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{{#Wiki_filter:March 2, 2021 Mr. Christopher P. Domingos Site Vice President Prairie Island Nuclear Generating Plant Northern States Power Company, Minnesota 1717 Wakonade Drive East Welch, MN 55089-9642
 
==SUBJECT:==
INFORMATION REQUEST TO SUPPORT UPCOMING PROBLEM IDENTIFICATION AND RESOLUTION (PI&R) INSPECTION AT THE PRAIRIE ISLAND NUCLEAR GENERATING PLANT
 
==Dear Mr. Domingos:==
 
This letter is to request information to support our scheduled PI&R inspection beginning April 12, 2021, at the Prairie Island Nuclear Generating Plant. This inspection will be performed in accordance with the NRC baseline Inspection Procedure 71152.
Experience has shown that these inspections are extremely resource intensive both for the NRC inspectors and the utility staff. In order to minimize the impact that the inspection has on the site and to ensure a productive inspection, we have enclosed a list of documents required for the inspection.
As discussed with your staff, portions of this inspection will be performed remotely due to potential logistical impacts resulting from the COVID-19 public health emergency. Specific portions of this inspection requiring the onsite physical presence of inspectors, such as the required system walkdowns, etc., are planned to be performed by the Resident Inspectors during the three-week inspection period. We appreciate the flexibility of your staff in these matters.
The documents requested are copies of condition reports and lists of information necessary to ensure the inspection team is adequately prepared for the inspection. The information requested should be accessible remotely for NRC review by Monday, March 22, 2021. Please also provide Mr. Nirodh Shah, the Lead Inspector, a copy of the information in CD/DVD format by that date. Mr. Shah will also contact your staff to determine the best method of providing the requested information.
If there are any questions about the material requested, or the inspection in general, please contact Mr. Shah at 815-829-9821 or Nirodh.Shah@nrc.gov.
This letter does not contain new or amended information collection requirements subject to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). Existing information collection requirements were approved by the Office of Management and Budget, Control Number 3150-0011.
 
C. Domingos                                  The NRC may not conduct or sponsor, and a person is not required to respond to, a request for information or an information collection requirement unless the requesting document displays a currently valid Office of Management and Budget control number.
In accordance with Title 10 of the Code of Federal Regulations (CFR) 2.390, Public Inspections, Exemptions, Requests for Withholding, of the NRC's "Rules of Practice," a copy of this letter, its enclosures, and your response (if any) will be available electronically for public inspection in the NRCs Public Document Room or from the Publicly Available Records System (PARS) component of NRC's Agencywide Document Access and Management System (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
Sincerely,
                                              /RA/
Hironori Peterson, Chief Branch 3 Division of Reactor Projects Docket Nos. 05000282; 05000306 License Nos. DPR-42; DPR-60
 
==Enclosure:==
 
Requested Information to Support PI&R Inspection cc: Distribution via LISTSERV
 
C. Domingos                              Letter to Christopher P. Domingos from Hironori Peterson dated March 2, 2021.
 
==SUBJECT:==
INFORMATION REQUEST TO SUPPORT UPCOMING PROBLEM IDENTIFICATION AND RESOLUTION (PI&R) INSPECTION AT THE PRAIRIE ISLAND NUCLEAR GENERATING PLANT DISTRIBUTION:
Jessie Quichocho Mark Haire RidsNrrPMPrairieIsland Resource RidsNrrDorlLpl3 RidsNrrDroIrib Resource John Giessner Kenneth OBrien Jamnes Cameron Allan Barker DRPIII DRSIII ADAMS Accession Number: ML21062A053 Publicly Available      Non-Publicly Available        Sensitive      Non-Sensitive OFFICE      RIII              RIII NAME        NShah:mb via      HPeterson via e-mail            e-mail DATE        03/02/2021        03/02/2021 OFFICIAL RECORD COPY
 
REQUESTED INFORMATION TO SUPPORT PROBLEM IDENTIFICATION AND RESOLUTION (PI&R) INSPECTION INSPECTION REPORT 05000282/2021011; 05000306/2021011 Please provide the information on a DVD or compact disc (external thumb drives can no longer be used on NRC computers) sent to the Team Lead. All other documents will be provided to the Team via CERTREC. Please identify the folders on the compact disc (and on CERTREC) using the number system, or subject heading, of each numbered request below. Unless otherwise specified, the time frame for requested information is for the period starting March 1, 2019, through the time the data request is answered. For requested lists please provide the information, if possible, in a sortable Excel spreadsheet format. Unless otherwise stated, the information request should include all major plant departments (i.e., operations, engineering, maintenance, radiation protection, security and emergency preparedness).
In addition, each Team member will require an account access for CERTREC.
(a) PROGRAM DOCUMENTS
: 1. A current copy of administrative procedure(s) for the corrective action program (CAP),
quality assurance (QA) audit program, self-assessment program, corrective action effectiveness review program, trending program, industry experience review program, maintenance rule program and top-level documents for the work control programs, work scheduling programs, and aging management program(s).
: 2. A current copy of the Employee Concerns Program (ECP)/Ombudsman administrative procedure(s).
: 3. Description of any substantive changes made to the CAP philosophy or operation since the last biennial PI&R Inspection in 2018. Please include with each listed substantive change the effective date of the change. Administrative and non-substantive changes do not need to be listed.
(b) CAP EFFECTIVENESSPROBLEM IDENTIFICATION
: 4. OPEN Condition Reports (CRs) - A list of all open CRs sorted by significance level.
Include CR number, the date initiated, a brief description/title, system affected if any, significance level, and anticipated completion date, if available. This list should be grouped by responsible department and listed in order of initiation date (oldest listed first).
: 5. CORPORATE CRs - A list of CRs generated by the corporate office that involve or affect plant operation, sorted by significance level. Include the date initiated, a brief description/title, site(s) affected, system affected, significance/priority level, assigned organization, and status (if closed include date closed; if open, include scheduled date to be closed).
: 6. CR GENERATION - A data table (or similar format) showing the total number of CRs generated per year since 2018, sorted by department (i.e., operations, engineering, security etc.).
Enclosure
: 7. EXTERNAL CR NUMBERS - A data table showing the number of issues identified externally (NRC, INPO, other etc.) per year as compared to internally since 2018.
: 8. PLANT TRANSIENTS - A list of plant trips, unplanned down powers (greater than 20 percent), limiting condition for operation entries (not scheduled), and licensee event reports, including dates of these events.
: 9. CONTROL ROOM DEFICIENCIES - A list of current control room deficiencies and operator work-arounds, sorted by priority, with a brief description/title and corresponding CR and/or work order number.
(c) CAP EFFECTIVENESSPROBLEM PRIORITIZATION AND EVALUATION
: 10. ROOT CAUSES - A list of completed root cause evaluations with a brief description of the issue. Provide status of any actions developed as part of the evaluations. Include a reference, if not part of the root cause package, to the documents and/or CRs directing and tracking the actions.
: 11. APPARENT CAUSES - A list of completed apparent cause evaluations with a brief description of the issue. Provide status of any actions developed as part of the evaluations. Include a reference, if not part of the apparent cause package, to the documents and/or CRs directing and tracking the actions.
: 12. CLOSED CRs - A list of closed CRs sorted by significance level and then initiation date.
Include CR number, a brief description/title, the significance level, the date initiated and closed, assigned organization, system affected, and whether there was an associated operability evaluation.
: 13. OPERABILITY EVALUATIONS - A list of operability evaluations. Include a brief description/title of the issue, date initiated, date closed, or date anticipated to be closed.
Include any operability evaluations that are still open that were initiated prior to June 1, 2018.
: 14. MAINTENANCE RULE - A listing of cause analyses, corrective actions documents, and trend analyses for systems and components considered Maintenance Rule (a)(1).
Provide copies of the applicable system health report sections and maintenance rule action plans for those systems starting 1 year earlier from when the system or component entered (a)(1) status. Include dates when system/components entered (a)(1) status and, if applicable, returned to (a)(2) status. For recurring reports, the most recent and middle-of-year and end-of-year reports are sufficient; monthly reports are not required.
: 15. IN SERVICE TESTING (IST) - A list of test failures (IST or Technical Specifications surveillances) with a brief description of component/system failed. Indicate if the failure was a maintenance preventable failure.
: 16. TEMPORARY MODIFICATIONS - A list of temporary modifications with a brief description of the modification, installation date, and date closed or anticipated closure date. Include any open temporary modifications that were installed prior to June 1, 2018.
2
 
(d) CAP EFFECTIVENESSCORRECTIVE ACTIONS
: 17. OPEN ACTIONS - A list of open corrective actions, sorted by significance/priority level, with a brief description/title, initiating date and due date. The list should include the number of due date extension and be grouped by the responsible department.
: 18. EFFECTIVENESS REVIEWS - A list of completed effectiveness reviews with a brief description of the results. Include a cross-reference to the CRs for which the effectiveness review was conducted and, if applicable, CR numbers documenting any additional follow-up actions.
: 19. INADEQUATE ACTIONS - A list of CRs initiated for inadequate or ineffective corrective actions. Include the date initiated, a brief description/title, significance/priority level, system affected, assigned organization, and status (if closed, include date closed; if open, include scheduled date to be closed). Include a cross-reference to the CR or evaluation that generated the original corrective action.
: 20. REWORK - A list of rework items and repeat failures. Include cross-references to applicable Work Orders and CRs.
: 21. OPEN WORK ORDERS - A list of open work orders/equipment work requests with a brief description. Identify the work order as outage or non-outage, the date of initiation and scheduled or anticipated closure date, if available. If applicable, also provide the classification of the work orders with the recent industry classification scheme. Provide an explanation of the classification scheme and the procedure governing the classification. Work requests/work orders not associated with a degraded equipment condition (e.g., work orders for voluntary plant upgrades) do not have to be included in the list.
(e) CAP ASSESSMENT - PROBLEM IDENTIFICATION
: 22. QA AUDITS - A copy of QA audits of the CAP.
: 23. PI&R ASSESSMENT - A copy of self-assessments and associated CRs generated in preparation for this PI&R inspection.
: 24. CAP SELF-ASSESSMENTS - A copy of completed CAP self-assessments and the plan/schedule for future CAP self-assessments.
: 25. CAP PERFORMANCE INDICATORS - A copy of any performance reports or indicators used to track CAP effectiveness for the past 24 months. The most recent data and end-of-quarter data will suffice; monthly reports are not required.
(f) CAP ASSESSMENT - CORRECTIVE ACTIONS
: 26. TREND REPORTS - Copies of any completed trend reports for CRs. Quarterly trend reports are acceptable; copies of all monthly reports are not required.
: 27. TREND CRs - A list of CRs initiated for trends of conditions adverse to quality. Include the date initiated, a brief description/title, significance/priority level, and status (if closed include date closed; if open, include scheduled date to be closed).
3
: 28. WORK ORDER TRENDS - A copy of any trend reports for work orders. The most recent trend reports and those that existed at the end-of-year and middle-of-year are acceptable; copies of monthly reports are not required. Include a copy of a recent (within 2 months of the data submittal) graph or document showing the status of work week planning of work activities.
: 29. Copies of all apparent, common and/or root cause evaluations initiated to address identified adverse human performance trends or safety culture adverse trends.
(g) USE OF OPERATION EXPERIENCE (OP EX)
: 30. OP EX CRs: 1) A list of CRs initiated to evaluate NRC generic communications (e.g.,
bulletins, information notices, generic letters, etc.); and 2) A list of CRs initiated to evaluate industry generic communications (industry operating experience, fleet operating experience, etc.). For both lists, include the date the CR was initiated, a brief description/title, and the status (if closed, include date closed; if open, include scheduled date to be closed).
(h) SELF-ASSESSMENT AND AUDITS
: 31. NON CAP QA AUDITS - A list of all other QA audits completed with a brief description of areas where findings were identified.
: 32. QA AUDIT SCHEDULE - The schedule of future QA audits.
: 33. NON CAP SELF-ASSESSMENTS - A chronological list of department and site self-assessments completed (include date completed).
: 34. SELF-ASSESSMENT CAPS - A list of CRs written for findings or concerns identified in self-assessments and audits. Include a short description/title of the finding, its status, and include a cross-reference to the audit or self-assessment number.
(i) SAFETY CONSCIOUS WORK ENVIRONMENT
: 35. SAFETY CONSCIOUS WORK ENVIRONMENT ASSESSMENTS - Copy of the results of safety culture and/or SCWE surveys or self-assessments. Include any organizational effectiveness surveys conducted by internal or external organizations. Include a listing of any action(s) resulting from the survey(s) and the status of the action(s).
: 36. ECP ISSUES - SCWE issues identified through alternate avenues, such as the employee concerns programs. If issue(s) are considered sensitive, in lieu of describing issue in the data package, provide a paper copy to the lead inspector at the start of the inspection.
(j) REGULATORY ISSUES - REVIEWED FOR ALL ASPECTS OF THE CAP PROGRAM
: 37. NRC FINDING CAPS - A list of CRs for issues (findings, violations, etc.) documented in NRC inspection reports. Include the CR number, brief description/title, date initiated and the status (if closed include date closed; if open, include scheduled date to be closed).
4
: 38. LICENSE IDENTIFIED VIOLATION CAPS - A list of CRs for licensee identified violations that have been documented in NRC inspection reports. Include the CR number, brief description/title, date initiated and the status (if closed, include date closed; if open, include scheduled date to be closed).
: 39. NRC ISSUES CAPS - A list of CRs associated with NRC-identified issues. Include the CR number, brief description/title, date initiated and the status (if closed, include date closed; if open, include scheduled date to be closed).
(k) 5-YEAR REVIEW - Please provide a list of the following CAP items pertaining to the Emergency Diesel Generators (EDGs; Units 1 and 2, both trains) since 2016. Please sort the information by unit and train.
: 40. CONDITION REPORTS - A list of CRs, include the CR number, brief description/title, significance level, level of evaluation (i.e., root cause, apparent cause, common cause etc.), date initiated, and the status (if closed, include date closed; if open, include scheduled date to be closed) applicable to the EDGs.
: 41. OPERATING EXPERIENCE - A list of evaluations conducted on internal and external industry operating experience applicable to the EDGs.
: 42. ASSESSMENTS - List of maintenance rule assessments (including, but not limited to MRFFs, a(1), etc), Quality Assurance (NOS) audits, self-assessments, system health reports and most recent MSPI submittal for EDGs.
: 43. Summary of maintenance rule classification and performance monitoring criteria for the EDGs.
: 44. A list of key EDG system issues being tracked either by Plant Health Committee, System Health Report, Plant Top Ten list or similar.
: 45. List of open/closed EDG operability assessments and adverse condition monitoring plans.
: 46. List of open/closed TMODs on EDGs.
: 47. List of currently open work orders for the EDGs.
(l) Miscellaneous:
: 48. Other documents including:
: a.      Updated Final Safety Analysis Report;
: b.      Technical Specifications;
: c.      Procedures and procedure index;
: d.      Copies of any self-assessments and associated IRs/CRs generated in preparation for this inspection; 5
: e.      A copy of the QA manual;
: f.      A list of the codes used in the CAP and Work Orders system(s);
: g.      A copy of the most recent monthly performance indicator document and the system health report or the equivalent documents and a copy of the equivalent documents from January 2019;
: h.      A copy of the latest independent/offsite organization review of safety culture/safety conscious work environment and organizational effectiveness and internal equivalent assessments if not provided as part of the requested data package; and
: i.      A copy of the maintenance rule scoping document containing licensee-established system and/or component performance goals and criteria for moving an item into maintenance rule (a)(1) status.
Other:
On the first day of the inspection, or early on the second day, please provide the inspection team a briefing of your CAP including an overview of your actions, if any, associated with recent industry efforts to improve the efficiency of the CAP (e.g. cumulative effects initiative). Include your expectations for personnel using the program and how the work order system fits into the overall scheme for addressing identified issues. Also, please demonstrate how to use a computer to access CAP data.
The lead inspector will also request to talk to/interview plant personnel to seek information about the plants SCWE. The lead inspector will discuss with your staff the protocol and format of the interviews, whether impromptu or scheduled individuals or groups. For this the inspector will need access to organizations charts showing position titles and names.
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Latest revision as of 19:32, 19 January 2022

Information Request to Support Upcomng Problem Identification and Resolution (Pi&R) Inspection at the Prairie Island Nuclear Generating Plant
ML21062A053
Person / Time
Site: Prairie Island  Xcel Energy icon.png
Issue date: 03/02/2021
From: Hironori Peterson
Region 3 Branch 3
To: Domingos C
Northern States Power Co
References
IR 2021011
Download: ML21062A053 (9)


Text

March 2, 2021 Mr. Christopher P. Domingos Site Vice President Prairie Island Nuclear Generating Plant Northern States Power Company, Minnesota 1717 Wakonade Drive East Welch, MN 55089-9642

SUBJECT:

INFORMATION REQUEST TO SUPPORT UPCOMING PROBLEM IDENTIFICATION AND RESOLUTION (PI&R) INSPECTION AT THE PRAIRIE ISLAND NUCLEAR GENERATING PLANT

Dear Mr. Domingos:

This letter is to request information to support our scheduled PI&R inspection beginning April 12, 2021, at the Prairie Island Nuclear Generating Plant. This inspection will be performed in accordance with the NRC baseline Inspection Procedure 71152.

Experience has shown that these inspections are extremely resource intensive both for the NRC inspectors and the utility staff. In order to minimize the impact that the inspection has on the site and to ensure a productive inspection, we have enclosed a list of documents required for the inspection.

As discussed with your staff, portions of this inspection will be performed remotely due to potential logistical impacts resulting from the COVID-19 public health emergency. Specific portions of this inspection requiring the onsite physical presence of inspectors, such as the required system walkdowns, etc., are planned to be performed by the Resident Inspectors during the three-week inspection period. We appreciate the flexibility of your staff in these matters.

The documents requested are copies of condition reports and lists of information necessary to ensure the inspection team is adequately prepared for the inspection. The information requested should be accessible remotely for NRC review by Monday, March 22, 2021. Please also provide Mr. Nirodh Shah, the Lead Inspector, a copy of the information in CD/DVD format by that date. Mr. Shah will also contact your staff to determine the best method of providing the requested information.

If there are any questions about the material requested, or the inspection in general, please contact Mr. Shah at 815-829-9821 or Nirodh.Shah@nrc.gov.

This letter does not contain new or amended information collection requirements subject to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). Existing information collection requirements were approved by the Office of Management and Budget, Control Number 3150-0011.

C. Domingos The NRC may not conduct or sponsor, and a person is not required to respond to, a request for information or an information collection requirement unless the requesting document displays a currently valid Office of Management and Budget control number.

In accordance with Title 10 of the Code of Federal Regulations (CFR) 2.390, Public Inspections, Exemptions, Requests for Withholding, of the NRC's "Rules of Practice," a copy of this letter, its enclosures, and your response (if any) will be available electronically for public inspection in the NRCs Public Document Room or from the Publicly Available Records System (PARS) component of NRC's Agencywide Document Access and Management System (ADAMS). ADAMS is accessible from the NRC Website at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,

/RA/

Hironori Peterson, Chief Branch 3 Division of Reactor Projects Docket Nos. 05000282; 05000306 License Nos. DPR-42; DPR-60

Enclosure:

Requested Information to Support PI&R Inspection cc: Distribution via LISTSERV

C. Domingos Letter to Christopher P. Domingos from Hironori Peterson dated March 2, 2021.

SUBJECT:

INFORMATION REQUEST TO SUPPORT UPCOMING PROBLEM IDENTIFICATION AND RESOLUTION (PI&R) INSPECTION AT THE PRAIRIE ISLAND NUCLEAR GENERATING PLANT DISTRIBUTION:

Jessie Quichocho Mark Haire RidsNrrPMPrairieIsland Resource RidsNrrDorlLpl3 RidsNrrDroIrib Resource John Giessner Kenneth OBrien Jamnes Cameron Allan Barker DRPIII DRSIII ADAMS Accession Number: ML21062A053 Publicly Available Non-Publicly Available Sensitive Non-Sensitive OFFICE RIII RIII NAME NShah:mb via HPeterson via e-mail e-mail DATE 03/02/2021 03/02/2021 OFFICIAL RECORD COPY

REQUESTED INFORMATION TO SUPPORT PROBLEM IDENTIFICATION AND RESOLUTION (PI&R) INSPECTION INSPECTION REPORT 05000282/2021011; 05000306/2021011 Please provide the information on a DVD or compact disc (external thumb drives can no longer be used on NRC computers) sent to the Team Lead. All other documents will be provided to the Team via CERTREC. Please identify the folders on the compact disc (and on CERTREC) using the number system, or subject heading, of each numbered request below. Unless otherwise specified, the time frame for requested information is for the period starting March 1, 2019, through the time the data request is answered. For requested lists please provide the information, if possible, in a sortable Excel spreadsheet format. Unless otherwise stated, the information request should include all major plant departments (i.e., operations, engineering, maintenance, radiation protection, security and emergency preparedness).

In addition, each Team member will require an account access for CERTREC.

(a) PROGRAM DOCUMENTS

1. A current copy of administrative procedure(s) for the corrective action program (CAP),

quality assurance (QA) audit program, self-assessment program, corrective action effectiveness review program, trending program, industry experience review program, maintenance rule program and top-level documents for the work control programs, work scheduling programs, and aging management program(s).

2. A current copy of the Employee Concerns Program (ECP)/Ombudsman administrative procedure(s).
3. Description of any substantive changes made to the CAP philosophy or operation since the last biennial PI&R Inspection in 2018. Please include with each listed substantive change the effective date of the change. Administrative and non-substantive changes do not need to be listed.

(b) CAP EFFECTIVENESSPROBLEM IDENTIFICATION

4. OPEN Condition Reports (CRs) - A list of all open CRs sorted by significance level.

Include CR number, the date initiated, a brief description/title, system affected if any, significance level, and anticipated completion date, if available. This list should be grouped by responsible department and listed in order of initiation date (oldest listed first).

5. CORPORATE CRs - A list of CRs generated by the corporate office that involve or affect plant operation, sorted by significance level. Include the date initiated, a brief description/title, site(s) affected, system affected, significance/priority level, assigned organization, and status (if closed include date closed; if open, include scheduled date to be closed).
6. CR GENERATION - A data table (or similar format) showing the total number of CRs generated per year since 2018, sorted by department (i.e., operations, engineering, security etc.).

Enclosure

7. EXTERNAL CR NUMBERS - A data table showing the number of issues identified externally (NRC, INPO, other etc.) per year as compared to internally since 2018.
8. PLANT TRANSIENTS - A list of plant trips, unplanned down powers (greater than 20 percent), limiting condition for operation entries (not scheduled), and licensee event reports, including dates of these events.
9. CONTROL ROOM DEFICIENCIES - A list of current control room deficiencies and operator work-arounds, sorted by priority, with a brief description/title and corresponding CR and/or work order number.

(c) CAP EFFECTIVENESSPROBLEM PRIORITIZATION AND EVALUATION

10. ROOT CAUSES - A list of completed root cause evaluations with a brief description of the issue. Provide status of any actions developed as part of the evaluations. Include a reference, if not part of the root cause package, to the documents and/or CRs directing and tracking the actions.
11. APPARENT CAUSES - A list of completed apparent cause evaluations with a brief description of the issue. Provide status of any actions developed as part of the evaluations. Include a reference, if not part of the apparent cause package, to the documents and/or CRs directing and tracking the actions.
12. CLOSED CRs - A list of closed CRs sorted by significance level and then initiation date.

Include CR number, a brief description/title, the significance level, the date initiated and closed, assigned organization, system affected, and whether there was an associated operability evaluation.

13. OPERABILITY EVALUATIONS - A list of operability evaluations. Include a brief description/title of the issue, date initiated, date closed, or date anticipated to be closed.

Include any operability evaluations that are still open that were initiated prior to June 1, 2018.

14. MAINTENANCE RULE - A listing of cause analyses, corrective actions documents, and trend analyses for systems and components considered Maintenance Rule (a)(1).

Provide copies of the applicable system health report sections and maintenance rule action plans for those systems starting 1 year earlier from when the system or component entered (a)(1) status. Include dates when system/components entered (a)(1) status and, if applicable, returned to (a)(2) status. For recurring reports, the most recent and middle-of-year and end-of-year reports are sufficient; monthly reports are not required.

15. IN SERVICE TESTING (IST) - A list of test failures (IST or Technical Specifications surveillances) with a brief description of component/system failed. Indicate if the failure was a maintenance preventable failure.
16. TEMPORARY MODIFICATIONS - A list of temporary modifications with a brief description of the modification, installation date, and date closed or anticipated closure date. Include any open temporary modifications that were installed prior to June 1, 2018.

2

(d) CAP EFFECTIVENESSCORRECTIVE ACTIONS

17. OPEN ACTIONS - A list of open corrective actions, sorted by significance/priority level, with a brief description/title, initiating date and due date. The list should include the number of due date extension and be grouped by the responsible department.
18. EFFECTIVENESS REVIEWS - A list of completed effectiveness reviews with a brief description of the results. Include a cross-reference to the CRs for which the effectiveness review was conducted and, if applicable, CR numbers documenting any additional follow-up actions.
19. INADEQUATE ACTIONS - A list of CRs initiated for inadequate or ineffective corrective actions. Include the date initiated, a brief description/title, significance/priority level, system affected, assigned organization, and status (if closed, include date closed; if open, include scheduled date to be closed). Include a cross-reference to the CR or evaluation that generated the original corrective action.
20. REWORK - A list of rework items and repeat failures. Include cross-references to applicable Work Orders and CRs.
21. OPEN WORK ORDERS - A list of open work orders/equipment work requests with a brief description. Identify the work order as outage or non-outage, the date of initiation and scheduled or anticipated closure date, if available. If applicable, also provide the classification of the work orders with the recent industry classification scheme. Provide an explanation of the classification scheme and the procedure governing the classification. Work requests/work orders not associated with a degraded equipment condition (e.g., work orders for voluntary plant upgrades) do not have to be included in the list.

(e) CAP ASSESSMENT - PROBLEM IDENTIFICATION

22. QA AUDITS - A copy of QA audits of the CAP.
23. PI&R ASSESSMENT - A copy of self-assessments and associated CRs generated in preparation for this PI&R inspection.
24. CAP SELF-ASSESSMENTS - A copy of completed CAP self-assessments and the plan/schedule for future CAP self-assessments.
25. CAP PERFORMANCE INDICATORS - A copy of any performance reports or indicators used to track CAP effectiveness for the past 24 months. The most recent data and end-of-quarter data will suffice; monthly reports are not required.

(f) CAP ASSESSMENT - CORRECTIVE ACTIONS

26. TREND REPORTS - Copies of any completed trend reports for CRs. Quarterly trend reports are acceptable; copies of all monthly reports are not required.
27. TREND CRs - A list of CRs initiated for trends of conditions adverse to quality. Include the date initiated, a brief description/title, significance/priority level, and status (if closed include date closed; if open, include scheduled date to be closed).

3

28. WORK ORDER TRENDS - A copy of any trend reports for work orders. The most recent trend reports and those that existed at the end-of-year and middle-of-year are acceptable; copies of monthly reports are not required. Include a copy of a recent (within 2 months of the data submittal) graph or document showing the status of work week planning of work activities.
29. Copies of all apparent, common and/or root cause evaluations initiated to address identified adverse human performance trends or safety culture adverse trends.

(g) USE OF OPERATION EXPERIENCE (OP EX)

30. OP EX CRs: 1) A list of CRs initiated to evaluate NRC generic communications (e.g.,

bulletins, information notices, generic letters, etc.); and 2) A list of CRs initiated to evaluate industry generic communications (industry operating experience, fleet operating experience, etc.). For both lists, include the date the CR was initiated, a brief description/title, and the status (if closed, include date closed; if open, include scheduled date to be closed).

(h) SELF-ASSESSMENT AND AUDITS

31. NON CAP QA AUDITS - A list of all other QA audits completed with a brief description of areas where findings were identified.
32. QA AUDIT SCHEDULE - The schedule of future QA audits.
33. NON CAP SELF-ASSESSMENTS - A chronological list of department and site self-assessments completed (include date completed).
34. SELF-ASSESSMENT CAPS - A list of CRs written for findings or concerns identified in self-assessments and audits. Include a short description/title of the finding, its status, and include a cross-reference to the audit or self-assessment number.

(i) SAFETY CONSCIOUS WORK ENVIRONMENT

35. SAFETY CONSCIOUS WORK ENVIRONMENT ASSESSMENTS - Copy of the results of safety culture and/or SCWE surveys or self-assessments. Include any organizational effectiveness surveys conducted by internal or external organizations. Include a listing of any action(s) resulting from the survey(s) and the status of the action(s).
36. ECP ISSUES - SCWE issues identified through alternate avenues, such as the employee concerns programs. If issue(s) are considered sensitive, in lieu of describing issue in the data package, provide a paper copy to the lead inspector at the start of the inspection.

(j) REGULATORY ISSUES - REVIEWED FOR ALL ASPECTS OF THE CAP PROGRAM

37. NRC FINDING CAPS - A list of CRs for issues (findings, violations, etc.) documented in NRC inspection reports. Include the CR number, brief description/title, date initiated and the status (if closed include date closed; if open, include scheduled date to be closed).

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38. LICENSE IDENTIFIED VIOLATION CAPS - A list of CRs for licensee identified violations that have been documented in NRC inspection reports. Include the CR number, brief description/title, date initiated and the status (if closed, include date closed; if open, include scheduled date to be closed).
39. NRC ISSUES CAPS - A list of CRs associated with NRC-identified issues. Include the CR number, brief description/title, date initiated and the status (if closed, include date closed; if open, include scheduled date to be closed).

(k) 5-YEAR REVIEW - Please provide a list of the following CAP items pertaining to the Emergency Diesel Generators (EDGs; Units 1 and 2, both trains) since 2016. Please sort the information by unit and train.

40. CONDITION REPORTS - A list of CRs, include the CR number, brief description/title, significance level, level of evaluation (i.e., root cause, apparent cause, common cause etc.), date initiated, and the status (if closed, include date closed; if open, include scheduled date to be closed) applicable to the EDGs.
41. OPERATING EXPERIENCE - A list of evaluations conducted on internal and external industry operating experience applicable to the EDGs.
42. ASSESSMENTS - List of maintenance rule assessments (including, but not limited to MRFFs, a(1), etc), Quality Assurance (NOS) audits, self-assessments, system health reports and most recent MSPI submittal for EDGs.
43. Summary of maintenance rule classification and performance monitoring criteria for the EDGs.
44. A list of key EDG system issues being tracked either by Plant Health Committee, System Health Report, Plant Top Ten list or similar.
45. List of open/closed EDG operability assessments and adverse condition monitoring plans.
46. List of open/closed TMODs on EDGs.
47. List of currently open work orders for the EDGs.

(l) Miscellaneous:

48. Other documents including:
a. Updated Final Safety Analysis Report;
b. Technical Specifications;
c. Procedures and procedure index;
d. Copies of any self-assessments and associated IRs/CRs generated in preparation for this inspection; 5
e. A copy of the QA manual;
f. A list of the codes used in the CAP and Work Orders system(s);
g. A copy of the most recent monthly performance indicator document and the system health report or the equivalent documents and a copy of the equivalent documents from January 2019;
h. A copy of the latest independent/offsite organization review of safety culture/safety conscious work environment and organizational effectiveness and internal equivalent assessments if not provided as part of the requested data package; and
i. A copy of the maintenance rule scoping document containing licensee-established system and/or component performance goals and criteria for moving an item into maintenance rule (a)(1) status.

Other:

On the first day of the inspection, or early on the second day, please provide the inspection team a briefing of your CAP including an overview of your actions, if any, associated with recent industry efforts to improve the efficiency of the CAP (e.g. cumulative effects initiative). Include your expectations for personnel using the program and how the work order system fits into the overall scheme for addressing identified issues. Also, please demonstrate how to use a computer to access CAP data.

The lead inspector will also request to talk to/interview plant personnel to seek information about the plants SCWE. The lead inspector will discuss with your staff the protocol and format of the interviews, whether impromptu or scheduled individuals or groups. For this the inspector will need access to organizations charts showing position titles and names.

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