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{{#Wiki_filter:Qi Arizona Nuclear Power Project P.o.BOX 52034~PHOENIX, ARIZONA 85072-2034 | {{#Wiki_filter:Qi RK8~iEO HRI: | ||
Arizona Nuclear Power Project P.o. BOX 52034 ~ PHOENIX, ARIZONA 85072-2034 iS86 JUL lt; PH l: 02 July 7, 1986 ANPP-00015-JGH/TDS/96.03 hkGtON V lKf: | |||
hkGtON V lKf: Mr.John B.Martin, Regional Administrator | Mr. John B. Martin, Regional Administrator U.S. Nuclear Regulatory Commission Region V 1450 Maria Lane, Suite 210 Walnut Creek, CA 94596-5368 | ||
U.S.Nuclear Regulatory | |||
Commission | ==Subject:== | ||
Region V 1450 Maria Lane, Suite 210 Walnut Creek, CA 94596-5368 | Palo Verde Nuclear Generating Station (PVNGS) | ||
Subject: Palo Verde Nuclear Generating | Unit 2 Docket No STN 50-529 (License NPF-51) | ||
Station (PVNGS)Unit 2 Docket No STN 50-529 (License NPF-51)Notice of Violation: | Notice of Violation: 50-529/86-17-02 File: 86-001-493 | ||
50-529/86-17-02 | |||
File: 86-001-493 | ==Reference:== | ||
Reference: | Letter from A. E. Chaffee (NRC) to E. E. Van Brunt, Jr. (ANPP), | ||
Letter from A.E.Chaffee (NRC)to E.E.Van Brunt, Jr.(ANPP), dated June 13, 1986, NRC Inspection | dated June 13, 1986, NRC Inspection Reports 50-528/86-16, 50-529/86-17 and 50-530/86-11. | ||
Reports 50-528/86-16, 50-529/86-17 | |||
and 50-530/86-11. | ==Dear Mr. Martin:== | ||
Dear Mr.Martin: This letter is provided in response to the inspection | |||
conducted by Messrs.R.Zimmerman, C.Bosted, G.Fiorelli and J.Ball of the NRC Staff on April 14 through May 26, 1986.Based on the results of the inspection, one (1)violation of NRC requirements | This letter is provided in response to the inspection conducted by Messrs. R. | ||
was identified (failure to follow procedure during contain-ment air lock seal leak test).The violation is discussed in Appendix A of the referenced | Zimmerman, C. Bosted, G. Fiorelli and J. Ball of the NRC Staff on April 14 through May 26, 1986. Based on the results of the inspection, one (1) violation of NRC requirements was identified (failure to follow procedure during contain-ment air lock seal leak test). The violation is discussed in Appendix A of the referenced letter. The violation and ANPP's response is provided in Attach-ment A. The response to the concern of general procedural adherence as discussed in the referenced letter is provided in Attachment B. | ||
letter.The violation and ANPP's response is provided in Attach-ment A.The response to the concern of general procedural | Very truly yours, 8608040233 860729 PDR ADOCK 05000529 | ||
adherence as discussed in the referenced | , PDR~ J. G. Haynes Vice. President Nuclear Production JGH/TDS/kj Attachments cc: E. E. Van Brunt Jr. (w/attachment) | ||
letter is provided in Attachment | L. F. Miller (w/attachment) | ||
B.Very truly yours, 8608040233 | R. P. Zimmerman (w/attachment) | ||
860729 PDR ADOCK 05000529 , PDR~J.G.Haynes Vice.President Nuclear Production | E. A. Licitria (w/attachment) | ||
JGH/TDS/kj | A. C. Gehr (w/o attachment) | ||
Attachments | |||
cc: E.E.Van Brunt Jr.L.F.Miller | Mr. John B. Martin Palo Verde Nuclear Generating Station Notice of Violation ANPP-00015-JGH/TDS/96.03 Page 2 bcc: R. M. Butler (all w/ attachments) | ||
J. R. Bynum W. E. Ide | |||
: 0. J. Zeringue T. D. Shriver W. F. Quinn LCTS Coordinator | |||
Station Notice of Violation ANPP-00015-JGH/TDS/96.03 | |||
Page 2 bcc: R.M.Butler | 0 ANPP-00015-JGH/TDS/96.03 NOTICE OF VIOLATION Arizona Nuclear Power Project Docket No. 50-529 Post Office Box 52034 License No. NPF-51 Phoenix, Arizona 85072-2034 Technical Specification 6.8.1.c requires that written procedures be estab-lished and implemented for surveillance and test activities of safety-related equipment. | ||
0 | PVNGS Manual Procedure 73ST-9CL03, Containment Airlock Seal Leak Test, Revision 1 (through procedure change notice number 3), effective February 7, 1986, paragraph 10.0, Contingencies, states that when the inner door fails the seal leak test and requires repair, the outer door shall remain closed until repair and retest have been satisfactorily completed. | ||
ANPP-00015-JGH/TDS/96.03 | Contrary to the above, on April 'll, 1986, the Unit 2 140'ontainment air-lock inner door failed a seal leak test performed 'using procedure 73ST-9CL03, and the outer door was opened prior to satisfactory repair and retest of the inner door. | ||
NOTICE OF VIOLATION Arizona Nuclear Power Project Post Office Box 52034 Phoenix, Arizona 85072-2034 | |||
~ 8 ANPP's RESPONSE TO VIOLATION I. THE CORRECTIVE STEPS MiICH HAVE BEEN TAKEN AND THE RESULTS ACHIEVED As an immediate corrective action the engineers involved were counseled on the importance of procedural adherence and ANPP's policy concerning deviations from that position. Additionally, the Tech-nical Support Department Manager issued a memorandum to all personnel in the department addressing the importance of preventing personnel errors during the performance of assigned tasks and reiterating the consequences of committing errors through negligence. The procedure, which was being utilized during the airlock seal I | |||
6.8.1.c requires that written procedures | leak test, has been revised to clarify the differences between Unit I and Unit II's Technical Specifications. An evaluation of the overall effectiveness of these measures is discussed in Attach-ment B. | ||
be estab-lished and implemented | II. THE CORRECTIVE STEPS WHICH MILL BE TAKEN TO AVOID FURTHER ITEMS OF NONCOMPLIANCE An evaluation was conducted to determine the root cause of the identified deficiency. Based upon the results of the evaluation it was determined that the event was caused by a conscious decision made by the responsible personnel to violate the established pro-cedural controls. Their decision was based on a known difference between Unit I and Unit II's Technical Specifications. The dif-ference, as explained in the inspection report, permits the operable door to be opened for a cumulative time not to exceed one hour per year in Unit II. The procedure being used during this activity, 73ST-9CL03 "Containment Airlock Seal Leak Test", was written to | ||
for surveillance | |||
and test activities | lf 1 | ||
of safety-related equipment. | |||
PVNGS Manual Procedure 73ST-9CL03, Containment | address the requirements of Unit I's Technical Specifications and does not provide the option to open the operable door. The respon-sible, personnel were aware that performing the tasks in the manner that they did, had no safety impact and did not violate Unit II's Technical Specification 3.6.1.3. They were also aware that their actions were contrary to the requirements of the approved procedure. | ||
Airlock Seal Leak Test, Revision 1 (through procedure change notice number 3), effective February 7, 1986, paragraph 10.0, Contingencies, states that when the inner door fails the seal leak test and requires repair, the outer door shall remain closed until repair and retest have been satisfactorily | Therefore, based on ANPP Management's continued attention to issues such as procedural adherence, a broad scope plan has been developed. | ||
completed. | This plan is discussed in Attachment B. | ||
Contrary to the above, on April'll, 1986, the Unit 2 140'ontainment | III. THE DATE WHEN FULL COMPLIANCE WILL BE ACHIEVED Full compliance was achieved on April ll, 1986 when the Containment Airlock Door was successfully tested and closed. | ||
air-lock inner door failed a seal leak test performed'using procedure 73ST-9CL03, and the outer door was opened prior to satisfactory | |||
repair and retest of the inner door. | I ANPP-00015-JGH/TDS-96.03 ATTACHMENT B In response to the general issue discussed in the referenced letter, an evaluation was conducted to address not only the specific incidents identified but the generic question of procedural adherence. The in-spection report transmittal letter states that the potential for a more general problem exists based on two previous concerns of procedural noncompliance identified in 1985. The specific incidents described were attributed to willfullviolations of procedural controls, committed by knowledgeable individuals without ANPP Management's knowledge. The incidents cited, when evaluated in the overall context of procedural adherence, appear to be isolated cases which could only be addressed as they were on a case by case basis. | ||
However, during the course of the evaluation, potential areas of weakness I. | |||
~8 ANPP's RESPONSE TO VIOLATION I.THE CORRECTIVE | in procedural adherence were identified. These areas have been isolated to individual departments and do not appear,,to represent a generic con-II I cern. ANPP Management's continued concern in this area is demonstrated by the implementation of various corrective measures whenever a potential problem such as this was identified. | ||
STEPS MiICH HAVE BEEN TAKEN AND THE RESULTS ACHIEVED As an immediate corrective | Since 1983, ANPP Management has implemented various programs and initi-ated changes to existing programs to reduce both personnel errors and procedural violations. These efforts have included: | ||
action the engineers involved were counseled on the importance | : a. Establishment of a "Quality Improvement Report" (QIR) program in the IRC Maintenance area. This program was designed to investigate various incidents, determine the cause and develop the necessary corrective action plan. This program was implemented in IRC Maintenance initially because of | ||
of procedural | |||
adherence and ANPP's policy concerning | ~ ~ | ||
deviations | ~ ~ | ||
from that position.Additionally, the Tech-nical Support Department | p | ||
Manager issued a memorandum | ~r specific concerns identified that appeared unique to that area. | ||
to all personnel in the department | : b. Expansion of the QIR program to include all areas of the Main-tenance Department. | ||
addressing | : c. Modifying the existing administrative controls which specify how approved procedures may be revised or changed. This was done to expedite the process and enable the user to easily modify an existing procedure whenever an error was discovered or a potential enhancement was identified. | ||
the importance | : d. Establishment of the "Operations Department Experience Report" | ||
of preventing | \( | ||
personnel errors during the performance | (ODER) program. This program was designed to achieve the same objecti'ves as the QIR program. | ||
of assigned tasks and reiterating | In conjunction with the specific programs described above additional generic actions were taken. These included: | ||
the consequences | : a. The production of a video tape by the Executive Vice President in which he stressed the criticality of procedural adherence. | ||
of committing | This video was required to be viewed by all PVNGS personnel and is currently being used during the new employee indoctrina-tion. | ||
errors through negligence. | : b. The topic of procedure adherence was repeatedly used as a topic in the "Quality Talks" program. | ||
The procedure, which was being utilized during the airlock seal I leak test, has been revised to clarify the differences | : c. Including the topic of "Procedural Adherence" in the "Site Access Training" program (SAT). | ||
between Unit I and Unit II's Technical Specifications. | As described above various approaches had been taken in the past to address not only the generic issue of procedural adherence but to speci-fically address identified weaknesses and concerns. The individual successes of these programs varied. However, the implementation of the QIR and accelerated disciplinary programs in the I&C Maintenance area proved effective. Based upon the success achieved the decision | ||
An evaluation | |||
of the overall effectiveness | ~ ~ ~ | ||
of these measures is discussed in Attach-ment B.II.THE CORRECTIVE | 0 l | ||
STEPS WHICH MILL BE TAKEN TO AVOID FURTHER ITEMS OF NONCOMPLIANCE | l( | ||
An evaluation | |||
was conducted to determine the root cause of the identified | t area proved was made concerns. | ||
deficiency. | to effective. | ||
Based upon the results of the evaluation | utilize this The Based upon the success approach to address basic program reporting to the Plant Manager. | ||
it was determined | is achieved the decision the recently being expanded to include The initial implementation identified all program was begun on July 7, 1986, when the Plant Manager issued a memo-individuals of this randum to all PVNGS personnel stressing the necessity to reduce personnel errors and to comply with all station procedures. The memorandum also emphasized the potential for administering accelerated disciplinary action for any individual who, through willfullintent or negligence, commits an error or procedural violation. The Compliance Manager has been assigned the responsibility to develop the remaining portions of the program which includes: | ||
that the event was caused by a conscious decision made by the responsible | : a. Expansion of the existing QIR program philosophy to encompass all departments reporting to the Plant Manager. This approach will ensure that a comprehensive review is conducted for all incidents effecting the department, that 'the root cause is identified and that effective corrective actions are initiated. | ||
personnel to violate the established | I | ||
pro-cedural controls.Their decision was based on a known difference | : b. Establishment of a committee, consisting of the Plant Manager and his direct reports, to review incidents and interview per-sonnel found to have willfullyor through negligence committed an error or procedural violation. This committee will evaluate the incidents on a case by case basis and recommend appropriate disciplinary actions. | ||
between Unit I and Unit II's Technical Specifications. | ANPP Management believes that full implementation of this comprehensive program, expected by October 1, 1986, will successfully control and reduce both personnel errors and procedural violations. | ||
The dif-ference, as explained in the inspection | r | ||
report, permits the operable door to be opened for a cumulative | |||
time not to exceed one hour per year in Unit II.The procedure being used during this activity, 73ST-9CL03"Containment | P}} | ||
Airlock Seal Leak Test", was written to | |||
lf 1 | |||
address the requirements | |||
of Unit I's Technical Specifications | |||
and does not provide the option to open the operable door.The respon-sible, personnel were aware that performing | |||
the tasks in the manner that they did, had no safety impact and did not violate Unit II's Technical Specification | |||
3.6.1.3.They were also aware that their actions were contrary to the requirements | |||
of the approved procedure. | |||
Therefore, based on ANPP Management's | |||
continued attention to issues such as procedural | |||
adherence, a broad scope plan has been developed. | |||
This plan is discussed in Attachment | |||
B.III.THE DATE WHEN FULL COMPLIANCE | |||
WILL BE ACHIEVED Full compliance | |||
was achieved on April ll, 1986 when the Containment | |||
Airlock Door was successfully | |||
tested and closed. | |||
I | |||
ANPP-00015-JGH/TDS-96.03 | |||
ATTACHMENT | |||
B In response to the general issue discussed in the referenced | |||
letter, an evaluation | |||
was conducted to address not only the specific incidents identified | |||
but the generic question of procedural | |||
adherence. | |||
The in-spection report transmittal | |||
letter states that the potential for a more general problem exists based on two previous concerns of procedural | |||
noncompliance | |||
identified | |||
in 1985.The specific incidents described were attributed | |||
to | |||
of procedural | |||
controls, committed by knowledgeable | |||
individuals | |||
without ANPP Management's | |||
knowledge. | |||
The incidents cited, when evaluated in the overall context of procedural | |||
adherence, appear to be isolated cases which could only be addressed as they were on a case by case basis.However, during the course of the evaluation, potential areas of weakness I.in procedural | |||
adherence were identified. | |||
These areas have been isolated to individual | |||
departments | |||
and do not appear,,to | |||
represent a generic con-II I cern.ANPP Management's | |||
continued concern in this area is demonstrated | |||
by the implementation | |||
of various corrective | |||
measures whenever a potential problem such as this was identified. | |||
Since 1983, ANPP Management | |||
has implemented | |||
various programs and initi-ated changes to existing programs to reduce both personnel errors and procedural | |||
violations. | |||
These efforts have included: a.Establishment | |||
of a"Quality Improvement | |||
Report" (QIR)program in the IRC Maintenance | |||
area.This program was designed to investigate | |||
various incidents, determine the cause and develop the necessary corrective | |||
action plan.This program was implemented | |||
in IRC Maintenance | |||
initially because of | |||
~~~p | |||
that appeared unique to that area.b.Expansion of the QIR program to include all areas of the Main-tenance Department. | |||
c.Modifying the existing administrative | |||
controls which specify how approved procedures | |||
may be revised or changed.This was done to expedite the process and enable the user to easily modify an existing procedure whenever an error was discovered | |||
or a potential enhancement | |||
was identified. | |||
d.Establishment | |||
of the"Operations | |||
Department | |||
Experience | |||
Report"\((ODER)program.This program was designed to achieve the same objecti'ves | |||
as the QIR program.In conjunction | |||
with the specific programs described above additional | |||
generic actions were taken.These included: a.The production | |||
of a video tape by the Executive Vice President in which he stressed the criticality | |||
of procedural | |||
adherence. | |||
This video was required to be viewed by all PVNGS personnel and is currently being used during the new employee indoctrina- | |||
tion.b.The topic of procedure adherence was repeatedly | |||
used as a topic in the"Quality Talks" program.c.Including the topic of"Procedural | |||
Adherence" in the"Site Access Training" program (SAT).As described above various approaches | |||
had been taken in the past to address not only the generic issue of procedural | |||
adherence but to speci-fically address identified | |||
weaknesses | |||
and concerns.The individual | |||
successes of these programs varied.However, the implementation | |||
of the QIR and accelerated | |||
disciplinary | |||
programs in the I&C Maintenance | |||
area proved effective. | |||
Based upon the success achieved the decision | |||
~~~0 l l( | |||
area proved effective. | |||
Based upon the success | |||
reporting to the Plant Manager. | |||
The memorandum | |||
also emphasized | |||
the potential for administering | |||
accelerated | |||
disciplinary | |||
action for any individual | |||
who, through | |||
violation. | |||
The Compliance | |||
Manager has been assigned the responsibility | |||
to develop the remaining portions of the program which includes: a.Expansion of the existing QIR program philosophy | |||
to encompass all departments | |||
reporting to the Plant Manager.This approach will ensure that a comprehensive | |||
review is conducted for all incidents effecting the department, that'the root cause is identified | |||
and that effective corrective | |||
actions are initiated. | |||
I b.Establishment | |||
of a committee, consisting | |||
of the Plant Manager and his direct reports, to review incidents and interview per-sonnel found to have | |||
committed an error or procedural | |||
violation. | |||
This committee will evaluate the incidents on a case by case basis and recommend appropriate | |||
disciplinary | |||
actions.ANPP Management | |||
believes that full implementation | |||
of this comprehensive | |||
program, expected by October 1, 1986, will successfully | |||
control and reduce both personnel errors and procedural | |||
violations. | |||
r | |||
P | |||
}} |
Latest revision as of 11:34, 29 October 2019
ML17300A292 | |
Person / Time | |
---|---|
Site: | Palo Verde |
Issue date: | 07/07/1986 |
From: | Haynes J ARIZONA PUBLIC SERVICE CO. (FORMERLY ARIZONA NUCLEAR |
To: | Martin J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V) |
Shared Package | |
ML17300A291 | List: |
References | |
ANPP-00015-JGH, ANPP-15-JGH, NUDOCS 8608040233 | |
Download: ML17300A292 (15) | |
Text
Qi RK8~iEO HRI:
Arizona Nuclear Power Project P.o. BOX 52034 ~ PHOENIX, ARIZONA 85072-2034 iS86 JUL lt; PH l: 02 July 7, 1986 ANPP-00015-JGH/TDS/96.03 hkGtON V lKf:
Mr. John B. Martin, Regional Administrator U.S. Nuclear Regulatory Commission Region V 1450 Maria Lane, Suite 210 Walnut Creek, CA 94596-5368
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Unit 2 Docket No STN 50-529 (License NPF-51)
Notice of Violation: 50-529/86-17-02 File: 86-001-493
Reference:
Letter from A. E. Chaffee (NRC) to E. E. Van Brunt, Jr. (ANPP),
dated June 13, 1986, NRC Inspection Reports 50-528/86-16, 50-529/86-17 and 50-530/86-11.
Dear Mr. Martin:
This letter is provided in response to the inspection conducted by Messrs. R.
Zimmerman, C. Bosted, G. Fiorelli and J. Ball of the NRC Staff on April 14 through May 26, 1986. Based on the results of the inspection, one (1) violation of NRC requirements was identified (failure to follow procedure during contain-ment air lock seal leak test). The violation is discussed in Appendix A of the referenced letter. The violation and ANPP's response is provided in Attach-ment A. The response to the concern of general procedural adherence as discussed in the referenced letter is provided in Attachment B.
Very truly yours, 8608040233 860729 PDR ADOCK 05000529
, PDR~ J. G. Haynes Vice. President Nuclear Production JGH/TDS/kj Attachments cc: E. E. Van Brunt Jr. (w/attachment)
L. F. Miller (w/attachment)
R. P. Zimmerman (w/attachment)
E. A. Licitria (w/attachment)
A. C. Gehr (w/o attachment)
Mr. John B. Martin Palo Verde Nuclear Generating Station Notice of Violation ANPP-00015-JGH/TDS/96.03 Page 2 bcc: R. M. Butler (all w/ attachments)
J. R. Bynum W. E. Ide
- 0. J. Zeringue T. D. Shriver W. F. Quinn LCTS Coordinator
0 ANPP-00015-JGH/TDS/96.03 NOTICE OF VIOLATION Arizona Nuclear Power Project Docket No. 50-529 Post Office Box 52034 License No. NPF-51 Phoenix, Arizona 85072-2034 Technical Specification 6.8.1.c requires that written procedures be estab-lished and implemented for surveillance and test activities of safety-related equipment.
PVNGS Manual Procedure 73ST-9CL03, Containment Airlock Seal Leak Test, Revision 1 (through procedure change notice number 3), effective February 7, 1986, paragraph 10.0, Contingencies, states that when the inner door fails the seal leak test and requires repair, the outer door shall remain closed until repair and retest have been satisfactorily completed.
Contrary to the above, on April 'll, 1986, the Unit 2 140'ontainment air-lock inner door failed a seal leak test performed 'using procedure 73ST-9CL03, and the outer door was opened prior to satisfactory repair and retest of the inner door.
~ 8 ANPP's RESPONSE TO VIOLATION I. THE CORRECTIVE STEPS MiICH HAVE BEEN TAKEN AND THE RESULTS ACHIEVED As an immediate corrective action the engineers involved were counseled on the importance of procedural adherence and ANPP's policy concerning deviations from that position. Additionally, the Tech-nical Support Department Manager issued a memorandum to all personnel in the department addressing the importance of preventing personnel errors during the performance of assigned tasks and reiterating the consequences of committing errors through negligence. The procedure, which was being utilized during the airlock seal I
leak test, has been revised to clarify the differences between Unit I and Unit II's Technical Specifications. An evaluation of the overall effectiveness of these measures is discussed in Attach-ment B.
II. THE CORRECTIVE STEPS WHICH MILL BE TAKEN TO AVOID FURTHER ITEMS OF NONCOMPLIANCE An evaluation was conducted to determine the root cause of the identified deficiency. Based upon the results of the evaluation it was determined that the event was caused by a conscious decision made by the responsible personnel to violate the established pro-cedural controls. Their decision was based on a known difference between Unit I and Unit II's Technical Specifications. The dif-ference, as explained in the inspection report, permits the operable door to be opened for a cumulative time not to exceed one hour per year in Unit II. The procedure being used during this activity, 73ST-9CL03 "Containment Airlock Seal Leak Test", was written to
lf 1
address the requirements of Unit I's Technical Specifications and does not provide the option to open the operable door. The respon-sible, personnel were aware that performing the tasks in the manner that they did, had no safety impact and did not violate Unit II's Technical Specification 3.6.1.3. They were also aware that their actions were contrary to the requirements of the approved procedure.
Therefore, based on ANPP Management's continued attention to issues such as procedural adherence, a broad scope plan has been developed.
This plan is discussed in Attachment B.
III. THE DATE WHEN FULL COMPLIANCE WILL BE ACHIEVED Full compliance was achieved on April ll, 1986 when the Containment Airlock Door was successfully tested and closed.
I ANPP-00015-JGH/TDS-96.03 ATTACHMENT B In response to the general issue discussed in the referenced letter, an evaluation was conducted to address not only the specific incidents identified but the generic question of procedural adherence. The in-spection report transmittal letter states that the potential for a more general problem exists based on two previous concerns of procedural noncompliance identified in 1985. The specific incidents described were attributed to willfullviolations of procedural controls, committed by knowledgeable individuals without ANPP Management's knowledge. The incidents cited, when evaluated in the overall context of procedural adherence, appear to be isolated cases which could only be addressed as they were on a case by case basis.
However, during the course of the evaluation, potential areas of weakness I.
in procedural adherence were identified. These areas have been isolated to individual departments and do not appear,,to represent a generic con-II I cern. ANPP Management's continued concern in this area is demonstrated by the implementation of various corrective measures whenever a potential problem such as this was identified.
Since 1983, ANPP Management has implemented various programs and initi-ated changes to existing programs to reduce both personnel errors and procedural violations. These efforts have included:
- a. Establishment of a "Quality Improvement Report" (QIR) program in the IRC Maintenance area. This program was designed to investigate various incidents, determine the cause and develop the necessary corrective action plan. This program was implemented in IRC Maintenance initially because of
~ ~
~ ~
p
~r specific concerns identified that appeared unique to that area.
- b. Expansion of the QIR program to include all areas of the Main-tenance Department.
- c. Modifying the existing administrative controls which specify how approved procedures may be revised or changed. This was done to expedite the process and enable the user to easily modify an existing procedure whenever an error was discovered or a potential enhancement was identified.
- d. Establishment of the "Operations Department Experience Report"
\(
(ODER) program. This program was designed to achieve the same objecti'ves as the QIR program.
In conjunction with the specific programs described above additional generic actions were taken. These included:
- a. The production of a video tape by the Executive Vice President in which he stressed the criticality of procedural adherence.
This video was required to be viewed by all PVNGS personnel and is currently being used during the new employee indoctrina-tion.
- b. The topic of procedure adherence was repeatedly used as a topic in the "Quality Talks" program.
- c. Including the topic of "Procedural Adherence" in the "Site Access Training" program (SAT).
As described above various approaches had been taken in the past to address not only the generic issue of procedural adherence but to speci-fically address identified weaknesses and concerns. The individual successes of these programs varied. However, the implementation of the QIR and accelerated disciplinary programs in the I&C Maintenance area proved effective. Based upon the success achieved the decision
~ ~ ~
0 l
l(
t area proved was made concerns.
to effective.
utilize this The Based upon the success approach to address basic program reporting to the Plant Manager.
is achieved the decision the recently being expanded to include The initial implementation identified all program was begun on July 7, 1986, when the Plant Manager issued a memo-individuals of this randum to all PVNGS personnel stressing the necessity to reduce personnel errors and to comply with all station procedures. The memorandum also emphasized the potential for administering accelerated disciplinary action for any individual who, through willfullintent or negligence, commits an error or procedural violation. The Compliance Manager has been assigned the responsibility to develop the remaining portions of the program which includes:
- a. Expansion of the existing QIR program philosophy to encompass all departments reporting to the Plant Manager. This approach will ensure that a comprehensive review is conducted for all incidents effecting the department, that 'the root cause is identified and that effective corrective actions are initiated.
I
- b. Establishment of a committee, consisting of the Plant Manager and his direct reports, to review incidents and interview per-sonnel found to have willfullyor through negligence committed an error or procedural violation. This committee will evaluate the incidents on a case by case basis and recommend appropriate disciplinary actions.
ANPP Management believes that full implementation of this comprehensive program, expected by October 1, 1986, will successfully control and reduce both personnel errors and procedural violations.
r
P