.3 Identify gaps In CAP Liaison coverage and Assessment 1Q03 22-May-03 2Q03 CAP Liaison gaps identified and develop plans to fill gaps where appropriate. plans completed.

tTrack IDs OTH028548, OTH028549. OTH028565 Page 247 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner DP-10-009.4 Identified departments to fill CAP Liaison gaps. Assessment 2Q03 21-Jul-03 3Q03 Department CAP liaisons assigned.

tTrack IDs OTH029899, CA027787, CA031305 Resource # Persons Hrs Per Person Comments 300040 3009 1 40 300210 3009 1 40 300350 3005 1 40 300360 3009 . 1 40 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner DP-10-009.5 Review CAP Liaison positions for gaps to Assessment 2Q03 08-Jul-03 3Q03 See Action Step OP-10-009.4. This ensure adequate support and coverage of the item is considered dosed to avoid CAP. duplicate tracking.

tTrack IDs NIA Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner DP-10-009.6 Assess progress of CAP Liaisons certification. Performance 2Q04 3Q04 Assessment Report Assessment tTrack IDs EFR031303 Resource - Persons Hrs Per Person - Comments. .

300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-009.7 Provide new CAP Liaisons with expectations Performance 3Q03 28-Aug-03 3Q03 Meeting minutes.

and certification cards at an indoctrination Assessment meeting.

tTrack IDs CA031840

. Resource - Persons lHrs Per Person : . Comments .

300040 3004 1 2 i 300210 3004 1 2 300350 3008 1 2 300380 3009 1 10 I I Page 248 of 489 Effective Data: 2-27-04

PBNP Excellence Plan Revision 2 Page 249 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3C 3B CAP # 031808 Plan Type Commitment Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

Operating Experience (OE) Improvement Plan Action Plan Number: OP-10-010 Problem Statement: Operating Experience (OE) has not been effectively used to prevent events and improve station performance.

Causal Factors: 1 Expectations have not been communicated or reinforced that OE is part of our core business.

2 OE data is spread between two databases.

3 There is no procedure for plant personnel to acquire OE nor any documented expectation for its use.

4 The implementing procedure for processing OE lacks sufficient detail.

Obiectives: 1 Expectations are clearly communicated.

2 OE is contained within a single database.

3 Procedures for acquiring and processing OE are issued.

4 OE data is effectively used to improve the quality of work.

Action Stops:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.1 Develop and implement a new external Assessment 4Q03 10-Jan-04 1Q04 Approved Procedure Operating Experience Procedure that specifies roles and responsibilities and details of the OE program and process.

tTrack IDs CA029464 Resource. l # Persons Hrs Per Person Comments 300020 3005 1 6 300140 3005 1 20 300160 3004 1 6 300270 3009 1 10 300380 3005 1 120 Page 250 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.2 Cancel AM 3.13. Assessment 4Q03 26-Dec-03 1004 Canceled AM 3.13 tTrack IDs CA030600 Resource # Persons Hrs Per Person Comments 300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.3 Establish Operating Experience Points of Assessment 3Q03 29-Jul-03 3Q03 OEPOCs established and briefing Contact (OEPOC) and brief the OEPOCs on documented.

their duties.

tTrack IDs CA030601 Resource # Persons Hrs Per Person Comments 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 Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.4 Develop a procedure on the acquisition and Assessment 4Q03 08-Jan-04 1Q04 Approved Procedure expectations for use of OE.

tTrack IDs CA029465 Resource I-: # Persons . lHrs Per Person l - Comments 662LTECH 1 1 40 300380 3005 1 40 Page 251 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.5 Once established, the OEPOC will conduct a Assessment 3Q03 19-Aug-03 3Q03 Briefing documented.

briefing for their respective groups on the OE action plan and the role of the OEPOC.

tTrack IDs CA031759 Resource . Persons Hrs Per Person Comments 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 Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.6 Conduct an assessment of the use of Maintenance 2Q03 13-Aug-03 3Q03 Copy of the Assessment Report.

Operating Experience in the development of Programs &

Maintenance work plans. Facilities tTrack IDs CA030602 l Resource l Persons Hrs Per Personl: ':.- Comments: -

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 3Q03 22-Jan-04 1Q04 Revised and issued NP 10.2.1.

planners to search for and use OE in the work Planning NP10.2.2, NP10.2.4 plans tTrack IDs CA030603 l Resource . #Persons - Hrs Per Person l . : Comments -

3I 41. . . I0. ..

300040 3004 1 1 90 I Page 252 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.8 Brief the planners on the new standards for Maintenance 1004 21-Jan-04 1Q04 Briefing documented.

work packages. Programs &

Facilities tTrack IDs CA030604 Resource' #Persons l Hrs Per Person Comments 300050 3005 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 1Q04 Accessible OE web page tTrack IDs OTH028689 Resource # Persons Hrs Per Person Comments . .

662LTECH 1 90 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.10 Implement a structured process for acquiring Assessment 4Q03 07-Jan-04 1Q04 Documented procedure or guideline.

and disseminating OE for major work week activities.

tTrack IDs CA030605 J! -Resourcoe #Persons l IHrsPer Personl'. = Comrnonts - .:

1300380 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 10-Jan-04 1Q04 Documented assessment.

the DPM and POD.

tTrack IDs CA030606 Resource l # Persons - -l Hrs Per Person l - Comments : . I 300380 3005 1 1 40 Page 253 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.12 Improve the software interface to INPO Business l/T 3Q03 25-Nov-03 4Q03 Completed Software Work Request.

newsgroups. Support &

Infrastructures tTrack IDs CA030607 l Resource - # Persons Hrs Per Person l Comments 3002203008 1 60 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 2Q03 12-Aug-03 3Q03 Assessment report Operating Experience in the conduct of Programs &

Maintenance pre-job briefings. Facilities tTrack IDs CA030608 Resource Persons Hrs Per Person l - Comments 300050 3009 3 8 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 08-Jan-04 1Q04 Revised procedure.

ensure that significant SOERs are living documents that are systematically revisited tTrack IDs CA030610 Resource l#Persons.

P , IHrsPerPersonl. Comments 300380 3005 140 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 Assessment 2Q03 03-Sep-03 3Q03 Open OE is available in t-Track.

for the tracking of OE.

tTrack IDs CA030611 Resource # Persons Hrs Per Person Comments 300220 3008 1 120 300380 3005 1 40 Page 254 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.16 Develop and implement a communication plan. Assessment 4Q03 15-Dec-03 4Q03 Documented Communication Plan.

tTrack IDs CA030612

'Resource l Persons lHir Per Person lComments 300380 3005 1 25 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverablo Owner OP-10-010.17 Generate a Request for Training (RFT) to Assessment 1Q04 08-Jan-04 1Q04 Completed RFT evaluate OEPOC training and end user training.

tTrack IDs CA030613 Resource l. Persons lHrs Per Person l Comments 300380 3005 1 5 Number Action Step Action Step Owner Group Start Dato Comp Date Due Date Deliverable Owner OP-10-010.18 Revise the fleet OE procedure to strengthen Assessment 4Q03 17-Dec-03 4Q03 Revised procedure.

the guidance on when to send OE out to the industry.

tTrack IDs CA030614 l Resource l #Persons -. HrsPer Personl Comment. l 300380 3005 1 5 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.19 Conduct an effectiveness review. Assessment 2Q04 2Q04 Documented effectiveness review.

tTrack IDs CA030615 Resource . # Persons IHrs Per Person Comments I

1 300380 3005 1 3 1 40 Page 255 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.20 Develop a performance indicator which Assessment 4Q03 08-Jan-04 1Q04 Documented performance indicator measures evaluation quality. and requirements for monitoring.

tTrack IDs CA031912 Resource # Persons Hrs Per Person l Comments, 300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.21 Determine improvements required for the OE Assessment 1Q04 17-Feb-04 1Q04 Completed condition evaluation and disseminated through the POD. submitted form PBF-0133b to ensure followup actions to this plan occur, if required.

tTrack IDs CE012966 l Resource ' Persons lHrs Per Person l Comments -

300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.22 Implement a new electronic method for access Maintenance 1Q04 3Q04 Documentation of Maintenance use of OE for pre-job briefs for Maintenance. Services of OE during pre-job briefs.

tTrack IDs CA032717 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-010.23 Perform an effectiveness review of the Assessment 1Q05 1Q05 Documented effectiveness review.

implementation of CA032717 within the Maintenance organization as well as effectiveness of this plan.

tTrack IDs EFRO55188 Page 256 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-o0C 0.24 Revise NP 5.3.11 to ensure that: Assessment 1004 2004 Revised NP 5.3.11.

- Topical OE is presented to the Managers at the POD.

- Job specific OE is presented prior to the E-5 meeting.

- The format for job specific OE includes a section on broader applicability.

tTrack IDs CA055836 Page 257 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3C 6C CAP # 033342 Plan Type Commitment Plan Revision No: 2 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

Improve Effectiveness of Self Assessments Action Plan Number: OP-10-011 Problem Statement: Important elements of the continuous performance improvement process are not effective in driving needed station improvement.

Causal Factors: 1 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 performance.

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 Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.1 Create a change management plan to Assessment 3Qo3 13-Oct-03 4Q03 Approved Change Management Plan.

implement this plan.

tTrack IDs CA030617 l Resource I#Persons IHrs Per Person Comments 300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.2 Validate the scope of this action plan by Assessment 3Q03 11-Aug-03 3Q03 Documented assessment report.

conducting a self assessment of our continuous improvement efforts.

tTrack IDs CA030075 Resource # Persons Hrs Per Person Comments 300140 3007 1 40 300380 3005 1 40 Page 258 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.2.A Following validation of the scope, revise this Assessment 3003 11-Aug-03 3Q03 Revised action plan if required.

action plan if appropriate.

tTrack IIs CA030075 Resource # Persons Hrs Per Person Comments 300380 3005 1 10 Number Action Step Action Step Owner Group Start Dato Comp Date Due Date Deliverable Owner OP-10-011.3 Improve the job observation process. Assessment 2Q03 2Q04 No deliverable required. This is a high level step to capture action steps associated with Job Observation Process Improvements.

tTrack [Os See Substeps Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3.A Delete NP 13.3.1. Assessment 3Q03 26-Nov-03 4Q03 NP 13.3.1 deleted.

tTrack [Os CA028604 eo..I. #Persons ;! . Hrs Per Person .Comments. : .-

3003803005 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3.B Delete NP 13.2.1. Assessment 3Q03 26-Nov-03 4003 NP 13.2.1 deleted.

tTrack IDs CA030618

i. Pac-.-r . I Hi D.n n I Hn: Pnr D--.n i. Pa mmante 308 300-5 1 10 I 1 300380 3005 1 10 II Page 259 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3.C Implement PACE database for job observation Business I/T 2Q03 23-Oct-03 4Q03 Useable common database on PBNP processes. Specific details are documented in Support & LAN.

Change Management Plan 2003-10. Infrastructures tTrack IDs CA028603 Resource # Persons Hrs Per Person Comments 300010 3005 1 40 300020 3007 1 40 300030 3005 1 40 300050 3005 1 1 40 300220 3008 1 40 300380 3005 1 40 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Ownnr OP-10-011.3.D Perform an effectiveness review of site Assessment 1Q04 2Q04 Documented effectiveness review.

leadership observation programs.

tTrack IDs CA028467 Rosourcoe. #Persons Hrs Per Person Comments 300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3.E Develop Change Management Plan for PACE Assessment 2Q03 12-Sep-03 3Q03 Approved Change Management Plan.

implementation.

tTrack I~s CA030227 Resource.' . # Persons Hrs Per Person ', Comments-,

300220 3008 1 40 300380 3005 1 40 Page 260 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.3.F Issue Point Beach Site Observation Program, Assessment 4Q03 26-Nov-03 4Q03 NP 13.6.1 issued. NP shall include a NP 13.6.1. definition of standards, expectations, trending, and reporting of observations.

tTrack IDs CA052990 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-011.4 Improve the benchmarking process. Assessment 2Q03 2Q04 No deliverable required. This is a high level step to capture action steps associated with Benchmarking Process Improvements.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-011.A.A Develop a benchmarking procedure. Assessment 4Q03 07-Jan-04 1Q04 Issued procedure.

tTrack IDs CA028607 l Resource-: l::#Persons: Hr PerPerson l Comments' . .

I ..ron I. Per Perso 300380 3005 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.4.B Develop a performance indicator for Assessment 4Q03 07-Jan-04 1Q04 Approved Performance Indicator.

benchmarking.

tTrack IDs CA030619 Resource - - # Persons Hrs Per Person_ Comments

.,. I 1300380 3005 1 1 10 _ I Page 261 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.4.C Perform benchmarking effectiveness review. Assessment 2Q03 2Q04 Documented effectiveness review.

tTrack IDs CA028465 l Resource l Persons .Hrs Per Personl. - Comments .

300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.4.D Revise NP 13.1.1 to eliminate requirement for Assessment 2Q03 12-Feb-04 2Q04 NP 13.1.1 revision trip report for benchmarking since benchmarking report Is required.

tTrack IDs CA030621 Resource #Persons lHrs Per Person l Comments-300380 3005 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5 Improve the focused self assessment process. Assessment 2Q03 2Q04 No deliverable required. This is a high level step to capture action steps associated with Self Assessment Process Improvements.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5.A Revise NP 13.1.1 to include additional detail on Assessment 4Q03 13-Feb-04 1Q04 NP 13.1.1 revision.

the conduct of self assessments.

tTrack IDs CA028605

l. Resource #Persons: 1HrsPerPerson - : Comments .

300380 3005 1 40 Page 262 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5.B Revise AM 3-6 to reflect changes to PB self- Assessment 2Q03 2Q04 AM 3-6 revision if needed.

assessment philosophy, if needed.

tTrack IDs CA030622 l Resource. l Persons Hrs Per Person lCommnts . .

300380 3005 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner I OP-10-011.5.C Implement NMC SnapShot self-assessment Assessment 2003 16-Jul-03 3Q03 Procedure issued for performing process. snapshot self-assessments.

tTrack IDs CA030623 Resource # Persons Hrs Per Person - Comments 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 4Q03 2Q04 Procedure issued for performing Review guideline. quarterly effectiveness reviews.

tTrack IDs CA030626 l Resourc . l . #Persons9I. Hrs!orPerson; .Comments.;§ -

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 28-Jul-03 3Q03 Memo issued.

assessments.

tTrack IDs CA030627 Resource . -.# Persons Hrs Per Person Comments . . . I 300380 3005 1 1 20 Page 263 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.5.F Develop a process for site leadership review Assessment 1Q04 2Q04 Documented process.

of completed self-assessments.

tTrack IDs CA030635

.Resource .: # Persons Hrs Per Person [ Comments 300380 3005 2 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6 Maintenance Self Assessment Improvements. Maintenance 1Q03 10-Dec-03 4Q03 No deliverable required. This is a high level step to capture action steps associated with Maintenance Self Assessment Improvements.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6.A Assign a Maintenance Self-Assessment Maintenance 2003 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 responsibilities of the Coordinator.

tTrack IDs CA030628 lResource l Persons Hrs Per Person Comments .

300050 3009 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6.8 Establish and publish the criteria for selecting Maintenance 2Q03 07-Jul-03 2Q03 Copy of the selection criteria.

topics for Maintenance Self-Assessments. Programs &

Facilities tTrack IDs CA030629 Resource # Persons IHrs Per Person Comments -I 300050 3009 1 1 6 Page 264 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6.C Incorporate the Maintenance Self-Assessment Maintenance 3Q03 10-Dec-03 4003 Copy of the applicable section(s) of Program in the Conduct of Maintenance the 'Conduct of Maintenance Manual. Manual".

tTrack IDs CA030630 l:Resource : Persons lIHrs Per Person -Comments I 300050 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6.0 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 IDs CA030632 l Resource # Persons Hrs Per Person Comments l 300050 3009 1 6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.6.E Integrate results of Self Assessments Into the Maintenance 3Q03 10-Dec-03 4Q03 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 Manual".

assessment plan and schedule. Include this In the Conduct of Maintenance Manual.

tTrack lDs CA030634 Resource - Persons l Hrs Per Person l Comments-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 1Q03 3Q04 Process Implemented as required by reporting process. Oversight OR-02-001.6.

tTrack IDs CA030273 Page 265 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-011.8 Establish an expectation that managers Plant Manager 1003 03-Apr-03 2Q03 Plant Manager expectations review the key performance indicators with conveyed at POD and 2C's meetings.

their departments on a monthly basis.

tTrack IDs CA028606 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-011.9 Conduct an effectiveness review of the Assessment 3Q04 4Q04 Completed Effectiveness Review continuous performance improvement process. report.

tTrack IDs EFR030637

[ Resource l # Persons Hrs Per Person Comments l 300380 3005 2 60 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-i0-011.10 Establish a process whereby performance Assessment 3Q04 3Q04 Documented process for indicators relevant to each department are performance indicator review by routinely reviewed by the departmental staffs. department.

tTrack IDs CA055887 Page 266 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 13C 3B CAP # 049956 Plan Type Improvement Plan Revision No: 0 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

Institutionalize Recent CAP Corrective Actions and Improvement Initiatives Action Plan Number: OP-10-012 Problem Statement: Point Beach has implemented several CAP improvements over the past 9 months that have not been institutionalized and identified several other areas for improvement.

Causal Factors' I To accommodate immediate improvements, a number of initiatives were made to the CAP via methods other than approved procedures.

2 Existing CAP procedure contained weaknesses.

Oblectives: 1 Strengthen the CAP to meet industry standards.

2 Recent CAP corrective actions and improvement initiatives are formally institutionalized to assure long-term retention and implementation.

Action Steps:

Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.1 NMC Fleet CAP procedure usage of 'should' Assessment 29-Oct-03 4Q03 Documented review results and versus 'shall' may add too much flexibility to revised NMC Fleet procedure or the process. Review usage of 'should' guide (if required).

versus 'shall' and revise the fleet procedure as appropriate.

tTrack IDs CA052053 Resource ' . # Persons - Hrs Per Person Comments 100000 1000 6 2 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.2 NMC Fleet CAP Significance Level matrix Assessment 29-Oct-03 4003 Revised NMC Fleet procedure or (Attachment 1) provides insufficient guidance guide.

for "moderate' and 'minor' Issues because they are undefined. Provide additional specific examples where appropriate.

tTrack IDs CA052054

- Resource # Persons lHrs Per Person Comments 100000 1000 6 2 300380 3009 2 40 Page 267 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable One.r OP-10-012.3 NMC CAP procedure identifies an NRC Green Assessment 12-Sep-03 3003 Revised NMC Fleet procedure or finding as Level C and implies Non-CAQ. guide.

Revise the NMC CAP procedure to make NRC Green findings a Level B significance level.

tTrack IDs CA052055 Resource l Persons lrs Per Person l Comments 100000 10006 300380 3009 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.4 NMC Fleet CAP procedure provides no Assessment 29-Oct-03 4Q03 Revised NMC Fleet procedure or specific guidance for 'significant." Provide guide.

improved examples for significance level determination in the NMC Fleet CAP procedure, recognizing both event and process driven classifications where appropriate.

tTrack IDs CA052056

. .Resurc. .# Persons.!,

Hrs Per Person-:.-: . -Cm et 100000 1000 6 2 300380 3009 2 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-0112.5 Determine whether independent and inter- Assessment 12-Sep-03 3Q03 Documented basis for disciplinary RCE Teams should be procedurally determination. Revised procedure required by the NMC Fleet CAP procedure or or guide (if required).

NMC RCE Manual.

tTrack IDs CA052057 Resource # Persons Hire Per Person Comments 100000 1000 6 2 300380 3009 2 30 Page 268 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.6 The NMC Fleet CAP procedure guidance for Assessment 3Q03 04-Sep-03 3Q03 No deliverable required. This is a performing an ACE and the additional high level step to capture all action expectations for performing an ACE are not steps associated with ACE consistent. guidance.

tTrack lDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.6.A Determine training and qualification Assessment 2Q04 Documented ACE training and requirements for conducting ACEs and qualification requirements.

formalize.

tTrack IDs CA052058 Resource # Persons . Hrs Per Person l Comments 100000 1000 6 1 2 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.6.B Review and revise the ACE performance Assessment 12-Sep-03 3Q03 Revised NMC Fleet procedure.

resource requirements within the NMC Fleet procedure.

tTrack I~s CA052059 Resource . ;.# Persons.. -Hrs Per Person Comments i :

100000 1000 6 2 300380 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.7 Determine a method to allow trend codina Assessment 2004 Documented resolution of multiDle multiple inappropriate actions. trend coding capability.

tTrack IDs CA052060

-Resource . . # Persons Hirs Per Person : . . Comments.

100000 1000 3 120 300380 3009 1 30 Page 269 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.8 Department goals are not used consistently Assessment 02-Feb-04 1Q04 Approved guidance for for CAP trend report development. Develop development, content and format for consistent expectations for trending and trend CAP Trend Reports.

report development.

tTrack IDs CA052061 l Resource #Persons lHrs Per Person Comments- -

300380 3009 2 20 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.9 Review the NMC Fleet CAP procedure Assessment 29-Oct-03 4Q03 Documented results of review.

requirements for due date extensions and Revised NMC Fleet procedure or revise procedure to clarify expectations (if guide (if required).

needed).

tTrack IDs CA052062 Resource - #,Persons 'Hrs Per Person Comments 100000 1000 6 2 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.10 Determine whether CAP-related meetings Assessment 29-Oct-03 4Q03 Documented results of review.

(CAP Liaison meeting, CAP Screen Team Revised NMC Fleet procedure or meeting, Technical Review Board meeting, and guide (if required) to address CARB meeting) should be procedurally meeting expectations.

required.

tTrack IDs CA052063 Resource # Persons Hrs Per Person I. Comments 100000 1000 6 2 300380 3009 2 40 Page 270 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Dato Comp Date Due Date Deliverable Owner OP-10-012.11 Review expectations/guidance for CAP Assessment 12-Sep-03 3Q03 Performance Indicator and backlogfinventory and provide clear guidance associated goal.

and goals.

tTrack IDs CA052064 l Resource l Persons Hrs Por Person Comments'.

300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.12 Proceduralize expectations for Root Cause Assessment 3Q03 04-Sep-03 3Q03 No deliverable required. This is a Evaluations - including RCE Charter, grading high level step to capture all action criteria, extent of condition guidance, steps associated with RCE effectiveness reviews, evaluator and team expectations.

leader certifications, and sponsor responsibilities.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.12.A Proceduralize expectations for Root Cause Assessment 12-Sep-03 3Q03 Revised NMC Fleet procedure or Evaluations (RCE) Charter, extent of condition guide.

guidance and grading criteria.

tTrack IDs CA052065 l Resource l: # Persons l Hrs Per Person l I Comments : l 100000 1000 6 1 2 300380 3009 2 1 20 Page 271 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.12.B Proceduralize expectations for Root Cause Assessment 29-Oct-03 4003 Revised NMC Fleet procedure or Evaluations (RCE), effectiveness reviews, guide or Point Beach guide.

evaluator and team leader certifications, and sponsor responsibilities.

tTrack IDs CA052066 Resource Persons rs Per Person Comments 100000 1000 6 2 300380 3009 2 40 Number Action Step Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-012.13 Determine if Work Order process should be Assessment 29-Oct-03 4Q03 Documented results of recognized as a part of the Corrective Action determination. Revised NMC Fleet Program. procedure or guide (if appropriate).

tTrack IDs CA052067

-Resource # Persons Hrs Per Person Comments.

100000 1000 6 2 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.14 Review guidance for assigning evaluations Assessment 29-Oct-03 4Q03 Documented results of review.

and actions for Level A, B and C CAPs and Revised NMC Fleet procedure or revise procedure (if needed) to clarify guide (if appropriate).

expectations - including downgrading criteria.

tTrack IDs CA052068 Resource :

Persons'. Hrs PerPerson : - Comments .

100000 1000 6 2 300380 3009 2 40 Page 272 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable flwner OP-10-012.15 Review CAP Liaison roles and responsibilities Assessment 2Q04 Documented results of review.

and certification requirements. Incorporate Revised NMC Fleet procedure or into procedure, as required. guide (if appropriate).

tTrack IDs CA052069

.Resource l Persons . Hrs Per Person -Comments 100000 1000 I 6 2 300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.16 Incorporate standardized CARB charter into Assessment 12-Sep-03 3003 Revised NMC Fleet procedure.

the NMC Fleet procedure.

tTrack I~s CA052070 Resource #Persons Hrs Per Person Comments 100000 1000 6 1 2 300380 3009 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.17 Review and revise as necessary the Assessment 29-Oct-03 4Q03 Revised NMC Fleet procedure.

timeliness expectation for Priority 4 corrective actions within the NMC Fleet procedure.

tTrack IDs CA052072 Resource l #Persons Hrs Per Pers Comments 100000 1000 6 2 300380 3009 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.18 Review need for Desktop Guide or job aid for Assessment 29-Oct-03 4Q03 Documented results of conducting ACE/CE/CA reviews and determination. Revised NMC Fleet proceduralize if continued use is warranted. procedure or guide (if appropriate).

tTrack IDs CA052071 Resource # Persons Hrs Per Person : Comments 100000 1000 6 1 2 300380 3009 2 40 Page 273 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-012.19 Develop communication plan for Assessment 28-Oct-03 4Q03 Approved communication plan.

communicating CAP procedure changes.

tTrack IDs CA052073 I

Resource . #Persons Hrs Per Person , ; . Comments.

I'3003 8 3009 . _IF. . .. .

1300380 3009 1 2 _ 20 Page 274 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 13C 3B CAP # 034277 Plan Type Commitment Plan Revision No: 0 Focus Area: Corrective Action Program (CAP) Plan Status Open Action Plan

Title:

Resolution of 2003 CAP Self Assessment Areas for Improvement Action Plan Number: OP-10-013 Problem Statement: The Point Beach Corrective Action Program has several areas for improvement.

Causal Factors: 1 A self-assessment was conducted in July 2003 to gauge progress in CAP improvement efforts and to identify where further improvements could be made. Several issues were identified that require further assessment and action.

Oblectives: 1 Self-assessment of the PBNP CAP Program (SA-CAP-2003-01) comments/observations have been resolved.

Action Steps:

Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.1 Determine how to improve the CAP Screening Assessment 27-Aug-03 3Q03 Completed Condition Evaluation and Team's Significance Level determination during referenced corrective actions.

screening of CAPs to ensure Conditions Adverse to Quality are appropriately identified.

tTrack IDs CE012024 lesource Prsons. .Hrs Per-Porson[ -ComCo mm ent.s,; .

300380 3009 1 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.2 Determine how to ensure that CAPs for Assessment 29-Aug-03 3Q03 Completed Condition Evaluation and Maintenance Rule systems declining to a(1) referenced corrective actions.

status receive the appropriate causal determination to satisfy NUMARC 93-01 requirements.

tTrack IDs CE012025 l Resource # Persons Hrs Per Person I Comments -

300380 3009 1 2 1 40 l l Page 275 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.3 The RCE threshold of the CAP Screening Team Assessment 28-Aug-03 3Q03 Completed Condition Evaluation and appears to be too high; determine how to referenced corrective actions.

improve performance in this area.

tTrack IDs CE012027 Resource.. Persons-l P Person Comments - *.

300380 3009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.4 Determine how to ensure that human Assessment 30-Aug-03 3Q03 Completed Condition Evaluation and performance issues are evaluated and referenced corrective actions.

addressed by the Human Performance program.

tTrack IDs CE012028 l Resource #Persons .Hrs Per Personl. Comments .

300380 3009 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.5 Determine how to improve station compliance Assessment 27-Aug-03 3Q03 Completed Condition Evaluation and with CAP process requirements (e.g. due date referenced corrective actions.

and priority assignments, due date extensions).

tTrack IDs CE012029

- Resource... Persons Hrs Per Person . .. Comments . . .

300380 3009 2 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.6 Determine how to ensure Effectiveness Assessment 27-Aug-03 3Q03 Completed Condition Evaluation and Reviews are consistently performed and they referenced corrective actions.

make a conclusion regarding the effectiveness of corrective actions.

tTrack IDs CE012030 l:Resource .l Persons IHrsPerPorson . . Comments 300380 3009 1 2 1 30 l Page 276 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-013.7 Determine how to improve the timely Assessment 29-Aug-03 3Q03 Completed Condition Evaluation and completion of ACE Quality Grading. referenced corrective actions.

tTrack IDs CE012031 Resource. #Persons Hrs Per Person Comments .

3003803009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.8 Determine how to improve feedback to CAP Assessment 28-Aug-03 3Q03 Completed Condition Evaluation and initiators for ARs that are closed to trend. referenced corrective actions.

tTrack IDs CE012026 Resource # Persons Hrs Per Person Comments .

3003803009 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-10-013.9 Hold a joint workshop with the prescreeners Assessment 09-Oct-03 4Q03 Documented workshop attendance (CAP Liaisons) and the Plant Manager's sheet and agenda.

Screen Team and go over requirements and definitions.

tTrack IDs OTH033103 Resource , #Persons Hrs Per Person Comments 300380 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.10 Align NP 7.7.5 with NUMARC 93-01 and NP Engineering 08-Jan-04 1Q04 Revised NP 7.7.5 procedure.

5.3.1 to include the "cause determination of Programs -

appropriate depth" and 'identify any corrective Long Term action to preclude recurrence' requirements Programs of NUMARC 93-01 regarding each move of a Maintenance Rule system from a(2) to a(1) status.

tTrack IDs CA051898 Resource # Persons l Hrs Per Person l Comments 300160 3009 1 1 l 40 1 Page 277 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.11 Formalize the practice of initiating a root cause Assessment 01-Oct-03 4Q03 Documented memo from Screen evaluation for all Level A issues, until Team Chair.

documented justification for non-performance Is approved by the Screen Team or the CARB.

tTrack IDs OTH051B51 Resourcw - # Persons - Hrs Per Person Comments 300380 3009 1 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.12 Document the CAP program expectations into Assessment 2Q04 Approved 'talking point' document a talking point' format for Managers and and action items assigned to Supervisors to utilize as group discussion item. appropriate work groups.

tTrack IDs CA032851 Resource Persons Hrs Per Person - Comments 300380 3009 1 45 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.13 Standardized Effectiveness Review Format Assessment 28-Oct-03 1Q04 Revised NMC Fleet procedure or for Root Cause Evaluations - A 'draft' guide.

Effectiveness Review format has been developed at Point Beach. This format should be presented to the NMC CAP Peer Team for revision and formal adoption by the NMC Fleet.

tTrack IDs CA032845 Resource 8i0 . .[ # Persons

2. . . . Per4.Person .5: I . .

Hrs . - - Comments.

I . I 300380 3009 1 2 1 45 Page 278 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.14 The group heads for those groups with Assessment 28-Oct-03 4Q03 Documented plans for maintaining multiple ACEs awaiting grading for greater ACE grading up-to-date for than 30 days determine how their department Engineering, Business, Maintenance, is to maintain ACE grading up-to-date and their Production Planning, Performance plan to bring the current backlog up-to-date. Assessment, and Radiation Protection.

tTrack IDs CA051877, CA051878, CA051879, CA051880, CA051884, CA051888 Resource - # Persons Hrs Per Person Comments 300030 3009 1 20 300040 3009 1 20 300050 3009 1 20 300160 3009 1 20 300210 3009 1 20 300380 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.15 Perform a random sampling of CAPs closed Assessment 30-Sep-03 4Q03 Documented survey/sample results.

with no action, and feedback desired by the Initiator to evaluate the effectiveness of the current process of assigning a person to give face-to-face feedback at the morning managers Screen Team meeting. Recommend a look back of approximately 3 to 4 months.

tTrack IDs OTH051850 l .: Resource # Persons Hrs Per Person - Comments 300380 3009 1 1 1 20 l Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-10-013.16 As part of the self assessment in preparation Performance 2Q04 2004 Completed self assessment report.

for the P&IR inspection, determine whether the Assessment actions taken as part of this plan have been effective.

tTrack IDs SA055575 Resource # Persons Hrs Per Person Comments- l 300380 3005 1 40 300380 3009 1 40 Page 279 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 280 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 4A 4C CAP # 033329 Plan Type Improvement Plan Revision No: 2 Focus Area: Work Management Plan Status Open Action Plan

Title:

Improve Work Management Process Action Plan Number: OP-1 1-001 Problem Statement: Delays during implementation of work and rescheduling of jobs have occurred. Projection of risk for planned work and risk reviews of on-line work activities have not included some maintenance or test activities that would place the plant in a higher than anticipated risk condition.

Causal Factors: 1 Station management has not consistently held personnel accountable for meeting work process expectations.

2 Operations has not been sufficiently involved in the work planning and scheduling process.

3 Some work delays have been the result of various parts availability issues.

4 Personnel running the safety monitor program have difficulty identifying the components that are impacted.

5 Risk reviews are dependent on sharing information among several software programs.

6 Ineffective use of Internal Operating Experience.

Obiectives: I The Work Control process Is understood by affected station personnel.

2 Station management personnel are active participants In the Work Control Process, reinforce process expectations, and hold others accountable for process requirements.

3 Engineering input to the identification and scheduling of equipment Issues is accepted and effectively utilized.

4 Core Damage Frequency (CDF) risk profile accurately reflects CDF risk associated with the scheduled work and activities for which the profile has been developed.

5 A formal process exists for control of Cold Weather Preparation with a defined process owner.

6 The Work Control Process supports identification, scheduling, and performance of work based on common station priorities.

7 Constant Operations group participation in the planning and scheduling process.

8 Work delays and rescheduling is minimized for identified activities by the effective use of project coordinators and the team approach to support those activities.

9 Procurement group involvement in the planning and scheduling process limits adverse impacts due to parts related issues.

Action Stes:

Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner Formal Change Management Plan.

Work Week 09-May-03 2Q03 Implement a Work Week Manager OP-1 1-001.1 Representative change management plan Scheduling & This action Iscomplete, See 'CMP#

MTN 2003-04".

Management tTrack IDs CA028958 Page 281 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.2 Perform effectiveness review of new Daily Work Week 2Q03 25-Jul-03 3Q03 Documented report.

Production Meeting format. Scheduling &

MTN Management tTrack IDs EFR030663 Resource T. # Persons: lHrs Per Person Comments :

300040 3005 1 20 300040 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.3 Implement needed changes identified by Work Week 2Q03 05-Aug-03 3Q03 Document required changes.

effectiveness review. Scheduling &

MTN Management tTrack IDs CA030664

-Resource. # Persons Hrs Per Person Comments -

300040 3005 1 20 300040 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.4 Revise and implement NP 1.1.7, Managing Work Week 2Q03 11-Aug-03 3Q03 NP 1.1.7 revised and Issued.

Work Activity Risk. Scheduling &

Management tTrack IDs CA028309, CA029159 Resource . # Persons Hrs Per Person . Comments 66OLCLER 1 4 300040 3009 1 20 300040 3009 1 120 Page 282 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.5 Revise NP 10.2.2 to provide guidance for Work Week 2Q03 19-Jun-03 2Q03 NP 10.2.2 revised and issued.

containment entries during performance of Scheduling &

other station activities. MTN Management tTrack IDs CA031456, CA029159 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.6 Development of procedural guidance for the Production 2003 03-Sep-03 3Q03 Procedural guidance developed for use of on line work Project Coordinators or HIT Planning station use teams, this includes:

(1) Identify the process to use.

(2) Define the responsibilities of Issue Manager and project Coordinator/Lead.

(3) Determine if NP 10.1.3 VTSAC procedure should be rolled Into the process.

(4) Develop Implementing procedures.

(5) Develop an implementing change management plan. Implementation rollout tTrack IDs LAR045228

.- I Resource - . - #Persons Hrs PerPorson : . Comments

.j. ..

66OLCLER 1 4 300040 3009 1 160 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.7 Identification, monitoring, and execution of Work Week 2Q03 06-Aug-03 3003 Priority work Identifiers and review priority work. Scheduling & process in place.

MTh Management tTrack IDs CA029364 Resource I # Persons IHrs Per Person l Comments l 300040 3005 l 1 60 l Page 283 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.8 Development of work control process training Training General 2003 29-Sep-03 3Q03 Training Lesson plan developed.

information that can be used by various groups.

tTrack IDs CA030669 Resource - # Persons Hrs Per Person - Comments 300130 3005 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.9 Provide a presentation to the Leadership Team Production 14-May-03 2Q03 Presentation has been delivered at 5-on AM 3-15. Work Control Manual. Planning 14-03 PB Leadership Team Meeting.

tTrack IDs CA030671 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.10 Perform an Apparent Cause Evaluation of Operations 1Q03 24-Mar-03 2Q03 ACE completed.

CAP031233. Focus on recent safety monitor related errors.

tTrack IDs ACE001208 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.11 Perform an Apparent Cause Evaluation of Production 1Q03 04-Apr-03 2Q03 ACE completed.

CAP031669 Planning Safety Monitor risk Planning profile for E-1 W08 did not include train B per NP 5.3.1 requirements.

tTrack IDs ACE001238 Page 284 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.12 Provide the operations STA written Work Week 1003 09-May-03 2003 Written guidance developed instructions on how to look at the schedule Scheduling &

activities in the safety monitor program. MIN Management tTrack IDs CA028763 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.13 Evaluate the impact and causes of schedule Production 1Q03 01-Jun-03 2Q03 Evaluation and identification of changes. Implement changes to minimize Planning necessary changes.

these schedule changes tTrack IDs CA028764 Resource #Persons lHrs Per Person Comments 300040 3009 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.14 Generate a new PBF that will be used to Engineering 1003 07-May-03 2Q03 PBF form generated and Issued.

document all changes to the Safety Monitor Programs -

model. Long Term Programs tTrack IDs CA028702 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.15 Procedure feedback to NP 10.3.7 to specify Operations 1Q03 24-Mar-03 2003 Procedure feedback submitted.

that the Mid shift STA perform the 24 hour2.777778e-4 days 0.00667 hours 3.968254e-5 weeks 9.132e-6 months schedule look ahead.

tTrack IDs ACE001208 Page 285 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.16 Follow up on procedure feedback to NP 10.3.7 Engineering 1003 05-Feb-04 1Q04 NP 10.3.7 revised and issued.

to specify that the Mid shift STA perform the Programs -

24 hour2.777778e-4 days 0.00667 hours 3.968254e-5 weeks 9.132e-6 months schedule look ahead. Long Term Programs tTrack IDs PCR028705 Resource ,# Persons Hrs Comments 660LCLER l 1 4 l 300160 3004 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.17 Communicate to the Work Week Coordinator Production 1003 04-Apr-03 2Q03 Documentation of communication.

and Cycle Scheduler the requirement for Planning specific work orders to be written or activities scheduled that are tied to the piece of equipment for breaker swaps.

tTrack IDs ACE001238 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.18 A second review of the schedule and safety Production 1Q03 04-Apr-03 2Q03 Review requirement documented.

monitor weekly risk profile by the Work Week Planning Coordinators will be implemented.

tTrack IDs ACE001238 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.19 Revise appropriate procedures to support the Work Week 2Q03 02-Aug-03 3Q03 Procedures revised and Issued.

requirement to have work orders or activities Scheduling &

that are tied to a piece of equipment for Mm breaker swaps. Management tTrack IDs CA028999

,Resource l # Persons Hrs Per Person Comments '

300040 3005 1 1 1 35 Page 286 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.20 Update safely monitor program to reflect Engineering 2Q03 2Qo4 Safely monitor update documented.

current CHAMPS configuration. Programs -

Long Term Programs tTrack IDs CA029000 l Resource #Persons Hrs Per Person Comments 300160 3004 1 320 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.21 Establish configuration management to assure Work Week 2Q03 24-Jul-03 3Q03 Configuration Management tool updates to the safety monitor program occur Scheduling & implemented.

when changes are made to CHAMPS MTN Management tTrack IDs CA029001 Resource , Persons - Hrs Per Person Comments 659LCLER 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.22 Track and comoare schedule changes for E-2 Work Week 09-May-03 2Q03 Trackina method in Dlace.

to E-1 as a method of checking that safety Scheduling &

monitor has been updated MTN Management tTrack IDs CA029002 Page 287 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Dato Deliverable Awner OP-11-001.23 Develop an action plan to complete: Operations 2Q03 09-Jan-04 1Q04 Action Plan documented.

a) A procedure review to identify equipment in the procedure which will impact safety monitor.

b) Update safety monitor based on results of procedure review.

c) Update procedures based on the procedure review.

tTrack IDs CA029003 Resource l Persons Hrs Per Person Comments 300020 3005 1 120 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.24 Review and revise the E+1 critique and report Work Week 19-Dec-03 4Q03 Recommendations evaluated and process. Scheduling & meeting agenda revised.

MmN Management tTrack iDs CA030674 lI, Resource"- .1:: # Persons IHrs Per Person

-ad l . Comments 300040 3009 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-001.25 Establish a formal Cold Weather Preparation Work Week 12-Sep-03 3003 Formal process documented and process. The process owner (Manager of Scheduling & implemented.

Planning & Scheduling, as identified in MTN CA028725) shall be identified in the controlling Management document.

tTrack IDs CA030676 Resource : l # Persons

Hrs Per Person . Comments I .

300040 3009 1 1 240 Page 288 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-1 1-001.26 Perform effectiveness review. Work Week 02-Feb-04 1Q04 Effectiveness review report.

Scheduling &

MmN Management tTrack IDs EFR030678 Resource #Persons.-. Hrs Per Person Comments 300040 3005 2 40 300040 3009 1 40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.27 Establish the 'Lead Shop' concept, which Maintenance 3Q03 10-Dec-03 4Q03 Revised 'Conduct of Maintenance identifies the roles and responsibilities for Manual" Issued.

scheduled maintenance activities.

tTrack IDs CA031987 l.Resource l Persons Hrs Per Person Comments - . .

300050 3009 1 12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.28 Formalize the Work Package Feedback Maintenance 3Q03 31-Jan-04 1Q04 Revised controlling procedure or Process to include procedures, an electronic Services directive. User briefing materials system for tracking and analysis purposes, and attendance lists. Reports and appropriate change management. generated by the tracking system.

tTrack IDs CA031988 Resource # Persons Hrs PerPerson l Comments ; -I 3000503005 3 12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-001.29 Meet with Operations management to discuss Maintenance 3Q03 09-Sep-03 3Q03 Copy of meeting notes or minutes.

methods to improve work package Services development and implementation.

tTrack IDs CA031990 Resource # Persons Hrs Per Person l Comments .

300050 3005 1 4 Page 289 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.30 Meet with Engineering management to discuss Maintenance 2003 14-Aug-03 3Q03 Copy of meeting notes or minutes.

methods to Improve work package Services development and implementation.

tTrack IDs CA031991 lResource;. l~- # Persons iHrs Per Person Comments l 300050 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.31 Meet with Supply Chain management to Maintenance 4003 06-Nov-03 4Q03 Copy of meeting notes or minutes.

discuss methods to improve work package Services development and implementation.

tTrack iDs CA031992 Resource Persons Hrs Per Person Comments 300050 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.32 Conduct an assessment of the interface Maintenance 4Q03 26-Dec-03 4Q03 Assessment report.

between Planning and Maintenance Services Supervisors and Leads.

tTrack IDs CA031994

.. :Resource" I . . II

. # Persons. I -Hrs

. - Per

- . PersonI . : . -.Comments 300050 3005 2 12 P 300050 3008 3 12 Page 290 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Data Deliverable Owner OP-11-001.33 Conduct a benchmarking trip to improve Maintenance 1Q04 3Q04 Trip report.

working relationships, work package quality, Services and communications.

tTrack IDs CA031995

^ Resource # Persons - Hrs Per Person - : Comments 655LELEC 1 40 655LINST 1 40 655LMECH 1 40 300050 3005 1 40 _

300050 3008 2 40 .- 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.34 Conduct an assessment to compare Work Maintenance 2Q04 2Q04 Assessment report.

Package Walkdown information to quality Services feedback information.

tTrack IDs CA031997

Resource :.* Persons erson

,HrsPerP Comments .*

300050 3005 2 24 300050 3008 3 24 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-001.35 Establish the practice of periodic in-process Maintenance 1Q04 3Q04 Controlling procedure or directive review of large work packages to eliminate Services revised. User briefing materials and oversights and errors, and to minimize review attendance lists. Reports generated time during closeout. by the tracking system.

tTrack IDs CA031999

l. Resource l# Persons l Hrs Per Person Comments 30005 8 3005 300050 3005 1 8 1 6 7 Page 291 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-001.36 Conduct an assessment of the PMT process Maintenance 4Q03 29-Dec-03 4Q03 Assessment report.

to identify improvements In the Identification Services and control of testing.

tTrack IDs CA032000 Resource # Persons Hrs Per Person Comments 300050 3005 1 24 300050 3008 2 24 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-001.37 Complete the actions created as a result of Production 4Q04 Completion of each action EFR030678: (Parent CAP053463) CA055416, Planning documented in tTrack.

CA055417, CA055418, CA055419, CA055420, CA055421. CA055422, CA055423, CA055424, CA055425, CA055426, CA055427, CA055428, CA055429, CA055508, CA055509, CA055510.

tTrack IDs CA056036 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-001.38 Perform an Effectiveness Review of steps OP- Production 4Q04 Effectiveness Review Report.11-001.16, OP-11-001.20. OP-11-001.23. OP- Planning 11-001.33, OP-1 1-001.34, OP-1 1-001.35, and OP-11-001.37.

tTrack IDs EFR056038 Page 292 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 4A 4C CAP # 050748 Plan Type Improvement Plan Revision No: 0 Focus Area: Work Management Plan Status Open Action Plan

Title:

Operations Work Management Improvement Plan Action Plan Number: OP-11-006 Problem Statement: Operations shift personnel, who are primarily responsible for monitoring of the plant and executing work packages, are also responsible for developing and scheduling work packages. The added responsibility of developing and scheduling work packages has not allowed shift personnel to be fully focused on their primary responsibiities.

Causal Factors: 1 Operations has not been organized to assure that the asministrative burden of developing and scheduling work packages does not reside with Operations shift personnel.

Obiectives' 1 An Operations Department organizational structure, which relieves shift personnel of work package preparation and scheduling responsibilities, by staffing an Operations Work Control Center (WCC) organization.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-006.1 Develop an organization structure within the Operations 3Q03 06-Nov-03 4Q03 Organization chart with roles and Operations Department that is responsible for responsibilities.

establishing an executable schedule and work packages.

tTrack IDs CA052933 Resource Persons -Hrs Per Person 300020 3009 1 12 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-006.2 Develop a staffing plan to man the Operations Operations 3Q03 16-Dec-03 4Q03 Copy of a staffing plan to man the WCC organization OWCC.

tTrack IDs CA052934

- Resource # Persons r Per Person . Comments - - :

300020 3009 1 40 Page 293 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-006.3 Develop a change management plan that Operations 4Q03 29-Jan-04 1Q04 Copy of the Change Management outlines how to integrate the Operations WCC Plan organization into the station process and obtain Operations Manager approval tTrack IDs CA052935 l Resource l # Persons . Hrs Per Person Comments 300020 3005 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-11-006.4 Communicate an overview of the OWCC CMP Operations 1Q04 1Q04 A copy of correspondence (memo requirements and expectations to Operations or email) stating that the CMP has personnel. been communicated.

tTrack IDs CA052936 l Resource .l Persons Hrs Per Person l Comments .

300020 3009 1 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-006.5 Implement the OWCC Change Management Plan Operations 1Q04 1Q04 Operations Monthly Newsletter outlining the revised OWCC organization tTrack IDs CA052937 Resource - Persons. -Hrs Per Person - Comments 300020 3005 1 10 300020 3007 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 1-006.6 Perform an Effectiveness Review of this Operations 4Q04 4Q04 Copy of the Effectiveness Review action plan. Report tTrack IDs EFR052938 Resource -l #Persons Hrs Per.Person . Comments .

300020 3005 1 1 1 15 l Page 294 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3C 3B CAP # 033363 Plan Type Improvement Plan Revision No: 2 Focus Area: Technical Procedure Quality Plan Status Open Action Plan

Title:

Improve quality of technical procedures Action Plan Number: OP-12-001 Problem Statement: Performance errors and job delays are attributed to usability of technical procedures.

Causal Factors: 1 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 Oblectives: 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 Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.1 Perform a Site Procedures Assessment to Business 2Q03 27-Jul-03 3Q03 Completed self-assessment.

validate the concerns identified in the Problem Procedures Statement and to ensure no other problems exist by developing corrective actions based on findings from the assessment.

tTrack IDs CA030705 Resource - Persons Hrs Per Person Comments CONTPRO 2 60 300020 3005 1 50 300050 3005 1 50 300140 3007 1 50 300210 3004 1 40 300210 3008 1 40 300210 3009 1 60 Page 295 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 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 l&C 2Q03 12-Jul-03 3Q03 Temporary change database report.

changes >180 days old against I&C Procedures except for those specifically required for existing plant conditions.

tTrack IDs CA030706

,Resource # Persons IHrs Per Person 7 Comments 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 3Q03 Temporary change database report.

changes >180 days old against Maintenance Services Procedures except for those specifically required for existing plant conditions.

ItTrack IDs CA030707

-Resource , Porsons . Hrs PerPerson Comments' 300050 3005 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 22-Aug-03 3Q03 Copy of Information Sharing Sheets.

Maintenance procedure writers to ensure Procedures process and writers' guide requirements are understood tTrack IDs CA030708 l Resource l # Persons l Hrs Per Person l - Comments 300210 3009 1 32 Page 296 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable wnenr OP-12-001.5 Provide each crew and operations staff a Operations 2Q03 27-Jun-03 2Q03 Cover page with Instructions for copy of existing feedbacks on their each of the seven binders and an e-associated responsible procedures. Place mail from step owner.

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.

tTrack IDs CA030709 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.6 Reduce the procedure feedback backlog for Operations 2Q03 20-Oct-03 1Q04 A listing of ARP/ARB Procedures procedure ARBIARP, dated prior to 1/1/03 to feedbacks dated prior to 1/1/03 less than 20 feedbacks.

tTrack IDs CA030711 Resource:l # Persons Hrs Per Person - Comments -

300020 3005 2 200 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.7 Crew/staff representatives conduct an Operations 3Q03 19-Dec-03 1Q04 The cover page and completed CAs evaluation of the crew specific binder of CA031626 thru CA031632.

feedbacks. This evaluation shall consider if feedback is valid, duplicated, accurate, sufficient detail and of the correct priority.

tTrack IDs CA030713, CA031626, CA031627, CA031628, CA031629, CA031630, CA031631, CA031632 Resource # Persons l Hrs Per Person l Comments -

300020 3005 30 40 Page 297 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.8 Create milestones and work priorities to Operations 1Q04 11-Feb-04 1Q04 Milestones are approved by support crew priorities and backlog reduction. Operations Manager.

The Procedures Group will obtain Operations Managers concurrence with these milestones.

tTrack I~s CA030716 Resource Persons Hrs Per Person Comments' 300020 3005 2 I 10 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 24-Jul-03 3Q03 A copy of the owner list.

Procedure. Mechanical tTrack IDs CA030722 Resource l # Persons Hrs Per Person Comments

300050 3005 2 12 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 20-Aug-03 3Q03 A copy of the document of feedbacks on their assigned procedures. Mechanical transmittal of the folders to each of Place copies of these feedbacks assigned to the craft owners.

each craft owner into folders for the individual owners for review.

tTrack IIs CA030724 Resource # Persons Hrs Per Person Comments 300050 3005 2 8 300050 3008 3 20 300050 3009 1 4 Page 298 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.11 Craft owners conduct an evaluation of Maintenance 3Q03 1Q04 A report of the feedback reviews feedbacks for assigned procedures. This Services identifying actions taken.

evaluation shall consider if feedback Is valid, duplicated, accurate, sufficiently detailed and correctly prioritized.

tTrack IDs CA030725 Resource # Persons Hrs Per Person Comments 655LELEC 6 20 655LINST 6 20 655LMECH 6 20 300050 3005 2 12 300050 3008 3 20 X __ _

300050 3009 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.12 Following completion of the craft owner Maintenance 1Q04 1Q04 A copy of the maintenance evaluations, create milestones and work Services procedure backlog reduction work-priorities to support crew priorities and off rate and milestones.

backlog reduction. Maintenance Services will obtain Maintenance Manager's concurrence with the milestones and work-off rate.

tTrack IDs CA030727 Resource . # Persons Hrs Per Person Comments 300050 3005 2 4 300050 3008 I 3 8 300050 3009 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-12-001.13 Perform effectiveness review. Business 3Q04 3Q04 Effectiveness review report.

Procedures tTrack IDs EFR030729

~ Resource - # Persons Hrs Per Person Comments 300020 3005 1 1 20 Page 299 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C3F CAP # 033368 Plan Typo Improvement Plan Revision No: 2 Focus Area: Operationally Focused Plan Status Open Action Plan Titlo: Reduce Total Operator Burden Action Plan Number: OP-13-001 Problem Statement: Operator burdens have not been minimized to assure there are no obstacles to the safe, reliable, and cost effective generation of electricity.

Causal Factors: I Operator burdens are caused by design and equipment deficiencies that require operators to take compensatory actions, can inhibit the operators ability to adequately monitor plant equipment, or perform essential duties.

Obiectives: I Minimize Total Operator Burden by ensuring a heightened Organizational awareness and appropriate priorities are placed on correcting these deficiencies.

Action Steps:

Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-001.1 Add an item to the morning Plan Of The Day Operations 31-Mar-03 2Q03 Total Operator Burdens added to the meeting agenda to discuss the status of Total POD meeting agenda.

Operator Burdens once per week.

tTrack IDs CA030734 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-001.2 Revise NP 10.2.4. Work Order Processing, to Production 07-May-03 2003 NP 10.2.4 revised requiring priority 3 require Operator Burden WO's to be priority 3. Planning for Operator Burden WO's.

tTrack IDs CA030735 Page 300 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-001.3 Generate task sheet for Asst. OPS Manager Operations 3Q03 25-Jun-03 3Q03 CHAMPS task sheet.

to monitor Temp Mods for length of time installed, number, and continued need of Temp Mods.

tTrack IDs CA030737 Resource l Persons Hrs Per Person -Comments .

300020 3005 1 3 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-001.4 Generate task sheet to perform quarterly Operations 3Q03 25-Jun-03 3Q03 CHAMPS task sheet.

effectiveness reviews of Total Operator Burden Program.

tTrack IDs CA030738 l Resource l # Persons Hrs Per Person Comments 300020 3005 1 3 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-001.5 Revise NP 2.1.4 to document and monitor daily Operations 3Q03 30-Sep-03 4Q03 NP 2.1.4 revised.

average of lit annunciators, number of Control Board deficiencies, Operator Challenges, and Operator Work Arounds. Change title of NP 2.1.4 to Operational Burdens tTrack IDs CA030742 Resource # Persons HrsPerPerson - - i -. Comments l 300020 3005 2 40 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-001.6 Revise NP 2.1.4 to require an aggregate Operations 3Q03 29-Sep-03 4Q03 NP 2.1.4 revised.

review of Total Operator Burdens.

tTrack IDs CA030744 Resource l Persons l Hrs Per Person l - Comments 300020 3005 2 20 Page 301 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-1 3-001.7 Close out this action plan when previous Operations 3Q03 4Q04 Two consecutive quarterly steps are complete and there have been two effectiveness reviews completed consecutive quarterly effectiveness reviews with satisfactory results.

that demonstrate an effective program as defined by the Operations Manager.

tTrack IDs CA030749 Resource # Persons Hrs Per Person - Comments 0 5 .. 1. . , . . .8 1300020 3005 1 1 8 Page 302 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 5D 6B CAP # 033372 Plan Type Improvement Plan Revision No: 2 Focus Area: Operationally Focused Plan Status Open Action Plan

Title:

Equipment Label and Operator Aid Improvement Action Plan Number: OP-13-002 Problem Statement: Equipment Label and Operator Information Aid deficiencies potentially hinder Operators in plant operation.

Causal Factors: I Insufficient management attention has resulted in equipment label and operator information aids deficiencies.

Obiectives: I Temporary labels are replaced by permanent labels within 6 months.

2 Complete the establishment of a program to control operator information aids.

Action SteDs Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-002.1 Execute workplan to have no temporary Operations 1Q03 14-Oct-03 4Q03 Workplan 2003-020, Operations equipment ID labels more than 6 months old Equipment Label Identification Plan, completed.

tTrack IDs CA030750

,. Resource: .# Persons. Hr .Comments:--:;;

300020 3005 56 a Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-002.2 Incorporate INPO 01-002, 'Guidelines for the Operations 3Q03 30-Oct-03 4Qo3 OM 5.4.4 revised.

Conduct Of Operations at Nuclear Power Stations' industry best practices into OM 5.4.4 for permanent information labels (operator aids).

L tTrack IDs CA030751 Resource - Persons lHrs Per Person Comments 300020 3005 I 2 20 Page 303 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-002.3 Enhance positive control of temporary Operations 3Q03 07-Oct-03 4Q03 NP 8.5.1 revised.

equipment identification labels by revising NP 8.5.1.

tTrack iDs CA030752

- Resource #Persons Hrs Per Person Comments:

300020 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-002.4 Perform effectiveness review. Operations 1Q04 1Q04 Documented effectiveness review.

tTrack IDs EFR030754 Resource #Persons' Hrs Per Person Comments 300020 3007 1 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-002.5 Perform effectiveness review. Operations 3Q04 3Q04 Documented effectiveness review.

tTrack IDs EFR030755

Resource .- i #Persons . l rsPerPerson lCommenWnlts. l. ;- . l 300020 3007 1 2 Page 304 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C 3C CAP# 033377 Plan Type Improvement Plan Revision No: 2 Focus Area: Operationally Focused Plan Status Open Action Plan

Title:

Probabilistic Risk Assessment (PRA) program upgrade Action Plan Number: OP-13-003 Problem Statement: PRA model in Safety Monitor does not meet the NMC Standard and does not address fire and flooding scenarios.

Causal Factors; I PRA standards and methods are evolving and improving.

Obioctives: 1 Enhanced PRA program by including fire and flooding events.

2 Revised PRA model to address gaps with NMC Standards.

Action Steps:

Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-003.1 Complete Level A Peer review findings. Engineering 1Q02 30-Jan-04 1Q04 This is a high level step for tracking Programs - substeps. No deliverable required.

Long Term Programs tTrack IDs See Substeps l.Rosourco l #Persons :.;Comments

- 7.:HrsPorPersonI t 300160 3004 3 510 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.1.A Complete initial MAAP Analysis Runs - Engineering 4Q03 14-Dec-03 4Q03 Copy of draft Analysis Report.

Including base runs and additional timing runs Programs -

needed for HRA. Long Term Programs tTrack IDs CA055196 Resource # Persons Hrs Per Person .0 Comments I

CONTSRVS 335.000 300160 3004 1 40 Page 305 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.1.B Review/Approve MAAP Analysis Engineering 4Q03 30-Jan-04 1Q04 Copy of accepted and approved Programs - Report.

Long Term Programs tTrack IDs CA030760 Resource # Persons IHrs Per Person Comments-300160 3004 1 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.1.C Complete draft Human Reliability Analysis for Engineering 4Q03 27-Oct-03 4Q03 Copy of draft Analysis Report.

all post initiator human actions. Programs -

Long Term Programs tTrack IDs CA055197 Resource- - #.Persons Hrs Per Person - - Comments CONTSRVS $25,000 300160 3004 1 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.11.D Complete Human Reliability Analysis by Engineering 4Q03 30-Jan-04 1Q04 Copy of final Analysis Report.

including timing information and dependencies. Programs -

Long Term Programs tTrack IDs CA055198

-Resource l # Porsons Hrs Per Person Comments -

CONTSRVS 1$25.000 300160 3004 1 100 I Page 306 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.1.E Update the PRA and implement Into Safety Engineering 4Q03 30-Jan-04 1Q04 Copy of Safety Monitor change Monitor Programs - notice indicating the PRA has been Long Term updated.

Programs tTrack IDs CA055199 l:Resource - l-#Persons Hrs Per Person Comments :

300160 3004 1 200 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.2 Complete incorporation of fire events in PRA. Engineering 1Q02 4Q05 This is a high level step for tracking Programs - substeps. No deliverable required.

Long Tenm Programs tTrack IIs See Substeps Resource. - Persons Hrs Per Person Comments 300160 3004 4 1020 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.2.A Complete analysis and documentation for pilot Engineering 4Q03 4Q05 Notebook issued.

compartment. Programs -

Long Term Programs tTrack IDs CA030762 lResource # Persons IHrs PerPerson Comments.

300160 3004 2 250 (PRAfFire)

- Masterlark

- Ladd 300160 3004 1 80 (THA)

- Olvera 300160 3004 1 70 (HRA)

Page 307 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.2.B Complete analysis and documentation for first Engineering 1Q04 4Q05 Notebooks issued.

group of areas. The group shall consist of the Programs -

next highest ranking areas. Long Term Programs tTrack IDs CA055200 Resource Persons lirs Per Person a Comments 300160 3004 2 250 (PRANFire)

- Masterlark

- Ladd 300160 3004 1 80 (THA)

- Olvera 300160 3004 1 70 (HRA)

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.2.C Complete analysis and documentation for Engineering 1Q04 4Q05 Notebooks issued.

second group of areas. The group shall Programs -

consist of the next highest ranking areas. Long Term Programs tTrack IDs CA055201

ResourceI;, Persons,. Hrs Per Person Comments-300160 3004 2 250 (PRA/Fire)

- Masterlark

- Ladd 300160 3004 1 l 80 (THA)

- Olvera 300160 3004 1 70 (HRA)

Page 308 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.2.D Complete analysis and documentation for final Engineering 1Q04 4Q05 Notebooks issued.

group of areas. Programs -

Long Term Programs tTrack IDs CA055202 Resource . Persons Hrs Per Person Comments 300160 3004 2 250 (PRA/Fire)

- Masterlark

- Ladd 300160 3004 1 80 (THA)

- Olvera 300160 3004 1 70 (HRA)

Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-003.2.E Update the Fire PRA and implement into Safety Engineering 3Q04 4Q05 Safety Monitor change notice Monitor. Programs - indicating the PRA has been updated.

Long Term Programs tTrack IDs CA055203

.Resource -UPersons P .. ,Comments -

300160 3004 1 250 300160 3004 1 250 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.3 Finalize the current PRA Notebooks that are in Engineering 1Q04 1Q04 Revised notebooks issued.

draft - These notebooks are Initiating Events, Programs -

Event Tree/Top Logic, Data Analysis, and Long Term Human Reliability Analysis. Programs tTrack IDs CA030764 l Resource . Persons Hrs Per Person - I. Comments .-

300160 3004 1 1 1 240 l l Page 309 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.4 Complete incorporation of flooding events In Engineering 1Q02 1Q06 This is a high level step for tracking PRA. Programs - substeps. No deliverable required.

Long Term Programs tTrack IDs See Substeps Resource - Persons Hrs Per Person Comments 300160 3004 4 250 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-003.4.A Update Flooding Notebook. Engineering 3Q05 1Q06 Letter detailing updated notebook in Programs - EDMS.

Long Term Programs tTrack IDs CA030766 Resource l Persons lHrs Per Personl - Comments 300160 3004 1 800 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.4.B Update the final Flooding PRA and implement Engineering 4Q05 1Q06 Copy of Safety Monitor change into Safely Monitor. Programs - notice indicating the PRA has been Long Term updated.

Programs tTrack IDs CA055204 lResource - #Persons .HrsPerPerson[ Comments 3001603004 1 300 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.5 Disoosilion and close all Significance Level B Enaineerina 2Q04 4004 Closure report.

PRA Peer Review items. Programs -

Long Term Programs tTrack IDs CA055205 Resource _ # Persons Hrs Per Person Comments

1 I

300160 3009 1 2 375 I Page 310 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-003.6 Perform an effectiveness review of the Engineering 1005 2005 Assessment report.

closure of PRA Peer Review items. This Programs -

review will use the self-assessment process Long Term and at least one offsile NMC or other plant Programs PRA analyst.

tTrack IDs EFR055206 3

Resource l, # Persons . Hrs Per40Person. . - Comments 1300160 3004 1 2 1 40 Page 311 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 2A 2A CAP # 033379 FPlan Type Improvement Pian Revision No: 2 Focus Area: Operationally Focused Plan Status Open Action Plan

Title:

Improvement of Radiation Protection's Recognition and Correction of Potential Radiological Field Conditions Action Plan Number: OP-13-004 Problem Statement: Radiation Protection Technicians have not adequately recognized, properly responded to, or anticipated radiological situations involving work activities that have an increased potential for radiological problems.

Causal Factors: 1 Less than adequate Radiation Protection Departmental communications.

2 Turnover of supervisors.

Obiectives: I Improve effectiveness of Radiation Protection Department by improving departmental communications and supervisory experience through stabilization of staff.

2 Regularly meet or exceed the goal for Radiation Protection Department Human Error Clock Resets. Sustained performance as demonstrated by 3 consecutive months of meeting the goal.

Action Steps' Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.1 Require RP to perform AO Job shadowing Radiation 20-Jan-02 2Q03 Completed RP Job Observation observations. Protection - Field cards.

Ops tTrack IDs CA030799 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-004.2 Remove 'filter change-out from standing RWP Radiation 08-Jul-03 3003 RWP 03-024.

Protection - Field Ops tTrack lDs CA030800 Page 312 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.3 Require pre-job brief for Operations Spent Radiation 08-Jul-03 3Q03 RWP 03-28.

Fuel Pool work Protection - Field Ops tTrack I~s CA030801 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.4 Require RP management job observations. Radiation 20-Jan-02 2Q03 Completed RP Job Observation Protection - Field cards.

Ops tTrack lDs CA030802 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.5 Perform joint RCA tours with RP Technicians Radiation 20-Jan-02 2Q03 Completed RP Job Observation by management. Protection - Field cards.

Ops tTrack iDs CA030803 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.6 Implement permanent RP Technician Leads. Radiation 08-Jul-03 3Q03 RP organization chart.

Protection - Field Ops tTrack IDs CA030804 Page 313 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable l., naer OP-13-004.7 Include radworker training in Operator Radiation 27-Mar-02 2003 Attendance records.

continuing training. Protection - Field Ops tTrack IDs CA030805 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.8 Implement rover logs with standard entries. Radiation 08-Jul-03 3Q03 Copy of rover logs.

Protection - Field Ops tTrack IDs CA030806 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.9 Continue to engage the RP department in Radiation 08-Jul-03 3Q03 RPM expectation was communicated process changes. Protection - Field to RP that major process/ procedure Ops changes shall include RPT input. E-mail reinforcing expectations.

tTrack IDs CA030807 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.10 Implement new standard routine survey Radiation 08-Jul-03 3Q03 PBF 4014a-e. daily survey schedule. Protection - Field checklists, issued.

Ops tTrack IDs CA030808 Page 314 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.11 Implement management expectations for RP Radiation 08-Jul-03 3Q03 Copy of expectations.

Technicians. Protection - Field Ops tTrack IDs CA030809 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.12 Perform an effectiveness review. Radiation 2003 19-May-03 2Q03 ACE001277 Protection - Field Ops tTrack IDs ACE001277 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-004.13 Improve Radiation Protection Departmental Radiation 2Q03 4Q04 Action steps developed to address communications and supervisory job Protection - Field RP communications and supervisory knowledge by completing action steps related Ops job knowledge and included in to RP contained in Action Plan OR-03-002, Action Plan OR-03-002, Implement Implement Culture Survey Improvements.. Culture Survey Improvements, have been completed.

tTrack IDs CA030810 Page 315 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 2A 2A CAP # 033345 Plan Type Improvement Plan Revision No: 2 Focus Area: Operationally Focused Plan Status Open Action Plan

Title:

Remote Containment Sampling Action Plan Number: OP-13-006 Problem Statement: Air sample collection of Containment at power poses an increased risk to personnel and reduces containment hatch seal life.

Causal Factors: I Recent operational changes have resulted in an increased frequency of containment entries.

Oblectives: I Qualify the containment remote air sampling system so it may be used to obtain containment air samples without entering the containment building.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-006.1 Obtain 20 air sample sets from each Radiation 1Q03 09-Sep-03 3Q03 20 air sample sets from each containment building using the remote Protection containment building.

containment sampling system and using the in-containment sampling method.

tTrack I~s CA030648

- Resource:-r UPersons; jHrs Per-Person "

Comments 657LHPTE I 3 80 300030 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-006.2 Analyze the data using Grubb, Student's t- Chemistry 3Q03 30-Oct-03 4Q03 Memorandum documenting analysis distibution. and F-distibution statistical tests, at results.

a minimum, to determine an appropriate scaling factor and acceptance band for each sample type (AP, halogen, noble gas, and tritium).

tTrack lDs CA030651 l Resource Il ' #Persons . Hrs Per Person Comment 300010 3008 1 1 1 40 Page 316 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-006.3 Revise procedure HPIP 3.52.2 and forms PBF- Radiation 4Q03 14-Nov-03 4Q03 Revised procedure HPIP 3.52.2 and 4013b,c,de, PBF-4002, PBF-4022, and PBF- Protection forms PBF-4013b,c,d,e, PBF-4002, 4023b as necessary to support remote PBF-4022, and PBF-4023b.

containment sampling.

tTrack IDs CA030653 Resource #Persons Hrs Per Person Comments 300010 3008 1 40 300030 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-006.4 Brief RP personnel on the revisions made to Radiation 4Q03 16-Dec-03 4Q03 Briefing attendance sheets or procedure HPIP 3.52.2 and forms PBF- Protection meeting minutes.

4013b,c,d,e, PBF-4002, PBF-4022, and PBF-4023b to implement remote containment sampling.

tTrack IDs CA030655 Resource: - *#Persons. Hrs Per Person 7 . Comments 657LHPTE 54 0.5 300030 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-006.5 Each quarter, obtain 1air sample set from Radiation 4Q03 4004 Completed checklists.

each containment building using the remote Protection containment sampling system and using the in-containment sampling method to verify effective operation of the remote containment sampling system.

tTrack IDs CA030657 Resource , Persons Hrs Per Person Comments 657LHPTE 3 20 300030 3005 1 10 Page 317 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-006.6 Analyze the quarterly data to determine in- Radiation 3003 1Q05 Documented analysis results.

containment/out-of-containment ratios for Protection each sample type (AP, halogen, noble gas, and tritium) and to verify these ratios lie within the acceptance bands.

tTrack IDs CA030659 I Resource I U Persons I Hrs Per Person I - tCnrnrn nts I .I I 0 - -I . __I - - -

1300030 3005 1 1 40 Page 318 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 1A 1B CAP# 033356 Plan Type Improvement Plan Revision No: 2 Focus Area: Operationally Focused Plan Status Open Action Plan

Title:

Evaluate the potential to gain additional design margin in the Auxiliary Feed Water System Action Plan Number: OP-13-008 Problem Statement: The motor driven Auxiliary Feedwater Pumps do not have the desired design margin for some modes of plant operation.

Causal Factors: 1 The Auxiliary Feed Water System was originally designed and licensed as a non-safety related system.

Obiectives: I Gain additional design margin for the Auxiliary Feed Water System if determined necessary.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.1 Request proposals from outside engineering Engineering 15-May-03 2Q03 Proposals received companies Design Mechanical - PB tTrack lDs CA030714 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.2 Award contract to perform engineering study Engineering 23-May-03 2Q03 PO 20848 Li 2 approved Design Mechanical - PB tTrack IDs CA030714 Page 319 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-008 3.3 Review engineering study Engineering 3003 25-Sep-03 3Q03 Documented review.

Design Mechanical - PB tTrack IDs CA030715

. Resource . - # Persons Hrs Per Person , 'Comments 300170 3004 2 60 300170 3005 2 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.4 Step deleted in Revision 2. Engineering 3003 02-Dec-03 4Q03 Step deleted 12-17-03. No Design deliverable required.

Mechanical - PB tTrack IDs CA030717 Resource # Persons Hrs Per Person Comments 300170 3004 2 60 300170 3005 1 20 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.5 Step deleted in Revision 2. Engineering 4Q03 17-Dec-03 4Q03 Step deleted 12-17-03. No Design deliverable required.

Mechanical - PB tTrack [Ds CA030718 Resource l Persons IHrsPerPerson Comments 300170 3004 2 30 300170 3005 2 20 Page 320 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.6 If required, request funding for future Engineering 4Q03 06-Jan-04 1Q04 Request for phased approval.

modifications Design Mechanical - PB tTrack IDs CA030720

-. Resource # Persons Hrs Per Person Comments .

300170 3004 2 30 300170 3005 1 15 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.7 If required, Project Review Board Approval Engineering 1Q04 11-Feb-04 1Q04 Request for phased approval.

Design Mechanical - PB tTrack IDs CA030721 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.8 If required, develop design for modifications. Engineering 1Q04 1Q05 Request for phased approval.

Design Mechanical - PB tTrack IDs CA030723 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.9 If required, implement modifications to increase Engineering 4Q05 Documentation of modification design margin Design acceptance.

tTrack I~s CA056043 Page 321 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-008.10 Change Technical Specification 3.7.5 to allow Engineering 3Q05 Revised Tech Spec 3.7.5 longer than 7 days to change out each Design implemented.

MDAFW pump.

tTrack IDs CA056044 Page 322 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3C 3F CAP# 033366 Plan Type Improvement Plan Revision No: 2 Focus Area: Operationally Focused Plan Status In Closure Action Plan

Title:

Time Validation of Service Water Manual Actions Action Plan Number: OP-13-009 Problem Statement: Some licensing basis references to the capability to manually switch Auxiliary Feed Water (AFW) supply from the Condensate Storage Tank (CST) to service water may not have been time validated.

Causal Factors' 1 Failure to consider the integration of AFW system design and accident progression Obiectives: I Service Water manual operator actions required by licensing basis are time validated if required and reflected in procedures appropriately.

Action Steps:

Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-009.1 1) Validate issue and determine extent of Engineering 2Q03 30-May-03 2Q03 Documented condition evaluation condition. Programs - and corrective actions identified and Long Term assigned.

2) Develop plan to resolve issue. Programs tTrack IDs CE011579 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-009.2 Revise FSAR (and applicable procedures, if Engineering 1Q04 02-Feb-04 1Q04 Approved FSAR Change Request required) to incorporate findings of CE1 1579 Programs -

validation. Long Term Programs tTrack IDs CA030726 l Resource l # Persons - Hrs Per Prso Comments.

300160 3004 2 1 16 Pago 323 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-009.3 Perform an Effectiveness Review Engineering 4Q03 01-Dec-03 4Q03 Effectiveness Review Report Programs -

Long Term Programs tTrack iDs EFR030728 Resource #Persons lHrs Per Person 'Comments - l 300160 3004 2 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-009.4 Determine and document commitments made to Regulatory 25-Aug-03 3Q03 Commitments documented and NRC regarding AFW switchover to service Affairs - provided to OP-13-009.2 step owner.

water. Licensing tTrack IDs CA029366 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-009.5 Revise Advent engineering evaluation for Engineering 13-Feb-04 1004 Revised evaluation.

spurious operation of TDAFW steam line valve Programs -

and operator timing to supply SW to bearings. Long Term Programs tTrack IDs CA029703 l Resource l # Persons , I Hrs Per Person - Comments 300160 3004 2 1 45 1 Page 324 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3C 3F CAP # 033367 Plan Type Improvement Plan Revision No: 2 Focus Area: Operationally Focused Plan Status In Closure Action Plan

Title:

Evaluate procedural guidance for loss of Circulating Water (CW) Intake Action Plan Number: OP-13-010 Problem Statement: The industry has identified a potential concern regarding the adequacy of operator actions in response to a postulated loss of the circulating water intake supply.

Causal Factors: 1 Industry experience may apply to PBNP.

Obiectives: 1 The industry information will be appropriately dispositioned for PBNP.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-13-010.1 Perform Condition Evaluation Engineering 3Q03 30-May-03 3Q03 Completed CE01 1578 Programs -

Long Term Programs tTrack IDs CE011578 l osoRurco ,l P Person1 .

PeHrs Comments 300160 3004 1 20 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-010.2 Perform an engineering calculation of loss of Engineering 3Q03 25-Sep-03 3Q03 Approved calculation and CAP heat sink upon loss of CW intake. Design submitted for any required actions.

Mechanical - PB tTrack IDs CA030731

'. Resource l # Persons - Hrs Per Person I Comments I.

300170 3004 l 2 l 30 i Page 325 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-010.3 If required, time validate actions InAOP 13A Operations 3Q03 11-Jul-03 1Q04 Validated AOP Actions. This item Is being closed to step OP-13-010.2 (CA030731) tTrack IDs CA030732 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-010.4 Implement procedure changes, if required Operations 1Q04 11-Jul-03 2Q04 Revised procedures, if required.

This item Is being closed to step OP-13-010.2 (CA030731) tTrack IDs CA030733 Page 326 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3B 3B CAP # 053495 Plan Type Improvement Plan Revision No: 0 Focus Area: Operationally Focused Plan Status Open Action Plan

Title:

Probabilistic Risk Assessment - FMEA for Risk Significant Systems Action Plan Number: OP-13-012 Problem Statement: Previously unidentified vulnerabilities could exist in risk-significant systems that were not detectable using the last generation of PRA methods.

Causal Factors: I PRA methods continue to evolve and improve, allowing better determination of equipment and system vulnerabilities.

Obiectives: 1 Risk significant vulnerabililies identified during the PRA upgrade are documented for disposition in the PBNP Corrective Action Program.

2 PRA model is upgraded for the nine highest risk systems.

Action SteDs Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-012.1 Complete FMEA and PRA model upgrade for Engineering 4Q03 1Q04 Revised notebooks issued and any the following systems: Auxiliary Feedwater, Programs - identified vulnerabilities entered into Service Water. SURHR, Emergency Diesel Long Term the corrective action process.

Generators, and electrical distribution. Programs tTrack IDs CA055466

, .,Resourco< #Persons,, . HrsParPorsonC:, . .iCommoentsf K;,',

CONTSRVS $35,000 (2003) 300160 3004 1 300 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-012.2 ComDlete FMEA and PRA model upgrade for Enaineering 1Q04 1Q05 Revised notebooks issued and any Component Cooling Water System and Programs - identified vulnerabilities entered into Instrument Air System. Long Term the corrective action process.

Programs tTrack IDs CA055445

. Resource I # Persons Hrs Per Person . - Comments 300160 3004 1 420 300160 3004 1 120 Page 327 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-012.3 Complete a formal review of steps 1 and 2 of Engineering 1Q05 1005 Assessment Report.

this plan using the self-assessment process Programs -

and at least one offsite NMC or other plant Long Term PRA analyst. The focus of this review will be Programs the effectiveness of these actions in Identifying any vulnerabilities.

tTrack IDs EFRO55A67 Resource- # Persons Hrs Per Person l . Comments I ;

1 300160 3004 1 2 1 20 l l Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-13-012.4 Complete FMEA and PRA model upgrade for Engineering 1Q05 4Q05 Revised notebooks issued and any Fire Protection System (AFW support Programs - identified vulnerabilities entered into functions) and Charging System. Long Term the corrective action process.

Programs tTrack IDs CA055468

- Resource # Persons . Hrs Per Person : - I.Comments 300160 3004 1 1 400 300160 3004 1 80 Page 328 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C3B CAP# 033370 Plan Type Commitment Plan Revision No: 2 Focus Area: Configuration Management (CM) Plan Status Open Action Plan

Title:

Improve the Configuration Management Program Action Plan Numbor: OP-14-001 Problem Statement: Sufficient engineering resources were not dedicated to updating the plant configuration documentation.

Causal Factors: 1 Lack of focus and ownership of configuration management processes.

Obiectives I The configuration Management Group is staffed.

2 NMC Fleet modification closeout standards are implemented.

3 Configuration Management Program guidelines and procedures to improve configuration management are issued.

4 Reduce the backlog of modifications that have been in closeout greater than 90 days since acceptance.

Action Steps:

Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-14-001.1 Select design supervisor for new Engineering 23-May-03 2Q03 Organization Chart showing K. Holt configuration management group Design as Engineering Design Configuration Management Supervisor tTrack IDs CA030736 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.2 Develop Charter for new Configuration Engineering 06-Jun-03 2Q03 Completed charter document Management Group Design Configuration Management (and Q-List items) tTrack [Ds CA030736 Page 329 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.3 Perform initial scope review of outstanding Engineering 2Q03 06-Jun-03 3Q03 Document findings of scope review.

issues Design tTrack IDs CA030739 Resource l #Persons lHrs Per Person Comments .,

300170 3005 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.4 Perform benchmarking trip of industry leader Engineering 27-Mar-03 1Q03 Benchmarking Trip report.

Design CAP032374 Configuration Management (and Q-List items) tTrack IDs CA030790 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.5 Benchmark NMC Fleet processes Engineering 2Q03 18-Sep-03 3Q03 Benchmarking report Design Configuration Management (and Q-List items) tTrack IDs CA030740, CA030790 Resource # Persons - Hrs Per Person Comments :

300170 3005 2 16 Number Action Step ActIon Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.6 Finalize scope of program Engineering 01-Oct-03 4Q03 Issue scope document Design tTrack IDs CA030743 Resource # Persons Hrs Per Person Comments I

I 300170 3009 1 40 Page 330 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Doliverable Ownor OP-14-001.7 Finalize Resource requirements Engineering 01-Oct-03 4Q03 Documented staffing requirements Design tTrack IDs CA030743 l # Persons Hrs Per Person Comments 300170 3009 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.8 Obtain funding approval Engineering 3Q04 Funding approval obtained Design tTrack IDs CA030745 Resource Persons Hrs Per Person Comments 300170 3005 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.9 Complete staffing additional FTEs (objective 1) Engineering 1Q05 Organization Chart depicting Design assignment of individuals to CM group tTrack IDs CA030746

-Resource [ -#Persons .IHrs PerPerson "Comments .

300170 3005 1 24 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.10 Implement Configuration Management Program Engineering 30-Jan-04 1Q04 CM Program Document that addresses CM process weaknesses, Design group functions and interfaces.

tTrack IDs CA032094 Resource # Persons, Hrs Per Person _ Comments 300170 3005 1 1 40 Page 331 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.11 Implement fleet standards for modification Engineering 2Q04 Established time limit for closeout.

closeout (objective 2). Design Revised design change procedure.

Established performance Indicator in monthly Management Review Mtg.

tTrack IDs CA030747 Resource #Persons liHrs Per Person Comments -

300170 3005 1 24 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.11.A Reduce number of modifications not meeting Engineering 2005 List of modifications not meeting the the 90 day closeout requirement to 20 or less. Design 90 day closeout requirement.

Configuration Management (and Q-List items) tTrack IDs CA055681 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.12 Interim Effectiveness Review Engineering 2Q04 Documented Effectiveness Review Design tTrack lDs EFR030748 Resource. # Persons Hrs Per Person Comments -

300170 3005 24 .2 300170 3009 1 24 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.13 Indentify all procedures and processes Engineering 2Q03 23-Oct-03 4Q03 List of procedures and processes affecting configuration management and Design needing revision.

design documentation.

tTrack IDs CA030791 Resource # Persons - IHrs Per Person Comments 300170 3005 1I 40 300170 3009 1 40 Page 332 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.14 Identify resources and scope necessary to Engineering 3Q03 04-Dec-03 4Q03 List of resources and scope.

revise and develop procedures. Design tTrack IIs CA030794 Resource # Persons lHrs Per Person - Comments -

300170 3005 1 16 300170 3009 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.15 Develop specific performance indicators, Engineering 4Q03 1Q05 Performance Indicators standards, or health reports for design Design engineering programs including calculations, set point control, vendor manuals, and piping analysis.

tTrack IDs CA030795 Resource l # Persons Hrs Per Person Comments CONTSRVS 2 80 300170 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.16 Based upon Identified scope and resources. Engineering 4Q03 3Q06 Issued new/revised procedures.

revise and develop procedures. Design tTrack IDs CA030796 I Resource - # Persons Hrs Per Person l - - Comments . -

CONTSRVS 2 320 300170 3004 1 160 300170 3005 1 160 Page 333 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.16.A Perform a progress review of step OP Engineering 2Q05 Completed progress review.

001.16. Design Configuration Management (and Q-List items) tTrack IDs CA055682 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-001.17 Final Effectiveness Review Engineering 4Q04 3Q06 Documented Effectiveness Review.

Design tTrack IDs EFR030798 Resource - # Persons Hrs Per Person _ Comments 300170 3005 1 _z24_

300170 3009 1 _124_

Page 334 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C3B CAP # 033378 Plan Type Commitment Plan Revision No: 2 Focus Area: Configuration Management (CM) Plan Status Open Action Plan

Title:

Validate Design Bases for High Risk Systems Action Plan Number: OP-14-003 Problem Statement: Design Basis documents need to be updated to reflect the current plant configuration.

Causal Factors: I Management oversight of the DBD program was not sufficient.

2 Some of the original plant setpoint analysis are not well documented.

Obiectives: I Design Basis Documents (DBDs) for the following high risk significant systems are updated and validated: Auxiliary Feedwater, Service Water, Fire Protection, Emergency Diesel Generators, Component Cooling, 480V, and 13.8KV.

Action SteDs Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-003.1 Select 5 to 8 of the most risk significant Engineering 22-May-03 2Q03 List of Selected DBD's system DBDs, (this will cover systems that Design have 50 to 80% of the CDF). The following Configuration seven systems were selected: AF, SW, FP, Management DG, CC, 480V, and 13.8KV. (and Q-List items) tTrack IDs CA030767 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-003.2 Assign ownership to the selected DBD's Engineering 2Q03 11-Jul-03 4Q03 Action accomplished via Action Plan within Design Engineering. Design Step OP-14-002.2. This item dosed to avoid duplication.

tTrack IDs N/A Page 335 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-003.3 Revise and implement NP 7.7.3. 'Design Basis Engineering 2Q03 4004 Issuance of NP 7.7.3 and DG-G10 Document Creation, Revision, and Design Maintenance' and DG-G10, 'Design Basis Configuration Document Writer's Guide" to support validation Management and streamlining of the subject DBD's. (and 0-List Items) tTrack IDs CA051894 Resource # Persons .Hrs Per Person - - Comments CONTSRVS 2 160 Contract Services 300170 3005 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-003.4 Issue validation plan and process for Engineering 2Q03 1Q05 Validation Guideline performing validation, performing revisions, Design and identifying open items and entering them Configuration into the CAP system. Management (and Q-List items) tTrack IDs CA030768

... Res.-#e urce., ......- . , P-' : :.s*s*

_,t qomments-300170 3005 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-003.5 Develop resource requirements and milestone Engineering 2Q04 4Q04 Document schedule schedule based on completion of work within Design a 2 year interval.

tTrack IDs CA030769 I Resource' l #Persons li; Per Person l Hrs Commonts 300170 3005 1 1 1 16 1 Page 336 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable fun r OP-14-003.6 Validate Design Basis (including DBDs and Engineering 3Q04 3Q06 Updated Validated DBDs other design basis information) Design Configuration Management (and Q-List items) tTrack IDs CA030770

- Resource - # Persons Hrs Per Person . Comments, CONTPRO 3 600 300170 3004 4 600 300170 3005 1 200 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-003.6.A Complete validation for Auxiliary Feedwater, Engineering 2Q05 Completed progress review.

Service Water, and Fire Protection. Perform a Design progress review, validate schedule and Configuration quality of completed work. Management (and Q-List items) tTrack IDs CA055683 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-003.7 Effectiveness Review. Establish periodic DBD Engineering 3Q06 4Q06 Incorporated Into station Self-reviews as part of the self assessment (SA) Design Assessment Plan.

plan.

tTrack IDs EFR030771 Resource~ - -. # Persons. - lHrs Per Person Comments 300170 3005 1 24 300170 3009 1 24 Page 337 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3C 3B CAP # 033380 Plan Type Improvement Plan Revision No: 2 Focus Area: Configuration Management (CM) Plan Status Open Action Plan Titlo: Reduce Ambiguity of Current Licensing Basis for User Action Plan Number: OP-14-004 Problem Statement: The licensing basis is difficult to retrieve.

Causal Factors: I The current system (EDMS) is difficult to use.

Oblectives: 1 To establish database or other solution with direct access to CLB documentation of critical and risk significant information. Note: this is not intended to be a total reconstitution of the CLB for PBNP.

Action Stens:

Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.1 Scope definition for CLB clarity and action plan License Renewal 2Q03 30-May-03 2Q03 List of 10 CFR 54.3 related subjects, will be developed by a group made up of regulations, and systems for CLB Regulatory Affairs and License Renewal with development. Survey to find the input from Engineering. This will look at the capability of PBNP personnel to licensing basis from an overview vantage reconstruct a CLB issue. A CLB point. document structure layout. A survey to be used to determine the peer processes used to develop a CLB summary.

tTrack IDs CA029463 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable to impov th acio Deeo clrt of pla Owner OP-14-004.2 Develop action plan to improve the clarity of License Renewal 2Q03 11-Jul-03 3QO3 Action Plan for improving Clarity of the Current Licensing Basis for Point Beach. the CLB.

tTrack IDs CA029463 Page 338 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.3 Provide interim guidance to PBNP personnel on License Renewal 3Q03 22-Dec-03 4Q03 Process document providing a process for completing an identified subject guidance for reconstitution of the CLB reconstitution. CLB for a specific subject area.

tTrack IDs CA030772 Resource Persons Hrs Per Person . Comments.

300170 3005 1 80 300290 3005 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.4 Draft 'White Papers' on key licensing issues License Renewal 2Q03 20-May-03 3Q03 Necessary white papers are drafted.

as required.

tTrack IDs CA030773 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.5 Goals will be set for the action plan by setting License Renewal 3Q03 24-Nov-03 4Q03 List of subject areas with set priorities based upon the significance to priorities and resource needs License Renewal, Safety, and or Regulatory risk. A, B, and C categories will be set for each action item in the action plan.

tTrack IDs CA030774 Resource #Persons Hrs Per. Person .Comments: .. ..

300170 3005 1 40 300290 3005 1 40 _

Page 339 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Ownar OP-14-004.6 Implement a process and retention tool to Business UTl 3003 10-Dec-03 4003 Installed multi-user tool capable of contain and allow update of CLB information. Support & archiving CLB documents or Infrastructures document links and summaries Enhanced process guidance to incorporate completed and new CLB evaluations into the tool. This should include updates to existing evaluations. Concurrence and validation is also part of this process.

tTrack IDs CA030776 Resource # Persons', Hrs Per Person Comments MTRLl $50.000 3002203008 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.7 Research, collect and summarize priority A License Renewal 4Q03 4Q04 Completed research, collection, and items. Document references, links or summary of CLB and install In tool.

document copies as well as summaries into tool.

tTrack IDs CA030777 Resource

,.s..rn, .#Pers P sons',o Hrs Per Perso er, . ... - Comments .

300170 3004 1 400 300290 3004 1 400 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.8 Solution Effectiveness Review - Nuclear Nuclear 3Q04 4Q04 A report of the benchmarking visit Oversight to assess the effectiveness of the Oversight findings.

CLB Capture tool during the 3rd or 4th quarter of 2004.

tTrack IDs CA030778 l Resource l # Persons l Hrs Per Person Comments 300140 3005 1 2 1 20 l l Page 340 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.9 Step deleted In Revision 2. Regulatory 1Q04 1Q04 Step deleted 02-24-04. No Affairs - deliverable required.

Compliance tTrack IDs CA030780 Resource # Persons Hrs Per Person Comments 300170 3005 1 40 300290 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.10 Research, collect and summarize priority B License Renewal 1Q04 3Q04 Complete research, collection and items. Document references, links or summaries of priority B items.

document copies as well as summaries into tool.

tTrack IDs CA030781 Resource , # Persons Hrs Per Person Comments 300170 3004 1 400 300290 3004 1 400 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-004.11 Research, collect and summarize priority C License Renewal 3Q04 2Q05 Completed research, collection and items. Document references, links or summaries of priority C items document copies as well as summaries into tool.

tTrack IDs CA030782

Resource- .-l. #Persons . Hrs Per Person l , Comments..

300170 3004 1 400 300290 3004 1 400 Page 341 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable wnenr OP-14-004.12 Provide for legacy program to maintain the tool License Renewal 2Q05 2Qo5 Tool and new Information and and its information. update process In place with priority A, B and C Information Installed.

tTrack IDs CA030783 Resource - # Persons Hrs Per Person Comments 300170 3005 1 40 300290 3005 1 40 Page 342 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3C 3B CAP # 033381 Plan Typo Commitment Plan Revision No: 2 Focus Area: Configuration Management (CM) Plan Status Open Action Plan

Title:

Validate and Integrate Calculations and Selpoints Action Plan Number: OP-14-005 Problem Statement: Discrepancies exist in system calculations.

Some setpoints do not have a clear and retrievable design basis.

Causal Factors: I Lack of available original Westinghouse or Bechtel analyses.

2 Failure to dedicate resources for creation/mainlenance of necessary calculations.

3 Lack of useful cross-reference for equipment, selpoints, calculations, and procedures.

Obiectives' I Calculations are upgraded to provide a clear basis for safety-related setpoints and to create a cross-reference for setpoints, calculations, and procedures.

Action Steps' Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.1 Issue generic validation plan Engineering 2Q03 10-Jul-03 3Q03 validation plan Design tTrack IDs CA030784 lRessurcc.

l I....: # Persons. Hrs Per Person .. -. Commonts .v 300170 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.2 Develop resource requirements and milestone Engineering 2Q03 15-Aug-03 3Q03 Issued schedule schedule based on completion of work. Design tTrack IDs CA030785 Resource l # Persons Hrs Per Person . .Comments 'II 1 I 300170 3005 _ _ 16 Page 343 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.2.A OPS/ENG review EOP setpoints. Identify set Operations 3Q03 13-Oct-03 4Q03 List of STPTs requiring revision.

points that require revision.

tTrack lDs CA052523

-Resource - # Persons Hrs Per Person Comments ,.

300020 3007 1 30 300170 3004 1 30 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.2.B Revise and enhance the EOP Setpoint Index in Engineering 4Q03 18-Dec-03 4003 Copy of issued index in EDMS.

EDMS Design Configuration Management (and O-List items) tTrack IDs CA052524

- Resource . #Persons Per PersonllHrs Comments 66OLCLER 2 l 15 300170 3004 2 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.2.C Determine new format /content /orioritization Operations 4Q03 17-Nov-03 1Q04 CoDy of letter detailing attributes of EOP setpoint calculations. (Content /Format /Prioritization).

tTrack IDs CA052525

Resource - # Persons IHrs PerPerson . Comments -.

300020 3007 1 I 10 I Page 344 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.2.D Revise/Update/Create EOP selpoint Engineering 1004 1Q05 A copy of each signature page from calculations. Design Electrical the revised EOP setpoint

- PB calculations showing approval signatures.

tTrack IDs CA052526 3Resource 0017. 3. # Persons 2 Hrs

. . Per5 Person .- Comments :.:

300170 3004 2 500 300170 3004 2 250 300170 3004 1 100 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.2.E Final review and acceptance of the revised Operations 4Q04 2005 A copy of each signature page from EOP setpoint calculations. the revised EOP setpeint calculations showing Operations acceptance signatures.

tTrack IDs CA052527 Resource . #Persons Hrs Per Person Comments -

300020 3007 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.2.F Implement revised EOP setpoints in Emergency Operations 1Q05 4Q05 A copy of memo detailing EOPs Operating Procedures. changed.

tTrack IDs CA052528 l; Resource l # Persons Hrs Per Person Comments .

300020 3007 1 320 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-14-005.3 Identify the population of calculations. Engineering 4Q03 2Q04 List of calculations subject to Design validation.

tTrack IDs CA055448 31Resource Persons Hrs Per Person Comments II I

1300170 3004 1 9 1 400 Page 34 5 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Ownpr OP-14-005.4 Make presentation to We Energies Senior Engineering 1Q04 Meeting notes from presentation to Project Team regarding project scope, Design We Energies Senior Project Team.

schedule and budget.

tTrack IDs CA055449 l Resource. l Persons lHrs Per Personi Comments -l 300170 3009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.5 Commence work on project. Engineering 1Q04 Documented communication of Design project kickoff.

tTrack IDs CA055450 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.6 Develop progress indicators to track work Engineering 1004 Performance Indicators.

completed vs. expenditures. Design Configuration Management (and Q-List items) tTrack IDs CA055451 Resource # Persons -IHrsPerPerson: Comments il 300170 3005 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.7 Prepare semi-annual progress report. Engineering 3Q04 Progress report.

Design tTrack IDs CA055452

l. Resoureo l # Persons l Hrs PerPerson l.. Comments 1 300170 3005 1 2 1 Pe0r l Page 346 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Ownnr OP-14-005.8 Perform mid-project effectiveness review. Engineering 3Q04 Effectiveness review report.

Design tTrack IDs EFR055453 Resource #Persons 'Hrs Per Persons; Comments -

300170 3004 3 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.9 Prepare semi-annual progress report Engineering 1Q05 Progress report.

Design tTrack IDs CA055454 Resource Persons HrsPerPerson Comments 300170 3005 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.10 Incorporate relational database into station Business liT 2Q05 Relational database online and information system. Support & available to station personnel.

Infrastructures tTrack IDs CA055455 lRsourco ,-l, .#Persons I1HrsPoer.Person -Comments.

300220 3008 3 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-005.11 Perform final effectiveness review. Engineering 1Q06 Effectiveness Review report.

Design tTrack IDs EFR055457 l Resource.- # Persons ' Hrs Per Person Comments II 300170 3004 1 3 1 40 I Page 347 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 2 3C 3B CAP# 033416 Plan Type Commitment Plan Revision No: 2 Focus Area: Configuration Management (CM) Plan Status Open Action Plan

Title:

Update Vendor Technical Information Program (VTIP)

Action Plan Number: OP-14-007 Problem Statement: The Vendor Technical information program (VTIP) does not meet industry standards.

Causal Factors: 1 Lack of ownership of the Vendor Technical Information program.

Oblectives: 1 The VTIP program responsibilities assigned to Configuration Manangement Group.

2 Strengthen the VTIP program and address issues identified in a self-assessment.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Dato Due Date Deliverable Owner OP-14-007.1 Establish process ownership and procedures Engineering 23-May-03 2Q03 Procedures NP 7.2.13 and NP 7.2.14 Design have been approved and issued.

Ownership of VTIP is with Engineering Design Configuration Management group.

tTrack IDs CA030936 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-007.2 Identify resources necessary to support the Engineering 2Q03 10-Nov-03 4Q03 Identification of personnel vendor technical information program Design tTrack IDs CA030939 Resource - # Persons Hrs Per Perso Comments 3I 300170 3009 I I 16 4 I Page 348 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-007.3 Assign resources to configuration Engineering 3Q03 1005 Issue purchase order to contractor management group Design or assignment of duties to new or Configuration existing staffing.

Management (and Q-List items) tTrack IDs CA030941 Resource l # Persons l Hrs Per Person l Comments --

]I l 300170 3005 l 1 l 8 l I Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner OP-14-OW 7.4 Perform review of vendor contact program, Engineering 4Q03 2Q05 Issuance of revised procedure, NP incorporate industry best practices. Design 7.2.14 Configuration Management (and Q-List items) tTrack IDs CA030943

R ource'.

1'~

..esrc .

-# Persons .I Hrs PerPerson I

.: Comments: -: ;:; >

. '. I I i .. -.

300170 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-00i 7.5 Effectiveness Review Engineering 2Q04 2005 Survey of users.

Design tTrack IDs CA030945

[ Resource . # Persons Hrs Per Person ; Comments 300170 3005 1 I 24 300170 3009 - 1 24 Page 349 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-007.6 Obtain funding approval for necessary Engineering 2Qo4 Funding approval resources identified in step OP-14-007.2 Design Configuration Management (and Q-List items) tTrack IDs CA031984 Resource # Persons Hrs Per Person . Comments:,

l 300170 3009 l 1 40 l l Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-007.7 Develop a plan and identify resources for Engineering 06-Nov-03 1Q04 Completed plan and required baselining of CIMs for key safety-related Design resources identified.

components. Configuration Management (and Q-List items) tTrack IDs CA055684 Resource:; ls Hrs Per Peraon[ :.; .- Comment -

300170 3005 1 24 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-007.8 Review and address issues identified in the Engineering 2Q04 Report summarizing review and VTIP self-assessment and in CA000248, Design identifying follow up corrective CA001634, and CA002968. Configuration actions.

Management (and Q-List items) tTrack IDs CA055685 I. Resource. l # Persons . lHrs Per Person Comments. .

300170 3005 l 1 96 I I Page 350 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 1A 1A CAP # 033417 Plan Typo Improvement Plan Revision No: 2 Focus Area: Configuration Management (CM) Plan Status Open Action Plan

Title:

AFW Design Basis Validation Project Action Plan Number: OP-14-008 Problem Statement: Concerns regarding the Integrity of the design and licensing basis of the AFW System exist.

Causal Factors: I This system is complex and has transitioned from non-safety related to safety related post TMI.

2 Design and licensing basis was not adequately maintained.

Obiectives: I Accurate and well-documented design and licensing basis of the AFW System.

Action Stens' Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-008.1 Gain Project Review Board (PRB) approval for Business 31-Dec-02 4Q02 Signed Request for Phased Study. Projects Approval (RPA.)

tTrack IDs CA030949 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-008.2 Data Gathering/Analysis by External Engineering 01-Feb-03 1Q03 Assessment Data assembled.

Independent Assessment Team to validate Design current AFW operation & maintenance meets established design and licensing basis.

tTrack IDs CA030949 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-O0E i.3 Issue Initial Report by Extemal Independent Engineering 11-Mar-03 1Q03 Issued Initial Report.

Assessment Team Design tTrack IDs CA030949 Page 351 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-008.4 NMC Engineering Review of External Engineering 04-Apr-03 2Q03 Reviewed Initial Report.

Independent Assessment Team Report Design tTrack lDs CA030949 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-008.5 Re-circulation line orifice confirmatory flow Engineering 16-Apr-03 2Q03 Flow test data and report.

testing, by External Independent Assessment Design Team, of original and new design orifices.

tTrack IDs CA030949 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-008.6 NMC Engineering/ Extemal Independent Engineering 1Q03 13-Sep-03 3Q03 Final Report assessing AFW Design Assessment Team Diagnostic Review of AFW Design l&C and Licensing Basis.

system.

tTrack IDs CA051876 CONTPRO 4 40 300160 3004 8 100 300170 3004 9 100 Page 352 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner OP-14-008.7 Revalidate the AFW design basis (This is the Engineering 2Q03 3Q06 Final AFW Analysis Report measure of effectiveness.) Design tMrack IDs EFR030952 Resource # Persons Hrs Per Person Comments CONTPRO 1 50 CONTPRO 3 100 CONTPRO 1 100 300160 3004 2 20 300160 3004 6 100 300170 3004 2 20 300170 3004 1 50 Page 353 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: OP Priority 1 3A33B CAP # 033389 Plan Type Improvement Plan Revision No: 2 Focus Area: Security Plan Status In Closure Action Plan

Title:

Preparation for Interim Compensatory Measures (ICM) Inspection Action Plan Number: OP-20-001 Problem Statement: There is a requirement to comply with the NRC Security Order Interim Safeguards and Security Compensatory Measures.

Causal Factors, 1 Preparations have not been completed to ensure the site is adequately prepared for the ICM Inspection.

Obiectives I Successful Security ICM inspection with no NRC violations or findings.

NOTE: NRC issued Order for Compensatory Measures contains Safeguards Information. Contact Action Plan Owner for details.

Action Stens:

Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-20-001.1 Identify support personnel per group for ICM. Security PBNP 1Q03 07-May-03 2Q03 List of Team Members.

tTrack IDs CA030813 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-20-001.2 Individuals designated in Step 1, to review Security PBNP 2003 14-Jul-03 3003 Documentation of review.

with security the specific actions that are listed within the ICM.

tTrack IDs CA030814 Resource # Persons Hrs Per Person Comments 300020 3005 1 4 300130 3005 1 4.

300170 3005 1 4 300290 3004 1 4 300350 3005 1 4 300350 3005 1 4 300360 3005 1 4 Page 354 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner .

OP-20-001 .3 Individuals to review [CM material, NEI Security PBNP 2Q03 14-Jul-03 3Q03 Documentation of review.

guidance/compliance criteria and PBNP response dated August 31. 2002.

tTrack IDs CA030815 Resource, # Persons Hrs Per Person Comments 300020 3005 1 4 300130 3005 1 4 300170 3005 1 4 300290 3004 1 4 300350 3005 1 4 300350.3005 1 4 300360 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-20-001 .4 Individuals to review the NRC Temp Inspection Security PBNP 2003 14-Jul-03 3Q03 Documentation of review.

(TI) documentation 2515, Rev 2. Verify PBNP response material addresses TI. Identify deltas between response material and Ti.

tTrack IIs CA030816

, Resource l - # Persons ; Hrs Peor PFerson 2Comments 300020 3005 1 4 300130 3005 1 4 300170 3005 1 4 300290 3004 1 4 300350 3005 1 4 300350 3005 1 4 300360 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-20-001 .5 Conduct effectiveness review Security PBNP 3Q03 22-Jul-03 3Q03 Effectiveness Report Report tTrack IDs EFR030817 Resource I # Persons l Hrs Per Persons Comments 100000 1000 1 2 1 16 l Page 355 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner OP-20-001.6 Personnel identified within action Step 1 Security PBNP 3003 08-Aug-03 3Qo3 Exit meeting notes documenting required support NRC inspection. participation.

tTrack IDs CA030818 Resource . # Persons Hrs Per Person Comments 300020 3005 1 40 300130 3005 1 40 300170 3005 1 40 300290 3004 1 40 300350 3005 1 40 300350 3005 1 40 300360 3005 1 40 Page 356 of 489 Effoctivo Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority I 3C 1C CAP# 029129 033393 Plan Type Comnitment Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

AFW Appendix R Firewall Project Action Plan Number: EQ-15-001 Problem Statement: Appendix R safe shutdown analysis done during rebaselining project, identified need for additional fire separation in Auxiliary Feedwater Pump room.

Causal Factors: I Appendix R rebaselining project utilized more rigorus analytical techniques and criteria than were available during original Appendix R analysis.

Obiectives: I Complete modifications required to resolve Auxiliary Feedwater Pump room Appendix R issues.

Action SteDs:

Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable nwnor EQ-15-001.1 Complete Engineering for Mod MR99-034B Engineering 01-Dec-02 4Q02 Approved Mod Package (Relocate Electrical Components) Design Electrical

-PB tTrack IDs CA030833 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.2 Complete Engineering for Mod MR99-034C Engineering 01-Dec-02 4Q02 Approved Mod Package (Relocate Piping/Tubing & Install Fire Damper) Design Civil/Structural -

PB tTrack [Ds CA030834 Page 357 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable nwn v EQ-15-001.3 Complete Engineering for Mod MR99-034D Engineering 01-Dec-02 4Q02 Approved Mod Package (relocate conduit and pipe supports) Design Civil/Structural -

PB tTrack IDs CA030835 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.4 Complete Engineering for Mod MR99-034 Engineering 03-Oct-02 4Q02 Approved Mod Package.

(Install 3 hour3.472222e-5 days 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months firewall). Design CiviVStructural -

PB tTrack IDs N/A Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.5 Complete Engineering for Mod MR99-034A Engineering 1Q03 01-Jul-03 3Q03 Approved Mod Package (Modify Halon Detection and Annunciation Design System) Civil/Structural -

PB tTrack IDs CA030836 Resource # Persons Hrs Per Person Comments - l 300170 3004 1 80 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.6 Complete Design Engineering Review Board Engineering 1Q03 01-Jul-03 3Q03 Design Review Board approval.

for Mod MR99-034A Design Electrical

-PB tTrack IDs CA030836 Page 358 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.7 Complete Engineering for Mod MR99-033 Engineering 1Q03 04-Sep-03 3Q03 Approved Mod Package (Install the 1 hour1.157407e-5 days 2.777778e-4 hours 1.653439e-6 weeks 3.805e-7 months fire wrap) Design Electrical

-PB tTrack IDs CA030837 Resource. .Persons Hrs Per Personi. Comments; 300170 3004 1 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.8 Complete Mod Implementation MR99-034B Maintenance 4Q02 2Q04 Modification installed and accepted.

(Relocate Electrical Components) Construction (General Supervisor Installation Services) tTrack IDs CA030838

-Resource. #Persons .Hrs Per Person . Comments:.

CONTCFT 3 l 40 300100 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.9 Complete Mod Implementation MR99-034C Maintenance 4002 2Q04 Modification installed and accepted.

(Relocate Pipingfrubing & Install Fire Damper) Construction (General Supervisor Installation Services) tTrack IDs CA030838 Resource I # Persons Hrs Per Person l Comments -

CONTCFT 2 40 300100 3005 1 20 Page 359 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner . . .

Maintenance EQ-15-001.10 Complete Mod Implementation MR99-034D 4Q02 2Q04 Modification installed and accepted.

(Relocate Conduit and Pipe Supports) Construction (General Supervisor Installation Services) tTrack IDs CA030839 Resource # Persons I Hrs Per Person IComments :

CONTSRVS 2 16 300100 3005 1 4 I 300170 3004 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.11 Complete Mod Implementation MR99-034A Maintenance 3Q03 2Q04 Modification installed and accepted.

(Modify Halon Detection and Annunciation Construction System) (General Supervisor Installation Services) tTrack IDs CA030840

, Resource l #Persons .. iHrsPeurPersonL - Comments: - 'l CONTSRVS 1 776 3001003005 1 1 100 I 300170 3004 1 80 Page 360 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.12 Complete Mod Implementation MR99-033 Maintenance 2Q03 2Q04 Modification installed and accepted.

(Install fire wrap). Some Field Engineering will Construction be required. (General Supervisor Installation Services) tTrack IDs CA030841 Resource # Persons l Hrs Per Person l Comments 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 2Q04 Modification close out package.

Projects tTrack IDs CA030842 Resour . #Persons IHrs Per Personi -Comments - l 300370 3005 1 138 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-001.14 Complete Mod Implementation MR99-034 Maintenance 2Q03 2Q04 Modification installed and accepted.

(Install 3 hour3.472222e-5 days 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months firewall). Construction (General Supervisor Installation Services) tTrack IDs CA031651 Resource Persons Hrs Per Person . Comments CONTSRVS 0 1830 Contract Services 300100 3004 2 80 300170 3004 1 80 Page 361 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 4A4B CAP# 033394 Plan Type Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan Titlo: MEMCOR Microfiltration Project Action Plan Number: EQ-15-002 Problem Statement: The Makeup Water Pre-treatment System does not provide water of acceptable quality for the Reverse Osmosis equipment.

Causal Factors, I Original pre-treatment process generated a waste stream that challenged Wisconsin Department of Natural Resources suspended solids limits.

2 Original pre-treatment equipment did not provide Reverse Osmosis System with acceptable feedwater quality.

Oblectives: 1 Implement makeup water pre-treatment filtration equipment that supplies acceptable feedwaler for the Reverse Osmosis System.

2 Meet or exceed the goal for Reverse Osmosis System feedwater quality after system is in service.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.1 Gain Projects Review Board approval for Business 23-Jun-03 3Q03 Approved Request for Phased Design Phase Projects Approval.

tTrack IDs CA030843 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.2 Procure Long Lead MicroFiltration Units Business 23-Jun-03 3Q03 Delivered Units.

Projects tTrack IDs CA030844 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.3 Complete Design Modification for Pre-treatment Engineering 3Q02 14-Jul-03 3Q03 Approved Modification MR02-33-A.

Area Demolition (MR02-033 A) Design ITrack IDs CA030845 Resource # Persons Hirs Per Person l Comments -

1300170 3009 1 1 2 Page 362 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.4 Update and develop Operations and Chemistry 3003 2Q04 Documented procedure approvals.

Maintenance Procedures.

tTrack IDs CA030846 Resource # Persons Hrs Per Person Comments .

CONTPRO 1 800 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.4.A Update and develop Operations and Chemistry 1Q04 Documented procedure approvals.

Maintenance procedures to support MR02-033-B.

tTrack IDs CA030846 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002A.B Update and develop Operations and Chemistry 2Q04 Documented procedure approvals.

Maintenance procedures to support MR02-033YC.

tTrack IDs CA030846 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.5 Complete Design Modification for Engineering 4002 30-Sep-03 3003 Approved Modification MR02-331B.

MicroFiltration Installation (MR02-033 B) Design tTrack IDs CA030847 Resource - Persons lHrs Per Person Comments --

300170 3004 2 220 300370 3005 4 140 Page 363 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.6 Gain Project Review Board Approval for Business 23-Jun-03 3Q03 Approved Request for Phased Implementation Phase Projects Approval form.

tTrack IDs CA030848 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.7 Field implementation for Demolition (MR02- Maintenance 3Q03 20-Oct-03 4Q03 Area has been prepared for 033VA) Construction Installation IWP (picture attached)

(General Supervisor Installation Services) tTrack IDs CA030849 Resource # Persons Hrs Per Person [ Comments l CONTCFT 15 324 300100 3004 1 260 300170 3004 2 160 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.8 Field Implementation for installation (MR02- Maintenance 4Q03 2004 IWP Acceptance by Ops.

033-B) Construction (General Supervisor Installation Services) tTrack IDs CA030850 Resource # Persons Hrs Per Person Comments CONTCFT 15 867 300100 3004 1 360 300170 3004 2 270 Page 364 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.9 Complete Design Modification for Softener Engineering 3Q03 30-Jan-04 1Q04 Approved Modification MR02-033'C.

Abandonment (MR02-0331C) Design tTrack IDs CA030851 Resource # Persons Hrs Per Person Comments:

300170 3004 2 I 40 300370 3005 4 179 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.10 Field Implementation for Softener Maintenance 2Q04 2Q04 IWP Acceptance by Ops.

Abandonment (MR02-033XC) Construction (General Supervisor Installation Services) tTrack IDs CA030852 Resource . - #Persons . Hrs Per Person -Comments' CONTCFT 8 134 300100 3004 1 100 300170 3004 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.11 Modification Closeout Engineering 2004 3Q04 Plant Design Change Checklist Design signed by Supervisor.

tTrack IDs CA030853

-Resource Persons IHirs Per Prson Comments -

300170 3004 I 4 138 300400 3004 0 0 Page 365 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.12 Complete MEMCOR Operations Training Training 4Q03 2004 Training Records Operations Requal tTrack IDs CA031923 Resource Persons Hrs Per Person Comments 300130 3006 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-002.13 Complete MEMCOR Maintenance Training Training 4Q03 2Q04 Training Records Maintenance tTrack IDs CA031924 Resource 300 30.

1300130 3006 I

1

Persons 1

I l

Hrs Per Person l 4

40 Comments I

Page 366 of 489 Effective Date: 2-27-04

PB3NP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 30 3B CAP # 033395 Plan Type Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Pian

Title:

Replacement of Plant Perimeter Project Action Plan Number: EQ-15-003 Problem Statement: The plant protected area perimeter Intrusion detection system (PIDS) equipment needs to be replaced. Replacement of the PIDS is a NRC commitment.

Causal Factors: 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.

Obiectives: 1 PIDS upgrade completed and accepted.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable

~Owner EQ-15-003.1 Issue approved Civil package MR99-01 1B Engineering 1003 27-Jun-03 3Q03 Approved MR99-01 1'1B Design Civil/Structural -

PB M~ack lDs CA030854 Resure,--, Persons Hr Pr Peso

Comments>

0OWIR0 2 8 I300170 3004 I 2 I 20 300170 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-i15-M0U Presentation of MR99-01 1'B and Approval Business 2Q03 12-Jun-03 2Q03 Phase 3 Appi royal from PRB from PRB for Phase 3 Projects tMack IDs CA030855 Resource #Persons U - Hrs Per Porson ,l Comments, I.

CONTPRO 1 40 I SECURIlY 1 I 10 300370 3009 1 5 Page 367 of 489 Page Date: 2-27-04 67o 489Effective

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-003.3 Implement MR99-01 IB, Security department to Business 2Q03 24-Dec-03 4Q03 Security declares civil portion of accept conditional acceptance. Projects modification usable.

tTrack IDs CA030856 Resource #Persons Hrs Per Person Comments 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 Group Start Date Comp Date Duo Dato Deliverable Owner EQ-15-003.4 Issue approved package for Electrical MR99- Engineering 1Q03 24-Oct-03 4Q03 Approved MP99-011 E, or partial OWE Design l&C releases that support the implementation schedule.

tTrack IDs CA030857 Resource i #Persons; U HrsPer.Person Comments., -

CONTPRO 3 80 300100 3005 1 80 300170 3004 2 160 300350 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner __

Prsntto . of R90 . 1 an Approval__

EQ-15-003.5 Presentation of MR99-011IWE and Approval Business 2Q03 07-Aug-03 3003 Phase 3 Approval from PRB from Project Review Board (PRB). Projects tTrack IDs CA030858 Page 368 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-003.6 Implementation/completion of MR99-01 VE Business 3Q03 3Q04 Security declares new Security Projects System operable.

tTrack IDs CA030859 Resource Hrs Per Person Comments ,sPersons CONTCFT 6 420 CONTPRO 3 420 CONTSRVS 2 320 300100 3005 1 420 300170 3004 2 120 300350 3005 1 200 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable

_wner EQ-15-003.7 Issue approved package for Demolition and Business 3Q03 2Q04 Approved MP99-01 1F.

Abandonment MR99-01 VF Projects tTrack IDs CA030860 Resource,'- .# Persons. Hrs PerPerson Comments.

CONTPRO 3 80 300100 3005 1 80 300170 3004 2 160 300350 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-003.8 Presentationlapproval of MR99-01 IF from PRB Business 2Q03 16-Sep-03 4Q03 Phase 3 Approval from PRB.

Projects tTrack IDs CA030861 Resource . -# Persons Hrs Per Person ' Comments CONTPRO1 40 SECURlTY 1 10 300370 3009 1 5 Page 369 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-`15-003.9 Implernentationlcompletion of MR99-Oi VF Business 3Q03 3Q04 Acceptance by Security.

Projects tTrack IDs CA030862 Resource # Persons'. Hrs Per Person Comments CONTCFT 6 240 CONTPRO 3 240 CONTSRVS 2 180 300100 3005 1 240 300170 3004 2 60 300350 3005 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-003.10 MR99-011 Modification closeout Business 4Q03 4Q04 Plant Design Checklist signed by Projects Supervisor.

tTrack IDs CA030863 i- Resource # Persons Hrs Per Person Comments .

COMNTPRO 2 D 80 X CONTSRVS 2 120 300100 3005 1 40 300170 3004 2 80 300350 3005 1 j 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-003.11 Complete schedular commitment changes Business 3Q03 16-Sep-0 3 3Q03 Documented commitment change in necessary to execute this Action Plan. The Projects accordance with NP 5.1.7.

NRC commitment date is 12131/03. This Plan will not be completed until mid-2004.

tTrack IDs CA031971 Resource. l - Persons aHrsPerPerson

Comments . l

. i0 .

CONTPRO Il 1 40 I.I Page 370 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-003.12 Training for new perimeter intrusion detection Business 3Qo3 2Q04 Provide systems training for l&C equipment. Projects technicians, and user training for Security personnel. Engineering representatives involved in the project are to be invited to both types of training.

tTrack IDs CA055674 Resource. # Persons ' Hrs Per Person Comments.

300020 3005 1 40 300100 3004 1 16 300130 3006 1 400 300150 3004 1 8 300170 3004 1 32 300320 3005 1 80 300350 3005 1 80 300350 3008 1 16 300370 3009 1 40 Page 371 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 3C 3B CAP # 033405 Plan Typo Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status In Closure Action Plan

Title:

High Energy Line Break Project Action Plan Number: EQ-15-006 Problem Statement: 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.

Causal Factors: i Equipment in the PAB on the 26 It elevation and below was not included in the original EQ program. (Recent engineering analyses determined that harsh environments may exist in these areas [CAP001559] for certain steam line breaks.)

Obiectives: I Install walls, ducts and dampers that will prevent safe shutdown equipment from being exposed to a harsh environment.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-006.1 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 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-006.2 Gain Approval for the Design Phase Engineering 2Q02 15-Aug-02 2003 Signed RPA Design Mechanical - PB tTrack IDs CA030918 Page 372 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-006.3 Gain Approval for the Implementation Phase Engineering 4002 06-Jan-03 2Q03 Signed RPA Design Mechanical - PB tTrack IDs CA030918 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-006.4 Complete Engineering for Mod MR99-003 Engineering 3Q02 25-Mar-03 2Q03 Approved Mod Package Design Mechanical - PB tTrack IDs CA030918 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-006.5 Engineered Materials on Site Engineering 1Q03 14-Aug-03 3Q03 Materials ready to Install Design Mechanical - PB tTrack IDs CA030919 Resource ersons .HrsPerPerson Comments.:

CONTPRO 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-006.6 Complete Prefab Construction Maintenance 2Q03 14-Jul-03 3Q03 Prefab duct const. complete Construction (General Supervisor Installation Services) tTrack IDs CA030920 Resource ## Persons

Hrs Per Person . - Comments :

CONTCFT 1 350 300100 3005 2 120 300170 3004 1 80 Page 373 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-006.7 Complete Implementation Maintenance 2Q03 25-Aug-03 3Q03 Modification Installation Construction documentation.

(General Supervisor Installation Services) tTrack IDs CA030921 Resource #Persons - Hrs Per Person Comments CONTCFI 1 700 300100 3005 2 200 300170 3004 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-006.8 Modification Closeout Business 4Q03 09-Dec-03 4Q03 Modification closeout documentation.

Projects tTrack IDs CA030922 Resource # Persons IH-rs -' - Comments -

300370 3005 1 l 138 Page 374 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 5E 5D CAP # 033406 Plan Type Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status In Closure Action Plan

Title:

CAS Ventilation System Project Action Plan Number: EQ-15-007 Problem Statement: The Central Alarm Station (CAS) Ventilation System is at the end of life and requires replacement Causal Factors: I Business Initiative - Causal Factors not required.

Obiectives 1 Replace the CAS Ventilation system with a new system.

Action Stops:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownnr EQ-15-007.1 Gain PRB approval for Design/Implementation Business 15-Nov-02 2Q03 Approved RPA Phase of MR 03-001 tTrack IDs CA030923 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-007.2 System Walk Down with Design Engineering Business 19-May-03 2Qo3 Documented Walk Down tTrack IDs CA030923 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-007.3 Tumover Mod Development to Design Business 20-May-03 2Q03 Tumover Complete Engineering tTrack IDs CA030923 Page 375 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable nwnnr EQ-15-007.4 Modification Development Engineering 2Q03 25-Jul-03 3Q03 Mod Package design complete.

(MR 03-001) Design tTrack IDs CA030924 Resource N Persons lHrs Per Person l Comments CONTSRVS 1 80 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-007.5 Final Design, Design Review Board (DRB) Engineering 3Q03 10-Sep-03 3Q03 Documentation of presentation.

Presentation Design tTrack IDs CA030925

[ Resource, #Persons - Hrs Per Person Comments CONTSRVS 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-007.6 Modification Implementation Engineering 3Q03 09-Dec-03 4Q03 Operations modification acceptance Design documentation.

tTrack [Ds CA030926 Resource l: #Persons.. 1 ,H rs Per,

. Per. -, . Comments,- -;

CONTCFr 2 80 CONTSRVS 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-007.7 Modification Closeout Engineering 3Q03 22-Jan-04 1004 Modification closeout documentation.

Design tTrack IIs CA030927 Resource # Persons Hrs Per Person - . Comments

. 40 CONTSRVS I I _ 40 Page 376 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 34B14D CAP # 033421 Plan Type Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

Implement Fleet Equipment Reliability Excellence Plans Action Plan Number: EQ-15-010 Problem Statement: Point Beach has not fully implemented Fleet Equipment Reliability Excellence Plans Causal Factors: 1 Business Plan - No Causal Factors Obiectives: I Point Beach has the Fleet Equipment Reliability Excellence Plans in place Action SteDs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.1 Step deleted in Revision 2. Engineering 2Q04 Step deleted 02-24-04. No Equipment deliverable required.

Systems l&C tTrack IDs CA030973 Resource Persons Krs.Per. Person Conments; 300020 3005 2 80 300150 3005 1 80 300170 3005 1 80 300320 3005 2 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EO-15-010.2 Single failure vulnerability study for Feedwater Engineering 26-Aug-03 3Q03 Feedwater Vulnerability Report System (3.A.3) Equipment Systems BOP Mechanical tTrack IDs CA030982 Resource- ' # Persons Hrs Per Person Comments 300020 3005 1 20 300150 3004 2 120 1 Page 377 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.3 Corrective actions from studies to Plant Health Engineering 10-Dec-03 4Q03 Completed CAP Assessment Committee (3.D.1) Equipment Systems BOP Mechanical tTrack IDs CA030988 l Resource l #Persons Hrs Per Person Comments 300150 3004 1 32 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.4 Implement SMART & SYSMON for critical Engineering 1Q03 24-Sep-03 3Q03 See action plan for system systems Equipment monitoring improvements.

Performance tTrack lDs CA030989 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.5 Step deleted In Revision 2. Engineering 1Q03 4Q04 Step deleted 02-24-04. No Equipment deliverable required.

Performance tTrack IDs CA030990 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.6 Adopt and implement EPRI Database templates. Engineering 1Q03 4Q04 EPRI templates incorporated into PM Programs Testing Program.

tTrack IDs CA030991 Page 378 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.7 Complete implementation of PdM action plans Engineering 1002 01-Jun-03 3Q03 PdM Gap Analysis, green for all 3 Programs Testing programs.

tTrack IDs CA030993 Resource l Persons Hrs Per Person Comments 300160 3005 1 24 300160 3008 2 80 Numbor Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.8 Equipment Reliability Self Assessment Engineering 26-Nov-03 4Q03 Self-Assessment Report.

Programs Testing tTrack IDs CA030995 Resource l Persons Hrs Per Person l Comments l 300050 3005 1 80 300160 3004 1 80 300160 3005 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9 Develop Long Range Action Plans for Engineering 1Q03 10-Jul-03 1Q04 Complex systems are managed and SYSTEMS (5.C.1) Equipment maintained by using Long Range Systems l&C Action Plans that have a basis and tools to determine long range priorities. (See sub steps for details) tTrack IDs CA030996 Page 379 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Ownpr EQ-15-010.9.A Determine the attributes, structure, Engineering 30-May-03 2Q03 'A set of criteria will be developed appearance and contents of a 'System Long Equipment (a wish list):Online Web Based Range Action Plan' Systems 'Point and Click Interface Electrical 'Descriptive Cover Page 'System Report / Executive Summary Table Of Contents 'Issue Matrix 'Action Plan Time Une tTrack IDs CA031001 Number Action Step Action Stop ' Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.B Develop the methods for obtaining the data Engineering 30-May-03 2Q03 A basic method to gather the specified in step 9.01 Equipment information in order to build the Systems I&C System Long Range Action Plan (Comprehensive approach: WOs, CAPs, OWAs, OEs, EWRs, T-Mods, SPEEDs, MODs, Other Issues)

Problems 'binned' to issue categories History Issue Summary tTrack IDs CA031006 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.C Create an initial Long Range Action Plan Engineering 30-May-03 2Q03 A Ghost system with all the required template for a "Ghost' system and sketch the Equipment criteria specified in step 9.1. and basic process for how the plan was Systems I&C notes on how it was put together.

developed and brought together tTrack IDs CA031006 Page 380 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.D Develop a guideline that can be followed by Engineering 30-May-03 2003 A guideline that gives all required others to create a System Long Range Action Equipment steps to build a Long Range Action Plan by PHASE. Systems I&C Plan. PHASE A, EQUIPMENT ISSUES - HARDWARE PHASE B, TRENDING / RELIABILITY PHASE C, PROCEDURES / ADMIN tTrack IDs CA031006 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.E Choose a system that will be used as a Engineering 30-May-03 2Q03 A system will be chosen by name prototype to build a Long Range Action Plan Equipment EHC (IC) for. Systems I&C tTrack IDs CA031006 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.F Create a Long Range Action Plan (Through Engineering 30-May-03 2Q03 A comprehensive Long Range PHASE A - Equipment Issues) for the Equipment Action Plan developed for the EH-C Prototype EH-C System Systems I&C system tTrack IDs CA031006 Number ActIon Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.G Gather all source data specified in Step 9.02 Engineering 30-May-03 2Q03 Compilation of all major data. Data Equipment gathered back to approximately Systems l&C 1996 when available tTrack IDs CA031006 Page 381 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.H Review / Validate source data and place into Engineering 30-May-03 2Q03 Issue Categories Defined (Over "Issue Categories" to a component level Equipment 1,000 items sorted. Relevant items Systems I&C placed In database at the component level) tTrack IDs CA031006 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.1 Prioritize issues/problems using a consistent Engineering 30-May-03 2Q03 All Equipment Issues prioritized prioritization scheme. Create a Matrix of the Equipment Top Equipment Performance issues. Systems l&C tTrack IDs CA031006 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.J Develop An Executive Summary Level - Engineering 30-May-03 2Q03 A report for management (online SYSTEM STATUSIHEALTH REPORT. Equipment accessible) of the System Status /

Systems I&C Health Report tTrack IDs CA031006 Page 382 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.K Develop the Action Plan Time Line for the Top Engineering 30-May-03 2Q03 A timeline showing the success 5 to 10 system issues. Identify all major steps, Equipment path to resolve each Issue. CA resources required and all barriers. Tie each Systems l&C tracking the work progress.(CAP Issue to a CAP (When work on Issue is (Tracking),WOs, Planning started) Details,Evaluations, Parts Procured, Scheduling (Outages / Work Week).

Funded in Maint Budget or, Plant Health Committee (if necessary),

EWRs, MODs, CFCs, DCNs, Components/Part Installation, SPEEDs, 10 CFR 50.59, Any Additional Monitoring) tTrack IDs CA031006 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.L Develop a basic report of Expected Engineering 30-May-03 2Q03 Report of expected performance Performance Improvements. Describe why Equipment improvements performance will Improve - what it will look like. Systems l&C tTrack IDs CA031006 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.M Rigorously review the EH-C System Long Eng Equip 30-May-03 2Q03 Heavy scrutiny with a high degree Range Action Plan for technical content and Systems of scrutiny by a recognized expert, merit. Validate findings, provide comments Maintenance results verified and or deficiencies Engineers - or holes' Identified Mechanical tTrack IDs CA031010 Page 383 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.N Reconcile all findings found during Engineering 3003 01-Jul-03 3Q03 All findings validated and independent review Equipment incorporated into EHC system Long Systems l&C Range Action Plan tTrack IDs CA031012

[ Resource , # Persons Hrs Per Person Comments ,

300150 3004 1 8 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.0 Revise the draft guideline with feedback Engineering 4Q03 01-Jul-03 4Q03 Rev 0. Of the guideline 'created' in obtained during the independent review. Place Equipment EDMS.

Rev 0. of the guideline in EDMS. Systems I&C tTrack IDs CA031014 Resource l - Persons l Hrs Per Person Comments 300150 3004 1 6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.P Prepare and give a presentation of the System Engineering 4Q03 01-Jul-03 4Q03 Presentation of new process. 'This Long Range Action Plan Process to Point Equipment is what it can do". 'Look what it has Beach Senior management and System Systems l&C done'.

Engineering Supervisors tTrack IDs CA031016 l- Resource l, # Persons . Hrs Per Person I . .. Comments ;l 3001503004 1 1 8 l Page 384 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.Q Identify remaining electrical and control Engineering 1Q04 01-Jul-03 1004 A list of systems requiring Long systems that should have Long Range Action Equipment Range Action Plans are scheduled Plans. Schedule due dates for completion of Systems l&C with due dates. Systems should systems requiring Long Range Action Plans be chosen based on complexity and whether they have obvious performance issues affecting plant operation. (Some work toward this has been started on NI and FW/SGWLC) tTrack IDs CA031018 Resource . # Persons Hrs Per Person - Comments :

300150 3005 1 1 1 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-010.9.R Effectiveness review of Long Range Action Engineering 1Q04 01-Jul-03 1Q04 Effectiveness Report Plans Equipment Systems l&C tTrack IDs EFR031019

. .Resource-:'.,>- Persons l r e esn - oments -

0Hrs Per Person m 300150 3005 1 8 Page 385 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: Priority 1 3B 3B CAP # 033426 Plan Type Commitment Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

Bolted Fault Action Plan Number: EQ-15-011 Problem Statement: 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.

Causal Factors: I Changes made to plant electrical load configurations may have increased fault current beyond original design margin.

2 Reanalysis of plant electrical systems revealed previously unknown design limitations for worst case fault interrupting capability.

Obiectives I Calculations to support fault protection reflect design basis assumptions.

2 Plant equipment is restored to capability that can withstand calculated fault current.

3 Bolted fault project is completed in accordance with project schedule.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.1 Obtain budget approval from WE Business 06-Aug-03 3Q03 Signed PAR Projects tTrack IDs CA031021 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.2 Complete design field eng. For MCCs Engineering 2Q02 4Q05 Approved change packages.

Design Electrical

-PB tTrack IDs CA031023 Resource l Persons Hrs Per Person Comments 300170 3004 1 5000 300370 3005 2 1750 Page 386 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable nwnar EQ-15-011.3 Procure and Receive MCC Buckets Business Supply 1Q02 1Q05 All MCC Buckets On-site and Chain accepted.

tTrack IDs CA031024 Resource U Persons 7 Hrs Per Person , Comments 300240 3004 1 96 Procurement Engineer 300240 3004 1 96 Receipt Engineer Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.4 Procure and Receive MCC Bracing Business Supply 1Q02 15-Feb-03 1Q03 All Bracing On-site and accepted.

Chain tTrack IDs CA031025 Page 387 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.5 Complete Design Analysis Engineering. Engineering 4Q02 3Q04 Approved Calculations Revise degraded grid calculations to support Design Electrical changing transformer tap settings. Revise -PB short circuit calculations based on tap settings. The following actions are tied to LER 266/97-032-00:

A) PBNP 4160V and 480V system operating voltages are significantly 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 closed CR 93-137. Action 4).

B) Operating the 480V system at voltages higher than 500V 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 closed from CR 93-137, Action 7).

tTrack lDs CA031027 Resource. - # Persons Hrs Per Person - - Comments -

300170 3004 1 850 300370 3005 2 3270 -

Page 388 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-011.6 Complete MCC New Bucket Installation Business 3Q02 1Q07 Ops Accepts MCC modification.

Projects tTrack IDs CA031030 Resource ;.: #Persons Hrs Per Person Comments 655LELEC 4 6750 300310 3005 2 7000 300330 3007 2 3300 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.7 Complete MCC Bracing Installation Business 1Q07 Ops And Eng Accept bracing Projects modifications.

tTrack IDs CA031031 Resource # Persons . Hrs Per Person Comments 655LELEC 3 1280 300310 3005 1 1460 300330 3007 1 640 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.8 Determine Scope of Power Panel (PP)/Motor Engineering 3Q04 2Q05 Issue BOM to Procurement Control Center (MCC) Individual Breaker Design Electrical Replacement. - PB tTrack IDs CA031033 Resource # Persons .Hrs Per PersonI; Comments -

300170 3004 2 200 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.9 Procure PP/MCC Individual Replacement Business Supply 3Q04 3Q05 All PP/MCC Individual Breakers On-Breakers Chain Site and accepted.

tTrack IDs CA031035 Resource # Persons Hrs Per Person Comments 300240 3004 1 40 Procurement Engineer 300240 3004 1 12 Receipt Engineer Page 389 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-011.10 Complete Implementation Of PP/MCC Individual Business 4Q03 1Q06 Ops And Engineering Accept PP Breaker Replacements Projects modifications.

tTrack IDs CA031036 Resource'. l Persons Hrs Per Person Comments.

654LOPR1 1 40 655LELEC 3 120 l 300050 3008 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.11 Determine Scope Of XFMRTap Changes and Engineering 2Q04 1Q06 Approved change package.

issue change package. Design Electrical

-PB tTrack IDs CA031037 Resource l # Persons. Hrs Per Person Comments 300170 3004 2 400 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.12 Procure XMFR Tap Change Material Business Supply 3Q04 4Q04 Material On-Site And Inspected or Chain Confirmation documented that no material is required.

tTrack IDs CA031038 Resource. -l # Persons HrsPerPerson Comments .l 300240 3004 24 Procurement Engineer 300240 3004 1 40 Receipt Engineer Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.13 Perform XMFR Tap Changes Business 4Q04 1Q07 Ops And Eng. Accept PP Projects modification.

tTrack IDs CA031039 Resource #Persons Hrs Per Person Comments 654LOPR1 2 320 655LELEC 2 320 300050 3008 1 360 Page 390 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.14 XMFR project Closeout Business 4Q06 1007 Plant Design Change Checklist Projects signed by Supervision tTrack IDs CA031041 Resource l . # Persons l Hrs Per Person l-: Comments l 300170 3004 1 320 300170 3004 1 320 300370 3005 1 480 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.15 Obtain Project Funding Reauthorization (based Business 3003 17-Dec-03 4003 Signed PAR.

on project scope change) from WE energies. Projects tTrack IDs CA032573 l Resource. l Persons Hrs Per Person l Comments . l r3003703005 2 24 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-011.16 Interim progress review following U2R27. Business 2005 2005 Documented interim progress Projects review confirming project on track through 2Q05 in accordance with established schedule or recovery plan is in place.

tTrack IDs CA055676 Page 391 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 1A 1A CAP # 033430 Plan Type Cornmitment Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

Manhole and cable vault flooding Action Plan Number: EQ-15-012 Problem Statement: Several Electrical manholes/vaults are regularly flooded with groundwater.

Causal Factors, I Original design of these electrical vaults and duct runs were not made watertight.

2 Means of dewatering these vaults were not made permanent.

Obiectives: 1 Implement a solution to keep the cables in Maintenance Rule scope manholes from becoming submerged.

Action Steps:

Number Action Stop Action Step Owner Group Start Data Comp Date Due Date Deliverable Owner EQ-`15-012.1 Meet with Architect Engineering Company Engineering 04-Feb-03 1Q03 Meeting documentation.

(A/E) to assess scope of engineering study. Design Civil/Structural -

PB tTrack IDs CA031046 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.2 Request proposal for engineering study Engineering 18-Apr-03 2Q03 Proposals Submitted Design Civil/Structural -

tTrack IDs CA031046 Page 392 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.3 Request funding to perform engineering study Engineering 02-May-03 2Q03 Copy of the Request for Phased Design Approval (RPA).

Civil/Structural -

PB tTrack IDs CA031046 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 2Q03 Purchase Order Issued Design Civil/Structural -

PB tTrack IDs CA031046 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.5 Receive and review engineering study Engineering 2003 01-Jul-03 3003 Documented review completion.

alternatives Design Civil/Structural -

PS tTrack IDs CA031048 Resource - Persons Hrs Per Person Comments-.

CONTPRO 3 70 300170 3004 1 200 300170 3005 1 100 300170 3009 1 200 Page 393 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.6 See Substeps Engineering 4Q03 18-Dec-03 4Q03 See Substeps.

Design Civil/Structural -

PB tTrack IDs See Substeps

.Resource j # Persons Hrs Per Person Comments CONTPRO 3 60 300170 3004 1 500 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.6.A Request funding to design modification and Engineering 4Q03 18-Dec-03 4Q03 Modification Package.

complete detailed design to dewater Manholes Design Iand 2. CiviUStructural -

P1 tTrack IDs CA031049 Page 394 of 489 Effective Dato: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.6.B Initiate call-ups that pump remaining Engineering 4Q03 18-Dec-03 4Q03 Call-up documentation. EQ Maintenance Rule scope manholes at a Design 012.6.C has been done as an frequency that precludes long-term Civil/Structural - alternative to this step.

submergence of cable. PB Nevertheless, call-up documentation for all Maintenance Rule scope manholes with the exception of Z-066 A-D, Z-067 A-D, and Z-068 has been provided. Work Order 0309581 will inspect and pump out if necessary manholes Z-066 A-D, Z-067 A-D, and Z-068. These manholes will then be sealed. This Work Order is scheduled for completion May 1,2004. Work Orders 0311882, 0311883. and 0311884 will then repoen these manholes in September 2004 to determine how effective sealing the manhole covers is at keeping water out. The need to initiate call-ups for these additional manholes will be determined at that time.

tTrack IDs CA031049 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.6.C As an altemative to EQ-15-012.6.b, document Engineering 4Q03 18-Dec-03 4Q03 CAP documentation.

current condition of cables and ensure there Design is a plan to develop a cable condition CiviVStructural -

monitoring program. PB tTrack IDs CA031049 Page 395 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.7 Request funding to install modification to Engineering 4Q03 14-Jan-04 1Q04 RPA dewater Manholes 1 and 2. Design Civil/Structural -

PB tTrack IDs CA031051 l Resource #Persons 'HrsPerPersonl Comments 300170 3004 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ*15-012.8 Complete installation of modification to Engineering 1Q04 2Q04 Modification Installed and accepted.

dewater Manholes 1 and 2. Design Civil/Structural -

PB tTrack IDs CA031053 Resource' ,#Persons, Hrs Per Person , Comments CONTCFT 2 400 300170 3004 1 200 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.9 Monitor effectiveness of installed modification Engineering 3Q04 Documented effectiveness review.

to dewater Manholes 1 and 2. Design Civil/Structural -

PB tTrack IDs EFR031055

' Resource

, # Persons Hrs Per Person _ Comments -- ,.

' I I

300170 3004 1 - 100 Page 396 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-012.10 Initiate follow-up actions if necessary Engineering 3004 CAP documentation.

Design CiviilStructural -

PB tTrack IDs CA031056 Resource # Persons - Hrs Per Person Comments . .

3001-

, 70300 0 I 1300170 3004 1 1 1 100 I Page 397 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 1A 1A CAP # 033001 Plan Type Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status In Closure Action Plan

Title:

Aux. Feedwater Orifice Replacement Action Plan Number: EQ-15-014 Problem Statement: Auxiliary Feedwater Restriction orifices installed per modifications99-029 A/B/ClD did not meet some design basis requirements.

Causal Factors: 1 Ineffective Corrective Action. (This causal factor is being addressed in general by action plans in the CAP Focus Area.)

2 Inadequate design control. (This causal factor is being addressed in general by action plans OR-08-007. OR-08-009, and OR-08-01 1.)

Oblectives: I Replace the orifices with a design which will pass adequate flow under all design conditions (Service Water).

2 Eliminate compensatory operator actions.

Action Stens:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-014.1 Complete test of new orifice Engineering 1Q03 04-Mar-03 1003 Test results provided to Engineering Programs tTrack IDs CA031074 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 4Q02 06-Mar-03 1Q03 Modifications02-039 A/B/ClD Design released for installation tTrack IDs CA031074 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-014.3 Install new orifices Maintenance 11-Mar-03 1003 Modifications02-039 AIB/CID Mechanical accepted tTrack IDs CA031074 Page 398 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-014L4 Close out Modification Engineering 1Q03 26-Jun-03 3Q03 Completed Mod Package to Records Design Mechanical - PB tTrack IDs CA031074 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-014 l.5 Complete Safety Evaluation 2003-0001 to Engineering 2Q03 07-Oct-03 4Q03 Completed S afety Evaluation remove compensatory Actions. (This step is Design dependent on completion of step 2 in action Mechanical - PB plan EQ-15-015).

tTrack IDs CA029988 Resource. l # Persons -Hrs Per Person Comments.

130017030041 2 1 40 1 Page 399 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 3C 3D CAP # 033442 Plan Type Commitment Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

Aux. Feedwater Electrical Modifications Action Plan Number: EQ-15-015 Problem Statement: Some Auxiliary Feedwater (AFW) system component power supplies do not meet current design basis requirements.

Causal Factors: 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-related systems.

Obiectives: 1 AFW component power supplies meet design basis requirements (Plant modifications have been completed; remaining work requires the dc system calculations to be updated before modification closeout).

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-015.1 Issue electrical modifications for SR power to Engineering 1Q03 19-May-03 2Q03 Approved modification packages MR DPIS devices and re-power recirculation Design Electrical 03-005, MR 03-006.

valves. -PB tTrack IDs CA027029, CA027154 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-015.2 Implement electrical modifications for SR Maintenance 2Q03 15-Aug-03 3Q03 Modification Installed and accepted.

power to DPIS and re-power recirculation Electrical valves.

tTrack IDs CA031086 Resource #Persons HrsPer, Person , Comments CONTCFT 5 200 300100 3004 1 262 Page 400 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-015.3 Issue an electrical modification to eliminate a Engineering 3Q03 19-Dec-03 4Q04 Approved modification package MR potential common mode failure of the SW Design Electrical 03-007.

supply to three of four AFW pumps during a - PB postulated seismic event tTrack IDs CA027167 Resource Persons Hrs Per Person - Comments, 300170 3004 1 60 300170 3004 1 200 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-015.4 Implement electrical modification for SW supply Maintenance 4Q05 4Q05 Installed and accepted modification.

to AFW pumps. Electrical tTrack IDs CA031088 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 1Q05 Modification paperwork completed Determination. Design Electrical and Operability Determination closed.

-PB tTrack IDs CA031901 3,Resource 00170304 1300170 3004 1

.I # .Persons 1

1 Hrs Per80Person 80 =

. Comments . :. -

-1' Page 401 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 4B 4D CAP # 033444 Plan Type Commitment Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

Determine condition of underground electrical cables that have been submerged.

Action Plan Number: EQ-15-016 Problem Statement: Underground medium voltage cables may be degraded due to being frequently submerged in water.

Causal Factors: I Original design installation prone to flooding.

2 Original electrical manhole/vault design basis was poorly documented.

3 Ineffective and untimely corrective actions.

Obiectives 1 The condition of the underground 480V, 4160V, and 13.8KV cables that are safety-related or provide offsite power is understood and monitored.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-016.1 Presentation to PRB to obtain funding. Engineering 04-Apr-03 2Q03 PRB Decision Equipment Systems Electrical tTrack IDs CA031097 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 2Q03 List of cables to be tested and the determine cable condition Equipment method that will be used.

Systems Electrical tTrack IDs CA031097 Page 402 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-016.3 Perform data collection and analysis. Engineering 09-Jul-03 3Q03 Cable condition assessment Equipment report(s)

Systems Electrical tTrack IDs CA031638

Resource # Persons Hrs Per Person - Comments CONTSRVS 1 $50,000 300010 3008 1 80 300150 3004 1 160 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-016.4 Establish call-ups for future cable condition Engineering 2Q03 2Q04 Call-ups in place for future condition monitoring. Equipment monitoring.

Systems Electrical tTrack IDs CA031639 l7.

Resource l : Persons Hrs Per Person . Comments -

3001503005 1 60 l Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-016.5 Step deleted in Revision 2. Engineering 1003 4Q05 Step deleted 02-21-04. No Equipment deliverable required.

Systems Electrical tTrack IDs CA031099

-Resource #Persons Hrs Per Person - Comments 300150 3004 1 120 300150 3005 1 120 Page 403 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-016.6 Perform effectiveness review of steps EQ Engineering 1Q05 1Q05 Effectiveness report 016.1 to EQ-15-016.4. Equipment Systems Electrical tTrack IDs EFRO31101 esource Persons Hrs Per Person Comments .

300150 3005 1 20 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-016.7 Step deleted in Revision 2. Engineering 2Q06 2Q06 Step deleted 02-21-04. No Equipment deliverable required.

Performance tTrack [Ds CA031103 Resource # Persons . l Hrs Per Person Comments . l 1

300150 3005 300150 3009 1 1

1 I 10 1 -I Page 404 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 4B 4D CAP # 033452 Plan Type Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

Strengthen the (a)(1) system action plans Action Plan Number: EQ-15-017 Problem Statement: Some (a)(1) action plans are open for extended periods of time.

Causal Factors: I Expectations were not clearly established to provide all milestone dates and personnel accountabilities into action plans.

2 Some actions are dependent on approval of scope, funding, and budget.

3 Actual dates for approval of project elements is dynamic, making it difficult to incorporate specific dates and accountabilities into action plans.

Obiectives: I The (a)(1) action plans have appropriate focus placed on significant equipment issues.

2 All planned steps have action dates established.

3 The next step in the process is identified with a date and owner.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.1 Ensure that a CA exists in t-track for each Engineering 06-Jun-03 3Q03 Corrective Action documents initiated (a)(1) action and that the CA is identified as an Equipment (a)(1) action. Performance tTrack IDs CA031108 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.1.A Review systems in (a)(1) status and Tom Carter (Eng) 06-Jun-03 3Q03 No deliverable required, this is a determine which action plans require revision substep to complete step EQ 017.1.

tTrack IDs CA031108 Page 405 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.1.B Assign actions for plan revision as required Tom Carter (Eng) 06-Jun-03 3Q03 No deliverable required, this is a substep to complete step EQ-1 5-017.1.

tTrack IDs CA031108 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-017.2 Review the relationship between the Engineering 16-May-03 2Qo3 Decision on where and by whom Maintenance Rule Expert Panel approval of the Equipment (a)(1) action plans would be (a)(1) action plans, the Plant Health committee Performance approved. Contained in closeout of review and approval of action items for red CA031109.

and yellow systems and the budgeting process.

tTrack lDs CA031109 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-017.2.A Conduct discussion at Plant Health Committee Tom Carter (Eng) 16-May-03 2Q03 No deliverable required, this is a (PHC) meeting substep to complete step EQ 017.2.

tTrack IDs CA031109 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.2.B Conduct discussion at Maintenance Rule Tom Carter (Eng) 16-May-03 2Q03 No deliverable required, this is a Oversight Expert Panel (MROEP) meeting substep to complete step EQ 017.2.

tTrack IDs CA031109 Page 406 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.2.C Convene group of decision makers to align Tom Carter (Eng) 16-May-03 2Q03 No deliverable required, this is a groups and processes substep to complete step EQ 017.2.

tTrack lDs CA031109 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.2.D Provide feedback to respective groups as Tom Carter (Eng) 16-May-03 2Q03 No deliverable required, this is a required substep to complete step EQ-1 5-017.2.

tTrack IDs CA031109 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.3 Use comments from the current Maintenance Engineering 23-Jun-03 2Q03 Revise and issue applicable Rule self assessment/Nuclear Oversight audit Programs - documents.

to determine if changes are needed to the Long Term guidance for the (a)(1) action plans. Programs tTrack IDs CA031110

-Resource - s Hrs Per Person - Comments.

300160 3004 5 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.3.A Review comments from applicable documents Tom Carter (Eng) 23-Jun-03 2Q03 tTrack lDs CA031110 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.3.B Compare valid comments against existing Tom Carter (Eng) 23-Jun-03 2Q03 action plans tTrack lDs CA031110 Page 407 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownnr EQ-15-017.3.C Revise plans as required Tom Carter (Eng) 23-Jun-03 2Q03 tTrack IDs CA031110 Number Action Step Action Step Owner Group Start Date Comp Date Duo Dato Deliverable Owner EQ-15-017.4 Revise NP 7.7.5 and PBF-7031 to reflect the Engineering 10-Sep-03 3Q03 Issue revised NP 7.7.5 outcome of steps EQ-15-017.2 and EQ Programs-017.3. Long Term Programs tTrack IDs CA031111 Resource l Persons Hrs Per Person Comments 300160 3004 130 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 5-017.4.A Review NP 7.7.5 and determine gaps resulting Engineering 10-Sep-03 3Q03 from EQ-15-017.2 and EQ-15-017.3. Programs -

Long Term Programs tTrack IDs CA031111 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017A.B Revise NP 7.7.5 as required Engineering 10-Sep-03 3Q03 Programs -

Long Term Programs tTrack IDs CA031111 Page 408 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownpr EQ-15-017.5 Revise any (a)(1) action plans that do not Engineering 10-Sep-03 3Q03 (a)(1) action plans revised as either reference a corrective action in t-track Programs - required or explicitly state responsibility and due date. Long Term Programs tTrack IDs CA031112 Resource #Persons' .lHrsPer Porsonl - Comments 300160 3004 5 4 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-017.5.A Write CAP's for all (a)(1) action plans that Engineering 10-Sep-03 3Q03 need revision. Programs -

Long Term Programs tTrack IDs CA031112 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-017.6 Perform effectiveness review. Engineering 3Q04 Effectiveness review report.

Programs -

Long Term Programs tTrack IDs EFR055678 Page 409 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 4B 4D CAP # 033453 Plan Type Improvement Plan Revision No: 2 Focus Area: Equipment Reliability Plan Status Open Action Plan

Title:

Improve the tracking, trending, and communicating of system health Action Plan Number: EQ-15-018 Problem Statement: Tracking and trending of system health does not meet expectations of industry best practices Causal Factors- 1 PBNP lack of awareness of industry best practices 2 Over reliance in computer based programs.

3 Lack of integrated process as delineated In AP-913.

Obiectives: 1 An integrated system health process involving all station organizations.

2 Equipment performance viewed globally to prioritize, budget and resourced ensuring plant equipment Is managed correctly to achieve optimal performance Action StoDs:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.1 Perform SYSMON analysis for all risk- Engineering 30-Aug-02 2003 Sysmon evaluation per EPRI significant systems Equipment templates for 33 Maintenance Rule Systems NSSS (MR) Risk Significant Systems Mechanical tTrack IDs CA031113 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.1.A Obtain EPRI guidance document and templates Engineering 30-Aug-02 2Q03 Equipment Performance tTrack IDs CA031113 Pago 410 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Dato Comp Date Due Date Deliverable Owner EQ-15-018.1.B Assign actions to each of the system Engineering 30-Aug-02 2003 engineers for the 33 MR risk significant Equipment systems Performance tTrack IDs CA031113 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.1.C Complete SYSMON for each of the 33 MR risk Engineering 30-Aug-02 2003 significant systems Equipment Performance tTrack IDs CA031113 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.2 Implement applicable trending parameters Engineering 1Q03 24-Sep-03 3Q03 1) SMART Updated and Gaps identified above in SMART. Equipment identified Systems NSSS Mechanical tTrack IDs CA030989 Resour Persons Hrs PerPerson Comments 300150 3004 2 720 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.2.A Determine which parameters can be linked Engineering 24-Sep-03 3003 electronically to SMART Equipment Systems NSSS Mechanical tTrack IDs CA030989 Page 411I of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.2.B Determine which paramenters can be obtained Engineering 24-Sep-03 3Q03 from manual extraction from procedure data Equipment sheets Systems NSSS Mechanical tTrack IDs CA030989 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.2.C Establish process for providing Engineering 24-Sep-03 3Q03 regularlperiodic trending of available data Equipment Systems NSSS Mechanical tTrack IDs CA030989 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.2.D Evaluate methods for obtaining data on Engineering 24-Sep-03 3Q03 parameters not currently monitored Equipment Systems NSSS Mechanical tTrack IDs CA030989 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.2.E Revise SEM 1.2 as required Engineering 24-Sep-03 3Q03 Equipment Systems NSSS Mechanical tTrack IDs CA030989 Page 412 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.2.F Identify minimum parameters required for Engineering 24-Sep-03 3Q03 system monitoring to maintain maintenance Equipment rule functions. Systems NSSS Mechanical tTrack IDs CA030989 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-018.2.G For those parameters that cannot be Engineering 24-Sep-03 3Q03 monitored directly, initiate actions to provide Equipment direct monitoring Systems NSSS Mechanical tTrack IDs CA030989 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.3 Set standards for system walk down Engineering 16-May-03 2Q03 Revision to SEM 1.0 frequency (ref IEV 01-EN.2-3 #4). Equipment Systems BOP Mechanical tTrack IDs CA031121 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.3.A Evaluate methods specified in SEM 1.0 against Engineering 16-May-03 2Q03 fleet and industry standards Equipment Performance tTrack IDs CA031121 Page 413 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.3.B Revise SEM 1.0 as required Engineering 16-May-03 2Q03 Equipment Performance tTrack IDs CA031121 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.4 Establish a distribution method for system Engineering 16-May-03 2Q03 Revision to SEM 1.0 health reports (ref IEV 01-EN.2-3#2) Equipment Systems BOP Mechanical tTrack IDs CA033131 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.4.A Evaluate hardcopy distribution. website Engineering 16-May-03 2Q03 distribution, etc. Equipment Performance tTrack IDs CA033131 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.4.B Select appropriate method & revise SEM 1.0 Engineering 16-May-03 2Q03 Equipment Performance tTrack IDs CA033131 Page 414 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.5 Develop a standard formant for system Engineering 16-May-03 2Q03 Revision to SEM 1.0 notebooks (ref IEV 01-EN.2-3 #3) Equipment Systems NSSS Mechanical tTrack IDs CA033132 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.5.A Determine FLEET & industry best practices for Engineering 16-May-03 2Q03 notebook content Equipment Performance tTrack IDs CA033132 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-018.5.B Establish content and expectation Engineering 16-May-03 2003 Equipment Performance tTrack IDs CA033132 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.5.C Revise SEM 1.0 Engineering 16-May-03 2Q03 Equipment Performance tTrack IDs CA033132 Page 415 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.6 Step deleted in Revision 2. Engineering 1Q03 3Q04 Step deleted 02-24-04. No Equipment deliverable required.

Systems NSSS Mechanical tTrack IDs CA031115 Resource # Persons Hrs Per Person - Comments 300150 3004 1 40 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.6.A Step deleted in Revision 2. Engineering 3Q04 Step deleted 02-24-04. No Equipment deliverable required.

Systems NSSS Mechanical tTrack IDs CA031115 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.6.B Step deleted in Revision 2. Engineering 3Q04 Step deleted 02-24-04. No Equipment deliverable required.

Systems NSSS Mechanical tTrack IDs CA031115 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.6.C Step deleted in Revision 2. Engineering 3Q04 Step deleted 02-24-04. No Equipment deliverable required.

Systems NSSS Mechanical tTrack IDs CA031115 Page 416 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-018.7 Produce and post integrated system health Engineering 1Q03 19-Aug-03 3Q03 Completed System Health Reports reports for all risk significant systems (ref IEV Equipment for 33 MR risk Significant Systems 01-EN.2-3,#1) Systems BOP posted on web site.

Mechanical tTrack IDs CA032132 Resourceo # Persons - Hrs Per Person Comments -

300150 3004 33 32 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.7.A Establish schedule for preparation Engineering 19-Aug-03 3Q03 Equipment Systems BOP Mechanical tTrack IDs CA032132 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.7.B Prepare and post to websile Engineering 19-Aug-03 3Q03 Equipment Systems BOP Mechanical tTrack IDs CA032132 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.8 Perform an assessment of SEM 1.2, System Engineering 1Q03 11-Jul-03 3Q03 Revise SEM 1.2 as required Performance Monitoring" Data Trending' and Equipment do corrective actions (ref IEV 01-EN.2-3 #5) Systems l&C

{Track IDs LAR045212 Resource # Persons Hrs Per Person l . Comments 300150 3004 1 1 1 40 l Page 417 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.8.A Incorporate review with action EQ-1 5-018.3. Engineering 11-Jul-03 3003 Equipment Systems I&C tTrack IDs N/A Resource #Persons IHrsPerPerson. Comments -.

3001503005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-15-018.9 Support Fleet standardization efforts for Engineering 1Q03 19-Aug-03 3Q03 Integrate Fleet standards to date in System Engineering and implement fleet Equipment SEM 1.0.

standards as applicable at PBNP. Systems BOP Mechanical tTrack lDs CA031122 l Resource # Persons Hrs Per Person l Comments .

300150 3004 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.9.A Review FLEET standards as they are issued Engineering 19-Aug-03 3Q03 and incorporate Into PBNP system Equipment Systems BOP Mechanical tTrack IDs CA031122 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.10 Develop and implement system turnover and Engineering 1Q03 28-Aug-03 3Q03 Issue revised system turnover qualification process that ensures system Equipment checklist.

engineers have necessary system level Systems BOP knowledge to include an appropriate level of Mechanical design basis understanding.

tTrack IDs CA031123 Resource l # Persons lHrs Per Person l Comments 300150 3005 1 1 1 16 1 l Page 418 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner

- EQ-15-018.10.A Establish expectation for required level of Engineering 28-Aug-03 3003 design basis knowledge required by the Equipment system engineer Systems BOP Mechanical tTrack IDs CA031123

[ Resource l. # Persons, l Hrs Per Person l Comments 1 300150 3004 1 33 1 8 l Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-15-018.10.B Revise SEM 1.0 to establish written Engineering 28-Aug-03 3Q03 expectation Equipment Systems BOP Mechanical tTrack I~s CA031123 Page 419 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 4A 4A CAP # 033420 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

NUHOM's Implementation Action Plan Number: EQ-16-002 Problem Statement: The capacity of the Spent Fuel Pool is insufficient to support continued plant operation.

Causal Factors: 1 Inadequate Plant design.

Oblectives 1 Implement NUHOM'S dry cask storage system.

Action Steps:

Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-002.1 Complete Modification of ISFSI Engineering 2Q03 29-Aug-03 3Q03 Modification MR 02-015*A closeout Programs Dry documentation.

Fuel Storage tTrack lDs CA030964

. Resource,

,. :,-,#Persons Hrs Per Person Comments 657LHPTE 1 40 300100 3004 1 80 300160 3004 1 50 300160 3005 1 20 300170 3004 1 50 300170 3005 1 5 300330 3007 1 120 300350 3008 3 160 300370 3005 1 60 Page 420 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.2 Complete HSM Assembly Engineering 2Q03 19-Dec-03 1Q04 Modification MR 02-015'B & 0C Programs Dry closeout documentation.

Fuel Storage tTrack IDs CA030965 Resource . Persons Hrs Per Person Comments 655LINST 2 24 657LHPTE 1 40 SECURITY 3 160 300040 3004 1 120 300100 3004 1 80 300150 3004 1 40 300160 3005 1 20 300160 3008 1 80 300330 3007 1 120 300370 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.3 Complete Modification of PAB Decon Area Engineering 2Qo3 24-Oct-03 4Q03 Modification MR 02-0151D and MR Programs Dry 02-015E closeout documentation.

Fuel Storage tTrack IDs CA030966 Resource : Persons' - Hrs Per Person Comments - ; -

657LHPTE 1 80 SECURrlY 3 160 300100 3004 1 80 300160 3004 1 50 300160 3005 1 20 300170 3004 1 50 300170 3005 1 5 300330 3007 1 120 300370 3005 1 60 Page 421 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.4 Complete Procedure Development Engineering 4Q02 2Q04 Approved procedures.

Programs Dry Fuel Storage tTrack IDs CA030967 Resource' . Persons Hrs Per Person Comments 505LCHTE 2 20 657LHPTE 2 20 300020 3005 1 80 -

300030 3005 1 40 300130 3006 1 20 300150 3004 1 20 300180 3004 1 120 300300 3005 1 40 3003303005 1 80 _

300370 3005 1 720 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.4.A Issue procedures. Engineering 2Q04 3Q04 Issued procedures.

Programs Dry Fuel Storage tTrack IDs CA056064 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.5 Complete 10 CFR 72.212 Report Regulatory 2Q03 2Q04 72.212 Report Affairs -

Licensing tTrack IDs CA030968 Resource l # Persons Hrs Per Person Comments.

300160 3004 1 40 300290 3004 1 250 300290 3004 1 20 Page 422 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.6 Step deleted in Revision 2. Engineering 4002 3004 Step deleted 02-25-04. No Programs Dry deliverable required.

Fuel Storage tTrack IDs CA030969

-Resource : # Persons Hrs Per Person Comments 300160 3004 1 40 300160 3005 1 40 300160 3008 1 80 300170 3004 1 360 300170 3005 1 40 300180 3004 1 40 300300 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.7 Complete Training / Qualification of Site Training General 4002 4Q04 Training Records Personnel tTrack IDs CA030970 Resource # Persons . .Hrs Per Person..- . . . Comments -

505LCHTE 2 5 657LHPTE 2 5 300020 3005 1 20 300030 3005 1 20 300130 3006 1 400 300160 3005 1 40 300300 3005 1 20 .-

300350 3005 1 20 Page 423 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.8 Receive Leased Equipment Engineering 4Q03 3Q04 Setup Leased Equipment Programs Dry Fuel Storage tTrack IDs CA030971 Resource: # Persons Hrs Per Person Comments 655LMECH 5 80 657LHPTE 2 80 300160 3004 1 40 300160 3008 1 80so Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-002.9 NRC-Observed Dry Run Engineering 4003 4Q04 Dry Run Complete Programs Dry Fuel Storage tTrack IDs CA030972

.Resource .# Persons Hrs Per Person . Comments.'

505LCHTE 2 10 654LOPR1 2 56 655LMECH 5 56 657LCUST 3 40 657LHPTE 2 56 300020 3005 1 56 300160 3004 1 56 300160 3005 1 56 300160 3008 1 56 300270 3009 3 10 300290 3004 1 56 300330 3007 1 56 300350 3005 1 20 Page 424 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.10 Load 3 NUHOMS Casks Engineering 1Q04 1Q05 3 loaded Casks at ISFSI Programs Dry Fuel Storage tTrack IDs CA030974 Resource' # Persons- Hrs Per Person ':'Comments.

505LCHTE 4 180 654LOPR1 4 180 655LMECH 10 180 657LCUST 6 180 657LHPTE 4 180 300020 3005 2 180 300030 3005 2 180 300160 3004 1 180 300160 3005 1 180 300160 3008 1 180 300270 3009 1 30 300330 3007 2 180 300350 3005 1 30 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-002.11 Readiness Review Engineering 4Q03 4Q04 Readiness Review report Programs Dry Fuel Storage tTrack lDs CA030975 Resource.' #Persons-. Hrs Per Person Comments' 300020 3005 1 20 300030 3005 1 20 300130 3006 1 30 300160 3004 1 30 300160 3005 1 30 300160 3008 1 20 300290 3004 1 30 300300 3005 1 20 300330 3007 1 20 300370 3005 4 40 Page 425 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 426 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 4B 4D CAP # 033424 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Improve Air Operated Valve Program Action Plan Number: EQ-16-004 Problem Statement: Air Operated Valve (AOV) program, documentation, and implementation does not meet fleet standards.

Causal Factors: 1 Resources were not made available to maintain pace with industry standards for AOVs.

Obiectives: 1 AOV program meets NMC fleet standards.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.1 Complete Design Basis Reviews (DBRs) for all Engineering 1Q03 27-Jun-03 2Q03 Completed DBRs.

Category (Cat) 1 AOVs Equipment Valve Performance tTrack IDs CA030998 Resource -.

7 #Porsons., IHrs PerPerson ,. ,Commonts,-,

CONTSRVS Fixed price contract in place.

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.2 Complete baseline testing for Cat I AOVs Engineering 1Q03 1Q06 Test Reports.

Equipment Valve Performance MTrack IDs CA0310 100

- Resorce. .

655LINST 300160 3004

.- #Persons U

1 1

I Hrs 1

Per Person[

120 120 _

Comments I1 Page 427 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-004.3 Establish setpoints for Cat 1 AOVs (part of Engineering 1Q03 27-Jun-03 2Q03 Setpoint Document.

first step above) Equipment Valve Performance tTrack IDs CA031002

, Resource . Persons Hrs Per Person Comments. -

300160 3004 1 32 300160 3005 1 16 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.4 Schedule periodic testing of Cat 1 AOVs Engineering 27-Jun-03 2Q03 Testing call-ups established at Equipment Valve required intervals.

Performance tTrack IDs CA031003 l Resource #Persons IHrs Per Person Comments . l 300160 3004 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.5 Develop PMT matrix for Cat I AOVs Engineering 27-Jun-03 2Q03 PMT Matrix documented.

Equipment Valve Performance tTrack IDs CA031004

-Resource - Persons 'Hrs Per, Person -Comments ' -

300160 3004 1 20 300160 3005 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.6 Develop PMT matrix for Cat 2 AOVs Engineering 27-Jun-03 2Q03 PMT Matrix documented.

Equipment Valve Performance tTrack IDs CA031005

' Resource , Persons IHrs Per Person_ Comments 300160 3004 1 20 300160 3005 1 _ 4 _

Page 428 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.7 Document PM Basis for Cat 1 AOVs Engineering 3Q04 PM Basis Documented.

Equipment Predictive Maintenance tTrack iDs CA031007 lResource l #.Persons lHrs Per Person l Comments 300160 3004 1 280 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.8 Document PM Basis for Cat 2 AOVs Engineering 3Q05 PM Basis Documented.

Equipment Predictive Maintenance tTrack IDs CA031008 Resource: l Hrs PerPerson '-Comments l 300160 3004 1 280 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.9 Perform a self assessment Engineering 25-Jul-03 3Q03 Self Assessment report.

Equipment Valve Performance tTrack IDs CA031009 Resource Persons -Hrs Per Person Comments 300160 3004 1 80 300160 3005 1 24 300320 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.10 Document calculation revision criteria Engineering 17-Jul-03 3Q03 Criteria documented.

Equipment Valve Performance tTrack IDs CA031011 Page 429 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.11 Develop test data trending methodology Engineering 25-Nov-03 4Q03 Process documented.

Equipment Valve Performance tTrack IDs CA031013 Resource #Persons Hrs Per Person Comments 300160 3004 1 160 300160 3005 1 40 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.12 Develop failure trending methodology Engineering 25-Nov-03 4Q03 Process documented.

Equipment Valve Performance tTrack IDs CA031015 Resource # Persons - Hrs Per Person Comments 300160 3004 1 60 300160 3005 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-004.13 Effectiveness Review Engineering 3Q04 Effectiveness Review Report.

Equipment Valve Performance tTrack IDs CA031017 Resource - #Persons Hrs Per Person Comments-300160 3004 1 40 300160 3005 1 24 Page 430 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 3D 3G CAP # 033427 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Upgrade GL 89-13 Program Action Plan Number: EQ-16-006 Problem Statement: 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.

Causal Factors: 1 Program documents and reports are not being kept up to date.

2 Macrofoufing has degraded the condition of the Emergency Diesel Generator (EDG) coolers.

3 Macrofouling countermeasures are not effective.

Oblectives: I Reduce macrofouling of the EDG coolers to a manageable level.

2 Evaluate the effectiveness of the copper ion generator to manage zebra mussel intrusions.

3 Eliminate backlog of incomplete inspection reports.

4 Perform annual update of GL 89-13 program to incorporate new Information and correct weaknesses.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.1 Obtain funding for Zebra Mussel control in Engineering 01-May-03 2Q03 Purchase Order Issued.

2003 Programs tTrack IDs CA031026 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.2 Perform Zebra Mussel kill in 2003 Engineering 30-Sep-03 4003 Effectiveness Report.

Programs Inspection Services tTrack IDs CA051899 Resource l # Persons l Hrs Per Person Comments 300160 3004 1 90 3001703004 1 8 Page 431 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.3 Step deleted in Revision 2. Engineering 19-Jul-03 3Q03 Step deleted 02-27-04. No Programs deliverable required.

Inspection Services tTrack IDs CA031028 Resource #Persons lHrsPerPerson Comments -

300110 3007 I 1 I 20 300160 3005 1 20 Number Action Stop Action Step Owner Group Start Data Comp Date Due Date Deliverable Owner EQ-16-006.4 Step deleted in Revision 2. Engineering 26-Feb-04 1Q04 Step deleted 02-27-04. No Programs deliverable required.

Inspection Services tTrack IDs CA031029 Reasourc # Persons - Hrs Per Person Comments -

. . ,1, , . -.-...,-

300160 3004 1 100 300160 3004 1 520 Number Action Step Action Step Owner Group Start Data Comp Date Due Date Deliverable Owner EQ-16-006.5 Step deleted in Revision 2. Engineering 19-Jul-03 3Q03 Step deleted 02-27-04. No Programs deliverable required.

Inspection Services tTrack IDs CA031028 Resource [.I Persons -. Hrs Per Person -Comments - - l 300160 3005 1 1 1 16 _

Page 432 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.6 Step deleted in Revision 2. Engineering 26-Feb-04 1004 Step deleted 02-27-04. No Programs deliverable required.

Inspection Services tTrack IDs CA031029 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.7 Complete study phase of G011G02 EDG cooler Engineering 09-Jan-04 1Q04 1. Provide recommendation to Plant replacement to address Lake Grass fouling. Equipment Health Committee (PHC).

Systems 2. Initiate action item to replace Electrical coolers.

tTrack IDs CA031032 Resource # Persons Hrs Per Person Comments 300020 3007 1 20 300040 3008 1 8 a

300100 3004 1 40 300150 3004 1 40 3001O 3004 2 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.8 Evaluate modification of Cu ion generator. Engineering 15-Sep-03 4Q03 Documented evaluation with Design corrective actions identified as appropriate.

tTrack IDs EFR031034 Resource # Persons. Hrs Per Person I Comments 300170 3004 1 80 Page 433 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 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 27-Aug-03 3Q03 Inspection Reports.

Inspection Reports. Programs Inspection Services tTrack IDs CA029996 Resource # Persons Hrs Per Person Comments 3001603005 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 15-Sep-03 3Q03 Revised GL 89-13 program Programs document.

Inspection Services tTrack IDs CA030001 Resource, l # Persons lHrs PerPerson Comments 300160 3005 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.11 Evaluate options to Improve effectiveness of Engineering 3Q04 Plant Health Committee meeting Cu Ion Generator and make recommendation to Programs minutes.

Plant Health Committee. Inspection Services tTrack IDs EWR054393 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-006.12 Evaluate the performance of Cu Ion Generator. Engineering 3Q05 Effectiveness Review report.

Programs Inspection Services tTrack IDs EFR052952 Page 434 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 3C 3B CAP # 033431 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Upgrade Fire Penetration Seal Documentation Action Plan Number: EQ-16-008 Problem Statement: An NRC Inspection identified need to improve design basis documentation for fire penetration seals.

Causal Factors: I The NRC identified differences between penetration configuration in the plant and documented test reports on file (CAP001058).

Obiectives- 1 Procedure and database developed for administering fire penetration seal database.

2 Design documentation available for Appendix R credited seals.

Action Steos:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.1 Develop procedures for maintenance of Engineering 2Q03 02-Sep-03 3Q03 Procedure issued.

penetration seal database & performance of Programs -

walkdowns. Long Term Programs tTrack IDs CA031044, CA004098 l Rosource -l-- #Persons IHrs PorPersonl ,, Commemnts,>VM: .

300160 3004 1 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.2 Prepare penetration fire seal database. Engineering 2Q03 30-Oct-03 4Q03 Database developed.

Programs -

Long Term Programs tTrack IDs CA031045, CA004096 Resource

.3 .0 -

Persons

- .1 Hrs Per Porson

.I

. . Comments ;:.1.

13001 60 3004 1 80 I I Page 435 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.3 Develop list of Appendix R credited seals, Engineering 1Q04 3Q04 Approved listing of credited seals.

barriers. Programs -

Long Term Programs tTrack IDs CA031047 Resource - Persons Hrs Per Person [ Comments 300160 3004 1 40 Numbor Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.4 Complete walkdowns & evaluations of Engineering 1Q04 1Q06 Approved walkdown documentation.

Appendix R credited barriers, seals Programs -

(CAO04099) Long Term Programs tTrack IDs CA031050 Resource #Persons Hrs Per Person Comments 655LCUST 3 300 657LHPTE 1 160 300160 3004 2 900 300160 3005 j 1 275 _

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.5 Acquire fire test reports, as necessary, to Engineering 1Q04 1Q06 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 Resource # Persons - Hrs Per Person Comments ; l CONTPRO 1 300 $25,000 Page 436 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-008.6 Perform a self assessment of these action Engineering 1Q05 2Q06 Completed self assessment.

steps following completion of steps EQ Programs -

008.1 thru EQ-16-008.5. Long Term Programs tTrack IDs EFR031052

Resource l- # Persons - rs Per Person40 Comments - -

300160 3004 1 40 300160 3004 1 16 Page 437 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 5B 7A CAP # 033436 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Proceduralize Transient and Fatigue Monitoring Action Plan Number: EQ-16-009 Problem Statement: The station transient tracking and Fatigue Monitoring Program does not adequately document results.

Causal Factors: I Certain actions for transient monitoring have not been completed satisfactorily. (CAP028424) 2 Fatigue Monitoring Program not sufficiently procedurally administered.

Obiectives: 1 Formal procedure defining standards for and the administration of the Fatigue Monitoring Program.

2 Enhanced computer tracking system for the Fatigue Monitoring Program.

Action Stens:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-009.1 Issue Fatigue Monitoring Procedure Engineering 2Q03 30-May-03 2Q03 NP 7.7.19 Issued. .

Programs -

Long Term Programs tTrack IDs CA031060 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-009.2 Process software through Computer Engineering 1Q03 28-Aug-03 3003 CSMP Approvals Complete Software Management Program (CSMP). Programs -

Long Term Programs tTrack IDs CA031062 Resource - I - #Persons I Hrs Per Parson Comments 300160 3004 1 1 1 24 Page 438 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-009.3 Baseline & projection using software Engineering 3Q03 26-Nov-03 4Q03 Baseline and Projection Report Programs -

Long Term Programs tTrack IDs CA031063 Resource # Persons' Hrs Per Person Coments 300160 3004 2 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-009.4 Conduct an Effectiveness Review of the Engineering 2004 2Q04 Effectiveness Review Final Report Fatigue Monitoring Program Programs -

Long Term Programs tTrack IDs CA031065 l Resource # Persons . l Hrs Per Person - .Comments 1300160 3005 1 1 24 31 Page 439 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: ED Priority 2 4B 4D CAP # 033437 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Make improvements in the Relief Valve Program Action Plan Number: EQ-16-010 Problem Statement: Some relief valves do not meet State of Wisconsin regulations Causal Factors: I Interpretation of State code requirements for relief valve testing was incorrect.

Oblectives: I State Code valves are in full compliance with required testing frequencies.

Action Steps-Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.1 Review all State Code valves to determine Engineering 01-Apr-03 2003 Valves identified via CAPs in t-Track.

which have not been tested within required Equipment Valve frequency Performance tTrack IDs CA031068 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.2 Oversee testing of all State Code valves to Engineering 19-Dec-03 4Q03 All code valves replaced or tested restore compliance Equipment Valve per established frequency Performance requirements.

tTrack IDs CA031069

. - Resource . t - # Persons Hrs Per Person I : Comments l 300160 3004 1 40 1 l Page 440 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.3 Establish testing frequency for State valves at Engineering 01-Jul-03 3003 Testing callups established at 80% of allowable (4 yrs) Equipment Valve required frequencies.

Performance tTrack IDs CA031070 l oseurce #Persons Hrs PerPorsonl Comments '

300160 3004 1 120 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.4 Designate backup program owner Engineering 30-Jun-03 3Q03 Documented in Program Health Equipment Valve Report.

Performance tTrack IDs CA031071 l Resource # Persons lHrs Per Person Comments - - l 300160 3009 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.5 Review all IST valves to ensure compliance Engineering 14-Apr-03 2Q03 Review Documented.

Equipment Valve Performance tTrack IDs CA031072 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.6 Establish & populate a tracking/trending Engineering 01-Dec-03 4Q03 Database populated with relief valve database for RVs Equipment Valve data.

Performance tTrack IDs CA031073 l Resource - l # Persons Hrs Per Person Comments 3001603004 1 160 Page 441 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.7 Develop and Issue a program document Engineering 01-Nov-03 4003 Program Documents issued.

Equipment Valve Performance tTrack IDs CA031075 Resource : Persons Hrs Per Person ""Comments 300160 3004 I 1 160 300160 3005 1 40 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-010.8 Conduct effectiveness review Engineering 2Q04 3Q04 Effectiveness review report.

Equipment Valve Performance tTrack IDs EFR031076 Resource #Persons- Hrs Per Person Comments 300160 3004 1 24 300160 3005 1 24 Page 442 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 1 1A 1A CAP # 033439 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Consolidate Boric Acid Corrosion Control Program Action Plan Number: EQ-16-01 1 Problem Statement: Boric Acid Corrosion Control Program does not meet industry standards.

Causal Factors: I Program requirements dispersed in numerous documents.

2 Industry experience not incorporated into existing program.

Oblectives: 1 Develop and implement formal Boric Acid Corrosion Control Program.

Action Stens:

Numbor Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-011.1 Issue implementing procedure(s) Engineering 25-Apr-03 2Q03 NP 7.4.14 Issued Programs Inspection Services tTrack IDs CA031077 Page 443 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-011.2 Conduct training on procedures/processes Engineering 2Q03 30-Sep-03 3Q03 Training records.

Programs Inspection Services tTrack IDs CA051927 Resource # Persons Hrs Per Person Comments -

654LOPR1 25 1 654LOPR2 25 1 657LCUST 10 2 300020 3005 35 1 300130 3004 1 5 300160 3004 1 3 300160 3004 1 24 300180 3004 4 3 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-011.3 Complete Effectiveness Review Engineering 2Q04 2004 Effectiveness Review Report Programs Inspection Services tTrack IDs EFRO31078 I: Resource..: # Persons : 1r Per Person: Comments . .

3 0- -. , . ., , . , . - . --

1300160 3004 1 1 1 16 1~

Page 444 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 24B 4D CAP # 033440 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Bring Heat Exchanger Program up to fleet standards Action Plan Number: EQ-16-012 Problem Statement: Heat Exchanger program does not meet NMC fleet standards.

Causal Factors: I Long-term under-resourcing.

2 Recent establishment of fleet standards.

Objectives: 1 Develop a Heat exchanger program that meets NMC fleet standards.

2 Implement Heat Exchanger program that meets NMC fleet standards.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-012.1 Update program document to fleet standards. Engineering 27-Aug-03 3Q03 Program documents issued.

Programs Inspection Services tTrack IDs CA031079 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-012.2 Issue program implementing procedures as Engineering 25-Feb-04 1Q04 Program implementing procedures needed Programs issued.

Inspection Services tTrack IDs CA031080 Resource .# Persons Hrs Per Person - Comments 300160 3004 1 24 300160 3004 1 120 300160 3005 1 4 Page 445 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-012.3 Establish long term (5 year) improvement plan Engineering 19-Sep-03 3Q03 Improvement Plan published.

Programs Inspection Services tTrack IDs CA031081 Resource # Persons lHrsPerPerson Comments - l 300160 3004 0 0 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-012.4 Identify backup engineer Engineering 31-May-03 2Q03 Documented In Program Health Programs Report.

Inspection Services tTrack IDs CA031082 Resource - Persons Hrs Per Person Comments 300160 3005 1 16 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-012.5 Qualify backup engineer Engineering 11-Dec-03 4Q03 Qualification records.

Programs Inspection Services tTrack IDs CA051902 Resource, # Persons, Hrs Per Person i Comments, 300160 3004 1 60 _

300160 3004 1 240 300160 3005 1 16 _

Page 446 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-1 6-012 .6 Perform Self Assessment of Heat Exchanger Engineering 1Q04 Self-Assessment Report.

program Programs Inspection Services tTrack IDs EFR031083 i- .rrn IInc V t DDarI- nnf

-rs D.,

Dr .l : ' ' nn ant '

I . . '.-I:. I ..- ...!. ,F"".-

300160 3008 1 40 Page 447 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 3C 3F CAP # 033443 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Environmental Qualification (EQ) Program Upgrade Action Plan Number: EQ-16-013 Problem Statement: Some EQ Program documentation does not meet current industry standards.

Causal Factors: I Insufficient resources applied to keep program up to industry standards.

Oblectives: 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 Group Start Date Comp Date Due Date Deliverable Owner EQ-16-013.1 Walk down accessible equipment outside of Engineering 25-Aug-03 3Q03 EQ field verification data outside containments. Programs - containment.

Long Term Programs tTrack IDs CA031084 l-: Resource --#Persons* H-lrs Per Person -,1Comments,, , ;

300160 3004 I 1 400 300170 3004 1 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-013.2 Walk down accessible Unit 2 equipment in Engineering 31-Oct-03 4Q03 EQ field verification data for U2 containment. Programs - Containment.

Long Term Programs tTrack IDs CA031085 Resource' .: # Persons l Hrs Per.Person [ Comments, 300160 3004 1 200 300170 3004 1 80 Page 448 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-013.3 Walk down accessible Unit 1 equipment in Engineering 3Q04 EQ field verification data for Ul containment. Programs - Containment.

Long Term Programs tTrack iDs CA031087 Resource l Persons Hrs Per Person Comments 300160 3004 1 200 300170 3004 1 80 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 18-Dec-03 4Q03 Maintenance procedure and forms inaccessible equipment. Programs - revision completed.

Long Term Programs tTrack IDs CA031089

.Resource # Persons lHrsPerPerson Comments-300160 3004 1 100 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-013.5 Complete pilot project to upgrade of EQSSs Engineering 28-Aug-03 3Q03 This step will be closed to EQ Programs - 013.7 Long Term Programs tTrack IDs CA031090 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 2Q05 Revised DBD issued.

analyses, etc. Programs -

Long Term Programs tTrack IDs CA031091 Resource # Persons- Hrs Per Perso Comments l CONTPRO I 1 400 I Page 449 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-013.7 Complete EQ checklists License Renewal 1Q05 Completed EQ checklists.

tTrack [Ds CA031092 Resource # Persons Hrs Per Person Comments CONTPRO 2 1900 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-013.8 Complete backlog elimination project of EQSS License Renewal 1Q05 Completed EQSS checklists and issues. EQMRs.

tTrack lDs CA031093 Resource l Persons Hrs Per Porson Comments CONTPRO 2 1900 Number Action Step Action Stop Owner Group Start Date Comp Data Due Date Deliverable Owner EQ-16-013.9 Approve completed backlog from EQSS Engineering 1Q05 Documented completed reviews.

consolidation, EQ checklist, review and Programs -

approve calculations. Long Term Programs tTrack lDs CA031094 Resource I #ernsPer l Person . Comments -,

300160 3004 1 1 350 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 step will be closed to EQ Programs - 013.9 Long Term Programs tTrack IDs CA031095 Page 450 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 4B 4D CAP # 033445 Plan Type Improvement Plan Revision No: 2 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

Implement Preventative Maintenance Optimization (PMO)

Action Plan Number: EQ-16-014 Problem Statement: The site has not implemented a formal, documented preventive maintenance optimization (PMO) program to improve equipment reliability, per INPO AP-913, Equipment Reliability Process Description.

Causal Factors: I Lack of organizational commitment and funding.

Obiectives: I PMO program in place to meet NMC Corporate Directive CD 5.14, Preventive Maintenance Program Standard and AP-913.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.1 Issue / Implement procedure for JIT PMO Engineering 1Q03 24-Mar-03 2003 NP 10.2.8 Issued Equipment Predictive Maintenance ItTrack IDs CA031096 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.2 Conduct training for selected engineers for Engineering 1Q03 31-May-03 2Q03 Applicable training documents and PMO Equipment records.

Predictive Maintenance ItTrack IDs CA031096 Page 451 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.3 Implement feedback process for PMO Maintenance 1Q03 16-May-03 2Q03 Feedback process document is Services implemented.

tTrack IDs CA031098 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.4 Self assess rate of progress of Just-In-Time Engineering 4Q03 31-Oct-03 4Q03 Documented assessment of (JIT) PMO Equipment progress and creation of additional Predictive actions if required.

Maintenance tTrack IDs CA031100 Resource # Persons- IHrs Per Person Comments 300160 3004 1 40 300160 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.5 Revise PMO implementation as necessary Engineering 30-Dec-03 4Q03 Revision to NP 10.2.8 issued if based on SA results Equipment required.

Predictive Maintenance tTrack IDs CA031102

-Resource #Persons Hrs Per Person P Comments 300160 3004 1 80 300160 3005 1 80 300160 3009 1 24 Page 452 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.6 Review PMs and establish basis/changes Engineering 3Q07 100% of PMs reviewed for optimum Equipment type, frequency Predictive Maintenance tTrack IDs CA031104 Resource U Persons Hrs Per Person Comments 300150 3004 24 276 300150 3005 3 552 300160 3004 5 276 300160 3005 2 345 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable nwnpr EQ-16-014.7 Revise / Change PM implementing documents Maintenance 4Q07 Supporting procedures, WOs as needed Services prepared as required.

tTrack IDs CA031105 Resource. l #Persons. Hrs Per Person Comments.. .

300050 3005 I 2 I 300 300050 3008 3 1800 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.8 Implement Optimized PM schedule Production 1Q08 100% of PMs optimized Planning tTrack IDs CA031106 Resource l: #Persons Hrs Per Person . Comments 659LCLER I 1 600 300040 3008 1 400 Page 453 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-014.9 Coordinate PMO effort and implement Engineering 1Q08 Complete JIT PMO for all applicable performance Indicators for PM's optimized. Equipment PM's.

Predictive Maintenance tTrack IDs CA031107 Resource . Persons Hrs Per Person Comments 300160 3004 1 9000 300160 3005 1 450 Page 454 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: EQ Priority 2 4B 4A CAP # 050329 Plan Typo Improvement Plan Revision No: 0 Focus Area: Engineering Programs Plan Status Open Action Plan

Title:

10 CFR 50.59 / 72.48 Program Improvements Action Plan Number: EQ-16-016 Problem Statement: Several elements of the 10 CFR 50.59172A8 program need improvement to maintain program health and meet fleet/industry standards.

Causal Factors: 1 10 CFR 50.59/72.48 continuing training has not been provided to qualified personnel since initial training when the 10 CFR 50.59/72.48 rules were changed.

2 The administrative procedure for 10 CFR 50.59 / 72.48 is cumbersome to use for Identifying responsibilities and requirements.

3 Previous program oversight functions were not carried over to the 'new' 50.59 / 72.48 rule administrative procedure.

4 There has not been a 10 CFR 50.59/72.48 self-assessment performed since December 2000.

Oblectives: 1 Personnel qualified in the 10 CFR 50.59 process are trained on licensing basis search techniques and operating experience related to 10 CFR 50.59/

72.48 screenings and evaluations.

2 Programmatic 10 CFR 50.59 / 72.48 responsibilities and requirements are effectively incorporated In plant procedures and guidance documents.

3 Program oversight and health monitoring activities are defined and responsibilities assigned.

4 Self-assessments of 10 CFR 50.59/72.48 products are performed and issues dispositioned on a regular basis.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.1 Conduct 2003 Self-Assessment of 10 CFR Engineering 3Q03 02-Dec-03 4Q03 Issued Self-Assessment Report.

50.59/72.48 Screening/Evaluation Quality. Programs -

Long Term Programs tTrack IDs SA051937 Resource # Persons Hrs Per Person Comments 300150 3004 1 28 300160 3004 1 60 3001603004 1 28 300170 3004 1 28 300290 3008 1 28 Page 455 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.2 Complete lesson plan for EDMS document Training General 12-Aug-03 3Q03 Issued Lesson Plan.

search training.

tTrack IDs CA029844 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.3 Implementan Intemet Web Page for 10CFR Engineering 3Q03 22-Oct-03 4Q03 Web Page complete and accessible 50.59172.48 reference material and operating Programs - on PBNP Website.

experience. Long Term Programs tTrack I~s CA052562 Resource # Persons Hrs Per Person Comments 67OLCLER l 6 300160 3004 1 6 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.4 Conduct hands-on electronic document Training General 4Q03 1Q04 Training Attendance Records.

search training for 10 CFR 50.59172.48 screening personnel.

tTrack IDs CA029846

' ~ Resiource-.;' #Persons HrsPer Person ; Comments -' -

661LCLER 1 8 300130 3006 40 Page 456 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-016 .5 Develop a Desktop Guide to provide guidance Engineering 4Q03 12-Dec-03 4Q03 Issued Desktop Guide on searching for licensing basis search strategies. Programs - the licensing basis.

Long Term Programs tTrack IDs CA052563 VResource #Persons - Hrs Per Person , - Comments 6SOLCLER 1 4 300160 3004 1 20 300290 3008 1 4 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-016 .6 Develop lesson plan and training materials for Engineering 4Q03 13-Jan-04 1Q04 Lesson Plan and training materials 10 CFR 50.59/72.48 continuing training Programs - issued.

including OE from AFW orifice plugging event. Long Term Programs tTrack IDs CA052564

....Resource

,. , - : ~.,~ .: #Persons

, .... IHrs

.. . Por Person

- . .. ..... ...... ' Comments

...- ... . , q I : I 661LCLER 1 8 300130 3006 1 16 3001603004 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016 .7 Schedule 10 CFR 50.59172.48 continuing Training General 4Qo3 16-Dec-03 4Q03 Training Schedule.

training classes.

tTrack IDs CA052565 Page 457 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner EQ-16-016.8 Conduct 10 CFR 50.59/72.48 continuing Engineering 1Q04 1Q04 Training attendance records for all training for all qualified screening and Programs - currently qualified 50.59 evaluation personnel (TOC memo NPM 2003- Long Term screeners/evaluators.

0587). Programs tTrack IDs CA052567 Resource . # Persons . Hrs

. . . Per Person -- I.. Comments .. . ...

661 LCLER 1 8 300130 3006 1 12 300160 3004 1 48 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.9 Review PBNP plant change processes for 10 Engineering 1004 1Q04 Review report issued and CAPs CFR 50.59 interface and cross-reference Programs - written.

gaps. Long Term Programs MTrack IDs CA052570 Resource l [ Persons Hrs Per Person Comments 300160 3004 1 32 Number Action Stop Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.10 Split procedure NP 5.1.8 into two simplified Engineering 2Q04 2Q04 Revised/new Nuclear Procedures procedures: Programs - (NPs) issued.

1) Applicability/Pre-screening process and, Long Term

2) Screening/Evaluation process Programs tTrack IDs CA052571

Resource -# Persons Hrs Per Person : I .. Comments' .

66OLCLER 1 8 300160 3004 1 32 300160 3004 1 8 Page 458 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.11 Conduct 2004 Self-Assessment of IO CFR Engineering 3Q04 4Q04 Self-assessment report Issued and 50.59/72.48 Program and Products. Programs - CAPs written as needed.

Long Term Programs tTrack IDs CA052618 Resource # Persons Hrs Per Person Comments, 300020 3005 1 40 300150 3004 1 40 300160 3004 1 60 300160 3004 1 40 300170 3004 1 40 300290 3008 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner EQ-16-016.12 Develop a document (ESG or other) to define Engineering 3Q04 3Q04 Issued document for monitoring program health oversight guidance and Programs - 50.59 program health.

responsibilities. Long Term Programs tTrack IDs CA052620

-,Resourcoi~, #'Persons,: HrsPor Person : :- - ;CommentsX -:.

66OLCLER 1 4 300160 3004 1 20 300290 3008 1 4 Page 459 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: TR Priority 2 5C 6E CAP # 033455 Plan Type Improvement Plan Revision No: 2 Focus Area: Training Programs Plan Status Open Action Plan

Title:

Maintenance Training Action Plan Number: TR-18-001 Problem Statement: Completion of qualifications is not timely for personnel enrolled in the Maintenance Training Programs.

Causal Factors: I Lack of line ownership in the Maintenance Training Program.

2 Lack of formal scheduling for OJT/TPE to aid trainees during qualification process.

Obiectives: 1 Maintenance personnel qualification in accordance with programatic requirements.

2 Renewal of technical training programs accreditation.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.1 Training Accreditation Renewal Maintenance 2Q03 10-Feb-04 2Q04 No deliverable required. This is a high level step to capture all action steps asociated with Maintenance Training Accreditation Renewal.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.1.A Participate in Technical Training (Maintenance Maintenance 16-May-03 2Q03 Self-Assessment Report Training included) Self-Assessment tTrack IDs CA031124 Page 460 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownnr TR-18-001.1.B Support development of the Technical Training Maintenance 3Q03 21-Nov-03 4Q03 Draft copy of ASER Programs Accreditation Self-Evaluation Report (ASER) tTrack IDs CA031124 l Resource. #Persons - HrsPerPerson - Comments" 300050 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.1.C Review and approve Technical Training Maintenance 4Q03 06-Jan-04 1Q04 Approved ASER submitted to INPO Program ASER tTrack IDs CA031125 Resource l #Persons - Hrs Per Person Comments 300050 3009 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.1.D Step deleted in Revision 2. Maintenance 4Q03 06-Feb-04 1Q04 Step deleted 02-23-04. No deliverable required.

tTrack IDs CA031126 Resource . # Persons. Hrs PerPerson - Comments:-::-

300050 3009 2 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.1.E Step deleted in Revision 2. Maintenance 2Q04 10-Feb-04 2Q04 Step deleted 02-23-04. No deliverable required.

tTrack IDs CA031127 Resource: # Persons- Hrs Per Person - Comments I

3 0 5 . 1. .3009 3 1300050 3009 1 1 30 _

Page 461 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.2 Line Ownership Maintenance 2Q03 1Q04 No deliverable required. This is a high level step to capture all action steps asociated with Maintenance line ownership of Training.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.2.A Strengthen reporting and monitoring of craft Maintenance 2Q03 1Q04 Documentation of assignment of the qualification progress through the General Supervisor including roles Maintenance Craft Training Advisory and responsibilities, and copies of Committee (MTAC)ITraining Oversight the work down curves and Committee (TOC). Action includes assignment MTACITOC Meeting Minutes of a General Supervisor for Maintenance documenting the reviews through Training, and presentation of the work down estimated completion date.

curves to the above committees.

tTrack IDs CA031128 Resource # Persons j7Hrs Per Person Comments ; -,

300050 3009 2 80 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3 Initial Training Maintenance 1Q03 06-Jan-04 1Q04 No deliverable required. This is a high level step to capture all action steps asociated with Maintenance Initial Training.

tTrack IDs See Substeps Page 462 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.A Complete development/revision of the Training 2Q03 10-Dec-03 4Q03 Approved MEM Level 1/11 qualification Mechanic/Electrician Mechanic (MEM) Level l/il Maintenance manuals and/or TPE guides TPE/Qualification Manuals to be consistent with the requirements of FP-T-SAT-30 tTrack IDs CA031129 l Rosource. #Persons lHrs Per Person Comments 300130 3006 4 160 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.B Complete development/revision of the Training 2Q03 10-Dec-03 4Q03 Approved MEE Level l/ll qualification Mechanic/Electrician Electrician (MEE) Level i/li Maintenance manuals and/or TPE guides TPEIQualification Manuals to be consistent with the requirements of FP-T-SAT-30 tTrack IDs CA031130 l Resource .#Persons lHrsPerPersonl Comments -

300130 3006 4 190 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.C Complete development/revision of the Training 2Q03 06-Jan-04 1Q04 Approved I&C Level l/il qualification Instrument & Control (I&C) Level UIl Maintenance manuals and/or TPE guides TPE/Qualification Manuals to be consistent with the requirements of FP-T-SAT-30 tTrack IDs CA031131 l Resource . - l # Persons" Hrs Per Person Comments.

300130 3006 4 140 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.D Update MEM Training Program Description to Training 1Q03 03-Sep-03 3Q03 Revised/Approved MEM Training reflect changes to initial training program Maintenance Program Description tTrack IDs CA031132 l Resource l # Persons lHrs Per Person l Comments - I 300130 3006 1 2 1 15 1 Page 463 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-1B-001.3.E Update MEE Training Program Description to Training 2Q03 07-Oct-03 4Q03 Revised/Approved MEE Training reflect changes to initial training program Maintenance Program Description tTrack IDs CA031133 Resource #Persons lHrsPerPersonl Comments 300130 3006 2 15 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.F Validate the update of the I&C Repairer Training 2Q03 18-Sep-03 3Q03 Documentation of the validation and Training Program Description to ensure that it Maintenance a Revised/Approved l&C Repairer reflects recent changes to initial training Training Program Description if program applicable tTrack IDs CA031134 Resource l Persons Hrs Per Person Comments l 300130 3006 2 15 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.G Validate the update of the l&C Training 2Q03 19-Jun-03 2Q03 Documentation of the validation and TechnicianTraining Program Description to Maintenance a Revised/Approved I&C Technician ensure that it reflects recent changes to initial Training Program Description if training program applicable tTrack [Ds CA031136 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.H Identify tasks from MEM Level Ill list for Maintenance 3Q03 26-Aug-03 3Q03 Approved level liI specialty task list specialty task designation. For each specialty identifying minimum complements task, identify the refresher requirements for and refresher requirements proficiency and the minimum qualification complement of personnel tTrack lIs CA031137 Resource # Persons .IHrs Per PersonI Comments 300050 3009 2 60 Page 464 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner TR-18-001.3.1 Identify tasks from MEE Level Ill list for Maintenance 3Q03 15-Sep-03 3Q03 Approved level IlIl specialty task list specialty task designation. For each specialty identifying minimum complements task, identify the refresher requirements for and refresher requirements proficiency and the minimum qualification complement of personnel tTrack IDs CA031140 Resource # Persons - Hrs Per Person Comments -

300050 3005 2 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.3.J For each l&C specially task, identify the Maintenance 3Q03 09-Dec-03 4Q03 Approved level Ill specialty task list refresher requirements for proficiency and the identifying minimum complements minimum qualification complement of personnel and refresher requirements tTrack IDs CA031141 Resource - # Persons- Hrs Per Person - Comments .

300050 3005 2 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.4 Continuing Training Maintenance 3Q03 11-Dec-03 4Q03 No deliverable required. This is a high level step to capture all action steps asociated with Maintenance Continuing Training.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.4.A Develop a rotation schedule for maintenance Maintenance 3Q03 11-Dec-03 4Q03 Loaded and approved schedule for personnel to attend continuing training. Load CY 2004 continuing training people and classes into the 12-week work schedule tTrack IDs CA031142 Resource T # Persons l Hrs Per Person Comments 300050 3005 2 T 80 1 Page 465 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owneir TR-18-001.5 Qualification (Accredited Programs) Maintenance 1Q03 25-Sep-03 3Q03 No deliverable required. This isa high level step to capture all action steps asociated with Maintenance Qualifications.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.5.A Revise MEMWMEE qualification matrices to Training 1Q03 17-Jul-03 3Q03 Implemented and approved reflect changes - Level IIto Level IlIltasks Maintenance qualification matrix reflecting moved, and realignment of core cross- changes discipline tasks tTrack IDs CA031144 Resource # Persons Hrs Per Person Comments 300130 3006 4 16 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.5.B Develop an intra-department process for Maintenance 2Q03 25-Jul-03 3Q03 Approved MTAM reflecting process scheduling personnel for OJT/TPE tTrack IDs CA031145 l::,Resource l Persons Hrs Per Person Comments 300050 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.5.C Implement the MTAM developed in step 5.B Maintenance 3Q03 19-Aug-03 3Q03 A copy of 1 work week schedule showing OJT/TPEs are loaded in the work week.

tTrack IDs CA031146

-. Resource .l # Persons lHrs Per Person l Comments - I, 300050 3005 I 1 1 40 Page 466 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.5.D Develop/implement work-down curves to track Maintenance 2Q03 25-Sep-03 3Q03 Performance indicators for each Level II qualification progress of Mechanincal, discipline Electrical, and I&C personnel tTrack IDs CA031147 Resource #Persons . HrsPerPersonl. Comments :

300050 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.6 First Line Supervisor (FLS) Training Training 1Q03 07-Jan-04 1Q04 No deliverable required. This is a Maintenance high level step to capture all action steps asociated with Maintenance First Line Supervisor Training.

tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.6.A Review FLS training program material to verify Training 3Q03 07-Jan-04 1Q04 Cross-reference matrix appropriate materials correspond to ACAD to Maintenance develop an INPO Guideline matrix tTrack IDs CA031148 Resource l - Persons lHrs Per Person ;Comments.

300130 3006 1 50 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.6.B Audit incumbent maintenance supervisor Training 1Q03 29-Jul-03 3Q03 A completed audit report.

qualifications Maintenance tTrack IDs CA031149 l Resource # Persons iHrs Per Person - Comments - l 300130 3006 1 1 1 40 l Page 467 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.6.C Incorporate the lead person position into the Training 2Q03 04-Sep-03 3Q03 Revised and approved FLS program FLS program. Identify and proceduralize all Maintenance lead person training and qualification requirements tTrack I~s CA031150

.Resource - # Persons Hrs Per Person Comments 300050 3005 1 60 300050 3009 2 60 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.6.D Identify, enroll, and schedule lead persons to Maintenance 3Q03 10-Dec-03 4Q03 Loaded and approved FLS training participate in the training and qualification schedule for lead persons program tTrack I~s CA031151 Resource l #Persons Hrs Per.Person Comments . l 300050 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-001.7 Develop and issue a change management plan Maintenance 2Q03 14-Aug-03 3Q03 An approved Change Management for the actions required to support the Plan.

improvements identified in this Action Plan tTrack I~s CA031152 Resource l # Persons Hrs Per Person - . Comments : .

300050 3005 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner TR-18-001.8 Conduct a final Self-Assessment of the Maintenance 2Q04 2Q04 A copy of the Self-Assessment effectiveness of this plan. Report.

tTrack IIs EFR031153 Resource # Persons Hrs Per Person Comments - .

300050 3005 2 40 300050 3009 2 40 Page 468 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Page 469 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: TR Priority 1 5C 6E CAP # 033456 Plan Type Commitment Plan Revision No: 2 Focus Area: Training Programs Plan Status Open Action Plan

Title:

ESP training Action Plan Number: TR-18-002 Problem Statement: There are known and documented shortcomings in the engineering support training program that have not been corrected in a timely fashion.

Causal Factors, I Lack of definition for core tasks as denoted on the qualification matrix.

2 There was inadequate communication of the change in qualification matrix usage.

3 There was inadequate change management planning that resulted in distractions to both the line and training organizations.

4 Throughout PBNP, training was not considered as part of core business.

5 There is a lack of consistent guidance and oversight by the line and training organizations.

Oblectives: I Achieve accreditation renewal of the ESP training Program.

2 The next CSER indicates a downward trend in repeat issues (e.g. IFA's, findings, etc.) related to the ESP training program.

3 A qualified Engineering workforce supports stations priorities and schedules.

4 Occurrences of missed training for ESP indicate a downward trend.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.1 Eliminate the 3 Unit Site organization for Site VP &ECP 01-Oct-02 2Q03 Updated Organization Chart.

engineering and training groups.

tTrack IDs N/A l Resource l Persons IHrs Per Person Comments . .

300270 3009 1 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.2 Complete a job analysis for the ESP population Engineering 2Q03 01-Aug-03 3Q03 A document identifying position to identify the core qualifications required for Processes specific qualification requirements each posiiton tTrack IDs CA031154

-- Resource . # Persons Hrs Per Person Comments 300270 3005 13 2 I

300270 3009 - 1 26 I Page 470 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.3 Conduct a gap analysis (based upon step TR- Engineering 3Q03 01-Sep-03 3Q03 A document containing a list of tasks18-002.2) to determine which, if any, Processes required for each parson qualifications are required for each engineer tTrack IDs CA031155 Resource.: # Persons Hrs Per Person Comments..

300270 3005 l 13 2 300270 3009 1 26 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.4 Update the qualification matrix to reflect the Training General 3Q03 15-Sep-03 3Q03 An updated qualification matrix that core qualifications for each position as reflects core qualifications for each determined by the job analysis (step TR position 002.3) tTrack IDs CA031156 Resource - ; Persons .Hrs Per Person Comments 300130 3006 1 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.5 Upgrade the mentoring guides to the NMC Training General 2Q03 30-Jun-03 2Q03 Mentoring guides created in the NMC formal format tTrack IDs CA031157 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.6 Develop a work down curve for each Engineering 1Q03 12-Nov-03 4Q03 Work Down Curve documented.

engineer to complete all core qualifications Processes (based on TR-18-002.3 and TR-18-002.4).

tTrack IDs CA031158 Resource -. #Persons - Hrs PerPerson Comments .-II I

300270 3009 1 4 1 2 Page 471 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002 .7 Implement the NMC TAC and CRC concept Engineering 4Q02 01-Jul-03 3003 TAC/CRC membership.

tTrack IDs CA031159 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002 .8 Develop a formal process for determining Engineering 1Q03 01-Jul-03 3Q03 Revised Engineering Support which personnel will be enrolled in the ESP Processes Training Program Description (ESTP) training program attachment.

tTrack IDs CA031159 Number Action Step Action Step Owner Group Start Date Comp Data Duo Date Dolivorablo Ownpr TR-18-002.9 Implement a site policy on training attendance Training 1Q03 27-Aug-03 3Q03 Attendance policy created and communicated site-wide tTrack IDs CA031161 rce # Persons Hrs Per-Person :i . :

'Comentsit I.-

300270 3009 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.10 Develop a process that facilitates Training General 1Q03 30-Jun-03 2Q03 ES-TP Revision 1 issued.

implementation of position-specific continuing training tTrack IDs CA031163 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-002.11 Perform an effectiveness review. Training General 4Q04 Effectiveness Review.

tTrack IDs EFR031165 Resource l # Persons l Hrs Per Person Comments

- I--

300130 3005 1 1 1 10 I Page 472 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-1 8-002.12 Determine and implement a process for On-the- Engineering 1Q03 01-Aug-03 3Q03 OJM scheduling process Job Mentoring (OJM) scheduling to ensure Processes documented.

trainees are able to complete their qualifications in a timely manner tTrack IDs CA031168 Resource

. . 3..I . I # Persons .I Hrs Per4Person - . . Comments 300160 3009 1 5 4 I Page 473 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: TR Priority 1 5C 6E CAP # 033460 Plan Type Improvement Plan Revision No: 2 Focus Area: Training Programs Plan Status Open Action Plan

Title:

Use Training to improve engineer performance Action Plan Number: TR-18-003 Problem Statement: ESP training program does not meet site management expectations and Industry standards.

Causal Factors: I Inadequate definition of core tasks as identified on Qualification Matrix.

2 Lack of commitment to complete qualifications in accordance with established time frames due to inadequate definition and inefficient process.

3 Performance of CRCs and TACs did not meet expectations.

Oblectives: I Improve alignment and definitions on qualification goals and core tasks.

2 CRCs/TAC effectively manage and implement the ESP program.

Action Steps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.1 Restructure Training Advisory Committee Engineering 15-May-03 2Q03 Communication documment with (TAC) and Curriculum Review Committees identification o ITAC/CRC (CRC) membership.

tTrack [Ds CA031169 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.1.A Modify composition of Curriculum Review Engineering 15-May-03 2Q03 See TR-18-003.1 Deliverable.

Committees 1/AM' organizational structure to generate greater ownership tTrack IDs CA031169 Page 474 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.11.B Modify Training Advisory Committee to provide Engineering 15-May-03 2Q03 See TR-18-003.1 Deliverable.

oversite of CRCs to ensure the engineering training program meets the expectations of the ACADs tTrack IDs CA031169 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.2 Develop Job Familiarization Checklists for TAC Training General 15-May-03 2003 Checklist created and CRC members tTrack IDs CA031171 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.2.A Evaluate need for Checklist to ensure CRC and Engineering 15-May-03 2Q03 See TR-18-003.2 Deliverable.

TAC members are cognizant of their accountabilifies tTrack iDs CA031171 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.2.B Prepare Checklist Engineering 15-May-03 2Q03 See TR-18-003.2 Deliverable.

tTrack lDs CA031171 Number Action Step Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner TR-18-003.3 Train/Qualify TAC and CRC members Training General 15-May-03 2Q03 Lesson Plan and training attendance roster.

tTrack IDs CA031173 Page 475 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Dato Doliverable ner TR-18-003.3.A Establish curriculum Engineering 15-May-03 2Q03 See TR-18-003.3 Deliverable.

tTrack IDs CA031173 Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner TR-18-003.3.8 Provide training Engineering 15-May-03 2Q03 See TR-18-003.3 Deliverable.

tTrack IDs CA031173 Number Action Stop Action Stop Owner Group Start Date Comp Date Duo Data Deliverable Owner TR-18-003.4 Develop schedule for TAC meetings Training General 15-May-03 2Q03 TAC schedule tTrack IDs CA031176 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.4.A Evaluate timing and period required to Engineering 15-May-03 2Q03 See TR-18-003.4 Deliverable.

efficiently conduct TAC meetings tTrack IDs CA031176 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.4.1 Schedule TAC meetings Engineering 15-May-03 2Q03 See TR-18-003.4 Deliverable.

tTrack IDs CA031176 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.5 Develop schedule for CRC meetings Training General 15-May-03 2Q03 CRC schedule.

tTrack IDs CA031178 Page 476 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.5.A Evaluate timing and period required to Engineering 15-May-03 2Q03 See TR-18-003.5 Deliverable.

efficiently conduct CRC meetings tTrack IDs CA031178 Number Action Step Action Stop Owner Group Start Date Comp Date Duo Date Deliverable Owner TR-18-003.5.B Schedule CRC meetings Engineering 15-May-03 2Qo3 See TR-18-003.5 Deliverable.

tTrack IDs CA031178 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003 .6 Develop 1 year living training schedule - Engineering 15-May-03 2003 Copy of training schedule.

Design CRC Design tTrack IDs CA031186 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.6.A Evaluate training requirements and needs for Engineering 15-May-03 2003 See TR-18-003.6 Deliverable.

2003 tTrack IDs CA031186 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.6.B Establish schedule based on needs, priority, Engineering 15-May-03 2Q03 See TR-18-003.6 Deliverable.

and budget tTrack IDs CA031186 Page 477 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.7 Develop 1 year living training schedule - Engineering 15-May-03 2Q03 Copy of training schedule.

Programs CRC Programs tTrack IDs CA031189 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.7.A Evaluate training requirements and needs for Engineering 15-May-03 2003 See TR-18-003.7 Deliverable.

2003 tTrack IDs CA031189 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.7.B Establish schedule based on needs, priority, Engineering 15-May-03 2Q03 See TR-18-003.7 Deliverable.

and budget tTrack IDs CA031189 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.8 Develop 2 year living training schedule - Tom Carter (Eng) 15-May-03 2003 Copy of training schedule.

PlantlSystems CRC tTrack IDs CA031191 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.8.A Evaluate training requirements and needs for Engineering 15-May-03 2Q03 See TR-18-003.8 Deliverable.

2003 - 2004 tTrack IDs CA031191 Page 478 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Ownar TR-18-003.8.B Establish schedule based on needs, priority, Engineering 15-May-03 2Q03 See TR-18-003.8 Deliverable.

and budget tTrack IDs CA031191 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.9 Review, revise ESP Qualification Matrix Engineering 15-May-03 2Q03 Revised Qualification Matrix for required qualifications.

tTrack IDs CA031193 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.9.A Evaluate ESP Qualification Matrix to determine Engineering 15-May-03 2Q03 See TR-18-003.9 Deliverable.

if individual qualifications are required tTrack IDs CA031193 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.9.B Establish realistic dates for individuals to Engineering 15-May-03 2Q03 See TR-18-003.9 Deliverable.

obtain qualifications tTrack IDs CA031193 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.9.C Incorporate qualification requirements into Engineering 15-May-03 2Q03 See TR-18-003.9 Deliverable.

individual PMPs tTrack IDs CA031193 Page 479 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Data Duo Date Deliverable Owner TR-18-003.9.D Ensure completion of qualifications in Engineering 15-May-03 2Q03 See TR-18-003.9 Deliverable.

accordance with commitments tTrack IDs CA031193 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.10 Suspend mentor qualifications Engineering 15-May-03 2Q03 Copy of communications suspending qualifications tTrack IDs CA031194 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.10.A Suspend qualifications to ensure personnel Engineering 15-May-03 2Q03 See TR-18-003.10 Deliverable.

are evaluated for appropriateness of assignment tTrack IDs CA031194 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.11 Assign mentors for ESP Tasks Engineering 22-May-03 2Q03 List of mentors.

tTrack IDs CA031195 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.1 1.A Review task list and ensure appropriate Engineering 22-May-03 2Q03 See TR-18-003 Deliverable.

personnel are assigned to task qualifications tTrack IDs CA031195 Page 480 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Duo Date Deliverable Owner TR-18-003.12 Provide training for mentors Training General 15-May-03 2Q03 Copy of training attendance records.

tTrack IDs CA031200 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.12.A Provide training to ensure mentors are current Engineering 15-May-03 2Q03 See TR-18-003.12 Deliverable.

tTrack IDs CA031200 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.13 Develop continuing training for mentors Training General 15-May-03 2Q03 Copy of Lesson Plan ESC-03-LP004 tTrack IDs CA031202 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.13.A Assign department personnel assigned as Engineering 15-May-03 2Q03 See TR-18-003.13 Deliverable.

mentors to scheduled training classes tTrack IDs CA031202 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.14 Develop schedule for completing Engineering 15-May-03 2Q03 Qual dates assigned and reflected In qualifications - Design Design database tTrack IDs CA031204 Page 481 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.15 Develop schedule for completing Engineering 15-May-03 2Q03 Qual dates assigned and reflected in qualifications - Programs Programs database tTrack IDs CA031208 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.16 Develop schedule for completing Engineering 15-May-03 2Q03 Qual dates assigned and reflected in qualifications - Plant/Systems Equipment database Performance tTrack IDs CA031209 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.17 Develop Operability Determination training for Engineering 14-Aug-03 4Q03 Copy of training attendance.

Engineers/Ops Design tTrack IDs See Substeps Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.17.A Perform needs analysis Engineering 14-Aug-03 3Q03 See TR-18-003.17 Deliverable.

Design tTrack IDs CA031212 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.17.B Design the class Engineering 14-Aug-03 3Q03 See TR-18-003.17 Deliverable.

Design tTrack IDs CA031212 Page 482 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner rR-18-003.17.C Develop the curriculum and training Engineering 14-Aug-03 3Q03 See TR-18-003.17 Deliverable.

aides/devices Design tTrack IDs CA031212 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner rR-18-003.17.D Implement by conducting training Engineering 3Q03 14-Aug-03 3Q03 See TR-18-003.17 Deliverable.

Design tTrack IDs CA031214 Resource # Persons Hrs Per Person 1 .Comments 300020 3005 25 4 All SROs 300150 3004 10 4 300160 3004 40 4 300170 3004 30 4 300180 3004 20 4 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner rR-18-003.17.E Evaluate the curriculum and revise as required Engineering 3Q03 03-Dec-03 4Q03 Training Feedback Summary (QF-Design 1050-01).

tTrack IDs CA031216 Resource :-,.# Persons Hrs Per Person Comments - -.

L 300170 3004 2 1 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.18 Monitor qualification progress at weekly staff Engineering 22-Jul-03 3Q03 Copy of memo.

meetings Processes tTrack IDs CA031219 Page 483 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.18.A Establish expectation that supervisors discuss Engineering 22-Jul-03 3Q03 See TR-18-003.18 Deliverable.

qualification progress in weekly meetings tTrack IDs CA031219 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.18.B Monitor progress Engineering 22-Jul-03 3Q03 See TR-18-003.18 Deliverable.

tTrack IDs CA031219 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003 .19 Implement Fleet Standardized ESP training at Training General 4Q03 4Q04 Copy of revised TPD.

PB.

tTrack IDs CA031220 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.20 Incorporate adjustments to qualifications in mid- Engineering 06-Jul-03 3Q03 Documentation of PMP expectations.

year PMPs.

tTrack IDs CA031221, CA031222, CA031223 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.20.A Evaluate Individual progress Engineering 06-Jul-03 3Q03 See TR-18-003.20 Deliverable.

tTrack IDs CA031221 CA031222 CA031223 Resource . # Persons Hrs Per Person . - . . Comments 300150 3005 1 10 300170 3005 1 10 300180 3005 1 10 Page 484 of 489 Effectivo Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.20.B Correct deficiencies during mid year PMPs Engineering 06-Jul-03 3Q03 See TR-18-003.20 Deliverable.

tTrack IDs CA031221, CA031222, CA031223 Resource #Persons Hrs Per Person . Comments 300150 3005 1 10 300170 3005 1 10 300180 3005 1 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.21 Perform a critical function/critical skills Engineering 15-Sep-03 3Q03 Copy of the gap analysis report.

analysis for engineering and address the Processes deficiencies tTrack IDs CA031224 Resource- #Persons lHrs Per Person Comments 300180 3009 1 40 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-003.22 Perform effectiveness review of engineering Engineering 3Q03 19-Nov-03 4Q03 Copy of assessment report.

training program. Processes tTrack IDs EFR032720

,Resource - _ # Persons _Hrs Per Personl ; .Comments,- .. - - l 300170 3004_ 2 60 300180 30091 1 20 1 Page 485 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Pillar of Excellence: TR Priority 2 5C 6E CAP # 033457 Plan Type Improvement Plan Revision No: 2 Focus Area: Training Programs Plan Status Open Action Plan

Title:

OJTITPE/Mentoring Process Action Plan Number: TR-18-005 Problem Statement: OJTITPE and Mentoring are not being consistently implemented.

Causal Factors: 1 The standards for performing OJT/TPE and Mentoring are not specific or consistent.

Oblectives: I An OJTITPE/Mentoring process that results in consistent implementation, results in qualified personnel, and meets industry best practices.

Action Steps:

Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owneir TR-18-005.1 Administratively stop conducting TPE Plant Manager 12-Mar-03 2Q03 Memo from plant manager suspending all TPE.

tTrack IDs CE011255 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.2 Managers will identify, using SAT-41 criteria, Plant Manager 12-Mar-03 2Q03 Updated OJTITPE qualification matrix.

those personnel who will be conducting TPE for their group tTrack IDs CE011255 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.3 Managers, with assistance from Training, will Plant Manager 12-Mar-03 2Q03 Updated OJTfTPE qualification matrix disqualify all other personnel from conducting TPE tTrack IDs CE011255 Page 486 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.4 Implement site standards for management Plant Manager 12-Mar-03 2Q03 List of site standards.

expectations tTrack lDs CE011255 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.5 Brief selected personnel on the expectations Plant Manager 12-Mar-03 2003 Documentation of briefing.

associated with SAT-41 and management expectations standards.

tTrack IDs CE011255 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.6 Manager or designated individual observe Training 1Q03 1Q04 Updated OJTfTPE/Mentoring Matrix selected personnel from step TR-18-005.5 and Database printout of all while conducting their next TPE. Satisfactory and Needs Improvement comments for both OJT and TPE from 3/03 through 12/03.

tTrack IDs CA031160

Resource.

I, , , I . -.. .. # Persons:

- . . - Hrs I - Per Person

-: : - - .. Comments

, x, .; : . .. - . . - .

300130 3006 5 3 300270 3009 1 3 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.7 Retrain appropriate personnel (trainers and Training 2Q03 4Q04 Training attendance records.

trainees) on SAT-41 and site standards for Operations management expectations Projects tTrack lDs CA031162

-. Resource - # Persons . Hrs Per Person . Comments 300130 3005 350 2 300130 3006 1 80 Page 487 of 489 Effoctivo Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.8 Review and revise, as necessary, the Training 2Q03 24-Feb-04 1Q04 Revised simulator and in-plant simulator and in-plant qualification card tasks Operations Initial qualification cards for Operations.

tTrack IDs CA029610 Resource l #Persons

- IHrs Per Person Comments 661LCLER 2 30 300130 3005 3 24 300130 3006 2 60 Number Action Step Action Stop Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.9 Upgrade OJTfTPEIOJM guides to the NMC Training 2Q03 3Q05 Revised OJTITPEIOJM guides.

format.

tTrack IDs CA031164 Resource . Persons, lHrs Per Person Comments 661LCLER 8 40 300130 3006 40 10 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.10 Select and retrain mentors in the ESP training Engineering 28-Apr-03 2Q03 Documentation of attendance..

program. Processes tTrack IDs CA028807 Number Action Step Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.11 Provide training for appropriate personnel Training 2Q03 4Q04 Documentation of attendance..

(trainees, not evaluators) to familiarize them Operations with the requirements of OJTfTPE and or OJM Projects as necessary.

tTrack IDs CA031166 I Resource # Persons l Hre Per Personl Comments .! II 300130 3005 1 1 1 48 l Page 488 of 489 Effective Date: 2-27-04

PBNP Excellence Plan Revision 2 Number Action Stop Action Step Owner Group Start Date Comp Date Due Date Deliverable Owner TR-18-005.12 Conduct an effectiveness review Training 4Q03 2Q04 Effectiveness review report.

tTrack IDs EFR031167 Resource . # Persons Hrs Per Person l .Comments ' 'i -l 1 300270 3009 1 1 1 10 I Page 489 of 489 Effective Date: 2-27-04

NRC 2004-0024, Submittal of Excellence Plan, Revision 2

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