ML060930755: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
 
(StriderTol Bot change)
 
(3 intermediate revisions by the same user not shown)
Line 2: Line 2:
| number = ML060930755
| number = ML060930755
| issue date = 04/03/2006
| issue date = 04/03/2006
| title = 03/23/2006 Public Meeting Summary - Point Beach Safety Culture Meeting (Includes NMC Slides)
| title = Public Meeting Summary - Point Beach Safety Culture Meeting (Includes NMC Slides)
| author name = Louden P L
| author name = Louden P
| author affiliation = NRC/RGN-III/DRP/RPB5
| author affiliation = NRC/RGN-III/DRP/RPB5
| addressee name = Koehl D L
| addressee name = Koehl D
| addressee affiliation = Nuclear Management Co, LLC
| addressee affiliation = Nuclear Management Co, LLC
| docket = 05000266, 05000301
| docket = 05000266, 05000301
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:April 3, 2006 CAL 3-04-001 Mr. Dennis L. Koehl Site Vice President
{{#Wiki_filter:April 3, 2006 CAL 3-04-001 Mr. Dennis L. Koehl Site Vice President Point Beach Nuclear Plant Nuclear Management Company, LLC 6590 Nuclear Road Two Rivers, WI 54241-9516
 
Point Beach Nuclear Plant
 
Nuclear Management Company, LLC
 
6590 Nuclear Road
 
Two Rivers, WI 54241-9516


==SUBJECT:==
==SUBJECT:==
Line 31: Line 23:
==Dear Mr. Koehl:==
==Dear Mr. Koehl:==


This letter refers to the public meeting conducted on March 23, 2006, at the Two Creeks Town Hall in Two Creeks, Wisconsin. The meeting was held at your request to discuss the results of
This letter refers to the public meeting conducted on March 23, 2006, at the Two Creeks Town Hall in Two Creeks, Wisconsin. The meeting was held at your request to discuss the results of a safety culture survey performed by Nuclear Management Company (NMC) at Point Beach Nuclear Plant.
 
Mr. Patrick Louden, Branch 5 Chief, Division of Reactor Projects at NRC Region III, opened the meeting with introductions of Nuclear Regulatory Commission (NRC) officials and then turned the meeting over to you and your staff.
a safety culture survey performed by Nucl ear Management Company (NMC) at Point Beach Nuclear Plant.
Your presentation opened with an overview of four areas (enablers) to address the results of previous self-assessments at Point Beach. This discussion included a description of the Point Beach Excellence Plan and provided a time-line of pertinent actions (assessments, training) taken by NMC prior to the December 2004 safety culture survey. Then, you discussed NMCs response to the self-assessment results, and provided an overview of ongoing efforts in the four enablers.
Mr. Patrick Louden, Branch 5 Chief, Division of Reactor Projects at NRC Region III, opened the meeting with introductions of Nuclear Regulatory Commission (NRC) officials and then turned
Next, you and your staff discussed in detail the four enablers: selecting and retaining the right people; verification of effective implementation of processes; communication and reinforcement of the right picture; and, effective coaching and engagement. You discussed the Site Performance Index, used to monitor these four main areas and measure progress.
 
Finally, you and your staff discussed initiatives to address the results of the December 2004 safety culture survey. You closed the meeting with an overview of your presentation.
the meeting over to you and your staff.
Mr. James Caldwell, Region III Administrator, concluded the meeting with an acknowledgment of the information provided by you and other NMC representatives. Mr. Caldwell emphasized the importance of safety culture and stated that the NRC will continue review of the condition of the safety conscious work environment at Point Beach.
Your presentation opened with an overview of four areas ("enablers") to address the results of previous self-assessments at Point Beach. This discussion included a description of the Point
 
Beach Excellence Plan and provided a time-line of pertinent actions (assessments, training)
 
taken by NMC prior to the December 2004 safe ty culture survey. Then, you discussed NMC's response to the self-assessment results, and provided an overview of ongoing efforts in the four
 
enablers.Next, you and your staff discussed in detail the four enablers: selecting and retaining the right people; verification of effective implementation of processes; communication and reinforcement
 
of the right picture; and, effective coaching and engagement. You discussed the Site


Performance Index, used to monitor these four main areas and measure progress.
D. Koehl                                         A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.
Finally, you and your staff discussed initiatives to address the results of the December 2004 safety culture survey. You closed the meet ing with an overview of your presentation.
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
Mr. James Caldwell, Region III Administrator, concluded the meeting with an acknowledgment of the information provided by you and other NMC representatives. Mr. Caldwell emphasized the importance of safety culture and stated that the NRC will continue review of the condition of
 
the safety conscious work environment at Point Beach.
D. Koehl A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document
 
Room or from the Publicly Available Reco rds System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at
 
http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
If you have any questions regarding this meeting, please contact me at (630) 829-9627.
If you have any questions regarding this meeting, please contact me at (630) 829-9627.
Sincerely,/RA/Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27
Sincerely,
                                                /RA/
Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27


==Enclosures:==
==Enclosures:==
1.List of Principal Attendees2.Licensee Presentation Slides Distribution:
: 1. List of Principal Attendees
See next page D. Koehl A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.
: 2. Licensee Presentation Slides Distribution:
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document
See next page
 
Room or from the Publicly Available Reco rds System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at


http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
D. Koehl                                                                        A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
If you have any questions regarding this meeting, please contact me at (630) 829-9627.
If you have any questions regarding this meeting, please contact me at (630) 829-9627.
Sincerely,/RA/Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27
Sincerely,
                                                                          /RA/
Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27


==Enclosures:==
==Enclosures:==
1.List of Principal Attendees2.Licensee Presentation Slides Distribution:
: 1.         List of Principal Attendees
See next page DOCUMENT NAME: G:\POIN\public meetings\03 06 public mtg (safety culture)\Pub Mtg Summary 3-23-06.wpdo receive a copy of this document, indicate in the box: "C" = Copy without attachment/enclosure   "E" = Copy with attachment/enclosure   "N" = No copyOFFICERIIIRIIINAMELHaeg:slsPLoudenDATE04/03/0604/03/06 OFFICIAL RECORD COPY D. Koehl-3-cc w/encl:F. Kuester, President and Chief Executive Officer, We Generation
: 2.         Licensee Presentation Slides Distribution:
See next page DOCUMENT NAME: G:\POIN\public meetings\03-23-06 public mtg (safety culture)\Pub Mtg Summary 3-23-06.wpd o receive a copy of this document, indicate in the box: "C" = Copy without attachment/enclosure "E" = Copy with attachment/enclosure "N" = No copy OFFICE            RIII                                RIII NAME              LHaeg:sls                            PLouden DATE              04/03/06                            04/03/06 OFFICIAL RECORD COPY


D. Cooper, Senior Vice President, Group Operations
D. Koehl                                  cc w/encl: F. Kuester, President and Chief Executive Officer, We Generation D. Cooper, Senior Vice President, Group Operations J. McCarthy, Site Director of Operations D. Weaver, Nuclear Asset Manager Plant Manager Regulatory Affairs Manager Training Manager Site Assessment Manager Site Engineering Director Emergency Planning Manager J. Rogoff, Vice President, Counsel & Secretary K. Duveneck, Town Chairman Town of Two Creeks Chairperson Public Service Commission of Wisconsin J. Kitsembel, Electric Division Public Service Commission of Wisconsin State Liaison Officer


J. McCarthy, Site Director of Operations
D. Koehl            ADAMS Distribution:
JLD CFL EMH1 LXR1 RidsNrrDirsIrib GEG KGO CAA1 RGK DRPIII DRSIII PLB1 JRK1


D. Weaver, Nuclear Asset Manager
PUBLIC MEETING PRINCIPAL ATTENDEES March 23, 2006 Nuclear Management Company Dennis Koehl                  Site Vice President, Point Beach James McCarthy                Director Site Operations, Point Beach Aldo Capristo                  Business Support Manager, Point Beach Gerald Young                  Nuclear Oversight Manager, Point Beach Robert Grazio                  Compliance Manager, Point Beach Nuclear Regulatory Commission James Caldwell                Regional Administrator, Region III Mark Satorius                  Director, Division of Reactor Projects, Region III Kenneth OBrien                Team Leader, Enforcement and Investigation Coordination Staff, Region III Lisamarie Jarriel              Agency Allegations Advisor, Office of Enforcement Patrick Louden                Chief, Branch 5, Division of Reactor Projects Robert Krsek                  Senior Resident Inspector, Point Beach Gregory Gibbs                  Resident Inspector, Point Beach Michael Kunowski              Project Engineer, Division of Reactor Projects Public David Lochbaum                Director, Nuclear Safety Project, Union of Concerned Scientists (via telephone)
Daniel Horner                  McGraw Hill Nuclear Publications (via telephone)
Billie Pirner Garde            Attorney-at-Law, Clifford and Garde Enclosure 1


Plant Manager
Enclosure 2 Point Beach Nuclear Plant SAFETY CULTURE UPDATE March 23, 2006


Regulatory Affairs Manager
Picture of Excellence                                                                                                                                                              Enclosure 2 Implementing          Change POINT BEACH EXCELLENCE EXCELLENCE Safe, Reliable, Predictable, Leader
* Improve Organizational and sustain Operational improvements Training                                                                                                                                              Equipment Excellence                                              Excellence                                                                    Excellence                                        Excellence
    - Change Predictable organization Safety culture Teamwork                                                                                                                                    Zero Tolerance Teamwork                                    Effective                                                                                                                                      Reliable Accountable      Configuration Control      Accountable                                                                                                                                    Predictable
    - Change Learning  behaviorsTeamwork                Model                                                                                                                                          Pride
    - Achieve consistent & fair reinforcement
* Four enablers Accident  Control    Event                                                                          Meet                                                                Attend                          No Dose Free- Select & retainFree the                                                                        Schedule right people Commitments                                                          Training                        Rework INDIVIDUAL EXCELLENCE
    - Communicate & reinforce the right picture Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight      Worker Practices
    - Verify effective implementation of processes Preparation    Job Planning/  Instructions A        C          E        M          A                                                                                                                                                                  N
    - Ensure effective coaching & engagement Opportunities                                                                                                                                                                        Results 2
BARRIERS FOR EXCELLENCE


Training Manager
Picture of Picture of Excellence                                                                                                                                                                      Enclosure 2 EXCELLENCE EXCELLENCE POINT POINT    BEACH BEACH        EXCELLENCE EXCELLENCE Safe, Reliable, Predictable, Leader Safe, Reliable, Predictable, Leader Organizational Organizational                                                Operational Operational                                                                      Training Training                                            Equipment Equipment Excellence Excellence                                                  Excellence Excellence                                                                      Excellence Excellence                                            Excellence Excellence Predictable                                                                                                                                Teamwork                                            Zero Tolerance Predictable Teamwork                                          Safety                                                                                  Teamwork Effective                                            ZeroReliable Tolerance Teamwork                                          Safety Control Configuration                                                                                Effective                                                Reliable Accountable                                Configuration Control                                                                        Accountable                                            Predictable Accountable Learning                                        Teamwork                                                                                Accountable Model                                                Predictable Pride Learning                                        Teamwork                                                                                  Model                                                  Pride Accident            Control                                        Event                                                Meet                                                  Attend                                No Free                Dose                                          Free                                              Schedule Commitments                                              Training                              Rework INDIVIDUAL EXCELLENCE Qualified Workers Qualified Workers Verification/Validation Verification/Validation      Supervisor Supervisor Oversight Job Planning/                  Procedures/Work                                                              Worker Worker Practices Preparation                    Instructions A        Opportunities Opportunities C                                                    E                                                          M                                                        A  Results Results N
3 BARRIERS FOR EXCELLENCE BARRIERS  FOR EXCELLENCE


Site Assessment Manager
Picture  of Excellence Actions Prior to the Cultural Enclosure 2 EXCELLENCE POINTSurvey BEACH EXCELLENCE Safe, Reliable, Predictable, Leader
* 1Q04          Picture of Organizational ExcellenceTraining Operational introduced        with Equipment Excellence D-15      meetingsExcellence Predictable Excellence Safety Excellence Teamwork                                    Zero Tolerance Teamwork                                                                                                                            Effective                                        Reliable Accountable                            Configuration Control                                                                      Accountable                                      Predictable Teamwork
* 2Q04 New Site VP Learning                                                                                                                            Model                                            Pride
* 3Q04 Picture of Excellence training
* 3Q04 Control Accident      Organizational Event        assessments Meet            Attend          No Free          Dose      Free        Schedule Commitments      Training        Rework
* 4Q04 Excellence              PlanEXCELLENCE INDIVIDUAL      revised to include organizational assessment results Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight  Worker Practices Preparation    Job Planning/  Instructions
* A4Q04 Begin    C Opportunities E
leadership        M assessments        A              N                                                                                                            Results 4
BARRIERS FOR EXCELLENCE


Site Engineering Director
Picture of Excellence                                                                                                                                                                Enclosure 2 Response    to Assessments POINT BEACH EXCELLENCE EXCELLENCE Safe, Reliable, Predictable, Leader
* Safety Culture Survey confirmed results ofOrganizational Excellence Operational Organizational Predictable Training Excellence assessments Excellence Equipment Excellence Teamwork                                        Zero Tolerance Teamwork                                        Safety                                                                                Effective                                          Reliable
* Excellence Plan Accountable Learning Configuration Control Teamwork Accountable Model Predictable Pride
    - Site wide plan
    - Integrates initiatives and key actions Accident            Control                                      Event                                                Meet                                                  Attend                          No
* Actions incorporated Free                Dose  into  Excellence INDIVIDUAL EXCELLENCE Free                                              Schedule Commitments                                              Training                        Rework Plan Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight      Worker Practices A - Actions C applyEto PBNPMorganization Preparation    Job Planning/  Instructions Opportunities A                                                                                                                                                            Results N
    - Continue to monitor and adjust 5
BARRIERS FOR EXCELLENCE


Emergency Planning Manager
Picture of Excellence Overview of Continuing Actions Enclosure 2 EXCELLENCE
* POINT Select & retain the right      BEACH EXCELLENCE people
* Communicate & reinforce the right Safe, Reliable, Predictable, Leader
      - Conduct Leadership                            picture assessments                                                                                                                                  - Daily reinforcement of ACEMAN &
        - Act on results of leadership                                                                                                                    Picture of Excellence Organizational assessments          Operational                                                                                                              D-15 meetings Equipment Training
                                                                                                                                                        -Excellence Excellence                                                Excellence                                                                                              Excellence Predictable                                                                                                                                - Feedback Teamwork  results of leadership Zero Tolerance Teamwork                                                                Safety                                                              Effective            Reliable
* Verify effective implementation Accountable  Configuration Control                                                                                                          assessments Accountable          Predictable Learning          Teamwork                                                                                                                    Model of processes                                                                                                                                      - Leadership  handbookPride  & associated
    - Site Performance Index                                                                                                                              training
    - CAP implementation                                                                                                                              - Leadership development meetings improvements & performance                                                                                                                      - All-hands meetings indicators
    - ODMI Control Accident      process      Event    Meet          Attend        No
* Effective coaching & engagement Free- 6 monthDose assessmentsFree    Schedule Commitments      Training      Rework
                                        - MARC process INDIVIDUAL EXCELLENCE
    - Improve Plant Health              - Human performance jamboree Committee                        - Training on Nuclear Safety Culture Verification/Validation        Supervisor Oversight
    - Improve PMP process                  Policy Qualified Workers                  Job Planning/                      Procedures/Work                                                          Worker Practices Preparation                        Instructions
    - Improve PARB A
    - Establish DRUM process Opportunities C          - Leadership Development Training
                                        - Taking Action training E                                                        M                                                      A  Results N
    - Management Review Meetings 6
BARRIERS FOR EXCELLENCE


J. Rogoff, Vice President, Counsel & Secretary
Picture of Excellence                                                                                                                                                                    Enclosure 2 Select & Retain the                                                                      EXCELLENCE Right    People POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader
* Leadership Organizational Assessments Operational Training                                                                                                                                                            Equipment Excellence                                              Excellence                                                                      Excellence                                            Excellence
    - Included supervisors and above Predictable Teamwork                                        Safety Teamwork Effective Zero Tolerance Reliable Accountable                              Configuration Control                                                                        Accountable                                            Predictable Teamwork
    - Completed in January 2006 Learning                                                                                                                                Model                                                  Pride
* Resulting actions
    - Feedback Accident  Control                                            Event                                                Meet                                                  Attend                              No Free      Dose                                              Free                                              Schedule Commitments                                              Training                            Rework
  - Training INDIVIDUAL EXCELLENCE
  - Position changes Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight      Worker Practices Preparation    Job Planning/  Instructions A - Address C commonE Opportunities M
themes                                                                                                                                                                A  Results N
7 BARRIERS FOR EXCELLENCE


K. Duveneck, Town Chairman
Picture of Excellence                                                                                                                                                                    Enclosure 2 Right Processes - Verify                                                                            EXCELLENCE Effective POINT Implementation BEACH EXCELLENCE Safe, Reliable, Predictable, Leader
* Site Performance Index Organizational Operational  Training  Equipment
* Implemented Operational Decision Making Excellence Predictable Excellence  Excellence Excellence Teamwork                                    Zero Tolerance Safety Issue Evaluation Process Teamwork Accountable Learning Configuration Control Teamwork Effective Accountable Model Reliable Predictable Pride
    - Multi-discipline, multi-level operational decision making process
* Corrective Accident  Control Action  Program Event      Meet improvements Attend
                                                      &No performance Free    Dose    indicators Free    Schedule Commitments  Training Rework
* Department Roll      Up Meeting INDIVIDUAL EXCELLENCE  Process trending Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight  Worker Practices Preparation    Job Planning/
* APlant Health  Committee      improvements Instructions C
Opportunities E          M            A      N                                                                                                                              Results
* Management Review Meetings 8
BARRIERS FOR EXCELLENCE


Town of Two Creeks
Picture of Excellence                                                                                                                                                                          Enclosure 2 Communicate & Reinforce the                                                                                EXCELLENCE Right    Picture POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader
* Daily        reinforcement Organizational    Operational of ACEMAN Training Equipment Excellence      Excellence          Excellence        Excellence Picture of Excellence Predictable Teamwork                                      Safety Teamwork Effective Zero Tolerance Reliable Accountable                            Configuration Control                                                                      Accountable                                      Predictable Teamwork
* D-15 Meetings Learning                                                                                                                            Model                                            Pride
* Feedback on leadership assessments
*FreeLeadership Accident      Control Dose handbook Event Free Meet Schedule associated Commitments Attend Training No Rework training          INDIVIDUAL EXCELLENCE
* Leadership development meetings Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight  Worker Practices Preparation    Job Planning/  Instructions A              C        E            M                A              N
* All-hands meetings Opportunities                                                                                                                                                                  Results 9
BARRIERS FOR EXCELLENCE


Chairperson
Picture of Excellence                                                                                                                                                          Enclosure 2 Effective Coaching &                                                                    EXCELLENCE Engagement POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader
* MARC OrganizationalProcess Operational                                                                                                              Training                                      Equipment Excellence                                                Excellence                                                                    Excellence                                    Excellence
    - Structured method for engagement Predictable Teamwork Accountable Safety Configuration Control Teamwork Effective Accountable Zero Tolerance Reliable Predictable Learning                                      Teamwork                                                                                Model                                            Pride
    - Improves predictability and consistency
    - Protocol meeting improves alignment
* Training Accident Free    Dose on Control  Nuclear Event Free Safety Meet Schedule Commitments Culture Attend Training No Rework Policy        INDIVIDUAL EXCELLENCE
* Leadership Development Training Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight  Worker Practices Preparation    Job Planning/  Instructions A      C          E          M          A                                                                                                                                                                    N
* Taking Action Training Opportunities                                                                                                                                                                    Results 10 BARRIERS FOR EXCELLENCE


Public Service Commission of Wisconsin
Picture of Excellence                                                                                                                                                          Enclosure 2 Site Performance POINT BEACH EXCELLENCE Index                                                                      EXCELLENCE Safe, Reliable, Predictable, Leader
* Compilation of 30 indicators Organizational    Operational    Training                                                                                                                                              Equipment
* Monitors Excellence Predictable 4 main      areas Excellence Excellence Teamwork Excellence Zero Tolerance Teamwork                                        Safety                                                                              Effective                                        Reliable
    - Safety Conscious Work Environment Accountable Learning Configuration Control Teamwork Accountable Model Predictable Pride
    - Plant Risk
    - Problem Identification & Resolution Accident  Control  Event    Meet      Attend                                                                                                                                                        No Free- Human Dose Performance Free  Schedule Commitments Training                                                                                                                                                      Rework INDIVIDUAL EXCELLENCE
* Real time measure of progress Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight  Worker Practices A - Evaluated  against standards of excellence Preparation    Job Planning/  Instructions C        E        M        A        N
  - Focus for action as needed Opportunities                                                                                                                                                                    Results 11 BARRIERS FOR EXCELLENCE


J. Kitsembel, Electric Division
Picture of Excellence                                                                                                                                                                                          Enclosure 2 Site Performance Index Elements                                                                                          EXCELLENCE
* Safety Conscious Work POINT BEACH* EXCELLENCE  Plant Risk Environment                                      - Leader Safe, Reliable, Predictable, Operator Burdens
  - My supervisor values a questioning                                                                                                                  -  System Health Assessments attitude                                                                                                                                            -  Reactivity Management
  - My supervisor Organizational treats me with    dignity Operational                                                                                                        -    Training Unplanned    LCOs Equipment
    & respect Excellence                Excellence                                                                                                            Excellence          Excellence
                                                                                                                                                        -  Corrective Maintenance        Backlog
  - I am comfortable Predictable    raising issues    to my Safety Teamwork          Zero Tolerance Teamwork supervisor    without fear of retaliation Configuration Control                                                                                                -  Elective Effective MaintenanceReliable Backlog Accountable                                                                                                                                      Accountable          Predictable Learning                                                        Teamwork                                                                  -  Preventive Model    Maintenance PrideBacklog
* Problem Identification & Resolution
  - Corrective Action Program Initiation
* Human Performance Rate                                      - HU Regulatory Effectiveness
  - Trends Accident        Control    Event            - Site EventAttend Meet            Clock Reset RateNo
  -Free Root Cause Evaluation Dose    Quality Free            - Maintenance Schedule Commitments          Avoidable Rework Training          Rework
  - Apparent Cause Evaluation Quality        -  Radiological Deficiencies INDIVIDUAL EXCELLENCE
                                              - Personnel Contamination Events
  - Backlog of CAPs
  - Backlog of Open Actions                  - Training Program Effectiveness Qualified Workers                                                      Procedures/Work Verification/Validation          Supervisor Oversight  Worker Practices
  - Activities Extended                      - Security Loggable Events Preparation  Job Planning/      Instructions A
  - Screen Team Effectiveness  C              - Valve Mispositionings                  E                                                        M                                                        A  Results N
Opportunities
  - CAP Regulatory Effectiveness              - Industrial Safety - OSHA Recordables
  - Self Assessment Quality                  - Procedure Change Request Backlog 12 BARRIERS FOR EXCELLENCE


Public Service Commission of Wisconsin
Picture of Excellence                                                                                                                                                                  Enclosure 2 Initiatives to Address Safety                                                                            EXCELLENCE Culture POINTSurvey      Results BEACH EXCELLENCE Safe, Reliable, Predictable, Leader
* Survey Results
* Initiatives Organizational                                          Operational                                                                  Training                                      Equipment
    - Leadership Excellence effectiveness Excellence              - Excellence Leadership assessmentsExcellence Teamwork
* Predictable Trust & Confidence Teamwork                in Site Safety Configuration Control
                                                    - Resulting Effective Zero Tolerance actions  from Reliable Accountable                                    Accountable            Predictable Management Learning            Teamwork leadership Model        assessments Pride
* Trust and Mutual Respect                  - Feedback results of between Management and                      leadership assessments the Workforce
                                                    - MARC process Accident        Control    Event                Meet              Attend                No Free              Dose      Free                  -  Leadership Schedule Commitments                development Training          Rework INDIVIDUAL EXCELLENCE        training
                                                    - Taking Action training Qualified Workers                                                  Procedures/Work Verification/Validation      Supervisor Oversight  Worker Practices
                                                    - Training on nuclear safety Preparation    Job Planning/  Instructions A                  C Opportunities E                  Mculture policy      A                  N                                                                                              Results
                                                    - Management Review Meetings 13 BARRIERS FOR EXCELLENCE


State Liaison Officer D. Koehl ADAMS Distribution
Picture of Excellence                                                                                                                                                                    Enclosure 2 Initiatives to Address Safety                                                                            EXCELLENCE Culture POINTSurvey      Results BEACH EXCELLENCE Safe, Reliable, Predictable, Leader
: JLD CFL EMH1 LXR1 RidsNrrDirsIrib
* Survey Results
* Initiatives
    - CAP effectiveness                                                                                                                      - CAP improvements &
Organizational        Operational                                                                                                      Training
      *Excellence Overall Effectiveness of the Excellence                                                                                                            performance Equipment Excellence        indicators Excellence Corrective Action Program Predictable                                                                                                                          - Establish DRUM Teamwork              process Zero Tolerance Teamwork                Safety                                                                                                      Effective        Reliable
* Effective Resolution Accountable          of identified Configuration Control
                                                                                                                                              - Site performance Accountable              index Predictable Learning              Teamwork                                                                                                        Model            Pride Nuclear Safety issues
* Timely Resolution of identified Nuclear Safety issues
    - Communications effectiveness            - D-15 Meetings Control Accident* General            Event Communications        Meet - Feedback Attendon leadership No Free
* Change  Dose Management Free    Schedule assessments Commitments    Training      Rework INDIVIDUAL EXCELLENCE
* Dignity, Trust & Respect            - Leadership handbook &
associated training Verification/Validation        Supervisor Oversight
                                              - Leadership development Qualified Workers                    Job Planning/                  Procedures/Work                                                          Worker Practices Preparation                    Instructions A              C            E                meetings M - All-hands Ameetings N Opportunities                                                                                                                                                                    Results 14 BARRIERS FOR EXCELLENCE


GEG KGO CAA1 RGK DRPIII DRSIII PLB1 JRK1 PUBLIC MEETING PRINCIPAL ATTENDEES March 23, 2006 Nuclear Management CompanyDennis KoehlSite Vice President, Point BeachJames McCarthyDirector Site Operations, Point Beach Aldo CapristoBusiness Support Manager, Point Beach Gerald YoungNuclear Oversight Manager, Point Beach Robert GrazioCompliance Manager, Point Beach Nuclear Regulatory CommissionJames CaldwellRegional Administrator, Region IIIMark SatoriusDirector, Division of Reactor Projects, Region III Kenneth O'BrienTeam Leader, Enforcement and Investigation Coordination Staff, Region IIILisamarie JarrielAgency Allegations Advisor, Office of Enforcement Patrick LoudenChief, Branch 5, Division of Reactor Projects Robert KrsekSenior Resident Inspector, Point Beach Gregory GibbsResident Inspector, Point Beach Michael KunowskiProject Engineer, Division of Reactor Projects PublicDavid LochbaumDirector, Nuclear Safety Project, Union of Concerned Scientists (via telephone)Daniel HornerMcGraw Hill Nuclear Publications (via telephone)
Picture of Excellence                                                                                                                                                                         Enclosure 2 EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader Organizational                                                Operational                                                                         Training                                            Equipment Excellence                                                   Excellence                                                                         Excellence                                           Excellence Predictable                                                                                                                                   Teamwork                                            Zero Tolerance Teamwork                                          Safety                                                                                     Effective                                              Reliable Accountable                                Configuration Control                                                                           Accountable                                            Predictable Learning                                        Teamwork                                                                                      Model                                                  Pride Summary & Closing Remarks Accident             Control                                       Event                                                   Meet                                                  Attend                               No Free                 Dose                                         Free                                                   Schedule Commitments                                              Training                           Rework INDIVIDUAL EXCELLENCE Qualified Workers                                                      Procedures/Work Verification/Validation      Supervisor Oversight      Worker Practices Preparation    Job Planning/       Instructions A        Opportunities C                                                        E                                                          M                                                       A  Results N
Billie Pirner GardeAttorney-at-Law, Clifford and Garde Point Beach Nuclear Plant SAFETY CULTURE UPDATE March 23, 2006 ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 2 Implementing Change*Improve and sustain improvements-Change organization culture-Change behaviors-Achieve consistent & fair reinforcement*Four enablers-Select & retain the right people-Communicate & reinforce the right picture-Verify effective implementation of processes-Ensure effective coaching & engagement ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 3ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCE OrganizationalExcellence Operational Excellence TrainingExcellence EquipmentExcellencePredictableTeamwork Accountable Learning SafetyConfiguration ControlTeamworkTeamwork    Effective AccountableModel Zero ToleranceReliablePredictable Pride OrganizationalExcellence Operational Excellence TrainingExcellence EquipmentExcellencePredictableTeamwork Accountable Learning SafetyConfiguration ControlTeamworkTeamwork    Effective AccountableModel Zero ToleranceReliablePredictable Pride A ccident Free N oRework E vent Free C ontrol Dose A ttend Training M eet Schedule A ccident Free N oRework E vent Free C ontrol Dose A ttend Training M eet CommitmentsOpportunitiesResultsQualifiedWorkersJobPlanning/PreparationProcedures/WorkInstructionsVerification/ValidationSupervisorOversightWorkerPracticesBARRIERS FOR EXCELLENCE Picture of Excellence 3
15 BARRIERS FOR EXCELLENCE}}
ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 4 Actions Prior to the Cultural Survey*1Q04Picture of Excellenceintroduced with D-15meetings*2Q04New Site VP*3Q04Picture of Excellence training*3Q04 Organizational assessments*4Q04Excellence Plan revised to include organizational assessment results*4Q04 Begin leadership assessments ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 5 Response to Assessments*Safety Culture Survey confirmed results of Organizationalassessments*Excellence Plan-Site wide plan-Integratesinitiatives and key actions*Actions incorporated into Excellence Plan-Actions apply to PBNP organization-Continue to monitor and adjust ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 6Overview of ContinuingActions*Select & retain the right people-Conduct Leadership assessments-Act on results of leadership assessments*Verify effective implementation of processes-Site Performance Index-CAP implementation improvements & performance indicators-ODMI process-6 month assessments
-Improve Plant Health Committee-Improve PMP process-Improve PARB-Establish DRUM process
-Management Review Meetings*Communicate & reinforce the right picture-Daily reinforcement of ACEMAN&
Picture of Excellence-D-15 meetings
-Feedback results of leadership assessments-Leadership handbook & associated training-Leadership development meetings
-All-hands meetings*Effective coaching & engagement-MARC process
-Human performance jamboree
-Training onNuclearSafety Culture Policy-Leadership Development Training
-TakingAction training 6
ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 7 Select & Retain the Right People*Leadership Assessments -Included supervisors and above-Completed in January 2006*Resulting actions-Feedback-Training-Position changes-Address common themes ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 8Right Processes -Verify Effective Implementation*Site Performance Index*Implemented Operational Decision Making Issue Evaluation Process-Multi-discipline, multi-level operational decision making process*Corrective Action Program improvements &
performance indicators*Department Roll Up Meeting Process trending*Plant Health Committee improvements*Management Review Meetings ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 9 Communicate & Reinforce the Right Picture*Daily reinforcement of ACEMAN&
Picture of Excellence*D-15 Meetings*Feedback on leadership assessments*Leadership handbook & associated training*Leadership development meetings*All-hands meetings ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 10 Effective Coaching &
Engagement*MARC Process-Structured method for engagement-Improves predictability and consistency-Protocol meeting improves alignment*Training on Nuclear Safety Culture Policy*Leadership Development Training*Taking Action Training ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 11 Site Performance Index*Compilation of 30 indicators*Monitors 4 main areas-Safety Conscious Work Environment-Plant Risk-Problem Identification & Resolution-Human Performance*Real time measure of progress-Evaluated against standards of excellence-Focus for action as needed ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 12 Site Performance Index Elements*Safety Conscious Work Environment-My supervisor values a questioning attitude-My supervisor treats me with dignity
& respect-I am comfortable raising issues to my supervisor without fear of retaliation*Problem Identification & Resolution-Corrective Action Program Initiation Rate-Trends-Root Cause Evaluation Quality
-Apparent Cause Evaluation Quality-Backlog of CAPs-Backlog of Open Actions
-Activities Extended
-Screen Team Effectiveness
-CAP Regulatory Effectiveness
-Self Assessment Quality*Plant Risk-Operator Burdens
-System Health Assessments-Reactivity Management-Unplanned LCOs
-Corrective Maintenance Backlog
-Elective Maintenance Backlog
-Preventive Maintenance Backlog*Human Performance-HU Regulatory Effectiveness
-Site Event Clock Reset Rate
-Maintenance Avoidable Rework-Radiological Deficiencies-Personnel Contamination Events-Training Program Effectiveness
-Security Loggable Events
-Valve Mispositionings
-Industrial Safety -OSHA Recordables-Procedure Change Request Backlog 12 ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 13Initiatives toAddress Safety Culture Survey Results*Survey Results-Leadership effectiveness*Trust & Confidence in Site Management *Trust and Mutual Respect between Management and the Workforce *Initiatives-Leadership assessments-Resulting actions from leadership assessments-Feedback results of leadership assessments-MARC process-Leadership development training-Taking Action training-Training on nuclear safety culture policy-Management Review Meetings ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 14Initiatives toAddress Safety Culture Survey Results*Survey Results
-CAP effectiveness*Overall Effectiveness of the Corrective Action Program *Effective Resolution of identified Nuclear Safety issues*Timely Resolution of identified Nuclear Safety issues
-Communications effectiveness*General Communications*Change Management*Dignity, Trust & Respect*Initiatives-CAP improvements &
performance indicators-Establish DRUM process-Site performance index-D-15 Meetings-Feedback on leadership assessments-Leadership handbook &
associated training-Leadership development meetings-All-hands meetings ACEMANINDIVIDUAL EXCELLENCEPOINT BEACH EXCELLENCESafe, Reliable, Predictable, LeaderEXCELLENCEOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePrideOrganizationalExcellenceOperational ExcellenceTrainingExcellenceEquipmentExcellencePredictableTeamworkAccountableLearningSafetyConfiguration ControlTeamworkTeamwork    EffectiveAccountable ModelZero ToleranceReliablePredictablePride Accident Free N oRework Event Free Control Dose Attend Training M eet Schedule Accident Free N oRework Event Free Control Dose Attend Training M eet CommitmentsOpportunitiesResultsQualified Wor k er s J ob Planning/Prepara tionPro cedur e s/Wor k I n s t r u c tion sVeri f i ca tion/Valida tion Superv isorOversigh tWor k erPra ct i ce sBARRIERS FOR EXCELLENCE Picture of Excellence 15 Summary & Closing Remarks}}

Latest revision as of 07:07, 14 March 2020

Public Meeting Summary - Point Beach Safety Culture Meeting (Includes NMC Slides)
ML060930755
Person / Time
Site: Point Beach  NextEra Energy icon.png
Issue date: 04/03/2006
From: Louden P
NRC/RGN-III/DRP/RPB5
To: Koehl D
Nuclear Management Co
References
CAL 3-04-001
Download: ML060930755 (21)
v • d • e


Text

April 3, 2006 CAL 3-04-001 Mr. Dennis L. Koehl Site Vice President Point Beach Nuclear Plant Nuclear Management Company, LLC 6590 Nuclear Road Two Rivers, WI 54241-9516

SUBJECT:

PUBLIC MEETING ON MARCH 23, 2006, TO DISCUSS POINT BEACH SAFETY CULTURE SURVEY RESULTS

Dear Mr. Koehl:

This letter refers to the public meeting conducted on March 23, 2006, at the Two Creeks Town Hall in Two Creeks, Wisconsin. The meeting was held at your request to discuss the results of a safety culture survey performed by Nuclear Management Company (NMC) at Point Beach Nuclear Plant.

Mr. Patrick Louden, Branch 5 Chief, Division of Reactor Projects at NRC Region III, opened the meeting with introductions of Nuclear Regulatory Commission (NRC) officials and then turned the meeting over to you and your staff.

Your presentation opened with an overview of four areas (enablers) to address the results of previous self-assessments at Point Beach. This discussion included a description of the Point Beach Excellence Plan and provided a time-line of pertinent actions (assessments, training) taken by NMC prior to the December 2004 safety culture survey. Then, you discussed NMCs response to the self-assessment results, and provided an overview of ongoing efforts in the four enablers.

Next, you and your staff discussed in detail the four enablers: selecting and retaining the right people; verification of effective implementation of processes; communication and reinforcement of the right picture; and, effective coaching and engagement. You discussed the Site Performance Index, used to monitor these four main areas and measure progress.

Finally, you and your staff discussed initiatives to address the results of the December 2004 safety culture survey. You closed the meeting with an overview of your presentation.

Mr. James Caldwell, Region III Administrator, concluded the meeting with an acknowledgment of the information provided by you and other NMC representatives. Mr. Caldwell emphasized the importance of safety culture and stated that the NRC will continue review of the condition of the safety conscious work environment at Point Beach.

D. Koehl A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.

In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

If you have any questions regarding this meeting, please contact me at (630) 829-9627.

Sincerely,

/RA/

Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27

Enclosures:

1. List of Principal Attendees
2. Licensee Presentation Slides Distribution:

See next page

D. Koehl A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.

In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

If you have any questions regarding this meeting, please contact me at (630) 829-9627.

Sincerely,

/RA/

Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27

Enclosures:

1. List of Principal Attendees
2. Licensee Presentation Slides Distribution:

See next page DOCUMENT NAME: G:\POIN\public meetings\03-23-06 public mtg (safety culture)\Pub Mtg Summary 3-23-06.wpd o receive a copy of this document, indicate in the box: "C" = Copy without attachment/enclosure "E" = Copy with attachment/enclosure "N" = No copy OFFICE RIII RIII NAME LHaeg:sls PLouden DATE 04/03/06 04/03/06 OFFICIAL RECORD COPY

D. Koehl cc w/encl: F. Kuester, President and Chief Executive Officer, We Generation D. Cooper, Senior Vice President, Group Operations J. McCarthy, Site Director of Operations D. Weaver, Nuclear Asset Manager Plant Manager Regulatory Affairs Manager Training Manager Site Assessment Manager Site Engineering Director Emergency Planning Manager J. Rogoff, Vice President, Counsel & Secretary K. Duveneck, Town Chairman Town of Two Creeks Chairperson Public Service Commission of Wisconsin J. Kitsembel, Electric Division Public Service Commission of Wisconsin State Liaison Officer

D. Koehl ADAMS Distribution:

JLD CFL EMH1 LXR1 RidsNrrDirsIrib GEG KGO CAA1 RGK DRPIII DRSIII PLB1 JRK1

PUBLIC MEETING PRINCIPAL ATTENDEES March 23, 2006 Nuclear Management Company Dennis Koehl Site Vice President, Point Beach James McCarthy Director Site Operations, Point Beach Aldo Capristo Business Support Manager, Point Beach Gerald Young Nuclear Oversight Manager, Point Beach Robert Grazio Compliance Manager, Point Beach Nuclear Regulatory Commission James Caldwell Regional Administrator, Region III Mark Satorius Director, Division of Reactor Projects, Region III Kenneth OBrien Team Leader, Enforcement and Investigation Coordination Staff, Region III Lisamarie Jarriel Agency Allegations Advisor, Office of Enforcement Patrick Louden Chief, Branch 5, Division of Reactor Projects Robert Krsek Senior Resident Inspector, Point Beach Gregory Gibbs Resident Inspector, Point Beach Michael Kunowski Project Engineer, Division of Reactor Projects Public David Lochbaum Director, Nuclear Safety Project, Union of Concerned Scientists (via telephone)

Daniel Horner McGraw Hill Nuclear Publications (via telephone)

Billie Pirner Garde Attorney-at-Law, Clifford and Garde Enclosure 1

Enclosure 2 Point Beach Nuclear Plant SAFETY CULTURE UPDATE March 23, 2006

Picture of Excellence Enclosure 2 Implementing Change POINT BEACH EXCELLENCE EXCELLENCE Safe, Reliable, Predictable, Leader

  • Improve Organizational and sustain Operational improvements Training Equipment Excellence Excellence Excellence Excellence

- Change Predictable organization Safety culture Teamwork Zero Tolerance Teamwork Effective Reliable Accountable Configuration Control Accountable Predictable

- Change Learning behaviorsTeamwork Model Pride

- Achieve consistent & fair reinforcement

  • Four enablers Accident Control Event Meet Attend No Dose Free- Select & retainFree the Schedule right people Commitments Training Rework INDIVIDUAL EXCELLENCE

- Communicate & reinforce the right picture Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices

- Verify effective implementation of processes Preparation Job Planning/ Instructions A C E M A N

- Ensure effective coaching & engagement Opportunities Results 2

BARRIERS FOR EXCELLENCE

Picture of Picture of Excellence Enclosure 2 EXCELLENCE EXCELLENCE POINT POINT BEACH BEACH EXCELLENCE EXCELLENCE Safe, Reliable, Predictable, Leader Safe, Reliable, Predictable, Leader Organizational Organizational Operational Operational Training Training Equipment Equipment Excellence Excellence Excellence Excellence Excellence Excellence Excellence Excellence Predictable Teamwork Zero Tolerance Predictable Teamwork Safety Teamwork Effective ZeroReliable Tolerance Teamwork Safety Control Configuration Effective Reliable Accountable Configuration Control Accountable Predictable Accountable Learning Teamwork Accountable Model Predictable Pride Learning Teamwork Model Pride Accident Control Event Meet Attend No Free Dose Free Schedule Commitments Training Rework INDIVIDUAL EXCELLENCE Qualified Workers Qualified Workers Verification/Validation Verification/Validation Supervisor Supervisor Oversight Job Planning/ Procedures/Work Worker Worker Practices Preparation Instructions A Opportunities Opportunities C E M A Results Results N

3 BARRIERS FOR EXCELLENCE BARRIERS FOR EXCELLENCE

Picture of Excellence Actions Prior to the Cultural Enclosure 2 EXCELLENCE POINTSurvey BEACH EXCELLENCE Safe, Reliable, Predictable, Leader

  • 1Q04 Picture of Organizational ExcellenceTraining Operational introduced with Equipment Excellence D-15 meetingsExcellence Predictable Excellence Safety Excellence Teamwork Zero Tolerance Teamwork Effective Reliable Accountable Configuration Control Accountable Predictable Teamwork
  • 2Q04 New Site VP Learning Model Pride
  • 3Q04 Picture of Excellence training
  • 3Q04 Control Accident Organizational Event assessments Meet Attend No Free Dose Free Schedule Commitments Training Rework
  • 4Q04 Excellence PlanEXCELLENCE INDIVIDUAL revised to include organizational assessment results Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices Preparation Job Planning/ Instructions
  • A4Q04 Begin C Opportunities E

leadership M assessments A N Results 4

BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Response to Assessments POINT BEACH EXCELLENCE EXCELLENCE Safe, Reliable, Predictable, Leader

  • Safety Culture Survey confirmed results ofOrganizational Excellence Operational Organizational Predictable Training Excellence assessments Excellence Equipment Excellence Teamwork Zero Tolerance Teamwork Safety Effective Reliable
  • Excellence Plan Accountable Learning Configuration Control Teamwork Accountable Model Predictable Pride

- Site wide plan

- Integrates initiatives and key actions Accident Control Event Meet Attend No

  • Actions incorporated Free Dose into Excellence INDIVIDUAL EXCELLENCE Free Schedule Commitments Training Rework Plan Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices A - Actions C applyEto PBNPMorganization Preparation Job Planning/ Instructions Opportunities A Results N

- Continue to monitor and adjust 5

BARRIERS FOR EXCELLENCE

Picture of Excellence Overview of Continuing Actions Enclosure 2 EXCELLENCE

  • POINT Select & retain the right BEACH EXCELLENCE people
  • Communicate & reinforce the right Safe, Reliable, Predictable, Leader

- Conduct Leadership picture assessments - Daily reinforcement of ACEMAN &

- Act on results of leadership Picture of Excellence Organizational assessments Operational D-15 meetings Equipment Training

-Excellence Excellence Excellence Excellence Predictable - Feedback Teamwork results of leadership Zero Tolerance Teamwork Safety Effective Reliable

  • Verify effective implementation Accountable Configuration Control assessments Accountable Predictable Learning Teamwork Model of processes - Leadership handbookPride & associated

- Site Performance Index training

- CAP implementation - Leadership development meetings improvements & performance - All-hands meetings indicators

- ODMI Control Accident process Event Meet Attend No

  • Effective coaching & engagement Free- 6 monthDose assessmentsFree Schedule Commitments Training Rework

- MARC process INDIVIDUAL EXCELLENCE

- Improve Plant Health - Human performance jamboree Committee - Training on Nuclear Safety Culture Verification/Validation Supervisor Oversight

- Improve PMP process Policy Qualified Workers Job Planning/ Procedures/Work Worker Practices Preparation Instructions

- Improve PARB A

- Establish DRUM process Opportunities C - Leadership Development Training

- Taking Action training E M A Results N

- Management Review Meetings 6

BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Select & Retain the EXCELLENCE Right People POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader

  • Leadership Organizational Assessments Operational Training Equipment Excellence Excellence Excellence Excellence

- Included supervisors and above Predictable Teamwork Safety Teamwork Effective Zero Tolerance Reliable Accountable Configuration Control Accountable Predictable Teamwork

- Completed in January 2006 Learning Model Pride

  • Resulting actions

- Feedback Accident Control Event Meet Attend No Free Dose Free Schedule Commitments Training Rework

- Training INDIVIDUAL EXCELLENCE

- Position changes Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices Preparation Job Planning/ Instructions A - Address C commonE Opportunities M

themes A Results N

7 BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Right Processes - Verify EXCELLENCE Effective POINT Implementation BEACH EXCELLENCE Safe, Reliable, Predictable, Leader

  • Site Performance Index Organizational Operational Training Equipment
  • Implemented Operational Decision Making Excellence Predictable Excellence Excellence Excellence Teamwork Zero Tolerance Safety Issue Evaluation Process Teamwork Accountable Learning Configuration Control Teamwork Effective Accountable Model Reliable Predictable Pride

- Multi-discipline, multi-level operational decision making process

  • Corrective Accident Control Action Program Event Meet improvements Attend

&No performance Free Dose indicators Free Schedule Commitments Training Rework

  • Department Roll Up Meeting INDIVIDUAL EXCELLENCE Process trending Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices Preparation Job Planning/
  • APlant Health Committee improvements Instructions C

Opportunities E M A N Results

  • Management Review Meetings 8

BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Communicate & Reinforce the EXCELLENCE Right Picture POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader

  • Daily reinforcement Organizational Operational of ACEMAN Training Equipment Excellence Excellence Excellence Excellence Picture of Excellence Predictable Teamwork Safety Teamwork Effective Zero Tolerance Reliable Accountable Configuration Control Accountable Predictable Teamwork
  • D-15 Meetings Learning Model Pride
  • Feedback on leadership assessments
  • FreeLeadership Accident Control Dose handbook Event Free Meet Schedule associated Commitments Attend Training No Rework training INDIVIDUAL EXCELLENCE
  • Leadership development meetings Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices Preparation Job Planning/ Instructions A C E M A N
  • All-hands meetings Opportunities Results 9

BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Effective Coaching & EXCELLENCE Engagement POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader

  • MARC OrganizationalProcess Operational Training Equipment Excellence Excellence Excellence Excellence

- Structured method for engagement Predictable Teamwork Accountable Safety Configuration Control Teamwork Effective Accountable Zero Tolerance Reliable Predictable Learning Teamwork Model Pride

- Improves predictability and consistency

- Protocol meeting improves alignment

  • Training Accident Free Dose on Control Nuclear Event Free Safety Meet Schedule Commitments Culture Attend Training No Rework Policy INDIVIDUAL EXCELLENCE
  • Leadership Development Training Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices Preparation Job Planning/ Instructions A C E M A N
  • Taking Action Training Opportunities Results 10 BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Site Performance POINT BEACH EXCELLENCE Index EXCELLENCE Safe, Reliable, Predictable, Leader

  • Compilation of 30 indicators Organizational Operational Training Equipment
  • Monitors Excellence Predictable 4 main areas Excellence Excellence Teamwork Excellence Zero Tolerance Teamwork Safety Effective Reliable

- Safety Conscious Work Environment Accountable Learning Configuration Control Teamwork Accountable Model Predictable Pride

- Plant Risk

- Problem Identification & Resolution Accident Control Event Meet Attend No Free- Human Dose Performance Free Schedule Commitments Training Rework INDIVIDUAL EXCELLENCE

  • Real time measure of progress Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices A - Evaluated against standards of excellence Preparation Job Planning/ Instructions C E M A N

- Focus for action as needed Opportunities Results 11 BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Site Performance Index Elements EXCELLENCE

  • Safety Conscious Work POINT BEACH* EXCELLENCE Plant Risk Environment - Leader Safe, Reliable, Predictable, Operator Burdens

- My supervisor values a questioning - System Health Assessments attitude - Reactivity Management

- My supervisor Organizational treats me with dignity Operational - Training Unplanned LCOs Equipment

& respect Excellence Excellence Excellence Excellence

- Corrective Maintenance Backlog

- I am comfortable Predictable raising issues to my Safety Teamwork Zero Tolerance Teamwork supervisor without fear of retaliation Configuration Control - Elective Effective MaintenanceReliable Backlog Accountable Accountable Predictable Learning Teamwork - Preventive Model Maintenance PrideBacklog

  • Problem Identification & Resolution

- Corrective Action Program Initiation

  • Human Performance Rate - HU Regulatory Effectiveness

- Trends Accident Control Event - Site EventAttend Meet Clock Reset RateNo

-Free Root Cause Evaluation Dose Quality Free - Maintenance Schedule Commitments Avoidable Rework Training Rework

- Apparent Cause Evaluation Quality - Radiological Deficiencies INDIVIDUAL EXCELLENCE

- Personnel Contamination Events

- Backlog of CAPs

- Backlog of Open Actions - Training Program Effectiveness Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices

- Activities Extended - Security Loggable Events Preparation Job Planning/ Instructions A

- Screen Team Effectiveness C - Valve Mispositionings E M A Results N

Opportunities

- CAP Regulatory Effectiveness - Industrial Safety - OSHA Recordables

- Self Assessment Quality - Procedure Change Request Backlog 12 BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Initiatives to Address Safety EXCELLENCE Culture POINTSurvey Results BEACH EXCELLENCE Safe, Reliable, Predictable, Leader

  • Survey Results
  • Initiatives Organizational Operational Training Equipment

- Leadership Excellence effectiveness Excellence - Excellence Leadership assessmentsExcellence Teamwork

  • Predictable Trust & Confidence Teamwork in Site Safety Configuration Control

- Resulting Effective Zero Tolerance actions from Reliable Accountable Accountable Predictable Management Learning Teamwork leadership Model assessments Pride

  • Trust and Mutual Respect - Feedback results of between Management and leadership assessments the Workforce

- MARC process Accident Control Event Meet Attend No Free Dose Free - Leadership Schedule Commitments development Training Rework INDIVIDUAL EXCELLENCE training

- Taking Action training Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices

- Training on nuclear safety Preparation Job Planning/ Instructions A C Opportunities E Mculture policy A N Results

- Management Review Meetings 13 BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 Initiatives to Address Safety EXCELLENCE Culture POINTSurvey Results BEACH EXCELLENCE Safe, Reliable, Predictable, Leader

  • Survey Results
  • Initiatives

- CAP effectiveness - CAP improvements &

Organizational Operational Training

  • Excellence Overall Effectiveness of the Excellence performance Equipment Excellence indicators Excellence Corrective Action Program Predictable - Establish DRUM Teamwork process Zero Tolerance Teamwork Safety Effective Reliable
  • Effective Resolution Accountable of identified Configuration Control

- Site performance Accountable index Predictable Learning Teamwork Model Pride Nuclear Safety issues

  • Timely Resolution of identified Nuclear Safety issues

- Communications effectiveness - D-15 Meetings Control Accident* General Event Communications Meet - Feedback Attendon leadership No Free

  • Change Dose Management Free Schedule assessments Commitments Training Rework INDIVIDUAL EXCELLENCE
  • Dignity, Trust & Respect - Leadership handbook &

associated training Verification/Validation Supervisor Oversight

- Leadership development Qualified Workers Job Planning/ Procedures/Work Worker Practices Preparation Instructions A C E meetings M - All-hands Ameetings N Opportunities Results 14 BARRIERS FOR EXCELLENCE

Picture of Excellence Enclosure 2 EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader Organizational Operational Training Equipment Excellence Excellence Excellence Excellence Predictable Teamwork Zero Tolerance Teamwork Safety Effective Reliable Accountable Configuration Control Accountable Predictable Learning Teamwork Model Pride Summary & Closing Remarks Accident Control Event Meet Attend No Free Dose Free Schedule Commitments Training Rework INDIVIDUAL EXCELLENCE Qualified Workers Procedures/Work Verification/Validation Supervisor Oversight Worker Practices Preparation Job Planning/ Instructions A Opportunities C E M A Results N

15 BARRIERS FOR EXCELLENCE

Retrieved from "https://kanterella.com/w/index.php?title=ML060930755&oldid=2586306"