View source for IA-86-370, Forwards Enforcement Conference Outline,Util Nuclear Operations Improvement Plan,Slides on Nuclear Operations Improvement Plan & Slides on Jul 1985 Rod Pull Error from 860509 Preliminary Enforcement Conference

{{Adams
| number = ML20214K533
| issue date = 05/13/1986
| title = Forwards Enforcement Conference Outline,Util Nuclear Operations Improvement Plan,Slides on Nuclear Operations Improvement Plan & Slides on Jul 1985 Rod Pull Error from 860509 Preliminary Enforcement Conference
| author name = Lynch M
| author affiliation = NRC
| addressee name = Bernero R
| addressee affiliation = NRC
| docket = 05000341
| license number = 
| contact person = 
| case reference number = FOIA-86-370
| document report number = NUDOCS 8612020336
| package number = ML20214K520
| document type = INTERNAL OR EXTERNAL MEMORANDUM, MEMORANDUMS-CORRESPONDENCE
| page count = 44
}}

=Text=
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THE DETROIT EDISON COMPANY FERMI 2 NUCLEAR OPERATIONS IWROVEBENT PLAN MAY 9, 1986 l
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* U O
e PURPOSE O   IMPROVE OVERALL MANAGEMENT O   IMPROVE PROBLEM IDENTIFICAT10N AND RESPONSE O   IMPROVE MANAGEMENT CONTROLS O   IMPROVE REGULATORY AND OPERATIONAL PERFORMANCE 2

                                                                                                                         ~
PLAN DEVELOPME M MISSION s                  -
CRITICAL ISSLES                                     -                 -
KEY ASSLMPTIONS STRATEGIES                                                  MEASURES ACTIONS AND EXPECTED RESULTS 3

f METHOD OF PLAN DEVELOPMENT 0   UTill2ED CORPORATE STRATEGIC PLANNING PROCESS PROVEN SUCCESSFUL COMPREHENSIVE / SYSTEMATIC APPROACH ESTABLISHES MISSION, GOALS, AND STRATEGIES ADDRESSES NEEDED' IMPROVEMENTS OR CHANGES ESTABLISHES ACTIONS TO ACHIEVE GOALS ESTABLISHES MEASURES TO MONITOR TRENDS INVOLVES INPUT FROM VARIOUS MANAGEMENT LEVELS O   CONSIDERED BROAD ASPECTS OF CONCERNS WITH EMPHASIS ON:
10CFR50.54(F) LETTER OF 12/24/86 1           PROBLEMS / RECOMMENDATIONS OF INDEPENDENT OVERVIEW COMMITTEE OUR OWN MANAGEMENT' REVIEW l
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                                                           ~
MISSION STATEENT TO MANAGE, OPERATE, MAINTAIN, AND SUPPORT T W FERMI NUCLEAR PLANT, ENSURING TR WALTH AND SAFETY OF TK PUBLIC Ato EPPLOYES WHILE RELIABLY ATO EFFICIENTLY GEtERATING TK MAXIMUM ABOUNT OF ELECTRICAL ETERGY.

MISSION
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E)ALS
: 1. PROTECT TE EALTH AND SAFETY OF TE PUBLIC AND EWLOYES.
: 2. MAXlMIZE ELECTRICAL OUTPUT OF TE PLANT.
                            ~
: 3. ESTABLISH AND MAINTAIN EFFECTIVE ORGANIZATI0tML PERF0WANCE IN AN OPERATING NUCLEAR POER PLANT ENVIRONENT.
: 4. ACHIEVE AND MAINTAIN TE CONFIDENCE OF NUCLEAR OPERATIONS, CORPORATE, PUBLIC, AND TE NRC IN TE OPERATION OF FERMI 2.
7

t IMPROVEMENTS SINCE JANUARY 29, 1986, 10CFR50.54(F) RESPONSE o
APP 0lNTMENT OF B. RALPH SYLVIA AS GROUP VICE PRESIDENT - NUCLEAR OPERATIONS.
O               ASSIGNED NUCLEAR EXPERIENCED ADVISOR TO VICE PRESIDENT 0                IMPLEMENTED NUCLEAR SECURITY IMPROVEMENT PLAN O               STREAMLINED NUCLEAR ENGINEERING 0                REALIGNMENT OF PLANT RESPONSIBILITIES O                PLANT MANAGER'S ROLE O                RELOCATED MANAGEMENT SUPPORT TO THE PLANT 0                CONTINUATION OF THE REACTOR OPERATIONS IMPROVEMENT PLAN 1
!              O                INVOLVE THE MANAGEMENT TEAM O                SAFETY / REGULATORY ISSUES WORKSHOPS 1
                                                                                                " - - - ~ ~ ~ ~ ~ ~

(
             " NUCLEAR PLANTS WITH HIGH EQUlVALENT AVAILABILITY, SMALL NUMBERS OF FORCED OUTAGES, FEW UNPLANNED SCRAMS, FEW SIGNIFICANT EVENTS AND LOW PERSONNEL RADI ATION EXPOSURES ARE GENERALLY WELL-MANAGED OVERALL".
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FROM 1985 ItP0 ANNUAL REPORT l
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NUCLEAR OPERATIONS lbPROVEMENT PLAN O PERFORMANCE INDICATORS (10)
BASED ON IPPO RECOMMENDED INDICATORS OF GENERALLY WELL-MANAGED OVERALL OPERATIONS o SPECIFIC ACTIONS EXPECTED DELIVERABLES ORGANIZAT10N RESPONSIBLE DUE DATES 10

l l
NUCLEAR OPERATIONS IMPROVEMENT PLAN ACTIONS 11

MANAGEMENT STRUCTURE o  MANAGEMENT PLAN ELIMINATE REDUNDANCY CLARIFY PROGRAMMATIC DIRECTION PR10RITIZE cvlANGES REVISE DOCUMENTS o  ADMINISTRATIVE CONTROLS EFFECTIVE OPERATING AUTHORITY SUPPORT
       - CLARIFY REQUIREMENTS, RESPONSIBILITIES AND ACCOUNTABILITIES
       - ELIMINATE REDUNDANCY
       - SIMPLIFICATION REVISE SPECIFIC PROCESSES / CONTROLS EVALUATE AND PRIORITIZE OTHER PROCESSES / CONTROLS o  PROCEDURAL UPGRADING REVISE PROCEDURE PREPARATION GUIDELINES
     - HUMAN FACTORS
     - LEVEL OF DETAll
     - FLEXIBILITY
     - ELIMINATE REDUNDANCY.
UPGRADE PROCEDURES (NORMAL CYCLE) 12

9 PLANNING 0  INTEGRATED PLANNING COORDINATED INVOLVEMENT INTEGRATED PLANS / SCHEDULES O TASK ASSIGf+1ENTS RESPONSIBILITY, AUTHORITY AND ACCOUNTABILITY INDIVIDUAL AND ORGANIZATIONAL ACCOMPLISH ELEMENTS OF INTEGRATED PLAN i
13

d ENGINEERING o UPGRADE ENGIEERING CAPABILITY IHIRD PARTY PROCEDURE REVIEW EVALUATE EXPERTISE 1
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14

PROB 1EM SQLVING o        IMPROVED PROBLEM SOLVING SYSTEMATIC GUIDELINES COMMUNICATE i
o       INCORPORATE " LESSONS LEARED" EVALUATE EXl STING METH00S UPGRADE INCORPORATE INTO DAY-TO-DAY ACTIVITIES o       IM)USTRY EXPERIENCE i
INCREASED IW O PARTICIPATION UTILIZE INDUSTRY KNOWLEDGE l
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ACCOUNTABILITY o COMMUNICATE N0lP o ANNUAL WORK PLANS CORPORATE PROCESS INDlVl DUAL AW S WITH N0lP ACTIONS QUARTERLY PERFORMANCE FEEDBACK e
16

k OPERATIONS / MAINTENANCE / SECURITY _
o C0WLETE REACTOR OPERATIONS IWROVEMENT PROGRAM IDENTIFY ONGOING ITEMS INCORPORATE INTO PROCEDURES o IMPROVE TECH. SPEC. INTERPRETATIONS UPGRADE INTERPRETATION LOG                                                                                              '
REQUEST AMENDMENTS TO REDUCE AMBIGUITY s
o SCRAM REDUCTION PROGRAM 0 COMPLETE NUCLEAR SECURITY IMPROVEMENT PLAN o IMPLEMENT RAD 10 LOGICAL CONTROL IMPROVEMENT PLAN l
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AWAREESS o   IMPROVE QA AWAREESS IDENTIFY KEY ELEMENTS                                                     ,
ADDRESS VARIOUS LEVELS OF PERSONNEL o   IMPROVE il0USTRY, REGULATORY Ato PUBLIC AWAREfESS r
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TRAINING APO QUALIFICATIONS
* O     SUPPLEMENT THE WORK FORCE                                ,
IDENTIFY PERMANENT POSITION NEEDS REDUCE CONTRACTOR, DEPENDENCY IN LEADERSHIP POSITIONS INITIATE RECRUITING 0     IWO TRAINING PROGRAMS ACCREDITATION & CORPORATE C0hNITMENT 19

OTHER 0      IMPROVE MANAGEMENT INFORMATION SYSTEMS ELIMINATING REDUNDANCY CONSOLIDATE DELETE OUTMODED SYSTEMS / UNNECESSARY DATA IDENTIFY /PRIORITIZE AREAS FOR IMPROVEMENT 0      MAINTAIN If0VSTRIAL SAFETY RECORD PERSONAL SAFETY ANALYZE NEAR INJURY EVENTS 20

NUCLEAR OPERATIONS IMPROVEENT PLAN PERFORMANCE IPOICATORS      ,
o  COLLECTIVE RADIATION EXPOSURE o UNPLANNED RADIOLOGICAL RELEASES O UNPLANNED SAFETY SYSTEM ACTUATIONS o  CHEMISTRY OUT OF SPECIFICATION o  VOLUME OF LOW LEVEL SOLID RADIOACTIVE WASTE o STARTUP TEST PHASE SCHEDULE o  NON-COMPLIANCES o REPORTABLE OCCURRENCES (LER'S) o TIME SENSITIVE LCO'S O DELINQUENT QA FINDINGS 21

IWI EMENTATl0B 0    MANAGEMENT TEAM INVOLVEMENT SR. MANAGEMENT TEAM DEVELOPED AND IS COMMITTED TO OUR PLAN MAJORITY OF FERMI MANAGEMENT TEAM PARTlCIPATED 0     INITIATED APRIL 30, 1986 0     VARIOUS ACTIONS TAKEN TO DATE IN ADDITION TO THE PLAN O     INCORPORATE ACTIONS INTO MANAGEMENT ANNUAL WORK PLANS ESTABLISHES RESPONSIBILITY / ACCOUNTABILITY CORPORATE METHOD UTill2ED FOR PERFORMANCE APPRAISAL 0     REVIEW MONTHLY ACHIEVEMENT OF ACTION DUE DATES PERFORMANCE INDICATOR TRENDS NECESSARY PLAN ADJUSTMENTS 22

Page 1                                                                                                                                             .
NUCE. EAR CPERATIONS IMPROmfNT PUW                                                            .
Deliverables by Due Date 1996                              1987 (Quarters)                         1988 ITEM        ACTION             MNr     JUN    JUL        MX;    SEP     OCT   NOV   DEC     IST 2Pe 3fD                       41H l        .     .          .      .       .     .     .      l       .                        . . l             l 5    Task Ptjrs Assigned   l-NP *         .          .      .       .     .     .      l       .                        . . l             l 10     NOIP Connun Method    l-NO- *        .          .      .       .     .     .      l       .                        . . l             l 10     NOIP Cainunicated     l-NO- *        .          .      .       .     .     .      l       .                        . . l             l 1    NCMP Review Plan      l--NC          *          .      .       .     .     .      l       .                        . . l             l 6a   3rd Party Grp/ Plan   l---NE         *          .      .       .     .     .      l       .                        . . l             l 16     ICIP Iglemented       l     if       *          .      .       .     .     .      l       .                        . . l             l 19     Sensitivty Method     l - RA         *          .      .       .     .     .      l       .                        . . l             l 20     INPO Accreditation    l---NCC        *          .      .       .     .     .      l       .                        . .      l            l 2a   PM Process Revised    I           ir            *      .       .     .     .      l       .                        . . l              l DER Process Revised
* 2a                         l           Ir                   .       .     .     .      l       .                        . .      l             l 4    Integrated Schedule   l           NP            *      .       .     .     .       l      .                        . .      l             l 7    Problen Solv Guide    l           !=            *      .       .     .     .       l      .                        . .      l             l 11     NOIP in NfPs          l           !O            *      .       .     .     .      l       .                        . . l              l g 12a    as Intrep Log Update I            !r            *      .       .     .     .      l       .                        . . l              l 1    NCNP Revs Prioritized l                !O              *       .     .     .      l       .                        . . l             l 12b    TS Cheges Identfd     l                tr              *       .     .     .      l       .                        . . l             l 18     Positions Identified l                 !O                      .     .     .       l      .                        . . l             l 18     Recruiting Initiated l                 !=              *       .     .     .      l       .                        . . l             l 19     Sensitivity Plan App l                 PA              9       .     .     .      l       .                        . . l             l LER Process Revised                        70
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Page 2
* NUCLEAR CPERATIONS IMPROVIMENT PIAN                                            .          .
Deliverables by Due Date 1986                             19trl (Quarters)                 1988 111M         N: TION            MRY JUN  JtL    MJG   SEP   OCT   NOV   DEC       IST     22      370      4TH 6b    Recruiting Initiatd    I                                 !=            ^
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                                                                                            .       .                 l l   15     Ca plete NSIP                                                          ^
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1 1

WITH THE IMPLEMENTATION OF THE NUCLEAR OPERATIONS lW ROVEMENT PLAN WE EXPECT FURTHER IMPROVEMENTS IN MANAGEMENT AND THE OVERALL PERFORMANCE OF FERMI 2.
P

N e-FERMI 2 DETROIT EDISON COMPANY ENFORCEMENT CONFERENCE PRESENTATION ON Tile JULY l-2, 1985 OUT-OF-SEQUENCE ROD PULL EVENT AT NRC REGION III HEADQUARTERS GLEN ELLYN, ILLINOIS MAY 9, 1986 Presented by:     R. S. Lenart I

CHRONOLOGY 19_H.5
                  ~
JULY 1-2         OUT-OF-SEQUENCE ROD PULL JULY 15          FULL POWER LICENSE ISSUED JULY 16         CONFIRMATORY ACTION LETTER (CAL)
JULY 23         MEETING IN REGION III SEPT 5          DETROIT EDISON RESPONSE TO CAL SEPT 10         MEETING IN REGION III OCT 10          REACTOR OPERATIONS IMPROVEMENT PLAN NOV 8           INSPECTION REPORT 85-043 (CLOSURE OF CAL ITEMS)
DEC 24          NRC REQUEST PURSUANT TO 10 CFR 50.54(f) 1986 JAN 7           INSPECTION REPORT 85-040 JAN 29          DETROIT EDISON RESPONSE TO 10 CPR 50.54(f)
MAR 12          CO!! MISSION BRIEFING MAY 9           ENFORCEMENT CONFERENCE /NOIP PRESENTATION AGENDA o BRIEF DESCRIPTION OF THE EVENT o CORRECTIVE ACTIONS o EFFECTS OF CORRECTIVE ACTIONS

EVENT DESCRIPTION OUT-OF-SEQUENCE ROD PULL JULY l-2, 1985 o AFTERNOON SHIFT STARTED ROD PULL o SHIFT TURNOVER o NIGHT SHIFT CONTINUED ROD PULL o WITHDRAW ERROR (10 RODS TO 48) o INCREASED COUNT RATE (llth ROD WITHDRAWAL) o ROD PULL ERROR DISCOVERED o BEGIN ROD INSERTION o NSS INFORMED o CONTINUE STARTUP
<     o DEVIATION EVENT REPORT WRITTEN o OPERATIONS ENGINEER INFORMED

EVENT DESCRIPTION EVALUATION / REPORTING o CARB EVALUATION OF DER (JULY 2) o ASSIGNED TO REACTOR ENGINEERING (JULY 2) o RESIDENT INSPECTOR INFORMED (JULY 3) o DETERMINATION OF REACTOR CRITICALITY (JULY 4) o EVALUATION FOR ROOT CAUSE AND CORRECTIVE ACTION o SENIOR RESIDENT INSPECTOR MADE AWARE OF REACTOR CRITICALITY (JULY 15) o NUCLEAR OPERATIONS MANAGEMENT INFORMED OF REACTOR CRITICALITY DETERMINATION (JULY 15)

9 OUT-OF-SEQUENCE ROD PULL EVENT o     IMPROPER ROD PULL SEQUENCE - OPERATOR ERROR SIMULATOR TRAINING PULL SHEETS FIRST TIME OPERATOR PULLED CRITICAL AT PLANT INADEQUATE READING OF PULL SHEETS o     FAILURE TO RECOGNIZE SIGNIFICANCE OF ERROR PERSONNEL "AT CONTROLS AREA" FAILED TO RECOGNIZE SIGNIFICANCE LOG SHEET ENTRIES NOT MADE INADEQUATE INVOLVEMENT OF SHIFT SUPERVISION IN CRITICAL EVOLUTION (NSS, NASS, NSO, AND SOA) o     FAILURE OF STAFF TO RESPOND EXACT STATUS OF THE EVENT SHOULD HAVE BEEN BETTER COMMUNICATED TO NRC PERSONNEL DID NOT RECOGNIZE SIGNIFICANCE OF EVENT DID NOT EXPEDITIOUSLY EVALUATE FOR PREMATURE CRITICALITY PLANT STAFF DID NOT ADEQUATELY COMMUNICATE WITH SENIOR MANAGEMENT

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CORRECTIVE ACTIONS o  SECOND OPERATOR VERIFICATION (REMEDIAL)
        - UNTIL RWM REPROGRA!4MED o  MODIFIED PULL SHEET FORMAT
        - IMPROVE CLARITY /HUlfAN FACTORS o  MINIMIZE SIMULATOR / CONTROL ROOM DIFFERENCES; EMPHASIZE THOSE THAT REMAIN o  REPROGRAMMED RWM 04, 08 AND 12 IN GRCUPS 3 AND 4 o  SUPPLEMENTAL TRAINING ON REDUCED NOTCH WORTH PULL CONCEPT, RWM AND CONTROL ROD MANIPULATIONS
       - REQUALIFICATION TRAINING
       - COVERED IN ROD PULL PACKAGE COVER SHEET o  ADDED CCVER SHEET TO ROD PULL PACKAGE o  UPGRADE QUALITY OF LOGS AND FORMALIZE REVIEW BY NUCLEAR PRODUCTION MANAGEMENT
       - SUPERINTENDENT-OPERATIONS, OPERATIONS ENGINEER, ADVISOR o  CLARIFY ROLES AND RESPONSIBILITIES OF CONTROL ROOM PERSONNEL
       - PROCEDURES 12.000.01 AND 51.000.01 REVISED
       - ONE ON ONE MEETINGS HELD o  NSS OR NASS IN CONTROL ROOM
       - NASS ASSIGNED TO "AT CONTROLS AREA" o  RELOCATED SOA TO CONTROL ROOM WITH STA o  MANAGEMENT ANALYSIS COMPANY SEMINAR ON NRC COMMUNICATIONS

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23.623 .
AttechmInt 2 ROD PULL SHEETS                  Pag 2 1 cf 1 START DATE                        TIME                 SEQUENCE A2            PACE __1 ,of  116 SIGNATURE                                              APPROVED BY:
NSS/NSO                                          Reactor Engineer /Date RSCS-CROUP 1        R'a*M-CR OUP 1 STEP         ROD    INSERT - WITHDRAW      FINAL POSITION ''           DATE / TIME ''
1        02-39        00-48e 2        02-23        00-48' 3        58-31        00-48' 4        18-55        00-48' 5         10-47        00-48' 6         10-15        00-48' 7         18-07        00-48' 8        34-07         00-48                                      ,
9        42-15         00-48'                         <>
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11        50-39         00-48' 12        42-47         00-48'              .
13        34-55         00-48' 14        26-47         00-48' 15        18-39        00-48 16        10-31        00-48' 17        18-23        00-48' 18        26-15        00-48' 19        34-23        00-48' 20         42-31        00-48' t
l 21         34-39        00-48' l      22         26-31        00-48'
* Perform (coupling) check 1AW POM Procecure 23.623 e'Use laminated sheets and grease pencil only if Alarm Typer operability is verified l          032586

CORRECTIVE ACTIONS o   QA SU'RVEILLANCE OF SIMULATOR / CONTROL RCOM PROCEDURES o  PRESENTATION OF THE EVENT TO LICENSED OPERATORS, AND NUCLEAR OPERATIONS AND CORPORATE PERSONNEL o  REACTOR OPERATIONS IMPROVEMENT PLAN MAC ASSESSMENT OF PLANT OPERATIONS INPO ASSESSMENT OF PLANT OPERATIONS AND COMMUNICATIONS NRC OBSERVATIONS OF 63 CORRECTIVE ACTION ITEMS IN ROIP, 35 ADDRESS IMPROVEMENTS TO PREVENT ROD PULL RECURRENCE; ALL ARE COMPLETE OR ARE ONGOING ACTIVITIES o  REVIEWED WITH EMPLOYES THEIR RESPONSIBILITY AND ACCOUNTABILITY (FIRST LINE SUPERVISION) o  MANAGEMENT INVOLVEMENT IN OPERATIONS: OBSERVE SHIFTS; 4
SURVEILLANCES; PROVIDE FEEDBACK; DOCUMENT o  NSS AUTHORITY / WORK SCHEDULES o  LER TRACKING AND TRENDING o  ENHANCED CORRECTIVE ACTION PROCESS o  INDEPENDENT OVERVIEW COMMITTEE l                  o  NUCLEAR OPERATIONS IMPROVEMENT PLAN e
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EFFECTIVENESS OF CORRECTIVE ACTIONS o EFFECTIVENESS OF CONTROL ROOM STAFF, INCREASED MANAGEMENT INVOLVEMENT IN CONTROL ROOM o OPERATI'ONS IMPROVING TREND AUGUST-OCTOBER 1985 EVIDENCED BY DECO AND NRC (85-043) o NSS MORE PROMINENT ROLE IN POD ACTIVITIES CITED BY SRI IN RECENT EXIT o IMPROVED OPERATIONS RESPONSIVENESS TO INCIDENTS - e.g.
BACKUP MANUAL SCRAM BREAKERS o DECREASING TREND IN OPERATOR ERRORS AS EVIDENCED IN LERs

l LER HISTORY
                                                                                                                                                     ~
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LER HISTORY                                                            ,
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SAFE ENERGY COALITION OF MICHIGAN P.O. BOX 331        MONROE,_ MICHIGAN 48161 Eay 18, 1986 Freedom"of Information Officer                         .         MW U.S. Nuclear Regula' tory Commission                       6 Washington, D.C. 20555                                           m luquest fo.TA 3 70

==Dear Sir /Es. :==
h hg o78 -((
Pursuant the Freedom of Information Act. 5 USC 552 et Seq. as amended, the Safe Energy Coalition of Eichigan hereby request material as described belows (1)  All information, notes, memos, documents, etc. produced from the Friday, b.ay 9th meeting held in Chicago, Region III with Detroit Edison Company in regards to Fermi 2. (meeting held in 1986)
(2)  All information, memos, notes, documents, etc. in regards to the Kay 9th, 1986 enforcement meeting held in Region III in Chicago, Illinois.on the Fermi 2 nuclear power plant.
(3)  All documents, notes, memos, information, etc. produced in regards to Detroit Edisons exemption tb Appendix J of the 10 CFR, part 50-Primary Reactor Containment Leakage Testing for Water-Cooled Power Reactors.
Pursuant, 5 USC 552 (a) (4)(A), we hereby request waiver of all fees in connection with this request "because furnishing the informa-tion can be considered primarily benefitting the general public." If any  fees are to be charged in connection with this request, please notify us in advance for a royal at the above address or at this                   ,
telephone number 313-477-                1_or 313-477-1670. This advance notice shall not be necessary if the fees are to be less than $ 15 00 in total.
We look forward to your response within ten (10) business days after you receive this request, as specified in the Act, (FOIA). Thank you for your hblp in this matter.
Sincerely.
        'kglf;Z&3:2                                                             -
Jennifer E. Puntenne
                 . _ _ _ _ _            - - _}}