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PursuanttoourletterofDecember12,1984onthesamesubjectandyoursubsequentagreementinyourDecember26,1984letter,enclosedisNiagaraMohawkPowerCorporation'sFinalSummaryReportfortheDetailedControlRoomDesignReviewofNineMilePointUnit1.ThisrepresentscompletionofprogramcommitmentsmadeinourDecember12thletterandotherNRCcommunicationsreachingbacktoourProgramPlanof,September30,1983.AnappropriateresolutionofcurrentlyidentifiedHumanEngineeringObservationsderivedfromtheprogramhasbeendeterminedandcommitted.Designdetailingandschedulingoffixesissubstantiallycompletealthoughsomefurtherfollow-onworkofthistypeisrequiredinafewcasestofinalizethedesign.Therearesomefurtherverification/validationstepsandotherprogramactivitieswhichinteractwiththeDetailedControlRoomDesignReview.Theseactivitieshavebeenidentified,structuredandareinprogress.Whenthesearecompletedinthenearfuture,afewchangesmayresultbuttheyarenotexpectedtobeofasubstantialnature.850705026185070lPDRADOCK05000220PDR,,
PursuanttoourletterofDecember12,1984onthesamesubjectandyoursubsequentagreementinyourDecember26,1984letter,enclosedisNiagaraMohawkPowerCorporation'sFinalSummaryReportfortheDetailedControlRoomDesignReviewofNineMilePointUnit1.ThisrepresentscompletionofprogramcommitmentsmadeinourDecember12thletterandotherNRCcommunicationsreachingbacktoourProgramPlanof,September30,1983.AnappropriateresolutionofcurrentlyidentifiedHumanEngineeringObservationsderivedfromtheprogramhasbeendeterminedandcommitted.Designdetailingandschedulingoffixesissubstantiallycompletealthoughsomefurtherfollow-onworkofthistypeisrequiredinafewcasestofinalizethedesign.Therearesomefurtherverification/validationstepsandotherprogramactivitieswhichinteractwiththeDetailedControlRoomDesignReview.Theseactivitieshavebeenidentified,structuredandareinprogress.Whenthesearecompletedinthenearfuture,afewchangesmayresultbuttheyarenotexpectedtobeofasubstantialnature.850705026185070lPDRADOCK05000220PDR,,
1(1',r'k~l1f'(I,ff1=lyIi'll1,=ff(yy,y'I,l,'1I(~II'C,1'l'I(-C..J,Clr,y'\(""*11II~IIlIiI'~I1,(P~,,I'l,IIII11IIjIh',,>'f1,('I"I1(I111II(liIfffll,i(iI1I1'i!yr(~011''yllffi,l1y4ffF1Ilff'lk,(ffy'*(\IIrl July1,1985Page2Likewise,wehavehadthreemajorreview/auditsessionswithmembersoftheNRC'sstaffinAugust1984,November1984andMay1985.Theagreementsmadeandquestionsansweredasaresultofthesesessionshavebeenincludedintheattachedreport.Insummary,webelievethattheprogramissubstantiallycompleteorwell-defined,andthatsufficientdetailingiscontainedinthisFinalSummaryReporttoallowtheNRCtoadequatelyreviewandapproveourDetailedControlRoomDesignReviewProgram.Sincerely,NIAGARAMOHAWKPOWERCORPORATIONJLB/bdC.V.MangaVicePresidentNuclearEngineeringandLicensing 0'f4hflt4I'ltllI'IK)'hJ1 NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTTABLEOFCONTENTSSection&#xb9;TitlePage&#xb9;1.02.03.04.05.0IntroductionExecutiveSummaryProgramManagement3.1Staffing3.2ProgramStructure8Processes3.3ScheduleandManagementReviews/ReportsProgramTasks4.1OperatorSurvey4.2HistoricalReview4.3TaskAnalysis4.4ControlRoomInventory4.5ControlRoomSurvey4.6VerificationofTaskPerformanceCapabilities4.7ValidationofControlRoomFunctions4.8SafetyParameterDisplay4.9ReviewofEmergencyOperationsFacility,4.10HumanFactorsManualforFutureDesignChangeProgramFindings5.1OverallHEOCharacterization5.2AssessmentResolutionProcess5.3CorrectiveActionsandVerifications5.4'ollow-ons,Interactions,andInteractionActivities2-13-13-13-43-134-14-24-884-974-1084-1144-1324-1374-1794-1824-1845-1'-15;65-165-40 s<iauYOiJCICc.
1(1',r'k~l1f'(I,ff1=lyIi'll1,=ff(yy,y'I,l,'1I(~II'C,1'l'I(-C..J,Clr,y'\(""*11II~IIlIiI'~I1,(P~,,I'l,IIII11IIjIh',,>'f1,('I"I1(I111II(liIfffll,i(iI1I1'i!yr(~011''yllffi,l1y4ffF1Ilff'lk,(ffy'*(\IIrl July1,1985Page2Likewise,wehavehadthreemajorreview/auditsessionswithmembersoftheNRC'sstaffinAugust1984,November1984andMay1985.Theagreementsmadeandquestionsansweredasaresultofthesesessionshavebeenincludedintheattachedreport.Insummary,webelievethattheprogramissubstantiallycompleteorwell-defined,andthatsufficientdetailingiscontainedinthisFinalSummaryReporttoallowtheNRCtoadequatelyreviewandapproveourDetailedControlRoomDesignReviewProgram.Sincerely,NIAGARAMOHAWKPOWERCORPORATIONJLB/bdC.V.MangaVicePresidentNuclearEngineeringandLicensing 0'f4hflt4I'ltllI'IK)'hJ1 NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTTABLEOFCONTENTSSection&#xb9;TitlePage&#xb9;1.02.03.04.05.0IntroductionExecutiveSummaryProgramManagement3.1Staffing3.2ProgramStructure8Processes3.3ScheduleandManagementReviews/ReportsProgramTasks4.1OperatorSurvey4.2HistoricalReview4.3TaskAnalysis4.4ControlRoomInventory4.5ControlRoomSurvey4.6VerificationofTaskPerformanceCapabilities4.7ValidationofControlRoomFunctions4.8SafetyParameterDisplay4.9ReviewofEmergencyOperationsFacility,4.10HumanFactorsManualforFutureDesignChangeProgramFindings5.1OverallHEOCharacterization5.2AssessmentResolutionProcess5.3CorrectiveActionsandVerifications5.4'ollow-ons,Interactions,andInteractionActivities2-13-13-13-43-134-14-24-884-974-1084-1144-1324-1374-1794-1824-1845-1'-15;65-165-40 s<iauYOiJCICc.
NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTTABLEOFCONTENTS(Continued)AppendicesAppendixAAppendixBTitleProgramTeamMake-UpHistoricalReview-ProblemAnalysisReportsLocationVolume2Volume2AppendixCAppendixDAppendixEHEOSourceIndexIntegratedCosmeticPackageVolume3Volume2BWROwner'sGroupChecklistandSupplementVolume2 Ai~*~wr1 NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFTABLESTables4.1-14.1-24.2-14.2-24.3-14.3-24.5-14.7-14.7-24.7-34.7-44.7-54.7-64.7-7TitlePersonnelSurveySummaryFormCommentTableClassificationofLERsClassificationofScramReportsTaskDescriptionFormListofTasksAugmentedDuringReviewReviewofCRModificationsValidationCriteriaPae&#xb9;4-9to4-114-14to4-874-91to4-924-934-99to4-1024-1074-119to4-1204-1'38to4-139SelectedEventsShowingEPGSectionsExercised4-141TasksRepresentedinLOCAInsideDrywellTasksRepresentedinHighActivityinCondenserOff-Gas4-1444-145TasksRepresentedinMainSteamLineBreakOutsideContainmentRepresented/Non-RepresentedTasksinEventScenario4-1474-148to4-159TasksRepresentedinFailureofReactortoScram4-1464.10-1TableofContentsofHumanFactorsDesignManual4-186to4-1895.1-15.2-15.2-2SummaryofHEOCharacterizationSafetySignificance/RiskCategoriesforHEOsHumanFactorsConsiderationsforProposedHEOFixes5-55-125-13 9""SvIV NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFTABLES(Continued)TablesTitlePae&#xb9;5.2-35.2-45.3-1InteractionalImpactConsiderationsforProposed5-14HEOFixesRiskvs.ImpactConsiderationsforProposedHEO5-15FixesOperatorResponsetoICPVerificationguestionn 30to5-34aire5.3-2FunctionalFixDetails5-35to5-39 C/g"l NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFFIGURES~FiuresTitlePae&#xb9;3.2-14.1.14.2-14.3-14.5-14.5-24.7-15.4-1DCRDRProgramTa'sks/ElementsKeyforCommentTableProblemAnalysisReport(PAR)TaskAnalysisInstrumentationRequirementFormControlofHumanEngineeringObservationRecordIlluminationSurveyResultsValidationReviewWorksheetRelationalDiagram-ProgramInteractions3-154-114-91to4-924-1034-1174-1224-1615-49 Ig'>f'..<~.4~g'P~YC'"CCPil(':5;i!"
NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTTABLEOFCONTENTS(Continued)AppendicesAppendixAAppendixBTitleProgramTeamMake-UpHistoricalReview-ProblemAnalysisReportsLocationVolume2Volume2AppendixCAppendixDAppendixEHEOSourceIndexIntegratedCosmeticPackageVolume3Volume2BWROwner'sGroupChecklistandSupplementVolume2 Ai~*~wr1 NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFTABLESTables4.1-14.1-24.2-14.2-24.3-14.3-24.5-14.7-14.7-24.7-34.7-44.7-54.7-64.7-7TitlePersonnelSurveySummaryFormCommentTableClassificationofLERsClassificationofScramReportsTaskDescriptionFormListofTasksAugmentedDuringReviewReviewofCRModificationsValidationCriteriaPae&#xb9;4-9to4-114-14to4-874-91to4-924-934-99to4-1024-1074-119to4-1204-1'38to4-139SelectedEventsShowingEPGSectionsExercised4-141TasksRepresentedinLOCAInsideDrywellTasksRepresentedinHighActivityinCondenserOff-Gas4-1444-145TasksRepresentedinMainSteamLineBreakOutsideContainmentRepresented/Non-RepresentedTasksinEventScenario4-1474-148to4-159TasksRepresentedinFailureofReactortoScram4-1464.10-1TableofContentsofHumanFactorsDesignManual4-186to4-1895.1-15.2-15.2-2SummaryofHEOCharacterizationSafetySignificance/RiskCategoriesforHEOsHumanFactorsConsiderationsforProposedHEOFixes5-55-125-13 9""SvIV NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFTABLES(Continued)TablesTitlePae&#xb9;5.2-35.2-45.3-1InteractionalImpactConsiderationsforProposed5-14HEOFixesRiskvs.ImpactConsiderationsforProposedHEO5-15FixesOperatorResponsetoICPVerificationguestionn-5-30to5-34aire5.3-2FunctionalFixDetails5-35to5-39 C/g"l NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFFIGURES~FiuresTitlePae&#xb9;3.2-14.1.14.2-14.3-14.5-14.5-24.7-15.4-1DCRDRProgramTa'sks/ElementsKeyforCommentTableProblemAnalysisReport(PAR)TaskAnalysisInstrumentationRequirementFormControlofHumanEngineeringObservationRecordIlluminationSurveyResultsValidationReviewWorksheetRelationalDiagram-ProgramInteractions3-154-114-91to4-924-1034-1174-1224-1615-49 Ig'>f'..<~.4~g'P~YC'"CCPil(':5;i!"
NineMilePointUnit1DetailedControlRoomDesinReviewFinalSummarReort1.0IntroductionSeveralspecialinquirygroupswereestablishedbytheNuclearRegulatoryCommission(NRC)toinvestigatethecauseandconsequencesoftheaccidentatThreeMileIslandUnit2(TMI-2).Itbecameevidentduringtheseinvestigationsthathumanerrorcontributedtotheaccident.TheconclusionreachedfromtheHumanFactorspartoftheseinvestigationswasthatthehumanerrorsweresubstantiallyduetoequipmentdesign,informationpresentation,andoperatortraining,allofwhichdidnotreflectstandardhumanengineeringprinciplesandpractices.TheresultsofthisstudyweredocumentedinNUREG/CR-1270,"HumanFactorsEvaluationofControlRoomDesignandOperatorPerformanceatThreeMileIslandUnit2(Volumes1,2and3).Followingthisreviewandtheassessmentofotherinquirygroups,theNRCrecommendedthataHumanFactorsreviewbeperformedonnuclearpowerplantcontrolrooms.ThisguidancewasdocumentedinNUREG-0660,"NRCActionPlanDevelopedAsaResultoftheTMI-2Accident";NUREG-0694,"TMIRelatedRequirementsforNewOperatingLicensees";andNUREG-0737,"ClarificationofTMIActionPlanRequirements."1-1 3'i5i'/~+f'3~')''Vs.'illlU'"AG.i'3"Tl'3-0~)~I>"'.9I()"!.ic<,<pealf".s.'r.,C"fy'~f[vi4~~iI).7f3ii(pr~lG'~c"C,lb'"gI OperatingreactorlicenseesandapplicantsforoperatinglicenseswererequestedtoperformaDetailedControlRoomDesignReview(DCRDR)toassessandevaluatethecontrolroomworkspace,instrumentation,controls,environment,andotherequipmentfromaHumanFactorsengineeringperspectiveinaccordancewithTaskI.D.lofNUREG-0660.Thisprocesstakesintoaccountbothsystemdemandsandoperatorcapabilitiesandidentifies,assesses,recommendsandimplementscontrolroomdesignrecommendationsand/ormodificationsthatwillcorrectinadequateorunacceptableitems.NiagaraMohawkPowerCorporation(NMPC)carriedoutthisprogramonNineMilePointUnit1(NMP-1)intwomajorphases.TheinitialphaseIwasanearlyHumanFactorsreviewundertheauspicesoftheBoilingWaterReactor(BWR)OwnersGroupinaccordancewiththemethodologytheydevelopedforconductingcontrolroomdesignreviews,asdescribedintheirprogramdocumentation.(SeeNEDC30285,"BWROwnersGroupControlRoomDesignReviewProgram.)Thiswasdoneonaninitialsetof16BWRplantswithateamconsistingofOperationsrepresentativesfromtheparticipatingutilities,EngineeringexpertisefromGE,andleadbyprominentHumanFactorsexperts.'hisinitialreviewwascompletedonNMP-1inJuly1981,theresultingHumanEngineeringObservations(HEO's)werecompiled,andageneralassessmentwascarriedoutwhichverifiedthattherewerenosevereproblemsrequiringimmediateresolution.TheseresultswerepublishedinNMPC'sSummaryReportandProgramPlanofSeptember30,1983,alongwithNMPC'soutlineforPhaseIItocompletetheDetailedControlRoomDesignReview(DCRDR)Program.1-2 f'!.'iA~>>''f2'(.,>lfAf(,r2)T.:~i~'".IZgilf;,-'ip,"(L+g'lib.iPv'~>
NineMilePointUnit1DetailedControlRoomDesinReviewFinalSummarReort1.0IntroductionSeveralspecialinquirygroupswereestablishedbytheNuclearRegulatoryCommission(NRC)toinvestigatethecauseandconsequencesoftheaccidentatThreeMileIslandUnit2(TMI-2).Itbecameevidentduringtheseinvestigationsthathumanerrorcontributedtotheaccident.TheconclusionreachedfromtheHumanFactorspartoftheseinvestigationswasthatthehumanerrorsweresubstantiallyduetoequipmentdesign,informationpresentation,andoperatortraining,allofwhichdidnotreflectstandardhumanengineeringprinciplesandpractices.TheresultsofthisstudyweredocumentedinNUREG/CR-1270,"HumanFactorsEvaluationofControlRoomDesignandOperatorPerformanceatThreeMileIslandUnit2(Volumes1,2and3).Followingthisreviewandtheassessmentofotherinquirygroups,theNRCrecommendedthataHumanFactorsreviewbeperformedonnuclearpowerplantcontrolrooms.ThisguidancewasdocumentedinNUREG-0660,"NRCActionPlanDevelopedAsaResultoftheTMI-2Accident";NUREG-0694,"TMIRelatedRequirementsforNewOperatingLicensees";andNUREG-0737,"ClarificationofTMIActionPlanRequirements."1-1 3'i5i'/~+f'3~')''Vs.'illlU'"AG.i'3"Tl'3-0~)~I>"'.9I()"!.ic<,<pealf".s.'r.,C"fy'~f[vi4~~iI).7f3ii(pr~lG'~c"C,lb'"gI OperatingreactorlicenseesandapplicantsforoperatinglicenseswererequestedtoperformaDetailedControlRoomDesignReview(DCRDR)toassessandevaluatethecontrolroomworkspace,instrumentation,controls,environment,andotherequipmentfromaHumanFactorsengineeringperspectiveinaccordancewithTaskI.D.lofNUREG-0660.Thisprocesstakesintoaccountbothsystemdemandsandoperatorcapabilitiesandidentifies,assesses,recommendsandimplementscontrolroomdesignrecommendationsand/ormodificationsthatwillcorrectinadequateorunacceptableitems.NiagaraMohawkPowerCorporation(NMPC)carriedoutthisprogramonNineMilePointUnit1(NMP-1)intwomajorphases.TheinitialphaseIwasanearlyHumanFactorsreviewundertheauspicesoftheBoilingWaterReactor(BWR)OwnersGroupinaccordancewiththemethodologytheydevelopedforconductingcontrolroomdesignreviews,asdescribedintheirprogramdocumentation.(SeeNEDC30285,"BWROwnersGroupControlRoomDesignReviewProgram.)Thiswasdoneonaninitialsetof16BWRplantswithateamconsistingofOperationsrepresentativesfromtheparticipatingutilities,EngineeringexpertisefromGE,andleadbyprominentHumanFactorsexperts.'hisinitialreviewwascompletedonNMP-1inJuly1981,theresultingHumanEngineeringObservations(HEO's)werecompiled,andageneralassessmentwascarriedoutwhichverifiedthattherewerenosevereproblemsrequiringimmediateresolution.TheseresultswerepublishedinNMPC'sSummaryReportandProgramPlanofSeptember30,1983,alongwithNMPC'soutlineforPhaseIItocompletetheDetailedControlRoomDesignReview(DCRDR)Program.1-2 f'!.'iA~>>''f2'(.,>lfAf(,r2)T.:~i~'".IZgilf;,-'ip,"(L+g'lib.iPv'~>
AlthoughremedialactionsproceededonsomeoftheHEO'sintheinterimbecauseofon-goingplantmodificationprogramsforotherreasons,theHf0'sthemselveswere"banked"untilthisfinalphaseoftheoverallprogramwasreadytobeinitiatedinresponsetothefollow-onNRCguidanceprovidedinNUREG-0737,Supplementl.AdvancedResourceDevelopment(ARD)Corporationwashiredinthespringof1984toprovidetheHumanFactorsexpertiseandhadpastDCRDRexperiencewhichcouldbeusedtohelpNMPCcarryoutthefinalphaseoftheirprogram.Theintentwastocarryoutawell-developedHumanFactorsreviewwhichappropriatelymelded-intheinitialphaseresultsonamutuallyconsistentbasis.FinalphaseprogramactivitiesweregenerallybasedontheNRC'sguidanceprovidedinNUREG-0700,"GuidelinesforControlRoomDesignReviews",butjudgmentwasappliedasneededtofittheNMP-1situation.Forinstance,theBWROwner'sGroupchecklistwasusedintheinitialphaseanditssupplementwasusedinthefinalphase.TheorganizationandprogramprocessesaredescribedinSection3.0ofthisreport,thedetailsoftheprogramreview/analysisactivitiesarecoveredinSection4.0,andSection5.0describestheprogramresults,includingtheassessment/resolutionandfollow-onactivities.1-3  
AlthoughremedialactionsproceededonsomeoftheHEO'sintheinterimbecauseofon-goingplantmodificationprogramsforotherreasons,theHf0'sthemselveswere"banked"untilthisfinalphaseoftheoverallprogramwasreadytobeinitiatedinresponsetothefollow-onNRCguidanceprovidedinNUREG-0737,Supplementl.AdvancedResourceDevelopment(ARD)Corporationwashiredinthespringof1984toprovidetheHumanFactorsexpertiseandhadpastDCRDRexperiencewhichcouldbeusedtohelpNMPCcarryoutthefinalphaseoftheirprogram.Theintentwastocarryoutawell-developedHumanFactorsreviewwhichappropriatelymelded-intheinitialphaseresultsonamutuallyconsistentbasis.FinalphaseprogramactivitiesweregenerallybasedontheNRC'sguidanceprovidedinNUREG-0700,"GuidelinesforControlRoomDesignReviews",butjudgmentwasappliedasneededtofittheNMP-1situation.Forinstance,theBWROwner'sGroupchecklistwasusedintheinitialphaseanditssupplementwasusedinthefinalphase.TheorganizationandprogramprocessesaredescribedinSection3.0ofthisreport,thedetailsoftheprogramreview/analysisactivitiesarecoveredinSection4.0,andSection5.0describestheprogramresults,includingtheassessment/resolutionandfollow-onactivities.1-3  
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Positions-CloseAuto-Open,etc.ControlStatusLights-greenred-amberBacklitLegendsOtherLabels(labelsassociatedwithinstrument)4.4.3ControllersThefollowingdatawerecompiledoneachController:.~PanelaInstrumentNumber~SystemName~ParameterMeasuredflow-pressureleveltemperature-volumeLabelNameManufacturerNameManufacturerModelNumberTypeofIndicatorDCECDrum-typeCounterElectronicCounterM-MeterR-RecorderLLNLLegendLightNon-legendLight4-111  
Positions-CloseAuto-Open,etc.ControlStatusLights-greenred-amberBacklitLegendsOtherLabels(labelsassociatedwithinstrument)4.4.3ControllersThefollowingdatawerecompiledoneachController:.~PanelaInstrumentNumber~SystemName~ParameterMeasuredflow-pressureleveltemperature-volumeLabelNameManufacturerNameManufacturerModelNumberTypeofIndicatorDCECDrum-typeCounterElectronicCounterM-MeterR-RecorderLLNLLegendLightNon-legendLight4-111  


Range0 1-100,etc.Divisions10's-5's,etc.Unitspsiglbsinches,etc.Controls-auto/man-setpoint-parameteroTypeofControlJ-J-handleJSKLPNPRSSSJoyStickKey-operatedswitchLegendpushbuttonNon-legendpushbuttonRotaryswitchSlideswitchTH-T-handleTG-ToggleswitchTW-ThumbwheelPosition-start,stoptrip-close,openScaleMarkings-operatingband-specificvalue-multiplierOtherlabels(labelsassociatedwithinstrument)4-112  
Range0-5-1-100,etc.Divisions10's-5's,etc.Unitspsiglbsinches,etc.Controls-auto/man-setpoint-parameteroTypeofControlJ-J-handleJSKLPNPRSSSJoyStickKey-operatedswitchLegendpushbuttonNon-legendpushbuttonRotaryswitchSlideswitchTH-T-handleTG-ToggleswitchTW-ThumbwheelPosition-start,stoptrip-close,openScaleMarkings-operatingband-specificvalue-multiplierOtherlabels(labelsassociatedwithinstrument)4-112  


4.4.4AnnunciatorsAspecialannunciatorinventorywasestablishedandverifiedfromalistingoftheNMP-1annunciators.Usingthisinventoryandaprintoutoftheannunciatorrequirementsestablishedinthetaskanalysis,annunciatoravailabilityandappropriatenesswereverified.Thefollowingdatawerecompiledforeachannunciatortile:~Panel~BoxNumber~MatrixLocationDesignationwithintheBox~Legend4.4.5InventoryVerificationTheinventorywasverifiedbyapanel-by-panel,top-to-bottomapproach.Missingdataandcomponentswereaddedtothedataasthedata-basewascomparedtothecontrolroominstrumentation.4-113  
4.4.4AnnunciatorsAspecialannunciatorinventorywasestablishedandverifiedfromalistingoftheNMP-1annunciators.Usingthisinventoryandaprintoutoftheannunciatorrequirementsestablishedinthetaskanalysis,annunciatoravailabilityandappropriatenesswereverified.Thefollowingdatawerecompiledforeachannunciatortile:~Panel~BoxNumber~MatrixLocationDesignationwithintheBox~Legend4.4.5InventoryVerificationTheinventorywasverifiedbyapanel-by-panel,top-to-bottomapproach.Missingdataandcomponentswereaddedtothedataasthedata-basewascomparedtothecontrolroominstrumentation.4-113  
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NINEt'lILEPOINTUNIT1HEOEOtt:OCS-188.8>ESCRIPTION:CIRCULATINGWATERPUt1PDISCHARGEPRFSBURERECORDERCHARTPAPERHASNOSCAlF.ASSESS''lENT/RES>3LU'>"IvisCATEGORY:C>3$t>ETIC-INDIVIDUALDISPOSITION:FIXRISKCATFGORY:Nl.RECORDEt>EXPLANATION:PROVIDFNEWCHA"iTPAPERWITIL(8-48)SCALE.VERIFICATION:NOVERIFICATIO>>-li>ASPERFOt':RED.COtdBISTENCYBETt>tEENSCALEANDCHARTPAPERIS').lOWNTr.'>LqEHElPFULPanelIDttEquipmentIDEquipment.NameCIRCULATINGMATERPUl'1PDISCHARGEPRESSURERECORDERPUt'll'1AND  
NINEt'lILEPOINTUNIT1HEOEOtt:OCS-188.8>ESCRIPTION:CIRCULATINGWATERPUt1PDISCHARGEPRFSBURERECORDERCHARTPAPERHASNOSCAlF.ASSESS''lENT/RES>3LU'>"IvisCATEGORY:C>3$t>ETIC-INDIVIDUALDISPOSITION:FIXRISKCATFGORY:Nl.RECORDEt>EXPLANATION:PROVIDFNEWCHA"iTPAPERWITIL(8-48)SCALE.VERIFICATION:NOVERIFICATIO>>-li>ASPERFOt':RED.COtdBISTENCYBETt>tEENSCALEANDCHARTPAPERIS').lOWNTr.'>LqEHElPFULPanelIDttEquipmentIDEquipment.NameCIRCULATINGMATERPUl'1PDISCHARGEPRESSURERECORDERPUt'll'1AND  


NINEMILEf"OINTUNIT1HEOHEO&#xb9;:QS-814.8SCRIPTION:ANUMBEROFANNUN.IATORTlLESAREDIFFICULTTOREADBECAUSETHELETTERINGISTOOSMALLANil1HESTROKEWIDTHISDISPROPORTIONALLYWIDE.ASSESSMENT/RESOLUTIONCATEGORY:COSMETIC-INDIVIDiUALDISPOSITION:FIXRISKCATEGORY:4CEXPLANATION:PROVIDENEWANNUl"IATORTILESFORTHELISTEDINAPPROPRIATETILES.FORA1/3-ANDl>>3/4-BATTE!'l.."'7TOREDUETHEMESSAGETOEITHERELIMINATETHEN''iFORTHLiUALINPU'iORTOTHEPOINTWHERETHEAPPROPRIATESIi:-..'TTERINGANDSPAC.N~(INACCORDANCEWITHHFDESIGNMAl'l'A'Ct"!'EUSEDTOPRESENTTHEl'lESSAGE-VERIFICATION:ASEPARATEENGINERJNGREVIEWTEAMWIlLINVESTIGATETHEADEQUACYOOFTHESTATEDCOSMETICCHANGESUPONINSTALLATIONONTHESIMULATORCONTROLrAr.ELS.PanelIDE.gui,piAe<!4IDEquipmentNameAlA~A4A5A6A6A7ASH3K2L3ANNUNCIATORANNUNCIATORANNUNCIATORANNUflCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATOR4-81-64 -53-44-1~04-8  
NINEMILEf"OINTUNIT1HEOHEO&#xb9;:QS-814.8SCRIPTION:ANUMBEROFANNUN.IATORTlLESAREDIFFICULTTOREADBECAUSETHELETTERINGISTOOSMALLANil1HESTROKEWIDTHISDISPROPORTIONALLYWIDE.ASSESSMENT/RESOLUTIONCATEGORY:COSMETIC-INDIVIDiUALDISPOSITION:FIXRISKCATEGORY:4CEXPLANATION:PROVIDENEWANNUl"IATORTILESFORTHELISTEDINAPPROPRIATETILES.FORA1/3-ANDl>>3/4-BATTE!'l.."'7TOREDUETHEMESSAGETOEITHERELIMINATETHEN''iFORTHLiUALINPU'iORTOTHEPOINTWHERETHEAPPROPRIATESIi:-..'TTERINGANDSPAC.N~(INACCORDANCEWITHHFDESIGNMAl'l'A'Ct"!'EUSEDTOPRESENTTHEl'lESSAGE-VERIFICATION:ASEPARATEENGINERJNGREVIEWTEAMWIlLINVESTIGATETHEADEQUACYOOFTHESTATEDCOSMETICCHANGESUPONINSTALLATIONONTHESIMULATORCONTROLrAr.ELS.PanelIDE.gui,piAe<!4IDEquipmentNameAlA~A4A5A6A6A7ASH3K2L3ANNUNCIATORANNUNCIATORANNUNCIATORANNUflCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATORANNUNCIATOR4-81-64-3--53-44-1~04-8  


NINEt'i1LEPOINTUNIT1HEOEOC:VAL-8'"'"..8ESCRIPTION:THELABELSONTH:-DRYWEI.LTEi1PMETERSDONOTREFERTOWHICHMETER(S)WOULDPROVIDETHERt:ADINGAtTHE338FTLEVEL.LABELSDONOTREFERTOANYLEVELSHC!WEVERTHEEMERPROCEDUREGUIDELINESREFERTOTHISS~rC1F1CTEMPASANEEDEDINDICATION.~ASSESSMENT/RESOLUTIONCATEGORY:COSt1ETIC-INDIVIDUALDISPOSITION:FIXRISKCATEGORY:N'.t'-!EEi.lEDEXPLANATION:PROVIDENEWLABELSTOJNDICA1ELEVELSWHICHARENOWINDICATEDINGRFASEPENCIL.VERIFICATION:COMPONENT'BEL-.HAVEBEENINLUDEDDURINGVERIFICATIONTESTINGONTHES1MULAT'.:.-ANDFOUNDTOBEADEQUATE.EquipmenfIi:<EquipmentNameDRYNELLAMBIENTTEMP 0
NINEt'i1LEPOINTUNIT1HEOEOC:VAL-8'"'"..8ESCRIPTION:THELABELSONTH:-DRYWEI.LTEi1PMETERSDONOTREFERTOWHICHMETER(S)WOULDPROVIDETHERt:ADINGAtTHE338FTLEVEL.LABELSDONOTREFERTOANYLEVELSHC!WEVERTHEEMERPROCEDUREGUIDELINESREFERTOTHISS~rC1F1CTEMPASANEEDEDINDICATION.~ASSESSMENT/RESOLUTIONCATEGORY:COSt1ETIC-INDIVIDUALDISPOSITION:FIXRISKCATEGORY:N'.t'-!EEi.lEDEXPLANATION:PROVIDENEWLABELSTOJNDICA1ELEVELSWHICHARENOWINDICATEDINGRFASEPENCIL.VERIFICATION:COMPONENT'BEL-.HAVEBEENINLUDEDDURINGVERIFICATIONTESTINGONTHES1MULAT'.:.-ANDFOUNDTOBEADEQUATE.EquipmenfIi:<EquipmentNameDRYNELLAMBIENTTEMP 0
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NINEMILEPOINTUNIT1HEONEO':VAL-885.8SCRIPTION:INEMERGENCYSITUATIONSTHEOPERATORMUSTADJUSTREACTORREJECTFLONATPANELKINANATTEMPTTOESTABLISHLEVELNHILEOTHERLEVELCONTROLLINGOPERATIONSARECONDUCTEDAT.PANELF+1*ASSESSMENT/RESOLUTIONCATEGORY:FUNCTIONAL-NORMALtq~DISPOSITION:REJECTRISKCATEGORY:2BEXPLANATION:ALTHOUGHTHESEARENOTADJACENTSTATIONS'EJECTFLOWISNORMALLYUTILIZEDINCLEANUPOPERATIONSNHOSECOMPONENTSARELOCATEDONPANELK.THESITUATIONABOVEISVERYUNUSUALANDTHEREARETNOORMOREOPERATORSAVAILABLEINTHECR.THEDISTANCEBETNEENSTATIONSISNOTSUCHTHATITCANNOTBEACCOMPLISHEDASDEMONSTRATEDINTHEVALIDATION.THECONTROLSHAVEBEENARRANGEDTOACCOMODATETHEMOREPROBABLEOPERATIONALSCENARIO.ERIFICATION:  
NINEMILEPOINTUNIT1HEONEO':VAL-885.8SCRIPTION:INEMERGENCYSITUATIONSTHEOPERATORMUSTADJUSTREACTORREJECTFLONATPANELKINANATTEMPTTOESTABLISHLEVELNHILEOTHERLEVELCONTROLLINGOPERATIONSARECONDUCTEDAT.PANELF+1*ASSESSMENT/RESOLUTIONCATEGORY:FUNCTIONAL-NORMALtq~DISPOSITION:REJECTRISKCATEGORY:2BEXPLANATION:ALTHOUGHTHESEARENOTADJACENTSTATIONS'EJECTFLOWISNORMALLYUTILIZEDINCLEANUPOPERATIONSNHOSECOMPONENTSARELOCATEDONPANELK.THESITUATIONABOVEISVERYUNUSUALANDTHEREARETNOORMOREOPERATORSAVAILABLEINTHECR.THEDISTANCEBETNEENSTATIONSISNOTSUCHTHATITCANNOTBEACCOMPLISHEDASDEMONSTRATEDINTHEVALIDATION.THECONTROLSHAVEBEENARRANGEDTOACCOMODATETHEMOREPROBABLEOPERATIONALSCENARIO.ERIFICATION:  


NINEMILEPOINTUNITlHEOHEOO:VAL-886.8SCRIPTION:PROCEDURENl-SOP .WHEREASTHECO~TRO~ASSESSMENT/RESOLUTIONDISPOSITION:REJECTRISKCATEGORY:1DEXPLANATION:REFERSTOSTAND-BYLIQUIDCONTROL'YSTEMBOARDEQUIPMENTREFERSTOLIQUIDPOISON.CATEGORY:FUNCTIONAL-NORMAL".THISISNOTAPROBLEMFORTHEOPERATORSBECAUSETHEYARETRAINEDINTHESYSTEMANDKNOWEACHBYTHEIRSEVERALNAMES.THEREWILLBEASTANDARDABBREVIATIONSACRONYMS.ANDEQUIPMENTNAMELISTWHICHWILLBEIMPLEMENTEDAND,ALLPROCEDURES'ABELS'TC~7WILLBESTANDARDIZEDASTHEYAREREPLACED.VERIFICATION:  
NINEMILEPOINTUNITlHEOHEOO:VAL-886.8SCRIPTION:PROCEDURENl-SOP-3-.WHEREASTHECO~TRO~ASSESSMENT/RESOLUTIONDISPOSITION:REJECTRISKCATEGORY:1DEXPLANATION:REFERSTOSTAND-BYLIQUIDCONTROL'YSTEMBOARDEQUIPMENTREFERSTOLIQUIDPOISON.CATEGORY:FUNCTIONAL-NORMAL".THISISNOTAPROBLEMFORTHEOPERATORSBECAUSETHEYARETRAINEDINTHESYSTEMANDKNOWEACHBYTHEIRSEVERALNAMES.THEREWILLBEASTANDARDABBREVIATIONSACRONYMS.ANDEQUIPMENTNAMELISTWHICHWILLBEIMPLEMENTEDAND,ALLPROCEDURES'ABELS'TC~7WILLBESTANDARDIZEDASTHEYAREREPLACED.VERIFICATION:  


NINEMILEPOINTUNIT1HEOEON:VAL-888.8SCRIPTION:THEHPCIANNUNCIATORISONPANELF4NHILETHEHPCIPMPSANDEQUIPAREONPANELFi.ASSESSMENT/RESOLUTIONCATEGORY:FUNCTIONAL-NORMAL'ISPOSITION:REJECTRISKCATEGORY:3BEXPLANATION:SIMULTANEOUSACTUATIONOFCONTROLSANDMONITORINGOFANNUNCIATORSISNOTREQUIRED.ALTHOUGHTHESEANNUNCIATORSARENOTDIRECTLYABOVETHEEQUIPMENT~THESEARENITHINCLOSEPROXIMITY-THEEQUIPMENTRELATEDTOTHESEANNUNCIATORSARENOTCRITICALTOSAFETYANDOPERATIONS.TECHSPECLIMITSNOULDNOTBEVIOLATEDBECAUSEOFAUTOMATICISOLATIONEQUIPMENTONTHESESYSTEMSALSO'HEANNUNCIATORACKNONLEDGEISFROMTHEEPANELANDNOTFROMTHEINDIVIDUALPANEL.-RIFICATION:  
NINEMILEPOINTUNIT1HEOEON:VAL-888.8SCRIPTION:THEHPCIANNUNCIATORISONPANELF4NHILETHEHPCIPMPSANDEQUIPAREONPANELFi.ASSESSMENT/RESOLUTIONCATEGORY:FUNCTIONAL-NORMAL'ISPOSITION:REJECTRISKCATEGORY:3BEXPLANATION:SIMULTANEOUSACTUATIONOFCONTROLSANDMONITORINGOFANNUNCIATORSISNOTREQUIRED.ALTHOUGHTHESEANNUNCIATORSARENOTDIRECTLYABOVETHEEQUIPMENT~THESEARENITHINCLOSEPROXIMITY-THEEQUIPMENTRELATEDTOTHESEANNUNCIATORSARENOTCRITICALTOSAFETYANDOPERATIONS.TECHSPECLIMITSNOULDNOTBEVIOLATEDBECAUSEOFAUTOMATICISOLATIONEQUIPMENTONTHESESYSTEMSALSO'HEANNUNCIATORACKNONLEDGEISFROMTHEEPANELANDNOTFROMTHEINDIVIDUALPANEL.-RIFICATION:  
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3JD",\>tt~<<1<<r'iat<nn<<<It,t,M<<<~~rrSxCNMOiJ:-SUM:-CiBt~~r'As=rs'i;~tTQ/,r';</St<:1tLoui9On(~.O~ADDP~<<~nI0'<j<~<s~~fLr~f~gr(j'<~<<nrtr<~a=aJ"ttQBY''tt<jg~hvOni=:-i5".'"OnsO<-,s('qsll~tIBv~WOn.-Ont"pp(-ti-)tedOns=Onit-C:."='tsS:'iIVEDFOR~ciALDAs=7ZgAODRcCSBY'Ac">LEDATSix=OF(=IC:-ST~SOCCCOhiROLRsCQPCOPYH~T(JR'cEOTOSit"BY~uWATSIl"OAs(-~~IIB31-  
3JD",\>tt~<<1<<r'iat<nn<<<It,t,M<<<~~rrSxCNMOiJ:-SUM:-CiBt~~r'As=rs'i;~tTQ/,r';</St<:1tLoui9On(~.O~ADDP~<<~nI0'<j<~<s~~fLr~f~gr(j'<~<<nrtr<~a=aJ"ttQBY''tt<jg~hvOni=:-i5".'"OnsO<-,s('qsll~tIBv~WOn.-Ont"pp(-ti-)tedOns=Onit-C:."='tsS:'iIVEDFOR~ciALDAs=7ZgAODRcCSBY'Ac">LEDATSix=OF(=IC:-ST~SOCCCOhiROLRsCQPCOPYH~T(JR'cEOTOSit"BY~uWATSIl"OAs(-~~IIB31-  


PAR IARDCorporationNine1'".ilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):DonTaylorReportTypeandNumber:Station:EventDate:Unit:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:0eratorwasad'ustinthemechanicalressurereulatorMPRtoincreasereactorressurefrom935sito950sic.NatureoftheProblem:AressuresikecausedtheneutronfluxtoincreasetotheIRMscramoint.StepsTakentoCorrectorAlleviatetheProblemOutcome:Reactorscram.CorrectiveMeasuresUndertaken:None.HumanPerformanceProblemsAssociatedWithEvent:InreulatinressuretheMPRcontrolutilizesalower-to-rightandraise-to-leftconfiauration;theoositeoftheMPRmeter(feedbackindication)andtheexpectedconfiguration.B-32  
PAR-8-IARDCorporationNine1'".ilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):DonTaylorReportTypeandNumber:Station:EventDate:Unit:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:0eratorwasad'ustinthemechanicalressurereulatorMPRtoincreasereactorressurefrom935sito950sic.NatureoftheProblem:AressuresikecausedtheneutronfluxtoincreasetotheIRMscramoint.StepsTakentoCorrectorAlleviatetheProblemOutcome:Reactorscram.CorrectiveMeasuresUndertaken:None.HumanPerformanceProblemsAssociatedWithEvent:InreulatinressuretheMPRcontrolutilizesalower-to-rightandraise-to-leftconfiauration;theoositeoftheMPRmeter(feedbackindication)andtheexpectedconfiguration.B-32  


ARDCorporationNineMilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInwhichAreas:CorrectiveActionsTaken:None.UnresolvedDiscrepancies:(Ifnone,'endformhere.)ControlconfiurationandfeedbackcomatabilitHEONumber:Summary:ead'ustinthemechanicalressureregul'ator'ncreasereactorressure,aressurespikecausedofluxtoincreasetotheIRMscramoint.B-33  
ARDCorporationNineMilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInwhichAreas:CorrectiveActionsTaken:None.UnresolvedDiscrepancies:(Ifnone,'endformhere.)ControlconfiurationandfeedbackcomatabilitHEONumber:Summary:ead'ustinthemechanicalressureregul'ator'ncreasereactorressure,aressurespikecausedofluxtoincreasetotheIRMscramoint.B-33  
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.:IILIi.i>:.'.I:I/~7.ILICEi~JSHEEViTINTREPQPTiU.9>.IIlls~LLiiliIll.(il/U/3>I(gli'>'.ll'.I<3116:>I(/s'42QT00-000010~00Qi''Q~00:5LICKf(SENu/sl(iER2GLICE>VSKTYPE305/IAT58duetore-COi4TROLGLOC's'7IQi(PLEASEPAINTOATYPEALLAEQUIAEOINFOA/IATIONI6I~oILDRS0I~III~I1~~tI~Q9LICKI(SKECODET05000237~7010379lGG013179Q9souRcELJQG78CO61DOCKETNufnaERGB69EVENTDATE7475REPORTOATc80EYE>hIT0SCRIPTIONANOPROGAGLCONSEQUENCESQIODu".ingsteadystateoperationthetoruslevelincreasedto-linchpetitivestartsoftheHPCIturbine.SeeR0879-2/01T-0.Immediateoperatoractionwastopumpthaexcesstoruswatertothehotwell,rastorinwaterlevelto-3.5"whichiswithinspecifications.ThiseventhadminimalsafetysignificancesinceeumI'"'07pressioncaabilit.ThiseventhasoccuredreviouslvatDresden..Unit2ROft75-51i~08T.S.789:.M.u=<.r<",80ISYSTctsiCo.':PCAUSECAUSEVAI.VECODECODESUBCODcCOIAPONENTCODEsUBcooEsuacooEKg]LNS~JQ0Gi~zQzzlzzzzQ~zo~~zQ78910111213181920SEOUENTIALOCCUAAENCEAEFOATREVI5I0i4Lt'R>ROcVEi4TYAAREPORTNo.CODETYPENo.Qiiiii>oii~79~~001~m~OI3~L~~0212223242G272829303132GEFc3574tACTIONFUTUAcEFFECTSHUTDOV/<VAliACI(f.IENTNPAD4PA(t:ECOViP.COIAP074E/ITTAKE/4ACTIO'40'4PLANT>5(ETHODHOURS+22Sua/IITTcDFORK(5UB.SJPPLIKAtIAN('FACTURER~GQ<;~ZQ<e~7.Q<i~ZQc<0000NQrs~NQ>'QiiZ999Q333435363/40414243'44.47CAUSECESCRIPTIOialAs'40CORRECTIVEACTIO>NSTncreasainthetoruswaterlevelwasdeterminedtobeaninadequateprocedure.TheHPCIsurveillancewillbechangedtoincludea"CAUTION"statementsothetoruslevelwillnotexceedspecificationsduringrepetitivestartsoftheHPCIturbine.Nofurtheractionisnecessary.89FACILITYSTATUS<<>POV/EAOTHEASTATUSQ30~gQ>~095Qis[NA.I8.910121344ACTIVITYCON704TAELEASFDOFRELEASEnr.(nuNToFAcllv(TYQ>>(;Qr)~I4Q3~O4)NA/891044PEASotlrIELEXPOS>UAESNut(BEA'YI>EOFSI.IIIPTIO/430I<<rj~00OJQ<r~ZQ<sNA789I'I1213PEASOI'INELItfJUIIIESIIU..(ncADE.;cnlrnoNQ41[0~00Q<i9III'7I.i)SSOFDADA'.IAIIKIoFhi'II.ITYQ13'7YPKOFSCRIP7ION~O9'.'I0PIIBLICITYI;S>>F.(7~N'4491045NALOCATIONOFAELEASEQ3G808080S-39NACUSEONLYGBG980.-,NIETIIOOOFDISCOVERYOISCOVEAYDESCRIPTIONQw2Q3IOperatorObservation4546  
.:IILIi.i>:.'.I:I/~7.ILICEi~JSHEEViTINTREPQPTiU.9>.IIlls~LLiiliIll.(il/U/3>I(gli'>'.ll'.I<3116:>I(/s'42QT00-000010~00Qi''Q~00:5LICKf(SENu/sl(iER2GLICE>VSKTYPE305/IAT58duetore-COi4TROLGLOC's'7IQi(PLEASEPAINTOATYPEALLAEQUIAEOINFOA/IATIONI6I~oILDRS0I~III~I1~~tI~Q9LICKI(SKECODET05000237~7010379lGG013179Q9souRcELJQG78CO61DOCKETNufnaERGB69EVENTDATE7475REPORTOATc80EYE>hIT0SCRIPTIONANOPROGAGLCONSEQUENCESQIODu".ingsteadystateoperationthetoruslevelincreasedto-linchpetitivestartsoftheHPCIturbine.SeeR0879-2/01T-0.Immediateoperatoractionwastopumpthaexcesstoruswatertothehotwell,rastorinwaterlevelto-3.5"whichiswithinspecifications.ThiseventhadminimalsafetysignificancesinceeumI'"'07pressioncaabilit.ThiseventhasoccuredreviouslvatDresden..Unit2ROft75-51i~08T.S.789:.M.u=<.r<",80ISYSTctsiCo.':PCAUSECAUSEVAI.VECODECODESUBCODcCOIAPONENTCODEsUBcooEsuacooEKg]LNS~JQ0Gi~zQzzlzzzzQ~zo~~zQ78910111213181920SEOUENTIALOCCUAAENCEAEFOATREVI5I0i4Lt'R>ROcVEi4TYAAREPORTNo.CODETYPENo.Qiiiii>oii~79~~001~m~OI3~L~~0212223242G272829303132GEFc3574tACTIONFUTUAcEFFECTSHUTDOV/<VAliACI(f.IENTNPAD4PA(t:ECOViP.COIAP074E/ITTAKE/4ACTIO'40'4PLANT>5(ETHODHOURS+22Sua/IITTcDFORK(5UB.SJPPLIKAtIAN('FACTURER~GQ<;~ZQ<e~7.Q<i~ZQc<0000NQrs~NQ>'QiiZ999Q333435363/40414243'44.47CAUSECESCRIPTIOialAs'40CORRECTIVEACTIO>NSTncreasainthetoruswaterlevelwasdeterminedtobeaninadequateprocedure.TheHPCIsurveillancewillbechangedtoincludea"CAUTION"statementsothetoruslevelwillnotexceedspecificationsduringrepetitivestartsoftheHPCIturbine.Nofurtheractionisnecessary.89FACILITYSTATUS<<>POV/EAOTHEASTATUSQ30~gQ>~095Qis[NA.I8.910121344ACTIVITYCON704TAELEASFDOFRELEASEnr.(nuNToFAcllv(TYQ>>(;Qr)~I4Q3~O4)NA/891044PEASotlrIELEXPOS>UAESNut(BEA'YI>EOFSI.IIIPTIO/430I<<rj~00OJQ<r~ZQ<sNA789I'I1213PEASOI'INELItfJUIIIESIIU..(ncADE.;cnlrnoNQ41[0~00Q<i9III'7I.i)SSOFDADA'.IAIIKIoFhi'II.ITYQ13'7YPKOFSCRIP7ION~O9'.'I0PIIBLICITYI;S>>F.(7~N'4491045NALOCATIONOFAELEASEQ3G808080S-39NACUSEONLYGBG980.-,NIETIIOOOFDISCOVERYOISCOVEAYDESCRIPTIONQw2Q3IOperatorObservation4546  


IIIII'os]RCONTROLBLOCK:IILDRS9LICENSEECODE2Q2001415Q1{POiO000LICENSENUMBERIILPI,IE'.~~.~I.VE.i'IIIll~IL/IIIIII{IZVLOUSfh{PORT:LEASEPRII'ITORTYPEALLR.QUIREDINFORMATI1111OR~ORLICENSETYPE3057CAT58~ozEoILP~05000237010379~05QI379Q,SOURCE~~60-"61,.OOCKciNUN'IBER6869'VcNTOATc7475RcPORTDATEEVcNTDESCRIPTIONANOPRODAGLECONSEQUENCFS10Duringsteadystateoperationthetoruslevelincreasedto-1inch,duetore-petitivestartsoftheIIPCIturbine.SeeROJ79-2/01T-0.Immediateoperatoraction~owastopumptheexcesstoruswat'ertothe'hotwell,restoringwaterlevelto-3.5"~0whichiswithinspecifications.Thiseventhadminimalsafetysignificancesince05,CZ3the0.5inchexcessinwaterleveldidnotsignificantlyaffectthepressuresup-~06pressioncapability.ThiseventhasoccuredpreviouslyatDresden.(Unit2RON475-51)~0700T.S.req'slevelmaintainedbetween-.1.5and-I4.75"at18P/P.7&978SYSTEMCAUSECAUSECot>P.VALVECOOKCODESUBCOOECOLIPONGNTCOOKSU&CODESU&COOK[0090>>*012~d072222222Q14~ZQIE~ZOIR91012'13IB102066QUENTIALOCCUAAENCEREPORTREVISIONLKAPROEVENTYEARREPORTNo.CODETYPENO.Q17REPORT~79~~001~M~03~X2122'23'2426272829303132ACTIONFUTUAEEFFGCTSHUTDOYrtdIhTTACIEI.IEldTNPROAPRIMECOMP.COLIIONCNTTAKEtlACTIONCPNPI.ANTMETldOOHCUASQ22SUBMITTEDFOAtPISUB.SUPPLIERMANUFACTUREAQls~COTE~ZQEO~ZQ270000~NQ22~NQ24~ZQ252999(3334353637414247CAUSEOESCRIPTIOEhlANOCORRECTIVEACTIOIISoincreaseinthatoruswaterlevelwasdeterminedtoresultromoperatoroversight.Personnelinvolvedwere'admonishedtoensure'evelis'prope'rly'ma3nsurveillanceTPillbechangedtoincludea"CAUTTOiE"statementsothetoruslevel'villnotexceedspecification"duringrepetitivestartsoftheIIPCIturbine.Nofurtheractionisnecessary.MKTIIOOOF0ISCOVEAY~AQ3I4546~ZOza~oe5QsNd78910l2ACTIVITYCONTENTRELcASGOOFAELEASE~ZQ33ZQ378910IEASONrdELEXPOSURESNUM6ERTYPEDESCRIPTIONQ39~000Q17ZQzsNA78911l213PERSONNELINJURIESNUMIIGR.OGSCAIPTIOtl41~000OoNd789II12~~LOSSOFOAOAAIAOKToFACILITYQEI3TYPEOESCAIPTION<Q42NA789IOPUBLICITYISSUKO~DESCRIPTION~889101344AMOUNTOFACTIVITYQ39NA445M.Iiri.cl1t 40N4~\0r3FIII)f',IzrI77OTHEASTATUS8080.60NRCUSEONLY~IIEm80~I,0cIIIII3t.'.0'B69X-li2280DISCOVERYDESCRIPTIONQ32OneratorObservation80LOCATIONOFRELEASEQ6  
IIIII'os]RCONTROLBLOCK:IILDRS9LICENSEECODE2Q2001415Q1{POiO000LICENSENUMBERIILPI,IE'.~~.~I.VE.i'IIIll~IL/IIIIII{IZVLOUSfh{PORT:LEASEPRII'ITORTYPEALLR.QUIREDINFORMATI1111OR~ORLICENSETYPE3057CAT58~ozEoILP~05000237010379~05QI379Q,SOURCE~~60-"61,.OOCKciNUN'IBER6869'VcNTOATc7475RcPORTDATEEVcNTDESCRIPTIONANOPRODAGLECONSEQUENCFS10Duringsteadystateoperationthetoruslevelincreasedto-1inch,duetore-petitivestartsoftheIIPCIturbine.SeeROJ79-2/01T-0.Immediateoperatoraction~owastopumptheexcesstoruswat'ertothe'hotwell,restoringwaterlevelto-3.5"~0whichiswithinspecifications.Thiseventhadminimalsafetysignificancesince05,CZ3the0.5inchexcessinwaterleveldidnotsignificantlyaffectthepressuresup-~06pressioncapability.ThiseventhasoccuredpreviouslyatDresden.(Unit2RON475-51)~0700T.S.req'slevelmaintainedbetween-.1.5and-I4.75"at18P/P.7&978SYSTEMCAUSECAUSECot>P.VALVECOOKCODESUBCOOECOLIPONGNTCOOKSU&CODESU&COOK[0090>>*012~d072222222Q14~ZQIE~ZOIR91012'13IB102066QUENTIALOCCUAAENCEREPORTREVISIONLKAPROEVENTYEARREPORTNo.CODETYPENO.Q17REPORT~79~~001~M~03~X2122'23'2426272829303132ACTIONFUTUAEEFFGCTSHUTDOYrtdIhTTACIEI.IEldTNPROAPRIMECOMP.COLIIONCNTTAKEtlACTIONCPNPI.ANTMETldOOHCUASQ22SUBMITTEDFOAtPISUB.SUPPLIERMANUFACTUREAQls~COTE~ZQEO~ZQ270000~NQ22~NQ24~ZQ252999(3334353637414247CAUSEOESCRIPTIOEhlANOCORRECTIVEACTIOIISoincreaseinthatoruswaterlevelwasdeterminedtoresultromoperatoroversight.Personnelinvolvedwere'admonishedtoensure'evelis'prope'rly'ma3nsurveillanceTPillbechangedtoincludea"CAUTTOiE"statementsothetoruslevel'villnotexceedspecification"duringrepetitivestartsoftheIIPCIturbine.Nofurtheractionisnecessary.MKTIIOOOF0ISCOVEAY~AQ3I4546~ZOza~oe5QsNd78910l2ACTIVITYCONTENTRELcASGOOFAELEASE~ZQ33ZQ378910IEASONrdELEXPOSURESNUM6ERTYPEDESCRIPTIONQ39~000Q17ZQzsNA78911l213PERSONNELINJURIESNUMIIGR.OGSCAIPTIOtl41~000OoNd789II12~~LOSSOFOAOAAIAOKToFACILITYQEI3TYPEOESCAIPTION<Q42NA789IOPUBLICITYISSUKO~DESCRIPTION~889101344AMOUNTOFACTIVITYQ39NA445M.Iiri.cl1t-9-40N4~\0r3FIII)f',IzrI77OTHEASTATUS8080.60NRCUSEONLY~IIEm80~I,0cIIIII3t.'.0'B69X-li2280DISCOVERYDESCRIPTIONQ32OneratorObservation80LOCATIONOFRELEASEQ6  


PAR-11ARDCorporationNinePilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofXnvestigator(s):ReportType'andNumber:LER7-04603L-0Station:DesdenUnit:2EventDate:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:zneztinNatureoftheProblem:NitrogenstoraaetankleveldroedStepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:Nitroentank,alarmwillbead'ustedfrom100to80inchestoincreaseitssinificanceandHumanPerformanceProblemsAssociatedWithEvent:Setpointonalarm.Procedureinadequacy.  
PAR-11ARDCorporationNinePilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofXnvestigator(s):ReportType'andNumber:LER7-04603L-0Station:DesdenUnit:2EventDate:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:zneztinNatureoftheProblem:NitrogenstoraaetankleveldroedStepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:Nitroentank,alarmwillbead'ustedfrom100to80inchestoincreaseitssinificanceandHumanPerformanceProblemsAssociatedWithEvent:Setpointonalarm.Procedureinadequacy.  
Line 1,763: Line 1,763:
ARDCOIPorabOnNineMilePointUnit1HistoricalDocumentReviewPROBLE/1ANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInwhichAreas:t'matesrateofnitroenconsumtionVWtions.Noalarms.CorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)None.HEQNumber:Summary:B-42  
ARDCOIPorabOnNineMilePointUnit1HistoricalDocumentReviewPROBLE/1ANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInwhichAreas:t'matesrateofnitroenconsumtionVWtions.Noalarms.CorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)None.HEQNumber:Summary:B-42  


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PAR-12ARDCorporatxonNineI".ilePointUnit1HistoricalDocumentReviewPROBEEMANALYSISREPORT(PAR)NameofInvestigator(s):ReportTypeandNumber:Station:Dresden80-04701T-0Unit:EventDate:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:HPCISvstemandIsolationCondenseroutofserviceandprimarycontainmentvroken.NatureoftheProblem:Reactorressureexceeded90psigandrimarcoolantterneratureexceeded222'F.StepsTakentoCorrectorAlleviatetheProblemIncreaseOutcome:Temperatureandpressurewithinlimit.CorrectiveMeasuresUndertaken:Operatingorder.HumanPerformanceProblemsAssociatedWithEvent:B-44  
PAR-12ARDCorporatxonNineI".ilePointUnit1HistoricalDocumentReviewPROBEEMANALYSISREPORT(PAR)NameofInvestigator(s):ReportTypeandNumber:Station:Dresden80-04701T-0Unit:EventDate:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:HPCISvstemandIsolationCondenseroutofserviceandprimarycontainmentvroken.NatureoftheProblem:Reactorressureexceeded90psigandrimarcoolantterneratureexceeded222'F.StepsTakentoCorrectorAlleviatetheProblemIncreaseOutcome:Temperatureandpressurewithinlimit.CorrectiveMeasuresUndertaken:Operatingorder.HumanPerformanceProblemsAssociatedWithEvent:B-44  
Line 1,780: Line 1,780:
OnDecember21,$9@~>,Dresden3wasincoldshutdownbutexperiencdanundetecteduseinpressuretothepointwherethelimitingconditionofoperationwhchgovernedprimarycontainmentwasexceeded.ThedetailofthiseventarebeingprovidedtoBillLayman.ItisrecommendedthattheNuclearSafetyAnalysisCenter'xaminethiseventindetail.Etappearsthatagenericsituationofaheatsourceotherthanthe'oreorapressuziz'erisnotadequatelyrecocnizedintheindustry.Thistypeofpoblemhas~"o.enexperiencedinsevealreactor.incidentsinthepastyearItisconsideredthat.anincreasedawarenessofthisproblemcanenhancereactorope'rationssafety.'CommonwealthEdisonwillcooperatein.providing'assistanceintheanalysisrecommended.tcc:N.H.Layman(withdatapackage)9822AB-49  
OnDecember21,$9@~>,Dresden3wasincoldshutdownbutexperiencdanundetecteduseinpressuretothepointwherethelimitingconditionofoperationwhchgovernedprimarycontainmentwasexceeded.ThedetailofthiseventarebeingprovidedtoBillLayman.ItisrecommendedthattheNuclearSafetyAnalysisCenter'xaminethiseventindetail.Etappearsthatagenericsituationofaheatsourceotherthanthe'oreorapressuziz'erisnotadequatelyrecocnizedintheindustry.Thistypeofpoblemhas~"o.enexperiencedinsevealreactor.incidentsinthepastyearItisconsideredthat.anincreasedawarenessofthisproblemcanenhancereactorope'rationssafety.'CommonwealthEdisonwillcooperatein.providing'assistanceintheanalysisrecommended.tcc:N.H.Layman(withdatapackage)9822AB-49  


InadvertentPressurizationofDresdenUnitDVR12 80-101)LER80-i)7/OIT-OEventOnDecember21,1981,Dresden3wasincoldshutdownwiththerecirculationpumpsoffandthereactorvesselnotvented.Duringthecourseoftheshutdownonthepreviousday,theRxhadnotbeenflooded,toavo'dunnecssarythermalcyclesonthevessel.Thefolio;vingsystemshadbeenremovedfromservicefor.modificationandmaintenance:HPCI,IsolationCondenser,Reactorwatercleanups.andcontrolroddrives.Theunitwasbeingmaintainedinthecoldshutdownconditionwithoneshutdowncoolingloop,maintaining1400to1800Fontherecirculationloopsuctiontemperatureindicators.Inanefforttoestablishbettercontroloverreactorwate"temperatureasindicatedontherecirculationloops,theoperatorswere'hrottlingtheshutdowncoolingflowfromthevessel.Ap'proximately6hoursafteztheshutdowncoolingflowhadbeenthrottled,itwasdiscoveredthatreactorpressureindicated110psigwith155Findicatedonthereactorcirculationloops,Shutdowncoolingflowwasimmediatelyincrea"ed,cauingthelooptemperaturestoincreaeover2120(2200r)forabout)15minutes..Reactorpressurestartedto~decreasewiththe'ncreasedcoolingtlow.Primarycontainmentintegrity,'sichhadbeenbroi'en'ocooltheorywell-forwork.insidewas~~~,.established.Thereactorpzurcwasrestoredto0PIG.atpproximately6;30a,m.1Analysis&CorrectiveActionThereviewofthedataindicatesthattheunitwasinacoldshutdownconditionasevidencedbytherecirculationlooptemperatureat7:22a.m.onDecember20.Normalprocedurescallfortheisolationoftherecirculationpumodischargevalveanddischargebypassvalveozthepumpsuctionvalvebeclosd.whenusingtheshutdowncoolingmodetoinsurethatflowisestabl'shedthroughthereactorvesselandnotthroughthidlepump.Thistemperaturewasgunningapproximately1550Fpriortoandthroughoutthepressurerise.Areviewof'hemtaltemperaturesofthevessel'ndicatesthtthetemperatureofthevesselmeasuredat"oLowwaterlevel"wasslowly~.increpsingfromaboutapproximately2200to3600overa6hourperiod.Thefeed'vaternozzletemperaturewasincreasingatti-esamerate.Thelowermetaltemp"raturesofthevesselwererunningconstantatapproximatelyllO"Fandheldconstantthroughoutthedurationofthepressureincrease.Theincreasefrom220t'o360roccurredovertheperiodoftimethatflo;vwasthrottle~toobta'nbettercontrolovertemperature.Themechanismforthepresu;eincreasew'hthoiroica'on'fmoderatortemp.lesst<<an2120,isthoughttobe3.ocalizdbollng~tthereactorvesselinsidesurfacejustbelowthewaterevel.Thetrailingoccurredwhenshutdowncoolingflowwasdeeresedtothepointhatinsufficientturbulencewasavailabletopzventstratificationinthisregion.Theheatsourceappearstobethelatentheatintheve"selwall,tansmitteddovnfromtheve"selflange',whichwasnotcooleddownbyfloodingtheve"sel.onshutdown.  
InadvertentPressurizationofDresdenUnitDVR12-3-80-101)LER80-i)7/OIT-OEventOnDecember21,1981,Dresden3wasincoldshutdownwiththerecirculationpumpsoffandthereactorvesselnotvented.Duringthecourseoftheshutdownonthepreviousday,theRxhadnotbeenflooded,toavo'dunnecssarythermalcyclesonthevessel.Thefolio;vingsystemshadbeenremovedfromservicefor.modificationandmaintenance:HPCI,IsolationCondenser,Reactorwatercleanups.andcontrolroddrives.Theunitwasbeingmaintainedinthecoldshutdownconditionwithoneshutdowncoolingloop,maintaining1400to1800Fontherecirculationloopsuctiontemperatureindicators.Inanefforttoestablishbettercontroloverreactorwate"temperatureasindicatedontherecirculationloops,theoperatorswere'hrottlingtheshutdowncoolingflowfromthevessel.Ap'proximately6hoursafteztheshutdowncoolingflowhadbeenthrottled,itwasdiscoveredthatreactorpressureindicated110psigwith155Findicatedonthereactorcirculationloops,Shutdowncoolingflowwasimmediatelyincrea"ed,cauingthelooptemperaturestoincreaeover2120(2200r)forabout)15minutes..Reactorpressurestartedto~decreasewiththe'ncreasedcoolingtlow.Primarycontainmentintegrity,'sichhadbeenbroi'en'ocooltheorywell-forwork.insidewas~~~,.established.Thereactorpzurcwasrestoredto0PIG.atpproximately6;30a,m.1Analysis&CorrectiveActionThereviewofthedataindicatesthattheunitwasinacoldshutdownconditionasevidencedbytherecirculationlooptemperatureat7:22a.m.onDecember20.Normalprocedurescallfortheisolationoftherecirculationpumodischargevalveanddischargebypassvalveozthepumpsuctionvalvebeclosd.whenusingtheshutdowncoolingmodetoinsurethatflowisestabl'shedthroughthereactorvesselandnotthroughthidlepump.Thistemperaturewasgunningapproximately1550Fpriortoandthroughoutthepressurerise.Areviewof'hemtaltemperaturesofthevessel'ndicatesthtthetemperatureofthevesselmeasuredat"oLowwaterlevel"wasslowly~.increpsingfromaboutapproximately2200to3600overa6hourperiod.Thefeed'vaternozzletemperaturewasincreasingatti-esamerate.Thelowermetaltemp"raturesofthevesselwererunningconstantatapproximatelyllO"Fandheldconstantthroughoutthedurationofthepressureincrease.Theincreasefrom220t'o360roccurredovertheperiodoftimethatflo;vwasthrottle~toobta'nbettercontrolovertemperature.Themechanismforthepresu;eincreasew'hthoiroica'on'fmoderatortemp.lesst<<an2120,isthoughttobe3.ocalizdbollng~tthereactorvesselinsidesurfacejustbelowthewaterevel.Thetrailingoccurredwhenshutdowncoolingflowwasdeeresedtothepointhatinsufficientturbulencewasavailabletopzventstratificationinthisregion.Theheatsourceappearstobethelatentheatintheve"selwall,tansmitteddovnfromtheve"selflange',whichwasnotcooleddownbyfloodingtheve"sel.onshutdown.  


'.r%Inrsponsetothisevent,theNRCletterrequiring;inpart:issuedaymmediateactionl.Completion,ofanOnsiteReviewtodeterminethesafetysignificanceofthiseventanddetermineactionsnecessarytopreventfuturerecurrence.2.Implementationofastationoperatingordertoensureoneshutdowncoolingpumpwillbeoperatedatratedflowduringcoldshut'downconditionsforbothunitstoinsureadequatemixing.waterinthereactozpressureves'sel.3.ProvideinthereportofthiseventrequiredbyTechnicalSpecificationyouranalysisofthecauseorth'sventandthedescriptionofyourplantpemanentcorrect'veactions.Thereportwilldiscusssuchitmsasprocdurschanges'.designchangesandyourschedulefor.imolementing.t'necorrectiveaction.Theimmediatecorrectiveactionstakenweretochangetheprocedurebyadd'ngaprecaut'onstatingthatwiihreactorrecrculationpumpsnotrunning,temperaturestratificationofthereacto-vesselwate-rspossibleundrlowflow.conh'tions.Italsorequiresasurveil'lane.ofe:evesselmeialtemperaiurzecordertodetectpossibletmperature'ratificationoithereactorvesselwaterunderreducedshutdowncoolinglowconditions.Xnaddition,the.designisbeingsiudied.for.proposeddesignchangesthatcouldpreventareccurence.IDiscussionswiththestationhaveindicatedthaither'aybeaneedforatemperature-saturation~essu~'omet>>or/and-'lit~tothrottlereacrorDuiiaxngcosocoolingwatertotheheatexchangerratherthntheshutdowncoolingflowto.insureadequateflow.This~ouldrequ'readesignchangeto'allowthrottlingoftheclosecoolingwaterheatexcnangervalve.r><>5i>rJ=ig/gr.~sr,rgItisouropinionthatthisincidenthaspossiblefuiuzechanceforrecurrenceinthattheeffectoftheheatfromtheupperregionsofthereactorvesselhasnotbeenconsideredwheninacoldshutdownconditionandthevesselis(byplan)notcooleddowntopreventunnecesarythermalcyclesonthevessel,""theheadventisclosedfortheseconditionsandtheRxrecirculationpumpsarenotinservice.9723A  
'.r%Inrsponsetothisevent,theNRCletterrequiring;inpart:issuedaymmediateactionl.Completion,ofanOnsiteReviewtodeterminethesafetysignificanceofthiseventanddetermineactionsnecessarytopreventfuturerecurrence.2.Implementationofastationoperatingordertoensureoneshutdowncoolingpumpwillbeoperatedatratedflowduringcoldshut'downconditionsforbothunitstoinsureadequatemixing.waterinthereactozpressureves'sel.3.ProvideinthereportofthiseventrequiredbyTechnicalSpecificationyouranalysisofthecauseorth'sventandthedescriptionofyourplantpemanentcorrect'veactions.Thereportwilldiscusssuchitmsasprocdurschanges'.designchangesandyourschedulefor.imolementing.t'necorrectiveaction.Theimmediatecorrectiveactionstakenweretochangetheprocedurebyadd'ngaprecaut'onstatingthatwiihreactorrecrculationpumpsnotrunning,temperaturestratificationofthereacto-vesselwate-rspossibleundrlowflow.conh'tions.Italsorequiresasurveil'lane.ofe:evesselmeialtemperaiurzecordertodetectpossibletmperature'ratificationoithereactorvesselwaterunderreducedshutdowncoolinglowconditions.Xnaddition,the.designisbeingsiudied.for.proposeddesignchangesthatcouldpreventareccurence.IDiscussionswiththestationhaveindicatedthaither'aybeaneedforatemperature-saturation~essu~'omet>>or/and-'lit~tothrottlereacrorDuiiaxngcosocoolingwatertotheheatexchangerratherthntheshutdowncoolingflowto.insureadequateflow.This~ouldrequ'readesignchangeto'allowthrottlingoftheclosecoolingwaterheatexcnangervalve.r><>5i>rJ=ig/gr.~sr,rgItisouropinionthatthisincidenthaspossiblefuiuzechanceforrecurrenceinthattheeffectoftheheatfromtheupperregionsofthereactorvesselhasnotbeenconsideredwheninacoldshutdownconditionandthevesselis(byplan)notcooleddowntopreventunnecesarythermalcyclesonthevessel,""theheadventisclosedfortheseconditionsandtheRxrecirculationpumpsarenotinservice.9723A  

Revision as of 21:37, 1 May 2018

Forwards Final Summary Rept for Dcrdr of Nine Mile Point Unit 1, Per 841212 Ltr & NRC 841226 Reply.Rept Represents Completion of Program Commitments Back to 830930 Program Plan.Rept Includes Results of NRC Review/Audit Sessions
ML18038A023
Person / Time
Site: Nine Mile Point Constellation icon.png
Issue date: 07/01/1985
From: MANGAN C V
NIAGARA MOHAWK POWER CORP.
To: VASSALLO D B
Office of Nuclear Reactor Regulation
Shared Package
ML18038A024 List:
References
NUDOCS 8507050261
Download: ML18038A023 (2262)
v • d • e


Text

REGULATORYINFORMATIONDISTRIBUTIONSYSTEM(RIDS)CACCESSIONNBR:8507050261-.C~DATE:85/07/01NOTAR'IZ'ODOCKETFACIL'.50-220NineMilePointNuclearStatiznEUnit1ENiagaraPowe05000220AUTHINANEAUTHORAFFILIATIONMANGANgC~VSNiagaraMohawkPowerCorp.RECIPsNAMERECIPIENTAFFILIATIONVASSALLOgD~BEOperatingReactorsBranch2

SUBJECT:

Forwards"FinalSummaryReptforDCRDRofNine.MilePoint"Unit1i"per8412121tr8NRC841226reply,Reptrepresentscompletionofprogramcommitmentsbackto830930programplan.ReptincludesresultsofNRCreview/auditsessions;DISTRISUTID'.AOCOPIESRECEIVED:LTRJENCL/SIZE:Q~J.II56TITLE:OR/icensingSubmi'ttal:Suppl1toNUREG0737(GenericLtr82"33)NOTESOL:08/22/6905000220RECIPIENTIDCODE/NAMENRRORB2BCINTERNAL:ADM/LFMBNRR-PAULSON,rlNRR/DHFS/PSRBNRR/DL/ORBSNRR/DSI/ICSBNRR/DSI/RABEXTERNAL:20XNRCPDRCOPIESLTTRENCL7112111+11Q11+RECIPIENTIDCODE/NAMEIE/DEPER/EPBNRR/DHFS/HFEBNRR/DL/DRABNRR/DSI/CP8NRR/DSI/METBNRR/DSI/RSBRGN1LPDRNSICCOPIESLTTRENCLI1Q11~TOTALNUMBEROFCOPIESREQUIRED:LTTR36ENCL f<<p~IIlaI'N~ItflitR1Kn'l VMIASAIRA'MQHAMKNIAGARAMOHAWKPOWERCORPORATION/300ERIEBOULEVARDWEST,SYRACUSE,N.Y.13202/TELEPHONE(315)474-1511July1,1985DirectorofNuclearReactorRegulationAttention:Mr.OomenicB.Vassallo,ChiefOperatingReactorBranchNo.2DivisionofLicensingU.S.NuclearRegulatoryCommissionWashington,D.C.20555Re:NineMilePointUnit1DocketNo.50-220OPR-63

Subject:

FinalSummaryReportfortheDetailedControlRoomDesignReviewofNineMilePointUnit1

DearMr.Vassallo:

PursuanttoourletterofDecember12,1984onthesamesubjectandyoursubsequentagreementinyourDecember26,1984letter,enclosedisNiagaraMohawkPowerCorporation'sFinalSummaryReportfortheDetailedControlRoomDesignReviewofNineMilePointUnit1.ThisrepresentscompletionofprogramcommitmentsmadeinourDecember12thletterandotherNRCcommunicationsreachingbacktoourProgramPlanof,September30,1983.AnappropriateresolutionofcurrentlyidentifiedHumanEngineeringObservationsderivedfromtheprogramhasbeendeterminedandcommitted.Designdetailingandschedulingoffixesissubstantiallycompletealthoughsomefurtherfollow-onworkofthistypeisrequiredinafewcasestofinalizethedesign.Therearesomefurtherverification/validationstepsandotherprogramactivitieswhichinteractwiththeDetailedControlRoomDesignReview.Theseactivitieshavebeenidentified,structuredandareinprogress.Whenthesearecompletedinthenearfuture,afewchangesmayresultbuttheyarenotexpectedtobeofasubstantialnature.850705026185070lPDRADOCK05000220PDR,,

1(1',r'k~l1f'(I,ff1=lyIi'll1,=ff(yy,y'I,l,'1I(~II'C,1'l'I(-C..J,Clr,y'\(""*11II~IIlIiI'~I1,(P~,,I'l,IIII11IIjIh',,>'f1,('I"I1(I111II(liIfffll,i(iI1I1'i!yr(~011yllffi,l1y4ffF1Ilff'lk,(ffy'*(\IIrl July1,1985Page2Likewise,wehavehadthreemajorreview/auditsessionswithmembersoftheNRC'sstaffinAugust1984,November1984andMay1985.Theagreementsmadeandquestionsansweredasaresultofthesesessionshavebeenincludedintheattachedreport.Insummary,webelievethattheprogramissubstantiallycompleteorwell-defined,andthatsufficientdetailingiscontainedinthisFinalSummaryReporttoallowtheNRCtoadequatelyreviewandapproveourDetailedControlRoomDesignReviewProgram.Sincerely,NIAGARAMOHAWKPOWERCORPORATIONJLB/bdC.V.MangaVicePresidentNuclearEngineeringandLicensing 0'f4hflt4I'ltllI'IK)'hJ1 NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTTABLEOFCONTENTSSection¹TitlePage¹1.02.03.04.05.0IntroductionExecutiveSummaryProgramManagement3.1Staffing3.2ProgramStructure8Processes3.3ScheduleandManagementReviews/ReportsProgramTasks4.1OperatorSurvey4.2HistoricalReview4.3TaskAnalysis4.4ControlRoomInventory4.5ControlRoomSurvey4.6VerificationofTaskPerformanceCapabilities4.7ValidationofControlRoomFunctions4.8SafetyParameterDisplay4.9ReviewofEmergencyOperationsFacility,4.10HumanFactorsManualforFutureDesignChangeProgramFindings5.1OverallHEOCharacterization5.2AssessmentResolutionProcess5.3CorrectiveActionsandVerifications5.4'ollow-ons,Interactions,andInteractionActivities2-13-13-13-43-134-14-24-884-974-1084-1144-1324-1374-1794-1824-1845-1'-15;65-165-40 s<iauYOiJCICc.

NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTTABLEOFCONTENTS(Continued)AppendicesAppendixAAppendixBTitleProgramTeamMake-UpHistoricalReview-ProblemAnalysisReportsLocationVolume2Volume2AppendixCAppendixDAppendixEHEOSourceIndexIntegratedCosmeticPackageVolume3Volume2BWROwner'sGroupChecklistandSupplementVolume2 Ai~*~wr1 NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFTABLESTables4.1-14.1-24.2-14.2-24.3-14.3-24.5-14.7-14.7-24.7-34.7-44.7-54.7-64.7-7TitlePersonnelSurveySummaryFormCommentTableClassificationofLERsClassificationofScramReportsTaskDescriptionFormListofTasksAugmentedDuringReviewReviewofCRModificationsValidationCriteriaPae¹4-9to4-114-14to4-874-91to4-924-934-99to4-1024-1074-119to4-1204-1'38to4-139SelectedEventsShowingEPGSectionsExercised4-141TasksRepresentedinLOCAInsideDrywellTasksRepresentedinHighActivityinCondenserOff-Gas4-1444-145TasksRepresentedinMainSteamLineBreakOutsideContainmentRepresented/Non-RepresentedTasksinEventScenario4-1474-148to4-159TasksRepresentedinFailureofReactortoScram4-1464.10-1TableofContentsofHumanFactorsDesignManual4-186to4-1895.1-15.2-15.2-2SummaryofHEOCharacterizationSafetySignificance/RiskCategoriesforHEOsHumanFactorsConsiderationsforProposedHEOFixes5-55-125-13 9""SvIV NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFTABLES(Continued)TablesTitlePae¹5.2-35.2-45.3-1InteractionalImpactConsiderationsforProposed5-14HEOFixesRiskvs.ImpactConsiderationsforProposedHEO5-15FixesOperatorResponsetoICPVerificationguestionn-5-30to5-34aire5.3-2FunctionalFixDetails5-35to5-39 C/g"l NINEMILEPOINTUNIT1DETAILEDCONTROLROOMDESIGNREVIEWFINALSUMMARYREPORTLISTOFFIGURES~FiuresTitlePae¹3.2-14.1.14.2-14.3-14.5-14.5-24.7-15.4-1DCRDRProgramTa'sks/ElementsKeyforCommentTableProblemAnalysisReport(PAR)TaskAnalysisInstrumentationRequirementFormControlofHumanEngineeringObservationRecordIlluminationSurveyResultsValidationReviewWorksheetRelationalDiagram-ProgramInteractions3-154-114-91to4-924-1034-1174-1224-1615-49 Ig'>f'..<~.4~g'P~YC'"CCPil(':5;i!"

NineMilePointUnit1DetailedControlRoomDesinReviewFinalSummarReort1.0IntroductionSeveralspecialinquirygroupswereestablishedbytheNuclearRegulatoryCommission(NRC)toinvestigatethecauseandconsequencesoftheaccidentatThreeMileIslandUnit2(TMI-2).Itbecameevidentduringtheseinvestigationsthathumanerrorcontributedtotheaccident.TheconclusionreachedfromtheHumanFactorspartoftheseinvestigationswasthatthehumanerrorsweresubstantiallyduetoequipmentdesign,informationpresentation,andoperatortraining,allofwhichdidnotreflectstandardhumanengineeringprinciplesandpractices.TheresultsofthisstudyweredocumentedinNUREG/CR-1270,"HumanFactorsEvaluationofControlRoomDesignandOperatorPerformanceatThreeMileIslandUnit2(Volumes1,2and3).Followingthisreviewandtheassessmentofotherinquirygroups,theNRCrecommendedthataHumanFactorsreviewbeperformedonnuclearpowerplantcontrolrooms.ThisguidancewasdocumentedinNUREG-0660,"NRCActionPlanDevelopedAsaResultoftheTMI-2Accident";NUREG-0694,"TMIRelatedRequirementsforNewOperatingLicensees";andNUREG-0737,"ClarificationofTMIActionPlanRequirements."1-1 3'i5i'/~+f'3~')Vs.'illlU'"AG.i'3"Tl'3-0~)~I>"'.9I()"!.ic<,<pealf".s.'r.,C"fy'~f[vi4~~iI).7f3ii(pr~lG'~c"C,lb'"gI OperatingreactorlicenseesandapplicantsforoperatinglicenseswererequestedtoperformaDetailedControlRoomDesignReview(DCRDR)toassessandevaluatethecontrolroomworkspace,instrumentation,controls,environment,andotherequipmentfromaHumanFactorsengineeringperspectiveinaccordancewithTaskI.D.lofNUREG-0660.Thisprocesstakesintoaccountbothsystemdemandsandoperatorcapabilitiesandidentifies,assesses,recommendsandimplementscontrolroomdesignrecommendationsand/ormodificationsthatwillcorrectinadequateorunacceptableitems.NiagaraMohawkPowerCorporation(NMPC)carriedoutthisprogramonNineMilePointUnit1(NMP-1)intwomajorphases.TheinitialphaseIwasanearlyHumanFactorsreviewundertheauspicesoftheBoilingWaterReactor(BWR)OwnersGroupinaccordancewiththemethodologytheydevelopedforconductingcontrolroomdesignreviews,asdescribedintheirprogramdocumentation.(SeeNEDC30285,"BWROwnersGroupControlRoomDesignReviewProgram.)Thiswasdoneonaninitialsetof16BWRplantswithateamconsistingofOperationsrepresentativesfromtheparticipatingutilities,EngineeringexpertisefromGE,andleadbyprominentHumanFactorsexperts.'hisinitialreviewwascompletedonNMP-1inJuly1981,theresultingHumanEngineeringObservations(HEO's)werecompiled,andageneralassessmentwascarriedoutwhichverifiedthattherewerenosevereproblemsrequiringimmediateresolution.TheseresultswerepublishedinNMPC'sSummaryReportandProgramPlanofSeptember30,1983,alongwithNMPC'soutlineforPhaseIItocompletetheDetailedControlRoomDesignReview(DCRDR)Program.1-2 f'!.'iA~>>f2'(.,>lfAf(,r2)T.:~i~'".IZgilf;,-'ip,"(L+g'lib.iPv'~>

AlthoughremedialactionsproceededonsomeoftheHEO'sintheinterimbecauseofon-goingplantmodificationprogramsforotherreasons,theHf0'sthemselveswere"banked"untilthisfinalphaseoftheoverallprogramwasreadytobeinitiatedinresponsetothefollow-onNRCguidanceprovidedinNUREG-0737,Supplementl.AdvancedResourceDevelopment(ARD)Corporationwashiredinthespringof1984toprovidetheHumanFactorsexpertiseandhadpastDCRDRexperiencewhichcouldbeusedtohelpNMPCcarryoutthefinalphaseoftheirprogram.Theintentwastocarryoutawell-developedHumanFactorsreviewwhichappropriatelymelded-intheinitialphaseresultsonamutuallyconsistentbasis.FinalphaseprogramactivitiesweregenerallybasedontheNRC'sguidanceprovidedinNUREG-0700,"GuidelinesforControlRoomDesignReviews",butjudgmentwasappliedasneededtofittheNMP-1situation.Forinstance,theBWROwner'sGroupchecklistwasusedintheinitialphaseanditssupplementwasusedinthefinalphase.TheorganizationandprogramprocessesaredescribedinSection3.0ofthisreport,thedetailsoftheprogramreview/analysisactivitiesarecoveredinSection4.0,andSection5.0describestheprogramresults,includingtheassessment/resolutionandfollow-onactivities.1-3

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Thepurposeofthisreportistoprovidesufficientbasisanddetailinformationabouttheprogram,particularlythescopeandscheduleofchangesthatwillbemadetotheNMP-1controlroomandtherationalefornotmakingchanges,todemonstratethatacomprehensiveandappropriate'IHumanFactorsreviewwascarriedout.Specifically,theendresultisexpectedtosatisfyTaskActionItemI.o.lfromNUREG-0660andallofthefollow-onNRCguidancedocuments,whichshouldallowNRCapprovaloftheNMP-1DCRORProgramonthatbasis.1-4

[}Q'laocr;.pi,'>5\.Ij)viylV%biI>4'\E.3lIyf.i 2.0ExecutiveSummaryNiagaraMohawk'sresponsetotherequirementforaHumanFactorsbasedDetailControlRoomDesignReviewwasguidedbytheprogramstructure/taskdetailinginNUREG-700"GuidelinesforControlRoomDesignReviews,"andNUREG-0801"EvaluationCriteriaforDetailedControlRoomDesignReview."However,NiagaraMohawkdidnotwanttojustmeetanNRC"defacto"mandate.Specifically,inthecaseofNMP-l,theoriginaldesignwasbasedonengineeringstudiesintheearly1960'sthatdetailedhuman/operabilityconsiderationswhichwereprecurserstothepresentdaystructuredHumanFactorsformulas.Theresultwasacontrolroomwhich15yearsofoperatingexperienceprovedhadaminimumofHumanFactorbaseddifficulty.Nevertheless,HumanFactorrelatedchangesweremadeasthepotentialforsignificantimprovementscametolight.Forexample,theadvantagesofhavingallreactorwaterlevelmonitorszeroedtothesamepointwasaclearcutimprovementthatcameoutofthepost-TMIreviewswhichNMPCinstituted.Similarly,whenthefirstformalizedprogramforaHumanFactorsreviewoftheControlRoomwasdetailedbyaBWROwner'sGroup,NMP-1wasamongthefirstgroupofplantstobelookedatin1981.AlthoughtheresultsofthisearlierphaseoftheHumanFactorsreviewweregenerallyfavorableandthereweresomeunusuallycomplimentarycommentsforaplantthisold,roughlyhalfofthetotalnumberofHumanEngineeringObservations(HEO's)cameoutofit.Thesewerereviewedtorbesurethattherewerenosubstantialproblems(therewerenone)andafullerassessment/resolutionofthesewaslefttothefinalphaseoftheDCRORprogram,recentlycompletedandreportedherein.2-1

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Again,however,whentheHEOAssessment/ResolutionTeambegantheirdeliberationsconcerningallHEO'sfrombothmajorphasesoftheprogram,anumberoftheHEO'sfromthefirstphasehadbeenorwerebeingresolvedwithafixofsomekindforotherreasons.Thus,aseparatecategoryof"Resolved"HEO'swascreatedandactionontheseshiftedtoverificationthatthefixwaseffective,asoutlinedinSection5.3.Similarly,whiletheNRC'srequirements/guidance(oracceptablealternates)doathoroughjobwiththephysicallyorientedaspectsofHumanFactorsconcerns,theydonotdirectlyaddressthemental/decisionmakingaspectsofplantoperation.*NMPCisconsideringtheseaspectswithalongrangeR50programinvolving.modeling/investigationofoperators'ognitiveprocessesandpossibleenhancementapplicationsaseithertrainingaidesorasdirectsupporttoanalysis/decision-makingactivitiesinreactoroperation.ThesepossibilitiesaredirectlyrelatedtoprogramsbeingcarriedoutbyotherR80organizationsintheNRCandEPRI.Collaborativearrangementsarenowbeingworkedoutwiththeseprogramsformutualbenefit.However,thescopeandcontentoftheseactivitiesarebeyondthepurviewofthisreport.*ThisdistinctionhasbeenclearlyidentifiedbysomeHumanFactorsresearchersandissupportedbyempiricaldata.Theydefine"slips"asunintentionalphysicalmistakeswheretheoperatorhasmadetherightdecisionbutmovedacontrolordonesomethingelseincorrectly,onaninadvertentbasis.An"error"isawrongdec>sionbutthecorrectappropriatephysicalactionistakeninsupportofthiswrongdecision.ThecurrentHumanFactorsprogrammandatedbytheNRConlyaddressesthislatterprobleminanindirectway.2-2

~~a TocarryoutthedetailsofthisNRCmandatedHumanFactorsreviewandbesurethatthetwomajorphasesoftheprogram(whichwerecarriedoutthreeyearsapartandbydifferentpeople)wereappropriatelymeldedtogether,NMPChiredawell-knownconsultantwithsubstantialHumanFactorsexperience,AROCorporation(seeAppendixAforasummaryoftheirexperience).Inaddition,itwasrecognizedthatmanyoftheHumanFactorsjudgmentsbeingmadewouldinvolve"degreesofconcern,"thattherewereotherHumanFactordevelopmentsandcriteriathatcouldbepertinent,andthattheexperienceandunderstandingoftheHumanFactorsconsultantwouldbeanimportantingredienttothedetaileddecisionsmadeduringtheprogram.Becauseofthiscomprehensiveapproach,NMPCbelievesthatallHumanFactorsaspectshavebeenorarebeingadequatelyaddressed.Theresulthasbeenacombinationofspecificequipmentchanges,andthedevelopmentofHumanFactorbasedoperatinglogicbasesforthecurrentarrangements.TheoverallconclusionisthattheNMPlOCRORProgramhasbeeneffectiveandworthwhile.Thespecificsoftheprogramandthedetailsoftheresultsarecontainedinthefollowingbodyofthereport;however,theoverallcharacteroftheprogramandasuccinctsummaryoftheresultscanbeseeninFigure5.4-1andTables5.1-1,5.3-2andE-l.2-3 Vl,I Figure5.4-1isarelationaldiagramandtimelinewhichisreferredtoinSection5.4toillustratetheprograminteractionactivities,someofwhichareinprogress.ThisdemonstratesthecomprehensivenessoftheDCRDRprogram,aswellasshowingthepotentialinfluencesonthehumanfactorsresolutionscomingoutofit.Discernablefromthisdiagramarethefollowingkeyoroverallcharacteristics:Theprogramwascarriedoutoveralongtimespan,comparedtomostotherlicensingactivities,thusallowingforevolutionaryadjustmentsindetailsandschedulechanges.Theresultisanup-to-dateprogramwhichshouldhaveresolutionofmost,ifnotall,potentialconcernsandkeyaspectsalreadyincorporatedbothincontentandschedule.Threegeneralgroupsofactivitiescanbeseen(indicatedbyverticaltwo-headedarrows)wheretherewerehighlyinter-relatedtasks,manyiterations,andmanycommonconsiderationsinvolvedinthetaskactivities.Bytheissuancedateofthisreport,agreementhadbeenreachedaboutfixmechanisms(asrepresentedbytheHEOcompilationinAppendix0)andOperationsandEngineeringpersonnelarenowworkingonthecompletionofdesigndetails.Manychangeshavealreadybeeninstitutedandmostotherswillbecompletedbytheendofthespring1986refuelingoutage.2-4 V,E InteractionswiththeEmergencyOperatingProcedures(EOP's),SafetyParameterDisplaySystem(SPDS),andR.G.1.97(indescendingorderofpotentialeffect)andfixverificationsareimportanttoparticulardetailsoftheOCRORandtheseactivitiesarecontinuing.VerificationactivitiesontheIntegratedCosmeticsPackage(ICP)intheformofoperatorfeedbackwasofmostimportance,andmostoftheappropriateadjustmentsfromthisfeedbackhavebeencarriedout.Table5.1-1providesacompilationandcategorizationthatcameoutoftheAssesment/Resolutionofthe530HEO'sderivedfromthereview/analysisactivities.Table5.3-2listsfixdetailsforthosethatfallintotheFunctionalFixcategory,andTableE-1isacompilationofHEO'sresolvedwithCosmeticFixes.Keyoroverallaspectsfromtheseare:Therearenomajorchangesor"rebuilding"projectsrequiredtoobtainacontrolroomthatprovidesareasonableHumanFactorsenvironment.Neitherweretheremanylongrangesystemsorhardwareorientedfunctionalfixesrequired,andthefewthatwereidentified,fitreadilyintoexistingprograms.Goodexamplesaretherecorder.refurbishmentprogram,whichwasalreadyinprogressbasedonmaintenancefeedbackandthepossibleexpansionoftheGaitronicscommunicationssystemalreadybeingstudiedbasedonearlieroperatorfeedback.2-5

Thus,themajorfocusofthemajorityoffixescomingoutofthisDCRORprogramistheIntegratedCosmeticPackage(ICP)ofdemarcation/mimiclines,newlabels,indicatorandothercolorenhancements,scaleandchartpaperchanges,annunciatortilereletteringandswitchhandlechanges.Thesefitinwellwithmostofthefunctionalfixestoprovideanoverallenhancementofthecontrolroom.Theresultshouldmakeoperationeasierandmoreclearcut,particularlyforthoselessexperiencedandduringstressfulsituations.Finally,aHumanFactorsDesignManualhasbeendraftedandwillbefinalizedfollowingverificationactivities,inordertomaintainconsistentHumanFactorsdesignconventionsinthefuture.ThiswillbeincorporatedintoNMPC'sEngineeringProceduresandusedthesamewayasotherdesignstandards,suchasthoseissuedbyASMEEIEEE,areusedtoday.Thedetailssupportingtheseoverallobservations/conclusions,includingadescriptionofthestructureandoperationoftheprogramareincludedinthefollowingsections.DetaileddatacompilationsareincludedintheAppendices.IncludedisacompletelistingandcategorizationofallHEO'sinAppendixD.ThisprovidesacompilationofNMPC'sexplicitfixcommitments,whichmustbecarriedouttocompletetheOCRORprogram.2-6

3.0ProramManaement3.1~Saaff1nAProgramManagerwasappointedwithintheNuclearTechnologyDepartmentofNMPCwiththeresponsibilitytoestablishandmeettheprogram'sobjectivesbasedontheNRC'sregulatoryrequirementsandguidelines.Inthelineorganization,hereportsadministrativelytotheLeadLicensingEngineerbuthasaccesstoalloftheNiagaraMohawkresourcesneededtocarryoutthefollowingprogramactivities:PlanandadministeralloftheDetailedControlRoomDesignReview(DCRDR)programdetails.Obtainappropriateresourcesandprioritiestoperformworkwithintheschedulesestablished.Coordinatespecifictasks,includingbothinhouseandconsultantwork.IntegratetheDCRDRprogramwithotherregulatoryactivities,particularlythosecontainedinSuppl.1ofNUREG-0737.Writeandpublishrequired/appropriatereportsofstatusandprogress,bothexternallyandinternally.ThisincludessummaryreportstotheNRC.Obtainmanagementattention/actionasneededtoresolveproblemsorissues.MaintaintechnicalcognizanceoutsideNiagaraMohawktobesurethat"state-of-the-art"thinkingisincorporatedastheprogramprogresses.3-1 Ph, Establishandmaintainanappropriatedocumentation,filinganddatabasemanagementsysteminordertoensureadequatetraceabilityandauditability.(ThisincludesbothfortheNRCandwithinthecontextofNiagaraMohawkprocedures.)ThisProgramManagerwasselectedbasedonhispastexperienceandperformance,notonlyasaProgramManagerbutalsoasaLicensingEngineerandconsideringhisbackgroundofhumanfactorsandsystemsunderstanding.HisresumeisincludedinAppendixA.Thereareseveralkeypartsoftheprogramrequiringacombinationofspecificexperience,understandingandinputsfromDesignEngineeringandOperation,aswell.Teamswereneededwithasufficientdiversityofthesebackgroundstocarryoutparticularprogramtasksadequately,suchastheTaskAnalysisintheReview/AnalysisPhaseandtheresolutionofidentifiedHumanEngineeringObservations(HEO's)intheAssessment/ResolutionPhase.TeammemberswerecarefullyselectedbasedonthedepthoftheirexperiencewithInstrumentation8Control(IEC)designinthecontrolroomandcontrolroomoperatingexperience.Resumes'sforthosewhoparticipatedmostheavilyarealsoincludedinAppendixA.Inaddition,theTaskAnalysis8ValidationtasksintheReview/AnalysisPhasewerecarriedoutinconjunctionwithRequalificationTrainingfortheoperatingshiftsattheNMP-1simulator.Thus,theycouldparticipateaswellasbecomefamiliarwiththenewsymptomaticEmergencyProcedureGuides,whicharethecommontechnicalbasisforthenewEmergencyOperatingProcedures3-2

andtheTaskAnalysisofthisprogram.DuringtheHEOAssessment/ResolutionPhase,variousshiftoperatorsalsoparticipatedabout50/ofthetime(astheirworkschedulesallowed),andthecurrentresultswerereviewedwitheachoftheshiftsduringtheirRequalificationTrainingweek.Theoperators'ollectiveinputswereconsideredmostseriouslysincetheyknowthecontrolroominmoredetailthananyoneelseandareabletopointoutproblems(andidentifywhereHumanFactorconcernsmaybenonproblems)thataffectthemmostprominentlyduringoperation.Exampleresume'sofsomeoftheoperatorswhoparticipatedarealsoincludedinAppendixA.Finally,AdvancedResourceDevelopment,aconsultingfirmwithsubstantialHumanFactorsexperienceandseveralcontractsconductingOCRDR'sinthenuclearindustry,washiredtoperformmanyoftheprogramtaskactivitiesandtocollectthedataneededfortheprogram.TheyhadestablishedanefficientsystemforobtainingthedataintheformneededtocarryoutcomputerassistedlistingsandcomparisonsthatresultedinHEO's'.TheirdepthofHumanFactorsexperiencewasalsoparticularlyvaluableintheAssessment/ResolutionPhaseinjudgingtheseriousnessoftheHEO'sinvolvedandinidentifyingcandidateresolutionmechanisms.ResumesofthosefromAROdirectlyinvolvedintheseactivitiesandasummaryofARO'srelatedOCDRexperienceisalsoincludedinAppendixA.3-3

ThissameProgramTeamwasusedthroughouttheReview/AnalysisandAssessment/ResolutionPhaseoftheprogramexceptthatdifferentshiftoperatorsparticipateddependingupontheiravailability.3.2ProramStructure5ProcessesTheprogramwasgenerallyconductedalongthelinesandwiththetasksdescribedinSuppl.1toNUREG-0737andNUREG-0700.MethodologyandthinkingdevelopedundertheauspicesoftheBoilingWaterReactorOwnersGroupwasalsoused.ThesetwosetsofbaseswereusedinanintegratedfashionasdescribedinNiagaraMohawk'sSummaryProgramPlanfortheDetailedControlRoomDesignReview,datedSeptember30,1983.Fourprogramphaseswereestablishedasdescribedbelow.Thestructureoftheseprogramphasesarefirstitemizedordiagramedintermsofthegoalsortasksestablishedforthem.Next,theprocessusedtocarrythemoutisdescribed.3.2.1StructuralOutlineofProramPhases3.2.1.1Planning:EstablishDCRDRstrategy,basesandgoalsDetermineresourcerequirementsandschedulesEstablishneededinteractionswithotherprogramsandorganizations,externalEinternalLayoutworktasks5approaches3.2.1.2ReviewECompilationsSeeFigure3.2-155.4-13.2.1.3AssessmentandImplementation:SeeFigure3.2-185.4-13-4

3.2.1.4Reporting:SummaryProgramReporttotheNRCFinalSummaryReporttotheNRCInternalstatusandprogressreportsInteractionalmeetingsNRC&internalauditsProcessSummary.inCarryin.OutStructuralDetails3.2.2.1Planning:AlthoughtheinitialplanningwascompletedwiththeSummaryProgramReportsubmittedtotheNRC,furtheradjustmentsanddevelopementscontinued.Forinstance,theNRC'sthinkingbecamemoreclearlydefinedinsomeareas(e.g.aboutthebasisfortheTaskAnalysisapproach),theHumanFactorscontractorwashiredandtheycametotheprogramwiththebenefitofl.earningfromrecentOCRDR'satotherplants,andimpactsfromotherprogramactivitiescontinuedtoshapedetailsofthisprogram(e.g.aR.G.1.97submittalwasprepared,SPDSdesign/implementationworkwasproceeding,specificNNP-1EPG'swereprepared,etc.).Theschedulewasalsodelayedbytheextendedstartupfromthespring1984refuelingoutageandtheneedforoperatorinputforthisprogram.AsoftheissuanceofthisFinalSummaryReport,however,theoverallstatusoftheprogramisclosetothatenvisionedwhentheSummaryProgramReport4wassubmittednearly21monthsago.3-5

Currently,thefocusofplanninghasshiftedtothedesign/analysis/operatingdetailsassociatedwiththeimplementationoffixesandcompletionoftheinteractionactivities.Thisisbeingdone,morewithintheestablishedorganizationalproceduresratherthanusingthematrixteamapproachfromtheearlierpartsoftheprogram.3.2.2.2ReviewECompilations:ThereviewprocesswasIdividedintotwomajorphases.Thefirstphasewascarriedoutin1981byaBWROGsponsoredteamofutilityrepresentativesandHumanFactorsspecialists.TheyutilizedaHumanFactorschecklistthathadbeendevelopedbyaspecialcommitteeoftheBWROG.However,noVerificationorValidationactivitieswerecarriedoutandaformalAssessment/ResolutionoftheresultingHumanEngineeringObservations(HEO's)wasdeferreduntilaftercompletionofthefinalphaseofthereviewcarriedoutinthesummer/fallof1984.TheHEO'swereassessedinformally,however,tobesurethattherewerenoglaringproblems.(Therewerenone.)3-6

TheinitialreviewphaseactivitiesweredescribedintheSummaryProgramReportandsubsequentlyacceptedforconsiderationbytheNRC,conditionaluponfurthersatisfactorydetailingandcompletionoftheentireprogram.ThisisdescribedintheNRC'scommentletterofFebruary22,1984concerningNNPC'sSummaryProgramReport.AlthoughtheNRCacceptedtheBWROG'smethodology,therewereconditionsattached,includingtheneedtouseasupplementarychecklist.Whenthefinalreviewphasewasconducted,thefollowingstrategywasused:Thereviewoftheoriginalcontrolroominventorywascompletedwiththesupplementalchecklist.Thecompletechecklist'asusedtoreviewthenewcontrolroomInstrumentationEControls.(ThisincludedeverythinginstalledsincetheJuly1981completionoftheinitialphase.)ThetwoapproachesweremeldedtogethertobesurethattherewouldbenodifferencesinthebasesfortheHEO'sthatresulted.BecauseofsubsequentissuanceoftheNRC'schecklistinNUREG-0700,anythingnewordifferentthatmightbeconsideredfurtherwasbroughtup.3-7

Thisstrategywascarriedoutsuccessfully,andinthefollow-onAssessment/Resolutionprocess,nodiscontinuitiesorproblemsresultedbecauseofthetwodifferentreviewphases.ARDcarriedoutthedetailsoftheReview/Analysisphaseprocessesexpeditiouslyusingthe'formsandprocedurestheyhaddevelopedbasedontheirpastexperience.TheteamofrepresentativesdescribedinSection3.1wasusedwhenjudgementcallswererequiredandsupportingtechnicaldetailswereneeded(e.g.designinformation,EPGappendixdiscussion,scenariosequencedetails,etc.).TheteamwasalsousedinaformalfashionfortheTaskAnalysisdetailsandparticularmemberswereusedintheWalkthru/Talkthruactivities.WiththeexceptionoftheTaskAnalysis,allactivitiesanddatacollectionwascarriedoutattheNNP-1site.BoththenewNMP-1simulatorandtheactualcontrolroomwereusedheavilyaswasappropriatetogetthebest,mostaccuratedata.TheTaskAnalysiswascarriedoutintheoldTrainingCenterinOswegoinordertoremovetheexistingcontrolroominstrumentationfromthecontextasmuchaspossible.3-8

Thebroadercontextof8NRoperationunderdifferingconditionsandproductlineswasalsobroughtupfrequentlyintheTaskAnalysis,perthebackgroundanddiversityoftheReviewTeammembers.Forinstance,oneoftheoperationsrepresentativeswasfromNMP-2,hadexperiencewiththeFitzpatrickPlant,andisnowpreparingNNP-2EmergencyOperatingProcedures.Shiftoperatorswereusedextensivelyinthereviewactivitiesassourcesofinformation,makingjudgementsoninstrumentationneedsintheTaskAnalysisandinorientationaboutequipmentandsystemoperatingdetails.ThisparticipationhaddualbenefitsinreadyingOperationspersonnelforthenewsymptombasedEmergencyOperatingProceduresandinspurringinformativereactionstotheAssessment/Resolutionprocess.3.2.2.3AssessmentandImplementation:TheAssessment/Resolutionprocesswascarriedoutinacircularanditerativefashionoverarelativeshortspanoftime(aboutonemonth)intheTechnicalSupportCenter(wheretheControlRoomTVscannerisavailable)andintheControlRoomitself.AllofthepreviouslygeneratedHEO'swereconsideredduringthistimespan,andthesame3-9

teamwasusedthroughout,althoughtherewereindividualchanges,occasionally.ThiswasthesameteamusedintheReview/Analysisactivities.Thus,thisgroupbecameaProgramTeamusedtocarryoutallconsensusmakingactivitiesfortheprogram.SomeadditionalHEO'sweregeneratedlaterasfollow-onreviewsandverificationsproceeded,andthesamegroupwasusedfortheAssessment/Resolutionofthese.(ResumesformembersofthisProgramTeamarecontainedinAppendixA.)Thisteamapproachhelpedtomaintaincontinuityintheprogramthinking/objectivesinvolvedandenhancedconsistencyinthejudgmentsbeingmade.AlthoughthereweresomejudgmentbasesalreadyattachedtoeachHEOintheformoftheHumanFactorsbasedEvaluationProductdevelopedbytheBWROwners'roup,eachHEOwasinitiallyconsideredonanindependentbasistoavoidpriorbias.HEOswerealsogroupedandcategorized,initially,sothatanysynergismscouldbedeterminedandtheiroverallorholisticcharacteristicscouldbeconsidered.SinceAssessment/ResolutionwasthekeytaskindeterminingtheoutcomeoftheOCRDR,aseparatesection,5.2,hasbeenwrittentodetailthestepscarriedoutintheprocess.3-10

ShiftoperatorparticipationintheAssessment/Resolutionactivitieshadtobelimitedtothosethatcouldbesparedfromshiftduties.However,theProgramManagermadespecialstatuspresentationstoeachshiftduringtheirRequalificationTrainingtosolicitalloperator'sideasandunderstandingforthiscrucialpartoftheprogram.Also,oneoftheconferenceroomsatthesitewasdedicatedtothisphaseoftheprogram.Processsummariesandstatussheetswerepostedonthewalls,andeveryonewasinvitedtocomeinwhentheyhadtimeoronbackshifts,tokeepcurrentandpassonsuggestions.ThisOperationsinvolvementhasresultedintheirheavyparticipationintheimplementationactivities.Verifications,sofar,havebeenproductiveinidentifyingotherandrelatedconcerns,whichhavebeeniteratedthroughtheAssessment/Resolutionprocess.3-11

Implementationandverificationactivitiesarebeingcarriedoutthroughthen'ormalproceduresandprocessesintheEngineeringandOperationsorganizations.ThisisbeingcoordinatedbytheProgramManager.Asdesigndetailsarefirmedupfortheidentifiedfixes,theday-to-dayactivitiesarebeingturnedovertoaProjectEngineerwhowillberesponsiblefortheirexecution.Similarly,theProgramManagerwillfollowthroughwithinteractionalactivitiesbutotherswilltakecareofthedetailscomingou'tofthem.Forexample,theTrainingDepartmentwillrevisetheirRequalificationTrainingProgramforfamiliarizingtheoperatorswiththefixesbeinginstituted.3.2.2.4Reporting:Thisisincludedinthenextsectionwithanexpandedscope.3-12 e

3.3ScheduleandManaementReviews/ReortsAlthoughtheendpointremainedthesame,thescheduleofprogramdetailsandindividualtasksvariedsomewhatfromtheSummaryProgramPlansubmittal.Therewaslittleopportunitytocarryouttheoriginallyscheduledactivitiesinvolvingplantoperatorsduringthespringandearlysummerof1984untiltheplantwassuccessfullystartedupfromitsrefuelingoutage.Aftertheplantwasoperatingstably,thisresourcewasreadilyavailableandwasusedextensively,asdescribedinprevioussections.Thus,theearliertasksinthereviewphaseoftheprogramdidnotstartuntilJune.Oncestarted,however,activitiesproceededsmoothlyandtherewerefewscheduleproblems.ThelatertasksintheReview/AnalysisPhaseandtheAssessment/ResolutionPhasewereparticularlyexpeditious.Bytheendof1984,implementation/verificationprogramdetailshadbeenworkedoutanddetailedinteractionalactivitiesscheduledwithotherprograms.Ouringthefirsthalfof1985,theIntegratedCosmeticsPackageVerificationactivitieshadessentiallybeencompleted,asscheduled,andinteractionalworkwasinfullswing.Arough,non-scaledtime-lineoftheprogramisshowninFigure5.4-1.3-13

Managementreviewsandstatusreportingoccurredat1-2monthinvervalsduringtheyearbetweenmid-1984andmid-1985assignificantgoalsormilestoneswerereached.NiagaraMohawkmanagementwascloselyinformedandprovideddirectionduringthisperiodbothorallyandwithstatusreportreplies.Programadjustmentsweremade,asneededtokeepprogrammaticactivitiesflowingsmoothlyandwithoutconflictswithotherorganizationalactivities.BothEngineeringandOperationsmanagementparticipatedinadryrunoftheprogramstatus/basispresentationtotheNRCinmid-Augustandfinetuneditpriortotheactualpresentation.TheNRCauditlateinNovember,1984,ledtosomeprogrammaticadjustmentsinresponsetotheconcernsraised;andtheNMPCmanagementinvolvedalsodecideduponadelayintheFinalSummaryReportsubmittaltobesurethatitcontainedenoughtoallowanNRCSERtobewrittenwithoutsupplements.Likewise,earlystepsintheimplementation/verificationactivitiesconsistedofNMPCmanagementreviewstodevelopconsensusthinkingaboutapproachesandpriorities.Section3hasprovidedtheoveralldescriptionabouttheprogramworkingsandhowtheywerecarriedout.Sections455belowcontaindescriptionsaboutindividualtasks,themethodologiesusedtocarrythemout,samplesofdataobtained,anddetailsabouttheresultsoftheprogram,includingfollow-onandinteractionalactivities.3-14 1

IQUfeDCRDRPROGRAMTASKSIELEMENTSSYMPTOMATICANALYSESKVKNTSCENARIOSEPG'sWALKTHRU/TALKTHRUCONTROLROOM'NVENTORYCONTROl.ROOMCHECKLISTLER's/SR'sTASKANALYSESCOMPARISION(vav)OPERATINGEXPERIENCEQUESTIONNAIRES/INTERVIEWSEOFREVIEWINITIALBMROGREVIEWHEO'sSPOSREVIEWRSPREVIEWyyTSCREVIEWASSESSMENTSTEGORI7ATlONSOPERATIONALIGNIFICANCERESOLUTIONALTERNATIVESPROJECTINITIATIONVERIFICATIONS+INTERACTIONSPagej/3-15

4.0PROGRAMTASKSThissectionofthefinalreportdescribesthefollowingtasksthatcomprisetheNMP-1CRDRprogramreviewphase:~OperatorSurvey~HistoricalDocumentReviewTaskAnalysisControlRoomInventoryControlRoomSurvey.VerificationofTaskPerformanceCapabilityValidationofControlRoomFunction~SPDSReview~EOFReview~HumanFactorsManualDevelopmentEachoftheseDCRDRtasksgeneratedHEOs.ThesourceoftheseHEOscanbeidentifiedbytheprefixontheHEOidentifyingnumber.ThefollowingHEOprefixesareused:CSCOM.ENVFPHROCSQSSPDTAVALVERVRRChecklistSurveyComputerSurveyEnvironmentalStudyFirePanelStudyHistoricalReviewOriginalChecklistSurveyQuestionnaireSurveySPDSStudyTaskAnalysisValidationVerificationResolutionVerification4-1

4.1OPERATORSURVEY4.1.1Ob'ectivesandAroachAspartoftheControlRoomDesignReview(CRDR)fortheNineMilePointstation,NiagaraMonawkPowerCompany(NMPC)hasconductedasurveyoftheplantoperatorsforUnitl.Questionnairesweredevelopedanddistributedtoalllicensedoperatorsforself-administration.EachoftheninetopicareassuggestedinNUREG-0700wasaddressed.Thequestionnairewaspresentedinamultiple-choiceformatcombinedwithopen-endedquestionsdesignedtosolicitoperatorcomments.Bothpositiveandnegativeaspectsofthecontrolroomandbothemergencyandnon-emergencyoperatingconditionswereaddressed.Ambiguitiesinthewrittenresponsestotheself-administeredquestionnairewerefurtheraddressedinfollow-upinterviewsconductedbyhumanfactorspersonnelon-site.Nineteenoperatorsrespondedtotheself-administeredquestionnaire.Theirbackgroundsspannedanappropriaterangeofexperienceandpositionsattheplant.Themultiple-choiceresponsesrevealed,ingeneral,favorableattitudesaboutthecontrolroom.Theresponsestothequestionsdidnotrevealamajorityofstrongnegativeconcernsonanysinglequestion.Nonetheless,anumberofvaluablesuggestionsandcomments,wereelicitedbymanyquestionnaireitems.4-2

Thesewrittencommentsweresortedintopositiveandnegativefeaturesofthecontrolroom,andeachwascompiledwithrespecttothenumberofrespondentsmentioningthatissue,possiblecorrectiveactionsthatweresuggestedbytheoperatorsforthenegativefeatures,andthedispositionofthatissuewithrespecttotheCRDRprocess.SomeconcernsweredefinedwellenoughtobewrittenasHumanEngineeringObservations(HEOs),whileotherswereredundantwithHEOsfoundduringotherphasesoftheCRDR;stillothersweremoreappropriatelyviewedasgeneralinformationfortheconsiderationofNMPCmanagement.TheHEOsidentifiedduringtheOperatorSurveywereenteredintoacomputerizeddatabasemanagementsystem,alongwiththeHEOsfoundduringotherphasesoftheNineMilePointUnitlCRDR.TheobjectiveoftheoperatorsurveyinthecontextoftheCRDRwastoobtainspecial,pertinentknowledgethatoperatingpersonnelpossessregardingcontrolroomsystemfeatureswhichtheyhaveexperiencedand/orobservedinthecourseofpreparingforoperationsorintheoperationsthemselves.AsoneofthefoundationprocessesoftheCRDR,theoperatorsurveyprovidedinformationthatguidedthehumanfactorsspecialistsduringtheotnerinvestigativephasesoftheCRDR(namelythechecklistsurvey,verification,andvalidationprocesses).Asidefromthisprimaryfunction,italsoprovidedanavenueforplantmanagementtogathergeneralinformationabouttheplantoperators'erceptionsandopinionsofcontrolroomdesignandprocedures.Therespondentswereencouragedtoidentifybothpositiveandnegativefeaturesofthecontrolroom.Thenegativeitemswere,asappropriate,writtenasHEOs,notedtoberedundantwithHEOsalreadyidentifiedinotherphasesoftheCRDR,noted

tobeinvalidfromahumanfactorsperspective,orpresentedasgeneralreferenceinformation.Thepositiveitems,alsopresentedforreference,suggestcontrolroomfeaturesthatshouldnotbecompromisedinthecourseofcorrectingotherHEOs.Aneffortwasmadetopresentallcommentsandsuggestionsmadebytheoperators,eventhoughnotallofthenegativecommentsweredeterminedtobevalidHEOs.ThedeterminationastowhichproblemsqualifiedasHEOswasbasedinpartontheHumanFactorsSpecialist'sunderstandingoftheprinciplesofhumanfactorsengineeringandinpartoninformationcollectedfromoperationspersonnelduringfollow-upinterviews.Althoughemphasisisplacedonemergency-relateddesignfeaturesduringthecontrolroomreview,theoperatorswereencouragedtoconsiderallmodesofplantoperationinformulatingtheirresponses.Theyfollowedthischarge,andidentifiedanumberofnon-emergencycontrolroomfeaturesthatdeserveconsideration.Itwasexpectedthatthefindingsreportedherewould,tosomeextent,overlapwiththoseresultingfromotherphasesoftheCRDR.Thisredundancywillserveasoneindicationoftheseverityofidentifiedproblems.Anotherindicationofseverityisthenumberofoperatorswhomentionedaparticularproblem.Nevertheless,astrengthoftheOperatorSurveyisthatitgivesindividualoperatorstheopportunitytoapplytheiruniquebackgroundsandexperiencestothecontrolroomreviewprocess.Therefore,thepossibleimportanceofconcernsthatwerevoicedbyonlyoneortworespondentswasnotoverlooked.4-4

4.1.2Methods4.1.2.1ConstructionoftheSelf-AdministeredQuestionnaireTheself-administeredquestionnairewasstructuredtoaddressthefollowingnineareas,assuggestedinNUREG-0700:WorkspaceLayoutandEnvironmentPanelDesignAnnunciatorWarningSystemCommunicationsProcessComputersMaintenanceProceduresOperatingProceduresStaffingandJobDesignTrainingAdraftquestionnairewaspreparedbyARDpersonnel.NMPCmembersofthereviewteamreviewedthisdraftandprovidedsuggestionswhichwereincorporatedbyARDpersonnelinthefinalquestionnaire.Theresultingquestionnaire,withaccompanyingexplanatorymaterials,wasthendistributedtotheoperators.AcopyofthedistributionpacketisshowninAppendixA.Eachquestionwasposedinamultiple-choiceformat,toencouragethersponseofoperatorswhomightnothavebeeninclinedtoprovidewrittencommentsforeachitem.Inaddition,open-endedquestionsforeachitem.encouragedtheoperatorstodescribeindetailthespecificsuponwhichtheirmultiple-choiceresponseswerebased.Theoperatorswerefrequentlyremindedtoconsiderallmodesofplantoperation,includingstart-up,hotstandby,fullpower,andreducedpower,inadditiontopossibleabnormaloremergencyoperatingconditions.Opinionsregardingbothpositiveandnegative4-5

designfeaturesofthecontrolroomweresolicited.Eachrespondentwasalsoaskedtofilloutaseparatesheetdetailinghisbackground,levelofexperience,andcurrentstatusatNMPC.4.1.2.2DistributionoftheSelf-AdministeredQuestionnaireThesequestionnairesweredistributedto.operators,basedonalistsuppliedbyNt<PC.TheparticipantsincludedalllicensedoperatingpersonnelatNineNilePointUnit1.Theoperatorsweregivenseveralweekstofillouttheself-administeredquestionnaireandtoreturnitbymailtoARDinaself-addressed,stampedenvelopethathadbeenprovided.Confidentialitywasassuredbyassigningeachquestionnaireanumber.Thelistofpotentialrespondentsandcorrespondingnumberswaskeptinconfidence.4.1.2.3AnalysisofResonsestotheSelf-AdministeredQuestionnaireHumanfactorspersonnelloggedthenineteenquestionnairesthatwerereturnedandtalliedthedemographicinformationandmultiple-choiceresponses.writtenresponseswerecompiledforeachquestionandthensummarized.Responseswhichaddressedthesameissuewerecondensedinto'asummarystatementoftheconcern,withanassociatedcountofthefrequencywithwhichthatconcernhadbeenmentioned.Inthefewinstancesinwhichaconcernwasaddressedbydifferentrespondentsunderdifferentquestionnaireitems,theresponseswerepooledunderthequestionwhichelicitedthehighestincidenceofthatresponse.Ambiguitiesinthewrittencommentswerenoted.Themultiple-choiceresponsesandthewrittencommentswereexaminedwithaneyetowardsareasofparticularconcerntotheoperatorsandtheextenttowhichaconsensusemergedoneachitem.

4.1.2.4Follow-upInterviewsTheobjectiveofthefollow-upinterviewswastoclarifyambiguitiesinanindividual'swrittenresponsestotheself-administeredquestionnaire.Humanfactorspersonneldeterminedthequestionsandissuestobeaddressedduringthefollow-upinterviews,basedontheanalysisofresponsestotheself-administeredquestionnaire.ARDsuppliedHMPCwithalistoftheoperators'ithwhomafollow-upinterviewwasdesired,andNMPCdevelopedaschedulefortheinterviewstotakeplaceon-site.Interviewswereconductedwitheightoftheoperatorswhorespondedtothepreviousquestionnaire.Confidentialityofoperator'sresponseswasmaintainedbothduringtheinterviewprocessandinthenotestakenduringtheinterviews.4.1.2.5IntegrationofInterviewDatawithSelf-AdministeredQuestionnaireResonsesTheinformationcompiledpreviouslyfromtheself-administeredquestionnaireswasenhancedbasedonnotestakenbytheinterviewerduringthefollow-upinterviews.Ambiguitiesnotedpreviouslywereresolvedand,whereappropriate,specificssuchassystemorcomponentnameswereadded.Thetableofissueswhichhadbeenstartedpreviouslywasthenupdated.Finally,arecommendedactionforthereviewteamwasdeterminedforeachissueofconcern.Thesewereclassifiedintothefollowingcategories:1.Problemsthatweresufficientlywelldefinedandvalid,fromahumanfactorsperspective,werewrittenasHEOs,unlessitwasapparentthattheyhadalreadybeenidentifiedduringsomeotherphaseoftheCRDR(ChecklistSurvey,Verification,Validation).

2.ProblemsthathadalreadybeenwrittenasHEOswerenotedassuch.3.Suggestionsmadebytheoperatorswhich,becausetheyviolatedsoundhumanfactorsengineeringpractices,wouldnotbeadvisable,werenotedseparately.4.Negativecommentsofamoregeneralnature,butnonethelessexpressingvalidconcerns,werenotedformanagement'sreference.4.1.3Findings4.1.3.1SurveyResonseNineteenoperators,orfifty-ninepercentofthepersonneltowhomtheself-administeredquestionnairewasdistributed,contributedtotheOperatorSurvey.Ofthese,eightoperatorsparticipatedinfollow-upinterviews.TherespondentsincludedShiftSupervisors,ChiefShiftOperators,NuclearOperators,AuxiliaryOperators,andOperationsmanagementpersonnel.ThedemographicsofthegroupofoperatorsrespondingaresummarizedinTable4.1.1.Therespondentsreflectarepresentativesampleintermsofoperatingexperienceandpositionsintheplant.Inadditiontotheircommercialnuclearexperience,mostofthesepeoplehadbeeninvolvedintheNavynuclearprogrampriortojoiningthecommercialnuclearindustry.Mostoftherespondentsaddressedalloftnemultiple-choiceitemsontheself-administeredquestionnaire,andmostpeoplealsoincludedwritten'ommentsonatleastsomeofthequestions.Alltherespondentsconveyedacooperativeandforthcomingattitude,bothintheirwrittenresponsestotheself-administeredquestionnaireandintheircontributionsduringthefollow-upinterviews.4-8

TABLE4.1.1PERSONNELSURVEYSUMMARYFORMNINEMILEPOINTUNIT1POPULATIONDEMOGRAPHICSANDSTATISTICSNUMBEROFRESPONDENTSMEANSTATISTICSGroupTotalYrsTotalYrsHeightAgeNuclearControlBoard8Yrs8YrsOperExp.OperExp.ROSROReactorOperator71.45"32.917.453.115.230SeniorReactorOperator468.25"48.7515.002.004.5010.33Overall19*70.60"37.139.472.885.032.21*fourrespondentschosenottoprovidedemographicinformation49 0

4.1.3.2OverviewofFindinsThefindingsfromtheoperatorsurveyarepresentedinthefollowingformat.First,foreachoftheninetopicareascovered,abriefsummaryoverviewisoffered.Second,ahistogramispresentedofthemultiple-choiceresponsestothequestionsinthatsection.Third,atableofdesignissuesthatwerementionedintheoperators'rittencommentstoeacnquestioninthissectionofthequestionnaireispresented,alongwithatallyofthenumberofpeoplementioningeachconcernandtheactionrecommendedtothereviewteam.(Positivecommentsarelistedfirstundereachquestion.)Thistablealsolistsanyrecommendedactionsthattheoperatorsexplicitlyprovidedforthenegativefeaturesidentifiedinthetopicarea,andthenumberofpeoplewhomentionedeachsuchcorrectiveaction.An"R"intheVALUEcolumnsignifiesthatthecommentisarecommendationconcerningtheissuestatedimmediatelyabove.Figure4.1.1providesakeytoassistininterpretingTable4.1-2presentedinSection4.1.3.3.4.1.3.2.1Multile-ChoiceResonsesThemultiple-choiceswerestructuredsuchthatthefirstalternative(a)representedapositivestatement(noproblems,excellent),thesecond(b)representedslightproblems(only1or2problemareas,adequate),tnethird(c)representedsignificantproblems(severalproblemareas),andthefourth(d)representedthemostnegativechoice(manyproblemareas).Ingeneral,themultiple-choiceresponsesreflectedarelativelypositiveviewofthecontrolroomdesignbytheoperators.Withoutexception,themostfrequentresponsetoeachquestionwasan(a)or(b).Therewere,ofcourse,differingamountsofspread(reflectingdegreeofconsensus)totheresponses,butfornoquestion,didmorethan50%oftheresponsesfallinthe(c)and(d)choices.4-10 0',

guestionnumbercorrespondstoquestionnumberfoundinself-administeredquestionnaire.QUESTIONNUMBERA.3.Arethereanycontrolsthatarehardtoreachorindicatorsthataredifficulttoread?Numberofoperatorswhocommentedonthisissue.Firsttwopositionsreflectquestionnumberandsucceedingpositionsrepresentasequentialnumberassignedtotheresponsestothisquestion.Hifthisisanegativecomment;Pifthisisapositivecoaeent;Rifthisisarecommendationconcerningtheissueimmediatelyabove.Paraphraseofoperatorresponsetoquestionnaireorinterview.FREOUEHCYCODEVALUECOMMENTACTION186.6NThreeturbine/generatorchartrecordersonbackpanelsaredifficulttoreadRTheyshouldbereplacedbyrecordersthathaveavisualpointdisplayliketheonesonpanelsAlandA2.Coderepresentsdispositionoftheresponse:HEOwrittenupasanHEObasedoninforma-tionfromtheOperatorSurvey(ifthisitemisencompassedunderanHEOasso-ciatedwiththeresponsetoanotheritemreferencetothatitemismadeinpar-entheses)CKalreadyidentifiedasanHEOduringthetheChecklistSurveyR~forgeneralreferenceonlyIinvalidfromahumanfactorsperspectiveeFigure4.1.1KeyforCommentTable4-11

Oespitetheseoverallpositivefindings,itshouldbenotedthatafewnegativefeatureswereidentifiedunderanumberofquestions.Furthermore,thenegativeresponsesweredistributedovertheoperators,andthereforecannotbeattributedtotheopinionsofafew.4.1.3.2.2SpecificCommentsandSuestionsThesummarytablesincludedhereincontainanumberofcommentsonthepartoftheoperators,someofmoreconcernthanothers.TheOperatorSurveypresentstheopportunityfortheplantoperatorstovoicetheiropinionsonawiderangeofstationdesignfeaturesandprocedures.Therefore,inadditiontoservingthemorenarrowlydefinedfunctionofthissurveyinthecontextoftheCROR,itcanbeviewedmorebroadlyasasourceofinformationtotheplantmanagementabouttheperceptionsandmoraleoftheoperators.Inthisspirit,anefforthasbeenmadetopresentnotonlycommentsandsuggestionsthatarepotentialHEOs,butalsothosewhichseemedlikevalidconcerns.Thefrequencycountsgiveninthesummarytablesrepresentresponseslistedeitherontheself-administeredquestionnaireorinthefollow-upinterviews.Itshouldbeemphasizedthatissueswithalowfrequencyofresponsewerenotdiscountedasunimportant.Somerespondents,becauseoftheirextensiveexperience,recognizedproblemsthatlessexperiencedoperatorscannotrecognize;therefore,itwasusefultotakeintoaccountsomecommentswithalowfrequencycount.4.1.3.3FindinsOranizedbTopicArea4.1.3.3.1WorkspaceLayoutandEnvironmentThefirstfourquestionsinthissectionexaminedcommunications,airquality,lighting,andmaneuverabilityin4-12

thecontrolroom.Overall,voicecommunicationinthecontrolroomwasconsideredgood,withtheexceptionbeingthenoisecausedbynon-operatingpersonnelinthecontrolroomandthepresenceofthesecuritystation(guards,radios,typer).Theairqualitywasalsoconsideredgoodaslongastheairconditionerwasrunnning.Theproblemsthatwereidentifiedconcernedhightemperaturesinthecontrolroomwhentheemergencyventilationsystemisusedduringthesummermonthsandtheneedforbettercontrolofairqualityfromthecontrolroom.Lightingreceivednocommentsandwasconsideredadequate.Regardingoperators'bilitytomaneuverinthecontrolroom,thesecuritystationwasalsocitedasbeinganobstructiontomovement.Thelastfourquestionsinthissectioninvolvedtheavailabilityandusefulnessofinstrumentationandcontrolsinthecontrolroom.Muchoftheconcernexpressedbyoperatorsregardedannunciatoracknowledgebuttonsandstations.Acknowledgingfirepanelalarms,mostofwhicharespurious,requiresconsiderableoperatortime,becausetheymustgotothefirepaneltoacknowledgethesealarms.Separatingfirepaneltroublealarmsfromactualfirealarmsandallowingthemtobeacknowledgedseparatelywasonesuggestiontohelpalleviatethissituation.Theoperatorsidentifiedtheneedforseveralindicatorswhichtheyfeltwouldimprovecontrolroomoperations.TheyalsoidentifiedafewextraneouscontrolsanddisplaysthatcouldbedeletedinordertofreeupspaceonthecontrolpanelsforImoreusefulinstrumentation.4-13

TABLE4.1-2COMMENTTABLEA.Wortl;spaceLaoutandEnvironmentA.l.Howwouldyoucharacterizethecapabilityfordirectvoicecotnaunicationbetweenpers<inthemaincontrolroom?~2015NumberofRespo>>10NumberofRespondents~19Excel1entAdequateSomeManyProblemProblemAreasAreasA.2.Airquality(temperature,humidity,ventilation)inthecontrolroomis:20NumberofResponses10NumberofRespondents~19ExcellentAdequateSomeProblemAreasManyProblemAreas4-14

A.3.Lightinginthecontro'lroom(illumination,glare,reflections)is:20't5NumberofResponsesNumberofRespondents~19ExcellentAdequateSomeManyProblemProblemAreasAreasA.4.Operator'sabilitytomovearoundthecontrolroominanunobstructedmanneris:20HumberofResponses'15NumberofRespondents~19ExcellentAdequateSomeManyObstruct-Obstruct-ionsionsA.5.Areadditionalcontrolsneededinthecontrolrooml20NumberofResponses10NumberofRespondents18Hone1or2SeveralManyi4-15

A.6.Areanyofthecontrolsthatarepresentlyinthecontrolroomunnecessary?20!5NumberofResponsesNumberofRespondents~18Hone1or2SeveralManyA.7.IAreadditionalindicators(i.e.meters,statuslights,chartrecorders)neededinthecontrolroom?2015HumberofResponsesNumberofRespondents~18Hone1or2SeveralManyA.8.Areanyoftheindicato&thatarepresentlyinthecontrolroomunnecessary?2015NumberofResponsesq0NumberofRespondents~18None1or2SeveralHany4-16

()UESTIONNUMBERA.l.Howwouldyoucharacterizethecapabilityfordirectvoicecomunicationebetweenpersonnelinthemaincontrolrooml~FreuencCodeValueConaaentActionHVoicecommunicationintheCRisimpededbynoisewhichresultsfrom:3Al.1-unnecessarypersonnel(departmentassistantsandothersupportpersonnelcrowdtheCR,particularlyduringmorninghours)4,A1.23A1.3-securityguards-securityradiosHEOHEO(withitemA1.2)1A1.4-securitytyperHEO(withitemA1.2andothers)4-17

QUESTIONNUMBERA.2.Airquality(temperature,humidity,ventilation)inthecontrolroomis:~FreueucCodeValueCommeutAction1A21PAirqualityinthecontrolroomisadequateaslongastheairconditionerisrunning.1A2.2N2A23NPanelsaresometimesmissinginthewallsandceilings.Controlroomemergencyventtestsduringthesummermakeitwarminthecontrolroom.HEO1A2.4N2A2e5NSupplyandreturnductsneedcleaning.Therearepoorairqualitycontrolsinthecontrolroom.HEO4-18

QUESTIONNUMBERA.3.Lightinginthecontrolroom(illumination,glare,reflections)is:~FreeeocCodeYelpeCommentActionNoresponses.4-19

QUESTIONNUMBERA.4.Operator'sabilitytomovearoundthecontrolroominanunobstructedmanneris:~FreueucCodeValueCommentAction7A4.1NGuardstationandexcesspeopleinterferewithoperatorNEOmovement.(withitemA1.2andothers)1A4.2NChairs,proceduresfiles,andtablesinterferewithmovementaroundthecontrolroom.4-20

(}UESTIONNUMBERA.5.Are'additionalcontrolsneededinthecontrolroom?~FoeuencCodeValueCommentAction2A51PControlsonthemaincontrolboardsarefineforplantoperation.1A5.2P2A53NElectricalpaneliswelldesigned.Acknowledgingfirepanelalarmstakesoperatorawayfromthemaincontrolpanel.AnnunciatoracknowledgestationsforfirepanelannunciatorsshouldbeincorporatedinmasterannunciatoracknowledgestationonpanelE.1A5.4NAcknowledgebuttonsareneededateachpaneltoallowoperatorstoacknowledgeannunciatorswithoutleavingtheirworkstation.CK1A55NAmastersilencebuttonisneededtosilenceannunciatorswithoutmakingtilessolidandclearingtargets.Onebuttonisusedtosilenceandacknowledge(i.e.makesaflashingalarmtilegosolid)annunciators.Whenthealarmconditionclears,thetilereflashesdimandthesamebuttonisusedtoclearthealarm(i.e.tilegoesdark).Ifanewalarmcomesinas'notherclears,thereisthepossibilitythattheoperatorwillhitthebuttontoclearthealarmandnotnoticethenewalarmCK1A5e6NAtroublealarmon/offswitchforthemainfirepanelisneededtoallowcontrolofnuisancealarmswithoutmaskingfirealarms.NEO4-21

aQUESTIONNUNBERA.6.Areanyofthecontrolsthatarepresentlyinthecontrolroomunnecessaryl~FreueucCodeValuetomcatAction1A6.1N.Securityguardsandtheirphonesareunnecessarysincetheyarenotusedinanymodeofplantoperation.NEO(withitemA1.2andothers)1A6.2NNewcontrolsarebeingaddedallthetimeeveniftheyaren'wanted.4-22

QUESTIONNUMSERA.7.Areadditionalindicators(ine.,meters,statuslights,chartrecorders)neededinthecontrolroom?~FreuencCodeValueComnentAction1A7.1PThedigitalreadoutsthathavebeenaddedrecentlyarewellRdesignedandagreathelptotheoperator.1A72PPanels"E"and"F"arewell-designedwiththeexceptionofRrecentfeedwatermodifications.1A7.3PHostsystemsarewelldesigned.1A7.4NAtemperaturemeterforthenon-regenerativeheatexchangeroutlettemperaturetoclean-upisneeded.Mhenshutdown,theoperatorsuseclean-uptocontrolshutdowntemperature.Mhenstartinguptheunit,havetothrottlethevalveandneedametertoindicatetemperature.Atpresent,thistemperatureinformationisavailableonlyonthecomputer.HEOAgoodplacetoputthismeterwouldbetheKpanel.1A75NIndicationofrelativespeedof813feedwatershaftpumpisneeded.HEO4-23

()UESTIONNUMBERA.8.Areanyoftheindicatorsthatarepresentlyinthecontrolroomtunnecessary'rerFuencCndeValueCogentAction1A81NGatealarmwindowswhicharelocatedontheleftsideoftheEpanelareextraneoussincetheyarenolongerwiredtoindicatewhengatestohighradiationareashavebeenopened.TheseindicationsaretakingupvaluablespaceontheEpanelthatcouldbeallocatedtomoreusefulindi-cationsorcontrols.HEO1A8.2NSomeinstrumentshavebeenremovedfromthecontrolroom,e.g.(813shaftpumprelativespeedindicator,turbineaccelerationmeter)1A8.3NSomeinstrumentsaredifficulttomaintain,e.g.dtywellwaterleakraterecorderforequipmentdraintankIlland812)HEO1A8.4NSomeinstrumentsgiveunreliablereadings(mainsteamradia-HEOtionmonitors,H2and02recordersofCADsystem811and812turbinespeedindicationbyA7panel,radiationlevelreadingsof"F"panel.1A8.5NTheconcentratorelectricboiler811annunciatorisextran-HEOeoussincetheboilerisnolongerused.1A8.6NThe"GuardHouseinTrouble"alarmcouldbedeletedfromHEOA-1ifthesecuritystationremainsinthecontrolroom.(withitemA8.3)1A8.7NOneoftheannunciatortilesonH-2isblankandcouldbeRusedforsomethinguseful.4-24 0

Questionsposedunderpaneldesignincludedevaluationofthefollowingareas:automaticversusmanualcontrols,throttleablecontrols,functionalgrouping(control/displayrelationships),control/displayaccessibility,andeaseofuse.Therewereveryfewproblemsidentifiedhere.Ingeneral,thepresentpanellayoutsseemtobeviewedfavorablybytheoperators.Ahardwareproblemwasnotedwiththecleanupsystemlowflowpressurecontrolvalves,inthattheydon'talwaysstayinthepositionselectedbytheoperators.Thisproblemillustratestherelationshipbetweenhardwaredesign,maintainability,andhumanfactors.Eventhoughtheproblemstemsfromadesignormaintenanceflaw,itrequirestheoperatorstodevoteqsignificantamountoftimeandattentiontocontrollingthissystem.Severalannunciatorsthatarelocatedsomedistancefromthedisplaysandcontrolstowhichtheyrelatewerenoted.Problemswithaccessingseveralindicators,eitherbecauseoftheirheightonthepanelsortheirplacementonabackpanel,werenoted.Ifadditionalspacebecomesavailableonthefrontpanels,byvirtueofdeletingexistingequipmentwhichisnotoperational,itmaybepossibletoprovidemoredetailedindicationsofthearearadiationmonitorsandcontinuousairmonitorsonthefrontpanels.Severalcontrolswerenotedasbeingpronetoaccidentalactivation.Theproblemshereincludetheproximityonthepanelsofcontrolsthat,ataglance,aredifficulttodistinguishfromoneanother,controlslocatedlowonthepanelsthatcouldbeinadvertentlyactuatedbypassers-by,andthesensitivity(i.e,lackoftactilefeedbacktooperators)oftheswitchesonthefirepanel.4-25

B.PanelOesin~~B.l.Arethereanycontroldevice(s)whichshouldbeoperatedmanuallyinsteadofautomaticallyorviceversa?2015Numberofg0ResponsesNumberofRespondents~19Hone1or2SeveralMany:B.2.Arethereanythrottleablevalve(s)thatwouldunnecessarilyrestrictyourtimetorespondshouldanemergencysituationoccurs20NumberofResponses<0NumberofRespondents~19Hone1or2SeveralMany8.3.Arethe.eanysystem(s)inwhichcontrolsorindicatorsarenotplacedinfunctionalgroupsc2015)/umberofResponses<0NumberofRespondents~19None1or2SeveralMany4-26

B.4.Thelayoutofthecontrolequipmentonthepanelsis:20NurberofResponses15NumberofRespondents=19ExcellentAdequateSomeManyProblemProblemAreasAreas;B.5.Arethereareasonthemaincontrolboardswhereyouruseofacontrolishinderedbecauseofother,nearbyequipment?'15NumberofResponsesNumberofRespondents19None1or2SeveralManyB.6.Arethereanycontrolsthatarehardtoreachorindicatorsthataredifficulttoread'20NumberofResponses10NumberofRespondents~19'5None1or2SeveralMany4-27

B.7.Arethereanycontrol(s)orindicatorsonbackpanelsthatshouldbeonfrontpanels,orvice-versa?20Number15ofResponses~0HumberofRespondents19None1or2SeveralMany:B.B.Arethereanysystem(s)inthecontrolroomwhichyoufeelaredifficultorconfusingtoioperate?2015NumberofResponsesNumberofRespondents~19None1or2SeveralManyB.9.Arethereanycontrolslocatedinthecontrolroomthatyoufeelarepronetobeaccidentlyactivated?20NumberofResponses10NumberofRespondents19e,'one1or2SeveralMany4-28

QUESTIONNUMBERB.l.Arethereanycontroldevice(s)whichshouldbeoperatedmanuallyinsteadtofautomaticallyorvice-versa?~FreceneCodeYe1neCementAction1Bl.lPMostsystemshaveachoicebetweenautomaticandmanualoperations.Theoperator,therefore,candecidewhenmanualoperationisnecessary.1B12NSomecontrolsshouldbeoperatedinthemanualmodesincetheautomaticmodehasbeenshowntobeinadequate.4-29

QUESTIONNUMBERB.2.Arethereanythrottleablevalve(s)thatwouldunncessarilyrestrictyourtimetorespondshouldanemergencysituationoccur?~FeeueucCodeYelueCommentAction1821NThecleanupsystemlowflowpressurecontrolvalvespresentHEOproblemsduringcertainmodesofoperationbecausethevalvemaynotstayinthepositionsetmanuallybytheoperator;thisisahardwareproblem,butittiesuptheoperatorsunnecessarily.1B2.2NOperationofthefeedwatersystemiscomplexandwhenonlyIoneoperatorisavailable,itmayprecludehimfromaddressingotheroperations.(Note-However,controlroomstaffingissuchthatmorethanoneoperatorshouldalwaysbeavailable)4-.30

()UESTIONNUMBER8.3.Arethereanysystem(s)whichcontrolsorindicatorsarenotplacedinfunctionalgroups?~FreueucCodeValueCommentAction1B31PThecleanup,corespray,containmentspray,feedwater,reactorrecircpumpsandCRDsystemsarewelldesigned.1B3.2PEmergencyventilation,cleanup,andfeedwatersystemsarewelldesignedforoperations.2B3.3P1B34NFunctionalgroupingsforallsystemsareeffective.Orywellwaterleakdetectionannunciator(aboveHpanel)isnotlocatednearthechartrecorders(onLpanel).HEO3B35NOff-gassystemannunciators(aboveLpanel)arenotlocatednearsystemcontrols(onHpanel)CK4-31

QUESTIONNUHBERB.4.Thelayoutofthecontrolequipmentonthepanelsis:~FreueocCodeValueCommentAction164.1PFlightpanelhasagoodlayout.2B4.2PHostsystemsarewelllaidout.4-32

gUfSTIONNUMBER8.5.Arethereareasonthemaincontrolboardswhereyouruseofacontrolishinderedbecauseofother,nearbyequipment?~FeeueucCodeValueCommentActlou1B5.1NCoresprayandcontainmentsprayinstrumentationiscrowdedIonthecontrolboard.185.2NSecuritystationhindersuseofcontrols.NEO(withitemA1.2andothers)4-33

QUESTIONNUMBERB.6.Arethereanycontrolsthatarehardtoreachorindicatorsthataredifficulttoread1~FeeueucCodeVelueCommentAction1861NThechartrecorderwhichmonitorslaketemperatureandplantinandouttemperatureonpanelHisinaccessible.Thismakesitdifficulttochangepaperintherecorder.HEO786.2NThelettersizeonsomeannunciatorsistoosmallandtheHEOstrokewidthisdisproportionallywide.Thisapparentlyoccurredduetoamistakeinorderingabatchoftilesthatwererecentlyreengraved.1B63NAllcontrolsthataremorethanfivefeetfromflooraredifficulttoreach.CK1B6.4NIndicatorswhicharehighuponcontrolboardsaredifficulttoread.CK1RShouldbetippeddownwardforeaseofreading.1B6e5NSomechartrecordersarehardtoreach.HEO186.6NThreeturbine/generatorchartrecordersonbackpanelsaredifficulttoread.CKRTheyshouldbereplacedbyrecordersthathaveavisualpointdisplayliketheonesonAlandA2.4-34

()UESTIONNUMBERB.7.Arethereanycontrolsorindicatorsonbackpanelsthatshouldbeonfrontpanels,orvice-versa'PreuencCodeYaleeCocoanutActionl87lNThereisoneannunciatoronthemaincontrolboardsfor30arearadiationmonitors(ARHs)andoneannunciatorforseveralcontinuousairmonitors(CAHs).Therefore,theoperatorhastogobehindthemaincontrolpanelstodeterminewhichARMorCANcausedanalarm.NEORTheseindicationsshouldbeonthefrontpanelaswellasonthecomputer.4-35

QUESTIONNUMBER8.8.Arethereanysystem(s)in'hecontrolroomwhichyoufeelaredifficultorconfusingtooperate?~FreueocCodeValueCommentAction388.1PAllsystemsareplacedwell.1B8.2PThereactorrecirculationsystemisparticularlywelldesigned.4-36

()UESTIONNUMBERB.9.Arethereanycontrolslocatedinthecontrolroomthatyoufeelarepronetobeaccidentallyactivated?~FreueucCodeValueCommentAction2891PAccidentalactivationcanbepreventedifpeoplearecarefulandunnecessarypeoplearekeptoutofthecontrolroom.1892NTheemergencyhydrogendumpvalveispronetoaccidentalactivation.2893NSwitchesonfirepanelareverysensitive,sowhenpovingHEOswitchestoanon-line("armed")position(afterhavingthesystemoff-lineformaintenance)itiseasytoturntheswitchtoofaranddischargewaterorcardox.1894NControlswhicharelocatedlowonthepanelmaybebumpedHEObyapasserby'knees.1895NThecondenservacbreakersandthedrywellventtocondensercontrolscanbeaccidentallyactivated.HEOAkeylockonthelowerrightswitchforthereactorbuildingemergencyventwoulddiscourageaccidentaldumpingofthedrywell/torus.4-37

4.1.3.3.3AnnunciatorSystemguestionsregardingtheannunciatorsystemexaminedtheappropriatenessofalarmsetpoints,clarityofalarmmessages,andmethodsfordeterminingthecauseofalarms.Responseshereweregenerallyverypositive.Numerousoperatorsnotedthedifficultyofreadingsomeofthepresentalarmtiles,forwhichtheletteringistoosmallandthestrokewidthtoowide.Thesameproblems(securityguardsandequipment,othernon-operatingpersonnel)citedpreviouslyasimpairingcommunicationsinthecontrolroomwerementionedhereasmakingitdifficulttohearannunciatorsignals.Somenuisancealarmswereidentified.Theseincludedalarmswithinappropriatesetpoints,multipleinputalarmsforwhichthereisnoreadilyapparentindicationofwhichinputcausedthealarm,andseveralalarmswhicharespuriousduetohardwareproblems.4-38

C.AnnunciatorSstemC.l.Arethereanyareasinthecontrolroomwherebackgroundnoiselevelsinterfacewithannunciatorauditorysignals?2015HumberofResponses10NumberofRespondents~19Hone1or2SeveralManyC.2.Haveyouexperiencedorcanyouconceiveofsituationsinwhich.theannunciatorwarningsystemwasineffectiveinhelping,ormighthaveactuallyhindered,operators'esponset<asystemproblem?20Number15ofResponses10HumberofRespondents~19Hone1or2SeveralManyC.3.Arethereanyalarmwindowsthathaveaninappropriatesetpoint?2015HumberofResponsesNumberofRespondents~19None1or2SeveralMany4-39 o:

C.4.Aretherealarmswithmultipleinputsforwhichtherearenodevices(e.g.printers)fromwhichtheoperatorcandeterminethecauseofthealarmP2015NumberofResponsesNumberofRespondents~19Hone1or2SeveralManyC.5.Arethereanysingleinputalarms(e.g."nuisancealarms")thatcouldbeeliminatedorccmbinedintomultipleinputalarms'035NumberofResponsesq0NumberofRespondents~19None1or2SeveralManyC.6.Arethereanyalarmwindowsinthemaincontrolroomwithengravingsthatareconfusingordifficu'1ttounderstand?20NumberofResponsesNumberofRespondents19Hone1or2SeveralMany4-40 0

QUESTIONNUNBERC.l.Arethereanyareasinthecontrolroomwherebackgroundnoiselevelsinterferewithannunciatorauditorysignals?~FreueucCodeValueCommentAction1Cl.lNThesecuritytypernoiseinterfereswiththeoperatorsabilitytohearannunciators.HEO(withitemA1.2andothers)2Cl.2NThesecurityradiointerfereswiththeoperators'bilitytohearannunciatorsHEO(withitemA1.2andothers)4-41

QUESTIONNUMBERC.2.Haveyouexperiencedorcanyouconce'iveofsituationsinwhichtheannunciatorwarningsystemwasineffectiveinhelpingormighthaveactuallyhinderedoperators'esponsetoasystemproblem?VceecluVuueeeccCodeValueCommentAction1C2.1NNumerousnuisanceandfalsetroublealarmsexistonthefirepanel.Thecauseofthefalsealarmsisnotalwaysclear.Invalidalarmsmayoccurasoftenaseveryfewminutes.HEO1C22NManyfirepanelalarmshavemultipleinputs.TheoperatorHEOhastogotovariouslocationsaroundtheplanttodeter-minethesourceoftheproblem.Onseveraloccasionstheyhavebeenunabletodetermine.thesourceofthealarm.1C2e3NAlarmannunciatorsusuallycomeonunnecessarilywhileputtingthesysteminservice.Thiseventmayoccurononeofthesmallvacuumpumps(piglets)thattakesuctiononthecirculationwaterandwaterboxes.HEO4-42

~"

.eQUESTIONNUMBERC.3.Arethereanyalarmwindowsthathaveaninappropriatesetpoint?~FreueucCodeValueCotnnentAction1C3.1NThecontainmenthydrogenmonitoringsystemcausesaspuriousalarm.Thesystemisself-calibratingandthealarmcomesfromthesensorthatistriggeredbythereadingonthemeter.Mhenthesystemcalibratesitself(every15minutesorso),themeterdisplaysaninappropriate(andspurious)value,andthealarmistriggered.HEONeedamechanismthatdefeatsthealarmwhentheinstrumentisincalibrationmode.1C3.2NRecombinerandoffgasalarmsoccurforsystemsthatareoutofservice.HEO1C3.3NThereisatemperaturepointoneithertheB2orB3panelHEOthatgoesoverthealarmpointontherecorderbeforeprintingatemperaturebelowthealarmsetpoint.Anannunciatoralarmthencomesonwiththisoccurrence.4-43 i~,

l(piQUESTIONNUt<BERC.4.Aretherealarmswithmultipleinputsforwhichtherearenodevices(e.g.,printerslfromwhichtheoperatorcandeterminethecauseofthealarm?~FreueucCodeValueComentAction1C4.1NThefollowingannunciatorsshouldbesplitintosingleinputs:OFFGASCHILLERll,12413OFFNORMALTURBBLDGFLOORDRAIN11-18LEVELHIGHRXBLDGFLOORDRAIN11-12SUPP11<<14HIGH.HEO(alsoseeHEO232)(fortheformerones,havetogotolocalpanelintheoff-gasbuildingtodeterminecause;forthelatterthreetypes,havetogointoreactorbuildingtocheckeachsump)RAcomputerprintoutofwhichsumpishighwouldbeusefulsinceatpresentoperatorhastogotootherbuildingstocheckoutcauseofalarm..e1C4.2NThecomputermaybeusedtodetermineinputtomultipleinputalarms.However,itisnotalwaysreliable.4-44

QUESTIONNUMBERC.5.Arethereanysingleinputalarms(e.g.,"nuisancealarms")thatcouldbe,ieliminatedorcombinedintomultipleinputalarmsl~FreueocCodeYalueCommentActionNoresponses4-45

QUESTIONNUMBERC.6.Arethereany.alarmwindowsinthemaincontrolroomwithengravingsthatareconfusingordifficulttounderstand2~FreceneCodeYalneCommentAction1C6.1PNoneofthealarmwindowsaredifficulttounderstandwhenyouarelookingdirectlyatthem.(Note-Inresponsetothisitem,anumberofoperatorsmentionedtheproblemreadingsomealarmtilesduetotheirsmallletteringandwidestrokewidths.thisproblemwasalsomentionedunderseveralotherquestions,theseresponsespooledunderitemB6.2)withBecausehavebeen4-46

4.1.3.3.4CommunicationsThecommunicationssectionofthequestionnaireexaminedtheavailabilityandsuitabilityofcommunicationsystemsinthecontrolroomaswellasotherplantlocations.Overall,thecommunicationssystemswerejudgedbyoperatorstobegood.AnumberofrespondentsfeltstronglythatoperatorsneededbetteraccesstotheGaitronicspagingsystem.NNPChasprocedurallyestablishedchannel2ofthe"hear-here"systemasbeingdedicatedforoperatoruse,butthisprocedureisnotfollowedconsistentlybyotherpersonnelworkingintheplant.Consequentlyoperatorssometimeshavetowaittogetaccesstothepagerwhentheyneedit.Adesignchangethatwouldensureadedicatedchannelforthecontrolroomwassuggested.TherewerealsoproblemsnotedregardingthemaintenanceoftheGaitronicsandtheneedforadditionalspeakersand"hear-here"stationsincertainplantlocations.4-47

0.ComaunicationsD.l.Arethereanyauditorysignal(s)presentedinthecontrolroom,otherthanannunciatoralarms,whichareconfusing?2015Humberof10HumberofRespondents19Hone1or2SeveraIMany0.2.Aretherearea(s)inthecontrolroomwheremessagespresentedoverthepagingsystemcannotbeheardclearly'20'15HumberofResponsesq0HumberofRespondents18Hone1or2SeveralMany4-48

D.3.Givenpresentplant'conmunicationsystemsandproceduresfortheiruse,isitlikelythattheuseofcoamunicationsystemsbynon-operatingpersonnelcouldinterferewithcontrolroomuseofthesystem?20NumberofResponses10NumberofRespondents~18NoProblems1or2SystemsVulner-ableSeveralHajorSystemsProblemswithYulner-SystemDesignableorProceduresD.4."Arethereanyequipmentproblemswiththecommunicationssystemsthatcouldpreventorinterferewithanoperators'bilitytocommunicatewithindividualsinotherareas220NumberofResponsesq0NumberofRespondents~19None1or2SeveralHany4-49

eQUESTIONNUMBERD.l.Arethereanyauditorysignal(s)presentedinthecontrolroomotherthantheannunciatoralarms,whichareconfusingT~FreueocCodeYeluerCommentAction1Dl.1Thefirepanelistoocomplex.4-50

QUESTIONNUMBER0.2.Aretherearea(s)inthecontrolroomwheremessagespresentedoverthetpagingsystemcannotbeheardclearly?~FreueucCodeYa'lueCommentAction102.1NPagemessagesaredifficulttohearwhenstandingatthebackpanel.NEO102.2NSoft-spokenindividualscannotbeheard.4-51

QUESTIONNUMBERD.3.Givenpresentplantcommunicationsystemsandproceduresfortheiruse,iseitlikelythattheuseofcommunicationsystemsbynon-operatingpersonnelcouldinterferewithcontrolroomuseofthesystem?~FeeueucCodeValueComentAction1D3.1NTheheadsetsystemneedstobeexpandedtocreatemorechannelsinordertoaccornnodateextensivesurveillancescheduleswhichresultduringoutages.703.2NAPN19,4.2isnotstressedduringtraining.APN19,4.2NEOconcernsdedicatingtheuseofchannel2onthehear-hereGaitronicssystemtoOperations.Thereshouldbeonechannelforoperationsuseonly.Dedicateduseofchannel2shouldbestressedduringGETandcontractortraining.AddmorechannelsontheGaitronicssystem.1D3.3NFiremenandsecuritypersonneltieupthecomunicationssystem.4-52

QUESTIONNUMBERD.4.Arethereanyequipmentproblemswiththecommunicationsystemsthatcouldpreventorinterferewithanoperators'bilitytocoamunicatewithindividualsinotherareas'FreueecCodeValueCommentAction204.1NPoormaintenanceoftheGaitronicscaninterferewithone'Rabilitytocomunicatewithotherareas.1D4.2NSomehigh-noiseareasintheplanthindercommunications.1D4.3NThereareanumberofplacesintheplantwhereoperatorshavetowalkadistanceinordertogettoahear-here.Thiscanimpedeoperationsifacontrolroomoperatorhastocommunicatewiththeoperatorintheplant,e.g.tohavetheoperatorintheplantcheckifappropriateequipmentrespondedtoacontrolactuationfromthecontrolroom.NEORSuggestedlocationsforadditionalhear-heresincludethesouthwestandnortheastcornersofthereactorbuildingabovethe261ft.elevationandintheturbinebuildingalongtherowoffeedwaterpumpsacrossfromthesentryarea.4-53

4.1.3.3.5Comuter-eneratedInformationOperatorswereaskedseveralquestionsregardingtheavailabilityandclarityofinformationpresentedoncontrolroomCRTsandprinters.Severalsignificantproblemssurfacedhere,althoughthemajorityofoperatorsagainrespondedfavorably.TheoperatorsliketheLargeValueDisplaysthathaverecentlybeenimplemented,butthereweresuggestionsforlocatingtheminfrontofoperators'sualworkstations,sothattheydon'havetoturnawayfromthecontrolpanelsinordertoviewtheseCRTs.Operatorsexpressedsomeconfusioninunderstandingthemeaningoflabelsengravedonthekeyboards.Abbreviationsandsymbolsarenotusedconsistentlyhere,andtheydon'tcorrespondtostandardabbreviationsandtermsthatareusedelsewhereinthecontrolroom.Theoperatorsalsofinditdifficulttodeterminethecodesbywhichcomputer"points"arerequestedfordisplay.Themanualthatdocumentswhichcodecorrespondstowhichpointisnotwell-organizedandoperatorsfeelthattheywastealotoftimelookingupthis'documentation.Aproblemonwhichseveralpeopleexpressedcriticalopinionsistheinformationthatisprintedonthelogtyper.Operatorshavedifficultyinquicklyextractingalarminformationfromtheseprint-outs,eventhoughalarmsprintinalargertypethannon-alarminformation.Particularlyafteratrip,theoperatorsfindlittleuseformuchoftheinformationthatisprinted,andconsequentlytheyfinditdifficulttoextracttheinformationtheydoneedinordertodeterminethecauseofthetrip.Someoperatorsexpressedapreferenceforaprinterthathighlightsalarminformationinredink.4-54

E.Computer-GeneratedInformation(i.e.processcomputer,SPOS)E.l.Isthereanyinformationorcalculationsnotpresentlyprovidedonacomputer-generateddisplaythatwouldbemoreusefulifitwereavailableinthatform?2015NumberofResponsesNumberofRespondents=18Hone1or2SeveralManyKindsofKindsofKindsofInforma-Informa-Informa-tiontiontionI:E.2.IsthereanyinformationpresentlyavailableonCRTsthatwouldbemoreusefulifitwaspresentedinanotherform?20NumberofResponses15NumberofRespondents18None1or2SeveralManyE.3.Doyouknowofanywordsorsymbolsusedonthecomputerdisplaysthataredifficulttounderstandorinterpret?20NumberofResponses15NumberofRespondents~18None1or2SeveralMany4-55

E.4.ArethereanyCRTslocatedinthecontrolroomwhicharedifficulttousebecauseoftheirplacementintherocm?20NumberofResponses15HumberofRespondents~18Hone1or2SeveralManyE.5.Isanyoftheinformationpresentedonthecomputerprinternotusefultocontrolroomoperations72015NumberofResponsesq0NumberofRespondents~18Hone1or2SeveralManyE.6.Arethereanycomputersystemprocedureswhicharedifficulttounderstand?15NumberofResponses10NumberofRespondents~17None1or2SeveralMany4-56

l}UESTIONNUMBERE.l.Isthereanyinformationorcalculationsnotpresentlyprovidedonacomputer-generateddisplaythatwouldbemoreusefulifitwereavailableinthatformT~FreueucCodeYelueCommentAction2El1PTheLargeValueDisplays(LVDs)ontheCRTsareparticularlyRuseful.Theyareeasytoreadfromadistance,andtheoperatorcandisplayanycomputerpointhewants.FourLVDsalsocanappearatthesametimeontheCRTscreen.Severaldigitaldisplaysarecapableofdisplayinganynumberofselectablesensorvalues.4-57

~.O.

(}UESTIONNUMBERE.2.IsthereanyinformationpresentlyavailableonCRTsthatwouldbemoreusefulifitwerepresentedinanotherform?~FreueucCodeValueCommentActionNoresponses.4-58

-~'

QUESTIONNUNBERE.3.Doyouknowofanywordsorsymbolsusedonthecomputer,displaysthatareedifficulttounderstandorinterpret?~FeeuencCodeValueCommentAction1E3.1NLargenumbers,suchasradiationmonitorcounts,haveattimesrunintothehighorlowlimitswhendisplayedbytheoperator.HEO1E3.2NCRTsaredifficulttoread.CK2E3.3NInformationandsymbolsengravedonthekeyboardareoftenabbreviated,withthemeaning,insomecases,unclearandthesymbolsinconsistent.Alsotheabbreviationsarenotconsistentwiththoseusedelsewhereinthecontrolroom.HEO4-59

QUESTIONNUMBERE.4.ArethereanyCRTslocatedinthecontrolroomwhicharedifficulttouseebecauseoFtheirplacementintheroom?~PreueucCodeYelueCommentAction3E4.1NOperatorshavetoturnaroundinordertolookatCRTs.CRTsshouldbeincorporatedinpanelsCRTsshouldbelocatedinfrontofoperators.NEO4-60 0-()UESTIONNUNOERE.5.Isanyoftheinformationpresentedonthecomputerprinternotusefultocontrolroomoperations?~FreueecCodeValueCommentAction3E51NAlarmingpointsontheprintoutfromthelogtyperarehardHEOtodistinguishfromnon-alarmdata.Afteratrip,itisdifficultforoperatorstodeterminefromthiscomputerprintoutwhatcausedtheunittotrip.Alarmsnowprintinlargertypethannon-alarminformation,butifalarmscomeininthethemiddleofademandprint-out,itisdifficulttoextractinformationthatoperatorsneed.Alarmingpointsshouldbeprintedinredink(previouslyhadaprinterthatdidthis.Operatorslikedit.).1E5.2NSomeofthedataprintedoutafteratripissuperfluous.HEO(withitemE5.1)4-61

~FeeueucCadeValueCogentAction4E61NThecomputerisnotreliablebecauseitisina"down"statusmuchofthetime.2E6.2NOocumentationfortheletterand3-numbercodebywhichtheHEOoperatorcallsupcomputer"points"ontheplantcomputerisnotwell-organized.Thereisamanualinwhichtheoperatorslookupwhereintheplantthesensorcorres-pondingtothe"point"islocated.Kowever,themanualisnotorganizedinanorderlyandconsistentmanner.Therefore,ifanoperatordoesnotknoworrememberaspecificcode,hecanloseagreatdealoftimeinsearch-ingfortheproperinformation.4-62

4.1.3.3.6NaintenanceProceduresOperatorswereaskedtorespondtoquestionsregardingtheadequacyofmaintenanceproceduresandthemaintenanceofcontrolroominstrumentation.Overall,maintenancewasviewedfavorably.Therewassome.dissatisfactionwiththerestockingandorganizationofcontrolroomsupplies(chartpaper,ink,bulbs,fuses).4-63

F.MaintenanceProcedures~~F.l.Arethereanymaintenanceproceduresthatcouldcontributetoanoperationalproblem?20Numberof'esponses10NumberofResponses19None1or2SeveralManyF.2.Howwouldyoucharacterizecurrentproceduresandavailabilityofsuppliesforreplacingequipmentsuchasfuses,bulbs,ink,chartpaper,etc.T20Number-15ofResponses10NumberofResponses19ExcellentAdequateSomeManyProblemsProblems

QUESTIONNUMBERF.l.Arethereanymaintenanceproceduresthatwouldcontributetoaneoperationalproblems~FeeuencCodeValueComentAction1Fl1PMaintenanceproceduresarenotaproblemifmaintenancepersonnelworkalongwiththecontrolroom.1F12NTheradprotectionsystemanditsproceduresareahindranceRbecausetheamountoftimetoperformnecessaryoperationsisincreased.Suits,glovesandmasksmustbewornduringthisperiod.4-65

QUESTIONNUNBERF.2.Howwouldyoucharacterizecurrentproceduresandavailabilityofsuppliesforreplacingequipmentsuchasfuses,bulbs,ink,chartpaper,etc.t4~ereueucCodeValueCommentAction1F2.1P2F2.2PWorkrequestsarehandledinatimelymanner.Excellentduetotheflexibiltycausedbyoperatorsorderingequipmentwheneverneeded.1F2.3NReplacementofchartrecorderisdifficultsincethesematerialsarenotwellorganized.1F2.4NControlroomsuppliesarenotrestocked.HEO4-66

4.1.3.3.7ProceduresSeveralquestionswereposedregardingtheclarityandusefulnessofproceduresandotherjobperformanceaids.Forthemostpart,operatingprocedures,includingtheemergencyoperatingprocedures,werejudgedtobeadequate.Severalproblemswerenoted,however,includingoneprocedure(fuelpoolfilterprocedure)thatisoutdated.Shiftturnoverpaperworkcameinforharshcriticism.AnumberofoperatorsfeltthattheinformationrequiredbyXNPOwasexcessiveandredundantwithotherformstheyfillout.Theyalsoquestionedtheusefulnessofthisinformation.4-67

G.ProceduresG.l.Arethereanyprocedure(s)whichareunclearordifficulttouse?15Numberof10NumberofResponses~19None1or2SeveralManyG.2.Arethereanyoperatoraids,suchastables/checklists/statusboardsetc.whichcouldberedesignedtoimproveusefulness'5NumberofResponsesq0NumberofResponses~19Hone1or2SeveralManyG.3.Arethereanymanuallog(s)thatyoufeelaredifficulttoupdateormaintainTNumber15ofResponsesNumberofResponses19None1or2SeveralMany4-68

G.4.Arethereanymathematicalcalculation(s)thataretimeconsumingand/ordifficulttoperform?15NumberofResponsesNumberofResponses~19Hone1or2SeveralMany4-69

t)UESTIONNUMBERG.l.Arethereanyprocedure(s)whichareunclearordifficulttouse'P~FeeueucCodeYaiueCommentAction1Gl1P1Gle2PEPPsandEAPsarewellwrittenandeasytouse.OP-43(start-upprocedure)iseffectivesinceitaccuratelyRreflectswhattheoperatorsdo.1G1.3P1Gl.4NSOPs(emergencyprocedures)areeffective.Specialoperatingproceduresimmediateactionsshouldbestandardized.Sometimesstepsforreactorscramareembeddedintheprocedureandsometimestheyarenot.1Gle5NOP-6(Fuelpoolfilter)procedureisincompleteandinaccurate.Valveshavebeenaddedtotheplantsystemthatarenotpartoftheoriginalproceduresforthesystem.Thusamodified(andundocumented)versionoftheexistingprocedureispresentlyperformedbytheoperators.NEO1G16NSOP-l,amajoraccident,spendsmostoftimeputtingturbineRonturninggear.Reactorshouldgetmoreattention.4-70

QUESTIONNUHBERG.2.Arethereanyoperatoraids,suchastables/checklists/statusboards,etc.ewhichcouldberedesignedtoimprovetheirusefulness'FreueucCodeVa'lueCommentAction1G2.1POperatoraidssuchasstickersandtagsusedinthecontrolRroomareparticularlyhelpful.4-71

QUESTIONNUMBERG.3.Arethereanymanuallog(s)thatyoufeelaredifficulttoupdateormaintain7~FeeueucCodeValueCommentAction1G3.1NINPOturnoverchecklistsforplantoperatorsarenoteffective.4'3.2NTheshiftturnoversheetisnoteffectiveandisredundantRwiththelogbook.2G3.3NBreachpermits/OR'forfiresystemsrequiretoomuchwork.R4-72

(}UESTIONNUMBERG.4.Arethereanymathematicalcalculation(s)thataretimeconsumingand/ordifficulttoperform?~FreueucCodeYelueCogentAction1G4.1NAhandcalculatorwouldbeusefulforperformingmathemat-Ricalcalculations.4>>73

4.1.3.3.8StaffingandJobDesinRespondentswereaskedtoevaluatecontrolroomstaffinganddelegationofresponsibilities.Manyoperatorscommentedonthecrowdingofthecontrolroomby'on-operatingpersonnel-management,maintenance,technicians,tourgroups,security--andthedistractionscausedbyunnecessarytrafficthroughthecontrolroom.Theyfeltthatsomeofthistrafficcouldbeeliminatedbydirectivesfrommanagement,andbyallowingoperatorstotakesomesurveillancereadingsthattheyusedtotakebutwhicharenowperformedbytechnicians.Theoperatorsappearedtobequitecomfortablewiththepresentstaffingofthecontrolroombyoperationspersonnel.4-74

H.StaffinoandJobDesinH.l.Arethereanyjobdutieswhicharepresentlyperformedbyothersinwhichyoufeelcontrolroompersonnelshouldbemoredirectlyinvolved,orviceversa?2015NumberofResponsesq0NumberofRespondents=18Hone1or2SeveralManyIH.2.Arethereanyrecurringdistractions,intheformofunnecessarypersonnel,traffic,etc.thatcouldinterferewithyourduties?2015NumberofResponses50NumberofRespondents~19Hone1or2SeveralManyH.3.Doestheshiftturnoverprocessworkeffectively?2015NumberofResponses10NumberofRespondents~19ExcellentAdequateSomeSignificantProblemsProblems4-75

H.4.Haveyouexperiencedorcanyouconceiveofsituationsinwhichtheoperatingcrewstaffingestructurecouldadverselyaffectcontrolroomoperations715NumberofResponses10NumberofResponses~17None1or2SeveralMany4-76

QUESTIONNUNBERH.l.Arethereanyjobdutieswhicharepresentlyperformedbyothersinwhicheyoufeelcontrolroompersonnelshouldbemoredirectlyinvolved,orvice-versa?~FreueucCodeValueCommentAction1Hl.lNOperatorspreviouslytookreadingsforradiationprotec-ttion.Nowradiationprotectionpersonneltakethereadings,resultinginmorepeopleinthecontrolroom.4-77

QUESTIONNUthBERH.2.Arethereanyrecurringdistractions,intheformofunnecessarypersonnel,traffic,etc.,thatcouldinterferewithyourduties7~~FreueucCodeValueCommentAction9H2.1NNon-operatingpersonneldistractoperatorsThefollowingwereidentifiedasproblems:-guards-trafficthroughcontrolroomtolhCshop-securityradios--trainingthattakesplaceincontrolroom-management,healthphysics,chemicalcontrolpersonnel-tourgroups1H2.2NFirepanelIIfalsealarmsaredistracting.HEO(withitemC2.1)1H2.3NHorseplayonthehear-heresystemisdistracting.1H2.4NDuetonon-operationstrafficinthecontrolroom,therestroomsareoftenoccupiedbynon-operationspersonnel.4-78 4

QUESTIONNUMBERH.3.DoestheshiftturnoverprocessworkeffectivelyT~FeeueucCodeValueCommentActionNoresponses.4-79

QUESTIONNUMBERH.4.Haveyouexperiencedorcanyouconceiveofsituationsinwhichtheoperatingcrewstaffingstructurecouldadverselyaffectcontrolroomoperations?~FeeueucCodeValueCommentAction1H41NTheShiftTechnicalAdvisor(STA)isnotneeded.1H4e2NAnSROisnotneededintheControlRoomatalltimes.Hispresencehasanegativeeffect.4-80

4.1.3.3.9TrainincrOperatorswereaskedinwhichareasmoretrainingisneeded.Therewereno*negativecommentshereand,fotthemostpart,themultiple-choiceresponsesreflectedfavorableattitudestowardsexistingtrainingforemergencyprocedures.4-81

I.TraininI.l.Arethereanypotentialemergencysituation(s)forwhichyoufeelyouhavenotreceivedenoughtraining?15Numberofe10NumberofResponses=17Hone1or2SeveralMany4-82

qUESTIONNUMBERI.l.Arethereanypotentialemergencysituation(s)forwhichyoufeelyouhaveenotreceivedenoughtraining?~FreueecCodeValueCommentAction1Il.lPTrainingforsitedrills-ProcedureforUnusualEventthroughGeneralEvacuationhasbeenveryhelpful.4-83

4.1.3.3.10OperatorAidsOperatorswereaskedforanopinionregardingtheirknowledgeoftheSPDSsystemandforgeneralcommentsregardingimprovementsthatwouldmaketheirjobeasier.SeveraloperatorsfeltthatadditionaltrainingandexperiencewiththeSPDSwasneeded,althoughthisdidnotseemtobeviewedasamajorproblem.Inresponsetotherequestforgeneralcomments,someoftheissuesraisedpreviouslywerereiterated.4-84

J.OoeratorAidsJ.l.HowmuchknowledgedoyouhaveoftheNineMilePointUnitISPDSdesignandoperation?2015NumberofResponsesNumberofRespondents~16NoLittleSomeFullKnowledgeARO-4091n4-85

QUESTIONNUMBERJ.l.HowmuchknowledgedoyouhaveoftheNineMilePointUnitlSPDSdesignandoperation?~ureueecCodeYelueCommentAction1Jl.lNSPDSshouldbedesignedbyoperators,notengineers4-86

qUESTIONNUMBERJ.2.Mhatparameters,inputs,opertoraids,orotherinformationwouldassistyouinperformingoperationsduringthefollowingconditions?~FeeueucCodeValueCommentAction2J2.1PAllparameterdisplaysandinputshelpintheperformanceofone'duties.J2.2NGetridofnon-essentialpersonnelduringstart/shutdownandabnormaloperations.1J2.3NMajorproblemisovercorrectionwhichmayresultinsomeoneRgettinghurtsomeday.1J2.4NProcedures,computerprograms,andinstructionsareneededRforstartupandshutdown.Inaddition,emergencypro-ceduresareneededforabnormaloperations.4-87

4.2HISTORICALREVIEW4.2.1IntroductionTheobjectiveoftheHistoricalDocumentReviewwastoidentifyproblemspreviouslyencounteredinvolvingcontrolroomoperationsandtoinvestigatethepotentialenhancementstothecontrolroomwhichcouldsignificantlyreduceorminimizethepotentialforhumanerror.Inthenuclearpowerindustry,humanerrorcancombinewithpoordesignfeaturesandleadtounacceptableconsequences.Fortunately,intheindustry,instancesof,pasthumanperformanceerrorandequipment/designarrangementproblemsaredocumentedinplantandindustryrecordsandcanbeusedasadatabaseforrecommendingdesignimprovements.ThissectionpresentstheresultsofareviewofseveralsuchdocumentstoidentifyareasofpotentialhumanperformanceproblemsatNiagaraMohawkPowerCorporation'sNineMilePointUnit1(NMP-1).ItalsoreportsonthepreviousreviewofindustryrecordsconductedbytheBWROwner'sGroup(BWROG)inJuly1981.Thedocumentsinvestigatedforthehistoricaldocumentreviewwere:LicenseeEventReports(LERs)forNMP-1ScramReportsforNMP-1SelectedLERs,SOERs,andSERsfoundtobesignificanttoBWRplantsandDCRDRapplication4-88

4.2.2.1SelectionofHistoricalReportsLERsareanindustry-widesource.LERinformationisstoredinanNRCcomputerizeddatabaseandincludesallReportableOccurrences(ROs)totheNuclearRegulatoryCommission.Licenseesarerequiredtosubmitthesereportstocomplywithfederalregulations.AllLERsfrom1981,1982,and1983werereviewed.Thesecondin-housesourceincludedscramreportsfromtheseyears.TheBWROGconductedapreviousdesignreviewwhichincludedthesamedocumentsfrompreviousyears.TheresultsofthisreviewarereportedinSection4.2.4.Thehumanfactorspersonnel,withtheassistanceofNMP-1plantpersonnel,obtainedcopiesoftheapplicableLERsandNHP-1scramreports.Thesereportswerethensortedbydateandprobableapplicability.Allreportswerethenscreenedtodetermineiftheydescribedanddocumentedacontrolroomproblemusingthefollowingcriteria:oEquipmentreferenced(valve/pumpcontrols,displays,indicators,etc.)mustbeinthephysicalconfinesofthecontrolroom~Procedurestepsreferencedmustbeaccomplishedwithinthephysicalconfinesofthecontrolroom~Personnelerrorreferencedmusthaveoccurredinthecontrolroomonequipmentinthecontrolroom,orentailedadeviationfromproceduresthatshouldbeaccomplishedinthecontrolroom.4-89

Finally,eachreportwasscreenedtodeterminewhethertheincidenthadhumanfactorsimplicationsornot.ReportsthatmeetthesecriteriahavebeenincludedinAppendixB.4.2.2.2ReortReviewandAnalysisForeveryreportthatclearedtheinitialscreening,aProblemAnalysisReport(PAR)wascompiled.Thetwo-pagePAR,shown'nFigure4.2.1,wasusedtorecordpertinentinformation.ThePARconstitutestheprimarydocumentforthisaspectoftheDCRDRprocess.Inaddition,whentherecommendationsgeneratedentailedpanelalterations,panelenhancements,trainingrevisionsoradditions,operatingproceduremodificationsand/oradministrativeproceduremodifications,theapparentfundamentalproblemanditsrecommendedcorrectiveactionwasrecorded,bytheHFS,asaHumanEngineeringObservation(HEO)onanHEOform.InadditiontotheNMP-1LERsandscramreports,significantLERs,SOERs,andSERswhichwerefoundinapreviousreviewtobeapplicabletoasimilarBWRdesigntoNMP-1(Dresden),werealsoinvestigated.ThesedocumentswerescreenedfromtheINPOdatabaseusingthesamecriteriaandprocedureasusedfortheNMP-1review.Thesereportswerescreenedagainforapplicabi-litytoNMP-1andthereportsthatmetthecriteriahavebeenincludedinAppendixB.4.2.3ResultsLERsandScramreportsforNMP-l,screenedaccordingtothecriteriamentionedearlier,areshowngraphicallyinatwo-by-twomatrixinTables4.2.1and4.2.2.Ofthe117LERsreviewed,12metthecriteriaasoccurringinsidethecontrolroom.Ofthese12,therewere7reportswhichinvolvedhumanfactorsconsiderations.Foreachofthesereports,aPARwasfilledoutandincludedinAppendixB.Ofthesevenreports,4-90

NineMilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):ReportTypeandNumber:Station:EventDate:Unit:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:NatureoftheProblem:StepsTakentoCorrectorAlleviatetheProblem:Outcome:CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedNithEvent:FIGURE4.2.14-91

NineMilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInWhichAreas:CorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)HEDNumber:FIGURE4.2.1(continued)4-92

INSIDECONTROLROOMOUTSIDECONTROLROOMHFE-RELATED1926NONHFE-RELATED8612105TABLE4.2.1CLASSIFICATIONOFLERsINSIDECONTROLROOMOUTSIDECONTROLROOMHFE-RELATED000NONHFE-RELATEDTABLE4.2.2CLASSIFICATIONOFSCRAMREPORTS4-93

onlyonewasdeterminedtobeapotentialrecurringproblemandwasrecommendedasanHumanEngineeringObservation(HEO)tobeinvestigatedfurther.Therewere5unitScramreportsfiledsinceJuly,1981.Ofthe5Scramreportsonly1incidentwasinsidethecontrolroom.ThisincidentmaybesimilartoanothertransientthattheBWROGinvestigated.ThisproblemwasrecordedonPAR-8fromtheBWROGinvestigationresults.FromtheDresdenHistoricalDocumentreview,8LERswereidentifiedwhichwerebothinsidethecontrolroomandinvolvinghumanfactorsissues.TheseLERswereinvestigatedfortheirpotentialsignificancetoNMP-1.Noneofthe8weredefinedasHEOsasaresultoftheinvestigation.Similarly,ofthe263SERs/SOERsreviewedintheDresdenstudy,4werefoundtomeetthescreeningcriteria,andnoneresultedinHEOsforNMP-1DCRDRconsideration.PARs9through20describetheproblems,conditions,andcorrectiveactionsresultingfromtheinvestigationsofthe12LERs,SERs,andSOERsfromthisreviewwhichwereapplicabletoNMP-l.Thefollowingproblemswereresponsibleformanyoftheeventsfoundintheother105reportsthatwerereviewed:Equipmentfailure(wirescrossed,improperconnec-tions)EquipmentnotpositionedcorrectlyAlarmmalfunctionIncorrectbreakeralignmentInaccurateorincorrectcalibrationUseofnon-qualifiedequipmentInstallationofimpropersparepartsFailuretoproperlyfollowaprocedureInadequate(deficientorinconsistent)procedureMisinterpretationofprocedureorinstructions4-94

Inadequatetraining(especiallywithnewemployees)Lackofadministrativecontrols-.InadequatemonitoringFailuretocompletesurveillancetestsontimeMissedsamplesAcceptancecriteriaofprocedurenotmetExceedingTechnicalSpecificationlimitsImproperlycompletedrecordsFireprotectiondeficiencies(removaloffirebar-riers,etc.)Actions/errorsbycontractorsormaintenanceper-sonnel,andinadequatemaintenance4.2.4BWROGLERAnalsisPlantLERsandscramreportsfortheyears1981,1980,and1979wereexaminedbytheBWROGsurveyteamtoidentifypossiblehumanfactorsdesignconsiderationswhichcouldhavecontributedtooperatorerror.OnescramreportdatedJuly26,1980,wasreportedinthesummaryandhasbeendescribedinPAR-8.ThisproblemwasalsoidentifiedasapotentialhumanfactorsproblemandanHEOwaswrittenforNMPCconsiderationintheAssessmentProcess.Sincethe1981LERswerereviewedbybothgroups,theBWROGalsoreportedtheLER81-05describedinPAR-l.4.2.5ConclusionTheHistoricalReviewofdocumentsforNMP-1revealed2HEOswhichwereaddedtotheHEOdatabaseforDCRDRconsideration.Thesesourcesrevealedonly7incidentsthatwerebothinsidethecontrolroomandrelatedtohumanfactorsconcerns,usingthecriteriondefinedpreviously.Problemswithprocedureswereespeciallyevidentsince5ofthe7reportsinvolved4-95

procedures,eitherdirectlyorindirectly.NoneofthegenericindustrydocumentsreviewedwereconsideredproblematicenoughtomeritanHEO.ThoseHEOsrelatedtothehistoricalreviewareprefixedHR.4-96

4.3TASKANALYSISAdvancedResourceDevelopment(ARD)CorporationperformedanoperatortaskanalysisidentificationaspartoftheDetailedControlRoomDesignReview(DCRDR).ThisactivitywasdesignedtocomplywiththeguidanceoutlinedinNUREG-0700,"GuidelinesforControlRoomDesignReviews".Operatortaskidentificationandanalysisentailedtheidentificationanddocumentationoftasksforemergencyevents.TheNMP-1plantspecificEmergencyProcedureGuidelinederivedfromtheBoilingWaterReactorOwner'sGroup(BWROG)EmergencyProcedureGuidelines(EPGs)wereusedtoidentifytheoperatortaskstobeanalyzed.ThesearethesameguidelinesthatwereusedasthestartingpointforthepreparationoftheNMP-1EmergencyOperatingProcedures(EOPs).AvalidationstepwillbecarriedoutatthebackendofboththeEOPandDCRDRprogramstobesurethatthedescribedtaskanalysiscoveredalltaskrequirementsasdescribedintheEOPs,whicharestillunder'reparation.ThisvalidationstepisdescribedinSection5.4.3.'hepurposeofthissectionistoexplainanddocumenttheapproachemployedforthetaskanalysisphaseoftheDCRDR.4.3.1TaskAnalysisMethodologTheBWROGEPGsprovidedafunctionalanalysisthatidentifiedgenericinformationandcontrolneeds.Theplant-specificEPGsusedduringthetaskanalysisprovideddetailedinformationon4-97

operatorresponseduringtransientsandaccidents.AllstepsandcontingenciesrepresentedintheEPGswereanalyzedresultinginalistofplant-specifictasksfortheaccomplish-mentofallbranchesoftheguidelines.4.3.2Identificationof0eratorTasksAtaskdescriptionformwascompletedforeachsectionoftheEPGsandthecontingenciesidentifying:OperatortaskstobeaccomplishedCorrespondingprocedurestepnumbersofidentifiedtasksUniquetasknumbersforfutureanalysisTheTaskDescriptionForminTable4.3.1depictsthehierarchicalrelationshipbetweentheEPGsystem-orientedstepsandthedefinedoperatortasksforPrimaryContainmentControl,forexample.4.3.3IdentificationofOperatorActionsorSubtasksForeachtaskidentifiedintheTaskDescriptionForm,aTaskAnalysisForm,depictedinFigure4.3.1,wascompletedbyahumanfactorsspecialistworkingwithNMP-1reactoroperators,seniorreactoroperators,nucleardesignengineers,nuclearsystemsengineer,andnucleartraineroutsideofthecontrolroom.ThepurposeoftheTaskAnalysisFormwastoidentifytheinformationandcontrolneedsfortaskperformanceandprovideatemplateofoperatoractivitiesinthetaskforuseinvalidationefforts.Asingletaskwasgenerallycomprisedofseveralsubtasksoractionsteps.Eachactionstepwasseparatelyanalyzedwithrespecttoitspurposeinaccomplishingthehigherordertaskandtheinformationandcontrolneedsforperformingthesubtask4-98

Table4.3.1TASKDESCRIPTIONFORMProcedureSection:PrimarContainmentControlGuidelinePage1of4DateAnalystTaskNumberOperatorTaskSPITSPIT-1SPIT-2SPIT-3SPIT-4DW/TMDW/T1DW/T-2l.Observesuppressionpooltemperaturegreaterthan80F.2.Observedrywelltemperatureabove135F.03.Observedrywellpressureabove3.5psig.4.Observesuppressionpoolwaterlevelgreaterthan4'6".5.Observesuppressionpoolwaterlevelbelow3'0".6.Monitorandcontrolsuppression,pooltemperature.6.CloseallSORVS.7.Observesuppressionpooltemperaturegreaterthan80F.08.Operateavailablesuppressionpoolcooling.09.Observesuppressionpooltemperature=110F.10.Scramthereactor.ll.Observesuppressionpooltemperaturenotmaintainedbelowtheheatcapacitytemperaturelimit.12.MaintainRPVpressurebelowtheheatcapacitytemperaturelimit.13.EnterRPVControlGuidelineprocedureatStepRC-1andexecuteconcurrently.14.Monitorandcontroldrywelltemperature.014.Observedrywelltemperaturegreaterthan135F.15.Operateavailabledrywellcooling.16.Observedrywelltemp.at330ft.equalsRPVsaturationtemp.17.EnterRPVcontrolguidelineprocedureatStepRC-14-99

Table4.3.1(continued)TASKDESCRIPTIONFORMProcedureSection:PrimarContainmentControlGuidelinePagegag4DateAnalystTaskNumberOperatorTaskDW/T-3pc/pPC/P-1PC/P-2PC/P-318.ObservesuppressionchambertemperatureanddrywellpressurearebelowthedrywellsprayinitiationPressureLimit*.19.Observe-drywellpressurelessthan301Fandincreasing*.20.Shutdownrecirculationpumps*.21.Shutdowndrywellcoolingfans*.22.Initiatedrywellsprays*.23.Observedrywellpressuregreaterthan301FgotoRPV0ControlGuidelineprocedureatStepRC-1andexecuteconcurrentlywiththisprocedure.Monitorandcontrolprimarycontainmentpressure.24.Observetemperatureinspacebeingevacuatedlessthan212F.25.OperateEVSperNl-OP-9"DrywellandTorusInertingandVentingProcedure",SectionsGandH.26.Observesuppressionchambergreaterthanlater.27.ObservesuppressionchambertemperatureanddrywellpressurearebelowtheDrywellSprayInitiationPressureLimit.28.Shutdownreciculationpumpsanddrywells.29.Shutdowndrywellcoolingfans.30.Initiatedrywellsprays.31.ObservesuppressionchamberpressureabovePressureSuppressionPressure,gotoEmergencyDepressurizationprocedure.4-100

Table4.3.1(continued)TASKDESCRIPTIONFORMProcedureSection:PrimarContainmentControlGuidelinePage3of4DateAnalystTaskNumberOperatorTaskpC/p-5pC/p-6SP/LSP/L-1SP/L-232.ObservesuppressionchamberpressureabovePrimaryContainmentDesignPressure.33.ObservesuppressionchamberpressureabovePrimaryContainmentPressureLimit.34.ObservesuppressionchambertemperatureanddrywellpressurearebelowtheDrywellSprayInitiationPressureLimit.35.Shutdownrecirculationfans.36.Shutdowndrywellcoolingfans.37.Initiatedrywellsprays.38.ObservesuppressionchamberpressureabovePrimaryContain-mentPressureLimit.39.VentprimarycontainmentperNl-OP-9"DrywellandTorusInertingandVentingProcedure"SectionsGandHtomaintainpressurebelowPrimaryContainmentPressureLimit.Monitorandcontrolsuppressionpoolwaterlevel40.Maintainsuporessionpoolwaterlevelbetween4'6"and3"perNl-PSP-13"PastSamplingProcedure".41.Observesuppressionpoolwaterlevellessthan3'.42.MaintainsuppressionpoolwaterlevelaboveHeatCapacityLevelLimit.43.Observesuppressionpoolwaterlevelbelowklestcapacitylevellimit,go4-101

Table4.3.1(continued)4TASKDESCRIPTIONFORMProcedureSection:PrimarContainmentControlGuidelinePage4of4DateAnalystTaskNumberOperatorTaskSP/L-3SP/L-4SP/L3.2RPVControlGuidelineatStepRC-1andexecuteitconcurrentlywiththisprocedure.44.Observepoolwaterlevelabove4'6".45.MaintainsuppressionpoolwaterlevelbelowSuppressionPoolLoadLimit.46.ObservesuppresionpoolwaterlevelaboveSuppressionnoolLoadLimit.47.MaintainRPVpressurebelowthelimit.48.GotoRPVControlGuidelineprocedureatStepRC-1andexecuteconcurrentlywiththisprocedure.49.ObserveRPVpressureaboveSuppressionPoolLoadLimit.50.Verifyadequatecorecoolingisassured.51.TerminateinjectionintotheRPVfromsourcesexternaltoPrimaryContainment.(DonotuseboroninjectionsystemorCRD).52.GotoEmergencyRPVdepressurizationprocedure.53.Observesuppressionpoolwaterlevellessthan100.5ft.54.Verifyadequatecorecoolingisassured.55.TerminateinjectionintotheRPVfromsourcesexternaltoPrimaryContainmentexceptforboroninjectionsystemsandCRD56.ObservePrimarycontainmentwaterlevelequals100.5ft.57.TerminateinjectionintoRPVfromsourcesexternaltoPrimaryContainment(irregardlessofadequatecorecooling).4-102

ConditionQUnerconSaonaS;Alt.tolPNOO0(OatoAlyitACTION51EPOPVEROEIPIIENI'ONTROLPOSIIIONIOTYPE0IIlfRINLII.CTEIPHENIINDICATOR/FEEIIACKTTI'ESTATEIOUN115RANCEDIV0IIIEROTHERPERFORINICEREQUIREHENISEXIFORCIVRIENISYfaaAKYI.rbOTKRYKSt.ICOU'AAKSt.tCAICULAIfS3.lPUSHJ.tTURN3.3LOCK-OUT3.aTOUCH3.$ADIUSIS3.'$lrrfS3.1PULLCONIROL'IYPKRKYa.IINFOAHSZJRAROLRROCÃKRSNIICHIMTIAOWUIIEKLa.tRKOUKSISJSJOYSIICKRSRUIARYSNIIKH1$IoocNSKRKKN4.3RICKIYKSRYfYorIRAIOR5stlbf$NIIKNKaRKYaoARULPIKCKISPUSIOIIIIONIIIUUOLECCCNIROLLKRNPNONLKCKIOPUSHSUITONTOIOGCLK$'NITCHCONTROLHOOK.CONTROLOTNKRNKYOISPLAYTYPEAKYDISCRETEÃSPRINMKTURMAAIRAIOCTATORCCORIINUOUS1TINOIILKCORUHCOUNIIRaRACKLITKCKLICHONICCOUNICRHHfIIRRRfCORDIRCHHINIC0OIOIIALDISPLAYOCAAINICCSLCONIROLSIAIUSLIGHTILIfYJAOLICNINI.NONLKCKNOLIGHTCRTCAIIOOERAYTUSKFigure4.3.1.TaskAnalysisInstrumentationRequirementForm

activities.Thesubtasknomenclaturewasrecordedasapartoftheactivitydescriptionwiththeuseofaverblexicon,genericequipmentdescription,andaseparatecolumnforotherperformancerequirements.Theelementsoftheformarearrangedsothatthedescriptionofthetaskactivityrepresentsadeclarativestatement(i.e.,similartoasentence).The"OP"column(referringtooperator)providesthe"NHO"orthesubjectofthesentence.Thisisfollowedbyacolumnentitled"VERB"describingtheactionofthetask.Finally,theequipmentorobjectofthetaskactionwasdescribed.Aseparatecolumnentitled"OTHERPERFORMANCEREQUIREMENTS"wasprovidedfordescriptionofoperatoractivitiesother.thancontrolanddisplayactions.Thelastcolumnoftheformentitled"EXITORCOMMENTS"wasemployedtorecordpertinentcommentsoftheanalystorsubject-matterexpertsrelatingtoinformationandcontrolneedsfortaskperformance.4.3.4SecificationofInformationandControlNeedsCharacteristicsoftheinformationandcontrolneedsforperformingeachactionstepwithinthetaskwererecordedontheTaskAnalysisForm.Theinformationcollectedtodescribethecontrolneedsforoperatortasksincluded:~Equipment-Thenameoftheplantequipmentinvolvedinthecontrolactionnotingtherequiredtypeofcontrolequipment(e.g.,pump,isolationvalve,governorvalve,etc.)~Position-Thecontrolpositionnamewhichcorrespondstotheescutcheonlabel(e.g.,ON,RUN,CLOSED,AUTO)~'D-Auniqueidentifierderivedfromthepanellocationofthecontrol~Type-Therequiredordesiredtypeofcontroltosuit4-104

thenatureofthecontrolaction(Akeyatthebottomoftheformprovidedthemost.commontypes.)~Other-Otherdescriptivefeaturesorcharacteristicsnecessaryordesirableforthecontrolaction~TypeofFeedback-Thetypeoffeedbackindicationprovidedtoassuretheoperatorthatthedesiredcontrolactionwasinitiatedorestablished(e.g.,controlstatuslights)~FeedbackState-Thestateoftheindicationfordisplayofcontrolfeedback(e.g.,colorofcontrolstatuslights)Theinformationneedsfortheoperatortaskweredescribedintermsofthefollowingcategoriesofcharacteristics:~Equipment-Thenameoftheplantequipmentinvolvedinthefeedbacknotingtheparametermeasured(status,flow,pressure)~Type-Therequiredordesiredtypeofdisplaytosuitthenatureoftheinformationneed(e.g.,recorder,annunciator,graphicplot,etc.)~State-Thestateoftheparameterwhichispert'inenttothetaskaccomplishment(e.g.,L.T.500psig,AtLowLevelLimit,Lit,etc.)ID-Auniqueidentifierderivedfromthepanelloca-tionoftheindicator~Units-Theunitsneededfortheparameterdisplayinordertoaccomplishthetaskwithouttheneedforconversion4-105

~Range-Therangeofparametervaluesrequiredfortheaccomplishmentoftheparticulartaskunderinvesti-gation~Divisions-Therequiredprecisionoftheparametervaluedisplayintermsofthesmallestscaledivision~Other-Otherdescriptivefeaturesorcharacteristicsdesirableornecessaryfordisplayoftheinformationrequirement4.3.5TaskAnalsisResultsDatacollectioneffortstookplaceattheNMP-1TrainingCenter.Afteranin-processauditbytheNuclearRegulatoryCommission,thetaskanalysisdocumentation,data,andresultswerereviewedtosupplyadditionalinformationneedsintheformoffeedbackofcontrolactuations.Theneededindicatorcharac-teristicstosupporttheoperator'sfeedbacktaskswerealsoadded.Table4.3.2providesthetasknumbersandactionstepswhichwereaffectedandtheaddedindicationssuppliedforcontrolfeedback.TheeffortsuccessfullydeterminedtheappropriateoperatortasksforaccomplishmentoftheEPGguidelinestepsandtheoperatorinformationandcontrolneedstoperformthosetasks.TheTaskAnalysisdataconstituteaspecificationofoperatorneedstoaccomplishtheoperatorfunctions.Thisspecificationwasusedasafoundationreferencepointtoverifytheavail-abilityandsuitabilityofcontrolroominstrumentation,toprovideacontextwithinwhichtosurveythecontrolroom,andtoprovideabaseofunderstandingonwhichtoassesshumanengineeringdiscrepancies.4-106

TABLE4.3.2LISTOFTASKSAUGMENTEDDURINGREVIEWTASKNO.2.62.82.452.512.552.573.63.83.103.136.26.26.26.36.116.12ACTIONSTEP.34ADDEDINDICATIONTORUSWATERTEMPCONTAINMENTSPRAYPUMPAMPSCONTAINMENTSPRAYPUMPFLOWCONTAINMENTSPRAYPUMPPRESSURECONTAINMENTSPRAYPUMPAMPSCONTAINMENTSPRAYPUMPFLOWCONTAINMENTSPRAYPUMPPRESSUREFEEDWATERFLOWCONTAINMENTSPRAYRANWTRFLOWFEEDWATERFLOWCONTAINMENTSPRAYRAWWTRFLOWFEEDWATERFLOWCONTAINMENTSPRAYRANWTRFLOWLIQUIDPOISONHDRPRESSCONTAINMENTVENTFLOWCONTAINMENTVENTFLOWCONTAINMENTVENTFLOWCONTAINMENTVENTFLOWFEEDWATERFLOWCORESPRAYFLOWCONTAINMENTSPRAYFLOWRPVPRESSURERPVPRESSURERPVPRESSURE4-107

4.4CONTROLROOMINVENTORYAcompletelistofcontrolroomindicators,controlsandcontrollerswascompiledtoassisttheDCRDR.Alloperatorworkareas,includingthecontrolboards,peripheralconsoles,backpanels,anddeskswereincluded.UsingpreviousdatacompiledbyNMPCEngineering,theinventorywasconvertedtothedesiredformatbyaHumanFactorsSpecialist,withassistancefromNMPCOperationswhennecessary,fortheverificationtask.Schematicdrawings,equipmentlistsandspecificationswereusedtofacilitatetheinitialinventoryconversionprocess.Theresultofthiseffortwasapreliminarycomputerizedinventorydatabasesuitableinformattosupportdatacollectionneedsforthetaskanalysisandthelateranalysisofinformationandcontrolrequirements.Instrumentationwasdividedintofourcategories:indicators,controls,controllersandannunciators.Tomaintainthedistinctionsamongtypesofinstruments,fourseparateinventoryformswereconstructed.4.4.1IndicatorsForeachindicatorthefollowinginformationwasrecorded:~PanelInstrumentNumberSystemNameParameterMeasuredflowpressurelevel.temperaturevolume4-108

LabelNameTypeofIndicatorA-AnnunciatorDC-Drum-typeCounterEC-ElectronicCounterM-MeterD-DigitalDisplayR-RecorderLL-LegendLightNL-Non-legendLightEquipmentManufacturerNameManufacturerModelNumberRange0to300-20to100,etc.Divisions10's-5's,etc.Unitspsiglbsinches,etc.ScaleMarkings-operatingband-specificvalue-multiplierPensred-blueNumberofpointsrecorded(formultiple-pointrecorders)OtherLabels(labelsassociatedwithinstrument)4-109

4.4.2ControlsForeachcontrol,thefollowinginformationwascompiledintheinventory:~Panel~'nstrumentNumberSystemName=ParameterMeasuredflow-pressure-level-temperature-volumeLabelNameTypeofControlJ-J-handleJS-JoyStickKLPNPRSSSKey-operatedswitchLegendpushbuttonNon-legendpushbuttonRotaryswitchSlideswitchTH-T-handleTG-ToggleswitchTW-ThumbwheelManufacturerNameManufacturerModelNumberModeofControl-Continuous-Discrete-SpringReturn-Throttle-Automatic-ManualPulltolock4-110

Positions-CloseAuto-Open,etc.ControlStatusLights-greenred-amberBacklitLegendsOtherLabels(labelsassociatedwithinstrument)4.4.3ControllersThefollowingdatawerecompiledoneachController:.~PanelaInstrumentNumber~SystemName~ParameterMeasuredflow-pressureleveltemperature-volumeLabelNameManufacturerNameManufacturerModelNumberTypeofIndicatorDCECDrum-typeCounterElectronicCounterM-MeterR-RecorderLLNLLegendLightNon-legendLight4-111

Range0-5-1-100,etc.Divisions10's-5's,etc.Unitspsiglbsinches,etc.Controls-auto/man-setpoint-parameteroTypeofControlJ-J-handleJSKLPNPRSSSJoyStickKey-operatedswitchLegendpushbuttonNon-legendpushbuttonRotaryswitchSlideswitchTH-T-handleTG-ToggleswitchTW-ThumbwheelPosition-start,stoptrip-close,openScaleMarkings-operatingband-specificvalue-multiplierOtherlabels(labelsassociatedwithinstrument)4-112

4.4.4AnnunciatorsAspecialannunciatorinventorywasestablishedandverifiedfromalistingoftheNMP-1annunciators.Usingthisinventoryandaprintoutoftheannunciatorrequirementsestablishedinthetaskanalysis,annunciatoravailabilityandappropriatenesswereverified.Thefollowingdatawerecompiledforeachannunciatortile:~Panel~BoxNumber~MatrixLocationDesignationwithintheBox~Legend4.4.5InventoryVerificationTheinventorywasverifiedbyapanel-by-panel,top-to-bottomapproach.Missingdataandcomponentswereaddedtothedataasthedata-basewascomparedtothecontrolroominstrumentation.4-113

4.5CONTROLROOMSURVEYAspartoftheNRCtaskactionsfollowingtheTMI-2accident(ItemI.D.1,NUREG-0660,May1980;January1983),theNRCrequiredalllicenseesandapplicantsforoperatinglicensestoconductaDetailedControlRoomDesignReview(DCRDR).TomeettheintentoftheDCRDR,NiagaraMohawkPowerCorporation(NMPC)conductedahumanengineeringreviewoftheNineMilePointUnit1(NMP-1)controlroominJuly/1981'aseduponthecriteriaandguidanceinthe"BWROwner'sGroupControlRoomDesignReviewandDraftEvaluationCriteria".Tosupplementthatwork,andtoconsidertheguidancecontainedinNUREG-0700"GuidelinesforControlRoomDesignReviews",NMPCconductedasupplementalcontrolroomsurvey.4.5.1PurposeTheobjectiveoftheoriginalBWROGsurveywastoidentifypotentialhumanengineeringdiscrepanciestoacceptedhumanengineeringprinciples.Thereviewconsistedofanevaluationofpanellayoutanddesign,instrumentationandhardwaregannunciator,computers,procedures,environmentandtraining.TheoriginalsurveywasconductedinJuly,1981.Thepurposeofthesupplementalcontrolroomreviewwasto:~AssesscontrolroominstrumentationusingtheBWROGSupplementalchecklistprovidedtoaugmentRevision1oftheBWROGControlRoomSurveyProgram.4-114

oReviewmodificationstothecontrolroommadesinceJuly1981basedonapplicablecriteriawithintheoriginalandsupplementalBWROGchecklists.oAssesstheremoteshutdownpanelusingtheupdatedBWROGchecklists.ThesupplementalreviewoftheNineMilePointUnit1controlroomwasconductedduringthefinalphaseoftheDCRDRinthesummerof1984.4.5.2~ScoeTheitemslistedintheBWROGsupplementalchecklistsweredrawnfromhumanengineeringguidelinesinNUREG-0700andverifiedthroughexperienceofOwnersGroupSurveyteams.Majorsectionsofthesupplementalchecklistsareidentifiedbyletterscorrespondingtosectiondesignationsusedintheoriginalchecklists.Inordertodifferentiatebetweenthetwonumberingsystems,an"S"prefixwasassignedtoeachsupple-mentitem.ThesectionsoftheoriginalBWROGchecklistare:A.PanelLayoutandDesignB.InstrumentationandHardwareC.AnnunciatorsD.F.G.ComputersProceduresControlRoomEnvironmentMaintenanceandSurveillanceSectionsA,BandCofbothoriginalandsupplementalsheetswerecompletedforeachpanelcontainingcontrolsanddisplaysnormallyoperatedbycontrolroomoperators.Theremainingsectionsappliedtotheentirecontrolroomand,therefore,4-115

werecompletedonlyonce.SectionsAandBwerecompletedfortheremoteshutdownpanel.SincetheremoteshutdownpanelsatNMP-1donotcontainannunciators,sectionCwasnotcompletedduringthereviewofthispanel.ApplicableitemsfromallsectionsincludingthesupplementarycriteriawereusedtoassessmodificationstothecontrolroommadesinceJuly1981.Thecriteriaandresultsforthereviewofcontrolroommodificationsarediscussedinparagraph4.5.4ofthisreport.4.5.3SulementChecklistSurveyThesupplementalcontrolroomsurveyoftheNineMilePointUnit1controlroomconsistedoftwophases.ThefirstphaseinvolvedachecklistsurveyofsupplementalitemstotheoriginalBWROGsurvey.ThechecklistusedforthisreviewwastheBWROGControlRoomSurveySupplement(AppendixC).Thissurveyconsideredtheextenttowhichhumanperformancecharacteristicsareconsideredwithinthecontrolroom.ThesurveywasperformedatNMP-1inthesummerof1984.Atthattime,HumanEngineeringObservations(HEOs)wereidentifiedforallnoncompliantitemsanddescribedonHEOforms(Figure4.5.1).Inaddition,aphotographlogwasdevelopedinordertosupplementtheHEOdocumentation.ThesecondphaseofthecontrolroomsurveyconsistedofassessingtheremoteshutdownpanelsandmodificationstotheNMP-1controlroomsinceJuly1981,basedonthefullBWROGControlRoomSurveycriteria.4.5.4ReviewofCRModificationsThelatestavailablerevisionstothepaneldesignandlayoutdrawingswereexaminedtoidentifythecontrolroompanelmodificationsforreview.Baseduponthetypeofcomponentinvolvedandthenatureofthechange,applicablesurvey4-116

Figure4.5.1NINEMILEPOINT-1CONTROLROOMHUMANENGINEERINGOBSERVATIONRECORDOriginator:Date:No.:PageofSourceofHED:PanelIDOEquipmentIDOEquipmentNameGuidelineRef.:PhotoLog5:DescriptionofDiscrepancyComments/Recommendations4-117

sectionsfromtheoriginalBWROGchecklistwereidentifiedfor,thesurveycriteria.Table4.5.1providesalistingofthecontrolroominstrumentationwhichwereinvolvedinmodifica-tionstotheNtlP-1controlroomsince1981.Foreachpanelcomponentlisted,thetablealsoprovidestheapplicableBWROGsurveysectionswhichwereusedforthereviewcriteria.Aseparatechecklistcomprisedofthespecificsurveysectionswascompletedforeachcomponentandnon-compliantitemsweredescribedonHEOforms.4-118

Table4.5.1ReviewofCRModificationsPANELCOMPONENTIF333F253F26EMERGCONDVENTMIMIMCPRICONTVENTINGMIMICFWRECIRCTOCONDTYPEMIMICEiLIGHTSMIMIC5LIGHTSSWITCHREACTORSAMPLERETURNSWITCHISOLVLV63-04463-05APPLICABLESURVEYSECTIONSA2,A4,A5,B4,A2,A4,A5,B4,A3,A5,B5A3,A5,B5IFSSIF56IF53IF54FWPUMPll512HILVLTRIPBYPASSFWPll512BYPASSVALUESSWITCHA3,A5$B5CONTROLLERA3,A5,Bl4H2-6FWRECIRCTOCODENSERFLOWCONTROLCONTROLLERA3,A5,BlIH32SCREENHOUSETEMPERINGGATESWITCHA3,A5,B5,5L15DRYWELLPRESSTORUSLEVELCHLSllEi12RECORDERA3,A4,A5,B32K352K361E86lE87E1E88L-5L18-1EMERGCONDVENTISOLVLVS1125122FWCH11512INSTRESETTONORMALREHEATERMIMICFWRETURNTONORMALCONTVENTTOEKRGVENTIL811FLOWSWITCHA3,A5,B5MIMICA2,A4,A5,1INDICATORA3iA5~B2PUSHBUTTONA3,A5,BS5L17CONTVENTTOEIERGVENTILSYISOLVLV1215122SWITCHA3,A5,B54-119 II Table4.5.1ReviewofCRModifications(continued)PANELCOMPONENTNAMETYPEAPPLICABLESURVEYSECTIONS5L16CONTVENTTOEMERGVENTILSYISOLVLV1214122SWITCHA3,A5,B55L18-25L18-3CONVENTTOEMERGVENTIL812FLOWTORUS8DRYWELLN2FILLPRESSINDICATORA3,AS,82INDICATORA3,A5,B24"120

4.5.4.1BWROGRatingMethodoloThePotentialforError(PE)ratingisapredeterminednumberrangingfromonetothreewhichindicatestherelativeimportanceofthatitemwithrespecttothepotentialforcausingorcontributingtooperatorerror.A"3"indicateshighpotentialforoperatorerror,"2"indicatesmoderatepotentialand"1"indicateslowpotential.TheComplianceFactor(CF)ratingindicatesthedegreeofcompliancewherein"4"indicatesnocompliance,"3"indicatessomewhatcompliance,"2"indicates~mostlcompliance,"l"indicatesfullcomplianceand"0"indicatesthecriteriabeingconsideredisnotalicabletothespecificequipmentinquestion.Aschecklistitemswereevaluated,theteammemberactuallydoingtheevaluationindicatedtherelativedegreeofcompliancebycirclingtheapplicablenumber.TheEvaluationProduct(EP)istheproductofthedegreeofcompliancetimesthepotentialforoperatorerror.Thisproductprovidedaninitialscreeningtodetermineiftheconsiderationofcorrectiveactionisjustified.4.5.4.2EnvironmentalMeasuresTheoriginalsurveyeffortconductedanilluminationstudyandanauditorysurvey.WhereastheannunciatorsignalintensitiesdidnotmeettheBWROGsurveycriteriaof20dbaboveback-ground,thesignalsdidmeetthecriteriaofNUREG-0700of10dbabovebackground.Generallightingandnoiselevelswerewithinappropriatestandards.ToassessControlRoomEnvironmentSupplementitemSF2.1,illuminationlevelsinthecontrolroomweresurveyed.Figure4.5.2providesthelocationofthedatasamplepoints(1thru7)andtheresultsofthesurvey.SincethelightsattheNMP4-121

i82838-881A2A3A-8A0.0Qsl1P@00e~Ooe+0.MINIMUMINTENSITYADJUSTMENT(FOOTCANDLES)01,4Q0248Qs4sQ44sQs4sQs0MAXIMUMINTENSITY-ADJUSTMENT(FOOTCANDLES)657058646662/II'IGURE4.5.2ILLUMINATIONSURVEYRESULTS4-122

controlroomareadjustable,tworeadingswererecordedprovidingtherangeofilluminationlevelsatthespecificsamplepointsinthecontrolroom.ThesamplepointsinquestionforitemSF2.1aredatapoints6and7whereoperatordesksarelocated.Atthesepoints,therangeofilluminationintensityvariedfromapproximately45to62footcandles.4-123

Illuminationlevelswereuniformacrosssamplepoints(+7f.c.)andshadowingwaseliminatedonpanelsandworksurfaces.TherewasacertainamountofglarepresentonthemeterfaceswhichisreportedforcorrectiveconsiderationonHEOCS-21.4.5.5ControlRoomSurveyEffortsinResponsetoNRCAuditResultsDuringanin-progressauditconductedatNMP-1latein1984,theNuclearRegulatoryCommissionsuggestedseveralimprove-mentstotheNHP-1controlroomsurveys.Thesecommentsinvolvedthefollowingitems:~ControlRoomEnvironmentalSurveys-Thesurv'eylackedaspecificevaluationofthecontrolroomtemperature/humidityranges,airvelocityandairmovement.~RemoteShutdownPanelEnvironmentalSurveys-Thesurveylackedanyevaluationoftheremoteshutdownpanelenvironment.~Annunciators-Thesurveyresultsdidnotadequatelyaddressannunciators.~Communications-Thesurveyresultsdidnotadequatelyaddresscommunications.~EmergencyEquipment-Thesurveyresultsdidnot'adequatelyaddressemergencyequipment.4-124

InresponsetotheNRC'sconcerns,NMPCandARDreassessedpreviouseffortsaddressingtheareasidentifiedbytheNRC.Theareasofannunciators,emergencyequipmentandcommuni-cationsweresufficientlyaddressedintheBWROGSupplementalSurveywhichwasappliedinthesummerof1984.Itwasdecidedhowever,thatsomeenvironmentalmeasureswereneededforboththeremoteshutdownpanelsandthecontrolroom.Thefollowingsurveysweretaken"fortheremoteshutdownpanelsurvey:~Lighting~Sound~Temperature/Humidity~AirVelocityForthecontrolroom,temperature/humidityandairvelocitysurveyswereconducted.AsimilarsurveywillbeconductedinJuly,1985,toevaluatetheenvironmentalconditionsduringhotweatherandusingemergencyventilation.Inbothsurveyareasthetemperature/humidityandairvelocitymeasureswerewithinacceptablestandards.LightingandnoisefortheremoteshutdownpanelswerefoundtobeoutsideoftheNUREG-0700acceptancecriteriaandweredoucumentedonHEOsENV-1andENV-2.4.5.6FirePanelStudAsanoutcomeoftheassessmenteffortandpreviouslyidentifiedHEOs,afirepanelstudywasconductedtoidentifyspecificdiscrepanciestoacceptedhumanengineeringcriteriaandenhancementrecommendationstoresolvepotentialproblems.ThestudywasconductedearlyinFebruary,1985.4-125

4.5.6.1OrganizationofPanelElementsThefiresystemisacombinationoffoamwater,C02,sprinkler,delugewater,preactionwater,andhalonsystemswhicharedispersedinseparatefirezonesthroughouttheplant.Thefirepanelisorganizedaccordingtomajorboundaries(i.e.buildings)andwithintheboundariesintofirezones.Themajorfireboundariesare:2.3.45.6.7.8.9.TurbineIslandTurbinePerimeterControlComplexReactorBuildingScreenhouseRadwasteOffgasYardAdministrationBuildingComponentsofthefiresystemswhicharecommontoafirezonearegroupedonthefirepanel.Componentswhichhavenogroupings(e.g.,azonewhichisprotectedbyasprinklersystemonly)arelocatedtogetherdirectlyunderthemajorboundarynameandcanbeeasilyidentifiedbythelackofanintegratedcontrol.Annunciatorpanelsarelocatedatthetopofthefirepanelandarecomprisedofthreetypes:firealarms,troublealarms,andsystemstatustiles.4.5.6.2FirePanelControlsManualactuationswitcheshaveanumberofdifferentpositionsdependinguponthetypeofsystem,component,andcontrolfunction.4-126

4.5.6.3FirePanelStatusBoxesThelegendlightslocatedwithinthefirepanelarearrangedin"zoneboxes"withboxesrepresentingthefullyautomaticfunctionsassociatedwiththezone.Insomeinstances,therearemultipleboxesrepresentingthefirezonecomponents.Inthesecases,theboxesareadjacentaboveortothesideandthedetectorzoneorareanumbersarerepeatedfollowedbysuffixesdifferentiatingthelocationswithinthezone.Thelegendsconsistofthenameandelevationofthemajorboundary,thezonename,andthecodeddetectordesignation.4.5.6.4FirePanelCodinandAbbreviationsTheextinguishingsystemslocatedwithinazonearerepresentedbythestatusboxes(autoinitiate)andcontrolboxes(auto/maninitiate).Theinformationonthesecomponentsindicatesthenameandnumberofthedetectorwhichhassignaled,thetypeofextinguishingsystemsassociatedwiththezone,andthetypeoflogicassociatedwiththeactuationoftheextinguishingsystem.Thefollowingcodedabbreviationsareusedtoprovidethedetectorandzoneinformation:TpeofSstemSstemActuationLogicC-CarbonDioxideFW-FormWaterH-HalonSp-SprinklerD-DetectionOnlyDfi-Detection,CrosszoneDA-Detection,AutomaticWDWPMater,delugeWater,Preaction4-127

4.5.6.5FirePanelColorCodinTheannunciatortilesarecolorcodedtoidentifytheirtype.Redtilesidentifyafirealarm,yellowtilesidentifyatroublealarm,andwhitetilesareusedtoprovidesystemstatusinformation.ControlpositionsarebacklightedonthePirePanelandarecolorcodedaccordingtothefollowingcontrolfunctions:POSITjONCOjORStopStartCloseOpenAlarmOnlyDischargeResetSmokePurgeNormalBypassGreenRedGreenRedYellowRedGreenRedGreenRedThelegendlightsinthe"zonebox"are.colorcodedredifthesystemisanextinguishingsystemwhichautomaticallyactuatesandhasnomanualorcrosszonecontrolfunctions.Theredlightindicatesthatthesystemhasactuatedandshouldbeaccompaniedwitharedfirealarmattheappropriateannunciatortile.Allotherlegendlightsarewhite.YellowdotsindicatingthefiresystemcomponentsrequiredbyTechSpecs.havebeenappliedtotheappropriate"zoneboxes".4-128

Xnadditiontotheindexcodingscheme,acolorschemehasbeendevelopedtoaidintheidentificationofthetypeoffiresystem.Therimsaboutthecomponentswithinazonearecolorcodedtoprovidethesystemtype:RedBlackWhiteChromeGreyC02SystemFoamWaterDelugeWaterHalonWaterPreaction,Sprinkler,orDetectionOnlyTheonemeteronthefirepanelindicatingMainFireHeaderPressureiscolorcodedforthefollowingpressureranges:RedLowPressure(outoftolerance)AmberLowPressure(marginal)GreenOperatingbandAmberHighPressure(marginal)Somepanelcontrolsalsopresentamessageforfeedbackofcontrolactuation.Theselegendsarebacklitandcolorcodedasfollows:HeaderPress-RedDischarge-Red4.5.6.6HumanFactorsAnalsisAlthoughtheFirepanelisorganizedbymajorboundariesandzoneswithinboundaries,theidentitiesofcomponentgroupsrepresentingaspecificzonecouldbeenhanced.Forexample,4-129

zone113componentsconsistof3controlsinahorizontalrowwithalegendboxoverthecentercontrolbox.Zone101consistsof2controlsand2legendboxesorientedinaverticalcolumn.Whiletherearelayoutconventionswhichmandatethesepatterns,itneverthelesscontributestotheoperator'sconfusionwiththepanel.Theoperatorswereconcernedwiththedurabilityofthecontrolsusedforthefirepanel.Approximately12outof62controlknobswerecrackedmakingoperationofthecontrolverydifficultandpotentiallyhazardousinthattheslackprovidedbytheloosefitcouldcontributetoan"overshoot"bytheoperatorinswitchingpositions.Thiscouldresultinthedischargingoftheextinguishingsystem.Controlpositionnamesandpositionsequencesareconsistentwiththeusesandpositionswithinthemaincontrolpanels.Intheory,thefirepanelshouldoperateona"greenboard"conceptwherebyalllightslitontheboardshouldbegreenorwhite.Anyyellowlightswouldindicatetroubleoroutofpositionswitches,andredwouldindicateinitiatedsystems.Colorcodingisusedextensivelyonthefirepanel.Althoughthecolorsredandgreenareusedofteninthecoloringscheme,theiruniquemeaningsarelimitedtotwoorthreecontextswhichareconsistentwiththeircolormeaningsonthemaincontrolpanels.Thefirepanelpresentsalargeamountofinformationsomeofwhichmaynotbenecessaryforthecontrolroomoperatortorespondtofirealarms.Theinformationpresentedispertinenttotheoperationofthepanelandmayprovetobeveryusefulunderfireemergencyconditions.Contributingtotheoperator'sdissatisfactionwiththepanel4-130

designisthelackoftrainingandfamiliarizationwiththedesignandoperationofthepanel.4.5.6.7FirePanelReviewResultsTherewerenineHEOsresultingfromthefirepanelreviewindicatingalackofdemarcationlinesandsummarylabelingandotherspecificcontrolanddisplayproblems.FirepanelHEOsareprefixedbyFP.4-131

4.6VERIFICATIONOFTASKPERFORi'4ANCECAPABILITIESTheVerificationofTaskPerformanceCapabilitiestaskcompletedthetaskanalysisandinventoryefforts.Inthistask,theinformationandcontrolneedsandtheirneededcharacteristicsidentifiedinthetaskanalysiseffortwerecomparedtothecorrespondingcontrolroominventorycomponentsandcharacteristicstoverifytheavailabilityandsuitabilityofcontrolroomequipmenttosupportoperatortaskperformance.4.6.1VerificationProcessBecausetheinventorywasorganizedintofourcomponenttypes,therewereseparateverificationsperformedforcontrols,indicators,controllers,andannunciators.Inaddition,therewerealsoverificationsperformedforbackpanelandothercontrolroomequipmentwhosecharacteristicswereomittedornotfullydescribedintheNtIP-1inventorydatabase.Wheretheinventoryandtaskanalysisdatabaseswerecompatable,theverification-processwasautomated(i.e.,acomputerizedmatchingofcorrespondingdatafields).Forboththeautomatedandmanualverificationchecks,themechanicswerethesame;foreachinformationcontrol,andcharacteristicneedidentifiedinthetaskanalysis,correspondingcontrolroomequipmentandcharacteristicswereverifiedtobeavailableandsuitable.Ifaneedwasfoundtobeeitherunavailableorunsuitable,aHumanEngineeringObservation(HEO)wasgeneratedtofurtherinvestigateapotentialdiscrepancy.4-132

4.6.2TheVerificationofControlCaabilitForcontrolsotherthanprocesscontrollers,theverificationprocesswasasimplematchingoftheappropriatedatafields.Inthisprocess,thefollowingverificationcheckswereperformed:Availability-Iftheneededcontroldidnothaveacorrespondingcontrolintheinventory,anavailabilitymismatchmessageappearedintheverificationprintout.ControlModeofOperation-Ifthespecifieddiscreteorcontinuouscontrolcapabilitydidnotmatchtheinventorycontrolmodecharacteristic,acontrolmodemismatchmessageappearedintheverificationprintout.~DiscreteControlSetting-Iftheneededcontrolpositiondidnothaveacorrespondingpositionmatchintheinventory,adiscretecontrolsettingmismatchappearedintheverificationprintout.ControlStatusLight-Ifthecontrolneedspecifiedacontrolstatuslightasneededfeedbackinformation,thecorrespondingcontrolinventorycharacteristicswerecheckedforamatchinglightcolor.Ifamatchwasnotfound,thecontrolstatuslightmismatchmessageappearedintheverificationprintout.ControlType-Ifthespecifiedcontroltypedidnotmatchthecorrespondinginventorytype,acontroltypemismatchmessageappearedintheverificationprintout.4-133

4.6.3VerificationofInformationCapabilitForinformationneedswhichwererepresentedbycontrolroomhardwareotherthanCRTdisplays(i.e.,indicators),theverificationprocesswasamatchingofappropriatedatafields.Fortheindicatorverification,thefollowingverificationcheckswereperformed:~Availability-Iftheneededinstrumentdidnothaveacorrespondingindicatorintheinventory,anavail-abilitymismatchmessageappearedintheverificationprintout.~DisplayType-Ifthespecifiedtypeofdisplay(e.g.,meter,recorder,etc.)didnotmatchthecorrespondingindicatortype,atypemismatchmessageappearedintheverificationprintout.~Units-Ifthespecifiedunitsofdisplayasdeterminedinthetaskanalysisdidnotmatchtheunitsofthecorrespondingindicator,aunitsmismatchmessageappearedintheverificationprintout.~Range-Iftnespecifiedrangeofparameterdisplayasdeterminedinthetaskanalysiswasnotencompassedbytherangeofthecorrespondingindicator,arangemismatchmessagappearedintheverificationprintout.~Divisions-Ifthedivisionsofthecorrespondingindicatordidnotmatchorexceedthespecifieddivisionorprecisionofparameterdisplayasdeterminedinthetaskanalysisdidnotmatch,adivisionsmismatchmessageappearedintheverificationprintout.4-134

4.6.4VerificationofProcessControllerCapabilitTheverificationofcontrolleravailabilityandsuitabilitywasperformedmanuallyduetoaincompatibilitybetweenthecontrollerinventoryandtheformattingoftaskneedsinthetaskanalysisdatabase.Theneedsandidentificationinformationwereidentifiedandrecordedusingthesameprocessemployedforthecontrolandindicatorrecords,however,theformattingofthisinformationinthedatabasepreventedanautomaticcheckofavailabilityandsuitability.Inordertoprovideanauditabletrailoftheprocess,anunavailabilitymessageappearedontheprintout,therebygeneratingaHumanEngineeringObservation.ToresolvetheverificationHEOsgeneratedforcontrollers,amanualverificationofthefollowingwasperformed,asapplicable:AvailabilityControlType(s)DisplayType(s)DisplayUnit(s)DisplayRange(s)DisplayDivision(s)ControltrodeDiscreteControlSettingThesechecksinvolvedmanuallyverifyingtheitemspreviouslydescribedinthecontrolsandindicatorssections.4.6.5VerificationofAnnunciatorCaoabilitTheverificationofannunciatoravailabilityandsuitabilitywasperformedmanuallyduetotheincompatibilitybetweentheannunciatorinventoryandtheformattingoftaskneedsinthe4-135

taskanalysisdatabase.Aswiththecontrollers,anunavailabilitymessageappearedontheverificationprintoutwhenanannunciatorneedwasindicated.AnHEOwasgeneratedrequiringmanualverificationoftheannunciatoravailabilityandlegendcontenttomeettherequiredneed.4.6.6VerificationofOtherEquimentCapabilityWhenaneedwasidentifiedinthetaskanalysisdatabaseandacorrespondingIDnumberwasnotavailableasinthecaseofbackpanelequipmentoracorrespondingIDnumberwasnotpresentintheinventorylisting,anunavailabilitymessageappearedintheverificationprintout.ThisgeneratedanHEOwhichrequiredamanualverificationoftheavailabilityofCRequipmenttosupplytheneedandthesuitabilityoftheequipment'scharacteristicstomeettheidentifiedneedsofthetask.4.6.7VerificationResultsTherewere42HEOswhichresultedfromtheverificationtaskindicatingeitherunavailableequipment,unsuitablecharacteristics,orinventory/taskanalysisdatabaseincompatibility.VerificationHEOscanbeidentifiedbytheVERintheHEOnumber.4-136

4.7VALIDATIONOFCONTROLROOMFUNCTIONSThemethodologyfortheNineMilePointUnit1validationemployedthetechniquesofsimulatorwalk-throughandtalk-through.FourselectedeventsweretapedandanalyzedattheNMP-1simulatorusingthewalk-throughapproach.TasksidentifiedintheNMP-1taskanalysiseffortwereanalyzedatthesimulatorcontrolpanelsusingthetalk-throughapproach.ThecriteriadescribedinTable4.7.1wereappliedinbothvalidationapproaches.-4.7.1ObjectiveTheobjectiveofthevalidationreviewwastodetermineifthefunctionsallocatedtotnecontrolroomoperatingcrewcanbeaccomplishedeffectivelywithinboththestructureoftheestablishedemergencyproceduresandthedesignofthecontrolroom.4.7.2SimulatorWalk-ThroughsSimulatorwalk-throughswereconductedattheNMP-1simulatorearlyinthefallof1984.Eventsimulationswereconductedinrealtimewiththefullsystemresponseoftheplantsimulationineffect.4.7.2.1EventSelectionSincetheupgradedEOPsbasedupontheplant-specificEPGshad4-137

Table4.7.1ValidationCriteriaCONTROLSAvailability-Controlsneededtoperformcritical~gykllblithCRihhoperatorleavingtheprimaryoperatingarea.Usability-Eachcontroliseasilyadjustedwiththe~requireevelofprecision.~Tye-Eachcontrolisthetypenormallyexpectedbytheoperator.InadvertentActuation-Controlactuationwillnotresultininaverenacuaionofanadjacentcontrol.Redundancy-Duplicationofcontrolswillnotoccurunlessthereisaspecifiedreason.SimultaneousActuation-Simultaneousactuationofadjacentcontroswhererequired)possible.Feedback-Foreachcontrolaction,thereisapositive7ee(isaac<thattheactionwasinitiated.DISPLAYSUnavailableInformation-InformationneededtoperformcriticaemergencytassareavailableintheCRwithouttheoperatorleavingtheprimaryoperatingarea.Obscured-ControlsanddisplaysarelocatedsothatTiispaysarenotobscuredduringtaskperformance.Suitability-Informationispresentedintheformneeded.WSW'9.divisions)RelatedDisplaysLocation-Wheninformationbetweentwoormoreispaysmusecompared,arethedisplayslocatedincloseproximitytooneanother?Redundancy-Redundancyofinformationisminimized.4-138

Table4.7.1ValidationCriteria(continued)CONTROL/DISPLAYRELATIONSHIPSC/0location-Avisualdisplaymonitoredduringcontrolmanipulationislocatedcloseenoughtotheoperatortoalloweasyreadingwithoutparallaxfromanormaloperatingposture.LagTime-Nolagtimeexistsbetweensystemconditionchangeanddisplayindicator.1pdtasksequencearelogicallygroupedinacommonpanelarea.Minimize0eratorMovements-Panelelementsareassignedtoworkstationstominimizeoperatormovements.PROCEDUREConsistentNomenclature-NomenclatureusedintheprocedureisconsistentwiththeterminologyusedintheCRlabelingandthevernacularoftheoperators.Sequence-Thesequenceofanoperatoractioninresponsetotheinitiatingeventisthesameasthatoutlinedintheprocedurewiththenetresultsofachievingthegoalsasstatedinthepurposeoftheprocedure.TASKPERFORMANCELeavePrimarArea-Whilecontinuousmonitoringofinstrumentsiscritical,operatorsdonothavetoleavetheprimaryoperatingarea.AroriateMannin/TaskAssignments-Controlroommanningandtaskassignmentsensurescompleteandtimelycoverageofcontrols,displays,andotherequipmentduringthesimulationoftheevent.ExcessiveWorkload-Operatorscancopewiththevarietyandtimesequenceofthetasksneededtobeaccomplishedinthemitigationoftheevent.ObstructionstoTrafficFlow-Operatorsareabletoaccessanyworkstationwithoutnavingtoovercomeobstaclessuchastrippinghazards,poorlypositionedfilecabinetsorstorageracks,maintenanceequipment,etc.Minimize0eratorMovements-Thelayoutofthecontrolroomisefficientinthatoperatormovementsareminimizedwithintheactionsofcarryingouttasksandintransitioningbetweenrelatedtasks.4-139

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notbeenimplemented,eventsfortheDCRDRvalidationwalk-throughswereselectedfromthespecialoperatingprocedurescurrentlyinplacefordealingwithemergencyconditions.TheselectionwasbasedonthesubstantialexercisingofthefourmajorsectionsoftheEPGsthattheseevent-basedprocedurescarriedoutandencompassedthetasksidentifiedinthetaskanalysiseffort.Basedonthesecriteria,thefollowingeventswereselectedforthewalk-throughvalidation:~SmallLOCAInsideContainment~HighActivityinCondenserOff-Gas~ReactorFailuretoScram~HainSteamLineBreakOutsideDrywellTable4.7.2showsthesectionsoftheEPGswhichareexercisedbyeachoftheselectedevents.4.7.2.2SimulatorWalk-ThroughAroachSimulatorwalk-throughswereperformedaccordingtothefollowingproceduralsteps:1.Thesimulatorinstructorprogrammedtheeventforvalidationandobtainedtheappropriateprocedure(s).Atrainedoperatingcrewconsistingoftworeactoroperatorsreviewedtheprocedure(s)fortheeventselected.2.Videotapeequipmentweresetupandtestedtoverifythatthevideoandaudiocomponentsfunctionedproperly.Twocamerasandrecorderswereusedtodocumenttheeventsimulationwalk-through.Thecameraswerepositionedatadistancefromtheworkstationstoensureanunobstructedviewofeachstation.Thisallowedforthemonitoringofheadmovementandactionresponse.Acamerawasavailableforeachreactoroperator.4-140

Table4.7.2.SelectedEventsShowingEPGSectionsExercisedReactorPrimarySecondaryRadioactivityPressureContainmentContainmentReleaseScenarioVesselControlControlControlSmallLOCAInsideContainmentXXHighActivityinCondenserOff-GasReactorFailuretoScramXMSLBreakOutsideContainment4-141

3.Thesimulatorinstructorandthehumanfactorsspecialistassembledandbriefedtheparticipatingcontrolroompersonnelonthepurposeandspecificobjectivesoftheeventsimulationforvideotapewalk-throughsandonthewalk-throughprocedure.Anyassumptionsabouttheoperatingsituationwerespecifiedtotheoperatorsduringthebriefing.4.Theeventsimulationwalk-throughwasbegun.Tofacilitatethesimulationfidelity,thehumanfactorsspecialistdidnotaccompanytheoperatortotakeobservationalnotes.Procedureswereavailabletotheoperatingcrewforreferencebutproceduralstepswerenotcalledout.Duringtheeventsimulation,avoice-overnarrationbyoneoftheNtlP-1operationstrainerswasrecordedonthevideotape.Thenarrationconveyedwhatwastranspiringandwhattheoperator(s)wereperformingandwhy.Specifically,thenarratorrecordedthefollowinginformationduringtheeventsimulation:~Actionsoperatorsweretaking~Directionofactionmovement~Display/indicatortowhichtheoperatorsreferred,-toidentifythesystemresponsetoactionstaken~Systemresponsetoactionstaken5.Atacuefromtheoperatingcrewperformingtheeventsimulation,theeventwasterminated.Thevideotapeoperator,atthatpoint,removedthetapefromtherecorderandloggedin:~Theeventtaped~Thedateoftaping~Thetimeoftaping~Anyunusualcircumstancessurroundingthetaping~Thecounterreadingfromthevideotaperecorder4-142

6.Withintwoweeksofthetaping,thehumanfactorsspecialistwhoconductedthevalidationprocessesviewedthevideotapeandevaluatedtheoperatorperformanceversusthecontrolboard/controlroomdesigncriteria,specifiedearlier,foreachstepoftheprocedure(s)beingusedfortheeventunderconsideration.AValidationReviewWorksheetwasusedtorecordthehumanfactorsspecialist'sevaluationofeachprocedurestep.J\4.7.3SimulatorTalk-ThroughsInthetalk-throughvalidationeffort,anoperatordemonstratedtothehumanfactorsspecialisttheoperatortasksandequipmentresponsesforeachofthefourselectedeventsandalltasksidentifiedintheNMP-1taskanalysiseffort.Talk-throughswereconductedattheNineMilePointUnit1simulatorearlyinthefallof1984.4.7.3.1EventScenarioTasksandtheNMP-1EPGTaskDataBaseAtalk-throughwasconductedforeachofthefourselectedvalidationscenarios.AgoodrepresentationoftheEPGtasksdescribedinthetaskanalysisdatabasewereincludedintheselectedscenarios.ThetasksfromtheEPGdatabaserepresentedineachofthefourselectedeventsarelistedin'ables4.7-3,4.7-4,4.7-5,and4.7-6.Alltasksnotrepresentedintheselectedeventswerevalidatedusingthesametechniqueemployedforthescenariotalk-throughs.Table4.7-7providesthelistingofallEPGtasksandthemannerinwhichtheywereinvestigatedinthetalk-throughvalidation.InTable4.7-7,taskswhichlistareferencetaskintheReferenceTaskcolumnareeitherequivalenttaskstothereferencetaskorexercisethesameequipmentasthereferencetask.4-143

Table4.7-3TasksRepresentedinLOCAInsideDrywellTaskNo.TaskTitle1.33.261.91.102.281.71.82.22.221.191.61.161.131.141.231.242.82.301.38IdentifyDrywellPressureAbove3.5PSIGObserveSuppressionChamberPressureLimitVerifyStatusofECCSActuationInitiateECCSActuationShutdownRecirculationPumpsVerifyReactorVesselsandPrimaryContainmentIsolationInitiateReactorVesselIsolationObserveDrywellTemperatureAbove135'FInitiateDrywellSpraysDetermineifEmergencyRPVDepressurizationisRequiredVerifyReactorScramDetermineStatusofRPVLevelControlDetermineifRPVFloodingisRequiredRestoreandMaintainRPVLevelBetween53"and95"ManuallyOpenSRVsCheckSuppressionPoolTempBelowLimitOperateAvailableSuppressionPoolCoolingInitiateDrywellSpraysInitiateShutdownCoolingSystem4-144

Table4.7-4TasksRepresentedinHighActivityinCondenserOff-GasTaskNo.TaskTitle3.24.'13.163.15ObserveAreaTemperatureHighTempAlarmSetpointObserveOffsiteRad/ActivityReleaseAboveAlertObserveaPrimarySystemDischargeintoanAreaandtheHighTempAlarmIsolateallSystemsDischargingintoHighTempAreaExceptSystemsRequiredforShutdown4-145

Table4.7-5TasksRepresentedinFailureofReactortoScramTaskNo.TaskTitle1.111.51.421.431.451.58DetermineifBoronInjectionisRequiredDetermineConditionWhichRequiresReactorScramTerminateBoronInjectionConfirmReactorModeSwitchinShutdownTripRecirculationPumpsRapidlyInsertControlRodsManuallyUntilReactorScramisReset1.62l.631.54l.531.521.66l.651.47InitiateaManualReactorScramVerifyControlRodsMoveInwardResetReactorScramIdentifyandRespondtoControlRodsNotMovingInwardIdentifyandRespondtoaScramValveNotOpenIndividuallyOpenScramTestSwitchesforControlRodsNotInsertedOpenScramDischargeVolumeVentandDrainValvesInjectBoronintoRPV1.122.192.212.221.38DetermineifRPVWaterLevelCannotbeDeterminedObserveDrywellTemp301'FandIncreasingShutdownDrywellCoolingFansInitiateDrywellSpraysInitiateShutdownCooling4-146

Table4.7-6TasksRepresentedinMainSteamLineBreakOutsideContainmentTaskNo.TaskTitle1.43.23.33.43.5DetermineNeedforMSIV'solationObserveAreaTempHighTempAlarmSetpointObserveRBHVACExhaustRadiationLevel5MR/HRObserveAreaRadiationLvlHighRadLevelAlarmSetpointObserveFloorDrainSumpWaterLevelSetpoint3.83.71.71.51.91.61.8l.161.141.19l.231.10l.242.82.301.38IdentifyRPVWaterLevelBelow53"ObserveRBHVACIsolatesConfirmorManuallyInitiateEVSVerifyReactorVesselandPrimaryContainmentIsolationDetermineConditionWhichRequiresReactorScramVerifyStatusofECCSActuationVerifyReactorScramInitiateReactorVesselIsolationDetermineStatusofRPVLevelControlRestoreandMaintainRPVLevelBetween53"and95"DetermineifEmergencyRPVDepressurizationisRequiredManuallyOpenSRVsInitiateECCSAcutationCheckSuppressionPoolTempBelowLimitOperateAvailableSuppressionPoolCoolingInitiateDrywellSpraysInitiateShutdownCooling4-147

Table4.7-7RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo+Table2Table3Table4Table5'eferenceTaskTaskTalk-Through1.21~31.41.51.61.71.81.91.10l.111.121.131.141.151~161.171.181.191.201.211.221~231.241.251.261.271.281.29XXXXXXX1.71.11XXXXXX4-148

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo+Table2Table3Table4Table5ReferenceTaskTaskTalk-Through1.301~311~321.331.341.351.361~371.381.391.401~411.421.431.441.45F461.471.481491.501.511.52l.531~541.551~561.57XXX1+381.381.471~101.10XXX4-149

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioNo.2345TaskTaskTableTableTableTableReferenceTaskTalk-Throughl.591~601.611.62l.631.641.65XX1.54l.541.541.671.681+691.701.711.721.731.742.12.22.32.42~52.62.72.82.92.102.111.57F551.551.581.631.241.32.411.381.241.241.432.1X4-150

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo.TableTableTableTable345ReferenceTaskTaskTalk-Through2'22.132.142.152.162.172~182.192.202'12'22.232.242.252.262.272.282.292.302.312'22'32'42.352'62.372'82'9XX2.191.45F192.272'12.312.272.202~292'22'2XXXX4-151

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo.TableTable3TaskTaskTalk-Through.ableTableReference2.402'12'422.432'42.452.462.472.482~49F502'12.522'32.542.552.562~573'3.23~33.43.53.63'3'3.93.10XX2.402~412.412.452.472~412'02'12'13'3~3XXXX4-152

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo.Table2Table3Table4Table5ReferenceTaskTaskTalk-Through3'13.123'33.143.153.163'7F183'93.203.213~223~233.243.253.263.273~283.Z93~303'13'2XX3~33.103.23.163.23.153.163.164.24~34'5'3154.1lollX4-153

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo.TableTableTableTableReference45TaskTaskTalk-Through5.25.35.45.55.65.75'5.95'05.115.125.135+145.155'65.175185.195'05'15.225.235.245'55.265.275.285.291.121.131.221.141.141.141.2lo141.481~25.135.131.141.145.131.141.145.135.131.145.135.13XX4-154

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo.Table2Table3TableTableReference5TaskTaskTalk-Through6'6.26.36.46.56.66.76.86.96.106.116.126'36.146.156.167.17.27'7'7'7.67~77.87.97108.18.21.121-121.221~241~381.386.71.136.41.191.141.145.21.381.146.66.7XXX4-155

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo+Table2Table3Table4Table5ReferenceTaskTaskTalk-Through8.38o48.58.68.78.89.19.29.39.49.59.69.79.89.99.109.119.129'39.149'59.169.1710~110'10.310.410.52.81.141.141.142.81.88.38.39.101.381.381.381.141.89.51~10XXXXXX4-156

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo.Table2Table3Table4Table5ReferenceTaskTaskTalk-Through10.610.710'10.910.1010.1110.12lory1310.1410.1510.1610.1710.1810.1910'010.2110.2210.2310.2410'510.2610.2710.2810.2910.3010.3110.3210.331.61.141.21.381.121.141.141.141.141.141.71.21.141.141.71.21.141.6161.471121.141~141.141.141.141.144-157

Table4.7-7(continued)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo.Table2Table3Table4Table5ReferenceTaskTaskTalk-Through10.3410.3510.3610'710.3810.3910.4010'110.4210.4310.4410.4510.4610.4710.4810.4910.5010.5110.5210.5310.5410.5510.5611.211.311.411.51.61.21F141.121+141.141.141.141.141.141.341.121.141~141.141.21.141.141.121ll1.241.381.31.144-158

Table4.7-7(concluded)RepresentedinEventScenarioNotRepresentedinEventScenarioTaskNo+Table2Table3Table4Table5ReferenceTaskTaskTalk-Through11.611.711'11.911.1011.1211.13llol411.1511.16llol711.1811.1911.2011.2111.2211.2311.2411.2511'611.?711.2811.2911~3011.3111'211.3311.341.61.141.3,1.71.141.191.141.141.141.141.141.141.21.231.241.141.141.141.141.61.471.61.141.141.141.141.404-159

4.7.3.2SimulatorTalk-ThroughAroachThetalk-throughexaminedtheoperatoractionsinresponsetotheeventstartingwiththeinitiatingcue(s)andincludingeachimmediateandsubsequentoperatoraction.Specificplantequipmentandoperatordecisionsinvolvedineachtaskwereidentifiedastheoperatordescribedtheactionsfromtheapplicablesimulatorworkstation.Thegoalofthetalk-throughwasforthevalidationteammemberstobecomeacquaintedwiththefourselectedeventsandtoassesstheavailabilityandsuitabilityofcontrolroomequipmentandlayouttosupporttheoperator'sneedsinperformingemergencytasks.Duringthetalk-through,questionswereraisedbythehumanfactorsspecialistconcerningtheoperatorneedsandequipmentcharacteristics.Inaddition,thehumanfactorsspecialistevaluatedtheoperatorperformanceversusthecontrolboard/controlroomdesigncriteriadescribedinTable4.7-1foreachactionofthetaskunderconsideration.TheValidationReviewWorksheetinFigure4.7-1wasusedtorecordevaluationobservations.4-160

Figure4.7.1ValidationReviewWorksheetOBSERVATIONSFROMVALIDATIONWALK-THROUGHS(WT)ANDTALK-THROUGHS(TT)TaskorProcedure:NumberTitleTapeProcElapsedTTWTSteTimeCriteriaToicObservationDescrition4-161

4.7.4VALIDATIONRESULTSThecommentsrecordedontheValidationReviewWorksheetwerecross-checkedagainsttheHEOsdocumentedinpreviousreviewprocessesoftheDCRDR.AcommentnotpreviouslyaddressedbyexistingHEOsrepresentedanewobservationandwasreportedassuch.TheValidationReviewWorksheetsfortheNNP-1ControlRoomValidationfollow.Fromthisreview,26newHEOswereidentifiedforNMPCconsiderationduringtheAssessment/ResolutionPhaseoftheDCRDR.4-162

VALIDATIONREVIEWWORKSHEETSOBSERVATIONSFROMVALIDATIONWALK-THROUGHS(WT)ANDTALK-THROUGHS(TT)TaskorProcedure:Nl-SOP-26NumberHihActivitReactorCoolantorOff-GasTitleTapeProcElapsedCriteriaTTWTSteuTimeToicObservationDescritionXCl.l04:50LeavePrimaryAreaTheoeratormustrefertoinstrumentationlocatedon06:52backanelsforarearadiationmonitorin.XB2.2ConsistentNomen-Therocedurerefersto"AirE'ectorOff-GasDischare"claturewhilethecontrolboardeuimentisentitlted"Off-GastoStackIsolationValve".13:52TaskGroupingToresetreactortritheoeratoractuatesthe"ScramDischaeVolumeHihLevel8asses"onPanelFandalsothe"ReactorTriReset"onPanelE.20:10Availability0eratorsarenotabletosilenceoracknowledealarmsfromananelexcepttheonestationatPanelE.17:27TaskGrouping17:460eratoradjustsreactorrejectflowinattettoes-tablishlevelatPanelKwhileotherlevelcontrollinoerationsareconductedatPanelF.4-163

OBSERVATIONSFROMVALIDATIONWALK-THROUGHS(WT)ANDTALK-THROUGHS(TT)TaskorProcedure:Nl-SOP-32NumberFailureofReactortoScramTitleTapeProcElapsedTTWTSteTimeCriteriaToicObservationDescritionX5.aConsistentNomen-Therocedurerefersto"Stand-bLiuidControlSstem"claturewhereasthecontrolboardeuimentreferstothesstemas"LiuidPoison"~03:20LeavePrimaryAreaTheoeratorleavestherimarcontrolareatoattemttoscramthereactorfromthescramtestanelonPanelM.4-164

OBSERVATIONSFROMVALIDATIONMALK-THROUGHS(MT)ANDTALK-THROUGHS(TT)TaskorProcedure:Nl-SOP-29NumberPieBreakInsideDwellTitleTapeProcElapsedTTMTSteTimeCriteriaToicObservationDescritionXC-3.aTaskGroupingToresetreactortritheoeratormustactuatethe"ScramDischaeVolumeHihLevelBasses"onPanelFandalsoactuate"ReactorTriReset"onPanelE.XB-2.eControl/DisplayTheHPCIannunciatorisonPanelF4whiletheHPCIumsLocationandeuimentareonPanelFl.XB-2.cTaskGtoupingMheninitiatinPrimaContainmentIsolationtheMSIVsareisolatedonPanelFwhiletheothereuimentforPrimaContainmentIsolation(SDCandCU)arelocatedonPanelK.X0-4.cConsistentNomen-Therocedurerefersto"SuressionPoolTeeratures"claturewhereasthecontrolboardeuimentisentitled"TorusMaterTemo".XD-4.dConsistentNomen-Therocedurerefersto"ContainmentPressure"whiletheclaturecontrolboardeuiomentisentitled"DwellandTorus"ressures.4-165

OBSERVATIONSFROMVALIDATIONMALY-THROUGHS(MT)ANDTALY-THROUGHS(TT)TaskorProcedure:Nl-SOP-29NumberPieBreakInsideDwellTitieTapeProcElapsedCriteriaTTWTSteTimeToicObservationDescritionXD-4.fUnavailableInfor-Therocedurecallsforasecificcooldownrateofmation100'F/hrwhichisidentifiedusinRCPtemoerature.Thereisnodedicatedtrendrecorderforthisuose.TheoeratorscanutRCPteonthecornuterointtrendrecorderwhichisthecurrentmeansofmonitorinRCPtemoeraturetrend.XA-l.l.aC/DLocationTheannunciatorentitled"Hih0wellPress"islocatedonPanelK2.Thearoriateranedmeter(0-4si)forDrwellPressureforresonseactiontothisannunciatorislocatedonPanelL.XB-2.cUsabilityThevalvesfor"ReactorRPumSuction"and"ReactorRPumDischare"havetobeheldinthecloseositionforabout2minuteswhilevalveshuts.XC-3.eTaskGroupingTheresetswitchfortheFeedwaterPumLoicwhichisusedinordertotakemanualcontroloffeedwaterforlevelcontrolislocatedonPanelEwhilethelevelcon-trollinoerationiserformedatPanelF.XC-3.eInadvertentAct-FortheoeratortohittheFeedwaterPumloicresetuationswitchwhencontrollinreactorleveltheoeratorticallreachesovertheverticalsectionofPanelEinlieuofwalkinaroundinordertostaclostoPanelF.Thisactionincreasestheotentialforinadvertentact-uationofcontrolsonPanelE.4-166

OBSERVATIONSFROHVALIDATIONMALY-THROUGHS(MT)ANDTALY-THROUGHS(TT)TaskorProcedure:Nl-SOP-29NumberPieBreakInsideDwellTitleTapeProcElapsedCriteriaTTMTSteTimeToicObservationDescrition05:40LeavePrimaryArea0eratorhadtoleaverimarareatoresondtoCANalarm.4-167

OBSERVATIONSFROi4VALIDATIONWALK"THROUGHS(WT)ANDTALY-THROUGHS(TT)TaskorProcedure:Nl-SOP-30NumberPieBreakOutsidePrimarContainmentTitleTapeProcElapsedTTWTSteTimeCriteriaToicObservationOescrition02:40InadvertentAct-0eratorreachesoverEPanelverticalsectiontohituationHPCIresetwhilemonitorinlevelatFPanel.02:40TaskGrouping0eratorresetsHPCIatEPanelwhileHPCIeuimentandlevelcontrolislocatedonFPanel.4-168

OBSERVATIONSFROMVALIDATIONMALY-THROUGHS(N')ANDTALY-THROUGHS(TT)TaskorProcedure:1.30Number0enMSIVstoReestablishtheMainCondensersasaHeatSinkTitleTape/ProcElapsedTTWTSteTimeCriteriaToicUsabilityObservationDescrition0eratormustinstalluerstobassRPSloictoer-formthistask.Abassswitchmabeneeded..4-169

OBSERVATIONSFROMVALIOATIONNLY-THROUGHS(MT)ANDTALY-THROUGHS(TT)TaskorProcedure:1.31NumberControlRPVPressureBelow1090PSIGUsinMainTurbineBassTitleTapeProcElapsedCriteriaTTMTSteTimeToicObservation'DescritionAppropriateMan-Thistaskreuirestwoeoleduetothelaoutofthening/TaskAssign-controlanels.OneersonmustmonitorsteamflowandmentsfeedflowonPanelF2whilethesecondoensbassvalvesonPanelAl.4-170

OBSERVATIONSFROMVALIOATIONWALK-THROUGHS(WT)ANDTALK-THROUGHS(TT)TaskorProcedure:1.32NumberMaintainRPVPressureControlUsinECTitleTapeProcElapsedCriteriaTTWTSteTimeToicObservationDescritionFeedbackandTask0eratordoesnothaveaprooriatefeedbackofRPVres-GroupingsureatKanelwhenoeninCondensateReturnvalves.4-171

OBSERVATIONSFROMVALIDATIONMALK-THROUGHS(MT)ANDTALK-THROUGHS(TT)TaskorProcedure:1.35NumberMaintainRPVPressureControlUsinRMCUTitleTapeProcElapsedTTMTSteTimeCriteriaToicObservationDescritionFeedbackandTask0eratordoesnothavearorihtefeedbackofRPVres-GroupingsureatKanelwhenincreasinReactorMaterCleanuflow.4-172

OBSERVATIONSFROMVALIDATIONMALK-THROUGHS(MT)A'NDTALK-THROUGHS(TT)TaskorProcedure:1.57NumberCloseHCUAccumulatorCharinMaterHeaderValve301-69TitleTapeProcElapsed.CriteriaTTNSteoTimeToicAvailabilityObservationDescritionCaabilittoerformthistaskisnotavailablefromthecontrolroom.4-173

08SERVATIONSFROl4VALIDATIONWALK-THROUGHS(WI)ANDTALK-THROUGHS(TT)TaskorProcedure:1.73NumberDirectEFF/VENTfromCRDWithdrawLineVenttoaContainedRadwasteTankTitleTapeProcElapsedTTWTStepTimeCriteriaToicAvailabilityObservationDescritionCaabilittoerformthistaskisnotavailablefromthecontrolroom.4-174

OBSERVATIONSFROi4VALIDATIONWALK-THROUGHS(WT)ANDTALK-THROUGHS(TT)TaskorProcedure:2.16NumberObserveOrwellTeat330FtEualsRPVSaturationTemTitleTapeProcElapsedCriteriaTTWTSteTimeToicObservationDescritionUnavailableInfor-Thelabelsonthedrwellternmetersdonotrefertomationwhichmeter(s)wouldrovidethereadinatthislevel.Labelsdonotrefertoanlevels.4-175

OBSERVATIONSFROMVALIDATIONWALK-THROUGHS(WT)ANDTALK-THROUGHS(TT)TaskorProcedure:5.9NumberLine-uFireSstemUsinNl-OP-16TitleTapeProcElapsedTTWTSteoTimeCriteriaToicAvailabilityObservationDescritionCaabilittoerformthisline-uisnotavailablefromthecontrolroom.4-176

OBSERVATIONSFROtiVALIDATIONWALK-THROUGHS(WT)ANDTALK-THROUGHS(TT)TaskorProcedure:6.12NumberRaidlDeressurizetheRPVUsintheHeadVentTitleTapeProcElapsedTTWTSteTimeCriteriaToicUsabilityObservationDescritionOperatormustholdoen/closetheRPVheadventvalveforabout2minuteswhilethevalvetravelsoen/shut.4-177

OBSERVATIONSFROMVALIDATIONNLK-THROUGHS(N')ANDTALK-THROUGHS(TT)TaskorProcedure:6.13NumberRaidlDeoressurizetheRPVUsintheECTubeSlideVentTitleTapeProcElapsedTTWTSteTimeCriteriaToicAvailabilityObservationDescrition0eratorsmustuseumerstobassthereactorlowlevelrelasinordertooverrideisolationsinals.Abassswitchmabearoriate.4-178

4.8SAFETYPARAMETERDISPLAYREVIEWThehumanfactorsspecialistsevaluatedtheSafetyParameterDisplaySystem(SPDS)installedintheNineMilePointUnit1controlroomforcompliancewithacceptedhumanfactorscriteria.Thepurposeofthisdisplaygenerationsectionistoensurethatfuturedisplaysareconsistentwithacceptedhumanfactorscriteriaaswellaswithplantconventions.Plant-specificdisplaygenerationfocusesonthefollowinggeneralareasinuser-systeminterfacedesign:a~DislayPlanninandDesignProcess.Thisareaaddressesthefactorstobeconsideredindetermining:whattypesofinformationaretobedisplayed;whatdecisionsusersmustmake;andwhatappropriatedatapresentationtechniquesshouldbeused.b.InteractiveDevices.Thisareaprovidesguidanceindeterminingwhattypesofinputdevices(keyboard,functionkeys,touch-sensitivescreen,trackball,joystick)areappropriateforvarioustasksinwhichtheoperatormustrequestinformationorselectdisplays.c~User-systemDialogues.Thisareaaddressesconsidera-tionsinsuchareasas:dataentryandedit;menuconstruction;alarmmessages;errormessages;andlogicaldisplaylinkage.4-l79

d.StaticDisplaInformation.Thisareaaddressesplacement,sizeandcolorofinformationsuchasdisplaytitles,time,dateandotherdisplay4informationwhichdoesnotrepresentplantparametervalues.e.GraphicPresentation.>Thisareaprovidesguidanceinthedesignofdisplayformatswhichincorporategraphicpresentationtechniques(e.g.,bar/columncharts,mimicdiagrams,pressure-temperaturetrendplots,etc.)asopposedtotabularpresentationtechniqueswithrespecttosuchissuesas:composi-tion,density,coding(color,shape,blink)andcolorusage.TabularPresentation.Thisareaprovidesguidancesimilartothatprovidedforgraphicpresentationsbutgearedtothepresentationofdataintabularformatandaddressessucnissuesas:logicalgroupingofdata,spacingbetweenlogicalgroups,valueupdaterates,labelsandcharactersize.g.StandardUsage.Thisareawilldelineatestandardsforabbreviations,symbolsandcolor.Plant-specificdisplaygenerationwasusedtogenerateanSPDSevaluationchecklist.ThischecklistwascomparedtoappropriateNRCguidancedocuments(e.g.,NUREG-0835,NUREG-0696)toensurethattheuseofthechecklistmeetsorexceedstheintentoftheseNRCguidancedocumentswithrespecttohumanfactorsprinciples.4.8.1SafetyParameterDisplayReviewResultsTheSPDSdisplayswereexaminedand,withtheaidofanoperator,thecriteriafordisplaycontentandCRTcharacteristicswere4-180

.~

applied.Whenthedisplaycriteriawerenotmet,anHEOwaspreparedforconsideration.FourteenHEOswerewritten;theseareidentifiedbytheHEOprefixSPD.4-181

4.9REVIENOFEMERGENCYOPERATIONSFACILITYThehumanfactorsspecialistsreviewedtheNineMilePointUnit1EmergencyOperationsFacility(EOF)forconformancetoappropriatehumanengineeringcriteria.Thisreviewtook.intoaccounttheguidanceofferedbyNUREG-0696,"FunctionalCriteriaforEmergencyResponseFacilities",andNUREG-0835,"HumanFactorAcceptanceCriteriafortheSafetyParameterDisplaySystem".ThehumanfactorscriteriareferredtoweredrawnfromNUREG-0700,"GuidelinesforControlRoomDesignReviews";appropriatemilitarystandardsandspecifications(e.g.,MIL-STD1472C,"HumanEngineeringDesignCriteriaforMilitarySystemEquipmentandFacilities")andfromtheleadingtextbooksonhumanfactors.ByconductingthisoptionalactivityinthesametimeperiodastheDCRDR,itwaspossibletomaximallyintegratethehumanfactorsorientedresponseactivitiesfromtheDCRDR.Thereviewincludedthefollowingactivities:a~Reviewofworkspacelayoutandworkstationconsoleswithrespecttoanthropometricconsiderationsandstaffing.ThisactivitywasaccomplishedwithreferencetotheNineMilePointUnit1EmergencyPlanandas-builtdrawings.b.Reviewofproceduresandcommunicationslinksamongthepersonnelstaffingeachfacility,aswellascommunicationsbetweenappropriatepersonnelintheEOFandcontxolroom.Thisactivityinvolved4-182

interviewsofNNPCstaff,reviewofappropriatedocumentation,and/orobservationofanemergencydrill.c.ReviewofCRTdisplayformatsandanyotherinstrumentationtoevaluatecompliancewithhumanfactorsstandardsandcompatibilitywithsymbology,labelingandabbreviationsusedinthecontrolroom.4.9.1EmerencyOperationsFacilityReviewResultsDuetothecurrentconstructionsactivities,noHEOsweregeneratedbutcommentswerepassedontoNNPC.4-183

4.10HUMANFACTORSMANUALFORFUTUREDESIGNCHANGEIncarryingouttheDCRDRdescribedinthisreport,considerabletimeandattentionhasbeengiventothedesignofworkspace,layout,labeling,conventions,annunciators,visualdisplaysandcontrolsinordertomeetestablishedhumanfactorsguidelines.Theresulthasbeenaconsiderablenumberofchangesofwidelyvaryingtypes.Whenengineeringchangesormodificationsareproposedinthefuture,itwillbeimportanttoNMPCtoinsurethatthechangesequallyconformtotheseguidelinesandthattheconventionsestablishedfromthisDCRDRprogramaremaintained.AhumanfactorsmanualwasthereforedevelopedforusewhenmodificationsaremadetoNiagaraMohawkPowerCorporation'sNineMilePoint1nuclearpowerplantcontrolroom.ThemanualisbeingwrittenfortheuseofNMPC'sNuclearEngineeringDepartmentandisbeingincorporatedinNMPC'sEngineeringProceduresasareferenceddesignstandardtobeusedinasimilarfashiontoanASMEcode.WithintheNuclearEngineeringDepartmentresponsibilityfordesignmodificationsinthecontrolroomfallundertheelectricalandmechanicalsections.The.electricalsectionhasresponsibilityforpanelsAandBinthecontrolroomandallotherpanelsaretheresponsibilityofthemechanicalsection.Finaldesignswillalsogothroughanestablishedapprovalprocess,whichincludesthesupervisorofoperations.MaintenanceofthisHumanFactorsDesignManualwillbetheresponsibilityoftheNuclearEngineeringDepartment,includingperiodicupdatingoftheinformationandappropriatedistribution.4-184

Includedinthishumanfactorsmanual,forexample,arestreamlinedchecklistsforeachsectiontofacilitateidentificationoftheappropriatehumanfactorsprinciplestobeconsidered.ItalsoincludesallofthespecialandparticularcodesandconventionsthatweredevelopedforuseintheNNP-1controlroom,suchastheanti-clockwiseturbine-'eneratorcontrolsanddistinctivecontrolhandles.Themanual'sTableofContentswithabriefdescriptionofthecontent,anduser'sneedsbymajorsectionsisprovidedinTable4-10-1.4-185

Table4.10-1TABLEOFCONTENTSOFHUMANFACTORSDESIGNMANUALSECTIONPAGE1.INTRODUCTION:Providesthepurposeanduseofthemanual.~~~1a~b.c~d.e.PurposeDesignModificationsUseofThisManualModificationsRequestsResponsibilityChecklists1122232.CONTROLROOMLAYOUTANDORGANIZATION:Providesguidanceinthearrangementofcontrolroompanelsandsystems.4a~b.c~d.PanelsandBenchboardsGroupingsSpacingoo~~e~~~Miscellaneous~~4~~4553.WORKSTATIONDESIGN:Providesdesignfactorstoconsiderinthepositioningofequipmentonpanels.Designforhumanhabitabilityisalsotreated...........'a~b.C.e.goh.AnthropometricsStand-upOperationofControlsStand-upViewofDisplaysDisplayPositioning-Stand-UpFootClearanceSit-DownControlsandDisplaysDimensionsforSeatedOperatorOtherFactorsToConsider88811ll1114144-186

TABLE4.10-1(continued)SECTIONPAGE4.LABELING:Providesaspecificationforthelabelingofcomponentsinthecontrolroom.............16a~b.cd.e.g,GeneralCharacteristicsLabelHierarchyLetterSizeandStylePlacementofLabelsLabelingVisibilityLabelColorCodesManufacturers'ames~~~161619192424245.CONVENTIONS:Providesguidanceinestablishingandmaintainingcontrolroom-wideconventionsfornomen-clature,abbreviationsandcolorcoding.........25a~b.c~d.AbbreviationsandAcronymsComponentNamesSystemNamesColorCodes~<~~~~~~~~25~~~~25~~o~25~~~~256.MIMICSANDDEMARCATIONLINES:Providesaspecificationfortheapplicationofmimicanddemarcationlinesinthecontrolroom....................26aMimicDimensions.................26b.DemarcationLineDimensions............287.ANNUNCIATORS:Providesguidelinesforthedesignofannunciatorwindows,controls,andresponsesystem...294-187

TABLE4.10-1(continued)SECTIONPAGEa~AnnunciatorSystems................29b.c~Controls~~~~~~~~~~~~~~~~o~ColorCoding29308.SWITCHES:Providesdesignconsiderationsandcontrolroomconventionsforswitchtypes,handletypesandes-cutcheonlabels.....................31a~b.c~d.EscutcheonFormatFixedPointer,MovingScaleMovingPointer,FixedScaleConventionsforSwitchMovementand3131~~~31Positions...329.PUSHBUTTONSWITCHES:Providesguidancefordesignofpushbuttoncontrols...................3310.METERSCALESANDLEGENDS:Providesguidanceforthedesignandapplicationofmeterlegend,meterscaleandzonemarkinginformation.34a~b.c,d.e.MeterLegendsMeterScalesIndicatorZoneBandingZoneMarkingsZoneMarkingApplicationMethod3434343535ll.

REFERENCES:

Providesreferenceswhereadditionalinformationmaybeobtained...............364-188

TABLEOFCONTENTS(concluded)SECTIONAPPENDIXA-CHECKLISTS-Providesaquick,easytestfortheuserastothehumanfactorsconsiderationswhichmaybeinvolvedinaproposeddesignchangepackage.APPENDIXB-,ABBREVIATIONS-Providestheapprovedlistofabbreviationsandtheirmeaningsforuseinthecontrolroom.APPENDIXC-ENGRAVINGSPECIFICATIONS-Providetheen-gravingspecificationforlabels.APPENDIXD-NAMEPLATELOCATIONCONVENTIONS-Providesconventionsforlocationofcomponentnameplatesinthecontrolpanels.APPENDIXE-COLORUSECONVENTIONSANDCOLORCODINGAPPROACH-Providesconventionsfortheuseofcolorinthecontrolroom.APPENDIXF-SWITCHMOVEMENTANDPOSITIONCONVENTIONSProvidesconventionsforswitchmovement,orderandposi-tionnames.APPENDIXG-SWITCHTYPEANDHANDLECONVENTIONS-Providesconventionsforselectionofswitchandhandletype.APPENDIXH-METERSCALESPECIFICATIONSANDEXAMPLES-Pro-videsspecificationsfordesigningmeterscalesandexam-plesofappropriatescaleprogressions.'PPENDIXI-INDICATORZONEBANDING-Providesconsidera-tionsinselectionandapplyingcoloredindicatorzonebanding.4-189

5.0PROGRAMFINDINGS5.1OverallHEOCharacterizationOutoftheReview/AnalysisprocessesdescribedinSection4.0,andthefollow-onreviewandverificationactivitiesdescribedin.Sections5.385.4,sofar,came530HEO'swhichwentthroughtheAssessment/Resolutionprocess.TheyarealllistedanddescribedinAppendixDincludingthecategoriesusedtogroupthem,variousgradingdistinctionsandasummarystatementoftheAssessment/ResolutionTeam'sdispositionforeachone.ThislistingreflectssnapshotinthetimelineofprogramactivitieswhentheIntegratedCosmeticsPackageverificationprocessonthesimulatorhadbeencompletedandappropriatechangesincorporatedbytheAssessment/ResolutionTeam.Noneofth'eHEO's(includingthosefromtheinitialphaseoftheDCRDRProgramcarriedoutin1981)involvedanysubstantialsafetyconsiderationsandmostofthemwereeithercosmeticinnatureorinvolvedfixesthatdidnotrequiresubstantialdesign/equipmentchanges.ThisisnottoosurprisinginviewofthecontinuingprogramofreviewandchangesthatNMP-1hasgonethroughoveritsdesign/operatinglifetimeofover20years.TheControlRoomwasoriginallydesignedbyNiagaraMohawkinthe1960'swiththeassistanceofsubstantialmock-upsanddesignstudiesthatwereprecursorstotheformalspecificHumanFactorsguidelinesthatweredevelopedrecently.Duringtheearlydaysofoperationasobservationsweremadeorproblemscametolight,changesweremadeaccordingly.Thus,thechangesmadeasaresultofthisDCRDRprogramareviewedmoreasenhancementsreflectingrecentstate-of-the-artdevelopmentsratherthanfundamentalchangesorrearrangements.5-1

Thus,mostofthefixesinvolvecosmeticchangeswhichwillassistoperators(mostparticularlyneweroperators)toseetherelationalaspectsofthesystems/equipmentinoperation(i.e.itcouldimprovetheirmentalmodelofplantoperation),increasesthemargintopossibleslips(i.e.errorsincarryingoutintendedactions)andallowsforabetterintegrationofoverallplantintelligence.About135HEO'swereresolvedinthisway.Functionfixesincludedallothertypesoffixesthatweredeveloped.Theseincludedequipmentchanges,proceduralchanges,etc.AlsoincludedwereafewFunctionalFixesthatwillrequirefurtheranalysisanddeterminationofmorespecificcorrectivemechanismstoresolve.AnexampleistheControlRoomHI%Vsystemwheretherewasapossiblemarginalenvironmentalconditionduringhotsummerweather.Onehundredthirty-threeHEO'swereresolvedinthisway.DetailsconcerningthedevelopmentoffixesarecontainedinSection5.3.AsdescribedinSection3.0,theDCRDRprogramwascarriedoutintwophases,withtheinitialphaseconductedinconjunctionwithaBWROGteamin1981andthefinalphaseconductedrecentlyusingtheHumanFactorsexpertiseofARDCorp.AlthoughtheolderresultingHEO'swereheldforcompletionoftheReview/AnalysisportionofthefinalphaseoftheDCRDRprogram,plantmodificationswerecarriedout(sometimesbecauseofotherprogramneeds)whichresultedinfixingthediscrepancyinvolved.Thus,someHEO'scouldimmediatelybeclassifiedas"Resolved"(either5-2

completedorinprogress)andtheyweremovedintothe"fixverification"categoryrelativetofurtherDCRDRprogramaction.Therewere82HEO'sthatfellintothiscategory.SomeportionsoftheReview/AnalysisactivitiesintheOCRORprogramwerecarriedoutbyHumanFactorspecialistsorotherswho,whilegenerallyknowledgeableaboutnuclearpowerplants,didnotunderstandthespecificNMP-1system/equipmentlogicoperatingdetails.Thus,someoftheHEO'scouldbeclassifiedas-"Invalid"becausetheoriginalrationalefortheirinitialdeterminationwasnotcorrect.ThiswasdeterminedintheAssessment/ResolutionprocessdescribedinmoredetailinSection5.2.ThisdeterminationwasalsoreiteratedinaseparatesessionattheendoftheAssessment/ResolutionprocessanditgotfurtherreviewbyotherHumanFactorspecialistsatARD'shomeofficelater,asfollow-onactivitieswithHEO'sproceeded.Thus,sufficientiterationsandindependentreviewswereconductedtoensurethatnovalidHumanFactorsconsiderationswereoverlooked.Ninety-sixHEO'sfellintothiscategory.Thefinalcategorywas"Rejects,"whichnumbered177,andconstitutedabout1/3ofallHEO's.ThesereceivedthebulkoftheattentionintheAssessment/ResolutionTeamdeliberationsbecauseofthepossibilityofmissingsomethingsignificant.AtleastoneiterationoneachHEOsocategorizedwascarriedoutbytheAssessment/ResolutionTeam.ThekeytothisdeterminationwastheHEO'ssafetyandoperationalsignificance,andtheteameventuallyreachedaconsensuspositiononeachone.Anythingthatwasconsideredsignificantwasfixedinsomewayandagoodrationaleusingapredeterminedsetofjudgementcriteriawasdevelopedforthosenotfixed(i.e."Rejected").5-3

Later,thekeydeterminationaboutsafetysignificancewasindependentlyassessedbyoneoftheARDHumanFactorsspecialistsworkingonNineMilePointUnit2.Thisindependentassessmentwasconsideredbytheteam,appropriatechangeswereincorporated,andthefinalHEOcompilationinAppendix0reflectsthesechanges.Ingeneral,thosethathadbeengivenahighersignificanceratingintheindependentassessmentwereconsideredmorecarefullyandsoimewere"fixed."RejectionoftheotherswasbasedonafurtherelaborationoftheHumanFactorsprobleminvolvedandanadditionalorstrongerbasisforrejectionwasdetermined.AsummaryoftheHEOcharacterizationdescribedaboveiscontainedinTable5.1-1andamoredetailedcompilationiscontainedinthefrontpartofAppendixD.Minorchangestothiscompilationarepossibleastheprogramproceedsthroughtherestoftheverificationandvalidationactivities,butthesechangeswillnotbesubstantial.Afinalenumerationwillprobablynotbeavailableuntiltheendofthespring1986refuelingoutage,whenalmostallofthefixeswillhavebeeninstalled.Moredetailsconcerningtheprocessandfactorsusedtomakethedistinctionscharacterizedabovearecontainedinthenextsection.5-4

Table5.1-1SummaryHEOCharacterizationResolvedIn-ProgressCompleted3844FixCosmeticFunctional13342InvalidCategorizedUncategorized1284RejectedCosmeticFunctionalTotal631145305-5

5.2AssessmentResolutionProcessThefollowingisachronologicalitemizationofstepsthattheAssessment/ResolutionTeamwentthroughinconsideringeachoftheHEO'sthatweregeneratedfromthepreviousReview/AnalysistasksdescribedinSection4.0.TheyincludealloftheactivitiescharacterizedintheAssessment/ResolutionboxinFigure3.2-1,whichillustratesthehierarchyandrelationshipsbetweenthevarioustasksintheOCRDRProgram.Thedeterminationsmadeandthetools/approachesusedtomakeeachofthesedeterminationsisalsosummarizedineachofthesesteps.TheteammemberswhocarriedoutthedeterminationswerethesameasthosewhocarriedouttheTaskAnalysisdescribedinSection4.3,withtheexceptionthatdifferentoperatorswerepresentatdifferentpointsintheactivities(ThisarrangementwasdescribedinmoredetailinSection3.2).5.2.15.2.2AnintroductionanddescriptionoftheHEOwasprovidedbytheHumanFactorsspecialist.(Whyisthisaconcern,degreeofseriousness,pastexperience,HumanFactorspotentialforerrors,theoreticalbasis,etc.)Areviewoftheequipmentcontextanddetailswascarriedout.(Roleoftheparticularpieceofequipmentincontrolroomactivities,discussionofIECcharacteristics,ergonomicaspects,practical/localpotentialforerrors,etc.)5-6 0

5.2.3TheHEOcategorywasdetermined.(Functionalconsideration,subjecttocosmetictyperesolution,alreadyresolved,oraninvalidlisting-notreallyanHEObecausethereviewer/analysthadnotreallyunderstoodthewaythepieceofequipmentworkedortheoperationalcontextinvolved.)Atthispoint,theAssessment/ResolutionTeamstoppedanyfurtherdeliberationsandwentontothenextHEO.Thepurposeofthiswastoseparatejudgement/decisionactivitiesleadingtotheconsiderationoffixdetailsfromanoverallunderstandingofthecharacterandcategorizationofallHEO's.Itgavetheteamagoodpictureofthewholesituationandallowedforconsiderationofmoregeneralgoalsthatcouldbeusedastargetswhenconsiderationofindividualfixesproceeded.AnexamplewasapplicationofanIntegratedCostmeticPackageonthesimulatorasaverificationstep.Thefollowingstepsshowthelogisticalflowforthesecondandmajorphase,whichwasnotstarteduntiltheabove-describedfirstphasewascompletedonallHEO's.NotethatnolegitimateHEO'swererejecteduptothispoint.5.2.4Thefirsttwostepsabovewerereiteratedtobringoutmoredetailandtoallowfornewconsiderations.(Particularly,item2waslookedatindetail,includingvisitstothecontrolroomoruseofthecontrolroomTVscannerintheTechnicalSupportCenter.)5-7

5.2.5Thepotentialimpactontheplant'ssafetyposturewasdiscussedbytheReviewTeam'sLicensingmember.(Safetyanalysisrelationship,TechSpecbasisthinking,NRCattitude,PRArelatedconsiderations,etc.)Atthispoint,alloftheinformationhadbeengeneratedfromwhichquantifiedsafetysignificanceriskcategoriescouldbederived.TheywerenotexplicitlylistedatthetimeintheinitialAssessment/Resolutionbutwererecordedlater,basedontheinformationfromsteps1,2,4Ic5.ThecriteriausedforquantifyingthesesafetysignificanceriskcategoriesarecontainedinTable5.2-1.TheyalsoformedthebasisforrejectingHEO'sthatwerenotconsideredsignificantenoughtofix.Althoughreiterationoftheaboveconsiderationscontinuedtooccur,occasionally,whenneededatvariousstepsbelowastheteamdealtwithindividualHEO's,themajordeliberationsfromhereonfocusedonfixdetails.5.2.6PlantoperatorconsiderationsweredescribedbytheOperation'srepresentative,(Procedural/operatingpracticeproblems,ifany,negativetransferconsiderations,personaldifferences,relationtopastplantexperience,etc.)5.2.7Otheraspectsbyotherrepresentativeswerebroughtup(designconcerns,technicalsupportprograms,trainingeffects,licensingdetails,etc.).5-8

5.2.8Alistingofpotentialfixeswasmadeandprosandconswerediscussedusingappropriatedecision/distinctiontoolsthathadbeenspeciallydevelopedforusebytheAssessment/ResolutionTeam.ThesespecialtoolsaresummarizedinTables5.2-2,354.5.2.9Votingandjudgementtrade-offswerecarriedoutuntilafinalfixwasagreeduponforeachHEObyallrepresentativespresent.Innocaseswasthisdonewithanylessthanfourmembers,includingatleast1OperationsrepresentativeandatleasttheHumansFactorsspecialistandSystems/Licensingrepresentative.(However,insomecases,furtherreviewsweredecideduponbecauseofthelackofsufficientinformation/detail.)Itbecameclearatthispointthatallcosmeticfixesshouldbegeneralizedintoconventionsandappliedtotheentirecontrolroomforpurposesofconsistencyandcoherence.ThisbecametheIntegratedCosmeticPackagedescribedinSection5.3.5.2.10AllpreviouslyrejectedHEO'swerereconsidered.(Thiswastobesuretheywereadequatelyconsidered,initially,andtoseeiftheyshouldbefitinwithotherHEO'sbeingfixed,forconsistencyandcoherence.)5-9

5.2.11Ageneralsenseofpriority/urgencywasalsoobtainedfromtherepresentativeswhenthefinalfixwasdetermined.Thiswaslatertranslatedintospecificmodification/studyschedulesinplantandengineeringmanagementreviewswiththeOCRDRProgramManager.InthecaseofFunctionalFixes,thisschedulewaspublishedforinternalreviewbyallappropriatepersonnel(includingAssessment/ResolutionTeammembers)andcommentsresolvedbeforethefinalmodificationpackagewasstartedthroughtheformalplantmodificationsprocedure.TheresultsofthisactivityaredescribedinmoredetailinSection5.3.5.2.12Followingthefurtherreviewsreferencedinstep10.aboveandadditionalactivitiesinresponsetoNRCconcernsexpressedintheirlateNovember1984audit,allstepsabovewererepeated.forthenewlyresultingHEO's.Otheriterationsthroughtheabovestepsalsooccurredatvariousstagesoftheverificationactivitiesasfeedbackwasobtainedandnewconsiderationscametolight.TheseverificationactivitiesaredescribedinSection5.3.5.2.13OtherpotentialfixverificationmechanismswereintroducedbytheHumanFactorsspecialistandProgramManagerinalatersessionandagreementsreachedwiththeReviewTeamonappropriateapproaches.5-10

5.2.14Likewise,necessaryinteractionsandvalidationswithotherprograms(principallywiththeEOPandSPOSactivities)wereestablishedandagreedtowiththeAssessment/ResolutionTeamafterfixeshadbeendetermined.ThesearedescribedinSection5.4.Aspecialvoting/fixalternativerankingmethodologyhadalsobeendevelopedforusebytheAssessment/ResolutionTeamincaseofjudgementdifficultiesandconflicts.Thiswasnotneeded,however,andconsensusagreementswerereachedinallcasesaftersufficientinformationhadbeenobtainedoranalysescarriedoutsothatthebestoverallsolutionwasreadilyapparent.Thistookconsiderabletimeandseveraliterations,insomecases.Thebestexampleofthiswasthefloppyphonecordshangingdownontheverticalsectionsofseveralofthemainpanels.Itwasoriginallydeterminedtobesignificantandmanyfixpossibilitieswerebroughtupbyvariousmembers.However,noresolutionwasfinallydeemedpossiblewithoutcreatingotherequallysignificantpotentialproblems.pertinentresultsofthedeterminations/distinctionsmadeinthisassessmentresolutionprocessaredescribedinthenextsection,5.3.5-11

Table5.2-1NMP-1DETAILEDCONTROLROOMDESIGNREVIEWHEOASSESSMENT/RESOLUTIONTOOLSSafetySinificance/RiskCatepriesforHEO'sRangeofNo.Ratings7-9SafetySignificanceCateorySubstantialDescritionDefiniteorlikelyprobabilityofadverseconsequencesinvolvingoneoftheeventslistedbelow.4-61-3SignificantInsignificant-Foreseeableorpossibleconsequencesinvolvingoneoftheeventslistedbelowbutitisarguableamongstexpertsorpeopleexperiencedwiththeoperationalandsafetyaspectsinvolved.Allagreethatthereisverylittlelikelihoodofsignificantconsequences(i.e.thatneedtobeconsidered)involvinganyoftheeventslistedbelow.PotentialemerencyorunexectedeventswithotentialconsequencesrelatedoorypeoA.RadioactivitycontrolproblemsorunusualtransientconditionsB.Equipment/systemparametersbeyondnormalconstraintsC.PersonnelactivitiesorlimitationsbeyondnormalboundsorexpectationsD.Operatingprocedures/training/maintenanceproceduresdonotcoverE.Unduedrainorstrainonoverallresourcesavailable5-12

Table5.2-2NMP-1DETAILEDCONTROLROOMDESIGNREVIEWHEOASSESSMENT/RESOLUTIONTOOLSHumanFactorsConsiderationsforProosedHEOFixesl.Operatorfatigue(PhysicalorMental).2.Operatorconfusion.3.Operatordiscomfort.4.Riskofinjurytocontrolroompersonnel.5.Increaseinmentalworkload.6.Distractions.7.Abilitytoseeorreadaccurately.8.Abilitytohearcorrectly.910.11.Abilitytocommunicatewithothers(eitherinsideoroutsidethecontrolroom).Abilitytomanipulatecontrolscorrectly.Delayofnecessaryfeedbacktotheoperator.12.Positivefeedbackaboutcontroltasks.13.Violatescontrolroomconventionsorpractices.14.Violatesnuclearindustryconventions.15.Violatespopulationstereotypes.16.Useofself-training,temporarylabels,"cheaters,""helper"controls,compensatorybodymovements,etc.17.Degreeofstress.18.Inadvertentactivationordeactivationofcontrols.19.Synergyoferrors.20.Concurrenceoftasks.21.22Degreeofemergencyuse.Involvesviolationofatechnicalspecification,ortheunavailabilityofsafety-relatedequipment,orinvolvescontrolsordisplaysthatarepartofanengineeredsafetyfunction.5-13

Table5.2-3NMP-lDETAILEDCONTROLROOMDESIGNREVIEWHEOASSESSMENT/RESOLUTIONTOOLSInteractionalImactConsiderationsforProosedHEOFixesWhatarethenegativeimpactsofthevariousproposedfixestotheoperationoftheplantundernormalconditions,leadingtoachoiceofthebestfixforeachHED.2.Criteria/Definition:Considerpossiblenegativeinteractionswithspecificplantoperationalaspects,suchas:a.Equipmentoperabilityb.Systems/parameterinterdependencyc.Safetyanalyses/basesd.Operatingprocedures/experience/traininge.Organizationalstructureandpersonnelpracticesf.Cognitiveprocessesinrunningplantg.Otherprograms,processes,etc.3.~Rankins:Ratethedegreeandseriousnessoftheseinteractionswithfixesinplace,comparedtothosecurrentlyexistingwithaparticularHED.5-14

Table5.2-4NMP-1DETAILEDCONTROLROOMDESIGNREVIEWHEOASSESSMENT/RESOLUTIONTOOLSRiskvs.ImactConsiderationsforProosedHEOFixesWhatbenefitswillbegainedfromthevariousproposedHEDfixesintermsofthereductionofrisk,comparedtothecostofmakingthefixesintermsoftheimpactofimplementingthem.2.Criteria/Definition:a.Forproposedfixes,considerpossibleerrors(probabilities)andtheirassociatednegativepotentialconsequencesdefinedingeneralways,suchas:1)Radioactivitycontrolproblemsorunusualtransientconditions2)Equipment/systemsparametersbeyondnormalconstraints3)Personnelactivitiesorlimitationsbeyondnormalboundsorexpectations4)Operatingprocedures/trainingdoesnotcover5)Unduedrainonorganizationalresourcesb.Forproposedfixes,considerinvolvement/difficultyincarryingthemout,asdefinedinageneralway,suchas:1)Amountandtypeofequipmentaffected2)Degreeofsystems/processchanges3)Physicaldifficultiesinmakingchange4)Amountandinvolvementofmanpower5)Timerequired6)Organizationalimpact(prioritiesandresources)7)Procedural/trainingcomplications3.~Rankins:Ratetheamountofriskreductionassociatedwithoperationwithfixesinplacecomparedtocurrentoperation.Ratetheimpactofmakingthefixesintermsofthedifficulties/involvementincarryingthemout.Determinefromthesethebestratioofriskreductionbenefittocostincarryingoutthefix.5-15

5.3CorrectiveActionsandVerifications5.3.1Modification/Strategy:BasedontheresultsoftheAssessment/ResolutionProcessdescribedinSection5.2above,HEO'stoberesolvedwithfixesweredividedintotwomajorpackagesforfollow-onscheduling,verification,etc.TheintentwastoestablishblocksofactivitiesthatcouldbecarriedthroughtherestoftheOCRORprogramandplantmodificationprocessesinaconsistentandcontiguousfashion.Onthatbasis,fixesthatcouldbetriedoutonthesimulatorinitiallywereputintoanIntegratedCosmeticsPackage(ICP)describedinSection5.3.2.ThiscoveredamajorityofthecosmeticHEO's.Thereweretwobasicpurposesforthis.First,itgaveeveryone,particularlytheoperators,anopportunitytoreviewthefixdetailsforaccuracyinintentandreasonablenessinapplication.Second,thepackagecouldbeviewedforoverallappearanceandconsistency(includingallIECintheControlRoom)andfeedbackobtainedabouttheusefulnessofthispackage.ThisintegratedCosmeticsPackageverificationprocesswasformalized,andwascompletedjustpriortothetimethisreportwaswritten.ThepicturesandcompilationsreferredtointhefollowingSection5.3.2reflectadjustmentsmadetothesimulatorinresponsetotheresultsoftheverification.5-16

AsalsodescribedinSection5.3.2below,adjustmentstotheIntegratedCosmeticsPackageforapplicationtotheControlRoomwillalsobeneededbecauseofdifferencesbetweenthesimulatorandtheControlRoom.Oncetheseadjustmentshavebeenmadeandfinalspecificationsdetailed,actualcosmeticchangestotheControlRoomwillbecarriedoutviatheestablishedplantmodificationprocedures.Nuch,ifnotall,ofthesechangeswillbedoneduringplantoperationbetweennowandthespring1986refuelingoutage.Ofcourse,thosechangesthatmightdisruptplantoperationwillbeinstalledintheControlRoomduringtheoutage.ThiswillalsoincudefixesforafewHEO'sthatwerecosmeticinnaturebutnotincludedintheverificationonthesimulatorbecauseitwasnotappropriateorhelpfultodoso.(e.g.ChangesinrecorderchartpapertoimprovesealmarkingsandcosmeticsontheRemoteShutdownPanels,aregoodexamples.Therewere42functionalfixesinthesecondmajorblockthatresolvedtheremainingHEO's,including19equipmentchanges/adjustments,10programmatic/studyactivitiesand13involvingtraining/informational/procedurealchanges.Theserequiresomefollow-ondesign/analytical/administrativeworkbeforetheycanbeinstituted,andverificationontheseisbestconductedinconjunctionwithgC,engineeringreviewandotherfixcompletionactivitiesThisisdescribedinmoredetailinSection5.3.3.Thesefixeshavebeencollectedintoonemodificationpackage,andtheyarenowproceedingthroughthe5-17

establishedproceduralstepsassociatedwithplantmodificationsoradministrativechanges.Mostwillbecompletedbeforeorduringthe1986refuelingoutageasdescribedinmoredetailinSection5.3.3.Athirdcategoryof82HEO'sinvolvingcorrectiveactionsarethosethathavealreadybeenfixedorthefixwasinprogresswhentheAssessment/ResolutionTeamreviewedthem.ThebasisandreasonsforthisgroupingofHEO'sweredescribedinsection5.1,andtheyarelistedtogetheras"Resolved"inonesectionoftheHEOcompilationinAppendix0.Verificationofthesewillbecarriedout,later,inconjunctionwiththeverificationofFunctionalFixesandusingthesameverificationmethods.However,thissetofverificationswillbecompletedpriortothebeginningoftheoutageandintimeforremedialadjustments,ifneeded.Theremaybeafewunusualsituationsdevelopedorcaseswherefurtherreview,analysisorprogrammaticactivityofsomekindwillrequirecompletionofthefixbeyondthespring1986outage.Anysuchsituationswillbeidentifiedeitherintheverificationorplantmodificationprocessesdescribedabove.Atthemoment,theonlyonesfallingintothiscategoryaresoidentifiedinTable5.3-2.Therelationshipandtimingofthesefixandverificationprocesses,astheyfitintotheoverallprogramandinteract,isdescribedinmoredetailinSection5.4.5-18.

5.3.2InteratedCosmeticPackae5.3.2.1OevelopmentofIntegratedCosmeticPackageAscharacterizedinsection5.3.1,thefixesdeterminedfromtheAssessment/Resolutionprocessweredividedintotwobasicpackages(beyondthepackageof"Resolved"HEOswhichhadpreviouslybeenorarenowintheprocessofbeingcorrected).Thefirstpackage,calledtheIntegratedCosmeticPackage(ICP),isdetailedinthissectionandthesecondpackage,calledtheFunctionalFixpackage,isdetailedinsection5.3.3.TheAssessment/ResolutionTeamdeemeditimportanttoverifytheICPonthesimulatorbeforeputtingitonthepanelsinthecontrolroom.ThiswasbecauseoftheinteractiveandholisticnatureoftheindividualfixesastheyaffectedtheoverallICP.WhatfollowsisadescriptionoftheICP,howitwasappliedtothesimulator,andtheresultsoftheverificationthatwascarriedoutonit.AppendixEcontainsthecompilationofdetailscomprisingtheICPintheformoftables,figures,andphotographsandtheyarebasedontheresultsofthisverification.TheNAP-1ICPisaseriesofchangestoenhancetheappearanceofthecontrolpanels.Cosmeticchangesarethosewhichalteroperationalaids;theseincludeenhancementstotheappearanceofthecontrolpanelstoassisttheoperatorindeterminingcomponentlocationandstatus.TheICPdoesnotmodifysystemoperation,onlytheinformationonthecontrolpanelspresentedtotheoperatorstoassistinperformanceoftheirassignedduties.TableE-1inAppendixEliststheHEOsthatareaddressedbytheNMP-1ICPandthecosmeticchangesthatwereimplementedtoresolvetheHEOs.Thespecificationsusedtoconstructlabels,etc.andtoimplementeachdetailarecontainedinapackagethatwaspreviouslydescribedtotheNRCbutisnotincludedinthisreportbecauseofitsbulk.AcomprehensivesummaryoftheresultsincludingphotographsoftheICPasitiscurrentlyinstalledonthesimulator,areincludedinAppendixE.EachphotographisbackedwithalistingofHEOsshownbythatphotographsothereaderhasacompletecross-referenceofcosmeticfixes,plannedorin-progress,whichcanbeviewedinthephysicalcontextinwhichtheywillexist.Thisalsoprovidesaholisticpictureofthecontrolroomasitwilllookwhenallchangesare5-19

completed.Thesimulatorisabout2yearsbehindthecontrolroomonmodificationsandtheexactplacementofchangesmayvarysomewhattoaccomodatethesemodifications.Thereareotherminorcontrolroomtosimulatordifferencesthatmightalsoaffectexactplacementorexecutiondetails;however,theverificationofthechangeitselfhasbeencompletedasdescribedinsection5.3.2.5andwillbecarriedoutonthecontrolroomforeachHEO.TheICPdetailscanbegroupedintofunctionalcategoriesandappliedincommon,asfollows:5.3.2.1.1SystemDemarcationLines5System/SubsystemLabelinThesearelinesthatwereplacedonthecontrolpanelstodistinguishseparateoperationalsystemsandsubsystems.SystemandSubsystemlabelswerealsoaddedtoaidthisdistinctionandtoreducewordingoncomponentlabelingwithahierarchiallogicarrangement.Demarcationlinesfacilitatelocationofcomponentsbecausetheybreaklargecontrolpanelsintosmallergroupsoffunctionallyrelatedcomponents.FiguresE-1throughE-4showtheplacementofsystemdemarcationlines.5.3.2.1.2ComonentLabelinTheseareincludedintheICPtostriveforconsistency,comprehensivenessandaccuracyofcomponentlabels.Whencomponentlabelswithinacontrolroomareofdifferentsizesordifferenttypefonts,theycanbedistractingtotheoperator.Componentswithoutlabelsareasourceofpossibleoperatorconfusion.TableE-2liststhecomponentlabelsthatwereincludedintheICPandtheHEOtowhichtheyrespond.5.3.2.1.3IndicatorScaleReplacementIndicatorscaleswerereplacedwhenthescalefailedtomeetchecklistguidelinesandwhenitwasimportanttoplantoperationstoobtainavaluereadingfromtheindicator.IndicatorscalereplacementcorrectsmanyHEOsidentifiedforindicatorsnothavingtheoptimumnumericalprogressionornothavingtheoptimummajor,intermediate,andminorgraduationmarkingscheme.TableE-3liststheindicatorscalesincludedintheICPandtheHEOnumberstowhichtheyrespond.5-20

5.3.2.1.4IndicatorScaleRaneMarkinIndicatorscalesweremarkedtoidentifyaparameterstatewhenthescalefailedtomeetthechecklistguidelinesandwhentheindicatorwasinfrequentlyneededtoprovideaspecificvalue.Indicatorscalerangemarking,calledcolorbanding,wasalsoappliedtoindicatorswithappropriatescales,butwhereoperatorsstatedapreferenceforcertainparameterrangevalues.OuringpreparationoftheICP,discussionswereheldwithoperationspersonneltodeterminetheproperrangetobecolorbandedonthedesignatedindicator.Colorbandingconsistedofplacinggreentransparenttapeoveraspecificrangeofscalevaluestoindicateanormaloperatingrange.5.32~1.5~StNTheseservetoaidtheoperatorinunderstandingsystemflowpathandvalvestatus.ThemimicsthatwereincludedintheICPalreadyexistedinthecontrolroombutwereincompleteorweredrawnonthecontrolpanelingreasepencil.ThefollowingmimicswereincludedaspartoftheICP:oElectricalsystem-Completedthemimiclinesconnect-ingR1012andR1013with4.16KVlinesonpanelA.oEmergencyCondenserSystem-ProvidedpermanentmimicofthesystemshowingflowandvalverelationshipsonpanelK.oVenttoMainSteamIsolation.ValvesandBlockingValves-ProvidedpermanentmimicofsystemshowingflowandvalverelationshipsonpanelK.oPrimaryContainmentIsolation-CompletedmimiclinestounconnectedlegendlightsonPanelF.oCorespraysystem-ProvidedpermanentmimicforthesystemshowingflowandvalverelationshipsonPanelK.oTorusandOrywellNVentilationandPurgeValves-Provideda2permanentmimicshowingflowandvalverelationshipsonPanelL.5-21

oReheaterCondenser-RestoredthemimiclinesthathavebeendisplacedfromthepermanentmimicalreadyonPanelJ.5.3.2.1.6ControlHandles~~~~Shapecodingofcontrolhandlescanprovideacuetotheoperatorregardingthetypeofcontroloperation.AcontrolhandleconventionwasestablishedintheHumanFactorsOesignManual.ControlhandlesthatwerenotinaccordancewiththeguidelinessetforthintheHumanFactorsOesignManualwerereplaced.TableE-4liststhecontrolhandlesincludedintheICP.5.3.2.1.7IndicatorLihtColorAstandardforindicatorlightcolorwasestablishedintheHumanFactorsOesignManual.IndicatorlightsthatwerenotincompliancewiththeguidelinessetforthintheHumanFactorsOesignManualwerechanged.TableE-5liststheindicatorlightsincludedi'ntheICP.5.3.2.1.8RecorderChartPaperSeveralHEOswereresolvedbychangingthechartpaperinrecorderstomatchtherecorderindicatorscales.Thesecosmeticchangeswerenotincludedaspartofthesimulatorverificationstudybecauseoperatorfeedbackwasnotneededtodemonstratethatthefixwaseffective.5.3.2.2ScopeofVerificationProramAverificationinvestigationoftheICPwasperformedattheNMP-1simulator.ThechangesspecifiedintheICPwereinstalledonthesimulatorcontrolpanelstoverifythattheproposedcosmeticchangeswerecomprehensive,accurate,andthatthechangesdidnotcreateanynewproblems.Twoshiftsofoperatorsgoingthroughrequalificationtrainingatthesimulatorprovidedspecificdataandfeedbackfortheverification.EachshiftspentoneafternoonintheNMP-1simulator.Theoperatorsweregivensometimetowalkaboutthesimulatoranddiscussthecosmeticchangesamongthemselves.Thepurposeoftheverificationwasexplainedtotheoperators.5-22

Thecrewwasthengiventhreedifferentsimulatedfailurescenariostoresolve.Thiswasdonetofamiliarizetheoperatorswiththeextentofthecosmeticchangestothecontrolpanelsandtheireffectstotheoperationoftheplant.Afterthecompletionofthescenarios,theoperatorswereaskedtofilloutaquestionnaire.AppropriatesectionsofthechecklistsurveyapplicabletotheICPwerecompletedinthesimulatortoidentifyanynewproblems.SeveralsituationsnotrelatedtotheICPwerealsoidentifiedbytheoperatorsandaredescribedbelow.5.3.2.3SummaryofVerificationResultsTwelveoperatorquestionnaireresponseswerecompiledandarereportedbelow.Oneoperatorchosenottorespondatallandoneoperatorcompletedonlyitem$20.Oftheremainingtenoperators,notallansweredeveryitem.AsshowninTable5.3.2-1,thequestionnaireconsistedof14multiple-choicequestionsand6open-endedquestionstoallowtheoperatorstoelaborateontheirresponses.Thequestionnaireincludedfouritemsregardingflowpathmimics,fouritemsondemarcationlines,fouritemsonlabeling,fiveitemsconcerningindicatorscalereplacementandcolorbanding,oneitemoncontrolhandles,andtwoitemsontheoveralleffectivenessofthecosmeticchangestothesimulatorcontrolpanels.AsummaryoftheoperatorsresponsestoeachofthequestionsiscontainedinTable5.3.-1.Thedataobtainedfromtheverificationquestionnairewasinconclusive.Abouthalfoftheoperatorsquestionedstatedthatthecosmeticchangestothesimulatorrepresentedanimprove-mentandabouthalfstatedthatitwasnotanimprovement.Inmanycases,theoperatorsapprovedordisapprovedoftheentireICP;everyitemonthequestionnairewasgivenapositiveresponseoreveryitemreceivedanegativeresponse.Inonlyafewinstancesdidtheoperatorslikesomeofthecosmeticchangesanddislikeothers.Theresponsestotheopen-endedquestionsofthosenotinfavorofthecosmeticchangesin-dicatethattheyopposedanychangetothecontrolroom."Leaveaswas"or"LeaveastheyareatNineMileI"wereresponsestoeveryopen-endedquestionontwodifferentquestionnaires;inthesecasestheICPwasnotfairlyexaminedforanypossiblebenefitbutwasgivenablanketrejectionasunwantedchange.5-23

Specificcommentsonthegroupingsofcosmeticsaresummarizedbelow,togetherwiththeapproachdevelopedbytheAssessment/ResolutionTeamtoresolvethecomments.Adescriptionofthefollow-onverificationactivitieswhichresultedinconsensusagreementontheICP,iscontainedinsection5.3.2.5.5.3.2.3.1SystemDemarcationLinesSpecificchangestothepanelLdemarcationlineswererecommended.Theoperatorsstatedthatsomeofthelinesdividingsubsystemsclutteredthecontrolpanel.ItwasrecommendedthatthedemarcationlinesfortheContainmentAirVent/PurgesubsystemandtheContainmentNitrogenVent/Purgesubsystembeeliminated.Whentheverificationwasperformed,thedemarcationlinesweremadeby1/4-inchblacktapebecauseitwasimmediatelyavailable.These1'ineswerelaterchangedto3/8-inchdarkbrownlineswhichwillcontrastwellwiththecontrolpanelsandwillbedistinguishablefromtheblackmimiclines.Thisisexpectedtotakecareoftheconcernaboutclutter.5.3.2.3.2SstemandSubsstemLabelsSystemandsubsystemlabelingwasappliedtothesimulatorcontrolpanelsinconjunctionwiththedemarcationlinesaspartoftheICP.BasedontheverificationresultsandsubsequentmeetingswithNMP-1Operationspersonnelthesystemandsubsystemlabelshavebeeneliminatedbecausetheyaddedunnecessaryclutter.Theywerefoundtobeinappropriate,giventhegeometryofthecontrolpanellayoutandthecontentofthecomponentlabels.Thus,systemandsubsystemlabelswereeliminatedfromtheICP.5.3.2.3.3~CLInmostcases,theoperatorsdidnotnoticethechangestoaddmissingcomponentlabelsortomakewording/locationsconsistent.TheICPwasconstructedonthelabelingneedsoftheactualNMP-1controlroomwhichinsomeinstancesisdifferentfromthelabelingneedsofthesimulator.Theadditionofsystemandsubsystemlabelscreatedredundancyinthewordingintheexistingcomponentlabels.Itwasdecidedthatthereductioninclutterofextralabelswasmoreworthwhilethanareductionincomponentlabeling,sosystemandsubsystemlabelswereeliminated.5-24

5.3.2.3.4IndicatorScaleRelacementTheoperatorsdidnotnoticemostofthescalesthatwerere-placedandfoundnoproblemswiththerangesofthenewscalesorofthegraduationschemeselected.5.3.2.3.5IndicatorScaleRaneMarkinColorbandingreceivedthemostoperatorcommentofanyICPitem.Severaloperatorsobjectedtoanycolorbanding.Theystatedthatthecolorbands,astheywereplaced,willnotbeinaproperoperatingrangeunderalloperationalconditionsandallmetercalibrations.Theyexpressedtheconcernthattheycouldbeheldaccountableforanyindicatornotwithinagreenbandwhenthemetermayactuallybeintheproperrange.Afterafurtherreview,itwasdecidedthatanappropriatecolorbandcouldnotbeaffixedthatwouldbveaccurateunderallconditions.Thus,thefixesforallHEO'sinthiscategorywerechangedtotakecareoftheHumanFactorsconcernwithscalerevisions,andadditionalcolorbandingorotherformsforhighlightingdeviationsfromnormalconditionsasanextraaide,willbeinvestigatedseparately,later.5.3.2.3.6FlowPathMimicsTheflowpathmimicsthatwereaddedtothecontrolpanelsonlyprovidedapermanentformofwhatisalreadydrawnontotheNMP-1controlpanelwithgreasepencil.TheICPelectricalsystemmimicandreheatermimiconthesimulatorarealreadycompleteandintheirproperconfiguration,andmatchingmodificationsonthecontrolroomareallthatisneeded.ThePrimaryContainmentIsolationmimiccannotbefixedwithoutcreatingotherHumanFactorsproblemssoappropriatelabelingwillbeusedinstead.Thus,thesefixeswereverifiedindependentoftheICP.5.3.2.3.7ControlHandlesInmostcases,theoperatorsdidnotnoticethechangetothecontrolhandles.Nospecificchangestoplacementofcontrolhandleswererecommended.5-25

5.3.2.3.8IndicatorLihtColorTheoperatorsmadenocommentregardingthechangestoindicatorlightcolor.Nospecificchangeswererecommended.5.3.2.4AdditionalVerificationFindinsTheverificationactivitiespresentedanadditionalopportunitytotheoperatorstoidentifyothercontrolroomproblemsnotpartoftheICP.ByworkingwiththeICP,theoperatorsobtainedafeelingforthenatureoftheenhancementsthatcouldbemadetothecontrolroom.Asaresult,thefollowingadditionalobservationswerecollectedduringtheverificationprocess:oThecontrolhandleswitchpositionsforENVentLooplland12InletBVarelabeled"OPEN-AUTO-OPEN".Althoughitiscleartotheoperatorsfromtheirtrainingwhichvalveopenswhenthecontrolismovedleftorright,theusualmoveistotheleft.Inthiscase,systemconventionwillbeenforcedandthecontrolwillbeswitchedtomaketheusualmovetotheright.(Appropriatelabelingwillalsobesupplied).oProtectivecoverswererecommendedandwillbeprovidedforthefollowingrecessedpushbuttons:ReactorTriplland12OrywellIsolationlland12UnitEmergencyTripUnitEmergencyTripVacuumTrip2EPanelEPanelEPanelAPanelAPanelItwassaidthatoccasionallythesebuttonshavebeenpushedinadvertently.5-26 e0 oTherearetworeactorwaterlevelmeters(RxChanlland12)onPanelFwhichwerecolorbandedred,yellow,andgreenpriortoincorporationoftheICP.Thesemetershaveredpointerswhicharedifficulttoseewhenindicatingintherangeofthelargeredcolorband.Thiswasnotnoticedinthecontrolroombecausetheredbandingwasverylightandtheredpointerwasverydark.However,thepointersontheseindicatorswillbechangedtowhite,pertheestablishedconventionandformaximumcontrast.5.3.2.5VerificationComletionTheremainingshiftsandoperationsmanagementreviewedtheICPonthesimulatoraftertheinitialtwoshiftswentthroughthereviewandquestionnaireactivitiesdescribedinthepreceedingsections.Reactionscontinuedtovary,whichconfirmedtheinitialresults.Becauseofthis,therewereconsiderablefollow-onactivitiesbytheAssessment/ResolutionTeamandOperationspersonneltoresolvethecommentsobtainedduringtheverificationactivities.Someofthedetailsofthisweredescribedinthepreceedingsections.IterativereviewoftheICPonthesimulatorwascarriedoutwithselected(themostexperienced)operators.Insomecases,neededadjustmentsweresimple;(e.g.,movingademarcationlinetoabetterposition);inothercases,considerablediscussionensuedandvarioushumanfactortrade-offswereconsidered(e.g.,adjustmentstotheprimarycontainmentisolationmimic).Theendresultwasaconsensusunderstanding/agreementaboutthetypeandscopeofeachfixtobeappliedandwiththeexactexecutiondetailstobecompletedlater,inafewcases.Forexample,labelsizes/placementsmightbeadjusted,butalabelwillbeused.ThelistingsandphotographscontainedinAppendixEreflectthisstatus.5-27 0

5.3.3FunctionalFixes:TheresultsoftheAssessment/ResolutionTeamdeliberationsaresummarizedinTable5.3-2,includingaprioritydeterminationthatreflectstheteam'scollectivethinkingabouttheurgencyoftheparticularsituationinvolved.Otherinformationisalsodisplayedinthetableasitwasdevelopedlaterforthosehandlingmodificationdetails.(ThistablewasattachedtothePlantModificationRequest).Verificationandfixcategorieswereaddedfortheinformationandassistanceofthosereviewingthisreport.Aswillbenotedfromareviewofthetables,someofthefixesinvolvespecificdetailsthatcanbecarriedoutdirectlyandothersinvolvefurtherreview,analysisorprogrammaticactivityofsomekind.Theintentistocompletethoseinthelattercategorywherepossiblebythespring1986outagebutthiswillnotbefirmuntilthefinaldesigndetailshavebeenworkedout.Thesepossibilitiesarereflectedbythewordinginthetable.5-28 0

VerificationofFunctionalFixesinthesecaseswillbecarriedoutoverasignificantspanoftime,asthefixesproceedandaftertheyarecompleted.Verificationmechanismswillconsistofacheck-offthattheworkhasbeencompleted,ahumanfactorsreviewthatthefixwaseffective,oraquerytoNMP1operationsthattheiroriginalconcernwasreasonablyresolved.Nosynergisticeffectsneedbeconsidered,contrarytotheverificationreviewbeingcarriedoutforthecosmeticfixes.Theseverificationmechanismshavealsobeencategorized,coded,andlistedonTable5.3-2.TheywillbecarriedoutbytheDCRDRProgramManagerorProjectEngineerwiththeassistanceoftheHumanFactorsspecialistsandOperationsrepresentativesusedinthisprogram,ifneeded.However,itwillbeaseparateandindependentcheckfromtheactivitiesoftheDesigner/Engineeractuallymakingthechange.5-29

Tab1e5.3.-10eratorResonsetoICPVerificationuestionnaireoFlowPathMimicsl.Ootheflowpathmimicsonthesimulatorcontrolpanelshelpinlocatingcontrolsandinvisualizingsystemstatus7VeryHelpfulHelpfulNotHelpfulConfusingNumberofOperatorResponses2.Withtheadditionofnewmimicstothesimulator,arethereanysystemsorfunctionalgroupsofcontrolsthatstillneedflowpathmimics7Several1or2NoneNumberofOperatorResponses:3.Doyoufeelthattheflowpathmimicsonthecontrolpanelswillaidinthetrainingofnewoperators?NumberofOperatorResponses:VeryHelpfulHelpfulNotHelpfulAddConfusion4.Ooyouhaveanycommentsonthedetail,accuracy,orpresentationoftheflowpathmimicsonthesimulatorcontrolpanels7OperatorResponses:Leaveasitwas.LeavemimicsastheyareatNineMilel.Helpfulbutneedsre-designing.Inaccurate-cluttered-confusing.Flowpathmimicsshouldbecolorcodedforeachindividualsystemandshouldbecoordinatedwiththesystemsintheplant.5-30 0

Tab1e5.3.-1continuedoDemarcationLinesDothesystemdemarcationlinesonthesimulatorcontrolpanelshelpinsystemidentificationandlocationoffunctionalgroupsofcomponents?VeryHelpfulHelpfulNotHelpfulAddConfusionNumberofOperatorResponses:226.Arethereanymoresystemsorfunctionalgroupsofcontrolswhichwouldbeaidedbydemarcationlines?Several1or2NoneNumberofOperatorResponses:07.Ooyoufeelthatthesystemandfunctionalgroupdemarcationlineswillaidintrainingnewoperators?VeryHelpfulHelpfulNotHelpfulAddConfusionNumberofOperatorResponses:32218.Ooyouhaveanycommentsonthedetail,accuracy,orpresentationofthesystemdemarcationlinesonthesimulatorcontrolpanels?OperatorResponses:Somedemarcationlinesneedchanging;ContainmentIVandNitrogenPumpbackandmakeuparea.(LPanel)LPaneltoocluttered.BoxoffcontainmentIVsandincludeDW/toruscheckvalveswithothercontainmentvacuumbreakers.LeavedemarcationlinesastheyareatNineNile81.Leaveaswas.o~Labelin9.OidNotNoticeDoesthesystemandsubsystem1abelingonthesimulatorcontrolpanelsaidintheidentificationandlocationoffunctionalgroupsofcomponents?HelpfulAddsClutterNumberofOperatorResponses:45-31

Table5.3.-1continued)10.Somecomponentlabelshavebeenreplacedandothershavebeenaddedtoenhancetheconsistencyandcompletenessofthecontrolroomlabeling.Arethesenewlabelshelpful?HelpfulNotHelpfulOidNotNoticeAddsClutterNumberofOperatorResponses:3Ooyoufeelthatthesystemandsubsystemandcomponentlabelingonthesimulatorcontrolpanelswillaidinthetrainingofnewoperators?NumberofOperatorResponses:VeryHelpfulHelpfulNotHelpfulAddConfusion12.Ooyouhaveanycommentsonthedetail,accuracy,orpresentationofthelabelingonthesimulatorcontrolpanels?OperatorResponses:-Leaveaswas.LeavelabelingasitisatNineMiletl.Needssomemorework.NitrogenSupplyllandNitrogenSupply12shouldberemoved.(PanelL).NitrogenSupplylland12nomenclatureshouldberemoved.Couldbeveryconfusingtonewoperators.Labelsshouldbereadablefromatleast10feetwithoutincreasingthesizeofthelabels.Thesystemlabelsshouldnotbewhiteorquitesolarge.13.IndicatorScaleReplacementandColorbandingThescalesonseveralindicatorsonthesimulatorcontrolpanelshavebeenreplacedtoprovideamoreappropriatenumericalpro-gressionorgraduationscheme.Ooyoufeelthesenewscaleswillbehelpfulinobtainingvaluereadings?HelpfulNumberofOperatorResponses:2NotHelpfulOidNotNotice5-32

Table5.3.-1continued)14.Colorbandshavebeenaddedtoseveraldisplayscalesonthesimulatorcontrolpanelstoindicatenormalorunsafeoperatingranges.Arethesecolorbandshelpfulinobtainingtheneededinformationfromthesedisplays?Helpful"NotHelpfulNumberofOperatorResponses:4DidNotNoticeConfusing15.Doyoufeelthatthenewindicatorscalesandcolorbandsonthesimulatorcontrolpanelswillbehelpfulintrainingnewoperators?VeryHelpfulHelpfulNumberofOperatorResponses:3NotHelpfulAddConfusion16.Arethereanymoreindicatorscalesthatrequirereplacementorcolorbands?Several1or2NoneNumberofOperatorResponses:317.Doyouhaveanycommentsonthedetail,accuracy,orpresentationofthenewindicatorscalesandindicatorcolorbandsthathavebeenaddedtothesimulatorcontrolpanels?OperatorResponses:Ihavenothadsufficienttimetocheckeachandeveryscaleforchanges.Youareremovinganythoughtprocess.Needsomework.Greenoncondenservacuumatwronglevel.ReplaceindicatorscalesonlyafterdiscussionwithCSOs.Removeallnewcolorbands.LeavethemastheyareatNineMile81.Leaveaswas.Shouldhaveanoperatorlisttheindividualscalesandwhereeachcolorbandshouldbe,someofthenewonesinthesimulatorarewrong.5-33

Tab1e5.3.-1continuedoControlHandles18.Thehandlesonsomecontrolshavebeenchangedforconsistencyofcontrolhandlewithfunction.Isthenewcontrolhandleconventionhelpful?NumberofOperatorResponses:HelpfulNotHelpfulDidNotNoticeoOverallEvaluation19.Doyoufeelthatthechangesmadetothesimulatorprovideanoverallimprovementtothecontrolpanels?OperatorResponses:-No(3times)Yes(4times)Notforexperiencedoperators.Minor-changestohelpthecontrolroomoperatorshavenotbeenmade.Overallyes-systemlabelingsignsaretoobig.DoyoufeelthatthesechangesshouldbeimplementedintheNMP-1controlroom?OperatorResponses:No(4times)Yes(2times)Yes-whenallcorrectionshavebeenmade.SomeThesystemmimiclines,demarcationlines,andcolorbandsarehelpful.Colorcodingofsystemcomponentsandmimicswouldbeveryhelpfultotheproperoperationoftheplant.No.TryimprovingtheviewoftheCSO.Henowhasaconfinedviewofthecontrolroom,notanoverallview.Youneedmorethanfourhourstoimprovethis.AtthistimeIcan'tseewheretheseadditionsarehelpful.5-34 dI Table5.3-~NHP-1DetailedControlRoomDesinReviewunctonaxasHEOHo.OescrltlooofProblemorFlx~PrforftOutageFollow-onActionorFixRequiredSchedule~CaolzeoceVerif.FixCat.Cat.05-033AlarmprintoutfromPCnotsufficientlydistinctive-changebacktoredHiBuyandinstallared/blackterminentprinter.NoCompletebyspring'86outageSpadaforp5Heyersawareandpursuingi)0COH-OlAbbreviationstoocrypticonpointIDdescriptionsfromPCLoEstablishconventionwithNoHFmanualthatwillbeconsistentwithplantwideuse,includingPCCompletebyspring'86outageBernfeldonHFmanualandHeyersonchanges(ifany)VCCOH-07Somealpha-numericcharactershardtoreadonCRT'sfromPCLoincreasefrequencytoobtainfullresolutionNoCompletebyspring'86outageHeyerstopursueReECOH-27,CRTcolorusenotconsistent28529withcolormeaningsinCRHedChangecolorsonCRT'stoNobeconsistent(useliFmanualasconventionCompletebyspring'86outageBernfeldonHFmanualReTandHeyersoncolorchangesSPDS-12ParameterabbreviationsinoverviewdisplayareterseLoSameasCOH-01aboveNoCompletebyspring'86outageBernfeldonHFmanualandHurneyonchanges(ifany)ReTFP-01TrainingonuseandoperationoffirepanelisinadequateHiEstablishprogramandcarryoutNoCompletebyspring'86outageKenSweetonoperationandRandySeifriedontraining110TFP-03Severalcrackedcontrolknobsdtooweak,ingeneralAlsoseeFP-04)HiReplacecrackedones.Obtainstrongerreplace-mentforallNo*Completebyspring'88outageBernfeldondesignandSweetonoperationVC/00E*HayneedtemporaryTechSpecchangetoaccoarrfodatefixworkVerificationCategoryKey:RedoHFreview~Rei)veryoperators=110ElaborateonassessmentEAVerifycompletion=VCFixCategoryKey:Equipmentchanges/adjustments~EPrograms/studiestePTra>ning/informational/proceduralT5-35 0

Table5.3-2nt'd)NHP-1DetailedControlRoomDesignReviewuncrona.ixassHEONo.DescriptionofProblemorFixOutage~PrtoritFollow-onActfonorFtx~teunbredSchedule~tonlzanceVerifFixCat.Cat.QS-025Annoyancealarmsoccurontemp.recorderson8-25B-3panelsHakeappropriatechange,NoinconjunctionwithCS-175OCS-167(somealreadydone)Completebyspring'88TaylorforsiteVCPCS-035NowaytodiagnosefailedbulbsatRSP'sOCS-219Inoperativeannunciatorwindowforconcentrationelectric.boilerLoLoAddsuppllofbulbsatstations(Supplements/SurveillanceProcedureNo.tocheckbulbsatregularintervals)RemoveNoNoCompletebyHatthewsarrangeforVC10/85CompletebyBernfeldfordesign5VCspring'86LampmanforsiteQS-007InoperativegatealarmwindowsonEpanelVAC-2Nomenclatureinprocedurenotmatchcontrolboard,forairejectoroff-gasdischargeLoRemoveYes(tofillinpanel)eLoChangeprocedure,:...'NoCompletebyspring'88outageCompleteby7/85Bernfeldfordesign8VCBarrettforsiteHatthewsarrangeforVCTS-016.01TheoriginalQS-016HEOAddon)concernedthemanyARH'sfeedingintoacomnonannunci-atoronthefrontpanel,whichrequiredanoperatortoinvestigatethesourceoftheproblem.onback(ARH)panels.ThiswasjudgedtobeappropriateandtheHEOwasrejected.However,thenewRSSBfacilityARH'sneedtobeconnectedtothefrontandbackpanelsinthesamemannertomaintainaconsistentopera-tionallogic.HedConnectRSSBARHalarmYesannunciatortofrontpanelcomnonannunciatorforallARH's.5-36CompletebyWolken5GasserawareVCEspring'86andhandling

Table5.3-2(cont'd)NNP-1DetafledControlRoomDesinReviewFunctionalFixDetailsHEONo.DescritionofProblemorFixOutage~Pr1or1tFo'lion-onActionorFlxReoulredScheduleCognizanceVerif.Cat.FixCat.VRR-001ReactorScram,Emergency(Turbine)Trip,5DrywellIsolationbuttonsonE5A-1panelssubjecttoinadvertentactuation.HiInstallprotectivecoversNo?requiringaseparatedeliberate(butquick)actionbeforebuttonscanbepushed.Completebyspring'86outageBernfeldonDesignVCI'oodneyforProjectsVRR-003NormalorusualoperationofEmergencyVentilationcontrolonLpanelistoleftfromcenterandfunctionsarenotclear.RollleadstohavenormalYesloperationtorfghtandcoolingtoleft.Alsorelabelfrom"open-auto"open"to"cool-auto-open"(afterrollingleads)CompletebyBernfeldonDesignVCspring'865GoodneyforProjectsoutageOCS-195CingleindicatinglightsareusedfortheAnalogTripSystemTroublelightsonFpanel,makingafailedbulbindistinguishablefromanormalcondition.f)S-004.HanyFirePanelnuisanceannuncfatorsaredistractingoperators(alsoseeFP-05)xHireannunciatoracknow-ledgebuttoninparallelwithcurrentpanelacknowledgebuttonoreliminatenuisancealarms.YesInvestigateandmakeaYeschangetofixCompletebySweetonDesignandspring'88Goodneyon.ProjectsoutageRe/VCECompletebyFfnnertyonDesignRe/VCEspring'866GoodneyonProjectsoutageHR-002TurbineandgeneratorcontrolsOCS-089operateintheanti-clockwisethru092direction(e.g.raisetoleft)EstablishconventionwithNodifferenthandlesandtrainingandbesureallsuchcontrolsoperatethesame-alsoputinHFmanualCompletebyGoodneyonconventionRe/VCE/Tspring'86andBernfeldonHFoutagemanual5-37 4

Tab1e5.3-2(cont'd)NMP-IDetailedControlRoomDesinReviewFunctonaFxOetaisIIEOllo.OeacrltlonofProblemorFix~PriorltFollow-onActionorFixOutageReeuiredScheduleCornnizanceVerif.Cat.FixCat.FP-04Somecontrolsonfirepanelhardtopositionaccurately-overshootcanresultindischargingsystem(AlsoseeFP-03)HiChangehandletoreducechanceoferrorNo*Completebyspring'88outageBernfeldondesignandSweetonoperationFP-05FP-06FP-07508Numerousfalsealarmsignalsfromout-of-servicedetectors(AlsoseeI)S-004)"Firepaneldooropen"alarmisanuisanceandnoteffectiveNotalllampshavelamptestLoInvestigate,determine.alternatives,andmakebestchangetocorrectInvestigate,determinealternativesandmakebestchangetocorrectInvestigatewaystofixand,ifnotpractical,haveconsisteqtpatternestablishedandwell-identified'I*No7*Completebyspring'88outageCompletebyspring'86outageCompletebyspring'86outageBernfeldondesignandVCPSweetonoperationBernfeldondesignandRe/i)0PSweetonoperationBernfeldondesignandEAPSweetonoperationFP-09DieselfirepumpcontrolnotconsistentwithfirepanelconventionandisconfusingReviewandfix,incon5unctionwithFP-03504.Includeoperationintraining,inconjunc-tionwithFP-01Nol*Completebyspring'86outageBernfeldondesignandSweetonoperationAlso,SiefriedontrainingEAENV-04DrywellwaterleakdetectionHedsys.annunciatorfa1sealarms,frequently.Alsorecordergives"no>sy"indfcationthatmakesitdifficulttoseetrend(particularlywhensenpisempty)Investigate,determinealternatives,andmakebestchangetocorrectYes?Completebyspring'86outageiffixnotdifficultBernfeldfordesigndesignandBarrettforsite.EA/i)0pOCS-21RemovesixscamdischargevolumeacousticmonitorlightsLoNoneneeded-lightsareYes(toCompletebyBarrettforsiteinoperativefillholes)sprinq'86obtag65-38VCE

Table5.3-2(cont'd)NHP-1DetailedControlRoomDesinReviewFunctionalFixDetailsNEONo.IleecritionofPron'leoorPlx~PrforitFollow-onActionorFixOutage~RecirceSchedule~CoizenceVerif.FixCat.Cat.OCS-243PossiblemisplacementwhenchangingannunciatorwindowsIncorporateintrainingreplaceonlyoneatatimeNoCompleteby10/85Siefriedfor.TrainingVCTQS-028Hodifypagingsystemsooperatorshavebetteraccesstoit(toorrrrchinterference,now)Conductstudytodeter-minebestsolution(probablyincreaseto5annels)thenmakeangesNoCompletebyspring'86outage,ifnot,II)rmby'88Easthamforprojects&EA/QOPHatthewsforoperationsQS-027QS-009QS-024HardtohearpaginginbackHedpanelarea(corrrrunicationtherewasessentialingredientof"reject"rationalesonotherHEO's)ContainmentH2&02rrrroitors/recordersalarmuponcarrnrarronAddspeakerinbackpanelNoarea(doinconjunctionwithQS-028&otherworkonpagingsystem?)Investigate,determine:-~.Yes?e,~lt~rndrtives~andmak~Completebyspring'86outage,ifpossible.Ifnot,firmby'88Completebysg~inj'86Easthamforprojects&ReEHatthewsforoperationsBernfeldfordesign&VCETaylorforsiteQS-023PigletmonitorsalarmwhenputtingtheminserviceLoInvestigate,determinealternatives,andmakebestchangetocorrectYes7Completebyspring'88Bernfeldfordesign&VCETaylorforsiteQS-019Putkeylockswitchondry-HiwellventtocondensercontrolNoneneeded-simplechangewithstandardswitchYesCompletebyspring'86outageBernfeldfordesign&VCEHatthewsforoperationsCS-17OCS-167RecordersneedrefurhishrrentHedandupgradingGeneralmaintenancerogrambeingappliedothis-needstobecompletedYes(forsome)Completebyspring'88outageTaylorforsiteEA5-39

5.4Follow-ons,Iterations,andInteractionActivities5.4.1OverallRelationalOiagramFigure5.4-1providesarelationalviewofthemajorOCRORdistinctionsandactivities,togetherwitharoughtimelineindicationfortheflowofactivities.Thisprovidesthebestandmostsuccinctoverallpictureoftheprogram,includinghowand.whenthemajorpartsinteract.Ofcourse,therearedetailswithinandbetweenthemajorboxesthatdonotfitwithintheboundariesimpliedbythisdiagram,andfurtherexplanationisneededastothenature/detailsoftherelationshipsshown.Thefollowingdiscussionisintendedtofillthesegapsaswellastoprovideaclearerpictureofthecurrentstatusoftheseactivities(asofthedateofthisreport).5.4.2Review/AnalysisActivitiesAsdescribedinconsiderabledetailin-Section4.0,thisportionoftheprogramhasbeencompleted,includingfollow-onsresultingfromNRCauditactivitiesinitiatedinlateNovember,1984.WhatremainsisanypotentialnewtaskReview/AnalysisactivitiesinvolvingdifferentIKCconsiderationsthatmightcomeoutoftheEOP/SPOSvalidationactivitiesoccurringintheAugust/September1985timeperiod.(Anoutlineofhowthese'ifferenceswouldbedeterminedisprovidedin5.4.3.)AnysuchdifferenceswouldbecarriedthroughtheReview/AnalysisverificationandvalidationprocessandanyresultingHEO'swouldbecarriedthroughtheAssessment/Resolutionprocessthesamewaythatotherswere.Theintentwillbetofoldanyresultingfixesintocurrentfixactivitiesandschedules,iffeasible,particularlyiftheyarecosmeticinnature.5-40

Likewise,anychangesordifferencesresultingfromtheNRC'sreviewofNMPC'sRegulatoryGuide1.97submittalandsubsequentinteractionswouldbehandledinthesameway.However,thescheduleforthisreviewandanypotentialresultingfutureadjustmentsisnotclear.5.4.3TaskAnalysisb,'sfromEOP/SPDSValidationAsdescribedinSection4.3,theTaskAnalysisstepintheReview/AnalysisphaseoftheprogramderivedfromtheNMP-1specificEmergencyProcedureGuidelinesthatarebeingusedforpreparationoftheNMP-1EmergencyOperatingProcedures.ThepurposeofthiswastobesurethatalloperatoractionstakenbasedonagenericsymptomaticapproachtoplantabnormalitieswouldbepickedupintheOCRDRTaskAnalysisandhavethesamecomprehensivetechnicalbasisasthatusedforthepreparationoftheEmergencyOperatingProcedures.However,theNMP-1EmergencyOperatingProceduresarecurrentlyunderpreparationandwillnotbecompleteduntilthefallof1985.BesidesinternalcommentsfromNMP-1Operations,finalrevisionswillderivefromchangestotheEmergencyProcedureGuidelinesbeingdevelopedunderauspicesoftheBWROwnersGroup.Thus,afinalvalidationstepwillconsistofthefollowing:

Preparationofalistofchanges'instepsbetweenRev.0(theoriginal)andRev.1(finalversionasoftheendof1985)oftheNMP-1EmergencyProcedureGuidelines.ThiswillbedocumentedbyOperationsEngineering,Inc.,thecontractorwhowashiredbyNiagaraMohawktopreparetheNMP-1EmergencyOperatingProcedures.ThesechangeswillbereviewedagainstthetaskdescriptionstepsderivedfromtheTaskAnalysisasdescribedinSection4.3.ThiswillbedonebyAdvancedResourceOevelopmentCorp.,thesamecontractorwhocarriedouttheHumanFactorsaspectsoftheprogramdescribedherein.AnydifferencesintaskdescriptionstepswillbeexaminedfordifferencesinthedetailsoftheoperatoractionsorsubtaskswhichcouldleadtodifferentInstrument/Controlneeds.,Ifthereareany,aposthoc=sessionoftheOCRORReview/AnalysisTeamwillbeconvenedtoreviewthesedifferencesanddefinetheneeds.ThiswillbedoneinessentiallythesamefashionaswasdescribedinSection4.3above.Similarly,anynewlyidentifiedneedswillbecarriedthroughtheverificationandvalidationprocessesdescribedinSections4.6and4.7aboveinordertodeterminewhetherthereareanyresultingHEO's.AnyresultingHEO'swillalsobecarriedthroughtherestoftheestablishedprogramprocessesinordertodetermineanyneededfixesorbasesforrejection.5-42

Ofcourse,theschedulingofanyfixesderivedfromthisactivity,includingverificationandother.neededsupportingorganizationalactivities,willhavetoawaitthecompletionofthisvalidationstep.Becauseoftheproximityofthisvalidationsteptotheplannedspring1986refuelingoutage,anysubstantialresultingcorrectiveactionsmightnotbecompletedbytheendoftheoutage.However,becauseoftheth'oroughnessofthecurrentreview,nofurtherfixesareforeseeableatthepresenttime.5.4.4HEOAssessment/ResolutionProcessTheinitialHEOAssessment/Resolutionactivitieshavealsobeencompleted,andthedetailsofthetechniquesusedaredescribedinSection5.2.Thisincludesadditionalreviewsfromfollow-onReview/AnalysisiterationsandquantificationofsafetysignificancedeterminationsinresponsetoconcernsexpressedinCtheNRCauditoflateNovember1984.Inaddition,inresponsetofurtherNRCconcernsexpressedinreviewmeetingsof8&9May1985,anindependentsafetysignificancedeterminationwascarriedoutbyoneofARD'sHumanFactorsspecialistsnotpreviouslyassociatedwiththeNMP-1DCRDR..Thisspecialisthasnuclearpowerplantexperience,however,andisleadingsome'oftheactivitiesontheNMP-2DCRDR.Thisindependentdeterminationwasdoneonall"reject"categoryHEO'susingthesamecriteriabutwithoutreferencetotheoriginalsafetysignificancerankings.Therewere24differencesinthesignificantdirection(i.e.Thosewhoseratingchangedfrom"insignificant"to"significant")..ThesewerereconsideredbyI

theAssessment/ResolutionTeamandeitherfixesdeterminedoranexplanationprovidedaboutthefurtherconsiderationsdiscussedandreasonswhytheyremainedinthe"reject"category.Inabouthalf(14)cases,theteamdisagreedwiththeratingchangebecauseoftheparticularitiesofNMP-1operation.TheHEOlistingsinAppendix0reflecttheresultsofthisreiteration.Likewise,changesfromtheIntegratedCosmeticsPackageverificationprocess(describedinmoredetailinsection5.3.2)werehandledinthesameway.Thatis,thecommentsoftheoperatorswereconsideredbytheAssessment/ResolutionTeamandchangesweremade,accordingly.Insomecases,accomodatingchangesweremadeandinothercases,theoriginalreasonsforthechangewereelaborated.ThecompilationsandpicturesshowninAppendixEreflect.theresultsofthisiteration.TherecouldbefurtherAssessment/Resolutioniterationsneededlater,asfurtherfollow-onverificationsarecompleted.Thesewillalsobehandledthesameway,butarenotexpectedtohaveasubstantialimpactonoverallprogramresults.5.4.5TrainingOperatortrainingforchangesincorporatedbythisDCRDRprogramhavebeenandwillcontinuetooccuratseveralpointsintheprogram.Forfixesthatwerepreviouslyinstituted(inthe"Resolved-Completed"category),trainingproceededinthenormalfashionforallplantorproceduralchangesthatoccurinthecourseofoperation.ThisisdonethroughNMP-1'sregularOperatorRequalificationTrainingcycle.5-44

OperatorRequalificationTrainingisconductedincyclesoffive(5)weekduration.Eachcycleiscomprisedofanewbodyofinformationtobepresentedtoeachofthefivetrainingshiftsintheirrespectivetrainingweek.OperatorRequalificationiscontinuousandongoing,brokenasrequiredtoaccommodateoutages,andtoadministertheannualrequalificationexam.Thistrainingisbasedontherequirementsof10CFR55,andpresentedinaccordancewithNMP-1'sestablishedprocedures,assetforthinAPN-lOB,"NRCLicensedOperatorRetraining."PlantmodificationsareincorporatedintotheOperatorRequalificationTrainingprogramthroughmechanismsestablishedinNMP-1's"PlantModificationProcedure,"AP-6.ThisrequiresTrainingDepartmentpersonneltobebroughtintothemodificationprocessattheplanning/schedulingmeetingsrequiredintheprocedure.Basedonthescoping/designinformationobtainedinthesemeetings,trainingprogramsaredetailedasneeded.Sign-offthatthesetrainingprogramsarereadyandscheduledarealsocontainedinthePlantModificationprocedureasacloseoutitem.DuringthecourseoftheDCRDRprogram,operatorsfromeach'hifthavebeeninvolvedinvarioustasksandtheProgramManagerconductedinformation/updatesessionsonseveraloccasions.Copiesofprogramstatusreportswerealsodistributedtoeachshiftwhentheywereissued,includingtheFunctionalFixandIntegratedCosmeticsPackages.Thus,theNMP-1operatorshavehadconsiderableexposuretotherationale5-45

andbasisforthechangesbeingmade.Furthermore,asdescribedinSection5.3.2,theoperatorscarriedoutscenarioswiththeIntegratedCosmeticsPackageonthesimulatorandprovideddirectfeedbacktotheAssessment/ResolutionTeamaboutthedetailsofthefixes.OtherdirectfeedbackwasobtainedfromselectedoperatorsonFunctionalFixesandotheraspectsoftheHf0considerations.Thus,traininginthesenseoffamiliarizationhasalreadybeenwellstarted.TheIntegratedCosmeticsPackagewillremainonthesimulator.Formaltrainingoffixdetailswillstartthisfall,aftertheIntegratedCosmeticsPackagehasbeenadjustedforspecificapplicationtotheControlRoom(asdescribedpreviouslyinSection5.3.2)andithasbeenmadeanofficialPlantModificationpackage.AlthoughnotcoveredbytheDCRDRprogram,itshouldbenotedthattheEOP/SPDStrainingwillalsobegoingonconcurrentlywiththeIntegratedCosmeticsPackageonthesimulatorthisfall.Thus,theseprogramswillmergebythetimeofthespring1986outagecompletionactivitiesandthecompletionofthiscombinedtraining.Trainingforfixesthatarecarriedoutduringthespring1986outageandbeyondwillbeconductedinconjunctionwithOperatorRequalificationTrainingasdescribedabove.5-46

5.4.6HumanFactorsDesignManual:Basedontheresultsoftheinitialassessment/resolutionprocessandthefixmechanismsdevelopedbytheteam,asetofcodesandconventionsemerged,aswellasfixes.Thesewere,usedasthebasicbuildingblocksforaHumanFactorsDesignmanual.Astheverificationprocessesdescribedinsection5.3proceeded,changesthatresultedwereincorporatedintothismanual.ThisisparticularlyimportantwiththeIntegratedCosmeticsPackage.becauseoftheneedforconsistencyinthefixapplications(includingconsistencywiththesethingsnotbeingfixed),andthesynergisticeffectsbetweentheindividualapplicationsinvolved.AfewmorechangestotheHumanFactorsDesignManualmayoccurastheIntegratedCosmeticsPackageisinstalledontheControlRoomandotherverificationactivitiesproceed.Also,themanualisnowproceedingthroughtheengineeringreview/commentprocesslikeotherengineeringprocedures.5-47

~.wfr~sn WhenthemanualisincorporatedintotheNMP-1EngineeringProceduresasareferencestandard,itwillbetreatedlikeanASMEandotherstandards,withprovisionsforregularrevisionsasneeded.Thus,theHumanFactorsDesignManualisexpectedtobecomethelongrangestandardreferenceforallfutureControlRoomIKCchangesanditwillmaintainconventionstobeappliedforallfuturechanges.(AnoutlineofthecontentoftheHumanFactorsDesignManualandthebasis/methodsusedindevelopingit,iscontainedinSection4.10.)Duringthecurrenttransitionperiod,whiletheDCRDRprogramactivitiesarebeingcarriedoutandtheHumanFactorsDesignmanualisbeingestabl-ished,theDesignEngineeringrepresentativefromtheReview/AssessmentTeamusedduringtheDCRORprogramisscreeningallmodificationsscheduledforthespring1986outage.HewillbesurethatallHumanFactorsconventionsbeingestablishedbytheDCRDRprogramandtheresultingHumanFactorsDesignManualaremet.5-48 0

6/28/85BispositionHEDSourceIndeSortedanDisposition~ResouiutionResa1utioi)'terat')'aut.ce/HED1RESOLVED(IYPRO:-RESS)81COSfiETIC-IfINDIVIDUALocs-87.8OCS-84'7.8OCS-88.8RESOLVFD(CONPLETED)e~"UACTIOl>A"NOR"AL84FUNCTIONAL-ENERGEf<CY81COSNETIC-INDIVIDUALcoN-eee.eCON-822.8CS-885.8cs-fne.8OCS-815.8OCS-865.8ocs-288.8OCS-818OCS-28.8OCS-83.8OCS-34.8OCS-77.8QS-818.8QS-831.8Qs-832.eQS-834.8SPD-885.8SPD-887.8OCS-256.8OCS-57.8OCS-58.8ocs-5'p.eOCS-68.8OCS-261.8OCS-262.8OCS-.63.8OCS-64.8OCS-65.8OCS-66.8OCS-67.8ocs-271.eOCS-273.8SPD-811.8SPD-814.8VER-885.8cs-87.8ocs-81.8OCS-86.8OCS-828.8OCS-835.8ocs-841F8OCS-842.8OCS"843.8ocs"844.8OCS-845.8

0 6/2S/S5DispositionsHEDSourceInde:<Sot'tedonDisposition~ResoulutionResol.utionCategorySource/HED2RESOLVED<COhPLETEDi81COSNETIC-INDIVIDUALOCS-846.8OCS-847.8OCS-848.8OCS"858.8Ocs-86'P.8OCS-8e5.8OCS-171.8OCS-182.8OCS-16.8OCS-27.8OCS-27.1OCS-28.8TA-881.883FUNCTIONAL-NORMAL84FUNCTIONAL-Et'lERGENCYCS-819.8CS-826.8OCS-885.8OCS-864.8OCS-866.8OCS-867.8OCS-2'P.8OCS-248.8OCS-244.8OCS-45.8OCS-52.8OCS-.54.8OCS-55.8OLS-.72.8OCS-274.8OCS-7'P.8QS-881.8QS-837.8CS-833.8OCS-893.8VER-826.83FIX81COSNETIC-INDIVIDUALCS-884.8CS-887.8CS-811.8CS-825.8CS-838.8Cs-83'P.8Cs-84'P.8CS-85e.8CS-861.8CS-865.8CS-867.8OCS-887.8OCS-818.8OCS-81~.8

6/2B/S5HEDSou:ceInde>:Sori'edonDisposition~ResoulutionResoluteionCategorySource/HED:.."IX81COShETIC-INDIVIDUAL82COSMETIC-PANEL/SYSTEMOCS-828.8OCS-822.8OCS-823.8OCS-824.8OCS-825.8OCS-829.8OCS"838.8OCS-831.8OCS-834.8OCS-836.8OCS-839.8OCS-858.1OCS-873.8OCS-875.8OCS-876.8OCS-883.1OCS-897.8OCS-898.8OCS-899.8OCS-188.8OCS-181.8OCS-182.8OCS-183.8OCS-184.8OCS-185.8OCS-186.8OCS-187.8OCS-188.8OCS-118.8OCS-111.8OCS-11-.8OCS-11'3.8OCS-114.8OCS-115.8OCS-116.8OCS-118.8OCS-128.8OCS-126.8OCS-138.8OCS-163.8OCS-172.8OCS-175.8OCS-178.8OCS-179.8OCS-188.8QS-810.8VAL-822.8VER-811.8VRR-882.8CS-881'

6/8/85Dlcpa"-t'neHEDSaurceinde>:SortedanDispositionsResaulutionF(esalutionCategorySource/HED3FIX82COSNETIC-PANEL/SYSTEI'ICS-818.8CS-828.8CS-831.8CS-848.8f'j41CS-843.8CS-844.8CS-848.8CB-858.8CS-852.8CS-855.8CB-859.8CS-868.8CS-866.8OCS-885.1OCS-885.2OCS-885.3OCS-885.4OCS"885.5OC$-885.6OCS-885.7OCS-886.8OCS-886.2OCS-888.8OCS-889.8OCS-811.8OCS-814.8OCS-816.8OCS-817.8OCS-832.8OCS-853.8OCS-855.8OCS-859.8OCS-868.8OCS-883.8OCS-127.8OCS-128.8OCS-125'.8OCS-138.8OCS-131.8OCS-132.8OCS-133.8OCS-134.8OCB-135.8OCS-136.8OCS-137.8OCS-139.8OCS-148.8OCS-141.8OCS-142.8OCS-143.8

6/2S/85Disposing'oniHEDSourceIndexBor".edonDisposition~ResoulutionPesolutionCat'emorySource/HED3FIX82COBI'IETIC-PANEL/SYSTEI'I83FUNCTIONAL-NORMAL84FUNCTIONAL-Ei)ERGENCYOCS-144.8OCS-145.8OCS-146.8OCB-147.8OCS-148.8OCS-149.8OCS-158.8OCS-151.8OCS-154.8OCS-155.8OCS-156.8OCS-157.8OCS-158.8OCS-159.8OCS-211.8OCS"226.8VER-818.8VER-848.8CON-887.8COI'1-827.8CON-828.8CON-829.8CB-817.8FP-883.8FP-884.8HR-882.8OCS-821.8OCS-889.8OCS-898.8OCS-8'91.8OCS-892.8OCS-167.8OCS-219.8OCS-243.8GB-884.8QS-887.8QS-889.8QS-816.1QS-819.8GS-823.8GB-824.8GS-825.8QS-827.8GS-828.8GB-833.8VAL-882.8VRR"883.8COI'I-881.8CS-835.8

6/8/85DispositionHEDSourceInde>;SortedonDisposition.ResoulutionResoIutionCategorySource/HED3FIX84FUNCTIONAL-Ef'IERGENCYENV-884.8FP-881.8FP-885.8FP-886.8FP-887.8FP-888.8FP-889.8OCS-195.8GS-817.8SPD-812.8VRR-881.8.4INVALID81COSNETIC-INDIVIDUAL82COSI'IETIC-PANEL/SYSTEI'I83FUNCTIONAL-NORI!ALCS-829.8OCS-194.8OCS-276.8OCS-212.8COI'1-885.8CON-886.8COI'1-815.8CON"823.8OCS-'4'.8OCS-288.884FUNCTIONAL-Ef'IERGENCYCS-864.8OCS-268.886INVALIDCOI'1-825.8CS-886.8CS-812.8CS-813.8CS-828.8CS-822.8CS-856.8CS-857.8CS-862.8HR-881.8OCS-884.8OCS-833.8OCS-837.8OCS-838.8OCS-848.8OCS-854.8OCS-857.8OCS-878.8OCS-877.8OCS-878.8OCS-879.8OCS"888.8OCS-164.8

b/8/BSDispositianiHEDSourceInde>:SortedanDisposition.ResoulutionResolutianCategorySource/HED4INVALIDgbINVALIDOCS-173.8OCS-189.8OCS-199:8OCS-212.1OCS-213.8OCS-214.8OCS-215.8OCS-217.8OCS-218.8OCS-246.8OCS-247.8OCS-248.8OCS-249.8OCS-258.8OCS-251.8OCS-278.8OCS-275.8GS-882.8GS-883.8GS-811.8QS-815.8QS-83b.gSPD-88.8SPD-883.8SPD-884.8SPD-888.8SPD-889.gTA-882.8VAl-883.8VAL-887.8VAL-889.8VAL"81'3.8VAL-815.1VAL"815.2VAL-817.8VAL-818.8UAL-819.8VAL-828.8VAL-821.8VAL-823.8VAL-824.8VER"881.8VER-883.8VER-884.8VER-88b.gVER-887.8VER-889.8VER"812.8VER-81b.8VER-822.8VER-823.8

6/28/85PAGE8Disposition~~HEDSourceInde>:SottedonDisposition.ResoulutionReso1utionCategorySource/HED4INVALID86INVALIDVER"827.8VER"829.8VER-831.8VER-832.8VER-833.8VER-835.8VER"836.8VER-837.8VER"838.8VER-841.85REJECT81COBYiETIC-INDIVIDUALCS-883.8CS-815.8CS-834.8OCS-868.8OCS-861.8OCS-862.8OCS-863.8OCS-871.8OCS-872.8OCS-874.8OCS-881.8OCS-884.8OCS-886.8OCS-894.8OCS-896.8OCS-189.8OCS-117.8OCS-119.8OCS-121.8OCS-122.8OCS-123.8OCS-124.8OCS-125.8OCS-168.8OCS-169.8OCS-178.8OCS-174.8OCS-176.8OCS-177.8OCS-183.8OCS-192.8OCS"193.8OCS-196.8OCS-197.8OCS-198.8OCS-285.8OCS-286.8OCS-287.8OCS-288.8OCS-289.8 I

6/28/85HEDSourceInde>:SortedonDispositioneResoulutionResolutionCategorySou>ce/HED5REJECT81COSNETIC-INDIUIDUALOCS-238.8UER-819.882COSNETIC-PANEL/SYSTENCS-836.8CS-838.8CS-842.8CS-845.8CS-847.8CS-851.8FP-882.8OCS-885.8OCS-851.8OCS-852.8OCS-856.8OCS-gS7.8OCS-GS8.8OCS-152.8OCS-153.8OCS-168.8OCS-161.8OCS-162.8OCS-198.8OCS-191.8OCS-233.883FUNCTIONAL-NORNALCON-882.8CON-883.8CON-884.8CON"889.8CON-818.8CON-811.8CON-812.8CON-813.8CON-816.8CON-816.8CON-817.8CON-818.8CON-819.8CON-828.8COI1-821.8CON-824.8CON"826.8CON-838.8CS-882.8C$-888.8CS-816.8CS-821.8CS-823.8CS-824.8CS-832.8CS-837.8

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"v&PA"9L<'-"'..c&r"'"59f~Ct-%'"l>o'f$5$fl92'..'~2l'leafJF3qjf'.rig~'",L'i>iq9tttgpiinti@ATE'"~~ivv~'2rI5i"79gZ2no.0"t>:tAtttt TableA-1ProramTeamforNMP-1DetailedControlRoomDesinReviewxcuingNMP-hitOperationsRepresentativesNameJ.L.BensonProramReresentationNMPCProgramManagerLicensing/SystemsExerience/BackroundLicensingEngineerCyberneticsD.F.BernfeldDesignInstrumentationandControlsDesignEngineerM.GoldychTrainingTrainingSupervisorR.G.RandallOperationsTechnicalSupportTechnicalSupportSupervisorH.BarrettOperationsTechnicalSupportSr.TechnicalAssistantJ.C.AldrichOperations-NMP-1OperationsSupervisorD.J.MatthewsOperations-NMP-1Asst.OperationsSupervisorM.J.ColombOperations-NMP-2StationShiftSupervisorD.F.TaylorARDProgramManagerHumanFactorsSpecialistR.L.KershnerARDManagementVicePresident,ARDR.L.HorstARDHumanFactorsEngineerHumanFactorsSpecialistR.C.MunsonARDHumanFactorsEngineerHumanFactorsSpecialistR.KleinARDHumanFactorsEngineerHumanFactorsSpecialist 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NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFJOHNL.BENSONEDUCATION:19841953M.S.,CyberneticSystems,San"JoseStateUniversityB.S.,ChemicalEngineeringUniversityofWashingtonManygraduateengineeringandspecialmanagementcoursestakenManyworkandschoolrelatedpublicationsandpresentationsauthoredEXPERIENCE:1984toPresent:NiagaraMohawkPowerCorporationNuclearTechnologySyracuse,NYSeniorNuclearEngineer:ProgrammanagingallNUREG-0737,Supplement1itemsforapplicationtoiNineMilePointUnitl.ThisincludesprincipallytheDetailedControlRoomDesignReview,SafetyParameterDisplaySystem,EmergencyOperatingProceduresandTechnicalSupportCenter.AssistingLeadEngineer,Licensing,withotherlicensingprograms,asneeded.Thisincludeshandlinginternalandexternalregulatory/safetyauditingprograms,preparinglicensingresponsestovarioussubjects,helpingwithsafetyevaluations,including10CFR50.59,10CFR50.55eand10CFR21determinations,anddevelopingcompanypositionsonvariouslicensingissues.RepresentNMPCattheBWROwnersGroupasprimaryrepresentativeandcoordinateallcompanyactivitiesandpositionsonthevarioustopicscoveredbythegroup.Alsomanageallcompanyfundingandauthorizationsforworkbythisgroup.AssisttheVicePresident,NuclearEngineeringandLicensingonspecialprogramswhereindependenceandbroadexperienceisrequired,suchastheNRCmandatedNineMilePointUnit2gAauditin1984.AlsocarryingoutR&Dworkrelatedtospecialcyberneticaspectsofassignedworkanddevelopingtechnologyinterchangeprogramswithpertinentoverseasutilities/organizations.A-2 PII.,.'&CLPi&.',!"fJK'f!JC:,.'-.9:.'.':&P.S,ill&!l<'0'ffV<I.".'Jll>i.,~bf".5Pfi".'.'.q0'-c".>'!&JfX&~DSV+f<;:.f&M5Y.',3.O~-'--~".."-rcpt.",r".f!5.~~.>&il;~CT~&f;:litS~r.!.fVf'c"iI'.3f""'1'".5'="'!0(if(:>.-ega,.>Oa.-.;-,=';,!L,~-jhl5:rifi>"VP~:<<.L."..f!',~m5'.".-"..,',;'Bc"!~&f:~l!f:."f!".'";56f'f:"L'8c:,3f'~~6~!,"'O'"E!VI'-"~",c,f~,'>i.c"0&if"%2'c'2F7.c.f"'il"'3~),c"'1Cfi6(fiCA(1ll&iqciN~03',"..r.9!!5'bi,"&ZX&Bc&~i'BUS.'&r,;,f5q,".,."'f!0(~~'>!>fr,>p,,'.)QQ:gcfc'p.9p,I/~~r".[gal'Qf!0'f(l,'f~,Vf353-ii'I~i>f'.:9"'.5'f,f'4PQOl.'~'l?>{lC".;f'QfiQ","p9'9&:-'.<9pftfj<'Vf>5qf'5f!l~.,$gr,.'r'Cjn&:"c.L>'"t'"i.'>f:aU.~d'.';,5",!..l'>')QlOP)';9".0C'~cf'f'.'9:l'.Llf.9'1'C'>'Ol,~-"!f'-~rV".9t..S.:rOC=t.'n~=,::"';iC:.~L:!!.n'..~~'"i'i~il>c.<<W,'fGf(.>~'<nt<~sy,'!L>'(>c>c>5*J',lppl!c,'J>>zgci':!C"0>.t:9.isi>';"()f0."'i+:.2<"..'i'-"E~"c?)iPf~a'v"c!f&t~J"L;$1-)i~L9!<~~-.'r5-O.!.'-'"'c"H~rV.:v.an(.'7!".=.Cv>'~'Gf!E,"'E.~i~":35I'%K'!.":...>P'~'.,-."&r'.::40~i'.I10~S:il"i3'."'..-'52.")~i!f'5PAi!&=!"ff:'c."3V'."'~~'"r&'f'<bnLaLc&c'W&VOgc+f%~$H)++~Jpc'f4)~f99)isa)f'+'fQ+cjf!0i:!t;ac.'.lgE.f'A"3"'9,'l-..l,'fHL"9('<<0,.f20~",,"ifcf'.f'5f).'7<1(.+:'>A&'>='"fti&JfflOlO'l'f'cGM"09~!I'f60<f'!(<<4!DEi'>'a5'c&+"c~'f",i'f:<>C3f'"!&~+Sf'&("9$g)'fl(j"')f.f'j~,'j~!:i..fthm>g/>>"!f!;!(.'f!<,""+c"!P~.'0(;l<g0f'3"f:.~f!'f.'<I."'X"".>'I'!';qV.-'7<;'.".a-l.i!ub!:,,ar"""&br;:1~,'~&i>O':"b&;".~>Ca.'>O':OO<.Z'f<<.'"~~f>~J~9tlJS'l'.ff'":4<!L>P')9~"&A&gibAE,'2f!:i&9"Qflf.>'0'3&['9+If&Mfa"f199X.;jS,.7l'~c'.QfI!Cr93(".t0"i'GaJOl:Ml"c.6<aCla(tt3'If-".'l!'3P JackL.BensonPage21980-19831976-1980guadrexCorporation,Campbell,CALicensingandEnvironmentalServicesManager:Managedallguadrexlicensingprogramsandpersonnel,includingactivitiesforclientsandsupportforin-houseprojects.Thisincorporatedofferingsinabout10differentmajorprograms,includingtechnicaldocumentation,systemsanalysis,regulatoryaffairs,issuemanagement,nuclearsafety,managementinformationsystems,riskassessment,andprojectmanagementactivities.Businessextendedtoallelectricpowerutilitiesworldwide.Inthiscapacity,wasresponsibleforallprogramdevelopment,marketingandsalesactivities,proposals,clientnegotiations,projectmanagement,subcontracting,clientcoordination,andanythingelseneededtocompletejobstothesatisfactionofclients.Wasalsoresponsibleforprofit/loss,hiring(staffingpeakedat35),administration,andorganizationalstructuring.Abroadandsystematicunderstandingoftheimpactandrisksoftechnologicalenterprisesonglobalbusinessandsocietalenvironmentswasalsoimportant.GeneralElectricCompany,SanJose,CAInternationalReactorLicensingManager:ProvidedalllicensingandsafetysupportworkforGE'soverseasprojectswithstaffofupto10experiencedseniorengineers.Thisincludedpreparationoflicensingdocumentation,resolutionofcustomer/regulatoryissues,andregulatoryinteractionswithAEsandutilitiestosatisfyrequirementsandconcerns.Programmanagedsafetyanalysisworkofmanydiverseengineering/analyticalspecialists.CompleteunderstandingofoverseasandU.S.nuclearregulationswasrequiredforadvisingoverseaslicenseessuchasHitachiandToshibainJapan.Positionheightenedagrowingappreciationofinternationalbusinessandtechnologicaldifferencesandtheirsocio-culturalroots.1976Committeefor"Noon15"CamainDirected12GEmanagersincontactingbusiness,manufacturing,andprofessionalorganizationsthroughoutCaliforniatopromotesupportagainstanti-nuclearcampaign.Workedwithotherpoliticalorganizationsandobtained.money,madepublicandradio-TVspeeches,andgeneratedsupportliterature.Activitiescomplementedpreviouspoliticalexperience,includedbeingelectedtoasmallpublicoffice.A-3 iI~9ROvIi&4>pi>I~C."POv2"'.'.=!.'<'I2(.'9>:if".C.lif'-r>>3>'9'732p>1>i4".Ii~b.iD'i.->>ti.>it)fI&99>"IJ"iv'>>+~'if'.f2>$iI>'9iif1'>(q",19i71/)921JP.'i3i..')f9".VI'icZi':f'PI.."""lC'.9V92:'<l:-.fr>>~"~~.=',99,i~f19"Crf-.il1,.>jygPf94gi>9~9.,3..-:.9.",.9I,9,I;";-.;IiZf"=CICi7M,:qq9v,",C;"I<~fg.i,.<.--.3:,-:C~I>.'"-y.;>>mV-.'-'",".:I;.;-,rVr'""9',di~ehf"r".b7>oi.><'>gr>Lg~>'QA2~fP)2>;;c>1Q~>Ct'.>It'c>>2ilJfi>>,27'I9Dn(>lf9l:'igi>>'>~i",~giij>fig1I.>PI.!.>'.-"It>?P9.">i.>'I>~g>>~~.~~>>ii>>~>",>~V~~~230.i'3l).,)'(;C'$2Iif>.I.,'.".C>'"E:'IC?IlI9'"fl.I'.>~')'>lI"..i'.0'Ii),";~&'l(':".C'-I!D3.'f29fh'.6~>.>9752I&9>VIII:i.I93ii5,"',>',f:i0IQff1'.ihillPia'i>flf2.'"..."."A'9~2V'3f'bn;'FII;9I::";6'791>i.'.i)929~9'1c'I":.,2:."'~:.15.-"i:~"'i'fiG:~:"0&"s>i>P>~i.n>>>:>,0si>~'litf,i>>~~i,~,>->)>c'..9:I>',

JackL.BensonPage31969-19761956-1969GeneralElectricCompany,SanJose,CAOperatingReactorLicensingPrincipalEngineerandManager:Managedlicensingservicesforoperatingplantcustomerswithlicenserevisionsforequipmentchanges,newanalysisdevelopment,backfitsandreloadswithstaffofupto12seniorengineersandmanagers.Advisedcustomersonsafety-relatedplantincidents.Assesseddesignimpactofnewnuclearpowerplantoperatingexperienceandexercisedconsiderablecreativityinsolvingmanycomplex,precedentsettingproblems.Jobalsorequiredextensionoftechnicalunderstandingtothepublicastheirconcernsandthemediaspotlightintensified.DouglasUnitedNuclearCorp.EGeneralElectricCompanyHandford,WAProcessEngineering,NPR,OR,KEreactorsEngineerandSupervisor:Providedtechnicalsupportforstaffof4tonuclearreactoroperatingorganizationandwasinterfacedforalltechnicalactivitiesaffectingoperations.Assistedoperatorswithprocessdifficulties,achievingoptimumsystemperformance,andmonitoredconformancetonuclearsafetyrequirements.Alsoperformedequipment/systemtests,includingstartupofnewreactors,conductedanalyses,andsupervisedtechnicaldevelopmentprograms.ProfessionalAffiliationsRegisteredNuclearEngineer,StateofCaliforniaMemberofAmericanNuclearSocietyMemberofSocietyforGeneralSystemsResearchA-4 qciC'r.c.'Y9oJiic.r-Yai%9VfCCC,lri"lCiitfirPf'C"c'"-'Y3rrag29or.,9i:.'9Ocr.rSi'"ZcV~cT'>r'.'c";,'na,".29""f'ciQic:"(;.cjc"fiigj9.i~c.'-O."le29't'ii.fO'chicO.-)3Ipg~rri,"prier,rke9rr>>!fa'.....;n!.>,i:,"QO.'Q'ir~:P29!R-.fcr9ct;<ni'-!OBJET~O:,>;f'~r!C'C,'i-::~r,nt:irlSp'"'llc'".'.~jr'ci'c'.,YQ%~rCCci'0.c.."r+l3~'rcc'ccrŽr'i'.r'cTbrp<c,<~;'!i.rt0('.irct9"c""'8V&Oc",L<<6f)~rcl~!Orrctie+i','ii'hf>>l!rv:,'l'"+)V"!~lie.n9ihci)."'RI."<<."'.,c..'<c.IC'r~no33'.,)"+6:"~"Q!4(5rii29!3c:';;jI"~Air!!9i~9SS(=8:9:c0:r)!icriG."c-gn"r'.".r~'~4'~-,0"c'c'!t:.if8'.!Ilf.mr&"'ju<<9!l.i(,.~i9.i'!'),'.'..qC'rfi>:rC!'!;r<O.a'.of<<!~L.rgyf:li;iraqi..nis:r;;-y+',!!a:-.r!'9'vr'!:Ac',>'Y:>

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFDAVIDF.BERNFELDEDUCATION'ctober1983BWROwnersGroupControlRoomSurveyWorkshopInstrumentSocietyofAmericaCoursestaken:AutomaticProcessControlforEngineersPrincipalsandControlofIndustrialProcessesSelectionofControlValvesandOtherFinalControlDevices1972-1974OnondagaCommunityCollegeThermodynamicsIEIIIndustrialInstrumentationFluidMechanics-16credithoursJune1967ErieCountyCommunityCollegeBuffalo,NYSeptember1983September1983IroquoisCentralHighSchoolElma,NYGeneralPhysics-AppliedHumanFactorsinPowerPlantDesignandOperation-SeminarWORKEXPERIENCE:1982toPresentNiagaraMohawkPowerCorporationNuclearDesignDepartmentMechanicalEngineeringProjectDesigner:Dutiesincludeddesignand/orspecificationofelectroniccontrolsystems,instrumentation,andfinalcontroldevices.Designandspecificationofcontrolpanelandinstrumentracksforcondensatedemineralizersystem.SupervisionofalldesignchangestoplantP5ID'sandmaincontrolpanels.Otherdutiesincludestandardsdevelopment,equipmentqualificationandupgradingexistingsystemsinordertoimprovereliabilityormaintainability,supervisionofJuniorDesignPersonnel.A-5 illic&t:iaaf-'6,:6"'c.firDrl&.".f.~r~~rf:)&eC:.48"ii:"CGl..'a&r('.22*'.':'""'5&lDi'lr)~i.".0'""":frir"is"'(::"a<<".;.-'"!.";.',~:l.,fir~i:-'i:,etV&<~~<.iG.".:-iqSr(>>r"",l'.',"l,""i'0":5">>A:3;12V.2fQi'l&."i-fbfr"r..2r:Ã0.;f=-:.l;!.err+~~-.2rlf:f2.'~r<s"r'-">fl..r'(9frA02~&if-'c.90li.r)JLiG0Cii22(,"i:.'f;C$5&.J'>>"iQ.r.i~c;r,.",:.:,r.o~c="0:I63f'Ilfir:i:c.9i26~J>3-l0~i~i>f!<i~if0f'r."rlG.;~.t.i"'if~i'on..rU.io".

DavidF.BernfeldPage21978-19821974-19781967-1974EngineeringMechanicalDesignDepartmentDesignerBICC:Specificationofandinstallationdesignofprocessinstrumentationfornuclearandfossilfueledpowergeneratingplants.Workedextensivelyinthedevelopmentofcontrolschemes,logicdiagrams,P8ID's,andacontrolpanelfornewradwastesolidificationsystems.ParticipatedinvariousTMImodificationdesignsforthenuclearpowerplant.SupervisionofJuniorDesignPersonnel.DesignerA:Preparedengineeringdrawingsofnuclearandfossilfuelpowerplantequipmentinstallations,piping,instrumentation,andP8ID's.Developedaspecificationforinstrumentinstallationonoff-gasandradwastesolidificationsystemadditionsforthenuclearpowerplant.Preparedengineeringdrawingsfromsketchesand,layoutsforvariousprocesssystemsinnuclearandfossilfueledpowergeneratingplants.1968-1971(MilitaryService)A-6 r~'f'u='ll";I.iD$E.1>g>0>.'iQI~IIig~~">IflG:i'sI'-'i.!;c(10!".0"".&i6i-".;OVP4:xvF~I.Ii..<<(ffli5I..<').;L';"(i%'>t5I2fIi'..-,g,..."9;I"(i-'..n.'"-;=""~'=:.;-,r=;.~0ri.i'i~r:;,in.<.ffll-"~5':SII9.:SP~.~<~'IC'7S.'ll;9'"0',."((9:""."il6llPC'.PQf",~(~.'ll".9.'ent.')leTf<I'0i:"sI:>)%~i)".~a'-..;-.9rZI'I'f0if';~<<.C0<=C,.",:,';I1.;:,'"-i."I':!>.~90.,i9's.-'-'.,q<,IIICQ9',iY,.9,rV.~f,;9-Pg,IIC~'y~II<.'r.;".99II,...2IOZ:.i:qamilvi!'V9'-V~;!or',"-.;.I".;0.,c<F'"',';0',,'I.'iiFI'>""'.(+,>"$=.ny'..Gilli.'-"":.fli.PfifIII'f's+fi9.5:il',>0('."iG'$:<<'9,j.QFJI'I'6~I,0ffl;F,fI'i~":.'L).",1'.f0If'"'f"i0>'1'-'f>!i.I'AG;'"'1.'"I..'4l&ff<)b."Ft'.-":t>9"'I,.s'<0l0."-'".I'I".,VAI'Fi9gr,'/w'wswI>>ICCpcicIl>'i~r'ic'<I'l9/VIi'00':'0i.g'Ii"I..'0flf:I',-I'"-.'&f1'.":.5'Ia9)II)l".'c".3!'".;2~VV)>"<903'll:~>3a,~i'i"="ifIII~0,".'<~.~"I9'IICI3.'5.-"fC:9f':"3115"217c5:if.'~39.j-'EPf'i'I"..C'r'd~ffv6'II0'.'I69$Df:4<~Ždlil39)I."6'I0.3":fl'~;Q"'fl.IIV'..."i':='~i2i!O'I&l:;9II:gAf)-9I'6f<f1'ff1$9If)0f.'y~0IjAyf'iQf~gf'riO-:W'2".;="U!";~riUfif'C' NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFMICHAELGOLDYCHEDUCATION:196819731982B.S.ChemistryStateUniversityofNewYorkatAlbany36GraduateCreditHoursEducation,StateUniversityofNewYorkCollegeatOswegoNewYorkStatePermanentCertificationtoTeachChemistry,Physics,andGeneralScienceNuclearRegulatoryCommissionSeniorOperatorLicenseEMPLOYMENT:1984toPresentSupervisor:TrainingAnalystsGroup,chargedwithimplementingthetrainingprocessnecessarytoachieveInstituteofNuclearPowerOperationsAccreditationMay1984toSupervisor-NineMilePointUnit1Simulator:ResponsibleforNovember1984coordinatingacceptancetesting;initiatingoperatortraininginemergencyprocedures;simulatorinstructorscenariosandinstructorguides;establishingamethodofsimulatorrevisionandmodificationmanagement,"ConfigurationManagement;"actingasatechnicalbrieferattheJointNewsCenterduringaNuclearEmergencyClassification;andparticipatinginthesitecommitteetocompletetheNineMilePointUnit1DetailedControlRoomDesignReview(aHumanFactorsEngineeringstudyrequiredbytheNRC).December1980toMay1984AssistantTrainingSupervisor-NineMilePointUnit1OperationsTraining:Participatedinorcoordinatedtrainingforoperatorrequalificationinplantdesignandsafetysystems,plantmodifications,reactortheory,andthermodynamics;coordinatedNiagaraMohawkparticipationwithINPOControlRoomOperatorTaskAnalysis;conductedBWRSystemstrainingorSyracuseNuclearEngineeringandLicensing,fornuclearfire-fighters,andforunlicensednuclearoperators;participatedasatechnicalassistanttotheCorporateEmergencyDirectorattheEmergencyOperationsFacilityduringaNuclearEmergencyClassification.Sept.1980toDec.1980Chemistry.andRadiationProtectionTechnicianAattheNineMilePointUnit1NuclearStationA-7 f:.'~r.',y",."'ri~~~r3,.":'.'.";:o~ib..r(<.i8o'i;"is=.<'i'">'"i'OiNif~3-':"'>a'iN~'~~jCj<~"">f7>i~.",.I'gI)grgg(,",y-~:gpss.$~p(Qrgii~~-r~",Cf.i".i('2i.".'"".'36~'"1'('~:c..ii'~t):)'P'5~i:>,i".'s~-,~r~:,'."..':".'s~:;i.~r"'e-~<~:;.-.'s'-~'.~rj=~@;:..~!'i-(;",.",<rz.(i-.%:;:.;..~'r;,"~.'s::r;sL,'f&fh"?\l,5Vf'Yi"-'C~iii,~&&l.""~ii'I'~,2<Pc's..'3P"f"cf.','flfs)hi~(fll,)E'~cQ>

MichaelGoldychPage21969-1980TeacheratOswegoHighSchool;Physics,Chemistry,PhysicalSciences,ChemistryandtheEnvironment,TechnologyandtheFuture,andAlgebra;Coach-VarsityFootball,JuniorVarsityWrestling.President,OswegoClassroomTeachersAssociation,1973-78;directedgrievanceprocessing,contractadministration,andcollectivebargainingforthe320memberlocal;Manager,self-insuredTeacherOentalInsuranceProgram,1976-1980;GuestLectureratseveralGraduateEducationandEducationalAdministrationclassesatSUNYCollegeatOswego;SUNYCollegeatOswegoTaskForceonCompetencyBasedTeacherEducation(1974-1980,Chair1975-76);NewYorkStateUnitedTeachersCollegeandUniversityTaskForce,1976-77.A-8

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NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFROBERTG.RANDALLEDUCATION:196919731973GreenvilleCentralHighSchoolGreenville,NYRegentsDiplomaClarksonCollegeofTechnologyPotsdam,NYBachelorofMechanicalEngineeringNewYorkStateE.I.T.Certification1975BabcockandWilcoxSimulator1week1979R.O.Certified(notlicensed)YankeeRoweCourseAverage-94K16weeks198019801982SurrySimulator3weeksFullyqualifiedShiftTechnicalAdvisorYankeeRoweNMPCManagementTraining1weekEMPLOYMENT:February1981toPresentNiagaraMohawkPowerCorporationSyracuse,NYSupervisor,TechnicalSupport:Responsibilitiesincludedformandsupervisionofanin-plantengineeringgrouptoprovideengineeringservicesincludingoperationalengineeringassessment;performanceimprovement;conceptualdesign;designreview;modificationinstallationandtesting;andsupportformaintenance,operations,instrumentationandcontrol,andchemistrydepartments.January1980-YankeeAtomicEnergyCompanyFebruary1981Framingham,MASeniorShiftTechnicalAdvisor(YankeeRowe):STAonshift,technicalguidanceandtrainingofotherSTA's,alongwithresponsibilitieslistedbelowunderReactorEngineer.TaughtThermodynamics,RxTheory,FluidFlow,andHeatTransferforSTAandRO/SRORequal.A-9

~)\I'I,rD:)<g~I~,WII~EI,yII RobertG.RandallPage2April1977toJanuary1980June1976toApril1977StaffReactorEngineer(YankeeRowe):Supervisionofstartups,shutdownsandrefueling;ISIcoordinator;PhysicsTesting;AppendixJTesting;EddyCurrentExamination;ReviewofDesignModifications.ElectricalMaintenanceEngineer(YankeeRowe):ElectricalMaintenanceEngineering;ConceptualDesign,Procurement,andinstallationofElectricalModifications.November1975SystemsEngineer(YankeeAtomicEngineeringOffice):SystemtoJune1976SystemsEngineeringinsupportofDesignModifications.June1973toBabcockandWilcox,Inc.November1975Lynchburg,VATransientAnalysisEngineer:Performedhandandcomputercalculationsofreactortransientsfordesigninput.DevelopedBTUlimitcurvesusedinall177fuelassemblyB&Wreactors.Performedsteamgeneratortuberupture,,lossoffeedwater,andpressurizersizinganalyses.

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NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFHAROLDBARRETTEDUCATION:19711975CiceroHighSchoolCiceroNYRegentsDiplomaS.U.N.Y.MaritimeCollegeMarineNuclearScienceFortSchulyer,BronxNYB.S.S.U.N.Y.MaritimeCollegeMarineEngineerU.S.CoastGuardLicenses:ThirdAssistantEngineer,SteamVessels-anyhorsepowerThirdAssistantEngineer,MoitorVessels-anyhorsepowerSelfStudyU.S.CoastGuardLicenses:SecondAssistantEngineer,SteamVessels-unlimitedhorsepowerTRAININGCOURSES:RadiologicalControlsandEngineeringMareIslandNavalShipyardequalityAssuranceandTechnicalWritingMareIslandNavalShipyardShiftRefuelingEngineersMareIslandNavalShipyardTransactionalAnalysisNortheastUtilitiesServiceCo.FireBrigadeTrainingEasternConnecticutFireman'sTrainingSchoolNDT,Radiography,ASMELevelIIIHartfordSteamBoilerInspection5InsuranceCo.S5WSubmarineReactorPlantFundamentalsNorfolkNavalShipyard tI>4I~Ih'~'ICe~'I)tt'c".~IInil~y1~iP HaroldBarrettPage2EMPLOYMENT:8/81toPresentNiagaraMohawkPowerCorporationSeniorTechnicalAssistant:Performdetailedoperationalengineeringassessmentofcurrentproblemsthroughoutthecommercialnuclearindustry.Performdetailedengineeringassessmentofcurrentplantperformance.Prepareandreviewreportstoregulatoryagencies.Performengineeringdutiesasassigned,i.e.plantmodification,studies,evaluations,etc.ProvideguidanceandsupervisionoverJuniorTechnicalAssistantsandTechnicalAssistantsintheTechnicalSupportGroup.Provideengineeringsupporttothecorporateengineeringstaffasrequired.ll/80-7/81NorfolkNavalShipyardNuclearEngineerGS-11:AdministrationandconductionofNavalNuclearReactorPlantTestingEvolutionsbefore,duringandafteroverhauls.Receivedtraininginallphasesofsubmarinereactorplantoperation,designandtesting.4/80-11/80DepartmentoftheNavy,MilitarySealiftCommand,AtlanticFirstAssistantEngineer,ClassA-l,SteamNW:Planning,assigning,andsupervisingtheworkofAssistantEngineersadunlicensedpersonnelensuringtheproperoperation,maintenanceandpreservationofallEngineDepartmentmachineryandequipmentaboarda$16,500shafthorsepowersteamgearedturbinepoweredrefrigeratedstoresship.Onarrivalsanddeparturesto/fromports,supervisingthesecuringandwarmingupofthemainengines,andtakingoverallchargeofthemainenginesduringmaneuvering.5/79-4/808/78-5/79SecondAssistantEngineer,ClassA-1SteamW:FunctionedasaLicensedMarineEngineerinchargeofa5manwatchofseaandinportandresponsibleforallmaintenanceandrepairoftheshipsboilers,boilerauxiliaries,feedsystem,fueloilserviceandtransfersystems,fueloilinventoryandfuelingequipment.ThirdAssistantEngineer,ClassA-l,SteamW:FunctionedasaLicensedMarineEngineerinchargeofa5manwatchseaandinport.Alsoresponsibleforallmaintenanceandrepairtothemainlubricatingoilsystem,maincondenserandauxiliaries,mainenginesandreductionglass,turbo-generators,andshipsdieseloilsystems.6/77-8/78ConnecticutYankeeAtomicPowerCompanyAssociateEngineer:ProjectEngineerattheplantlevelfornumerousplantbettermentprojects,dealingwithscheduling,funding,technicalrepresentation,,interfacingwithregulatoryagenciesandvendors,andoverseeingactualconstructionwork.

~If)'$~',~CIIAI,(C HaroldBarrettPage312/76-5/77DepartmentoftheNavy,MilitarySealiftCommand,AtlanticThirdAssistantEngineer,ClassA-10,SteamW:FunctionedasaLicensedMarineEngineerinchargeofa5manwatchatseaandinport.Alsoresponsibleforallmaintenanceandrepairtothemainlubricatingoilsystem,maincondenserandauxiliaries,mainenginesandreductionglass,turbo-generators,andshipsdieseloilsystems.12/76-5/77MareIslandNavalShipyardRefuelingEngineer:ProvidedengineeringsupportduringrefuelingoperationsonNavalNuclearPropulsionPlants,participatingonshieldsurveys,andreceivedtrainingtobecomeaShiftRefuelingEngineer.A-13

'I~*lr~'c~g~*ali~*~f NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFJOHNC.ALDRICHNorthRoseCentralSchool;NorthRose,NY1949-1962-RegentsDiplomaVallejoJuniorCollege;Vallejo,CA1963-64,Math/Chemistry,nodegreeCaliforniaMaritimeAcademy;Vallejo,CA1964-67,Major-MarineEngineeringDegree-BachelorofScience,Point/hr3.3/4.0MetalsEngineeringInstituteFundamentalsofNon-DestructiveTestingJanuary1975-10DayCourseNiagaraMohawkSponsored-FundamentalsofgualityAuditingFebruary1975-10DayCourseMetalsEngineeringInstituteMetallurgyofWeldingandJoiningJuly1975-10DayCourseGeneralPhysicsCorporationCourseReactorOperatorLicensePreparation1977-520hoursGeneralElectricBWRSimulatorCourseMorris,IL1977-7daysGeneralPhysicsCorporationCourseSeniorReactorOperatorLicensePreparation1977-312hoursGeneralPhysicsBWRRequalificationSimulatorCourseChattanooga,TN1977-3daysGeneralElectricBWRRequalificationSimulatorCourseMorris,IL1978-3daysGeneralElectricCompanyStationNuclearEngineeringCourseJanuary1979-160hoursGeneralElectricBWRRequalificationSimulatorCourseMorris,IL1979-3daysA-14

JohnC.AldrichPage2GeneralElectricBWRRequalificationSimulatorCourseMorris,IL1980-3daysGeneralElectricBWRRequalificationSimulatorCourseMorris,IL1981-3daysGeneralElectricBWRRequalificationSimulatorCourseMorris,IL1982-3daysEMPLOYMENT:NiagaraMohawkPowerCorporationNineMilePointNuclearSitell/81toPresentSupervisorOperations-Nuclear:Dutiesincludedtoplanandmanagestationoperationstoensuresafe,efficientpowerproductionoftheNuclearStation.Todirectactivitiesoflicensedandnon-licensedoperationspersonnelandtocoordinateeffortsofallotherdepartments,withregardtostationoperation.Toassurefulfillmentofallregulatingrequirementssetforthintheoperatinglicense,technicalspecificationsandgovernmentdocuments.NuclearGeneration1975-19811973-1975TrainingSupervisor5Superintendent:Activitiesincludedplanning,organizing,conductingandevaluatingtheeffectivenessoftrainingproqramsforallpersonnelattheNineMilePointsite.Addressingallregulatoryrequirementswithregardtopersonneltrainingandcoordinateeffortsofalloff-sitecompanysupportgroups,consultants,andgovernmentagencieswithregardtotrainingprograms,personnellicensingandtraininginspection.ResponsibleforinterpretationofNRCrequirementandguidesconcerningtrainingandinitiationofprogramstomeetnewrequirements.gualityControlEngineer:Onanassignedbasis,responsiblefortheselectionandimplementationofaqualitycontrolprogrammeetingtherequirementsoftheNuclearRegulatoryCommission10CFR50AppendixB,RegulatoryGuidesandANSIN45.2.

CpC, JohnC.AldrichPage3Contractorqualification,procurementdocumentreview,reviewofcontractor'sprocedures,inspections,testprocedurereview,maintenanceofqualityassurancerecords,schedulingandconductingperiodicaudits.WasresponsibleforqualitycontrolontheCorporation's$7millionOff-GasModificationatNineMilePointNuclearStationUnitl.1971-1973NewportNewsShipbuildingandDryDockCompanyNewportNews,VASeniorTestEngineer:Responsibleforallnon-nucleartestingduringtheoverhaulofnuclearsubmarines.DevelopmentoftestrequirementsfromU.S.NavySpecifications,initiatetestprocedures,planandschedulesystemtests,reviewtestresultspriortoauditbyNAVSHIPSandpresentdocumentationtocustomer.Additionalresponsibilitiesincluded:seniorshipyardrepresentativeonoverhaulseatrials,liaisonagentbetweendesignandproductionforces,directtheactivitiesof5-15engineersanddesignersintheperformanceoftestingasworkloadwarranted.1967-1971DesignEngineer:Underlimitedsupervisionofseniortestengineer,responsibleforthepreparationoftestprocedures,asinterpretedfromspecificationsanddrawings,witnessingoftestperformanceandevaluatingtestresults.UnitedStatesLinesCompany,NewYorkCity,NYSecondAssistant8ThirdAssistantEngineer:WatchstandingEngineerabroadtheS.S.AmericanChallengerandS.S.AmericanLegion.AsThirdAssistantabordtheS.S.AmericanChallenger,wasresponsibleforlubeoilandfreshwatersystemsandcomponents.Madeseveralpipingchangestothelubeoilsystemtoreducethetimespentinmaintenance.AsSecondAssistantaboardtheS.S.AmericanLegion,wasresponsibleforfueloilandboilerfeedsystemsaswellastwo1000psigboilers.Developedashipboardmaintenancescheduleforcleaninganrepairingboilers.PROFESSIONALLICENSES:U.S.C.G.SecondAssistantEngineer,Steam,UnlimitedHorsepower-CurrentU.S.C.G.ThirdAssistantEngineer,Diesel,UnlimitedHorsepower-CurrentU.S.NuclearRegulatoryCommissionOperatorLicenseOP-4416May12,1977.U.S.NuclearRegulatoryCommissionSeniorOperatorLicenseSOP-3129,December12,1977-Current A*

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFDONALDJAYMATTHEWSEDUCATION:NiagaraMohawkIndustrialAtomicEnergyCourseNineMilePointUnit1NuclearStation50WeeksNuclearTrainingGeneralElectricBoilingWaterTechnologyCourse4WeeksBWR2GeneralElectricBoilingWaterTechnologyCourse4WeeksBWR4GeneralElectricTrainingforSeniorOperatorsgualifiedonG.E.BWRSimulatorMorrisILgualifiedonT.V.A.SimulatorBWR4DaisyTNHighSchoolGraduateEXPERIENCE:IECTechnicianCoalFiredPlantSeniorShiftControlOperatorPulverizedFuelBoilerChiefShiftOperatorBWR2NineMilePointUnit1R.O.LicenseStationShiftSupervisorBWR4,J.A.FitzPatrickNuclearPowerPlantS.R.O.LicenseStationShiftSupervisorBWR2NineMilePointUnit1S.R.O.LicenseActiveAssistantSupervisorofOperationsNineMilePointEMPLOYMENTRECORD1946TOPRESENTNIAGARAMOHAWKPOWERCORPORATIONNUCLEARPOWEREXPERIENCE:NINEMILEPOINTUNIT01BWR2ParticipatedineveryphaseofplantstartupDuringstart-upparticipatedinphysicstesting,performanceofpreoperationaltestingandstart-uptestproceduresParticipatedintheinstallationofallofthereactorfuelandin-coreneutroninstrumentationDirectedtheoperationofrefuelflooractivitiesA-17

DonaldJayMatthewsPage2DevelopedandadministeredanoperatorscourseinbasicplantsystemdesignandoperationSiteTrainingSupervisor(Acting)AssistantSupervisorofOperationsNineMilePointUnit1-DirectthedaytodayoperationofNineMilePointUnit1J.A.FITZPATRICKNUCLEARPOWERPLANTBWR4StationShiftSupervisorduringpre-startupthroughtofullpoweroperationDevelopedpreoperationaltestsforplantstart-upDevelopedtheinitialoperatortrainingprogramActingTrainingSupervisorModificationandImprovementSupervisor1977refueloutageADDITIONALEXPERIENCENiagaraMohawkPowerCorporationrepresentativetoG.E./BWROwnersGroup,EmergencyProcedureSubcommittee.Activeintheentireprogramofthissubcommitteesinceitsinceptionin1979.A-18

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFMICHAELJ.COLOMBEOUCATION:196819701/82-3/824/725/726/726/74]2/74-3/754/75-5/751/7755/7810/80-2/8]ll/81511/821980toPresentSt.AnthonyofPadauHighSchoolSyracuse,NYOnondagaCommunityCollegeSyracuse,NYA.A.S.inElectricalTechnologyGeneralPhysicsBasicIntroductionCourse(8weeks)GeneralElectricBWRTechnologyCourse(4weeks)GeneralElectricBWRTechnologyCourse(2weeks)NiagaraMohawkSystemCourse(2weeks)NiagaraMohawkFireSchool(3days)GeneralPhysicsTrainingProgram(80hours)GeneralPhysicsLicensePreparationCourse(4weeks)TVABWRSimulatorTraininng(3days)GeneralPhysicsSeniorReactorOperatorUpgradeTrainingProgram(17weeks)GEBWRSimulatorTraining(3days)MatriculatedatRochesterInstituteofTechnologyinaBachelorOegreePrograminMechanicalEngineeringTechnology.Completedapproximately200credithours.ClarksonUniversity(Org.Behavior,Communications)6credithoursPotsdam,NYA-19

MichaelJ.ColombPage2PROFESSIONALLICENSES:CurrentlyholdaSeniorReactorOperatorsLicenseforNineMilePointNuclearStation,Unit1(License83935)PreviouslyheldaReactorOperatorsLicensefortheJ.A.FitzPatrickNuclearPowerPlant(License83844-1)EMPLOYMENTJune1981toPresent1979-19811976-19791975to1976StationShiftSupervisor:Responsibilitiesincludedon-shiftsupervisionofoperatingstaffduringpreliminarytestingofplantsystems.Assistedinntrainingofoperatingpersonnelinpreparationforlicensing.ReviewofFSARforsubmittaltotheNuclearRegulatoryCommission.DevelopmentofOperatingProcedures.DevelopmentofEmergencyOperatingProcedures.ParticipatedintheNineMilePoint,Unit1and2ControlRoomDesignReviews.ChiefShiftOperator:Responsibilitiesincludedwritingpreoperationaltests,operatingandspecialprocedures,andsurveillancetestsforUnit2.Duringthe1979Unit1refuelingoutage,supervisedinstallationandtestingofseveralplantmodifications.ChiefShiftOperator,JamesA.FitzPatrickNuclearPowerPlant:Responsibleforoperationofcontrolroom.Providedsupervisionandtrainingforalllowergradeoperators.Participatedinallphasesofplantoperationstartupandshutdown.Performedanddirectedsurveillancetestsonallplantsafetysystems.NuclearOperatorE,JamesA.FitzPatrickNuclearPowerPlant:AsSeniorIn-PlantOperatorresponsibleforcareandoperationofallplantequipmentincludingthemainturbinegenerator,allplantauxiliarysystemsandreactorsafetysystems.Participatedinnallphasesofplantstartup,shutdownandoperation,includingsurveillancetesting.Participatedinallphasesofrefuelingoperations.ObtainedReactorOperatorLicenseinJune1975.1972-1975NuclearOperatorC,JamesA.FitzPatrickNuclearPowerPlant:Participatedinallphasesofpreoperationaltestingandinitialplantstartuptestingprogram.Responsibleforinitialequipment"run-ins,"systemflushingoperationsandsystemturnoverforoperations.A-20

MichaelJ.ColombPage31971-19721970-1971NuclearOperatorC,NineMilePointNuclearPowerPlant:AsAuxiliaryOperatoronshiftobtainedexperienceoperatingallplantauxiliarysystemsfromoutsidethecontrolroom.Participatedinallphasesofrefuelingoperations,and"sipping"procedures.GasMechanicB,NiagaraMohawkPowerCorporation,Oswego,NY:DuringthisperiodwaspromotedfromGasMechanicHelpertoGasMechanicAtopositionabove.Responsibilitiesweretooperate.variousmachineryassociatedwithconstruction,maintenanceandrepairofnaturalgaslinesandservices.AlsoworkedinthemaintenancecrewduringarefuelingoutageatUnit1duringthisperiod.A-21

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFWILLIAMF.BANDLAEDUCATION'960-1964CardinalMindszentyHighSchool1972-1972-1972-1973-1976-1977-1980-EightweekGeneralPhysicsAcademicRefresherCourseTwoweekSystemsCoursesNineMilePointUnit1OneweekofSimulatorTraininginMorris,IL144hourcoursebyGeneralPhysicsincludingRadiationControlandSafety,ReactorOperation,I5C,TechnicalSpecifications,OperationandEmergencyProcedures,MiscellaneousMathandComputerandExamReviewGeneralElectricSimulatorRequalificationCourseSuccessfullycompletedaGeneralPhysicsupgradeSROprogramAttendedaGeneralPhysicsShiftTechnicalAdvisorCertificationCourse1980-1981Participatedinanacademicrefresher.courseprovidedbyR.I.T.1981-1982-1985-SuccessfullycompletedanaccreditedManagementDevelopmentTrainingCourseprovidedbyClarksonUniversityAttendedaK-TproblemssolvingtrainingprogramSuccessfullycompletedaNRCsupervisedlicenserequalificationprogramONTHEJOBTRAINING:1964-19671967-19711972-19733.5yearsexperienceinSteamStationOperationatDunkirk,NewYork.DuringthattimefulfilledthedutiesandresponsibilitiesofanAuxiliaryOperator"A,""B"and"C"3.5yearsexperienceasanIECTechnician"A,""B"and"C"atDunkirkSteamStation,alsoduringthattimeobtainedsomelimitedChemicalLab.experience.NuclearOperator"C"atNineMilePoint-workedatalllevelsofoperation.ResponsibleforoperationalcareofMainTurboGeneratorandreactorunits.Operatedordirectedtheoperationofauxiliaryunits.A-22

WilliamF.BandlaPage2April1973ObtainedNRCReactorOperator'sLicense.OP-32651973-1977NuclearOperator"E"atNineMilePointUnit1.Responsibleforprovidingoperationalattendancetoplantequipment.Adrequired,responsibleforoperationofturbo-generatorandrelatedequipmentfromtheControlRoom.WhenactingfortheChiefShiftOperatorasPrincipleReactorOperator,assumedhisdutieswhichincludedresponsibilityforthereactoranditscomponents.Workedonrefuelfloorduringfourrefueloutages.Dutiesincludedreloadingfuel,dechannelingandrechannelingfuel,replacingLPRMstrings,andsippingfuel.1977-1978ObtainedaSeniorReactorOperator'sLicense1978toPresentFulfilledthedutiesandresponsibilitiesoftheStationShiftSupervisoronshift,andduringmajorrefuelingoutageshavesupervisedrefuelingactivities.Inaddition,haveassistedinthedevelopingandimplementationofproceduresrelatingtoplantmodificationsandimprovements.A-23

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFTHERONLUCASLowvilleAcademyandCentralSchoolLowville,NYGraduate-1959Completed12weekcourseinAircraftMechanicsJuly1969Completed27VolumeE.C.I.CorrespondneceCourseinManagementforSupervisorsinAugust,1968CompletedvariousothercoursesinAircraftElectricalhydraulic,instrumentationandsafetyrelatedsystemsApproximately15weeksGeneralPhysicsCourseReactorOperatorLicensePreparationCourses-1978-520ReactorTheoryFeaturesofFacilityDesignGeneralOperatingCharacteristicsInstrumentsandControlSafetyandEmergencySystemsStandardandEmergencyOperatingProceduresRadiationControlandSafetyNOTE:Theabovecoursehasbeenrecommendedfor24collegesemesterhoursofcreditbyNewYorkStateProgramonNon-CollegiateSponsoredInstruction.GeneralElectricBWRSimulatorCourseMorris,ILHotLicenseCertificationProgram1978-7daysGeneralElectricCompanyMorris,ILSimulatorTrainingBWR-3DayRequalificationProgram1979,1980,1981,1982,1983NiagaraMohawkPowerCorporationsponsoredcoursesReactorOperatorRequalificationProgram1976-1985EmployedbyNiagaraMohawkPowerCorporationNineMilePointUnit1P.O.Box32Lycoming,NY13093A-24

TheronLucasPage2EMPLOYMENT:1983toPresent1979-1982HolderofNuclearRegulatoryOperatorLicense,OP-4930-1ChiefShiftOperator:Undergeneralsupervision,onashift,todirectandperformtheworkof,andtoassistinthetrainingofallpersonnelengagedintheoperationofmajorsteam-electricgeneratingunits,includingelectricalandmechanicalequipment,auxiliaries,controlsandassociatedtransmissionfacilities.NuclearAuxiliaryOperator"E":UndergeneralsupervisiononashiftinaNuclearStationtoperformanyofthe.dutiesofAuxiliaryOperatorsoflowergradeandtoassistintheirtraining;andattimes,asrequired,toberesponsiblefortheoperationofthereactorturbo-generatorunitandrelatedequipmentfromtheControlRoom.1977-19791976-1977NuclearOperator"C":Responsibleforcareofmainturbinegeneratorandreactorunits.Tooperateordirecttheoperationofthehighestauxiliaryequipment.Toexecutesafeandefficientmark-upsonequipmentwithinthestation.AlsotoassistinthetrainingofAuxiliaryoperatorsofalowergrade.AuxiliaryOperatorB:Underdirectsupervisiononashift,toberesponsiblefortheoperationalcareofvarioustypesofcomplicatedauxiliaryequipmentassociatedwithoneormoremainturbo-generatororboilerunitsandwithonlycasualsupervisiontostartandstopsuchequipmentundernormalandemergencysituations.NiagaraMohawkPowerCorporationWatertown,NY1969-1976GasMechanic:Toinstallandmaintainundergroundnaturalgasmainsandlaterals.Tocheckforgasleaksandrepairsame.qualifiedasgasweldertomakeupgasservices.4/69-10/69MeterReader:Totakeelectricalandgasmeterreadingsforcustomerbillingdata.A-25

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFMARKW.TURNEREDUCATION:1975-1976-1977-1978-1979-1980-1981NorthSyracuseCentralHighSchoolNorthSyracuse,NYGraduated1969ErieCommunityCollegeWilliamsville,NYMajor:ManagementEngineeringTech.Degree:A.A.S.,1972GeneralPhysicsLicenseTrainingCourse1977-200hoursObtainedNRCReactorOperatorLicenseGEBWRSimulatorMorris,IL3DayRequal.ProgramGEBWRSimulatorMorris,IL3DayRequal.ProgramTVABWRSimulatorSoddy-Daisy,TN3OayRequal.ProgramGEBWRSimuatorMorris,IL3DayRequal.ProgramGEBWRSimulatorMorris,IL3OayRequal.ProgramGEBWRSimulatorMorris,IL3DayRequal.ProgramGEBWRSimulatorMorris,IL3OayRequal.ProgramA-26

MarkW.TurnerPage2EMPLOYMENT/EXPERIENCE:1978toPresent1976-19781974-19761973-1974NiagaraMohawkPowerCorporationSyracuse,NYChiefShiftOperator:Undergeneralsupervision,onashift,todirectandperformtheworkof,andtoassistinthetrainingofallpersonnelengagedintheoperationofmajorsteam-electricgeneratingunits,includingelectricalandmechanicalequipment,auxiliaries,controlsandassociatedtransmissionfacilities.NuclearAuxiliaryOperator"E":UndergeneralsupervisiononashiftinaNuclearStationtoperformanyofthedutiesofAuxiliaryOperatorsoflowergradeandtoassistintheirtraining;andattimes,asrequired,toberesponsiblefortheoperationofthereactorturbo-generatorunitandrelatedequipmentfromtheControlRoom.NuclearAuxiliaryOperator"C":UnderdirectsupervisiononashiftinaNuclearStationtoberesponsiblefortheoperationalcareofmainturbo-generatorandreactorunits;tooperateordirecttheoperationofthehighesttypesofauxiliaryequipment;toexecutesafeandeffectivemark-upsonequipmentwithinthestationandtoassistinthedetailedtrainingofAuxiliaryOperatorsoflowergrade.AuxiliaryOperator"B":Underdirectsupervisiononashift,toberesponsiblefortheoperationalcareofvarioustypesofcomplicatedauxiliaryequipmentassociatedwithoneormoremainturbo-generatororboilerunitsandwithonlycasualsupervisiontostartandstopsuchequipmentundernormalandemergencyequipment.1972-1973DraftsmanA-27

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFRALPHINGHAMEDUCATION:8roctonCentralSchoolRegentsDiploma:June1949PurdueUniversityAgriculturalCourses2Yrs.:1949-51nodegreeICS-SteamElec.PowerPlantCourse1957-59EMPLOYMENT:1976toPresentNiagaraMohawkPowerCorporationSyracuse,NY1967-1976NineMilePointUnit1Lycoming,NYChiefShiftOperator:Undergeneralsupervision,onashift,todirectandperformtheworkof,andtoassistinthetrainingofallpersonnelengagedintheoperationofmajorsteam-electricgeneratingunits,includingelectricalandmechanicalequipment,auxiliaries,controlsandassociatedtransmissionfacilities.ReliefOperatorP:AssumedutiesofShiftControlRoomOperator,asrequiredandperformothervariousoperatingjobsthroughouttheplant.NMPCServiceDepartmentSyracuse,NYServicemanC:2yrs,gasandelectricmeterinstallationtroubleshootingandadjustmentsofcustomergasandelectricequipment.Serviceman8:2yrs,gasandelectricmeterinstallation.1958-1961NiagaraMohawkDunkirkSteamStationAuxiliaryOperator0:(approx.1yr.,8mo.)performdutiesofarovingsteamoperatorsuchasstartingandstoppingofmainturbo-generatorunitsandvariousothercomplicatedauxiliaryequipment,associatedwithboiler,turbines,generatorsandpowerdistribution.Performelectricalswitching,executemarkups,electricalandmechanicaltroubleshooting(2-100MWunits).A-28

RalphInghamPage21957AuxiliaryOperatorC:(1yr.)performdutiesofstarting,stoppingandoperationofvarioustypesofcomplicatedauxiliaryequipmentassociatedwithseveralmainturbo-generatorsandboilerunits(2-100NWunits)(initialstartupofnew200NVunit)NewYorkStateExperimentStation-AgriculturalExperimentWorkA-29

NIAGARAMOHAWKPOWERCORPORATIONRESUMEOFMICHAELE.STANCLIFFEEDUCATION:1961-1965H.C.TechnicalHighSchool-Buffalo,NY1965-19691972-1972-1972-1973-1976-StateUniversityofNewYork,Buffalo,NYElectricalEngineering'ightweekGeneralPhysicscourseinMathematics,Physics,andReactorTheoryGeneralElectricBWRSimulator,7daysMorris,IL100HourSystemsCourse-NineMilePointUnit1I144HourcoursebyGeneralPhysicsCorporationincludingRadiationControl5Safety,ReactorOperation,IEC,TechnicalSpecifications,Operation5EmergencyProcedures,MiscellaneousMathandComputerandExamReviewGeneralElectricRequalificationSimulatorCourseMorris,ILONTHEJOBTRAINING:1972-1973NuclearOperator"C"atNineMilePoint-workedatalllevelsofoperation.ResponsibleforoperationalcareofMainTurboGeneratorandreactorunits.Operatedordirectedtheoperationofauxiliaryunits.April1973ObtainedNRCReactorOperator'sQicense.OP-32661973toPresent1974-NuclearOperator"E"atNineMilePointUnit1.Responsibleforprovidingoperationalattendancetoplantequipment.Asrequired,responsibleforoperationofturbo-generatorandrelatedequipmentfromtheControlRoom.WhenactingfortheChiefShiftOperatorasPrincipleReactorOperator,assumedhisdutieswhichincludedresponsibilityforthereactoranditscomponents.Workedonrefuelfloorduringfourrefueloutages.Dutiesincludedreloadingfuel,dechannelingandrechannelingfuel,replacingLPRMstrings,andsippingfuel.ParticipatedinpreoptestingofWasteBuildingatJamesA.FitzPatrickNuclearStation.Participatedinseveralreactorstartupsandshutdownsandsurveillancetesting.A-30

MichaelE.StancliffePage21977-1978ObtainedNRCSeniorReactorOperatingLicense.1978toPresentPresentlyfulfillingthedutiesofStationShiftSupervisoratNineMilePointUnitl.A-31

ARDCorporationDONALDF.TAYLORManager,EnergySystemsGroupSeniorEngineerHumanFactorsEngineeringIndustrialEngineeringInformationPresentationTechniquesProceduresEnhancementoNuclearEngineeringoTrainingoExperimentalDesignoWorkspaceLayoutoStatisticalAnalysisMr.Taylorhasbeenactiveinhumanfactorsforaperiodoftwelveyears.Hehasappliedexperienceinmechanicalandfluidsengineeringaswellasinnuclearmaintenanceandoperations.AsManagerofEnergySystemsGroupintheAppliedSystemsTechnologyDivision,Mr.TaylorhasservedasprojectmanagertoanumberoftheARDnuclearprograms.Mr.Taylorhasextensiveexperienceinthedesign,evaluation;andenhancementoftheman-machineinterfaceinprocesscontrolapplications.Hedevelopedhumanfactorsguidelinesforthedesignofnuclearpowerplants(ElectricPowerReseachInstituteGuideNP-1637);preparedemergencyproceduresfortheDukePowerCompany;anddevelopedmaintenanceproceduresanddocumentationatDukePower.HehasparticipatedinallphasesofControlRoomDesignReviews(CRDRs),includingover75interviewswithlicensednuclearoperatorsandsurveysof15controlrooms.oNineMilePointUnit1DetailedControlRoomDesinReview-ServedasProjectDirectorresponsiblefortheplanningandcoordinationofallprojecttasks.ConductedOperatorInterviewandControlRoomSurveyefforts.EstablishedmethodsandprocedurestoidentifyandanalyzeoperatortasksbasedupontheplantspecificBWROGEPGs.Establishedmethodsandproceduresandconductedtheverificationofsuitabilityandavailabilityofinformationandcontrolneedstoaccomplishoperatortask.DesignedandconductedeffortstovalidatethatemergencytaskcanbeeffectivelyaccomplishedbytheoperatingcrewintheNMP-1controlroom.DirectedareviewoftheproposedSafetyParameterSafetySystemandasurveyoftheTechnicalSupportCenterandEmergencyOffsiteFacility.DevelopedmethodologyandproceduresfortheNMP-1AssessmentPhaseandconductedtheassessmentofHEDs.DevelopedconceptualsolutionstosignificantdiscrepanciesanddesignedandestablishedaHumanFactorsManualprovidingquidanceandcriteriafortheimplementa-tionofcontrolroomenhancements.Developeddetailedsolutionsfortheimplementationofcontrolroomenhancementsincludingestablishmentofsystemandsubsystemdemarcationlines,mimicingofsystemflows,system,subsystem,andcomponentlabelingpackages,replacementofmeterscales,andcolorcodingofmeterscales.DesignedandconductedeffortstoverifythatenhancementseffectlyresolvediscrepanciesbutdonointroducenewHEDs.oGinnaControlRoomDesinReview-ServedasProjectDirectorresponsibleforplanningancoorsnatsonofallprojecttasks.EstablishedmethodologyandprocedureforutilizingtheWestinghousegenericERGstoidentifyoperatortasksforaccomplishingcriticalsafetyfunctions.DirectedandconductedtheControlRoomSurveyeffortincludingtheenvironmentalmeasuresofcontrolroomlighting,noise,humidity,temperature,andairvelocity.Established'methodologyandproceduresfor

ARDCorporationtheGinnaOCRORValidationofcontrolroomfunctionsconductedincoordinationwiththeGinnaEOPdevelopmentprogram.DirectedandevaluationoftheGinnaSPOSinresponsetoNUREG0737,Supplement1,requirements.PeformedahumanengineeringreviewofpanelmodificationdrawingsandcharacteristicsforequipmentinstalledinresponsetoReg.Guide1.97.CurrentlyconductingtheGinnaAssessmentPhase.oNineMilePointUnit2DetailedControlRoomDesinReview-ServedasProspectDirectorresponseeortheparmingancoorinationofallprojecttasks.Directedasurveyofcontrolroominstrumentationandcontrols,aninventoryofcontrolroomequipmentandareviewofhistoricaldocumentsforBWRplants.DirectedareviewoftheSafetyParameterDisplaySystemtheTechnicalSupportCenter,andtheEmergencyOffsiteFacility.Revisedmethodologyandproceduresforidentifyingoperatortasksandestablishingtheinformationandcontrolneedstoexecutetheemergencyoperatingprocedures.Conductedthecomparisonoftheinformationandcontrolneedstothecontrolroominventorytoestablishavailabilityandsuitabilityofcontrolroomequipment.Establishedmethodologyandproceduresforthewalk-through/talk-throughvalidationofcontrolroomfunctions.Conductedthetalk-throughvalidationtaskeffort.CurrentlyconductingtheassessmentofNMP-2HEDs.oA~kansasPowerELihtControlRoomDesinReview-TaskLeaderfortheieniicaionooperaoruncionsananaysisofemergencytaskforANO-1.WorkingwithANO-1operators,identifiedinformationandcontrolneedsforexecutingtaskobjectives.ConductedareviewofNUREG-0700criteriaandbasisdocumentstoestablishtheANOsurveychecklist.Determi'nedtheapplicabilityoftheSection6designcriteriatotheANO-1controlroomandresearchedthebasisdocumentationfor'theappropriatenessofspecificcriteriavaluestothenuclearpowerplantcontrolroomapplication.ConductedtheANO-1ControlRoomSurveyefforttoidentifydiscrepanciestoappropriatedesigncriteria.oMarbleHillControlRoomDesinReview-TaskLeaderfortheoperator>nervlewsanceciseors.onductedover25interviewswithMarbleHilltrainingandoperationspersonnel.Analyzedresultstoidentifypotentialhumanengineeingdiscrepancies,andpreparedtheOperatorInterviewTaskReport.UsingtheWestinghouseEmergencyResponseGuidelines(ERGs)asabaseline,identifiedtheoperatorfunctionsandtasksneededtoaccomplishtheemergencyresponseobjectives.Workin9withMarbleHillsubjectmatterexperts,identifiedtheinformationandcontrolneedstoperformemergencytaskscomprisingtheWestinghouseERGs.PREVIOUSEXPERIENCEo1982to1983BioTechnoloy,Incorporated,FallsChurch,VirginiaSeniorProgramAnaystServedasprojectdirectorfortheDukePowercontrolroomreviewhumanfactorssupporteffort.PrincipalinanoperatingexperiencereviewfortheDukePowercontrolroomreviewandestablishedchecklistcriteriaandmethodo-logyforthecontrolroomsurveyeffort.PrincipleinvestigatorinaprojectconductedforDukePowertoprepareaquideforthedevelopmentofmaintenanceA-33

ARDCorporationprocedures.PreparedandconductedtrainingseminarsforDukePowerprocedurewritersandengineerstoenhancetheirtechnicalwritingskills.o1980to1982EssexCororation,Alexandria,VirginiaHumanFactorsBranchManagerResponsiblefortheplanningandcoordinationofprojectswithprivateutilitiesto'nhancecontrolroomoperationsinnuclearpowerapplications.Designedsurveychecklistsanddataformsforevaluationofcontrolroomenvironment,equipmentdesign,andfacilitydesignandlayout.Developedamethodologyforthereviewofplantsystemfunctionsandanalysisofoperatortasks.DesignedandconductedanexperimentusingtheDukePowercontrolroomtrainingsimulatorstoevaluatetheeffectivenessofthreecandidateemergencyprocedureformats.Principleauthorofawriter'sguideforemergencyprocedurespreparedforthenuclearstationsatDukePower.o1978to1980U.S.CoastGuard,Washington,DCIndustrialEngineerTechnicalexpertandstaffadvisortotheOfficeofResearchandDevelopmentonmattersofindustrialengineering,humanfactors,andoperationsresearch.Primaryprojectswereintheareasofproductdesignandsafety,crewstationdesign,andcrewperformance.Directedeffortstoestablishanindexoflifesavingcapabilityforpersonalflotationdevices.PlannedandorganizedresearchtoassesstheeffectsofwavemotionsoncrewperformanceanddesignedashiptestprogramtoestablishcriteriaforfatiguestandardsonCoastGuard41-footand44-footsearchandrescuecrafts.o1974to1978NorfolkNavalShipard,Portsmouth,VirginiaNuclearEngineerSuccessfullycompleted1,500hoursofcourseworkandformalinstructionintheoperationandmaintenanceoftheS5Wsubmarinereactorplant.gualifiedbyNAVSEAontheNavalReactorExamasaReactorPlantShiftTestEngineerandadvancedtothehighestgradelevelofnuclearengineer.PreparedtechnicalinstructionsandspecificationsfortherepairandmaintenanceofthemechanicalandfluidssystemsoftheWestinghousereactorplant.o1972to1974VirqiniaPolytechnicInstituteandStateUniversity,Blacksburg,VirginiaResearchAssistantAssistedinresearchprojectsspecializingineyemovementsandvisualsearch.Establishedanexperimentalsetuptocollecteyepositiondataatasamplerateof1,000-per-secondanddevelopedcomputermodelsofsearchbehaviortoextracteyemovementparameters.EDUCATIONM.S.,IndustrialEngineeringandOperationsResearch(HumanFactors),VirginiaPolytechnicInstituteandStateUniversity,Blacksburg,Virginia,1975A-34

ARDCorporationEDUCATION(continued)B.S.,IndustrialEngineeringandOperationsResearch,VirginiaPolytechnicInstituteandStateUniversity,Blacksburg,Virginia,1972PROFESSIONALAFFILIATIONSHumanFactorsSocietyAmericanInstituteofIndustrialEngineersA-35

ARDCorporationROBERTL.KERSHNERVicePresident,pp~eysemsechnologyDivisionPrincipalHumanFactorsEngineeroHumanFactorsEngineeringoStatisticalAnalysisoSystemAnalysisoControlRoomReviewsoExperimentalDesignoTrainingoAnthropometricsoGeneralSystemsTheoryAsVicePresidentoftheAppliedSystemsTechnologyDivision,Mr.Kershnerisresponsibleforthecoordinationandreviewofallhumanengineering,appliedbehavioralresearch,humanfactorsandindustrialengineeringprojectsforARDCorporation.Mr.Kershnerhasbeenactiveinprovidingprofessionalservicesforovertenyears.Intheprivatesectoroftheindustry,hehasconductedGovernment-sponsoredresearchaswellasheldprofessionalpositionswithintheFederalGovernment.Mr.Kershner'sspecialtyistheapplicationofgeneralsystemstheorytothedesign,analysisandimprovementofcomplexsystems,applyinghumanfactorsengineeringprinciplestoprocesscontroldesign.Mr.KershnerhasmanagedARD'scontrolroomreviewsupporttotheArkansasPower5LightCompany'sArkansasNuclearOnestation,PublicServiceIndiana'sMarbleHillstationandtheCommonwealthEdisonCompany'sDresden,ByronandBraidwoodnucleargeneratingstations.Inaddition,hesupervisedSafetyParameterDisplaySystemdevelopmentfortheVirginiaElectricandPowerCompany.Mr.KershnerhasdevelopedControlRoomDesignReviewprogramplansforseveralmajorutilitiesincludingCommonwealthEdison,VirginiaElectricandPower,ArkansasPowerELight,andPublicServiceIndiana.HewasinstrumentalinthedesignanddevelopmentoftheARDPerformanceMeasurementSystemforthevalidationofEmergencyOperatingProceduresandtheevaluationofcontrolroomequipmentmodifications.PREVIOUSEXPERIENCEo1980to1981AndrulisResearchCorporation,Bethesda,MarylandDirector,HumanFactorsngsneeringD~vss~onResponsibleforcorporatehumanengineeringandsocialscienceresearchprojects.Providedtechnicaldirectionofresearchanddevelopment,testandevaluationstudiesin:humanfactorsengineering;militarysystemsdesign,analysisandimprovement;andpersonnelprofiles.CompletedavarietyofprojectsfortheU.S.ArmyHumanEngineeringLaboratory,includingHumanFactorsEngineeringRecommendationsintheSystemDevelopmentProcess,aprofileoftheenlistedinfantryman,acriticalreviewofInfantrySystemsTesting,theeffectsofCBclothingandequipmentonsoldierperformance,andacriticalreviewofNightVisionSystems(InfraredandLightIntensification).o1978to1980NationalBureauofStandardsNBS-ConsumerSciencesDivision,Gaithersurg,aryanEngineeringResearchPsychologist,ProjectLeaderProvidedhumanfactorsengineeringresearchandanalysissupporttootherfederalagenciesandtoNBS-sponsoredprograms.Areasofinvolvementincludedanalysisofdrivernavigationaids;researchonoperatorvisualsearchpatternsanddeterminationoftheefficacyofestablishingastandardA-36

ARDCorporationergonomicreferencedatasystem..Developedasetofhumanengineeringguidelinesforenergyconsumptiondisplays.o1977to1978Biotechnolo,Incorporated,FallsChurch,VirginiaResearchAssociateProvidedhumanfactorsengineeringsupporttoprojectsinthePersonnelPerformanceandTransportationPrograms.ConductedanevaluationofanewformatforinformationpresentationtotimecriticalmaterialsfortheU.S.NavyandinvestigatedanU.S.AirForce-sponsoredprojecttotestandevaluatelow-fidelitysimulationaidsforintermediate-levelavionicstraining.o1976to1977FederalHihwaAdministration-AnalsisandExperimentalDivision,McLean,VirqiniaFsSsisaotResearchPsychologistResponsibleforconductingallphasesofhumanengineeringresearch,inparticular,driverperformancestudiesinsupportoftheFederalHighwayAdministration'sresearchprogramsrelatedtotrafficmanagementandmotoristinformationsystems.o1975to1977CyberneticsResearchInstitute,Washington,OCAssistantResearchPsychoogistResponsibleforthepsychologicalresearchconductedattheinstitutecontractedthroughtheBureauofEducationfortheHandicapped.Assistedinthedevelopmentandevaluationofselectedvibrotactilecodesasanalternativecommunicationsystemforthedeafand/orblind.EDUCATIONM.A.,HumanFactorsPsychology,TheCatholicUniversityofAmerica,Washington,DC,1977B.A.,AppliedPsychology,curnlaude,UniversityofBaltimore,Baltimore,Maryland,1975Certificate,IndustrialSafety,HealthandEnvironment-DepartmentofEngineering,UniversityofWisconsin,Madison,Wisconsin,1979PROFESSIONALAFFILIATIONSHumanFactorsSociety(National5PotomacChapter)AmericanNuclearSocietyPsiChi(PsychologyHonorary)MILITARYSERVICEU.S.ArmyParatraops,1968to1970A-37

ARDCorporationRICHARDL.HORSTSeniorEngineeroHumanFactorsEngineeringoMultivariateStatisticsoCognitiveInformation-ProcessingoComputer-basedDataAcquisitionSystemsoDisplayTechnologyandComputerGraphicsoHumanPerformanceAssessmentoHumanElectrophysiologyinOpera-tionalSettingsoTeleoperation,3-0ViewingAsaseniorengineer,Dr.HorstprovideshumanfactorsengineeringsupporttoavarietyofARD'corporateandpowerindustryclients.Heisalsoresponsibleforanumberofthecompany'sresearchanddevelopmentefforts.Hishumanfactorssupporthasincludedthetask-levelmanagementoftheControlRoomDesignReviewatPublicServiceIndiana'sMarbleHillstation;ataskanalysisatCommonwealthEdison'sByronstationtodefinetheparametersfortheSafetyParameterDisplaySystem;anevaluationoflightingandalternativelouversfortheByroncontrolroom;operatorsurveysatMarbleHill,ArkansasPowerandLight'sArkansasNuclearOneandNiagaraMohawk'sNineMilePointstations;anassessmentofoperatorperformanceusingEmergencyOperatingProceduresatVirginiaElectricandPowerCompany'sSurrystationcontrolroomsimulator;ananalysisofgraphicshardwareandsoftwareneedsfortheVirginiaElectricandPowerCompanyEmergencyResponseFacilities;areviewoftheSPDSandplantcomputergraphicsforLouisianaPowerand'ight'sWaterford3station;andanevaluationofseveralCRTgraphicssystemsbeingmarketedforprocesscontrolapplications.Dr.Horst'sbackgroundinexperimentalpsychologyandneuroscienceiscurrentlybeingutilizedthroughhisdirectionofARD'sresearchprojectsinrobotics,3-0viewingsystems,andbiocybernetics.PREVIOUSEXPERIENCEo1980to1982UniversitofMarlandMedicalSchool-AppliedNeuroscienceLaborator,Batsmore,aryanResearchFacultyandProjectCoordinatorResponsibleformanagingtheday-to-dayoperationsofaresearchlabstudyingelectrophysiological,psychometricandnutritionalindicesofhumandevelop-ment.Supervisedandtrainedlabpersonnel.Coordinatedinstallationandmaintenanceofcomputerhardwareandsoftware.-Conductedresearchon'euro-metricmeasuresofnormaldevelopmentandthefeasibilityoftheiruseforassessinglearningdisabilities.AdaptedandimplementedacomputerizedsystemforrecordingEEGandevokedpotentialsinahospitalICU.Partic-ipatedintheclinicalelectrophysiologicalassessmentofneurologyandneurosurgerypatients.Designedandprogrammedsoftwarefordatamanagementandanalysis.Developedgrantsupportforresearch.o1975to1979UniversitofIllinois,Champaign-Urbana,IllinoisResearchAssistant,CognitivePsychophysiologyLaboratoryWhiledoingdissertationresearch,participatedinagroupstudyingelectrophysiologicalmeasuresofhumanperformancewithapplicationstohumanengineering.Responsibleforlaboratorystudiesofvisualinformation-processing,auditorysignaldetection,andcomputer-assistedinstruction.A-38

ARDCorporationDevelopedstatisticaltechniques(principalcomponentsanalyses,discriminantanalysis,andcross-correlationanalyses)forevokedpotentialdata.Designed,programmedanddocumentedacomprehensive,general-purposecomputerprogramforquantifyingpeakamplitudesandlatenciesofevokedpotentials.MadeextensiveuseofSPSS,BMDPandALICEdataanalysispackages.Contributedtothedevelopmentofgrantandcontractsupportforresearch.o1971to1975Carneie-MellonUniversit-Pscholo

Deartment,

Pittsburgh,PennsyvanyaGraduateResearchAssistantDuringgraduatecourse-workinexperimentalpsychology,wasresponsibleforresearchprojectsinhumanvisualperceptionandanimalmemoryprocesses.Developedalabfacilityforrecordinghuman-evokedpotentials.Designedandprogrammedsoftwareforreal-timedataacquisitionanddatamanagementandusedSPSSforstatisticalanalyses.EDUCATIONPh.D.,ExperimentalPsychology,NIMHGraduateTraineeship,Carnegie-MellonUniversity,Pittsburgh,Pennsylvania,1981M.S.,ExperimentalPsychology,Carnegie-MellonUniversity,Pittsburgh,Pennsylvania,1972B.S.,Biology-Psychology,Bucknel1University,Lewisburg,Pennsylvania,1971PROFESSIONALAFFILIATIONSHumanFactorsSocietyAmericanPsychologicalAssociationAmericanAssociationfortheAdvancementofScienceSocietyforPsychophysiologicalResearchPsiChi(PsychologyHonorary)PhiSigma(BiologyHonorary)A-39

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ARDCorporationROBERTC.MUNSONHumanFactorsPsychologistoHumanFactorsEngineeringoComputerGraphicsoControlRoomReviewsoComputerSoftwareDesignoPsychophysiologyoPsychometricApplicationsoStatisticalAnalysisoExperimentalDesignMr.Munsonprovideshumanfactorssupport,tobothnuclearandnon-nuclearclients,primarilyintheareasofcomputergraphicdisplaysystems.HeiscurrentlyProjectManagerinsupportoftheVirginiaElectricandPowerCompany'mergencyResponseFacilitiessystemdevelopmentefforts.ThiseffortinvolvesthedesignandreviewofbothCRTdisplaysandthehardwareandconsolesystemsonwhichthedisplayswillbeimplemented.Mr.MunsonhasperformednumerousSPDSreviews(includingthoseatNineMilePointUnits1and2andGinna),aswellasalargenumberofNUREG-0700(Section7)reviewsofprocesscomputersinthecontextofARD'sDCRDRprojectwork.HealsoprovidedsupporttoGould'sSystemSimulationDivisioninthepreparationofaproposaltotheFAAtoredesigntheAirTrafficControlSystem.Mr.Munson'seffortsforthisproposalwereconcentratedintheareasofhardwaredesign(bothconsoledesignandcomputerdisplaytechnology),maintenance,andCRTdisplaydesign.Mr.MunsonalsohasastrongbackgroundinExperimentalPsychologyandUser-SystemInterface(USI)design.HeiscurrentlyPrincipalInvestigatorofaNASA-fundedPhaseISBIRprojectentitled"PolarGraphicsforRapidAssessmentofMultivariateInformation"andisCo-InvestigatorofaNASA-fundedPhaseIISBIRprojectentitled"BrainWaveMeasuresofWorkloadintheAdvancedCockpit".MrMunsoniswel1-acquaintedwithcurrentconceptsindisplaytechnologyandhasimplementedavarietyofcomputersystemsforsuchapplicationsasreal-timedataacquisition,databasemanagement,andcolorgraphicsdisplays.EXPERIENCEo'982to1983GeneralPhysicsCorporation,Columbia,MarylandStaffScientis,umanacorsngsneeringParticipatedinCRDRsatZimmer,SusquehannaandSalemnucleargeneratingstations.ProvidedhumanengineeringsupportforresolutionofhumanengineeringdiscrepanciestoShorehamstation.PerformedahumanfactorsassessmentofthelayoutdesignoftheTechnicalSupportCenteratSalemstation.Assistedinthedevelopment,andimplementationofanentry-levelselectiontestfortechniciansfortheIntermountainPowerProject.AdministeredselectionteststoreactoroperatortraineecandidatesattheVermontYankeeandPerrystations.o1979to1982UniversityofMarylandSchoolofMedicine,Baltimore,MarylandResearchFellow,DepartmentofPhysiologyConductedexperimentswhichfocusedonthemeasurementofevent-relatedbrainpotentials(ERPs),recordedfromthescalpofhumans,duringsubjects'erformanceofpsychophysicaltasks.SubsequentdataanalysesinvestigatedA-40 0

ARDCorporationtherelationshipsbetweenvariouscomponentsoftheERPtobothbehavioralmeasuresandassumedunderlyingcognitiveprocesses.Dutiesincludeddatacollectionandanalysis,computerprogrammingandpreparatonofdraftsforpublication.o1978to1980TowsonStateUniversit,Towson,MarylandGraduateAssistant,Department-oPsychologyProvidedsmallgroupandindividualizedinstructioninstatisticsandexperimentaldesign.AssistedintheinstructionofaseminarinstatisticsandprogramminginBASICandFORTRAN.o1978to1979TowsonStateUniversit,Towson,MarylandGraduateAssistanttoDeano0~visionofContinuingStudiesDeveloped,administeredandreportedresultsofsurv'eyinstrumentsdesignedtoassessstudentandfacultyopinionrelativetocurriculumissues.EDUCATIONM.A.,ExperimentalPsychology,TowsonStateUniversity,Maryland,1982Baltimore,B.A.,Psychology,UniversityofMarylandBaltimoreCounty,Maryland,1977PROFESSIONALAFFILIATIONSBaltimore,SocietyforPsychophysiologicalResearchAmericanAssociationfortheAdvancementofScienceSigmaXiA-41

ARDCorporafionROBERTKLEINs~HumanFactorsPsychologistoHumanFactorsEngineeringoSystemsAnalysisoDisplayTechnologyoHumanPerformanceAssessmentoSystemsSafetyoStatisticalAnalysisMr.Kleinhasbeeninvolvedwithhumanengineeringinthedesignandevaluationofcomplexcontrolanddisplaysystemsforoverfouryears.Hepreparedanoverallassessmentofcruisemissileweaponcontrolsystemhardwareandsoftwarecomponents,reportingonhumanfactorsengineering,operability,maintainability,safety,andnuclearsecurity.HewasthehumanfactorsmemberofamultidisciplinemaintainabilitydemonstrationteamtoverifysystemcompliancewithNavymaintenancestandards.Heparticipatedinexperimentaldesign,execution,andanalysisonCoastGuardand000relatedprojects.Mr.Klein'sexperienceinmilitaryapplicationsofprocesscontrolandintegrateddisplaysystemsisnowutilizedinsupportofnuclearpowerplantcontrolroomdesignreviews.AsaStaffEngineerinARD'sHumanFactorsTechnologyGroup,heisinvolvedintheinventory,checklist,validation,andtaskanalysisphasesoftheDetailedControlRoomDesignReviewfortheArkansasNuclearOne,Ginna,squadCities,LaSalle,andNineMilePoint(Units1and2)stations.PREVIOUSEXPERIENCEo'982to1984VitroCorporation,SilverSpring,MarylandHumanFactorsEngineerPerformedanalysisofTomahawkcruisemissileweaponscontrolsystemman/machineinterface.PerformedanthropometricobservationandevaluationofhardwareonboardNavydestroyertoensurecompliancewithmilitarystandards.Madedesignrecommendationstoenhancesystemoperabi1ity,maintainabi1ity,andsafety.Reviewedsystemsoftwaretoensureadequatecontrolanddisplayinformationisprovidedtosystemoperators.ParticipatedinmaintainabilitydemonstrationstoverifysafeandefficientsystemandequipmentmaintenanceandtosatisfyNavymaintainabilityrequirements.o1979to1981BendixFieldEngineeringCorporation,Columbia,MarylandTechnicalWriterandEditorWroteandprepareddocumentationforNASASpacef1ightTrackingandDataNetwork.WroteoccupationalsafetymanualforNAVELEX.o1976to1977HuqhesAircraftCompany,CulverCity,CaliforniaHumanFactorsEngineerDesignedandconductedtargetdetectionexperimentstodeterminerelativemeritsofseveralradarimageenhancementtechniques.Performedcomputerdataanalysis,wrotedetailedrecommendations,andreported.findingsatsciencestaffmeetings.A-42

ARDCorporationo1977FranklinInstituteResearchLaboratories,Philadelphia,Pennsylvania-HumanFactorsEngineerInitiatedaprojectofphotometricresearchfornightsafetyofsmallboats,whichwassponsoredbytheU.S.CoastGuard.Developedexperimentaldesignandbuilteffectiveapparatustomeasurelowlevelglarethresholds.EDUCATIONN.S.,IndustrialPsychology,CaliforniaStateUniversityatLongBeach,LongBeach,California,1978B.S.,Psychology,St.Joseph'sCollege,Philadelphia,Pennsylvania,1973PROFESSIONALAFFILIATIONSHumanFactorsSocietyA-43

ARDCorporationARD1.0CORPORATEPURVIEWARDCorporationisaMaryland-basedprofessionalservicesfirmprovidingspecializedtechnicalservicestoindustryandgovernment.Thestaffconsistsofscientists,engineersandmanagementspecialistswhosecombinedtrainingandexperienceconsistsofavarietyofengineering,behavioral,managementandorganizationaldisciplines.ARDisorganizedtoconcentratethishighlevelofexpertiseonavarietyofapplicationareasthroughtwocorporatedivisions:EngineeringTechnologyandCorporateDevelopment.1.1EnineerinTechnoloTheEngineeringTechnologyDivisionisateamofsystemperformancespecialists,mechanicalandelectricalengineers,marineengineersandmanufacturingexpertsdrawnfromanumberofbehavioralandengineeringdisciplines.Theservicesprovidedbythisteamareappliedtotheanalysisofcomplexsystems,thedesignandevaluationofspecificman-machineinterfaces,theintegrationofdesignelementsintoproductsandsystems,andtheoperatingandmaintenanceprocessesrequiredforsuccessfulproduction.ThehumanfactorsdiscipLinesofthisdivisionareappliedwithheavyemphasisontheimplementationofprogramstoimprovesystemefficiencyforbothmilitaryandnon-militarysystems.Ourtrainingandexperienceincomplexsystems,productdesignandprocesscontroloperationsaredirectedtowardsachievinggreaterA-44

ARDCorporationsafety,productivitygains,maintaininghighlevelsofqualityandimprovingtotalsystemperformance.Thisdivisionusesadvancedproprietaryrecordingandanalysistechniquestorespondtoassignmentsinthefollowingfunctionalareas:TrainingdeviceandmaterialdesignMan-machineinterfacedesignandevaluationShock,noiseandvibrationanalysisofcomplexsystemsTaskandjobanalysisSystemsanalysisDisplayhardware/softwaredesignSystemtestandevaluationMarineengineeringHumanperformancemeasurementSafetyanalysisProductdesignandefficiencyInstructionalmaterialdevelopmentOperabilityandproductionmeasuresProductivityimprovementprogramsWorkmeasurementandsimplification1.2CororateDevelomentTheCorporateDevelopmentDivisionisamultidisciplinaryteamofbusinessexpertsdrawnfromthespecialtiesobehavioralscience,management.analysis,engineering,humanresourcesandmanagementconsulting.Usingateamapproach,theseexpertsidentifyproblems,developsolutionplansandguideclientsthroughtheimplementationofchangestrategies.Althoughnon-traditionalinapproach,thisstrategyisproventobemosteffectivebecauseofitsabilitytoreacteffectivelytoadynamicsituation.A-45

ARDCorporationThisdivisionrespondstoassignmentsinthefollowingareas:OranizationalDevelomentHumanResourcePlanningGroupDynamicsOrganizationalDesignCareerDevelopmentManaementSuaortPersonnelAssessmentManagementTrainingandDevelopmentManagementInformationSystemsCompensationPlanningl.3FacilitiesARDCorporation'smainofficesarelocatedinColumbia,Maryland.TwofieldrepresentativesarelocatedinChicago,IllinoisandLosAngeles,California.Inadditiontoadministrativeactivities,themainofficeisthesiteoftwolaboratories:TheAutomationTechnologyLaboratoryandaMock-UpFacility.TheAutomationTechnologyLabfeaturestele-operatedroboticsystemsandavideo3-Dviewingsystem.APortablePerformanceMeasurementunitisavailableforuseon-siteorin-house.TheHumanPerformanceLaboratoryandNoise/VibrationAnalysisLaboratoryarelocatedoff-siteandarededicatedtoresearchindisplayevaluationanduser-systeminteractionstudies,andcomplexsystemnoiseanalysis,respectively.ARD'smainresearchfacilitiesareclearedtoDODlevelofsecret.A-46

ARDCorporation2.0NUCLEARPOWERPROJECTSEXPERIENCEThegoalofARD'sHumanFactorsTechnologyGrouphasbeentheintegrationofhumanfactorsengineeringintothedesignandreviewprocessofnuclearpowerplantsandtheircontrolrooms.Thetotalintegrationprogramconsidersoperatingprocessesthroughouttheplant,includingcontrolroomactivities,onsiteandEmergencyResponseFacilities(ERFs)interfaces,operatingproceduresandtraining.ARDintegrateshumanfactorsintheentiredesignreviewprocess.Table1presentsasummaryofARDCorporationHumanFactorsEngineeringprojectsinthenuclearindustry.Theseprojectsreflectconsiderableexperienceinprovidingqualitysupporttotheutilities.Asummarydescriptionofprojects,listedbycompany,follows.Table2presentsasummaryofQRDCorporationHumanFactorsEngineeringstaffexperience.Individuals'lantexperienceandprojectmanagementresponsibil-ityareillustrated.2.1CommonwealthEdisonComany2.1.1CommonwealthEdisonProgramPlanforDetailedControlRoomDesignReviewsARDhasdevelopedafully-integratedhumanfactorsengineeringProgramPlanforconductingDetailedControlRoomDesignReview(DCRDRs)inallsixCommonwealthEdisonCompany(CECo)plants.TheProgramPlanaddressespertinent7AI-2taskactionitemsincludingcontrolroomassessment,aswellastheintegrationoftheseactivitieswithERFneedsanddevelopmentofA-47

NUClEARPOllERPLANTARKANSASPOWER&LGHIArkansasNuclearOneUnit'I(Russelvllle,ARK)ArkansasNuclearOneUnit2(RusselvllleARK)PNRPHRREACTORGENERATOR~SUPPLIERB&NC-E,BBPRELIHIINARYDESIQIASSESSIIENTCONTROLROOMDESIQIREYIEMIPIPSAPETYARAHETERMUHAMMURKDISPLATERRORSTA11ONSUPPORTANALYSISDESIGNCIPOCRORPROGRAHPLANTASKfRAININGPROCEDUREANAL-DEVEL-REVIEM&515OPHEHTY&VCIPR.G.1<<97<<I.ifSUPPORTIPIPCRTDISPLAYCHARACTER-ISTICSSERFDESIGNANDREVIEMCOHHONMEALTHEDISOHCO,Dresden2(Norris,IL)Dresden3(Norris,IL)Lagalle'I(Seneca,IL)Lagalle2(Seneca,IL)ZionI(Zion,IL)Zion2(Zion,IL)ByronI(Byron,IL)Byron2(Byron,IL)Brafdwood1(Braiduood,IL)Brafdwood2(Bra(heed,II.)OuadCltlesI(Cordova,IL)QuadCltles2(Cordova,IL)BMRBMRBMRBMRPMRPMRPMRPMRPMRPMRBMRBMRGE/GEGE/GEGE/GEGE/GE'N/HN/N'M/NM/MM/MM/MGE/GEGE/GE5&L5&L5&L5&L5&L,5&L5&L5&L5&LS&L5&L5&LC,CCCCCCCCIPIPIPIPIPIPIPIPIPIPIPIP.IPIPIPIPCCIPIPIPIPCCCCCCCCCCCCCCCCCCCCCCIPlpCCIPIPIPIPIPIPIPIpIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIPIl'PIPIPIPIPIPIPIPIPIpIPIPLOUISIANAPOMER&LIQITMaterford3(Taft,LA)NIAGARAHOHAMKPURERCORP<<HlneHllePointI(Scribe,HT)NineMllePoint2(Scribe,HY)ROCHESTERGAS&ELECIRICGlnna,RobertA>>(Ontario,NT)SNUPPSUn(onElectricCo.CaIIauayI(Fulton,HO)KG&E,KCP&LKEPCMolfCreek(Burlington,KA)CE/MEGE/GETILITTGE/GE1ILITTM/MILBERTM/GEBM/GEB/5&LIPIPIPIpIPIPIPIPCIPIPCCIPIPIPIPIPIPIPIPIPCIPIPIPVIRGINIAELECTRIC&POMERCO<<SorryI(GravelReck,YA)Surry2(GravelNeck,YA)NorthAnna1(Hlneral,VA)NorthAnna2(Hlneral,YA)PUBLICSERVICEINDIANAHarbleHillI(JeffersonCo.,IH)MarbleHill2(JeffersonCo.,IHIPMRPMRPNRPMRPMRPMRM/MM/MM/MM/MM/MM/ll5&M5&'M5&M5&M5&L5&LCCIP/5IP/5CCCCCCCCC.IP/5IP/5IPIPIPIPIP/5IP/5IpIPIPIPIPIPIPIPIP/5IP/5CConpletedIP-InProgressIP/5-InProgress,SuspendedPNR-PressurfzedMaterReactorM/M-Mestlnghouse5&M-StoneandMebsterBMR-RollingMaterReactor.'/E-GeneralElectric.5&L-SargentandLundyB&MBabcockandMflcoxB-BechtelC-E-ConbustfonEnglneerlngEEbascoTABLEI.ARDCORPORATIONHUMANFACTORSENGINEERINGPR(WECTSINTHENUCLEARINDUSTRY

IDDCIClClClCIPIVlPIC)ClKlIDDIPIIPlUClDDC)rnI/lCICl117CaIVlD'IPlVlClnClrnClPlnD'D7IPln~'nDDR.KERSHNERE.SILVERMANS.COOLEYR.OUSEKC.WEISSR.HORSTR.HUNSOND.TAYLORJ.GEBHARDJ.WINTERP.GIRAROC.PLOTTN.BOGGIn.SHANNONK.BARNESR.KLEIN4~4000000040004~404000~40~0000~400040000~004004404=SeniorProjectEngineer0=ParticipatingEngineerTABLE2.ARDPERSONNELNUCLEARPOWERPLANTEXPERIENCESUHIIARY

ARDCorporationoperatingprocedures.TheplanenvisionsthesixDCRDRsbeingperformedinsuccessionoverasix-monthperiod.EachDCRDRwillbeplant-specific,althoughsimilaritiesbetweenplantsaretakenintoaccountinordertoavoidunnecessaryduplicationofefi'orts.2.1.2DresdenDetailedControlRoomDesignReviewARDiscurrentlyconductingaDCRDRfortheDresdenstationbasedontheCECoProgramPlanandNUREG-0700requirements.AteamofARDhumanfactorsspecialistswillperformanoperatinghistoryreview,taskanalysis,checklistsurvey,inventoryandvalidationandverification.Thesetaskswillleadtotheidentification,assessment,andcorrectionofHumanEngineeringDiscrepancies(HEDs).Inaddition,ARDwillsupportCECowithallNuclearRegulatoryCommission(NRC)auditsbasedontheDCRDRreview.ARDhasconfiguredadatabasemanagementsystem(DBMS)todocumentandsortDCRDRdataonCECo'sPrimecomputersystem,andhasworkedwithCECotodevelopacomprehensivetaskanalysisapproachthatwillsupporttrainingrequirementsinadditiontomeetingDCRDRobjectives.2.1.3Byron/BraidwoodPreliminaryDesignAssessmentsTheAROCorporationprovidedhumanfactorsengineeringsupporttoCECoforthePreliminaryDesignAssessment(PDA)oftheByrongeneratingstationUnits1and2andtheduplicateplant,BraidwoodUnits1and2.Theobjectiveoftherevie~wastoimprovetheman-machineinterfacebetweentheoperatorsandcontrolboardsandtosatisfyanNRClicensingrequirement.Themultifacetedreviewconsistedofexaminingcontrolroominstrumentation,layoutandplantevents.Insupportof.thePDA,ARDdevelopedanoperatorquestionnairetoassistoperatorsinrecallingpotentialoperatorcontrolboardinterfaceproblems;conductedasystematiccomparisonofthecontrolroomdesignfeaturesusingacceptedhumanfactorsdesignstandards;developedandconductedasimulated"walk-through"andanalysistoidentifyHEDsassociatedwithspecificplantevents;andsupportedtheassessmentandimplementationoftheresultantdesignchangesastheHEDswereidentified.ThePDAreviewhasbeensubmittedtotheNRC,andARDhassupportedCECothroughouteachphaseofthereview.A-50

ARDCorporation2.1.4ByronCenterDeskDesignARDconductedahumanfactorsengineeringreviewoftheByrongeneratingstationcenter.desk.Theoperationalissuesconsideredwere:ExistinginstrumentationLayoutandworkspacefeaturesCommonpanelaccessibilityVisibilityCommunicationsPersonnelinterfacerequirementsOut-of-servicecoordination~Procedures/technicalspecificationsThereviewbeganwithstructuredinterviewsofoperatingpersonneltoidentifytheconstraintsimposedbytheoriginaldesign.Ataskanalysisoftheduties.associatedwithcenterdeskactivitywasthenperformedandthisinformationwasusedtodevelopalternativedesignsforreview.Theproposeddesignchangesweresimulatedinthecontrolroomusingmock-ups.Inaddition,walk-throughsofnormal,abnormalandemergencyoperationswerevideotapedforfurtherstudy.Usingthisprocedure,thevarioussuggestionsweretestedforvalidityandrefinementsweremadebeforeactualdesignchangeproposalswereinitiated.Asaresultofthereview,designchangeswhichwereconsideredincludedelevatingthefloorinsidethecenterdeskworkareatoincreasevisibility;designingandimplementingan~integratedcommunicationsystem;andincorporatingadditionalworksurfaceandfilingspaceforthePipingandInstrumentationDrawing(PSID)andValveandEquipmentlists.2.1.5Byron/BraidwoodControlBoardEnhancementsInordertocorrectmanyoftheHEDsidentifiedinthePDA,ahumanfactorsreviewwasperformedontheannunciatorsystem,labelingscheme,backgroundA-51

ARDCorporationshading,demarcation,andmimicsatByronandBraidwood.Theannunciatorswererelabeledtoensureconsistencyofmessageformats,standardizationofabbreviations,andunambiguousmessages.Also,'hetileswereregroupedtoensurefunctionalgroupingsandpreservecontrol/display-alarmrelationships.Theauditorycodingschemeforthecontrolroomwasalsoreviewedandseparatealarmhornsweresetforthedifferentcontrolpanels.AhierarchicallabelingschemewasinstitutedfortheByron/Braidwoodcontrolboards.Thisarrangement,inconjunctionwithbackgroundshadinganddemarcationlines,aidedtheoperatorinvisuallyseparatingandgroupingsystems.Byusingthistypeoflabeling,redundancyandambiguitywasminimizedandlabelmessageswerestandardized.Inaddition,ARDhasprovidedsupporttotheByron/Braidwoodsimulatorinupdatingtheboards,aswellasensuringminimalplant/simulatordifferences.2.1.6ZionUnit2ControlRoomReviewAPDCorporationparticipatedinthehumanfactorsreviewoftheZionUnit2controlroom.WorkingwiththeCECohumanfactorsengineeringtaskforce,ARDcompletedastudywhichconcentratedonaddressingthehumanfactorsconcernsidentifiedintheKemenyandRogovinreports.Theobjectiveofthecontrolroomreviewwastoimprovethehumanfactorsengineeringinterfacesbetweenthecontrolroomoperators,theEmergencyOperatingProcedures(EOPs)andtheZionstationcontrolboards.Thereviewwasconductedtoincreasethecontrolroomoperator'sabilitytoassessplantconditionsunderstressfulsituations.ThehumanfactorsengineeringstudyresultedinanumberofimprovementswhichwereincorporatedattheZionstation.TheseimprovementswerealsoincorporatedintotheWestinghouseZionsimulator.ARDCorporationpersonnelwereresponsibleforthedevelopmentofhumanfactorsengineeringchecklists,thereviewofvideotapedproceduresandthereviewofwrittenoperationalprocedures.A-52

ARDCorporation2.1.7LaSalleUnit1ControlRoomReviewARDCorporationpersonne')participatedinthehumanfactorsengineeringreviewoftheLaSalleCountystationcontrolroom,aspartofaCECotaskforce.TheobjectiveofthecontrolroomreviewwastoidentifysignificanthumanfactorsdeficienciesandinstrumentationproblemsintheLaSalleUnit1controlroom.Recommendationsweremadewhichimprovedthecontrolroomoperator'sabilitytoassessandcontrolabnormalplantoperationsandstressfulsituations.Thestudyusedtwomethodsforidentifyingcontrolroomproblemsrelatedtohumanfactorsengineering.Thefirstmethodinvolvedareviewofoperatingexperience.Thiswasaccomplishedthroughreviewinghistoricalreportsandconductingoperatorinterviewsandquestionnairesurveys.Thesecondmethodentailedataskforcesurveyofthehumanfactorsaspectsofthecontrolroom.Anumberofhumanfactorsareaswerereviewedincludingcontrols,annunciatorsandalarms,visualdisplays,controlroomenvironment,maintenance,computersandEOPs.Thehumanfactorsreviewresultedinanumberofrecommendationsforimprovingtheoperator'sabilitytoassessandcontrolplantoperations.ThesefindingsandrecommendedimprovementswereincludedinacontrolroomreviewNear-termOperatingLicense(NTOL)reportsubmittedtotheNRC.ARDCorporationstaffassistedCECoduringeveryphaseofthesubsequentNRCaudit.Thefinalschedulewasdeveloped,documentingspecifichumanfactorsengineeringimprovementstobeimplementedpriortofuel-loadingandduringthefirstrefuelingoutage.2.2ArkansasPower8LihtComan2.2.1ProgramPlanforDetailedControlRoomDesignReviewsofArkansasNuclearOneARDprovidedsupporttoArkansasPower8Light(AP8L)CompanyinpreparingaDCRDRProgramPlanforArkansas-NuclearOne(ANO).TheProgramPlanwaswritteninresponsetoGenericLetter(G.L.)82-33andspecifiestherequire-mentsforseparateDCRDRsforthetwounitsoftheplant.TheprogramwasA-53

ARDCorporationdesignedtoenhanceoperatoreffectivenessbyidentifyingappropriateimprovementstostrengthentheman-machineinterface.Althoughhumanfactorsengineeringsupportwasutilizedthroughouttheprogram,allkeydecisionswereintendedtobemadebytheutilitywithappropriatesupportfromtheconsultant.TheProgramPlanprovidedadiscussionthatintegratedotherareasofconcern,suchasupgradedemergencyprocedures,thedesignofanSafetyParameterDisplaySystem(SPDS)andtheinclusionofpostaccidentmonitoringinstrumentation.TheseprogramswerecoordinatedwithintheDCRDRtoensurethatanintegratedoperablecontrolroomresulted,asemphasizedinNUREG-0737,Supplementl.2.2.2ArkansasNuclearOneUnits1and2DetailedControlRoomDesignReviewsARDisprovidingallhumanfactorsengineeringsupporttoAPSLintheconductoftheirDCRDRsforUnits1and2.Thesupportisintendedtoensurethathumanengineeringconcernsareaddressedtodetermineproblemsandtoassesstheextentthattheseproblemsaffectperformance.Inaddition,ARDwillsupportAPSLindevelopingandimplementingmodificationsandtrainingasnecessarytoresolvesignificantdiscrepancies,andinestablishingaworkinginterfacewiththeSPDS,emergencyproceduresupgrade,andpostaccidentmonitoringinstrumentationefforts.SixreviewprocesseswillbeusedtoidentifyHEDswithinthecontrolroom:operatinghistoryreview,taskanalysis,controlroominventory,controlroomsurveyandverificationandvalidation.Thefirstthreearefoundationprocessesinwhichframesofreferenceandbenchmarksfordiscrepancyidentificationwillbeestablished.Thelastthreeareinvestigativeprocesseswheretheestablishedbenchmarkswillbeappliedanddiscrepanciesidentified.A-54

ARDCorporation2.3NiaaraMohawkPowerCororation2.3.1DetailedControlRoomDesignReviewARDprovidedsupporttoNiagaraMohawkPowerCorporationinconductingaDCRDRforNineMilePointUnit1.Thepurposeofthereviewwastoenhanceoperatoreffectivenessbyidentifyingappropriateimprovementstostrengthentheman-machineinterface.Thisreviewaddressedhumanfactorsconcernsandtheextenttowhichtheymayeffectoperatingpersonnelperformance.TheBoilingWaterReactorOwner'sGroup(BWROG)programforperformingcontrolroomdesignreviewswasfollowe'd.ThereviewprocessinvolvedapplicationoftheBWROGSupp1ementatCheckIisttoeachpanelinthecontrolroomandtoremoteshutdownpanels.Otherreviewprocessesincluded:~Areviewofoperatingexperience~Analysisofoperatortasks~Inventoryofcontrolroomequipment~Surveyofcontrolroominstrumentation~VerificationofcontroIroomequipmentavailabi1ityandsuitabi1fty~ValidationofcontrolroomfunctionsAsimilarreviewiscurrentlyinprogressforNineMilePointUnit2.TheUnit2reviewwillutilizechecklistsbasedonNUREG-0700guidelinesinlieuoftheBWROGprogramchecklists.2.4RochesterGasandElectricAROissupportingRochesterGasandElectric(RGE)inconductingoftheDCRDRatitsGinnaNuclearGeneratingStation.TheobjectiveoftheprojectistoenhancecontrolroomoperationsatGinna.Reviewtasksinclude:~AreviewofhistoricaloperatingdocumentationfromGinnaandothersimilarp1antdesigns.A-55

ARDCorporation~AsurveyofGinnaoperationspersonnel.eAnanalysisofoperatortasksassociatedwithaccomplishingcriticalemergencyfunctions.oAninventoryofGinnacontrolroomequipmentandinstrumentation.~AhumanfactorssurveyofcontrolroomequipmentbasedupontheguidelinescontainedinNUREG-0/00.~AverificationoftheavailabilityandsuitabilityofGinnacontrolroomintrumentationtosupportoperatoremergencytasks.~AvalidationofthelayoutandconfigurationoftheGinnacontrolroomtosupportoperatortaskperformance.~Anassessmentofthesignificanceofthehumanfactorsdiscrepanciesidentifiedinthereview.~Developmentofresolutionsandrecommendationstoenhancecontrolroomoperations.2.5LouisianaPowerandLihtARDissupportingLouisianaPowerandLightinconductingoftheOCRORatitsWaterford3nuclearstation.Thepurposeofthereviewistoenhanceoperatoreffectivenessbyidentifyingappropriateimprovementstostrengthentheman-machineinterface.Thereviewprocessinvolvesthefollowingtasks:l.AnanalysisofhistoricaloperatinginformationfromWaterford3andothersimilarCombustionEngineeringplants.2.Aquestionnairesurveyofnuclearoperationspersonnel.3.Aninventoryofcontrolroomequipmentandinstrumentation.A-56

ARDCorporation4.Ataskanalysisofoperatordutiesperformedduringcriticalemergencies.5.AhumanfactorsanalysisofcontrolroomequipmentusingtheNUREG-0700checklist.6.Averificationoftheavailabilityandsuitabilityofthecontrolroomequipmenttosupportoperatoremergencytasks.7.Avalidationoftheprocedures,trainingandcontrolroomdesigntosupportoperatorperformanceduringemergencies.8.Anevaluationofthehumanfactorsdiscrepanciesidentifiedduringthereview.2.6PublicServiceIndiana2.6.1MarbleHillProgramPlanforDetailedControlRoomDesignReviewARDCorporationprovidedhumanfactorsengineeringsupporttoPublicServiceIndiana(PSI)todevelopaProgramPlantosatisfytheNUREG-0700licensingrequirementforaDCRDR.TheevaluationplanwastailoredtotheconstructionscheduleoftheMarbleHillstationandtheavailabilityofsupportpersonnelintheareasofoperations,maintenance,licensing,systemsengineeringandinstrumentationandcontrol.Wherefeasible,theplancalledforthehumanfactorsspecialiststoconductreviewactivitiesonafullscale,three-dimensionalphotomosaicmock-upoftheMarbleHillcontrolroom.ThisapproachallowedformanyHEDstobeidentifiedandcorrectedpriortofabricationoftheactualcontrolpanels.Otherreviewactivitieswereconductedonagenericplantsimulator.2.6.2MarbleHillDetailedControlRoomDesignReviewARDconductedaDCRDRforthetwo-unitMarbleHillstation.TheDCRDR,basedonNUREG-0700requirements,wasperformedinatwo-phaseprocessduetothe

ARDCorporationMarbleHillconstructionschedule.Thefirstphase,conductedpriortotheinstallationofthecontrolpanels,utilizedlife-sizedcontrolboardmock-upsofMarbleHillUnitOne.Thisphaseincludedanindustry-wideoperatinghistoricalreviewandoperatorsurvey,taskanalysis,checklistsurvey,andcontrolroominventory.2.6.3Marb1eHillCenterAreaReviewThecenterareaoftheMarbleHillcontrolroomwasreviewedbyARDpersonnel.Thisreviewincludedthedesigno'fthecenterdeskworkstationsharedbybothunits,theunitdeskworkstationsandcomputerconsoleslocatedinthecontrolroom.Theanalysisincludedallcenterareacomputerequipment,comunicationequipment,documents,emergencyclothingandequipmentandsupplies.Byinterviewingplantoperatorsandengineersandresearchinghumanfactorscriteria,ARDdevelopedacenterareadesignwhichmettherequirementsofallapplicableregulationsaswellassatisfiedtheoperators'eeds.2.6.4MarbleHillEmergencyResponseFacilityARDprovidedhumanengineeringsupporttothedesignoftheTechnicalSupportCenter{TSC)andEmergencyOperationsFacility{EOF)atMarbleHill.ThissupportentailedajobanalysistoidentifyresourcerequirementsforERFpersonnel,afacilitycommunicationssystemevaluationandananthropometricreviewofproposedworkstationconsoles.Inaddition,anevaluationoftheSPDSandothercomputercolorgraphicsdisplayswasconductedwithrespecttobothdisplaylayoutandUSIconsiderations.2.6.5MarbleHillProcedureDevelopment/ReviewVerificationandValidationARDsupportedPSIintheimplementationoftheARDProcedureDevelopment/ReviewProgram.Underthisprogram,ARDspecialistsperformedanin-depthanddetailedreviewofallofthemaintenance,I&C,healthphysics,chemical,administrative,operating,abnormal,emergencyandsurveillanceproceduresatMarbleHi'll;Thepurposeofthereviewwastoevaluateprocedureformat,style,consistencyanddegreeofcompliancewithvariousguidel,inesandA-58

ARDCorporationrequirements,suchasNUREG-0899,ANSI/ANS3.21982,andG.L.82-33.Throughthisprogram,ARDassistedinthedevelopmentandreviewofthePSIEOPwritersguide,technicalguidelinesandaProceduresGenerationPackage(PGP)forsubmittaltotheNRC.ARDprovidedfurthersupportbydevelopingatailoredadvancedprocedureswritingcourseforthePSIpersonnelresponsibleforgeneratingprocedures.Inadditiontotechnicalassistance,ARDalsoprovideddocumentationservicesandassistedinthecoordinationofproceduredevelopmenttofacilitatethestation'slicensingprocess.InconjunctionwiththeARDG.L.82-33integra-tionprogram,ARDspecialistsimplementedaprocedureverificationandvalidationprogramtosupportPSIincomplying'iththeverificationandvalidationrequirementcontainedinG.L.82-33.2.7VirginiaElectricandPowerCompany2.7.1Surry/NorthAnnaProgramPlanforDetailedControlRoomDesignReviewsARDworkedwiththeVirginiaElectricandPowerCompany{Vepco)indevelopingaProgramPlanandImplementationGuidelineforconductingDCRDRsoftheSurryandNorthAnnaplants.TheProgramPlanandImplementationGuidelineaddressedallNUREG-0737areasandisspecificallytailoredtotheVepcoplants.Inadditiontodetailedproceduresforcarryingoutthevariousreviewactivities,estimatesofDCRDRmanpowerneedsforbothVepcopersonnelandthehumanfactorsspecialistswereincluded.TheProgramPlanandImplementationGuidelinealsodetailedaparallelscheduleforcompletingtheDCRDRsatthetwositessothatrelevantfindingscouldbeshared.2.7.2EmergencyResponseFacilitiesComputerGraphicsSystemImplementationARDispresentlysupportingVepcoinitsimplementationofacomputercolorgraphicsdisplaysystem.ThissystemisintendedtoincorporatetheSPDSgraphicdisplaysaswellasgraphicdisplaystobeusedintheTSCandEOFatSurryandNorthAnnaandtheCentralEOFinRichmond.ARDhasprovidedsupporttoVepcointhiseffortintheareasoffloordesignlayout,workstationconsoledesign,computergraphicssystemevaluationandgraphicsdesignguidelines.A-59

ARDCorporahon2.7.3SurryAnalogSafetyParameterDisplaySystemARDsupportedVqpcoengineeringinthedevelopmentofaproposedAnalogSPDS.ThissystemwasdevelopedtocomplywiththerequirementssetforthinNUREG-0660,"NRCActionPlanDevelopedasaResultoftheTNI-2Accident,"andNUREG-0737,"AClarificationofTMITaskActionItems."ARDprovidedhumanfactorsengineeringdesignrecommendationsintheselectionandlayoutoftheanalogdisplayswhichcomprisedtheAnalogSPDSandtheEngineeredSafeguardsstatuspanel.ARDalsodevelopedanevaluationplan,usingthesimulatorattheSurrygenerating'stationandARD'sportablePerformanceMeasurementSystem,tocompareoperatorperformancewithandwithouttheAnalogSPDSinresponsetosimulatedemergencyandabnormalplantconditions.2.7.4NorthAnnaUnit2PreliminaryControlRoomReviewARDCorporationpersonnelhaveprovidedhumanfactorsengineeringsupporttoVepcoforareviewandimplementationofNRCNTOLrequirementsattheNorthAnnaUnit2(3-loopPressurizedMaterReactor)controlroom.AnextensivehumanfactorseffortwascompletedinresponsetoNRCrequirementstomeet'umanfactorscriteriaintheNorthAnnaUnit2controlroom,priortoissuinganoperatinglicense.Implementationoffunctionalgroupingofcontrols,relocatingmetersandcontrols,colorpaddingenhancement,labeling,communicationsreviewsandprocedurereviewsweretheresultoftheinitialhumanfactorsengineeringanalysis.2.7.5SurryPreliminaryControlRoomReviewsARDCorporationpersonnelprovidedhumanfactorsengineeringsupporttoVepcoforextensivecontrolroomreviewsofSurryUnits1and2,priortoanNRCaudit.Thereviewsconsistedofacomprehensiveanalysisofthecontrols,displaysandoperationalproceduresforeachunit.A-60

ARDCorporationTheresultsoftheanalysisprovidedVepcowiththeessentialmodificationsanddevelopmentschedulethatwouldallowtheplanttomeetthenear-tenthumanfactorsreviewrequirements.2.8StandardizedNuclearUnitPowerPlantSystem2.8.1programPlanforDetailedControlRoomDesignReviewsARDprovidedsupporttotheStandardizedNuclearUnitPowerPlantSystem(SNUPPS)inpreparingaDCRDRProgramPlaninresponsetoG.L.82-33.TheProgramPlanoutlinedtheproceduresusedtosatisfytheNRCrequirementsforaDCRDRattheMoltCreek(KansasGasandElectric)andCallaway(UnionElectric)stations.tetanyoftheNRCrequirementshavealreadybeenfulfilledthroughtheactivitiesofaformerhumanengineeringconsultantandbydrawingontheeffortsoftheMestinghouseOwnersGroupEmergencyRestorationGuidelinesVerificationandValidationproject.ARDuseditsfamiliaritywiththeintentofG.L.82-33toprovideguidanceinthepreparationoftheProgramPlanwhichemphasizedtheintegrativeaspectsofSNUPPSactivitiesinalloftheNUREG-0737areas.2.8.2ChecklistSurveyARDprovidedsupporttoSNUPPSincompletingthechecklistsurveyitemsnotcompletedduringtheinitialsurvey.Theseitemsincludedcommunication,computersandenvironmentalsurveyitems.2.9GeneralHumanFactorsEnineeringSuortServicesARDhasdevelopedanumberoi'pecial-purposeprogramsthatareavailablefornuclearclients.Theseservicesaddressregulatoryconcernswithintheindustryaswe11astheutilities'rogramsintraining,operations,andmaintenance.A-61

ARDCorporation2.9.1TaskAnalysisProgramARDhasperformedacomprehensivereviewofthetaskanalysisproceduresnecessarytosatisfythelicensingrequirementsforaDCRDR,developEOPsandenhancetrainingprograms.Toprovideanoverviewofthedifferenttaskanalysisapproachesandtechniquesdevelopedandimplementedforvariouspurposes,ARDconductedathoroughliteraturesearchandreview.Consequently,numerousvariationstothetaskanalysismethodwereidentified.Thesevariationswereexaminedandthekeyelementsofeachwere'onsideredinthedevelopmentoftheARDTaskAnalysisprogram.Thecomputerizedprogramisdesignedtoexpeditethecollectionofdatatotheappropriatelevelofdetailandtomaintaindocumentationcontrolwhichcanbecross-referencedwithinventoryformsandchecklistspecifications.Thisprogramhasbeenfavorablyreviewedbytheregulatorycommunity.2.9.2ProcedureDevelopment,VerificationandValidationARDCorporation'sHumanFactorsTechnologyGrouphasprovidedanumberofutilitieswithextensivesupportduringthepreparationandreviewofemergencyoperating,operating,maintenance,andadministrativeprocedures.Inresponsetoclientneed,ARDhasdevelopedseveralprogramsalongwithsystemhardwaretofacilitatetheproceduredevelopmentandreviewprocess.Proceduredevelopmentisadynamiccontinuingprocessthattypicallyinvolvesvastamountsoforganizationalresourcesinbothtimeandpersonnel.Theproceduredevelopmentprocessmustbeflexibletorespondtomodificationsnecessitatedbyorganizationalchanges,designmodificationsandenhancements,vendornotices,regulatorrequirementadditionsormodificationsandopera-ting/userexperience.Proceduresshouldalsoaccuratelyandconsistentlyreflectorganizationalphilosophiesandgoals.ARDhasdevelopedasystematicprogramtosupportandassistourclientsineveryphaseoftheproceduredevelopmentandupgradeprocessinadditiontoprovidingprocedurequalitycontrolandassurance.Importantproceduraldevelopmentalissuesencompassedbyourprograminclude:~Clarification/confirmationoforganizationalstructure,philosophyandgoals

ARDCorporation~Identificationanddelineationofprocedureuserneeds,toincludetheitemsrequiredbyuserstocompleteproceduraltasks~Assessmentofenvironmentalconditionsandorganizationalstructuresthatimpactprocedureuse~Integrationofin-housetrainingprogramswithprocedureimplementa-tion,use,andrevision~AssessmentofprocedurecompliancewithguidancedocumentssuchasNUREG-0899andANSI/ANS3.21982~Evaluationofprocedureformatandstyleforoptimalefficiencywithinanticipatedand/oractualcontextanduse~Eval'uationoftheprocedurerevisionprocesstoensurethattheprocessisorderly,timely,andconsistentwithorganizationalgoalsandthoroughlydocumentedTheAROProcedureDevelopment/ReviewProgramwasdesigned,andisbeingimplemented,tofacilitatemaximumclientinputtoprovideourclientswithanendproductthatreflectstheirorganizationalobjectivesandoptimizesuserperformance.TocomplementourProcedureDevelopment/ReviewProgram,ARDhasdevelopedatrainingcourseonthefundamentalsofprocedurewriting.Thecoursedrawsonexperienceintheproceduredevelopmentprocessfromtheexpertiseoflicensedoperators,humanfactorsengineers,technicalwritingspecialistsandpsychologists.Thecourseisdesignedforusebystationoperatingandtrainingpersonnelwhoaretypicallyassignedtheresponsibilityofproducingafirstdraftprocedure.Topicspresentedinthecourseinclude:~Identifyingtheproceduregoal~Identifyingandselectingsourcematerials~Identifying.andspecifyingtaskstobeaccomplishedintheprocedure~IdentifyingandevaluatingtheprocedureusersothattheprocedureproducedisuserorientedoIntegratinguserinputs~Evaluatingandselectingoptimalformat~Informationpresentationandinformationprocessingintermsofwritingstyle,sentencestructureandwordusageZ-63

ARDCorporation~Documenting,producingandimplementingtheprocedure~RevisingandmaintainingprocedureseVerifyingandvalidatingproceduresThecourseconsistsoflecturematerialandsmallgroupworkshopexercises.Participantsreceiveacourseworkbookthatcontainslecturesummaries,exercisesandnumerousexamplesofboth"bad"and"good"practiceswithineachtopicarea.Becausestationpersonneltimeisofahighpremium,thecourselengthhasbeenlimitedtotwodays.Itcanbeofferedateitheronsiteoroffsitelocations,andcanbepresentedinconjunctionwithanin-housetrainingprogramandschedule.Asanadditionalservicetoourclientsinthisarea,ARDhasdevelopedanadvancedprocedurewritingcourse.Amajordistinctionbetweentheadvancedand.fundamentalscoursesisthattheadvancedcourseistailoredtotheindividualclient'sneeds.Manyofthetopicareasinthefundamentalscoursearecoveredinmoredepthandtoagreaterdetailintheadvancedcourse.ARDhasdevelopedacomprehensiveverificationandvalidationprogramtoassistourclientsinmeetingtherequirementsofG.L.82-33andensurefullcompliancewithHUREG-0899.ARD'sprogramincludes:a.VerificationinwhichtheintegrationofHUREG-0737taskactionitemsI.C.2toI.C.5areexamined,EOPs'arecomparedtothewriter'sguideandanomenclaturereviewbetweenEOPsandthecontrolroomisconducted.b.ASimulatortoPlantFidelityEvaluationinwhichplantversussimulatorvalidationscenariosareselected,developedandtested;anappropriateproceduresetisidentifiedandprepared;andsimulatorversusplantdifferencesareminimized.c.AValidationOrientationProcessinwhichperformancemeasurementtoolsarepreparedandoperatingcrewsareselectedandoriented.A-64

ARDCorporationd.Validationinwhichreal-timesimulatorrunsareconductedandoperatingcrewsaredebriefed.e.ValidationEvaluationinwhichthedatafromreal-timerunsareanalyzed,resultsoftheprogramarepresented,thenecessityforprocedurechangedeterminedand,ifnecessary,criteriaandguidelinesforprocedurerevisionimplementationaredevelopedandinstituted.ARD"sportablePerfonnanceMeasurementSystem(seeParagraph3.5)hasmultipleusesintheprocedureverificationandvalidationprocess.Inthedataanalysisstageofaprocedurevalidationprogram,itallowstheanalysttogeneratedetaileddecisionpaths,identifyandclassifyperformancedevia-tions,andcalculateerrorrates.Thequantitativeandqualitativeinforma-tionobtainedallowstheclienttoprioritizeandevaluateproblemareasrevealedinthevalidation.Thedataarerecordedontapetogivetheclienttheadvantageofreadilyavailablevalidationdocumentationaswellasthe,useofthedocumentationinoperatortraining.2.9.3TechnicalSupportCenter,EmergencyOperationsFacilityandDisturbanceAnalysisSurveillanceSystemSoftwareDevelopmentARDCorporationispresentlycreatingasoftwaredevelopmentprogramwhichdefinestherequirements,documents.andspecificationsfortheTSC,EOFandDisturbanceAnalysisandSurveillanceSystem(DASS).Theprogramincludesspecificationsfordisplayfunctions,operatorfunctionsandassociateddata-basemanagementfunctions.Theformalrequirementsanddocumentationofsoft-warespecificationsnecessitateanemphasisontheman-machineinterface.Theprogramincludes:a.Identificationofthesystemenvironmentwhichestablishesaconceptofoperationsfortheoperator'suseofthesystem(requirementsdefinition);b.Establishmentofaconfigurationforadisplaysystemthatwillachievethedesiredcapabilitiesataminimumcost(displaydesign);and,

ARDCorpox'ahonc.Developmentofsoftwaredesignspecificationstothelevelofdetailnecessarytobeginprogrammingimplementation(softwaredesign).Displayfunctionstobespecifiedwithinhumanfactorsengineeringboundsinclude:~Displayformat-alphanumeric,schematic,graphic(mimic)~Displaydynamics-passive,active~Eventselection~Eventdisplaytime~Scrolltechnique~Displayscaling~Colorselection~Shapeselection~Displaydensity~Charactersize(pixelquantity,numberoflines)Operatorfunctionstobespecifiedinclude:~Criticaleventselection~Eventstorage~Editing~Monitoring~Dataanalysis~Trendanalysis~Scrollcontrol~Scalecontrol~AnnotationDatabasemanagementfunctionsinclude:~Interactivedevicecontrol~Operatordataretrievalandstorage~OperatorsearchstrategyA-66

,1 APPENDIXBHISTORICALREVIEWPROBLEMANALYSISREPORTS

NineMilePointUnitOneHistoricalDocumentReviewPAR-1PROBLEMANALYSISREPORT(,PAR)NameofInvestigator(s):KevinBennett,DonTalorReportTypeandNumber:LER81-005Station:NMPEventDate:2/2/81Unit:1CircumstancesandEventsLeadingtotheProblem:Imlementationofcirculatinwaterreverseflowoeration.\NatureoftheProblem:Plantdischarevs.lantinlettemo-erature(water)exceededtechsecs.StepsTakentoCorrectorAlleviatetheProblemReductioninowerload.Outcome:Reductionofdischareterneraturestoacceotablelevel.CorrectiveMeasuresUndertaken:Checkofdischargeterneraturesaddedtoshiftchecklist.HumanPerformanceProblemsAssociatedWithEvent:0eratorneedsalarmindicationofhihlantinlet/dischareaT.

NineMilePointUnitOneHistoricalDocumentReviewPAR-1PROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?.Yes(Ifno,endformhere.)NoInWhichAreas:Samelant.CorrectiveActionsTaken:Seeael.UnresolvedDiscrepancies:Lackofindication.Consideraddin(Ifnone,endformhere.)annunciator.HEONumber:HR-1ESummary:OnFebruar2,1981theNMP-1waterdischaretemper-atureexceededthedifferentialoutlinedintechnicalsecifica-tionsforaeriodof52hours.Althouhacheckofthediffer-entialterneraturechanewasaddedtotheshiftchecklist,anannunciatorwouldalertoeratorstotheconditionimmeaiatelB-2

ae'~NTAOL5LnCK.INI.112zaC)aZCICOOtW'":8)IIIIItQI)W!0i00000')u(5)a)54)a)55)IhSCFh)kl'Ot)~rrrALL)ICCL)IAIDOI))&04)44rlON)-OO.S~!11>>C.!stuc5455rvotZI)*~)4~~<ararPl~s'0!30I<IS!1OtF445TQ4TQ*rtI050l0!02)20r02tO'2'8I4(t)CoccxtrN)tt4~t55ttvt)ITQnrtS1)~r~tSC4)4YION4alo44Ca*5Lt(04%))Cut'ICf5QCDuringnor()alOperationvhileic)pie)cantingcirculatingvuterreverseflovop<<.ation,t'Ieplantdischargetemparaturevs.plantinlette)spereture4TTechnicalSpecificationavas~xceededfora52-hourperiod.Duringthisperiod,theHainCondenserdifferentialte~ereturevasvithinTechnicalSpecificationrequirec)ants.-1a~IQltCnaJ55CAu55VAI.VCPJCQC5(~4tutcootC~art)aTCQOCR5C5ngc)~HFiQQ)Q+aQzIzlzzlz:-:.QiL)I+i-~z/'a:.Xi)0IIISISICIt(TJ5))YI4LOCIJIIIl5aag4IVrtrroar)Vt)ITV~444V94Y)aQ,(cotTVTtQ".a'II~~ool),L,~0II7))5S4~5WTIQr4'PTI)rZT5>4FCTA~A(aa)4aa,are%)aIarII-"'ni.tCISISI&IZleh0,O'I-'IIHj/-:.~INI.t..bi~5..:".018,07~4)4)CLOSE0t~ltT)O))INCCGAASCTlVQ*CT)O))cQ)hefSCSiXanQnehei1)ou4Q~~Pareref)QVQ4r)I).I.Th4)IeraIII~~<<Ca~.ver>>vithinliMts.FQLlovfnthiserioditvasfoundthert)t~4WX4)ar'0Fdifferentiallis)cttvainbetveen51-55FforaroxLmatelva52-hourCried.UponSuparvisorecoition,an~iatestationloadreductionvastakenvhichbroughtthis4Tvithinlimits.Forfutureprevention.echeckof(SM0~))5t4(L)YVm~Qo5YAKcjQT)a~II5YAYz)5~QIScov{4vo)5cove)TTQTSQ4z)r)mO>1~)Q~~os0y~ST)SUPERVISORYINS2ECTIOH)0IS)5444CYIVITVCQ)art)TT4)tLCA55OQ)')tL5455)4(Z)azrQa4CYIVITVOSSLOG,TtorlO)a4eLa455QS~ZQSQ~ZQ4N//III'-~tICII4444+t)atoraaatL5'ZTO5))II~5vvwt4rTtOCSC)I)mo4Q>000StZQAlt/AttIIlrIS>tptoaaaotLI)l)v)1)45...,.r~OI~000QaN/ZtIIIT'ctQ4Q/Iona)4Q5TQ44()uTvOSTvtOtt(4)m~~ZQ4gH/A)0~F41I('at)IttOtr+saoTlrSraQrN/AB-3)~~>c,".N4CVFOnLvt44tt

'g~tIOI%5~at~",.a'atfparawr.a<vaftaft)<Z@9av+P>f~+QPpflgi~1raC%t:"'ti'Qr'AYE/v'ya1itaatieaa+pmg~apqg*)yrachfsp}nnrdXCur'ng.revarse,.floeoparsckon'.vfilboaddsd.cocdOpega~ffffahfEcchicklxa~ffEdfcioff,chs':zoqufreaencofchfslf=fcvasre-saphssi.codcooperacfonsper@annal.231r~>'PiggW~mp.r~>g~~a'~a,J0r~*~~Paa

NineMilePointUnitOneHistoricalDocumentReviewPAR-2PROBLEMANALYSISREPORT(PAR)Unit:1EventDate:7/29/81NameofInvestigator(s):KevinBennett,DonTalorReportTypeandNumber:LER81-036Station:NMPCircumstancesandEventsLeadingtotheProblem:Emergenccon-denserventmonitorsexceededuscaletrisetoint(LER81-030).-Oiland012sstemhihradiationisolationfunctionwas~~bassed.Natur'eoftheProblem:Theseswitchesalsobassemerenccondenserhihsteamflowsstemisolationfunction,violatintechsec3.6.2.c.StepsTakentoCorrectorAlleviatetheProblemNone.Outcome:Protectivesstemisolationsinalsofhihsteamandradiatonwereinoerableforaeriodofaroximately45min-utes.CorrectiveMeasuresUndertaken:Chaneinreualificationin-structionsessions;crossreferenceaidforlocatinrelatedc'omonentsforsstemsafetHumanPerformanceProblemsAssociatedWithEvent:Failuretofollowrocedure-otentialneedforoeratoraidtoaccesstechsecinformation.B-5

NineNilePointUnitOneHistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?.Yes'(Ifno,endformhere.)NoInWhichAreas:Samelant.CorrectiveActionsTaken:Seeael.UnresolvedDiscrepancies:None.(Ifnone,endformhere.)HEONumber:Summary:SeeLER.B-6

AQICOi6416LICENSEECOOK14ISLICI.NSENVMBESI0QLLJ'ILICENSE1VPK343SlCATSBI02LQ00000220306861OQCICETNUMB6A6869EUEt'TOESRIPTION"NOPROSASIECONSEQUENCES10SEEATTACHEDEVENI'ATE82416AEPOATOATE$00~03,O~00::06~%l7~0l080,':-I3SYSTK24CAUScCAUS<<COMP.vat.vECOsCOOESUBCOQECOMPONENTCOOKSUBCOOSVBCOO-~BA0>>~AQis~AQisIIISITR0~EQls~+Qis510Il1h1'016192CSEOUENTtat.OCCURRFNCKREPORT'EVISIQt4LKecaEAAE4TYEARRKI'OA~t40.COOKTYPENO.0;,,:;:-.=.,=:.mlu~!~L~JMaaLl"-Ld2242I3-U-,Vi<<1<<'<<FECTSssVTOQWss*CAVEATNPRO-'AIABKCOLIP.COIBPQSIENTIIQVRSQ22SVBASITTKOFOAMhub.SUPPLIERRtattVFATURK'sl'::3~.'I::.~(g~30K'InInI~lpt~i,Qs-.~iQsn0A4'~434CAUS9SCRIPTIOI4A'OCC'RRCTIVACTIOI'S2>slIiC:iiilII:.'sCCIII,hiS~<<TVS~IPQ<<vcFL~JS~0B0OTHERSTATVSQt(AO121144AMOVt4TOFACTIVITYNAACTIVITYCONTKtITIsI'OSSO<<Q=basBAGETOFACILITY31YP6~K5CAIP1IOst~Z.-...'As'LEASKQOFRELKAS<<z0'-~z~3.~I~PERK'4<<LEXPOSURESt,V".==-TYPEOESCAII'TIONQ39~o!0IoQsi~zpssRA1112PEAKS'lS6LINJVAIKSOESCAIPTION41~oloIoQslL1ETHOQOcOISCOVEAYOISCOVEAYOESCAIPTIQ'32~DQ>>RES1DEt/Tl1$SPE'CTOROBSRVATtON45LOCATIONOFRELEASEtsINA4<<h~0~:"".-0':-=-':CIFPREP>KRRichardtteildB-7PRIOI46,NRCLSGONLY1t1(3)$3143-21lO,X1525 0

gVE>>>ZD~.~iRlc'11V."S~'o."ROb~L'.V:":LQUE:.CESOn6/30/81duringaroutinecalibrationoEtheEmergencyCondenserVentgouitors,allfourmonitorsexceededtheupscaletripsetpoint.Thf.sincidentwaspreviouslyreportedasLER81-30.On7/29/81,whileper-formingafollowupinvestigationofthisincident,thetechnicianre-questedperis"ioafromtheShiftSupervisortoworkoaEmergencyCon-denserVentMonitor8122.Inordertopreventaninadvertentsystemisolationduringthetroubleshootingeffort,the012Systemhighradiatioaisolationfunctionwasbypassedusingakeylockswitch.Inaddition,asaprecautionagainstapossiblepersonnelerror,theOilsystemhighradiationIsolationfunctionwasbypassedinthesamemanner.TheseswitchesalsobypasstheEergencyCondenserEEghSteamflow'systemisolationfunctioa.Theisolationfunctionswerebypassedforapproxi-mately30miautes,atwhichti=e011EmergencyCondenserwasreturnedtonormal.Theisolationfunctionsof812EmergencyCondenserremainedinbypassforanadditional15'minutes.TheseactionswereinviolationofTechnicalSpecificatioaTable3.6.2cwhichspecifiesthemiaf~numberoftrippedoroperablesystemsandthe~~mmnumberofoperableinstru-mentchannelsperoperabletripsystemrequiredforEmergency'oolingSysteOperability-TheheatremovingcapabilityoftheEmergecyCondenserremainedoperablethroughouttheincidentHowever,theprotectivesystemisolationsi~~sofhighsteamflowandhighradiationwereinoperable.Therewasnoreleaseofradioactivity,andqoeffectoathehealthandsafetyofthepublicoplantpersonnel.CAUSE,DESCHIPTIO".lA.'.DCO"""="CTIR=ACTIO,SViolationofTechnica'peciicat'onsdringthiseventwascausedbyfailuretofolio.-stationAdministrativeProcedures.Presentprocecurescallfomaintainingrecorcsintnecontro'oomoallequipmentstatuschangeswhichmayrendertheequipmentorsystemnotcapableofperformingitsiatendedfunctioniaitsrequ'redmann"..Theproceouresurtherreqirothtthesestat~%changesortheplaceaea-oumpersorblocksshallinclud(>>referencetotheapplicableTechnicalSpecifications.Alloperating,tech-nical,andmaintenancepersonnelareinstructedontheseproceduresastheyapplytotheirduties.A..discussedattheNanagementmeetingintheRegioaIoffice,thatduringprimaryandrequalificationinstructionsessionsanincreasedemphasiswillbeplacedoatheimportanceoftherationaleinTechaicalSpecificationsAlsoduringthemeeting,wediscussedthefactthattheinvestigationofthiseventandthetwopreviousoccurrences,Inspection80-13aadLEE81-04,wasstiIIcontinuing.Thisinvestigationrevealed,fromoperatorfeed-back,thatprevioustraininghasfailed.toemphasizethatboththeLCO'sforagivensystem,andtheLCO'sforinstrumentatioa,whichmayinitiateorisolateagivensystem,mustbereferredtowhenevercomponentfailuresoccurorwheamaintenanceortestingistotakeplaceonthatsysterailuretocheckbothsectionsoftheTechnicalSpecificationsmaybethe'auseofinadvertaatTechnicalSpecificatioaviolations.Trainingwillplaceincreasedemphasisonthismatter.Alsoacomponentorientedcross-B-8

~~I~/august12,1981PageI4oreferencesystemmillbedevelopedasanaidtoreadilyaccessallportionsofTechnicalSpecifications~'hichmaydirectlyorindirectlypertaintotheoperabilityornon-operabilityofallsafety-relatedcomponentsorsystems.B-9

NineMilePointUnitOneHistoricalDocumentReviewPAR-3PROBLEMANALYSISREPORT(PAR)Nameofinvestigator(s):KevinBennett,DonTalorReportTypeandNumber:LER81-030Station:NMPEventDate:6/30/81Unit:1CircumstancesandEventsLeadingtotheProblem:Performanceofroutinecalibrationofemerenccondenserventmonitors.NatureoftheProblem:Allfourmonitorsexceededupscaletripsetoint.StepsTakentoCorrectorAlleviatetheProblemTestedmonitorswithrealratherthansimulatedtestsinal.Outcome:Stillunderinvestiation(seeLER81-036).CorrectiveMeasuresUndertaken:SeeLER81-036.HumanPerformanceProblemsAssociatedWithEvent:SeeLEE81-036.B-10

NineMilePointUnitOneHistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnaerReview?.Yes(Ifno,endformhere.)NoInWhichAreas:Samelant.CorrectiveActionsTaken:Seeael.UnresolvedDiscrepancies:None.(Ifnone,endformhere.)HEONumber:Summary:SeeLER.

c"I"Roi.5cc<,IjpicjI!j?i.:CS.VSa=CrCc~Ilai.545=PRIVICRavRcPi'e<<IRcoI.'JPOPMAEICEJII!IQ0loI-!01010101-10101IQI-'II!IIIIQl~ll~ll;55lacIYPJQ52C<<~I.'ICSIVSaVi'.13:RI~j~j~5VRCSoaI0~ja,'O!O!2!.:;;~j~CCCX-IasIJ.;15-R55c'l-."I0=SCRIPT:CEJEJOsaRCI3-4COJS-ci'CSS~QJvu"incore=ue'in'u:cge,-hiepe==0-ecaa~~~a\~esapRa0*55I31II/111i7!giOI<<31Cordase=V.".ctan'"sP"."cc='L'1-27?-20,a=ca=;,.or..:"rsxc'r.'..aoscalr-ipsecpo'n:o:64".j'r.=.r"oor"z"ion<<io-s(-'.1'11121)3Je-oIII/hug.'e:e'<<'i..'h101'Ko'0lsa.e'ea.Lil=0'0c--oe:cP.0alanai-I2.6.2C.Onenar.'.ar(-..22)=i-oeaa=2Mr.=/E="r.-'cnr5Ou0Specs8~0"e'I~lILe.CnC'"e~+;.eConSeouenCe0::1eZ:reCZCeuivse.aa.1'e-Iini.Si:CI515'so1~~<<o~io1~~a:sar<<aA<<coei,~i~.~r:1=-1CSVSc5VasIA4<<Vaal:4I'CKC<<Japi~:S'cs<<CR.VC.Q'-'-I~IIII-!'ot2i"ISrI'0'-4'IC'aia45~rlI\~Ii:".II,,cagscea'AI:!0IQI.L-:j(~~IQI-1<<ieI=.I."-.!sd1(:-;ass4er4Cr:QIC--a<<a<<I44Vki'laecr44aJIS,are'<<'e52cS<<O<<rO,I<<~aC~~~I~~eaIInole='n"ndnar!IK~!C<<1<<0-.On<<eag.CeI5-In-.<Oo'Io~a<<ev.Cesar~~haseen-.visedtocon-"i~i.th-=vsz-in~bv=s-.onse-"@hesouc.A11Aae,<<\1~'sao-11s-s-Irn-'rs--<<iI-Iiilon'.oa5'<<e-<<10<<ec.USZngi..cC<<P.SOUC.<<0r.i./ashLghiTLOio.a.5~Ao'S'\PCWcR~!:i+slQ~IoI0Io!QsCTWcRS~'r'5jIeIgaaSIECVVaCPsag..a/IYQsIa7RSCvrsaI.IRJURI55~ol051Olw"7a514le,lVIWC'VIcJIT-r'-aaaeIEL:."C>iI:1QIIP<<RSCIVVa'?CSVA5~'4vaaaaaqfacacCRIP.Cv~seaI:Isi~oloIol='I:l~lala-.<<CCC$CISCCVcRvjalIQ~5ee'Ijoe:I514?EJSI.'C',<<5I4R:qe-.c(..~:I<<IICB-12aeaRCusc,Co:I.'~IIIIII.'a55f'I)J<<;Irs~

4,t)ACw+1c'i'0<cqS)-36CLS8D8SC'a,Ot'lfg~4va,vi-O'S"-O"--C"0~K'~CC1Z..4sSsgria.c.'c"a15g;.aSil'.aC~~Er1>B-13gL

NineMilePointUnitOneHistoricalDocumentReviewPAR-4'ROBLEMANALYSISREPORT(PAR)Unit:1EventDate:6/23/83NameofInvestigator(s):KevinBennett,DonTalorReportTypeandNumber:LER83-019Station:NMPCircumstancesandEventsLeadingtotheProblem:Installationofthe"inadeuatecorecoolin-accidentlevelmonitor".NatureoftheProblem:Monthlsurveillancetestswerenoter-formed.StepsTakentoCorrectorAlleviatetheProblemNone.Outcome:None(aftershutdownmonitorwastestedriortostart-u).CorrectiveMeasuresUndertaken:Proceduresforsurveillancehavebeenaddedtoschedule.HumanPerformanceProblemsAssociatedWithEvent:Failuretoincludeinstrumentonsurveillanceschedule.B-14

NineMilePointUnitOneHistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?.Yes(Ifno,endformhere.)InWhichAreas:Samelant.NoCorrectiveActionsTaken:Comonentaddedtosurveillanceschedule.UnresolvedDiscrepancies:None.(Ifnone,endformhere.)HEONumber:Summary:SeeLER.B-l5

1IT)21LlcENSEEEVENTREPORTjCQN'T28CONTAOLBLOCK:,0(PLEASEPAINTOATYPEALLREQVIAEOINFORMATIQNINYNMP1O200-00000-09LICENSEEConfLICENSKNVMBK)I0Q>41111Q~Qi2526LICENSETVPKJO53CAT58soURcKLUO6050002202062383a072096061OOCKETNUMBFREVFNTOATf)425REPORTOATF.80EVENTOESCRIPTIQNANOPROBABLECONSEQUENCESQIOTwomonthlsurveillancetestsontheInadeuateCoe~o2installederNUREG0737ItemIIiF2weremisseddurintheeriodimmediatelv~o4followinitsinstallationonDecember311981untilthe1982-1983sh~o5Conseuenceswereminimalsinceareoerationaltestwaserformedonthemonitor~o6beforebeinutintoservice.Themonitorwastestedriototartfromthei~o21982-1983shutdownwhenitwasfoundtoberoerlcalibratedandfunctional.~oa28'980~09SYSTEMCAUSECAUSEiCOMP.VALVE'OOECOOESVBCOOECOMPONEJ4TCOOK'VBCOOESUBCOOE~ZEQ>>~DQI2~ZQnIk3TR0Gi~IQ>~Z'p28910II1212181920SEOVENTIALOCCURRENCERFPORTRFV)SION',EVENTYEARREPORTNO,COOETYPENo.GiRiiair~03~~019~m~03~L~~021222224262)282920SI22ACTION.FUTUREEFFK'CTSHUTOOWNATTACHMENTNPROAPRIMECOMP.COMPO);ENTTAKENACTIONO)4I'LANTMETHOOHOURS+22SUB)4)TTEOFORM5UB.SUPPLIERMANUFACTURER~S~zOmO2oWO<<<<~~0~~O24~~008~O222425262)404242444)CAUSEOESCRIPTIONANOCORRECTIVEACTIONSQ27Proceduresforthesurveillancehavebeeneneratedand'thesurveillancehasbeenaddedtotheschedule.METHOOOFOTHE'ASTATUS~OISCOVfRYNA~AOs1IS4445AMOUNTOFACTIVITYQHA45NA4289FACILITY.STATUS%POWER9EQRR~1O0QR9289'1012ACTIVITYCONTENTREI.EASEOOFRELEASEE~ZQss~ZQ24891011PERSONNELEXPOSURES~~0""0""0QPQ"*'""""QPFRSONNfL)N)VR)ESNUBEROESCAi0Q000Qio89)112I.OSn4n<<OAMACKTOFAC)L)TYQ4>TYPE'OKSiCIIIPI)I)NIIzQF~)I')IO)NI))III,')I~)~.))I)I))~t,iI<0IH)NQI)~gQi)4NALOCATIONOFREI.EASEQNA$0$0$0BO~kANi)II)iil)i)41YOISCOVfAYOESCRIPTIONQS2ReviewofProcedures8'yJlB-l6BikOi')ki'

Spat/5fzOCCURRENCEREPORTPage1of2NMPCStationt(jMtn.LERHo./,e/ControlNo.~/>'sTypeOIPrompt.Notification//0330PayReport'~/04Snvlronnental//:OFF1CEUSEONLYl.EVENTDESCRIPTIOHPf.S'Sc:d5rye///o.2-T3~4..'EVENTDTEtz-&-'VENTTlitEINITIATItiG.DEPT.$"4cPARTI~19.2~~5.6~8~9~INITIALIZINGSECTION/DEPT~REPORT.PolperM)-'tla.MMe.lbRemaz'ksModeSC/itch~m3~SSS.4.SOFMethodofDiscoverya.TestingProcedureb-Reviewc.INSPECTIOttd-Operationalevente-EnvironmentaleventSyste=CQtH"Name2C(7.VRYesNo~NumberIiz2IALCOP%CTIVEACTIOtta.DescziptionMpssed'~rye'/Te~.zrz~(-e/h/~rs/9a/HRCc~TechnicalSpecificationrequirementzYes<mNoPara~C~.II(g'd.Equipment,ModelnumberA/8SerialC.m,'t.e.Manufacturer4'K4/.~RepoztedByPARTII'~.2~3~4a.4b.c~HoYesSurveillanceperformedSurvelllaneeP~///-2'C-2(-e.~wi-Qr)-3(o-I'ccRevlel/cd4completedtaA.ZStaticnShiforqua1ifledB-17o;TC~Z3Z2-.(N:-//ecSupervisorSupervisor~v~.'1STREVIEWAHDTECH.SPEC.REQUIR'ANTSPreliminaryClassificationsa'eportableYes~HoH.Deviation~e.lneiientNOTTPYCATTONS:a.O/P,Homal.Hours-SireOnCllSupt:YesHob.Normad.'Hours'-Plant'Supt/Del~Yes6Ho.e'.S.Sett(on6.9.2(NHP')Part:~a'(3).a(2)a(3)a(4)a(5)'('6)a(7)a(S)'(9)(HepoetlsatypeP,T,ifanyofthesearechecked)b(l)b(2)b(3)~b(4)(Repoz'tisanLifchecked)c.Envizonmentalreport(reporttypeP,T)Tech.Spec.Requizements(Explain)o

OCCURRENCEREPORTPage2of2c/l.ScacionReportNo.PARTIII.2NDLEVEL'EVIVEANDCONCURRENCE~s1'ConenreoithSectionIZ~.Yes~'No'EEno,eonplet'etetontoottnes).a~.Nev'lassificatio'nb..Reason:StaoSuperintendentDate/mme3.Notifications:a-PropmcNotificacioniype01Event.'eporcby1-24houx'.TelephoneRegionI.co~'.~NAHE,DATE/Tlt-.2~Facsimi1eConfirmationNext'lerkingDa'y(TypeP)~sDATE/TM3~14DayFollovup(TypeT):due(10dayife'nvironmental)DATE/TL'Kb.30DayLetter(TypeL)dueDATE/TI>L~O.'ginalsettoCen.Supt.///>00~i'0'2iDATE/TI~~PARTIV-RESOLUTIONANDACCE.TANCE:(BySORCifrepoxtable,byplan.'upt-ifnotx'epoxtable.)1.LongTermcorrectiveActionRecommendation2.ResolucionSugaryAcceptance:a.~Q.C.Supv.b.PlantSupt~C.Cen-Supt.deSORCChmn.4~RequiredReporcsDispatched:eYesDate/TimeDace/TimeDace/TimeDace/TiceMeecingNo~NoDate

NineMilePointUnitOneHistoricalDocumentReviewPAR-5PROBLEMANALYSISREPORT(PAR)Unit:1EventDate:7/14/81Nameofinvestigator(s):KevinBennett,DonTaylorReportTypeandNumber:LER83-031.Station:NMPCircumstancesandEventsLeadingtotheProblem:Durinstart-uinadeuatedraininof411emerenccondensersstemwasexerienced.Natur'eoftheProblem:MainsteamlV'sclosedlowreactorressureandnocondenservacuumcausedinadeuatedraininStepsTakentoCorrectorAlleviatetheProblemSSSisolatedOllEClooOutcome:Theloo'cooleddownandwasrestoredtoserviceabout11hourslater.CorrectiveMeasuresUndertaken:Chanedrocedures.HumanPerformanceProblemsAssociatedWithEvent:Start-uro-cedureinadecuateinaddressinotentialneedforoeratoraction.B-19

NineMilePointUnitOneHistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?.Yes(Ifno,endformhere.)InNhichAreas:Samelant.NoCorrectiveActionsTaken:Seeael.UnresolvedDiscrepancies:None.(Ifnone,endformhere.)HEONumber:Summary:SeeLER.B-20

LICENSEEEVENTREPORTIaIPLEASEPAINTORTYPEALLREOUILICE!<SfCONTROL8LOCK:.QI'lYlNlSI(Pf1Q201Ol-0'Ol01Ol-OlOQ349LICENSEECODE<4<<SLICENSENUMBER2b26RKOINFORh1ATIONIi1iQ~IQI'<<88nl~LQ605Ol01Ol2l2OQ26061COCKETNUMBER6869fVENTQATK74TSEVENTOESCRIPTIONaNOPRO8AELECONSEQUENCESQOIIiLcCel'ocedII'AchNa$4ISCa'LtLI,'3anZ'eac'<.0"iIQasa4.CONp!KesdQPeEInl=tC1CREPORT0'TKcp.'cenc!!3COndeFLSCrLOC'/211III<LSrie!F<<OVed$iOI!IdeiL:.feOeCJrSeC<faIV@C;.iC".!.-.~<C0164SYS~fMCAUSECAI'SECQ"P'CCQQt'VBCQCKVAPCNE'ITCOOKSUBCeOEr,.~cl.=Q>>UpQ<<=UgQI=vlr!<<lzlHUg(i'-:IC11<<<<CCCV+FKNCKPEPOR~4'AEVEN'fREPOR,4CTVPPQi'"!;;..'.:'Lo<ILJ~l-.IU~~ol:U424T<<QNFI.'TURKZIC!i-i8:II"<C:~SCAUSEOEyCRlr<<ION:iO<<Or<sf<<~<<vE~~IO!<<~Q4KVIrS;Q,<acTi<<~<<~<<~4p,~41<~r'4<<Iq!<~~(g14.r<<.'Ir<C~i<<r<<'IIIandI<<'glld<<IIso.L<<<<<<<c<<'U!II+aj'S'IL1<<L!Kad<4Q:I<<;.;-.'"<riA:.L'ilo('IIEIE"-0.':'.ndel9."Ze!IIThe,aCWO'a.':enbV~iceSCSILLS.L"4.Srk"'ePllrCLeC>>T'.e.C."-"C'riedC'~"Iand5'educ.".ed~cde!;viceabca.t.11O'I"sZa..":.FI..'eackf'.c!.'sbe!ILQ4.Ilv.s'-I4Qa~edCccilanoen.".Ocedfb.esohci:.the.".51II's:-.-,"CLrs;;,'i:d..;,~,p-'crrIIr'Pl89FACILITY5~ATVS'<'<<POWERQT'HER5~ATVSQUcQ<~oorQlN8410'I2I'I4'C~IVITYCONTENTRKLKASKOQFRflfASEAMQUNTQFACTIVITYQAEQ33~7Q34"8410I<<4'ERSQNNfIEXPOSVRKSNUMBERTVPKOESCRIPTIONQ9~olQ>>~Q<<891112IPfRSONNELIN>VRIESNUMBEROESCRIPTIONQ8~~Q4QI'I12LCrSOFOROAMAGETOFACILITYQ43TYPEOESCRIPTION910PVBLICITY~SSVKO0f5CAIPTIQNQW4<<<ILNa';.EOFPREPARER~(<.1<<<ii<4<~<.(I"~MET<<COCPQI5<<Vca<<.B-21I~OISCOVERvKriPTCN(LCCATIONC>>RELKASKI<<rNACUSEIIIIIII686:(I<<<<~Ig'<ai60ONLYIII.III'.'c

CAUGr:OFSCr"~PTi(.'2A..'0Ci>R?;CT1"0ACTI".NS-Ic:ntinwed)':~~wci~ed,~(o~.'en<i.eV..".inSie.ur;<<'.neP.:ainVive4orilTu.xbineGuiCdingEqmprrre>MSwrrpCodminconde>roc.ie$.".orrrZi.net.B-22

NineMilePointUnitOneHistoricalDocumentReviewPAR-6PROBLEMANALYSESREPORT(PAR)Unit:1EEventDate:2/9/SlNameofinvestigator(s):KevinBennett,DonTaylorReportTypeandNumber:LER81-004Station:NMPCircumstancesandEventsLeadingtotheProblem:Raaiationmon-itorsinalwasfluctuatincausinsurioushalfscramactiva-tions.NatureoftheProblem:MainsteamRADmonitorsinalwasinoo-erablebutRPStrisstemwasnotlacedintriedcondition.StepsTakentoCorrectorAlleviatetheProblemRADmonitorconnectorswererelaced.Outcome:Durinblockae,themainsteamRADmonitorinsstemwasinoerablebutuntried.CorrectiveMeasuresUndertaken:1)Revieww/shiftersonnel,2)revieww/alloeratinersonnel,3)rocedurechanes,4)traininforoerations,and5)instrumentandcontroldet.HumanPerformanceProblemsAssociatedWithEvent:Failureofoerationsersonneltofollowrocedure.B-23

NineMilePointUnitOneHistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?.Yes(Ifno,endformhere.)NoInWhichAreas:Samelant.CorrectiveActionsTaken:Seeael.UnresolvedDiscrepancies:None.(Ifnone,end'formhere.)HEONumber:Summary:SeeLER.B-24

CESCSctssspeas771tLJCBQKEEV~RRPDATTvpt4LL>SQLIIIScoIktocr44rioq4LICEktAILIIAtXtLICEIISSQTSSPrDATtI~!SLEASSt'rttkrOII,>1Y'lHP1:00-00000-00LicriSCSCODE'4I~Nonicorir:uctoche4'IIU'SICLCTLlQ'S0tiOOCatTvtAwts~tsstvttlrDATEgv$tTQistilts'TlokAHO>5SQSASLaCokSeauakCaaOOIIIIinnor~'ottrccionchetillMatnScesa@dictioniTriSvicsntresiaoarableforcorox~cel90csiautesMttilethe'IllTriaSsccavcsleftiatheuncrianedcondition.ThisMcoatrarv:xotheRPSInatrt~IChaaacloerI~~J~~..:cb11't'irtrrtreatseegivenirLtheTechn'aISeclfNations.'btTechnical.Soecif1-~Eiccctonsrui,rechattheTrioSvataabelacedinchetr'dconditionvheneitherofchcInscruaseacCharnelsassociatctdsrithchacTripSstearisinooerable.BurinthischaredundanttsonitorinpLLttoIIIArDsscca,endchetoog2]{scKcr=-0)j544I".'gtvttfrvII~ScCALZ6WCottp..~.V4VEcoos'~vvVrotrtllYCOOSEmac8Ql<~AQ2,~ljQir,2II2AIIiQit~XQit.~KQgS.10II.~.,~Igi...10,~ISSZ&'m4LO-'1544E<CESCPOIPT4ET'~'tvcx4cPvtttrvcsp"~...:satotrTltoCOOI?TFT6t',[~212~.~0i01.L![01'IT)CXIi4CIitchPVT'41~XPSC~T~mt,AVAC<WITN~W.rgyiSPAPfL4CONOvPLtttvIAS~(PDSMM'DPCAAtSusg'~ICr.LXXtt+tt+EQ~+2Qig[0[2,j.I+i1N)8(:iI/34)~vtLlamaOtSCtIIITtokAknCQIIIIacitv(AC-.tokerOtrTh>>subectrstdiaconIDonitorsis.alhcd'.Icvr..lucuatinsuicicnclvcccssc=)iP."i~knitrI~lesioushalfsczanactuate,oas.Conseuantl.theSSSrantederMss'crtcin-"PPstallablockintheRPSactuationrelayofthesubectaonitor,toraveacfurherspurioushalfserena,sshiletheTnstruneattechniciansrastorocaedsrithcrouble~hoociagbysCithdrasringthedecectorfrotatheholder.Uponraatoval(SKOt~c~)i~Yt~10~11~'I444CTIVITV~CCPXTCkTIISLt4SSOOPmLS4SS~TOP4CTIVITVO>>~ZQyg~ZQ~4'.i/Aw,.~.~IS'0IIPSASOtrtSSC'xPOXLtttSSWATCHTv'tSC4ipTOkODSCZ3000>TZDcHIA~411ITISPTIISOttMLVAMittI'ITiOttOPOtl04t44CSTOPACILITVO4>vtOSSC>tliott1~2gtIIADCSt4PfpatQj44I44CI+ITV~OPr.4.5K7tittttOTitS8ST4TLIStvvitCNSCOv$SVEIOLJO~S~L'JC9~t~IIICuSSttLvfILLiLJJJ-lr,OtSCOV'gIIVOCSCDIIPTIOttXtSUPERVTSIOHRZV'leLOC4~OPIICLt4ttQ~N/avtiitIitiigP!Q;5.P5B-250\4~APaaP~XX~P.

~iiVlp~'i~g',ta'i'E'VENTGESCRIPTIGiiA.'iQPROBABLECONSEQUENCES~!ijvctonitorinputsto4l2TripSyate!avereoperable,thusficaateetetycoaceta.'herevaanoaigni-,iQ't?h.A-~~GUJSX,OESCMPTIOS.k.'ID.CQRRXCXXQR~OSS...:o.'who.dec~i-da~4iercnrnrndr~t"thedet'actcrztn~e.ecennccon,"sag'-."looae,vh~cvaacauaXngtEnEiuctuatingoutputsignal.Theconnectorvaacightanod,~detector.,x&nnVQ1e5,andtha,!aanftnrret!~'XndicstYon.=TSoZ%r~lcybTocXvaathearemoved.AtthistirethetillRainStelaLine:j4diatds!nBoaitorwsfMyoperable.~n~L:laordertopreventoccurrencesofthisaatmttis:thefutureaovars'"."orrectiveactionshavebeente':e"...First,.arevievofthecfrcu.-taccaavesnademththeatd.fa.pe@gonna:<nvolveZ.~-Secern)ariinstmct5epi~'-bienii=uedtcteleperctionaparade=.elre"*rdiri$,ta~ttcrigprocedurtta.e'.-"~~as.havebeenns4etocausespeci'c..Ac'-'c-'r.stcifi-cationrgvicvar4'e!esdQ4!L4doc~te.rhiiPneducocn+drhnntto,recvee',fr@icrvtce.Four'".tk'r.-'de".itandafore"'enticnedpro-cedure,'hangevi'.'-c"z-,.i".-'zP'.".-"re,"'rltachealeetran,'n'r~>>~!".sessionsa.C~e-at.ersgtraor'C~l.F.'th.tr=iningadseioc~h;ill5e':co""'nzedi~t>theT..z:r=."'nc.Ccnzo'"e."t=enregard'n'nj~a&iet-.niPaiii..LO!'.ei>.-ht.c'Chant.alS)edsnkcaticnetcurcCr.tt-Ntif,encr~>>'.t--.L-~s.e,lcf-acesic~~~~<<)3nJicoidsissue~~ct.lgtifidevGilL'gc'ItS'i~tS-26ip'iQghg

r~,8jOcDOCKZEN.50-22O'5,,g~5'~~'Ilf~t"4S':g'~lAaaACMZNT-ADOlTIOHALI'ITORHATlONa~'.5rs5'F,5Thisoccurrence'as!nitiallydiscoveredduringchesas5edaybyaaaage--aaatrevievo{~)u~er/blocklogsheetvhichindicatedhatablockhadbeaninstalledintheRPSactuacionrelayfurthepurposeo{check-lngoutthedetectorcablevhilecheassociatedTripSysce5avaaleftfntheuntrippedcondition.TheNRCRegionIofficevasi~ediatalynoti-fiedbytelephonechattheTechnicalSpecificationgoverningtheKaiaSteanRadiationMonitoringInstrumentChannel/TripSystes:operabjgicyrequirementshadbeenviolated.Thefollov!ngdsyacelecopy'eport'sFaasubaitcedasrequired,vh!chprov{'eddeca!isofcheoccurrence.IFurtheraanagervccrevievoftheicctrenchhasrevealedthacthe.SSSrexpectedact.5etic5ethachecrcubleshoocing.eo.vouldleadto'nInstr.a<<ncChannelcalibration,vhichvouldallovche555oaicorgqby,at5deinoperable.TheSSStheagranedper-isa{on'toinsal!'hrL~ay5b'.uck,basedoacps-.acor,'udgmentthatafaultyinsrureacand/orc-blaVaaCau'agChespu-'oushalfscraps,andchatfurther55al{scansand.P<<Sx'cl*yacuat'u"scausedbych<<troubleshoot'ngandcalibratioaa+fortcou.cresulcinunnecessaryvesranddvigucocherelayncchanisna.~nu-lhei{acr-=shou'ahavebeeninsertedinTr'pSysccllpro".cup'sc=rgtheralaiblock'.".orderccsatisfyTech"ical5pcci{icac~aaoperandityreq5'irc5c45atsPcoitusyIzenticnedstepsarebc'takencnakea'lOperationsancXasteecCConrclpersonnelavareofthisrequiAce<<ac~:~~~p<<".r'6~@p~r,kKF'~VJB-27

NineMilePointUnitOneHistoricalDocumentReviewPAR-7PROBLEMANALYSISREPORT(PAR)Unit:1EventDate:12/21/81NameofInvestigator(s):KevinBennett,DonTalorReportTypeand.Number:LER81-054Station:NMPCircumstancesandEventsLeadingto.theProblem:Shallowcon-trolrodswereinserteddurinnormaloeration.NatureoftheProblem:Theaveraelanarlinearheatenera-tionrateexceededtechsecs.StepsTakentoCorrectorAlleviatetheProblemOthercontrolrodswereinserted.Outcome:ActualAPLHGRwasloweredtowithinsecifications.CorrectiveMeasuresUndertaken:None.HumanPerformanceProblemsAssociatedWithEvent:.FailuretoreconizeotentialforandonsetofexceedintechsecforAPLHGR.B-28

NineMilePointUnitOneHistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?.Yes(Ifno,endformhere.)XNoInWhichAreas:Samelant.CorrectiveActionsTaken:None.UnresolvedDiscrepancies:None.(Ifnone,endformhere.)HEONumber:Summary:SeeLER.B-29

COiJTROLBLOCK:I~oliHv,v>!0IIOT09LICENSEECOOK1415Q,IPLEAEEPRINTOllTYPEALI.REOOOIEOINPOIINATIONI6LICKNSENUMBEA0-00000-00Q34IIlIQE~Q26LICENSETYPf.S067CATbe4B."5OiAOi't2i0,lSQVACE62161OOCXETNUEBER6669EVENOESCRI.T!ONANOPROBABLECONSEOUENCES10P.L;LIM5.iEaduh~~E,oPE/zaLo7z,IzE,MViio3zEVENTCATEo)FtssI'5REPORTOATE$0c<a'nCLczvco7LLToPn,ce.".4szIJE"aza7zavu.gcpinna<<tineaLheagene<<ation.u'(APLHGRIOII3.7'2luu/gmluch'a<<ceededChc2<<atoi3.43luv/JCaspe<<T.echS.pec.Table3.1.7d.l.haisplacedCheplant<<natuui+conditionaipe<<TechS.pec'..3.1.7.a.TheEOIIetgconce<<nsoetualsevente<<emuuma.tbecauueOIIitEEho<<Cdu<<at'onandmagILLCduesLERI7232,20--oland20-04<<epo<<tedEA3IILELLoccsvvsence4.86CCAPPOA'NAITMANUFJRERSYSTEMCAUSE~CAUSKCOMP.YAIvECQQcSUBCCQmCQMPONENTCO¹SUBCCQE--SUBCQQc~RItQI~XOIT~lQIEll'I21212Qia~2QE~2(II91011IIN18'IS00SKCUC4IAI.~OCCURAK'4CKREPCA~RKVISICINAEPOTNQ.COOKTYPENC.O.'..-'...";.L'a~1'"Ia~03aaL'I'I74400,SITICNFUTUREcfpc-,SPEVTCWNA~.ACEEEEIENTNPRN>>4PRIIPPKCOMP,AKENAC~ICN>>OURS~ASUEMIaaECFOAMSVB.SUPPLIERIXIOIE~QE~BQ~g0"I-'-RIOT~HQTa~2QESS4044a4S44CAUSEDESCRI+saOigANOCORRECiIVEACiPOPJSQ7ps7,'z"c~e.o~~/zE.zvE7~z4maPE,=oBlueccv.;:~gb~+vM7zco3z".oZ..Tcm~.La.-..ai~z'.II:;."':63ca;i"T.aChtheAPL'-:GRZir~assisexceeded,Eeveru""cont:.o'od4u:e:.p.~E;tedIuhiChaced<<oZoiua:AheaetnaPAPLHGRto7.IIbiu/3.ATechSpec..c.hangetiaiEl<<cobPPIIimPlemeistedIuhsch<<aiuedthcAPLHGRlimitabove.C<<e.lvcaiuncuLedbi/tILLEeven89FACILITvST*TUSOTPEERSTATUSQIhl/A'4POWERAMQUNTOFAC~IVITYN/A~GOT;~019I0QE891012'17ACTIVITYCQNTENTRELEASKO~OFRELEASEZQ~iS4691011PcASONNFIEICPOSUAKSNVAIBER.TYI'EQESCAIPTIOleQS9~Oo0OET~2O>>MKTEEOOOpOISQVEAvOISCQVERYOfSCRIPTIONQS2~A007CCIIIpueaP/u.7LLczLL4546LOC*TIONOFRELEASOQGBN/A4445N/A7691117ISPEASOEENEI.INJVAIESNUMBEROKSCAIPTIOR401~oROON/A~ZQ4.C1978910PUBLICITvISVEODESCRIPTION~LNIt--It9SO~..io8789'1117LO~~NOFOROAMAOKTOFACILITYQ49TYPEOESCRIPTIONIE/Ehl/AB-306869NRCUSEOrvLY.8

3JD",\>tt~<<1<<r'iat<nn<<<It,t,M<<<~~rrSxCNMOiJ:-SUM:-CiBt~~r'As=rs'i;~tTQ/,r';</St<:1tLoui9On(~.O~ADDP~<<~nI0'<j<~<s~~fLr~f~gr(j'<~<<nrtr<~a=aJ"ttQBYtt<jg~hvOni=:-i5".'"OnsO<-,s('qsll~tIBv~WOn.-Ont"pp(-ti-)tedOns=Onit-C:."='tsS:'iIVEDFOR~ciALDAs=7ZgAODRcCSBY'Ac">LEDATSix=OF(=IC:-ST~SOCCCOhiROLRsCQPCOPYH~T(JR'cEOTOSit"BY~uWATSIl"OAs(-~~IIB31-

PAR-8-IARDCorporationNine1'".ilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):DonTaylorReportTypeandNumber:Station:EventDate:Unit:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:0eratorwasad'ustinthemechanicalressurereulatorMPRtoincreasereactorressurefrom935sito950sic.NatureoftheProblem:AressuresikecausedtheneutronfluxtoincreasetotheIRMscramoint.StepsTakentoCorrectorAlleviatetheProblemOutcome:Reactorscram.CorrectiveMeasuresUndertaken:None.HumanPerformanceProblemsAssociatedWithEvent:InreulatinressuretheMPRcontrolutilizesalower-to-rightandraise-to-leftconfiauration;theoositeoftheMPRmeter(feedbackindication)andtheexpectedconfiguration.B-32

ARDCorporationNineMilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInwhichAreas:CorrectiveActionsTaken:None.UnresolvedDiscrepancies:(Ifnone,'endformhere.)ControlconfiurationandfeedbackcomatabilitHEONumber:Summary:ead'ustinthemechanicalressureregul'ator'ncreasereactorressure,aressurespikecausedofluxtoincreasetotheIRMscramoint.B-33

ARDCorporationPAR-9NinePilePointUnitlHistoricalDocumentReviewPROBLEMANALYSESREPORT(PAR)Nameofinvestigator(s):ReportTypeandNumber:Station:EventDate:LER79-056/03L-0Unit:2OperatingStatus:CircumstancesandEventsLeadingtotheProblem:Changingclosedindicationlightbulbforthe2-Delectromaticreliefvalve.NatureoftheProblem:htbulbinternallStepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:Socketrelaced.HumanPerformanceProblemsAssociatedWithEvent:None.B-34

ARDCorporahonbineMilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)InWhichAreas:NoCorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)HEQNumber:Summary:B-35

LICLNSEEEVENTREPQf<T,QCO';TROLBLOCK:tPLEASEPAINTORTYPEALLREQUIREDINFORhlATION)0R37,Q700-00000-00QA41111Q~Q4789LICENSEECODE1415LICENSENVhIBER2526LICKNSETYPE3057CAT58QA0I0002377100479Qz10379Qi786061DOCKETNUtelBER69EVENTDATE7475RKPQRTDATE80EVENTOESCRIPTIONAiVOPROBABLECONSEQUENCESQIQawhile.changingtheclosedindicationlightbulbforthe2-Delectromaticreliefvalvethesocketshortedblowingthefusesfornormalandreservepowertothe~Dreliefvalveandrenderingthereliefvalveinoperable.Safetysignificance~O~OS06repairstothesocket,Thisistheffrst:eventofthisnature.~OB7898078SYSTEMCAUSECAUSECOWIP.VALVECODECODESUBCODECOhIPONENTCODESUBCQDESUBCQDEQQzMQiiIN0TR0QLTJQiLZJQ9IO111213181920SEQUENTIALOCCURRKtICKREPORTREVISIOivLNRROEVENTYKARRFPQRTNQ.CODETYPENQ.Q"---.L779I~LUOs6IL~JLoiII~EI-Lol2122232426272829303132ACTIQNFUTUREEFFECTSHUTOQY/NIATTACHt'IENTNPRD~PRIMECOhIP.COMPONENTTITT*KEttACTIONONPLANThIETHODHOURS~22SVBhIIT>>EDFOAMNUB.SUPPLIERMANUFACTURER-~>>.G.~ZG.~ZQ7.L~IQ7'000~iiQ77~NQ7<NQ740080QEA33353637404142434447CAUSDESCRIPTIONANOCORRECTIVEACTIONSQ27ternallv.ThesocketwasrelacedandOI7erabi1itvofthe2Delectromatierelief.valvedemonstrated.Nofurthercorrectiveactiondeemednecessary.2c789FACILITYSTATUS34POWERMETHODQFOTHERSTATUS~DISCOVERYEQ7-.~oezp>>N/A~zQAi789101244ACTIVITYCONTKNTRELEASKOOFRELEASEAMOUNTOFACTIVITYQIZ~cH/A~<~ZQ3QPKRSD"NELEXPOSURESNut>>BKRTYPEOKSCRIPTIOI4G9~00OJQ>>ZQ74N/A789111213PKRSOttNELItVURIESNV"BKROESCRIPTIOttQIEZ~>ooQi454645DlsCOVERYDNSCRIPTIQiQ2OperatorObservationLOCATIONOFRELEASEQBV/A80808080789'll126LOSQFORD<VAGKTOFACILITYQ43TYPKDESCRIPTIONZQ2V/A78910PUBLICITYISUKDDKSCRIPTIQt~9]fiJQ8910NA"EOFPREPARERJohnDt.n~>~B-366669P44t3MI:.X-~91NRCUSEONLY80

ARDCorporationPAR-10NineI:ilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofZnvestigator(s):ReportTypeandNumber:Station:DresdenCFWUnit:EventDate:1379OperatingStatus:CircumstancesandEventsLeadingtotheProblem:SteadstateNatureoftheProblem:Toruslevelincreasedto-1inch.StepsTakentoCorrectorAlleviatetheProblem0era@orumedtheexcesstoruswatertothehotwell.Outcome:withinspecifications).CorrectiveMeasuresUndertaken:aae.HumanPerformanceProblemsAssociatedWith'Event:inadequateB-37

ARDCorporationNineMilePointUnit1HistoricalDocumentReviewPROBLEtlANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yesx(Ifno,endformhere.)NoInWhichAreas:CorrectiveActionsTaken:Adeuaterocedure.UnresolvedDiscrepancies:None.(Ifnone,endformhere.)HEQNumber:Summary:B-38

.:IILIi.i>:.'.I:I/~7.ILICEi~JSHEEViTINTREPQPTiU.9>.IIlls~LLiiliIll.(il/U/3>I(gli'>'.ll'.I<3116:>I(/s'42QT00-000010~00QiQ~00:5LICKf(SENu/sl(iER2GLICE>VSKTYPE305/IAT58duetore-COi4TROLGLOC's'7IQi(PLEASEPAINTOATYPEALLAEQUIAEOINFOA/IATIONI6I~oILDRS0I~III~I1~~tI~Q9LICKI(SKECODET05000237~7010379lGG013179Q9souRcELJQG78CO61DOCKETNufnaERGB69EVENTDATE7475REPORTOATc80EYE>hIT0SCRIPTIONANOPROGAGLCONSEQUENCESQIODu".ingsteadystateoperationthetoruslevelincreasedto-linchpetitivestartsoftheHPCIturbine.SeeR0879-2/01T-0.Immediateoperatoractionwastopumpthaexcesstoruswatertothehotwell,rastorinwaterlevelto-3.5"whichiswithinspecifications.ThiseventhadminimalsafetysignificancesinceeumI'"'07pressioncaabilit.ThiseventhasoccuredreviouslvatDresden..Unit2ROft75-51i~08T.S.789:.M.u=<.r<",80ISYSTctsiCo.':PCAUSECAUSEVAI.VECODECODESUBCODcCOIAPONENTCODEsUBcooEsuacooEKg]LNS~JQ0Gi~zQzzlzzzzQ~zo~~zQ78910111213181920SEOUENTIALOCCUAAENCEAEFOATREVI5I0i4Lt'R>ROcVEi4TYAAREPORTNo.CODETYPENo.Qiiiii>oii~79~~001~m~OI3~L~~0212223242G272829303132GEFc3574tACTIONFUTUAcEFFECTSHUTDOV/<VAliACI(f.IENTNPAD4PA(t:ECOViP.COIAP074E/ITTAKE/4ACTIO'40'4PLANT>5(ETHODHOURS+22Sua/IITTcDFORK(5UB.SJPPLIKAtIAN('FACTURER~GQ<;~ZQ<e~7.Q<i~ZQc<0000NQrs~NQ>'QiiZ999Q333435363/40414243'44.47CAUSECESCRIPTIOialAs'40CORRECTIVEACTIO>NSTncreasainthetoruswaterlevelwasdeterminedtobeaninadequateprocedure.TheHPCIsurveillancewillbechangedtoincludea"CAUTION"statementsothetoruslevelwillnotexceedspecificationsduringrepetitivestartsoftheHPCIturbine.Nofurtheractionisnecessary.89FACILITYSTATUS<<>POV/EAOTHEASTATUSQ30~gQ>~095Qis[NA.I8.910121344ACTIVITYCON704TAELEASFDOFRELEASEnr.(nuNToFAcllv(TYQ>>(;Qr)~I4Q3~O4)NA/891044PEASotlrIELEXPOS>UAESNut(BEA'YI>EOFSI.IIIPTIO/430I<<rj~00OJQ<r~ZQ<sNA789I'I1213PEASOI'INELItfJUIIIESIIU..(ncADE.;cnlrnoNQ41[0~00Q<i9III'7I.i)SSOFDADA'.IAIIKIoFhi'II.ITYQ13'7YPKOFSCRIP7ION~O9'.'I0PIIBLICITYI;S>>F.(7~N'4491045NALOCATIONOFAELEASEQ3G808080S-39NACUSEONLYGBG980.-,NIETIIOOOFDISCOVERYOISCOVEAYDESCRIPTIONQw2Q3IOperatorObservation4546

IIIII'os]RCONTROLBLOCK:IILDRS9LICENSEECODE2Q2001415Q1{POiO000LICENSENUMBERIILPI,IE'.~~.~I.VE.i'IIIll~IL/IIIIII{IZVLOUSfh{PORT:LEASEPRII'ITORTYPEALLR.QUIREDINFORMATI1111OR~ORLICENSETYPE3057CAT58~ozEoILP~05000237010379~05QI379Q,SOURCE~~60-"61,.OOCKciNUN'IBER6869'VcNTOATc7475RcPORTDATEEVcNTDESCRIPTIONANOPRODAGLECONSEQUENCFS10Duringsteadystateoperationthetoruslevelincreasedto-1inch,duetore-petitivestartsoftheIIPCIturbine.SeeROJ79-2/01T-0.Immediateoperatoraction~owastopumptheexcesstoruswat'ertothe'hotwell,restoringwaterlevelto-3.5"~0whichiswithinspecifications.Thiseventhadminimalsafetysignificancesince05,CZ3the0.5inchexcessinwaterleveldidnotsignificantlyaffectthepressuresup-~06pressioncapability.ThiseventhasoccuredpreviouslyatDresden.(Unit2RON475-51)~0700T.S.req'slevelmaintainedbetween-.1.5and-I4.75"at18P/P.7&978SYSTEMCAUSECAUSECot>P.VALVECOOKCODESUBCOOECOLIPONGNTCOOKSU&CODESU&COOK[0090>>*012~d072222222Q14~ZQIE~ZOIR91012'13IB102066QUENTIALOCCUAAENCEREPORTREVISIONLKAPROEVENTYEARREPORTNo.CODETYPENO.Q17REPORT~79~~001~M~03~X2122'23'2426272829303132ACTIONFUTUAEEFFGCTSHUTDOYrtdIhTTACIEI.IEldTNPROAPRIMECOMP.COLIIONCNTTAKEtlACTIONCPNPI.ANTMETldOOHCUASQ22SUBMITTEDFOAtPISUB.SUPPLIERMANUFACTUREAQls~COTE~ZQEO~ZQ270000~NQ22~NQ24~ZQ252999(3334353637414247CAUSEOESCRIPTIOEhlANOCORRECTIVEACTIOIISoincreaseinthatoruswaterlevelwasdeterminedtoresultromoperatoroversight.Personnelinvolvedwere'admonishedtoensure'evelis'prope'rly'ma3nsurveillanceTPillbechangedtoincludea"CAUTTOiE"statementsothetoruslevel'villnotexceedspecification"duringrepetitivestartsoftheIIPCIturbine.Nofurtheractionisnecessary.MKTIIOOOF0ISCOVEAY~AQ3I4546~ZOza~oe5QsNd78910l2ACTIVITYCONTENTRELcASGOOFAELEASE~ZQ33ZQ378910IEASONrdELEXPOSURESNUM6ERTYPEDESCRIPTIONQ39~000Q17ZQzsNA78911l213PERSONNELINJURIESNUMIIGR.OGSCAIPTIOtl41~000OoNd789II12~~LOSSOFOAOAAIAOKToFACILITYQEI3TYPEOESCAIPTION<Q42NA789IOPUBLICITYISSUKO~DESCRIPTION~889101344AMOUNTOFACTIVITYQ39NA445M.Iiri.cl1t-9-40N4~\0r3FIII)f',IzrI77OTHEASTATUS8080.60NRCUSEONLY~IIEm80~I,0cIIIII3t.'.0'B69X-li2280DISCOVERYDESCRIPTIONQ32OneratorObservation80LOCATIONOFRELEASEQ6

PAR-11ARDCorporationNinePilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofXnvestigator(s):ReportType'andNumber:LER7-04603L-0Station:DesdenUnit:2EventDate:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:zneztinNatureoftheProblem:NitrogenstoraaetankleveldroedStepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:Nitroentank,alarmwillbead'ustedfrom100to80inchestoincreaseitssinificanceandHumanPerformanceProblemsAssociatedWithEvent:Setpointonalarm.Procedureinadequacy.

ARDCOIPorabOnNineMilePointUnit1HistoricalDocumentReviewPROBLE/1ANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInwhichAreas:t'matesrateofnitroenconsumtionVWtions.Noalarms.CorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)None.HEQNumber:Summary:B-42

$0etI]17{Cf)LOCATIO'IQl'lLE5E03aiCSfrvCt)~eP)lfZNL"s~Ie>~~,r~Ii.3S(E.Q{;.'i.ff,i".l(.~'.,'.,'",.'.',tCcl'48E="EViMTRr;."-.JRT:':;:,:,';:;.",.',(".'.".'.-,;.,',"-.:-;,".'.."".."-'",":"j.'.-;.-Z'.,'.='uts~s,(o)(f-"')C.efrnCLOLCCICI1IQl'fsL)M"-PnNYosiTerr<<e'LLtu=GUlfiD4.".Or'Tt'IAe!QN)'ICj<)io'll.093z(3}0lo-0lojnlolnL~oloOatttl)13QualQs0LIC!r'SEECoraLIESK'LICE)ISTY)tsSOSlCAfACO'I'Tol)l000-@37IQilo7I'l7)9lQs~ololz~07I9QeOfrCFLTp:Utt.CIIOSLOEvtr.tOATCTC75RettcseTOATESOEvc.lroasc)IIprfc.'Flo1noaSo'ccvstcvcxcLsQo~~L)I~awhileinertia@contain".cnt~then'ro,",ensterve".ankleveldroooeidto5="conf--)7~I)3T.S~3-7-A.6bI&itof/<60Mebf!fetysignifianceeas~niJie'dbecatseinestin+asstoPPedtomini)"-i=econsumption.Thisevec.th"soccurredpreviously.p.g.pg-13-:g;I03L-O.~OI'::.OOHlI-~Ut,~-C~VB1SOSVS.EL'ICAU'L'rtUSF'CO"F.VALVECOVEco'SVIICOOECci<FONEI;TCOVESVIICOVCSVacoot'.KEm~~QL~IOLOJQz~'I'8L~IO~LEIOo8IIQ11,17ISIVIVSCOVCIIf)ALOCVIIRFRCERCFGIITALv)5IO)rICRtqo!VERTYARRCFORTIraCO:)51YFCNo8""""I~LJ~~'LJLJLJLOJ71777f77IZ87'J77.+,Ar)lokFlIlllri!1IfLCT,SI<<rtofw'xATTAC~/LeEsnkFRORFNIVECfa'.aCGMI'Okfr)TI*>1'IACTIU'eOYPIelkTMIftlVVHOVI)5+7SVltMIITLOFOKMSVV5)rFf'Lle'llle*hi/fAC)lf!IE)l~IIQs~FQrJ~ZOeLJQt.onIOQIlQ~NQse~ZQZ999Q<,hohI~h7CSho4ICALSCOECAIPT{ONAfloCCflfltcr!VEACTIO'-'s2/Ionus'asone.starorrorIIIeat)ass)asretofar!.Iftlon=ln)tro.tentonsuentlon;I'.tnrroceivin-alarcf.Zccsodiatecorrectiveactionvastostopinerting.Thenitronf'nfu'(g~'anklevelalarc)TFiIIbead)ustedfro"100to80inchestoincreaseitssignificancentfC9FACIIIIV3O)IET)IOOOFter'O"'CR,On)ENTATUSQDISCOVEIIYOISCQVCIIYOEcnlf'TlokQ37Qr.~~>l3Qlf0/a~LSJQailSlffiSnit)aee"Ot"aF."tat)ona1017hhACIIVI1VCfrrIC.':IeaRILCASCOOFRCLCZSFAMOVIIIOFACTIVITY~as~II>>~ZO)3~ZQs;W/ALhhFCf150rkLI.CX>VSVItLSkvr.IlfnTYFEocsc.<<ifle~)Q)PgP-(/g~I'FTCL('CCEhmI~li~0'0/iii.lzI/Qt:.~s/anOCL(CLf'fn~II17IDFI1)sol.kfII';l).n:Cf~~I)LSCR>>t)ok"~1~00I0'~(hls/nl1ifIlrr.;I::I')..I'</a)IrP;5I)r)IvI'ITC~~ItO.'.e~l'~l'~/All,jI"A.'.t>>nfff1pAI<<nI

PAR-12ARDCorporatxonNineI".ilePointUnit1HistoricalDocumentReviewPROBEEMANALYSISREPORT(PAR)NameofInvestigator(s):ReportTypeandNumber:Station:Dresden80-04701T-0Unit:EventDate:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:HPCISvstemandIsolationCondenseroutofserviceandprimarycontainmentvroken.NatureoftheProblem:Reactorressureexceeded90psigandrimarcoolantterneratureexceeded222'F.StepsTakentoCorrectorAlleviatetheProblemIncreaseOutcome:Temperatureandpressurewithinlimit.CorrectiveMeasuresUndertaken:Operatingorder.HumanPerformanceProblemsAssociatedWithEvent:B-44

ARDCOrPOIatl'OnNineMilePointUnitlHistoricalDocumentReviewPROBLEL'4ANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yesx(Ifno,endformhere.)NoInWhichAreas:Procedure.CorrectiveActionsTaken:Procedureincludesseveralcautionsaboutstratification.UnresolvedDiscrepancies:(Ifnone,endformhere.)None.HEQNumber:Summary-B-45

,!III'IoizisizQlolGl-IGIololoiol69LI"cl:Sfctcor.I>>I'IC-IZSKNVMornr65K~T""""'Q>lI>oJolCCC>:KTNU:.>SKR59EVHI,'TOESCRIPTIONPloPROB:.aLECONS"=:.LIENCES(10)ECQCQrD.esuI-.Cee>1eo90P'anePr'C>zrV-IoIo~>AI'-IzIIIzQil~lQ>SoLIC.~ISKTYPE305~C~56Z,VEI'TDAic74)5RfI'ORTDATE00coolant'er~peraturL>exceeded212de~~re4>>sFa!lrenileitwithPCISystemndIsolarionCondenserout,ofservicean4rlr'"rvContn,t."ntegrirybroken.Tilerewasai~4alef=ectonpublichenrhandsafe"vsinceallotherECCSSystemsweefunctioningandtherewasnodeviationinreactorwaterleve.Tnissbefirsteventofitskind.~if69BOSY>TEMCAUScCAUSKCOMP.VALVECODC,CDE5USCQQCOMPONENTCQQKSUBCQDKSUBCQDE[g]AIQ~DQ~ZQ>ziZi2I2ZIZIQ>-~ZQi>~ZQ>>8910111213181920SEQUENTIALOCCURRKNCKRcPORTREVISIONLcR>ROLVKNTYcARREPORTi>IO.CQOETYPKNQ.G>>*io>-.'siolLI~oi<II'ml~olzI~zI~"2CS>>>>SSM.30.31)NFUiURKcccC5>IL~Dw'I>>N~~AAI>hIKNNPRr44PRIMcCOMP.CQMPQNcN>cl1~~~A~NAi>IQNQNPI.ANTMETHODHOVRS2>>SUS'.IITTKDFORMSUS.5UPol$ERQl.Qg)I-.IQ>[zJQlooIot~IIQ,QQ[JQI=IioI(3>4041C~us>>0SCRIPTIOI>I>'AOCORR>>C>IV-AC>IO.".'57~1-rocedur>>nadecuacyToaddresste~peratlrestra"'fict'onwithin=nereac"orvesse"I'hrecirc.pŽpso.ardlowshutco~zcoolinglo-casedtnisevent.Lone-tei.Jco=rectvactionsi-..c"udeissuiganoper"t"ngoroer,-."".~"aoroceduecnanReand{consider'..gsyste=tloc'.ifications.l~eciatecorrec:iveactno"wastoincreasesnut-'ccowccooingfo..c..hichbroughttemperatureancpressurewith-nli"'-.its.~o(D>~oloIoNA691012ACilVIYCQNTKIiiTiRKLK~SFDQFRficASc~AMQUNTiQF+~QI"Is~5910PERSONNELKXPSURES~oiolOI~I~ZIQG.IFACILI~YSTiAiUS.1>>POWERO>HER5iATl'5M~CODOFQDISCOVERY~AQ>>45'15DISCOVERYDESCRIPTIONOperatorObservation"N/ALQCTIONOFRCLK~c~o50Qf'/geIJCra/C~1CnS~k>3rc-T~S>Pr2.74rr>.<~~t691%PERSONA,cl.>N'DRIES'~olO'QA>ITV45DESCRIPTION-'QcIC'PU0I.ICITYZL'J-'/An/A~'/III~B-460500DGAr>CL>EON>Yr>>~

a~~~~clsneesens'.~gs~'IhsO~!dsp(CjDP:-SD:-xib.'2:3(1LD"".SDOC~:'.dn50-2<<>,l.(,.'oC'hortlyzterzchievingacoldshutdo->>w,withrecirculationpumpso=-",'eactorVcterCleanupSysteiso'zinczno~thoneloopo"shutdowncoo3.ing'systeminope=ztion,i-wasnoteo."4"trez"torvesselpressurewzs150PS1Gwhile'rec='rculat'onloop'teipe"zture's"l55de~rees'fznrennet.Pr.-zr~contzin~entinteritihadbenbrokenznd~rCXzndIsola-ionCence"..sa:wanaonosew'ceAsecondsbcdot...cool"loopwzspiecedi.".=ocpa"a"ioncoac.".iavenazcesvassedflowtoe"ztete-pe=z"Yres"rati=ic"tonandwhenthezi-..gIoccurecrecircua.tionlooptc=.perztureteporzr.lye:;ceeded21".oagrees=zhre.hait'.Technic>Spec"ication1.imitingConc'tionsofOperzt'on3.5.C.l,3.5.Z.1nd3.7.A2were.e..ceededduringth.'seve=t.Reactorpresureandwz=e.tezoerztueswere~eciatelyre-ducedtozccep=blelev'swhethesecondloopwzsplacedintoservice.t?~)~n~I~fThesz=etysigniicznceo.thiseventisvm~Z.."nce..t¹rectorwsinzshutdowncondtion,secondarycontaizzentintegritywzsinef=ect,bothlowprssureenergencycorecoolingsysteswereooeztionzl,theshutdowncool'ngsystemwas~operation,thefeed-~tesystenw"szvailzbleandnoworkwasbeingdonethathadthepotenti1todrainthevesse.Fu-heao=e,'heelectro=tiereiefvalveswareavailbleto.con"olreacto=pressure'waterlevel,'asatalltwas,intneno~1operatingr"nge.Th's'stheirsteventofits1"nd.Thecuseofthiseventisa"tributabletoorocedu.alindeauacspeci='callyDO"1000-3,w$~ch:ziltoaddresstheoosibilityoftereraturestratification"nthevesselwi"hrecircultionpu=.psnotrunning.ThecoretiveactionsarebasedanthaneedtoirmcdiatelyproccduallyaZQiass'hissituZtionandaub=aquentlyroprovidesystenchanes.Onaninteibasis,anOocrat'n"Orderhasbeeniuedtorcauire'theuseowosnutdowncoolin~stemloopsoneatfullflowzndtheotherztareducedflowtoensureth"su"fic-'=lowisav"-1.-aolewhenthere"ircuiztionprosarenotrunn"'n".topreventteoera-tures"r<<..waterinthevesse.ThisOperas.nrOrderwillre=-inineffectunttoeShutdownCoolingSytc-Opcrat'onB-47

Procedure,DOP1000-3,'srerhsedtoincludeaprecauthonromaintainsurveillanceo=thebackp"ne'eactorvesselmetalte=peraturerecorcerwhenoperating'neshtooacoolhngsystemwithtnerectorrecrculationpc~psno-runnng.Onalongte~bas's,zninvestigation.ntothedesignoftneshutdo>>-..coolingsystemwilbeconcuctedtodeterinechangesthtcov.de"hncesystemopera"ionins"tuationsofrccvcedrec'rculation=low.Theoperat"ngorderhasa'dybeenis"uedandprocedureDOP1000-3willberevisedbyJanuary1,19Sl,AsupplementalL""Rwillbeissued,oncetheeztento*nysystemdesinc'n'nge"andaschedvleforimplementationaredetermined.\~jig~C/~'</i'+/cjrLprr'riI~~~aU~~a~~l'~r~~rJr'<I'r'oicL.C-"Lp!ri)".y;i~I~)p/7~~r-'g-fJ'C~r'P.P('C'<~ply)/av'ggzcaw"jarr~.rg+MQr&//liZoc.~5/7p//Iirf/7+Qcrn~.)ZrC/~pv(iorr)(z.~yi~~cC/er~)g'Ig~pJhJfi~j~B-48

QQdfQs"hep'y,'O'os'laceBox761Chicago,Illinois60690January19,1981c.<-~Dr.E.L.ZebroskiNuclearSafetyAnalysisCentz3412HillviewAve.PaloAltoCalif.94304

DearDr..Zebroski:

OnDecember21,$9@~>,Dresden3wasincoldshutdownbutexperiencdanundetecteduseinpressuretothepointwherethelimitingconditionofoperationwhchgovernedprimarycontainmentwasexceeded.ThedetailofthiseventarebeingprovidedtoBillLayman.ItisrecommendedthattheNuclearSafetyAnalysisCenter'xaminethiseventindetail.Etappearsthatagenericsituationofaheatsourceotherthanthe'oreorapressuziz'erisnotadequatelyrecocnizedintheindustry.Thistypeofpoblemhas~"o.enexperiencedinsevealreactor.incidentsinthepastyearItisconsideredthat.anincreasedawarenessofthisproblemcanenhancereactorope'rationssafety.'CommonwealthEdisonwillcooperatein.providing'assistanceintheanalysisrecommended.tcc:N.H.Layman(withdatapackage)9822AB-49

InadvertentPressurizationofDresdenUnitDVR12-3-80-101)LER80-i)7/OIT-OEventOnDecember21,1981,Dresden3wasincoldshutdownwiththerecirculationpumpsoffandthereactorvesselnotvented.Duringthecourseoftheshutdownonthepreviousday,theRxhadnotbeenflooded,toavo'dunnecssarythermalcyclesonthevessel.Thefolio;vingsystemshadbeenremovedfromservicefor.modificationandmaintenance:HPCI,IsolationCondenser,Reactorwatercleanups.andcontrolroddrives.Theunitwasbeingmaintainedinthecoldshutdownconditionwithoneshutdowncoolingloop,maintaining1400to1800Fontherecirculationloopsuctiontemperatureindicators.Inanefforttoestablishbettercontroloverreactorwate"temperatureasindicatedontherecirculationloops,theoperatorswere'hrottlingtheshutdowncoolingflowfromthevessel.Ap'proximately6hoursafteztheshutdowncoolingflowhadbeenthrottled,itwasdiscoveredthatreactorpressureindicated110psigwith155Findicatedonthereactorcirculationloops,Shutdowncoolingflowwasimmediatelyincrea"ed,cauingthelooptemperaturestoincreaeover2120(2200r)forabout)15minutes..Reactorpressurestartedto~decreasewiththe'ncreasedcoolingtlow.Primarycontainmentintegrity,'sichhadbeenbroi'en'ocooltheorywell-forwork.insidewas~~~,.established.Thereactorpzurcwasrestoredto0PIG.atpproximately6;30a,m.1Analysis&CorrectiveActionThereviewofthedataindicatesthattheunitwasinacoldshutdownconditionasevidencedbytherecirculationlooptemperatureat7:22a.m.onDecember20.Normalprocedurescallfortheisolationoftherecirculationpumodischargevalveanddischargebypassvalveozthepumpsuctionvalvebeclosd.whenusingtheshutdowncoolingmodetoinsurethatflowisestabl'shedthroughthereactorvesselandnotthroughthidlepump.Thistemperaturewasgunningapproximately1550Fpriortoandthroughoutthepressurerise.Areviewof'hemtaltemperaturesofthevessel'ndicatesthtthetemperatureofthevesselmeasuredat"oLowwaterlevel"wasslowly~.increpsingfromaboutapproximately2200to3600overa6hourperiod.Thefeed'vaternozzletemperaturewasincreasingatti-esamerate.Thelowermetaltemp"raturesofthevesselwererunningconstantatapproximatelyllO"Fandheldconstantthroughoutthedurationofthepressureincrease.Theincreasefrom220t'o360roccurredovertheperiodoftimethatflo;vwasthrottle~toobta'nbettercontrolovertemperature.Themechanismforthepresu;eincreasew'hthoiroica'on'fmoderatortemp.lesst<<an2120,isthoughttobe3.ocalizdbollng~tthereactorvesselinsidesurfacejustbelowthewaterevel.Thetrailingoccurredwhenshutdowncoolingflowwasdeeresedtothepointhatinsufficientturbulencewasavailabletopzventstratificationinthisregion.Theheatsourceappearstobethelatentheatintheve"selwall,tansmitteddovnfromtheve"selflange',whichwasnotcooleddownbyfloodingtheve"sel.onshutdown.

'.r%Inrsponsetothisevent,theNRCletterrequiring;inpart:issuedaymmediateactionl.Completion,ofanOnsiteReviewtodeterminethesafetysignificanceofthiseventanddetermineactionsnecessarytopreventfuturerecurrence.2.Implementationofastationoperatingordertoensureoneshutdowncoolingpumpwillbeoperatedatratedflowduringcoldshut'downconditionsforbothunitstoinsureadequatemixing.waterinthereactozpressureves'sel.3.ProvideinthereportofthiseventrequiredbyTechnicalSpecificationyouranalysisofthecauseorth'sventandthedescriptionofyourplantpemanentcorrect'veactions.Thereportwilldiscusssuchitmsasprocdurschanges'.designchangesandyourschedulefor.imolementing.t'necorrectiveaction.Theimmediatecorrectiveactionstakenweretochangetheprocedurebyadd'ngaprecaut'onstatingthatwiihreactorrecrculationpumpsnotrunning,temperaturestratificationofthereacto-vesselwate-rspossibleundrlowflow.conh'tions.Italsorequiresasurveil'lane.ofe:evesselmeialtemperaiurzecordertodetectpossibletmperature'ratificationoithereactorvesselwaterunderreducedshutdowncoolinglowconditions.Xnaddition,the.designisbeingsiudied.for.proposeddesignchangesthatcouldpreventareccurence.IDiscussionswiththestationhaveindicatedthaither'aybeaneedforatemperature-saturation~essu~'omet>>or/and-'lit~tothrottlereacrorDuiiaxngcosocoolingwatertotheheatexchangerratherthntheshutdowncoolingflowto.insureadequateflow.This~ouldrequ'readesignchangeto'allowthrottlingoftheclosecoolingwaterheatexcnangervalve.r><>5i>rJ=ig/gr.~sr,rgItisouropinionthatthisincidenthaspossiblefuiuzechanceforrecurrenceinthattheeffectoftheheatfromtheupperregionsofthereactorvesselhasnotbeenconsideredwheninacoldshutdownconditionandthevesselis(byplan)notcooleddowntopreventunnecesarythermalcyclesonthevessel,""theheadventisclosedfortheseconditionsandtheRxrecirculationpumpsarenotinservice.9723A

PAR-13ARDCorporationNinel".ilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):CFWReportTypeandNumber:Station:DresdenEventDate:2/1/78Unit:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:Steadstateoeration.2/3BSBGTsstemwastakenout-of-serviceformodification.NatureoftheProblem:Surveillancemissed.StepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:onnelinstructedaboutHumanPerformanceProblemsAssociatedWithEvent:B-52

ARDCorporationNineMilePointUnitlHistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)InWhichAreas:NoCorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)HEONumber:Summary:B-53

LICENSEEEVEN'If1EPQHTIPLEASEPRINTORTYPEALLREQUIREDINFOAtIATION)CONTROL8LOCK,Qti]2L0R82Qs00-00000'-00Qs4II13ps~ps9LICENSEECODE1415LICENSENU>4BEA2626LICENSETYPEJO67CATSa0ssts~LPs03000237s020378Qs0221378QsDOCKETNU>IBEREVENTDATE7475REPORT17AsK80EVENTDESCRIPTIONANOPRO8A8LECONSEQUENCESQIOOn1-30-78,whileUnits2I33wereatstead-stateoperation2/3BSBGTsystemwastak-enout-of-serviceformodification.Surveillanceon2/3ASBGTwasperformedevery-daywhileBtrainwasout-of-service.ForthefirsttwodaysthatBtrainwasout-of-service,however,theoperabilitytestonAtrainwaperformedonlyfor30minssnotthe10hrsrequiredbyTechSpec4.7.B.1.a.Thisincidentdidnotaffecttheavaila-bility,oftheSBGTsystem,thereforesafeplantoperationwasnotimpaired.Eventisnotareoetitiveoccurrence,8089SYSTEMCAUSECAUSECOMP.VALVECODECODESUBCODECOMPDtIENTCODESUBCQDE'UBCODE~SCQ8Qs~AGsZZZZZZQ~ZGs2Qs8910'11'21318'1920SEQUENTIALOCCURRENCEAEPORTREVISIONLER!ROEVENTYEARAEPOATNO.CODETYPENO.Q17R"sass~78Q~()p7+~~Q3+LQQp2122232426272$2920.3122ACTIONFLITURKEFFECTSHUTDO'WNATTACH>SENTNPAORPRIMECOMP,COMPONft4T(TAKENACTIONONPLANTMET>IODHOURSQSuat~>TTEDPnniAava.SUPPI.IERMANUFACTU>1EA~HQa~Zpl9~ZQss~ZQ~000~Nps~NQs~ZQsZ999Qe23242$,36274041.42434447C*USEDESCRIPTIONANOCORRECTIVEACTIONS27I0Aftertheoversightwasdiscoveredthesurv,onAtrainwasperformeddailyfor10hrs.untilBtrainwasputbacl.inservice,ThisincidentwRSCRIISedbyoperationoversight.Toavoidrecurrencetheappropriatepersonnelhavebeeninstructedabouttheirerror.I~P44LOSOFOAO<>4ACETOFACILITYQI3YPFDESCRIPTION'-Q42a910PUBLICITYISSUEDOESCAIPTIONQAg+n~NQ891089FACILITYSTATUS99POV>EROTHERSTATUSQgpss'100Qs03at80%89101244ACTIVITYCONrENTAKLFASEOOFAELEASEAMOUNTOFACTIVITYQ39~ZQ33ZQ389101144PERSO>INKLEXPOSURESNU>'BERTYPEDESCRIPTIONQ39~~o:oppt~Pr.89I'I1212PERSONNELIN3URIESNU>ABEADEscnlp'rloNQ4100040NANA6869NRCUSCONLYMETHODOFDISCOVERYDISCOVEAYDESCRIPTIONQ32~AQ31TechStaffRevie~ofSuzveillances4640IOCATIONOFRELKASEQ3+NA4680808080aoJ>3eGhanB-542220

PAR-14ARDCorporationNine'PilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):ReportTypeandNumber:Station:EventDate:CFWLER78-05303L-0Unit:3OperatingStatus:CircumstancesandEventsLeadingtotheProblem:Performingoffgasradiationmonitorcalibration.NatureoftheProblem:3"A"monitorwasfoundtofailStepsTakentoCorrectorAlleviatetheProblemInoerabletheuscaleposition.Outcome:CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedWithEvent:None.B-55

ARDCorporationHineMilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)InwhichAreas:NoCorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)HEONumber:Summary:B-56

~~<<ILII'L'I'I~LLJ<'VLf3lI'lL'i'Ul(ICOWTllOL<LOCI':~IlLDRS3QZjO9LICENSEECCOE14I{PLEASEPRINTORTYPEALLREOUIREOI~JPOR51ATIOiJ)6.QO-OOO0b-OOQsSIIIl<Q<<~psLICcNSENUJIBER26LICEi'JSETYPE3057CAT5848ps!<<OCT~ZQI0SOURCE6061EVENTOESCRIPTIONAiNOawhileoerformin7ls.QsI130178Qs500024DOCKETiVUMiBER6869EVENTDATE7475REPORTDATE80PROSABLECOiNSEQUENCES10DCP2700-11OffasRadiationMonitorClibration3"A"monitor~p3wasfoundtofaildownscale.AsreuiredbTech.SDec.3.2.D.2theinoerable~o4monitorwastricdintheuscaleoosition.Safetsinificanceminimalbecausetheparallel.redundant".B"monitorcontinuedtoocratenormall.Thisisthefirst~o6occurrenceofthisteontheOff-GasLoRadM'nitors.~07~088078918SYSTEhICAUSECAUSECOMP.VALVECODECODESUBCQOECQhIPOtJE<<JTCODESUBCQDESUBCODE<<~NBQllQZQ+Ap'N'0QliQZQlsQQ<<s9101213181920SEQUENTIALOCCURRENCEREPORTREVISIONLER>ROEVENTYEARREPORTNO.COOcTYPENO.P'I<<os~78~~053~M~03~L-~0212223242G212824J3031~32ACTIONFUTURcEFFECTSHVTOO'L3>NATTACHI.IErJTt'PRO-4Fr<MECotIP.COMPOtJENTTAKENACTIONOt<<PLANTMETHODHOURSQZ2SUBMITTEDFORAISUB.SUPPLIERMANUFACTURcR~r~iI11IIIII<<~op<<I~ZP>>~ZPC~ZP>>OOOO8Ps~YQI4~NP!s0080QIF3334353O314041424344.47CAUSEOESCRIVTIONANOCORRECTIVEACTIONS27ZHl~"~BCT.DCP2700-11.OffGasRadMonitorsvillcontinuotobecalib.uarterlandfunc-tlonallytestedmonthlyporDCP2700-11,81AiIZITY4+7<<'<<IUS'0POYJEROTHERSTATUS08F"'-'5529NI~I':".'<'JrPIrrAI<rrlCarlLin<thcrs~I-IP~pAI.<<IVITYCO:JTEtJT'I.Lf-'uOFPELESEAhIQUNTOFACTIVITYQs'j-l~ZQ'p<<NA'"I<EHI'OnOJP<<~ZPI-NII13PE<<00'aNEL<NJVI<ICS'>"BE<<DESCRIPTIONQ41...3IoI~ooQ[NA11124~~',<4<t>HI1<<.<<<iETOFACILITYQIIcCI<<PIIOtJ'3INA<<II'<<lI~<<IYNAhlETIIOOOFDISCOVERY~Q3I(Su~g.454645B-57DISCOVERYDFSCR<PTIONQ3280LOCATIONOFRELEASEQ808080GBG9Y-'PRO80NRCU"."IOPILY~LUJJ".P0

ARDCorporationPAR-15NineNilePointUnit1HistoricalDocumentReviewPROBLEi4lANALYSESREPORT(PAR)Nameofinvestigator(s):ReportTypeand'umber:Station:EventDate:LER79-004/03L-0Unit:3OperatingStatus:CircumstancesandEventsLeadingtotheProblem:Q.A.audit.Nature'oftheProblem:TwoControlRodDriveswereinadver-tentlvnottesteddurinfullcorescramtestingfollowingrefuelinStepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedWithEvent:Personnelnotfollowinrocedure.B-58

ARDCorporationNineMilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)InMhichAreas:NoxCorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)HEONumber:Summary:B-59

.CONTROLBLOCK:IoIILDRS789LICENSEECODECrpaipT3QiOC-14'IS11114BLICENSETYPE3067CATSBQiPLEiISEPRINTOATYPEALLREQUIREDINFOfltPIATION)60000000Q442626L~J02~LQO05000249Q7031I79B032879QB~60-~-61....DOCKETNUPhlBEA6869'VENTDATE7476REPORTDATE80EVENTOESCRIPTIONANDPROBABLECOiVSEQUENCES+IOAQualityAssuranceauditidentifiedMorattwoControlRodDrives,11-8(30-31)andK-8(38-31),wereinadvertantlynottestedduringfullcorescramtestingfollowingrefuel~oston5-17-78asrequiretjbyT.8,4,3:C,l,'herewns101nfmalsafetysignificancebecause~OtheCRD'shflvebeenscramtestellsatisfactorilysinrethisoccurrence,~os~O~o78980SYSTEMCAUSECAUSECOMP.VALVECODECODESUBCOOECOMPONENTCODESUBCODESUBCODE~Os~P.EQll~AQ~AQP4CR0RREQl4~>Ql4~iQli7~8910111213181920SEQUENTIALOCCUAAFNCEREPOATREVISIONLER/AoEVENTYEARREPORTNO.CODETYPENO.QliPIEPORT~79~~004~~~03~L~~02122232426272829303132ACTIONFUTUREEFFECTSHUTOO'V/NATTACHMENTNPAOAPRIMECohlP.CohlPONENTTAKEPVACTIONONPLANTMETHODH0URs+22SUBMlrfEoF0AMsUB.GUPPLIERMANUFAcTUAERL~JQA~~QP~iQO~QPoo>"Qii.~NQi~QP4E(i<333435363140414243~4447CAUSE0SCRIPTIOiNANDCORRECTIVEACTIONS27Operatorselectedadjacentcontrolrodsfortesting,andTechStaffRep.inadequately~reviewedteststoidentifyerror.Thepersonneli<<volvedhavebeenadmonished'toensureprocedureisfollowedcorrectly.3~l4~'789FACILITY'STATUS.~oPOY(EAOTHCRSTATUS~CQP4~000QigN/A~8910'121344ACTIVITYCONTENT~RELEASEDOFREI.EASEAMOUNTOFACTIVITYQ3S4~zQiizQ44N/A7891044PEASONNELEXPOSUAESNUMBERTYPEDESCRIPTIONQ9EKLnn~JO7LZJQ>>789111213PERSONNELINJURIESNUMBEROESCAIPTIQNQ41Lo~ooQnoN/AhlETHOOOFDISCOVERYL'JQ4454645N/AA.OCATIONOFRELEASEQDISCOVERYD~SC'RIPTIONAuditbyQualityAssurance80&08080789I'I12LO-SOFOADAMAOETOFACILITYQ43TYPEDESCRIPTIONIPQnN/AI9l0PUBLICI'PYISSUEDOESCAIPlIOPI~."BQ"I'NA819rt.n.':EO~P;.EPA-.;.FIB-60NRCUSLONLYPIIONPE..$15-942'-:.92080804PP8o~00it

,PAR-16ARDCorporationNineNilePointUnit1HistoricalDocumentReviewPROBLEMANALYSESREPORT(PAR)NameofXnvestigator(s):ReportTypeandNumber:Station:denEventDate:Unit:2OperatingStatus:CircumstancesandEventsLeadingtotheProblem:NatureoftheProblem:StepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedWithEvent:NoneB-61

ARDCorporationNineMilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)InWhichAreas:NoCorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)HEONumber:Summary:B-62

I'-IQzll10LICENSEECODE140iO0iO0LICEiNSKNVSlacRIQi~I(9.0,2526LICEiISc~YPJQ57CAP58AccREPORT(!!0I700)0[7J3[7SQVRCc6061GOCKETNUi648ER68cvcNOESCRIPTION'."IOPROSABLcCONscOUENC-510DuiingthereviewoftheUnit2andbnitZiziolziBillQz21~1~141BIoQ69FVKNTDATF75RK?GRiDATE803Operator'slogsandsubsequentcheckwithTechnicalStaffpersonnelrevealedthattheultrason'ctestingofthesc"md'scharge3volumewasnotperformedduri..gthe1500-2300shift.Thehe1thandsaftyofthegeneralpublicwasnotendangeredsincethetestsperformedonthepreviousshiftandimmediatelyfollowingthed:scoveryofthedeviationshowednowaterinthescramds-lochargevolume.Thiswasthefirstoccurr%nceofthistypeatDresden.8960SYSi8,'ICAUSECAUScCotAP.VALVcCODECODESU8CGOECQIIPONENTCQDESVBCQGcSUECQDE~R)BQiiQKQi-,+XQi-ZIZIZiZIZZQii~ZQiz~ZQi-8910ll1213'181920SEQUENTIALOCCURRENCERE?GRTREVISiQNLcRtAOEVcNTYAAREPORTNO.CODETYPEiNQ.Qz-'.ozz~8[0Q~042QZL0~3QLI0212223'2426272529303132~~IQNFUTUREEFCcCTSHUTGOlYNATTACHhlct47NPAD>>PRIMECOMP.CG'IPONEtti~REC~4KKiuIAC~IQNONPLANTME>HODHOURS2'VSIAIiiKDFORtASU8.SUPPLIRMANVFACiURER0Qiz~ZQ>>~ZQ,~ZQoo0~uQzz~NQzi~ZQ4zIIII0'(343536404142434447CRUSHOESCnlPTIONANOCORnECzlvsACTIONSTheindividualresponsibleforper=ormingtheultra..onictestfailedtochecktheNovemberschedulebeforetheweekendandconsequentlymissedthetest.TheOualityControlSupervisorhasissuedamemoinstructingtheShiftEngineeringAssistantto~(2contacttheresponsibleindividualifhehasnotreportedwithinonehalfhourofthe~3tinescheduledforthetest.~14Nofu"."heractionisrequ'red.OTHERSTA7USNAI'344MOUNTQFACTIvlTY3S.lA89F'CILITY57A(US~~PG't(ERLloz~~"(Dz8910I'2AC~IVITYCONTENTRELEASEDQFRFLEASE'~ZQL2Q8910PERSONNLLEXPO'SURES0Mll0JQzzMBQLil9'l1213'A.iCI')tIELlitzllRIEStzzETHQOOFOISCOVFRYDISCOVERYDESCRIPTON32~AQ>>ReviewofUnitLogBoo!c4646LOCATIONQFAELESSE12SSQFQAQA'.IAGEiQF4CILITYYP'EDESCRIPTIONZQizZlA89'10PUELICITYISSUEDOESCAIPTICNiz~~O~tiQ9IllB-63cit~.9JMPIRCl.iiScOPILY4IIl

ARDCorporationPAR-17NineI".ilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):CFWReportTypeandNumber:SOER81-15Station:Fitzpat~avantDate:9/19/76,1/6/81,8petkLVtfgg&tae:CircumstancesandEventsLeadingtotheProblem:NatureoftheProblem:VitalDCowersu1failuresduetorors.StepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedWithEvent:alarmsinadequaterocedures.LackofB-64

ARDCorporationNineNilePointUnitlHistoricalDocumentReviewPROBLE11ANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview'?Yes(Ifno,endformhere.)NoInwhichAreas:All.CorrectiveActionsTaken:Procedurescoverthiseventadeuatel.Allsucheventscontrolledbyshiftsupervisor.UnresolvedDiscrepancies:(Ifnone,endformhere.)HEQNumber:Summary:B-65

instituteofNuclearPowerOperations1100Cirde75Pa%waySuite1500Atlanta,Georgia30339SignificantOperatingExperienceRopori83-5may27,1983DCPOWZRSYSTEMFAILUR"SRZFERENCZS:UNIT(TYPE):DOCNO/LERNO:EVENTDATE:NSSS/AZ:UNIT(TYPE):DOCNO/LERNO:EVENTDATE:NSSS/AE:UNIT(TYPE):DOCNO/LERNO:EVENTDATENSSS/AZ:ZION-2(PWR)50-304/760009/19/76WESTINGHOUSE/SARGENT&LUNDYFORTCALHOUN(PWR)50-285/820178/30/82COMBUSTIONZNGI-NEZRING/GIBBS,HILLiDURHAM&RICHARDSON,INC.BRUNSWICK-1(BWR)50-325/790093/25/79GZ¹RALELZCTRIC/UNITEDENGINEERS&CONSTRUCTORSPALISADES(PWR)50-255/810011/6/81COMBUSTIONENGI-¹ERING/BZCHTELFITZPATRICK(BWR)50-333/8108212/30/81GENERALELZCTRIC/STONE&WEBSTERProceedingsof'WorkshoponVitalDCPower,NSAC48INPOSignificantOperatingExperienceReport(SOZR):81-15NRCIEInformationNotice:81-05SUt'IMARY.VitalDCpowersuppljfailuresduetopersonnelerrors,lacl:adequateprocedures,andinternalcomponentfailureshaveresultedininadvertentreactortripsandsevereoperationaltransientsatoperatingnuclearpowerplants.ofB-66E3Green-NormalAttention0Yellow-PromptAttentionQRed-ImmediateAttentionIAVI(Ih~gA~~,X~>A~I

DCPO>iERSYSTE:1FAILURESSOER83-5PAGE2DESCRIPTION:ZION-2OnSeptember19,1976,Zion-2wasat20percentpowerfollowingamaintenanceshutdown.Oneemergencydieselgeneratorwasundertestwithratedload,andoneofthebatterysystem"wasisolatedfromtheDCbusforanequalizingcharge.TheDCbusisolatedfromthe'batterywasconnectedthxoughatiebreakerfromauni.t.1DCbua.Duringthebatterydisconnectaftertheequalizingcharge,theoperatoropenedthetiebreakerpriortoconnectingthebatteryendbatterycharger<causinglossofpowertotheDCbus.ThisinturnresultedinthelossofDCcontrolpowertotwoofthefour4KVbuses,allgeneratortransformerprotection(re3,aying)fmetering,allmaincontrolboardannunciators(includingwindowsandhorns),andotherloads.DuetothelossofDCcontxolpower,thereactorcoolantpumpunderfrequencyrelaystripped.Th'sgeneratedareactorandturbinetripbecausethe'reactorpowerlevelwasabove10percent.Thetripsoccurredwithoutanyannunciationinthecontrolroom.Theoperatorsrealizedthattheturbinehadtripped(heardandfeltclosureofthestopvalves).Theyalsonoticedthatthecontrolrodswerefullyinserted,onlytwooffourreactorcoolantpumpswee'erunning(becauseoflossofDCpowertobreakertripcoils),andthemaingenerator50-secondtimedelaytripfollowingtheturbinetriphadnottrippedthegeneratorbreaker(duetolossofrelaying).Generatorbreakersontne345KVbusweretrippedmanuallytoisolatethegeneratorfromtheswitchyardandtopxeventmotoring~-ofthegenerator.,Theoperatingfeedwaterpumpdidnottripautomatically(lossofgeneratorrelaying)andcouldnotbe~trippedfromtnecontrolroom(lossofDCcontrolpower).Thefeedpumpcontinuedtofeedsteamgeneratorsthroughpartiallyopenedbypassvalves.Theresultantrapidcooldownandpressuredecreaseinitiatedasafetyinjection.Thesafetyinjectionsignalinitiatedtheauto-startoftwoidledieselgenerators,variousemergencycorecooli:ngsystem(ECCS)pumps,andfans.Themainfeedwaterpumpeventuallywastrippedlocally.Aftertrippingofthemaingeneratorbreaker(s),the4KVbusesontheunittransformerdidnottransfertothesystem,transformerbecauseofthelossofDCcontrolpower.Sincethedieselgeneratorthatwasundertestduringthetransientremainedtiedtothe4KVbusesandtheunitauxiliarytransformer,itattemptedtocarrythe4KVbusloadsandresultedinmotoringofthe'8eselgenerator.Aireresultedinh4,~B-67

IDCPOh"RSYSTEiMFAILURESSOER83-5PAGE3thedieselgeneratorwhanthebreakeraidnottripduetothelossofDCpower.Theopera"orattemptedtotripthedieselgeneratorlocally,butwaspreventedfromreachingtheswitchduetotneintensityofthefire.Thedieselgeneratorfieldwinaingswereburnedopen.Thecarbondioxidesystemwasinitiatedmanuallyandextinguishedthefire.Thepressurizerrelieftankruptureaiskrupturedduetocon-tinuedliftingofpressurizersafetyvalves.Twenty-fivehundredgallonsofwaterfromthepressurizerrelieftankwerereleasedintothecontainment.(NSAC-48providesmoredetailedinformationaboutthisevent.)Thisevent(i'nitiatedduetoapersonnelerror)resultedinunanalyzedsystem'nteractionsandresponses;severeeauipmentdamage(burneddieselgenerator);lossofsystemstatusinformation,protecion,andinterlocks;arapidreactorvesselcooldown;andactivationoftheemergencyplan.PALISADESOnJanuary6,1981,whileperformingmonthlysurveillancetestsonbothstationbatteries,maintenancepersonnelinadvertentlyopenedthebatteryoutputbreakesfrombothstationbatteriestotheassociated125voltDCbuses.Batterychargerswereinopera-tionandsuppliedDCpowertothe125voltDCbusesduringthetime(onehour)thestationbatteriesweredisconnected.Theopening/trippingofthebatteryoutputbreakerisrotannunciatedinthecontrolroom.Becauseofnoalarm,controlroompersonnelwerenotawareofthestatusofthevitalDCpowersystem.Theplantwasoperatingat99percentofratedpowerduringthisevent.SincetheircontrolcircuitsarepoweredfromDCpowerindependentofstationDCpower,alossofoff-sitepowerduringthisperiodwouldhavestartedtheemergencydieselgenerator's.However,intheabsenceofmanualactionitheemergencybusessuppliedbydieselgeneratorscouldnotbeloadedbecausethebreakercontrolpowerissuppliedbystationDCpower.1ORTCALHOUBOnAugust30,1982,whiletestingcontainmenthydrogenmonitors,thecontrolroomoperatornoticedthattherewasnovalve'ositionindicationforbotninboardcontainmentisolationvalvesassociatedwitnoneoftnehydrogenmonitors.Investigationrevealedthatthecontainmentisolationvalvesolenoidshadbothexperiencedcoilfailures.Onesolenoidvalvecoilhadaninternalshort,whiletheothersolenoidvalvecoilindicatedashorttoground.Thisconditioneffectivelyplacedashortacrossthesolenoid's125VDCelectricalsupplyline,whichblewB-68

DCPOfvERSYSTEMFAILURESSOER83-5PAGE4thefuses.Thelossofpowersupplyto'thesolenoidvalvesresultedinalossofvalvepositionindicationinthecontrolroomandalsoallowedthevalve"'ofailopen.ThefailedsolenoidvalvecoilsvereratedforserviceataDCvoltageof~125volts+10percent.Thesolenoidvalveco.'lsfailedbecausethecoilsoperatedatahighervoltageduringthebattery'sequalizingchatge.The225VDCayatemzazopetatedat140VDNCduringtheequalizingmode.Thiseventisanexampleofprematureequipmentdegradationbecausethecomponentselectionprocessdidnotadequatelyconsideralloperatingconditionsoftheapplication.FITZPATRICKDuringnormalshutdownoperationsonDecember30,1981,operatorsnoticederxaticreadingsonthesourcerangemonitors(SRMs)andtheintermediaterangemonitors(IRMs)thatwereprovidedwithpowerfromDivisionIofthe24VDCbus.InvestigationrevealedthattheerraticSRMandIBMreadingswereduetolow24VDCvoltageontheDivisionIbattery.TheACpowersupplyforthebusbatterychargerwasoutformaintenance,andbatterybankdischargeresultedinthelowvoltagecondition;'DnavailabilityofACpowertothecharger,coupledwithanoversightbvoperatorsonplantstatus,resultedinthedischargeofthebattexy.Sometypeofbatterycapacitymonitoringcouldhavealertedtheoperato"priortoactualdischargeofthebattery.BRMtSHICK-1OnMarch25,1979,duringthe125voltbatterycapacitytest,voltagefellbelowthefirstminutebatteryvoltagelimitof105volts;Aftexthefirstminute,thebatterylevelincreasedto118voltsandremainedabove105voltsforthedurationofthetest.Investigationrevealedthattnelowvoltageresultedfromlooseandoxidizedbatteryterminalsandconnectors.Theterminalsandconnectorswerecleanedandtorquedtothemanufact'urer'srecommendation.Abatterycapacityretestwascompletedsuccessfully.Looseandoxidizedtexminalscausedthedegradationofbatteryvoltage'duringthefirstm'nutewhenthebatterydutycyclenormallyisrequiredtocarxypeakload.Asimilarsituationduringthedesignbasisconditions(stationblack-out)couldhaveresultedininoperableequipmentandsystems.8-69

DCPOHERSYSTEMFAILUR>>SSOER83-5PAGE5OTHEREv~iTSLicenseeEventReportsandbuclearPlantReliabilityDataSystem(NPRDS)reportswerere'ewedtoidentifyDCpowersystemscomponentfailures.Onhundredandninety-tworeportedeventsthroughDecember1982werecategorizedasfollows:batteryspecificgravityproblemspersonnelerrorsmiscellaneouschargerfailuresbattery/cellfailuresloose/corrodedterminals24percent23percent22percent16percent11percent4percentBatteryspecificgravityproblemshaveresultedfromelectrolytestratification,incorrectsamplingmethods,andthedegradedconditionofbatteriesandcells.PersonnelerrorswereoneofthemajorcontributorstoDCpowersystemproblemsand/orfailures.Inadequateoperating/maintenanceproceduresandoperatortraininginDCpowersystemsoperationcausedswitchingerrorsthatresultedininterruptionorlossofpowersupplytoprotectionandcontrolsystems.Insomecases,lackofstatusindicationinthecontrol'roomdelayedcorrectiveactions.Internalcompohentfailures(resistocspdiodes,siliconcon-'rolledrectifiers)andlooseconnectionsresultedinmostofthechargerfailures.Nosinglechargercomponentindicatedfrequentrepetitivefailures.Batteryorcellfailureswerecausedbycellcracking,"deepcycling"(dischargingabatterybelowtheminimumce3.1voltage),qndcorrodedorlooseterminals.Batterycellcrackingwasattributedtobatterypositiveplateexpansioncausedbyastructuralchangeintnepatematerialduetoachemicalreaction.Deepcycling,particularlyinearlyservicelife,mayleadtoshortenedcelllife.DCpowersvstemsnormallyareoperatedabovetheirratedvoltage(i.e.,a125VDCsystemtypicallyoperatesat130VDC)becauseofconstraint"onminimumcellvoltageandcapacity(ampere-hours).B-70 0

DCPOWERSYSTEHFAILURESSOERS3-SFAGS6'.Cherefore,whenthebatteryisputonanequalizingcharge(normally140VDC),theDCsystem,includingprotectionandsomecontrolcomponents,willoperateattnehighervoltagecondi-tion.Thus,components"resubjectedtocontinuousoperationathigherthanratedvoltage;resultingindegradationandsubsequentprematurefailures.SIGNIFICANCE:DCpowersuppliesarees"entialcomponentsinprotectionandcontrolsystems.Unanalyzedevents,transientsandsysteminteractionsmayoccurduetotnelossofaDCpowersupplvbus.SignificanteffectsfromthelossofaDCbusareasfollows:oinadvertentreactorandturbinetripso.lossofcriticalinstrumentationolossofplantstatusinfo'rmation00partiallossofECCScapabilitypartiallossofresidualheatremovalcapabilityounwarrantedsysteminteractions0lossofcriticalindicatorsand/ormonito"s0unnecessarytran"ientsOperationofDCpowersystemsabovetheirratedvoltagemayresultinprematurefailureofsolenoids,lamps,andrelays.RECOK4fENDATIONS:DesinandAnalsisReviewvitalDCpowersystemannunciatorandmonitor'ngsystemsavailabletothecontrolroomoperator,andevaluatetheneedforthefollowing:a.alarmsa/QS-(1)busundervoltage/overvoltage~~~(2)systemgroundfaultB-71

DCPOWERSYSTEi~tFAZLU'ffZSSOERS3-5PAGP.7Q((3)batterychargertroubleg'/(4)battery/batterychargerinput/outputbreake"positons7b.batte"ycapacitymonitor(amp-hourmeter)2.Conductadesignreviewortestas-builtvitalDCpowersystemstodeterminetheplant'sbehavioronlossofavitalDCbusorvitalDCsystem.Zf.thedesignreviewortest~~~~~~indicatesthatlossofavitalDCbusorsystemmaycausesignificanttransients,considerdesignorproceduralchangestoensurethatthetransientisoperationallymanageable.3.Evaluatethesamplingmethod(s),timeofsamplecollection,))qandcalibration'methodsorstandardsforelectrolyticspecificgravitymeasurements.4.ReviewthesystemsandcomponentssuppliedbyvitalDC'csystem'st!oensurethattheyarenotsubjectedtomorethantheirdesignratedvoltageduringthevariousmodesofDCsystemoperation(particularlyduringeguali"ingcharges).PROCEDURESEstablishorupgradeadministrativecontrolsoveroperation,maintenance,andtestingofDCpowersystemstoaccomplishthefollowing:~~~~a.preventsimultaneousmaintenanceonredundantDCdivisions~~gj';,b.providespecificinstructionstocontroltheoperationoftiebreakersthatconnectredundantdivisionsorthatconnectunitsofamulti-unitplantpreventsimultaneoustestingofredundantDCdivisionswherethereliabilityoftheDCsystemwouldbeincreasedbvtestingeachdivisionseparatelyprovideguidelinesformonitoringbatterycapacitvwhenchargersareremovedfromservice6.ReviewexistingvitalDCpowersystemoperatingprocedurestoensurethatswitchingoperationsandseauencingfortnefollowingevolutionarespecifiedclearlyandcorrectly:g'.transferrngbetwe'enthefloatandequalizingmodesofoperationpjyXb.crosstyingbetweenelectricaldivisions(igpermitted)snB72

DCPONr.RS'ESTERFAIiuRESSOER83-5PAGE8g7.c.crostvingbetweenunitsofmulti-unitsplants(ifpermitted)d.transferringbetweennormalandstandbychargersReviewplantoperatingprocedurestoensurethattheyaddressiniti"'ndfollow-upactionsonlossofeachvitalDCbus.Y&INTENANCE8~ReviewvitalDCpowersystempreventivemaintenancet,)gXprocedurestoensurethatbatterycellterminals,intercellconnections,'andbusconnectionsareclean.Routineinspectionsofthebatterycellcaseshouldbeconducted.TRAINING9~.QEnsurethatoperatortrainingincludesvitalDCpowersystemgg~operation,withspecialattentionplacedonplantresponsestolossesofvitalDCpowerandproperswitchingoperation..INFOR'~STIONCONTACT:D.D.Peddy,INPO,.(404)953-5318ORK.J.Brown,INPO,(404)953-5428Pleasesignandreturntheenclosedpostcard.B-73

PAR-18ARDCorporationNineNilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):CFWReportTypeandNumber:Station.Hatch-2PeachBottom-3Unit:EventDate:OperatingStatus:CircumstancesandEventsLeadingtotheProblem:NatureoftheProblem:StepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedWithEvent:MisoerationB-74 0

ARDCorporationHineMilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(If,no,endformhere.)NoInWhichAreas:Allbutswitchdesin.NMPhassingleswitchesalderdesignCorrectiveActionsTaken:l)Cautionsinrocedures.2)Trainingdundantswitches.UnresolvedDiscrepancies:(Ifnone,endformhere.)None.HEQNumber:Summary-B-75

s'oTo!s'a'ssso~'Ieasa~a'~awaJ.si'II-U:IJn(.',';'Q-~GlirTI.IL'Ir)ttISQPEFATI)i.iQscI'.!llII)IIIU(llcQDSCRA.I".IIi".Ii'!GCi"Irpt'Ct'TI')Tlite"1U)lr)oTer~~'Isiloroo~aC~~sweCe'e~.H'iTCH":BfJP,Ji'0.~I>>/GSP'E~~oTACH'0;:Oi!'""iJR5rl-"7~"'1>1..g/17./<jgI.'.:Cc('IICLEPT~TPesBECHTELIEI,"!;QRi'ih'f'IQ'!HQ:IC"HQ.8-"I!'iPROPl.";Cl'as'TCQl'O'I'iI:'slCLaUI'o~Tg'ItiI',."-0!-'h.=:.T.Oi!OF?HK~:VILiU:LHOfiSCR,".iiTIhIi!GiUIFe!CHTHAYRESUL.Ii!UHAHI';'i'L'0.'IP:iIl'ERt!SQRPLr'li<T"-C~;Ai'iS1'1T9fllR'=,iE=CRIFTIi.:i>:Hi'!TCHl'JiiLETHEUHITfsJASOF'-RATIHGAT27ZPOHERrCOia!DEHSERVACUUMBEGAHcET7FS~c~~TQf!ECRcEASE,.Ti-:ERQDWOFTHt<IHIHI"ER'AASI<YPASSE"1rAt<9THEQlJ~u,s'HFETH=';aiECHAt!ICAIl)tICJUgPUB@CQUIl'sEU"g,FQlJHOT'<<EIH"=';LIUCEDQUICI"'(~i'QM'v".":Ec~R"rRODSlJ-.=;c~(PO)uT~aCois/asQ"-Ii~~'~j>>iutl~atJ"a~japIclGoo~~PMFbJX7fear-MQfat~F-'aJA(Pooss.JaIar~eda~vFtogaeia~'oVQI~Itieu,oat~~l'CaIaLFsa~-r:.:.'o:."::re::.:::r:.:-aSU-,-err:u=~q=laira"'oG.eie;:,rsr<>ress:,,:"'ee"'-::..'I"-'.Is'[r'eoe'1)flOacaST(Ja,ia-'-'-lMa>I".'="='I."'h!!Es.;.=QPERATQiRATTHE?qilIHCQ;-!TRQ'-'Api"I/ASi'!QTlJHE'".cŽi'O'RQ!-'CfhiiSVERE<EGUtiaUPQHQBSEFi,iTHCI(IsL..-VTg',t"lc-UL:Qc%.ID-.~c",qYTcQCC~aTl".c~JS'leallI'IU.QfIHQ".=Bc'relT=Ip'>>',fHEi'i(:H.'H"L~oi.:"F;Ti".-C.~~I:I.a'.'Psi's1st",TIIsT:IT;silo!I'rCPaaiklICls>ICaPsILITeSI'lies~s~~a.1'~euo1I~~eauaaas'a~~'as'"asoLesase.saalwiuIuveSetes~~~~os~aibaf~tieuves~IrilSE"-'g't!IJtISc==.IIi1ED~Abt'1Ittr.F'9!JEP@het!OTDcOp~IHGsqUTririAHII-1H,.LERrlDSPC=A,~S;.JEccFECOtqtqEH(EII-.l.'cilIcI,;Qf:RQ!'.'4'.HfLIP1'1E;..'.IPCElI],SUISI~~S("q!StEIifoO!g.'V--T,PgtlEIIJi!gIc11:(IHSE!:;TELTHI-IES<.".AliclQPERATQF'.IutfsJERETu~Ei!'r'.Ir..TtoI'PT.sT.'sfl'I~I's7'c"T'I.IT'I'uI'sl'llI)Ic,'f.'ccT,1I~P9elise'I~~ou~~sLo'~~~s4~~~~uI'Co~aavaJ~'uf'L~IvITQEl'!SUREF~JL'taSEFTOHrI'ltL!THEROI~SMEREFESCRAHHDrAFTERJf!ICH'fHEPROCSCQHPUTEfIHDIChTEDH(T0,"iROE<lJHIC',SHOU'liIIIIIfCotrIIII)Ui(tel0cCujc?)faJhC(CTII1ILI((LTRtgTCucnrIIIATTHATPQI!!TrThEREIiCTQfoihlSHhHUA'YSCRAa<tiED':F"ROC"DURE.a-76

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~p~~eMHEHPERFORN1HGSINGLERODSCRht",SITISIiiPORTAHTTOIEAgiETHE80't'!OIDBDE-Et".ERGIZED'HGHOUGHFORFULLIHBERTIOH.CQNlRUG-RODS-ARE-HORHALLY-FULL-IH-MI-'FHI4-FOUR-SENt<DSmDUT.THt1"H01ALMAYSTHEC"BE'FRODSAREHOTFULLYIt!BRTD~hODi-'ATTERHSHAYRESULTWHICHHAVEHOTBEENAl!ALYZEDFORTHE.9DURINGSIHQ'RODSCRAHSrTHESCRA."iDISCHARGVOLUHEVE?!TS~----At<I'RAIt)s-REMAA-OPEH,~O-PRVEH.-UHMAblTE~~RAI'l~R'IHTER".AL8ETMEEHBI!'OGLERODSCRAtiSSHOULDBESUFFIIEHTTQA'.'...<'IHAGEFTHE.'4"~'OIi>>~+DURIi~lGSCRA'YeEDROD<<BMlfHDRAMhPRORTOTESTIt!GTHFHeXTROD~IHi-'O"9(:LUAT1QHOFTHESEE')EHTSISCONTI!!UIi'!G~IHFORHATIOHCOt'!TACTlMADEGRE=tl~It!PO;>04/951-47B-78

PAR-19ARDCox'poratxonNineNilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofXnvestigator(s):CFWReportTypeandNumber:SER50-83Station:EventDate:Unit:OperatingStatus:QhutdownCircumstancesandEventsLeadingtotheProblem:NatureoftheProblem:StepsTakentoCorrectorAlleviatetheProblemOutcome:Switchfailedtorovideafullscramasdesined.CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedWithEvent:Switch.B-79

ARDCorporationNineNilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)NoInWhichAreas:Same.CorrectiveActionsTaken:Relacedmodeswitch.UnresolvedDiscrepancies:.None.(Ifnone,endformhere.)HEQNumber:Summary:B-80

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PAR-20.ARDCorporationNinePilePointUnit1HistoricalDocumentReviewPROBLEMANALYSISREPORT(PAR)NameofInvestigator(s):CFWReportTypeandNumber:SER11-84Station:uadCities-1Dresden-2Unit:EventDate:4OperatingStatus:CircumstancesandEventsLeadingtotheProblem:NatureoftheProblem:StepsTakentoCorrectorAlleviatetheProblemOutcome:CorrectiveMeasuresUndertaken:HumanPerformanceProblemsAssociatedWithEvent:CoucationB-84

ARDCorporationNineNilePointUnit1HistoricalDocumentReviewPROBLEHANALYSISREPORT(PAR)(Continued)ApplicabletoPlantUnderReview?Yes(Ifno,endformhere.)InWhichAreas:NoCorrectiveActionsTaken:UnresolvedDiscrepancies:(Ifnone,endformhere.)HEONumber:Summary:B-85

,~\~eI',sAf~~r~~~se~vs~~.~~r~aV~ref~)QPl(ffeed((r~((e'~~~s,eIJl'(L(h1s-".ere0r)-'~A<<V>>rgre~e/VVVLsrrsbvC'.s<<rrr(i)mV~~e~~~r(wsp<<e~Vr~~e'~\~~~~<<~~ev'='=;G=ijT~a~'e('epl~'~\~V~eS~>>qi,gggqeieg<<rn~seg>><<S~~gg;.gsw~C9"'7"-'i'""'(H(~"('JL)ui'<<'vvv'~~vvs~('(visJ(vOi's~sGLse4wp\e~~~~V~SVi'e~~~ev~~eX'((-'"<<<<7-f(-Jl<L'.Mrm~Q('~PW<<Ssi>>-s-'~(sVNl'bl~-'i4-'(AT9=='A~"'5O'CL('-'"3"i"0"l'!UB-86

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APPENDIXCBWROWNER'SGROUPCHECKLISTANDSUPPLEMENT

BNROWNERS'ROUPCONTROLROOMIMPROVEMENTSCOMMITTEEHUMANFACTORSENGINEERINGCONTROLROONSURVEYPreparedby:D.R.PanratzGeneralElectricCompany((((z(gDateK.C.RossGeneralElectricCompanyateReviewedby:G.R.Mu'lleeControlRoomSurveyProjectMgr.GeneralElectricCompanyApprovedby:J.AtrongChairman;ControoomImprovementsCommitteeBWROwners'roupDe

BWROWNERSGROUPCONI'ROLROOMSURVEYPLANT/UNIT:DATEPERFORMED:PHASEIIVSURVEYTEAMMEMBERS:TeamLeaderOTHERPARTICZPANTS(HFECONSULTANT,GEA-E,etc.):NOTE:CHECKLISTITEMSFORWHICHADVANCERESEARCHISNECESSARYHAVEBEENIDENTIFIEDWITHANAS'DRISKINFRONI'FTHEITEMNUMBER.Revisim101/01/81

CONTROLROOMSURVEYTABLEOFCONTENTSIOPERATORINTERVIEW~DiscussionIntroductiontoQuestionaireQmstionaireConmentFormSummaryFormIILICENSEEEVENTREPORTANALYSISi-:,"D1scussionr"-.LERsIIICONTROLROOMREVIEWDiscussicnComnentForm56111213141517APANELLAYOUTANDDESIGNAlAnthropometricsandcontrolroomlayoutA2DemarcationlinesandmimicsA3Control/DisplaygroupingA4ColorcodesA5LabelsA6TemporarymodificationsA7TrafficpatternsandpanelarrangementB.INSTRUMENTATICNANDHARDWARE18182325252930BlControllersB2IndicatorsB3RecordersB4IndicatiriglightsB5SwitchesB6EmergencyswitchesB7Key<<lockswitchesC.ANNUNCIATORS31313437384O41C1GroupingC2WindowdesignC3VisualalarmC4AudiblealarmC5AcknowledgementC6VisualalarmC7ProceduresC8MaintenanceC9Nuisancealarms4242434445464647C-3

CONZROLROOMSURVEYTABIZOFCONTENTS(Continued)IIICONZROLROOMREVIEW(Continued)D.COMPUTERSD1ConsoleD2CapabilityD3CRTsD4Typers..r:-'E.-.PROCEDURES48484g51E1E2E3E4E5E6E7AvailabilityAccessandrecognitionFormatContentReferencesRevisionLogkeeping535455566O6162F~CONZROLROOMENVIRCNMENTF1CommtnicaticnsF2AuditaydisplaysF3LightingF4HeatingandventillationF5FirecontrolF6EmergencysituationsF7GeneralG~MAINTENANCEANDSURVEILLANCEG1OperatorfunctionsG2JumpersandliftedleadsG3Permanent~dificationsG4TagsG5SparepartsG6ProceduresH.TRAININGANDMANNINGH1TrainingH2ControlroommanningH3ShiftchangeIVElKRGKNCYPROCEDUREWALKTHBOUGHDiscussionTransientscenario'TaskanalysisinstructionsTaskanalysisChecklistCONZROLROOMARRANGEMENTC-46465666767676g7171727273747676777880818283

IOPERATORINTERVIEWDISCUSSIONThepurposeoftheOperatorInterviewistoobtaindirectoperatorinputtoaidinidentifyingpotentialoractualdeficienciesinthecontrolroomlayoutordesignorinoperatingproceduresthatresultinconfusion(mentalactivities),difficulty(manualactivities)ordistraction(theenvironment)~Usingtheattachedquesticnaire,operatorsareaskedtorespondinwritingbasedontheiroperationalexperienceandknowledgeofcontrolrooms.Copiesofthewrittenresponseswillbesenttothesurveyteamforapreliminaryreviewpriortoteamarrivalatthesite.Intervieweeswill~"';,.wetaintheircopiesandreviewthemwithasurveyteammemberduringalateroralinterview.Ifadditionalspaceisneeded,theattachedCoaxnentFomistobeused.Fortheinterviewarepresentativegroupofone-thirdormoreoftheoperatorsisselectedcoveringarangeofexperience,education,abilityandphysicalsize.Ifavailable,atleasttwoshouldhaveacurrentSROlicenseandtwoacurrentHOlicense.Theinterviewsshouldbeconductedbyutilitypersonnelandsurveyteammemberswithbackgroundorexperienceinoperationsandengineeringordesignwithapositionconducivetoafreeflowofinformaticn.Itisexpectedthattheoralinterviewwilltakeonetotwohoursforeachoperatorwiththeentireinterviewtakingaboutoneday..Followingtheinterviews,thesurveyteamwill'consolidatetheinformationobtainedandanalyzeittohelpidentifyspecificareasofconcernfordetailedanalysisduringthecontrolroomreview.C-,5

IOPERATORlÃIEHVIEWINZRODUCTIONTOQUESTIONAIREJobPositicaYearsExperienceDateoffirstLicenseEducaticn/DegreesAgeComnercialNuclearNavyNuclearROHeightWeightFossilSRO;lr..mes;m>nsetoapost-TMZNRCrequirement,yourutility,alcngwithotherBWR'.owners,isconductingacontrolroomreviewtoidentifyandcorrectdesign".deficienciesintheoperator-controlroominterfacetominimizethepotentialforhunanerror.Thisreviewisperformedbyasurveyteamcomposedof.representativesofseveralutilitiesusingchecklistspreparedbytheControl:RoomImprovementsSubgroupoftheBWROwnersGroup.Youareaskedtocompletetheattachedquesticnairebasingyourresponsesonyouroperationalexper1enceandknowledgeofyourcontrolroomandinter-facingsystems.Youmaycompletethisquesticnaireinthecontrolroomifyoudesire'butpleasedosowit&utdiscussingyourdetailedresponseswithotheroperatorscompletingthissurvey.Ifadd1ticnalspaceisneeded,theattachedComnentFormistobeused.Followingcomplete.cn,asurveyteamrepresentativewillreviewyourresponseswithyou.Upcncompletionofallinterviews,thesurveyteamwillconsol1datetheinfonaaticnobtainedandapplyitintheirevaluationofyourcontrolroomforcompliancewithhuaanfactorengineeringprinciples.Thebiographicalinformationrequestedabovewillbeusedincompilingstatisticsonoperatingpersonnelphysicalcharacteristics.Currentrecommendationsforpaneldesignarebasedlargelyondataobtainedfmmmeasurementsofmilitarypersonnel;therearefewstatisticspresentlyavailablecm,forexample,theaverageheightandweightofoperators.Thissurveyprovidesyouwithavaluableopportunityforapplyingyourknowledgeandexperiencetowardimprovingoperatingconditicns1nbothyourcontrolroomandfuturecontrolrocmdesigns.Yourhonestandforthrightopinicnsarenotonlywelcomed,butneeded.

rEOPERATOREMEHVlEWQUESTXONAEREAWouldyoureconmendanychangesinthefollowingareas:Alshiftcoverage=.vA"-'...shiftturnoverA3trainingA4colorcodingA5controlroomaccessA6controlpanellayoutoraccessA7communicaticnsystemsA8heatingorventilationC-7

IOPERATORICEHVIEMQUESTIONAIREA9lightingornoiselevelsA10specialtestequipmentA11maintenanceorsurveillancetestingA12datarecordingandlogentriesA13infomationflowA14furniture,equipmentorworkspaceA15computersA16other2C-8

IOPERATORINTERVIEW('QUESTIONAZREBAreanycontrolsdifficulttooperate?CAreanycontrolsdesigned,positicnedorlabeledinamannerthatcauses,gisk.ofinadvertentoperation?~qDAreanyrecordersorindicatorsdifficultorconfusingtoread2EAreanyimportantindicatorslocatedsuch'hattheyaredifficulttoseeduringnormaloremergencyoperatica?FDoyoufeelanycontrolroomdisplaysareunnecessary,provideunimportantinformaticnorneedlesslyclutterthecontrolpanels2GBasedonyouroperationalexperience,doesyourcontrolroomlackanycontrolsordisplaysneededinyourresponsetonormaloremergencysituatlons?IC-9

IOPERATORINKRVIEMQUESTIONAIREHDoyouconsidertheannunciatorsystemtobeeffectiveinconveyingimportantinformationtoyou?IDoyouhaveanyproblemslocatingorusingproceduresoroperaticnal".".:,.~instructions?JAreindividualresponsibilitiesandchain-of-commandclearlyunderstoodduringalloperatingconditions?KIstheteanadequatenumberofoperatorsavailableinthecontrolmom(or~ediatelyavailable)toeffectivelyoperatetheplantduringallconditicns?'tLAreyourequiredtoperformanydutiesthatyouconsidertreasonableordistractinginyourresponsibilityasanSROorR02MBasedonyouroperaticnalexperience,haveanyerrorsorincidentsoccuredwhichcouldhavebeenavertedthroughimprovedcontrolrocmdesign?C-10

IOPERATORINTERVIEWQUESTIONAIRENHaveyouexperiencedanyproblemsusingorunderstandingyourprocedures?.P,,Isthereaparticularpanelwhichyouconsidermoredifficultorconfusing~".operatethantheothers'F".'aQGeneralComnents:

IOPERATORIMEHVIEWCOMMENTFORMThisformisforusebytheoperatororinterviewerforexpandedresponsestotheOperatorInterviewquestions.Whenused,eachresponsewillbeidentifiedbyitemnumberonthisformandalsosonotedinthespacefollowingtheappU.cablequestiontoassurepropercross-referencing.ItemResnseC-12

.IOPERATORINKHVIEMSUMMARYFORMThisfomisusedbytheInterviewertosunmarizetheinformaticnobtainedduringtheOperatorInterview.Eachentryistobecross-referencedtothespecificchecklistitemforfurtherevaluationduringtheControlRoomReview.ItemorAreaofConcernChecklistItem(s)C-13

IILICENSEEEVENTREPORTANALYSISDISCUSSIONThepurposeoftheLicenseeEventReport(LER)AnalysisistoidentifyplantspecificdesigndeficienciesknowntohavepreviouslycontributedtooperatorerrorsandtodocumenttheneedforfurtherevaluaticnduringtheControlRoomReview.Priortothearrivalofthesurveyteam,thehostutilitywillreviewtheirplantIERsandscramreportsfromthepasttwoyears.AnyoccurenceforwhichpperatorerrorwasidentifiedasacontributingfactorwillbelistedontheattachedLERformindicatingthelERnumberandadescriptionoftheoperator:;error.TnesurveyteamwillthenanalyzeeacheventtoidentifypossibledeficienciesinthehunanengineeringdesignofthecontrolroombycrossreferencingthecorrespondingcriteriafromtheControlRoomReviewchecklists.TheseitemswillbeincludedinthedetailedevaluationduringtheControlRoomReview.C-14

IILICENSEEEVENTREPORTANAf.YSISLICENSEEEVENTREPORTS(LERs)+IERNUISER+OPERATORERRORCHECKLISTITEMC-15

IIICONl'ROLROOMREVIEWDISCUSSIONThepuiposeoftheControlRoomReviewistoreviewandassesstheadequacyofthearrangementandidentificationofimportantcontrolsanddisplays,theusefullnessofaudioandvisualalarmsystems,plantstatusinformationpmvided,proceduresandtra1ningwithrespectto,l&itaticnsofexi.stinginstruaentaticn,informationrecordingandrecallcapability,thecontrolroomlayoutandenvironment,andotherareasofhumanfactorengineeringthatpotentiallyimpactoperatoreffectiveness.TheultimateobgectiveistoXdentifypotential.0,~..modificaticnsoftheoperator-controlroominterfacewhichwillreduce;.;thepotentialforhunanerror.EachControlRoomReviewisconductedbythesurveyteamusingtheattachedchecklists-whicharetitled,inorder,(A)PanelLayoutandDesign,(B)InstrunentaticaandHardware,(C)Annunciators,(D)Computers,(E)Procedures,(F)ControlRoomEnvironment,(G)MaintenanceandSurveillance,and(H)TrainingandManning.Checklist(A),(B),and(C)willbecompletedforeachpanelinthecontrolroom,includingbackpanels,auxiliarypanelsandperipheralequipnentthatcontaincontrolsanddisplaysnormallyoperatedbythecontrolroomoperator.Theremainingchecklistswillbecompletedonlyonceforeachcontrolroomsincetheyareapplicabletotheentirecontrolroom.Incompletingthechecklists,particularattenticnmustbegiventoitems1dentifiedasapotentialproblemareaintheOperatorInterviewortheLERAnalysistoensurecompletecoverage.Theseitemswillhavebeencross-referencedtothechecklistitemswhereapplicable.Supplementalinformaticnisprovidedintheworkshoptogiveadditionalguidanceincompletingthechecklists.Itisanticipatedthatperf'ormanceofthe.ControlRoomReviewwilltakeapproximatelyoneweek.Duetothefunctionalapproachofthesurvey,inmanycasesinstfromca-shiftoperationspersonnelwillbenecessaryinevaluationcompU.anceforagivenchecklistitem.Inothercases,additicnaltechnicalinformaticnwillberequired.Checklistitemsforwhichadvanceresearchisnecessaryhavebeenidentifiedwithanasteriskinfrontoftheitemnumber.Itisexpectedthehostutilitywillcompilethisinformationpriortothearrivalofthesurveyteamandalsoprovideoperaticnspersonnelsupport.Eachchecklistitemispresentedintheformofaquestionforconsideraticnbyasurveyteamgnember.Followingthatquesticnisaseriesofnumbersinwhichthespecificitembeingreviewedisevaluated.Thef1rstsetofnumbers(43210)indicatesthedegreeofcompliancewherein4indicationsnocompliance,3indicatessomewhatcompliance,2indicatesm~ostlcompliance,1indicatesfullcomplianceand0indicatesthespecificquestionbeingconsideredisnota~lfcableorcannotbeconsideredatthistiqesincetheplantbeingevaluatedisnotoperational.Aseachspecificquestionisevaluated,theteammember(s)actuallydoingtheevaluaticnofthatquesticaindicatestherelativedegreeofcompliancebycirclingtheapplicablenunber.C-16

IIICONTROLROOMREVIEMDISCUSSION(Continued)Followingthenumberindicatingthedegreeofcomplianceforeachitembeingevaluatedisapredeterminednumberrangingfromonetothreewhichindicatestherelativeimportanceofthatitemwithrespecttothepotentialforcausingorcontributingtooperatorerror.A3indicates~hipotentialforoperatorerror,2indicatesmoderatepotentialand1indicateslowpotential.Inthefinalevaluationofeachitemconsidered,itistheproductofthedegreeofcompliancetimesthepotentialforoperatorerrorthatdeterminesiftheconsiderationof~.~correctiveacticnis)ustified.Sincesomeitemswillnotbeapplicable,.-"forconsiderationinallcontrolrooms,itshouldbenotedthatageneraloomparisonofseveralcontrolroomsbycomparisonof"scores"isnotvalid.ElFollowingeachchecklistitemisspaceforthepersonperfomingtheevaluationtoentercomnents.Foreachspecificchecklistitem,thesecommentswillidentifyitemsorcomponentsofnon-compliance,'thescopeofreview,oranyqualifyingstatementJudgedtobeappropriatetotheevaltaticn~If,forexample,alargenumberofcomponentsarereviewedandonlyafewareinnon-compliance,thesewouldbespecificallynotedinthecommentspaceandthegeneralratingwouldbe"mostlycompliance".Topmvideadditionaldocunentation,stillphotographswillbetakenofma)oritemsorcomponentsofnon-compliancesuchasmind.clayouts,control/displaygroupings,labelingsystemsorequipnentlocaticns.Thesephotographsarecrossreferencedtothespecificchecklistitembyanotationinthecomnentspace.Duetotheimportanceofcommentsintheevaluatim,additicnalCommentFormswillbeattachedformoredetailwhennecessary.Asanemmple,areviewitemwouldpossiblybeasfollows:c0C4C4ClQe~.uuo008000cnX~an'waDoesthecontrolroomoperatorComliancehaveavailable:4310x3"6E1.1afullsetofup-to-dateSurveillanceproceduresplantproceduresareincompleteandnotallarelatestrevision;othersareOKSinceallproceduresexceptsurveillanceproceduresareavailabletothecontrolroomoperatorandareup-to-date,2iscircledindicating"mostly"complianceandmultiplyingthatby3,thepotentialforerror,givesaproductof6.C-17

IIICONTROLROOMREVIEWCOMMENTFORMThisformis-tobeusedduringtheperformanceoftheControlRoomReviewtoidentify,foreachspecificchecklistitemasnecessary,thescopeofreview,itemsorcomponentsofnon-compliance,oranyqualifyingstatementsappropriatetotheevaluationofthatchecklistitem.Mhenthisformisused,thechecklistitemnumberistobeenteredhere,andanoteistobemadeinthespacefollowingthechecklistitemtoidentifytheuseofthiscoamentform,assuringpropercross-referencing.Thisfomistobeplacedinthesurveypackagedirectlyfollowingthepageonwhichthechecklistitemappears..iYXteeCommentC-18

IIICONTROLROOMREYIEHPANELLAYOUTandDESIGNPanelA1Forcontrolpanels:A1.1doesthedesigngenerallymeetmeasurementstandardspertheattachedanthropometricdiagrams(completeandattach)">V~':"~~'iAI."i2'1aretheyofthesamelayoutanddesignonmulti-unitplants(notmirrorimage)3210x2A1~3whenpanelcomponentsarepermanentlyremoved,arespacescoveredtopreventdebrisordustfrcmenteringpanelinternalsandrepaintedtoavoidvisualdistinctivenessAT.4havesharpcornersandedgesbeeneliminated243210x1~,A2Arelinesofdemarcation,mimicsorothergraphicdisplays:A2.1usedtodistinguishbetweencoamonlysharedsystemsorcomponentsinmultipleunitcontrolrooms43210x2A2.2usedtoencloserelateddisplays43210x3C-19

,.IIIControlRoomReviewAPANELLAYOUTandDESIGN(Continued)VERTICALPANELMEASUREMENT(Al.l)AnthropometricDiagramPANELcannunciatorheighttbdisplayheight(min/max)controlheight(min/max)imension1lmitsmfa~maxi42.6o4868measurementcommentsmin.max.C-20

IIIControlRoomReviewAPANELLAYOUTandDESIGNContinued(A1.1)AnthropometricDiagramCONSOLE/DESKMEASUREMENTPANELddepth/II/acontrolheight(min/max)bsee-overheightfkneespace.footspaceclegspacelimitsmeasurementdimensionmin.25max.min.comments242525

,,JlE.ControlRoomReviewAPANELLAYOUTandDESIGN(Continued)(Al.l)AnthropometricDiagramBENCHBOARDKEASUREM'.NTPANELannunciatorheightddepthacontrolheight(min/max)bdisplayheight(min/max)dimensiolimitsmeasurementmin.max.min.max.comments30682888footspaceC-22

IIICONTROLROOMREVIEWPANELLAYOUTandDESIGN(Continued)PanelA2.3usedtoseparatesimilarsubgroupsofcomponentswithinsystemgroupings43210x3.1,42:--"usedtodistinguishbetweenprimaryandsecondaryflowpathsA2.5visuallydistinctivebetweeneachotherandpanel/background43210x2A2.6permanentandmaintained43210x2A2.7laid-outsothatflowpathsandarrangementsareorderlyandeasilyrecognizedA2.8identicalinlay-outforrepetiKvegroupingsofcomponents43210x3C-23

IIICONTROLROOMREVIEWPANELLAYOUTandDESIGN(Continued)PanelA2.9clearlymarkedwitharrowstoshowdirecticnof"flow"43210x2.-'-A2;+'.identifiedwithstartingandendpointsA2.11usedtointegrateswitches,pumps,manualandremotely-operatedvalves,isolaticnpaths,etc.43210x2A2.12consistentintheapplicationofsymbolsforpumps,valvesandotherprocesselements(describe'onComnentFormandattach)?43210x2A3Forcontrolsanddisplays:A3.1aretheygenerallygroupedbysystem(withidenticallay-outforrepetitivegroups)43210x3A3.2isorderingforcomponentsofsimilarfuncticnconsistentlyfmmleft-to-rightortop-to-bottom43210x3C-24

IIICONTROLROOMREVIEWPANELLAYOUTandDESIGN(Continued)PanelA3.3aregroupingsarrangedinfunctionalorsequentialrelationships3210x3-".;.whenstrings(6ormore)ormatrices(greaterthan4x4)ofcomponentsofsimilarorconmonfuncticnareinstalled,aretheyvisuallydistinguishablebylines-of-demarcaticn,hierarchicallabeling,colorcontrast,spacing,shape,etc.43210x3A3.5arecodingmethodsasusedforitem3.4consistentlyapplied(listonCanmentFormandattach)43210x3A3.6aretheygenerallylocatedinzone"a"or"b"ontheanthropometricdiagram(seeA1.1)43.210x3A3.7arecontrolcomponentslocatedwithinanarmsreachoffeedbackindicaticas2'C-25

IIICONTROLRCOMREVIEWPANELLAYOUTandDESIGN(Continued)PanelA4Forcoloruse:<<A4.1isthereaplantstandard(completeattachedlist)3210x3isselecteduseofcolorsconsistentlyappliedforalarmprioritizaticn,indicatinglights,labels,lines-of-demarcation,legendplates,graphicdisplays,indicatingdevices,tags,etc.43210x3A4.3whenthereisapossibledualmeaningforcolors,isthereanadditicnalindicaticnforvisualdistinction243210x3A5Arelabels,legendplatesandescutcheons:A5.1usedtoidentifycomponentfunction3210x3>>A5.2usedtoidentifyoperationallimitsorwarnings43210x3C-26

IIICONTROLROOMREVIEWA,.-PANELLAXOUTandDESIGN(Continued)4.1)Toevaluatetheconsistencyoftheapplicaticnofcolorstandardsinthecontrolroan,completethefollowingforeachmeaning:Color~MonninValveOpenValveClosedBreakerOpenBreakerClosedMidorTransitionalPositionOnorOperatingOfforNotOperatingStartStopDangerorWarningCaution,TroubleorPre-TripTriporFailureAutomaticOperationorControlManualOperationorControlLimitConditionGeneralStatusHotColdOther(specify)CRTsAlpha-NunericIdentificationProcessVariable(inlimits)ProcessVariable(outoflimits)ProcessDiagramlinesandSymbolsReferenceorScaleMarkingsOther(specify)

IIXCONTROLROOMREVZEMPANELLAYOUTandDESIGN(Cont1nued)A543usedtoidentifysystemdesignationPanelA544usedtoidentifypanelbynumberandfunction43210x2A5.5consistentinncmenclature,useofacronyms,abbreviaticns,etc.(listonConmentFormandattach)A5.6consistentintypestyleandtheapplicationoftypesize(ie,largerlettersinheadings,allletterssameheight,etc.)43210x2A5.7sizecodedinahierarchicalsystem43210x2A5.8visuallydistinct1ve(lightlettersondarkbackgroundordarklettersonlightbackground)43210x2C-28

IIICONTROLROOMREVIEWAPANELLAYOUTandDESIGN(Continued)PanelA5e9easilyreadwhenstationedatthepanel(seeA1.1)3210x3aes,'.:",0.sucutnctlywcrdedandaccuratewtthrespect43210x3tofmcticnorinstsignalA5.11consistentlypositionedaboveorbelowdevicesandreadilyassociatedwithcorrespondingcontrolsanddisplays43210x3A5.12permanentbutreplaceable43210x2A5.13conspicuousandvisuallydistinctivefromthepanelbackground3210x3A5.14orientedtoreadfromleft-to-right?43210x2C-29

IIICONTROLRCOMREVIEWPanelAPANELLAYOUTandDESIGN(Continued)A6'hentemporarychangesormodificaticnsaremade,arethey:A6.1minimized43210x2'.;"<<y6.2controlledinapplication(forinformationorstatus,correctiveorcauticnarypurposeonly)43210x2~A6.3consistentandcontrolledinnosenclature,43210x2fmtandcoloreA6.4accurateuithrespecttouseordesignintent43210'x3eA6.5incorporatedintoprocedures(ifinfonsative,43210x3cautionaryorcorrective)A6.6appliedtonotobscureadjacentorbackgsound43210x2informaticnorcolorsC-30

IIICONTROLROOMREVIEWPanelPANELLAYOUTandDESIGN(Continued)<<A6.7reviewedperiodicallyandmadepermanentorremoved243210x2-2!47.,;::>>'prom".heoperator'sprimarycontrolarea:~";r;."47.1isthepathtothecontrolpanelunobstructedA7.2arecontrolsurfacesvisible3210x3A7.3areannunciatorwindowsvisibleandidentifiable3210x3C-31

IICONTROLROOMREVIEWPanel8INSTRUIKNTATICNandHARDWAREBlArecontrollersthatrequiremanualoperaticn:B1.1easilyreached(seeA3.6)<<Bl.2designedtofacilitateprecisecontrolwherefineadjustmentsarerequired3210x2B1.3markedtoclearlyshowmanualorautomaticmode<<B1.4providedwithmechanicalstopsatthebeginningandendoftravel43210x1B1.5providedwithspaceforhandsupport?43210x1B2Areindicatingdevices:B2.1markedtoshownormalorabnormal,safeorunsafe,orexpectedorunexpectedrangeofoperationwhereapplicableC-32

IIICONZROLROOMREVIEWt'NSTRUMENTATICNandHARDWARE(Continued)PanelB2.2freefrcmglareandparallaxwhenstaticnedatthepanel(seeA1~1)3210x3,,3:-~"scaledinprocessunitsthatrelatetosystemoperaticn43210x3B2.4providedwithvisualcontrastordistinctive-43210x2nessbetweenscalegraduations,processmf,ts,nunerals,backgroundandpointerB2.5designedsothatpointersdonotobscuregraduaticnmarks,numeralsorprocessmf.ts43210x2B2.6designedsothatpointersmovefrombottom-to-top,left-to-rightorclockwise,dependingonthedisplaydesignandorientation43210x2"B2.7designedsothatindicatordirectionfollows43210x2.controlmovementC-33

IIICONTROLROOMREVIEWINSTRUHENTATICNandHARDWARE(Continued)Panel<<B2.8easilycorrelatedwithbackupindications,especiallythoseinstrunentswithelevatedzeros43210x2,B2.';c'alignedbetween'pointerormoveableindicatorandscalewithoutneedforvismlextrapolation43210x2B2.10visuallyalignedandprovidedwithidenticalscalestofacilitatecomparativereadingingroupsofsimilardisplays3210x2~B2.11markedwithsuhdivisionsthatareconsistent43210x2withtheaccuracyneededbythe"operatorB2.12scaledwithamaximumofnineintermediategraduaticnsbetweennumberedmarkings43210x2B2.13scaledwithsuhdiviaionsindecheslmultiples43210x1of1,2or5C-34

IIICONTROLROOMREVIEWINSTRUMENTATICNandHARDWARE(Continued)PanelB2.14markedorcolorcodedtoprovidevisualdistinctivenessbetweenthecase,panelorsimiliarcomponents43210x1B2.15markedwithnuneralsorientedinanuprightpositicn43210x1<<B2.16maintained,calibratedandsurveillancetestedonaregularbasis43210x3<<B2.17designedsothatafailuremodeisevident43210x3B2.18markedorcolorcodedtodifferentiatebetweenscalesonmultiplerangemeters?43210x2B3Forrecordercharts:B3.1areprintedvalueseasilyreadanddistinguishableC-35

IIICONTROLROOMREVIEWINSTRUMENTATIONandHARDWARE(Continued)PanelB302areprintingdevicesproperlyalignedsuchthatprintedvaluecorrespondstoscalevalue3210x3B3.3isthealarmpointidentifiedB304isthereadequatedistinctionformarkingsonmulti-penrecorders3210x3"B3e5wherefastCrackingratesortrendsareperiodicallyrequired,isthereHi/LospeedcapabilityB3.6ispointselectcapabilityavailableonmulti-pointrecorders3210x2B3.7isrecorderclearlymarkedindicatingpropertypeandsizeofchartpaperC-36

IIICONTROLROOMREVIEWINSTRUlKNTATICHandHARDWARE(Continued)Panel>>B3.8ispaperreplaceablewithoutphysicallydisconnectingwiringorlinkage<<B3e9cantheinksupplybemaintainedwithoutdismnnectingwiringorlinkage43210x1B3.10arepencolorsconsistentfromonerecordertoanotherand/oristhecolorassociaticnunambiguousandclearlydisplayed43210x2+B3.11doeschart~pernotbind,eliminatingfrequentmanualcorrections43210x2<<B3.12arechartsmarkedperiodically(atleastoncepershift)andwhenchartspeedischangedwithdate,tMeandinitialstoaidindatarecovery43210x2~23.13hasadsdnistrativeprocedurebeenestablished43210x2forchartmarkingandusedchart/recordretcntionC-37

IIICONTROLROOMREVIEWINSTRUMENTATICNandHARDWARE(Continued)Panel<<B4.5isbulkreplacementeasilyandsafelyperfoxedB446aresetsoflightsinalignmenttofacilitate43210x2comparisonbetweenrelatedsystemelements<<B447isdirectindicationusedinpreferencetoimpliedindicaticnthatafuncticnhasbeenperformed<<B4.8whendirectindicaticnisnotpractical,istherebackupinstrumentaticntoindicatethatafunctionhasoccurred'P43210x3B5Forswitches:B5.1dohandlesmoveconsistentlyinthesamedirectioninaccordancewithexpectaticns(i.e.,rightforcnorstart;leftforofforstop;centerfortripped,standby,ornormal;pull-to-lock,etc)43210x3B5.2iseachpositionclearlymarked43210x3C-39

IIICONTROLROOMREVIEWINSTRUMENTATICHandHARDWARE(Continued)PanelB5.3iseachreachableatanormaloperatingdistance43210x3.::0arehandlesthatarelocatedneartheedgeofthecontrolpanelsprotectedwithaguardtopreventinadvertentoperation43210x3<<B5.5dohandlesrequirenodalhandpressuretooperate(i.e.nothumb-busters)3210x3B5.6.arehandlesdurableandofadequatesize<<B5.7isswitchingactionresponsiveandprecise43210x2B5.8areassociateddisplays,indicatinglights,andlabelsfreefromvisualobstructicnbyhandorarmwhentheswitchisoperated3210x2C-40

IIICONTROLROOMREVIEW.PanelINSTRUMENTATIONandHARDWARE(Continued)!B549isthereadequatehandspacebetweenthem43210x2B5.10isphysicaldistinctionprovidedbetweenpumps,valves,indicatinglights,divisionalseparation,powersource,etc.43210x235.11arehandlesorknobsshapedsoasboclearly432I0x2indicatepositionwithoutobstructionoflegendsorconfusionofdirectionV6Areswitchesforemergencyorabnormaluse(suchasturbinetrip,scram,emergencytrip,etc.):B6.1clearlymarked43210x3B6.2protectedfrominadvertentoperation43210x3B6.3readilyaccessible3210x3C-41

IIICONTROLROOMREVIEWBINSTRUbKNTATICNandHARDWARE(Continued)Panel<<B6.4controlledbyspecif1cproceduralinstructi.cns?43210x3B7Wherekey-lockswitchesareused:<<B7.1is~ediateactuat1onnotrequiredduringplantoperaticn43210x3B7.2arekeysconvenientlylocatedandimmediatelyavailable43210x3B7.3'rekeysclearlyidentifiedforspec1ficuse<<B7.4iskeyuseadministrativelycontrolled43210x3<<B7.5doproceduresprovidespecificinstruct1onsforuse43210x3<<B7.6isswitchactionsmopthandpositivewithoutuseofexcessiveforce?43210x3C-42

IIICONEROLRQ)MREItIEMPanelANHUNCIATORSC1Areannunciatorsgrouped:C1.1withinannunciatorboxbyspecificsystems>>,,"."1.2aboverelatedcontrolsanddisplays432\0x2C1.3suchthatwarninganddiagnosticalarmsare43210x2segregatedfrominformaticnalandadvisorydisplays2C2Isalarmwindow:C2.1consistentinncmenclature,useofacronyms,abbreviatims2etc.43210x202.2consistentintypestylesndthespplicstion43210x2oftypesizeC2.3easilyreadwhenstationedatthepanel432'10x3C-43

IIICONTROLROOMREVIEW.PanelANNUNCIATORS(Continued)C2.4inaccordancewithchecklistcriteriaforchangesormodifications(seeA6)";-:,<<C~=i:auccintlywordedandaccuratewithrespecttoinstsignalfmcticn02.6pmvidedwithsetpoiotsforparameterswith432I0x2multipletriplevels(waterlevel,vacuum,containmentpressureetc.)C2e7withoutmultiplechoiceindication(high/lowlevel/pressure).C2e8prioritizedforrequiredresponselevelbylegendplatecolor(preferred)orbulbcolorinaccordancewithcolorusestandards(seeA4.1)432'I0x3C2e9pmvidedwithanalpha-nunericcodeinadditiontolegendsforpromptresponseandpositiveprocedureidentification3210x2C-44

ANNUNCIATORS(Continued)IIICONT16LROOMREVIEWPanelC3Whenanannunciatorwindowisactuated:C3.1isthereadequatevisualdistincticnbetweenlitandextinguish.dli@ts,"....-'..:-.2isthesizeandintensityofalarmlightsadequatetocommandattenticnV",C4Doestheaudiblefeaturemeetchecklistcriteriaforaudibledisplays(seeF2)'?"5Foralarmresponse,arethefollowingprovided:C5.1silencebutton3210x3C5.2acknowledgebutton43210x3C5-3resetbutton43210x2C5.4visualandaudibletestfeature3210x3C-45

IIICONTROLROOMREVIEWPanelANNUNCIATORS(Continued)C5.5silenceandresetbuttonsofconsistentsize,shape,color,sequenceandlocaticnbetweenpanels3210x2C5.6a"first-out"featureordualresetforinformaticnretrievalforhighpriorityalarms'F43210x2C6Forvismlannunciaticn,willeachwindow:C6.1flashforinitialalarminputC6.2remaininalarmstate(solidlight)whenacknowledgedbutalarminputhasnotcleared3210x3C6.3reflashforsecondalarminput3210x3C6.4autcmaticallyblink(atslowerrate)whenalarminputclears43210x2C-46

IIICONTROLROOMREVIEWPanelAWUNCIATORS(Continued)C6.5clearonlyonoperatoraction24321.0x2C7Doannunciatorresponseproceduresmeetprocedurechecklistcriteriafor:C7.1format(seeE3)C7.2content(seeE4)43210x3C7.3referencematerial(seeE5)23210x3+C8Forannunciatormaintenance:C8.1ifbulbreplacementrequireslegendplateremoval,isthereamethodtoassureplatereplacementincorrectlocationC8.2hasanadministrativeprocedurebeenimplementedtoallowpromptrecogniticnofanout-of-serviceannunciator43210x3C-47 0

AWUNCIÃORS(Continued)IIICONTROLROOMRPfIEMPanelC8.3areannunciatorsperiodicallytested'3210x3'.C~.,24:.~rareonlymeaningfulalarmspresentduringagiven43210x3*,operatingstate(listonCommentForm)'FC-48

IIICONTROLROOMREVIEWD1Arethecomputerconsoleandoutputdevices:D1.1ccnvenientlylocatedandreadilyavailableforoperatoruse~-'.'."'1.2generallylaid-outperstandardsoftheanthropometricdiagrams(seeA1~1)432I0x2D1.3arrangedforvisualdistincticnanduseofdials,buttonsandswitchesV432'I0x2>>D2-Isthecomputer:D2.1capableofdisplayingselectedinputinformaticnD2.2equippedwithdisplaychangecapability32I0x2D2.3availableforon-demandusebythecontrolroomoperatorC-49~

IIICONTROLRG)MREVIEW'OMPUTERS(Continued)D2.0ca~bleofreceivingallinputsandperformingprogrammedfuncticnswithoutbecomingoverioaded43210x2'~~DR:5availableafterpowertransientsoraccidentconditions3210x2D26.oafnbleof'seinpost-transientevaluation43210x'1D2.7capableofautanaticormanualswitclmverforprocessorfailure("failover")'?43210x1D3AreCRTdisplays:D3elaccessibleandeasilyvisiblewhenstaticnedatthecontrolsD3.2canprehensiblewithaminimumofvisualsearch43210x2C-5O 0

IIICONTROLROOMREVIEW.(DMPUTERS(Continued)D3.3ofadequatebrightnessforlightingconditicnsorequippedwithconvientlylocatedfocus,brightness,and/orcontrastcontrols.-"-'Dp'.<.,;aonsistentwithcolorstandards(seeA0.1)'o3210x2s03.5colorcodedsothatlossofaprtsarycolor43210x2gundoesnotresultinlessofanumericalvalueorscaleD3-6consistentwithcheckliststandardsforproceduralformat(seeE3)43210x2D3.7identifiedbysystemorprogram3210x2D3.8providedwithanaccessmodefordisplayselecticn(eitherdisplaymenuorsectoringmode)43210x2C-51

IIICONTROLRCOMREVIEWKIMPUKRS(Continued)D3.9pravidedwithverificationthatthecomputerisoperaticnalandthatdataisbeingupdatedonaperiodicbasis?43210x2;1)<:4;;,y1<FOr"thetyper/printer:',",.>~)4.1isoutputprioritized<<D4.2isoutputperiodicallyreviewedandupdatedsothatcnlyusefulinformaticnisprinted43210x2<<D4.3iscapacitysufficient(outputnotover-loaded)D4.4istheoutputidentifiedbytMe,date,componentandsystem43210x2<<D4.5isabackupavailable43210x2C-52

IIICONi'ROLROOMREVIEWCOMPUTERS(Continued)04.6tsttsdlencedtonotbeanoXsedtstractton43210x1.;"",<<D4.'7arepaperandribboneasilyreplaced43210x1D4.8areprintouteasilyreadable(spacing,headings,formats,print,etc.)?43210x2C-53

IIICOW;ROLROOMREVIEWPROCEDURESE1Doesthecontrolroomoperatorhaveavailable:E1.1afullsetofup-to-dateplantprocedures~a~"-'Ele2afullsetofup-to-dateemergency,abnormalandnormalproceduresforeachunitonmulti-unitplantswithacoaxnoncontrolroom32I0x321.3acompletesetofup-to-date,as-builtflow43210x3diagramsandschematics\E1~4asetofup-to-dateTechnicalSpecifications43210x3E1e5storagespaceforproceduresandreferencematerials32'I0x3~EI.6ptoceduralinstructionsfortheoperationof432I0x3bothmanualandautomaticcontrollersC-54

IIICONI'ROLRCOMRHfIEHPROCEDURES(Continued)E147laydownspaceforuseofproceduresandreferencematerials?43210x2E2For1maediateaccessandrecognition:E2.1areproceduresreadilyavailableandcentrallylocatedE2.2iseachprocedurebinderorfolderclearlymarked43210x2E243doeseachprocedurebinderorfolderhaveanindexortableofcontentsE244areemergencyproceduresinaseparatebinderorfolderE2.5areannunciatorresponseproceduresinaseparatebinderorfolder43210x2C-55

IIICONZROLRCOMREVIEWPROCEDURES(Continued)E2.6areindividualproceduresreadilylocated(i.e.,thoughuseofindextabsoralpha-nunericcode)743210x3~E-p<F3asanadministrativeprocedurebeenimplementedtoassurestandardizationofprocedureformatfor:E3.1typesizeandstyleE3.2useofnanenclature,gramnar,terminology,synonyms,acronyms,andabbreviations3210x2E3.3useofas-labeleddesignationsforcomponents,systemsandprocessmits43210x2E3.4numberingofprocedures,paragraphs,stepsandsub-stepsforincreasedlevelsofdetailE3.5steporparagraphspacingandpagelayoutandidentity l

ZIlCONTROLRCOMREfIEWPROCEDURES(Continued)E3.6identityofpurposeorscope3210x1:;:jy3.7entryandexitconditions,00\~E3.8cross-referencine43210x1E3.9rapididentificationandrecognitionofrevisicnsorchanges23210x2E4Doproceduresthatrequireoperatoraction:E4.1havesuccinctactionverbs3210x2E4.2havesuccinctactionstatements43210x2C-57

IIICONTROLRCOMREVIEWPROCEDURES(Continued)E4.3separatestepsfraneachotherandfromcauticns,notes,referencematerial,etc.43210x2<<E4.4providecautionarystatements(thatarepositicnedtorelatetotheconsequencesorresultsofthataction)E405minimizetheneedformemorizationofactims43210x2E4.6distinguishbetweenrequired(shall)andoptimal(should)acticns3210x3E4.7distinguishbetweenautcmaticandmanualactions43210x324Spray.ldasymptcsatlccsdlaascstlcanalysis43210x3orentryeventguidancetoassurecorrectprocedureisinuseC-58

IIICONZROLROOMREVIEWPROCEDURES(Continued)<<E4.9gi.verequiredoperationalsequencingofacticnsandidentifyacticnswhichshouldbeperformedinparallel43210x3<<E4.10identifycriticalstepswhereerrorsofomissicn,commissionorsequencecannotbetolerated43210x3E4.11integratecharts,diagrams,andgraphsintobodyofprocedureasneededtodirectlysupplementsteps3210x2E4.12pmvidephysicalpanellocationsofreferencedinstrtmentatimandhardware,especiallythosethatareinfrequentlyused3210x3E4.13givenormallyexpectedresults(suchasvalvepositicns,flowrates,currents,alarmsindicatinglights,etc.)whereappropriateE4.14gi.vesetpointsandsensoridentityforannunciatorresponse43210x3C-59 0

IIICONI'ROLROOMREQUIEMPROCEDURES(Continued)<<E4.15giveequipnentandadministrativelimitsforoperaticn43210x2E4.16givecontingencyactionsorconditionalinstructicnsifexpectedresultsoracticnsarenotachieved43210x3E4.17emphasizetheuseofmultipleorindependentindicaticnstoprovidefeedbackthatanactionhasoccurredinresponsetoacontrolcommand43210x2<<E4.18limitactionstothosethatareessentialandeffective3210x2<<E4.19explicitlycontainallessentialacticnsandnotrequireuseofreferencematerialforthoseactions3210x3E4.20identifyhoworwhenemergencysystemsorautomaticcontrolsmaybemanuallycontrolledoroverriddenafterautcmaticinitiation43210x3C-6O

IIICONTROLROOMREVIEWPROCEDURES(Continued)E0.21identifyconditionsunderwhichinstrunent-ationmaybeinaccurateandstresstheuseofmultipleindicat1ons432'10x2'.jpE'.'2:-providedirect1onforplacingandmaintain-ingtheplantincoldshutdownwithmultiplefailuresofnon-safetygradesystemsorcomponents243210x3::E5Whenreferencematerialisidentifiedinaprocedure:E5.1isitreadilyavailable25.2isthelatestavailablerevisionidentified4'3210x2E5.3arestepsoractionscompatiblewiththeprocedurefromwhichitisentered432'I0x2E5.01sitstandardizedorcondensedforeaseofuse2C-61

IIICONTROLROOMREVIEWPROCEDURES(Continued)+E6Forrevise.cnotcorrecticnstoprocedures,isthereacontrolledmethod:E6e1toassureoperatorreviewandwalkthrutoverifycorrectness,understandingandabilitytouse26.2foroperatorfeedbackandtoclarifyintent43210x2ofchangesrecommendedbyoperatorsE6.3forfeedbacktotheoperatorastoresolutionofrecommendedchange43210x2E6e4topermittemporaryorinterimrevisionbyshiftpersonneltoallowdeviationfromapprovedproceduresE6e5toassurepromptrevision(bothinterimandpermanent)toincorporatedesignchangesoroperationaldeviations43210x3E6.6toassurepromptreviewandapprovalbypersonnelexperiencedinoperaticnsanden'.neeringordesign43210x2C-62

0PROCEDURES(Continued)IIICONl'ROLROOMRE(IEME6.7forpromptdistributionandupdatingofcontrolledsets(especiallycontrolroom)43210x3"..~TK6.'6fordestructionofsupersededcontrolledcopies43210x326.9forupdatingofIndexorTableofContents43210x3toshowlatestavailablerevisionsofallproceduresE6.10toevaluateandincorporatechangesmadebyoperatorsoncontrolpanelssuchasscalesorprocessunits,cautionaryorinformativenotes,powersources,chartsandgraphs,etc~243210x2Hasanadministrativeprocedurebeenestablishedtorequire:E7.1recordingoftMe,dateandsignature(orinitials)onalllogbookentries43210x2E7e2markingofchartsandgraphscnaregularbasisC-63

IIICO%'ROLROOMREVIEWPROCEDURES(Continued)E7.3recordingofbothpermanentandtemporaryplantandequipmentstatuschange,includingmaintenanceandtestingactivities43210x2recordingofverbalinstructionsandfeedbackonexecuticn3210x2E7.5recordingofcycU.coperationsortransients43210x2E7.6recordingofotherinformationusefultootheroperatorsorsupervisors3210x2E7-7readingandinitialingoflogbooksbysupervisorypersonnelonaregularbasis43210x2E7e8retentionoflogbooksandrecorderchartsinpermanentplantfilesforrequiredperiodsoft&e2C-64

IIICONTROLROOMREVIEWCONl.'ROLROOMENVIRCNHENTArecommtnicatimsystems:F1.1redundant,diverseorvaried(suchashand-held,soundpowered,dedicatedtospecificpanels,radio,bell),".."F,':2availableforemergencyorabnormaluse(suchasalossofnormalpower)43210x3F1.3accessiblefrcmeachpanel,unobstructive,andorganized<<F1.0availabletothecontrolroomoperatoronaprioritybasis43210x3"Fl.5capableofaccessingaU.in-plantareas3210x3Fl.6designedtopermithandfreeoperation43210x2C-65

IIICONTROLRCOMREVIEWCONl'ROLROOMENVIR(AMENT(Continued)F1.7equippedwithchannelselect432'I0x2,.,"IF/';eQysicallyadjustableforindividualusersF1.9providedfordedicatedlinkstotheTSC,EOFandOSC432I0x2F1.10distinctive/colorcoded432I0x1F1.11clearlyunderstood,intelligibleandfreefromreverberaticnV32I0x1F2Areaudiblesignals(suchasbells,klaxonsandsirens):F2.1distinguishableforalarmlocationC-66 0

IIICONTROLRCOMREVIEW'ONTROLRCOMENVIROMENT(Continued)F2.2prioritized43210x2:;:.;:;:<<PP;3testedonaperiodicbasisF2.4audibleinallpartsofthecontrolroomF2.5notirritatingorexcessivelyloud(90dbmaximum)43210x2F2.6loudenoughtobeheardduringnoisyperiods(atleast20dboverbackground)243210x3F3Islighting:F3.1adequateatpanelsurfaces(30footcandlesminimun,50footcandlesrecommended.MeasureateachoperatingareaandrecordonControlRoomArrangementDiagram)43210x3C-67

IIICONTROLROOMREVIEWCONTROLROOMENVIRCNMENT(Continued)F3.2diffuseorindirecttoeliminateglare?43210x2"'.F4".:~ps.controlroomheatingandventillaticn::.',::;:.F~.1adequateforbothoperatorcomfortandequipnentperformance(normallybetween65-75oFand25-45$relativehumidity)3210x2F4.2diffusetoeliminateareasofstagnationordirectblowing?,F5Incaseoffire:F5.1isfire-fightingequipnentinmediatelyaccessible"F5.2isthereanautcmaticwarningsystem?43210x2F6Duringemergencysitmticns:<<F6.1isaccesstothecontrolrocmprocedurallycontrolledC-68

IIICONTROLROOMREVIEMCONTROLROOMENVIRCNMENT(Continued)F6.2isprotectiveclothingaccessible3210x3F6.3isbreathingapparatusaccessible43210x3F6.4isportableradiationmonitoringequipnent43210x3accessible<<F6.5isspecialclothingorbreathingequipnentcompatiblewithrequiredoperatorfmctionsforvisibility,reach,tactilesensitivity,commmicaticn,hearingandwei@t43210x3F6.6aresanitaryfacilitiesanddrin1dngwater43210x1accessible<<F6.7havepmvisionsbeenmadeforhandlingoftelephonecommmicaticnswhenoperatorisoccupied43210x2C-69

(igIIICONrROLRC)MRNIEMCONI'ROLROOMENVIRCNMENT(Continued)<<F6.8areemergencylightinglevelsadequate(20footcandlesmi,nimunatpanelsurfaces.MeasureateachoperatingareaanddocunentcnControlRoomArrangementDiagam.)3210x3isthenoiselevelroutinelybelowaninterferencelevelfornormalconversaticn(65dbAmaxfmun.MeasureinbothdbAanddbCateachoperatingareaanddocumentonControlRoomArrangementDiagram)3210x3F7.2havenoisedistractionsfrcmbothinsideandoutsidethecontrolroombeenreduced3210x2F7.3isthereadequate,organizedstoragespaceforprotectivegear,personalbelcngings,spareparts,tools,etc.<<F7.4areanokingandeatingareascontrolled3210x1F7.5isthecontrolroancleanandfreeofmnecessaryloosepaper,booksandothermaterials43210x1'-70

IIICONCROLRCOMREVIEWCONTROLROOMENVIRCNMENT(Continued)F7.6isthecontrolroomfreeofsafetyhazardssuchasloosefloormats,longphoneleads,defectivefurniture,etc.,-.;<F7..'isseatingprovidedatconsolesforcontrolroomoperatorsadjustiblefrom15to18inches'7C-71

IIICONZROLRCOMREVIEWGMAINTENANCEANDSURVEILLANCE*G1Areoperatormaintenancefmcticnsandsurveillanceresponsibilities:G1.1clearlyestablished~-G1.2adminstrativelycontrolled'~>'",G2AreJunpersandliftedleads:G2.1procedurallycontroiledG2.2approvedandperiodicallyreviewed43210x3G2.3distinctiveorcolorcoded43210x3G244taggedandloggedfortraceabilityV43210x3C-72

IIICONlROLROOMREVIEWGMAINTENANCEANDSURVEILLANCE*G3Arepermanentmodificaticns:G3.1recordedonas-builtdrawingstoshowspecificchanges..,::,:.',C5.2incorporatedintooperationalprocedures'I32I023+G4Aretags:G4.1.procedurallycontrolledG4.2readilyavailable032'I0x2G4.3installedtonotobscureccmponentstowhichtheyareattachedoradjacentcomponents43210x3G4.4distinctiveforeachfunctionaluseC-73

IIICONTROLROOMREVIEWMAIÃISNANCEANDSURVEILLANCE(Continued)G4.5readable...'riQ4.;ctemporaryG4.7loggedfortraceability43210x2G4.8periodica11yreviewed?G5Foroperaticnalspareparts:'IG5.1isthereanadequatesupplyoffuses,indicatinglights,inkandinkingpens,recordercharts,ccmputerpaper,etc.43210x2G5.2aretheyreadilyaccessible43210x1C-74

'IICONTROLROOMREVIEWMAINTENANCEANDSURVEILLANCE(Continued)<<G5.3arenecessaryorspecialreplacementtoolsavailableG5.4isadequatestoragespaceavailable43210x2G5.5wheredifferenttypes,sizes,orstylesarerequired,aretheyclearlyanddis-tinctivelymarkedtoavoidmisapplication43210x2G5.6cantheybeinstalledwithoutdisconnect-inglinkageorremovingcomponentinternals?43210x2+G6Domaintenanceandsurveillanceproceduresrequire:G6.1operabilityverificationwhenreturninganysystemorcomponenttoserviceG6.2notificationofoperationspersonnelbothpriortoanduponcompleticnofallactivities?434210x3C-75

IIICONZROLROOMREVIEWMAIN%NANCEANDSURVEILLANCE(Continued)G6.3out-of-servicecomponentsandequipnenttobeclearlymarkedatthecontrolstationtoprecludeinadvertentoperationandtoprovidedistincticnofthatconditi.cn.;66"~useofchecklistsorstatusboardstoidentifyout-of-serviceequipnentG6.5useofchecklistsorstatusboardsforroutineactivities43210x2G6.6prioritizationofcontrolroommaintenance243210x3C-76

IIICONl'ROLROOMREVIEWHTRAININGANDMANNING+H1Doesthetraining/requalificaticnprogram:H1.1useneworrevisedproceduresastheyareimplemented.;~,,Hl.2identifyknownlimitationsofinstrunent-aticndisplaysinthecontrolroom43210x3H1.3provideforperodicreviewandwalkthruofemergencyproceduresbyoperatorsHl.4includetrainingintheuseofthecomputerandCRTdisplays?Forcontrolroommanning,areadministrativeguidelinesestablished:H2.1tolimitthenuaberofhoursanoperatormayworkinanygivenperiodoftimeH2.2toevaluatethephysicalandmentalconditicnofan-comingshiftoperators'onadailybasis43210x3C-77

III(DNTROLROOMREVIEWTRAININGANDMANNINGH2.3todefinespecificduties,responsibilities,worklocaticnsandauthorityforallshiftmembers,especiallyduringemergencysituations?3210x3,,g:,',Iw~Jngshiftchange:1..",.&-.1areccngesticnandpotentiallydisruptivesitmticnsavertedH3.2areadministrativeproceduresestablishedtorequirereadingoflogentriesandreviewofstatusboardsbyon-comingshiftpersonnelfromtimeofpreviousshiftooverage43210x3H3.3arewritteninstructionsandchecklistsused?43210x2C-78

ATTACHMENTMROWHERS'ROUPCONTROLROOMIMPROVEMENTSCOMMITTEEHUMANFACTORSENGINEERINGCONTROLROOMSURVEYSUPPLEMENTPreparedby:RonaldS.BunkerGeneralElectricCompanyDateKennethC.RossGeneralElectricCompanyDateReviewedby:G.R.Mu11eeGeneralElectricCompanyDateApprovedby:QJArmstrongChairman,ControlRoomImprovementsCommitteeMROwners'roupDateC-79

CONTROLROOMSURVEYSUPPLEMENTThBLEOPCONTENTSINTRODUCTIONCHE(XLISTS~PaeSA;.-:~':;SR.SC.SD~SE.SF.~SG.PanelLayoutandDesignInstrumentationandHardwarehnnunciatorsComputersProceduresControlRoomEnvironmentMaintenanceandSurveillance.12161721CRSProgramModificationsC-80

ThissupplementiaintendedtoaugmentRevision1oftheBMROwnersGroupControlRoomSurvey(CRS)Programdated1/1/81.ItistobeincludedaspartoftheControlRoomReviewChecklists(SectionIIIoftheCRSProgram)tofurtherdocumentproposedcontrolroomenhancements.TheTheadditionalitemslistedinthesupplementhavebeendrawnfromhumanengineeringguidelineseofrecommendedinNUREG&700andverifiedthroughconsiderableexperienceoOwnersGroupSurveyteams.Ms)orsectionsofthesupplementchecklistsareidentifiedbyletterscorrespondingtosectiondesignationsusedintheoriginalchecklists.Inordertodifferentiatebetweenthetwonumberingsystems,an""pan"S"refixhasbeenassigned'toeachsupplementitemThe'CRSSupplementistobeimplementedinaccordancewiththemethodologydiscussedonpage15oftheCRSpackage.Asbefore,SectionsSASBandSCaretobecompletedforeachpanelcontainingcontrolsanddisplaysnormallyoperatedbycontrolroomoperators.Theremainingsectionsapplytotheentirecontrolroomandthereforeneedtobecompletedonlyonce.SectionsA,B,andCshouldalsobecompletedfortheremoteshutdownpanel.Inadditiontotheattachedchecklistsupplement,severalothermodificationshavebeenadoptedintheCRSProgram.ThesearelistedinTableIAllotheraspectsoftheprogramremainunchanged.C-81

TABLEICRSPROGRAMMODIFICATIONSThefollowingmodificationshavebeenimplementedintheBWROwnersGroup.ContrplLJtaomSurveyProgram.Sectionsh,B,andCoftheControlRoomReviewChecklistsaretobeperformed-fortheremoteshutdownpanelinadditiontothosepanelspreviouslyrecommended.~hsupplement(attached)hasbeenaddedtotheControlRoomReviewChecklists.TaskanalysesandwalkthroughsareperformedbaseduponsymptomorientedemergencyproceduresdevelopedfromtheBVROwnersGroupEmergencyProc'edureGuidelines.Ifplant-specificproceduresarenotyetavailable,theguidelinesthemselvesshouldbeutilizedintheanalysis-Inthiscase,existingproceduresforascram,reliefvalvefailure,andlossofcoolantaccident'shouldalsobeevaluated.C-82

CONTROLROONREVIEWSUPPLEMENTPaaelShPhNELIdly)UThNDDESIGNShlhnthronaetricsMl.lIsseatingareaadjacenttodesksandsit-downconsolessufficienttoallowtheoperatortogetintoandoutofachaireasilyandtoturninthechairtovievtheequipmentbehind(30"lateralspace,36"betweendeskandopposingpanelorsurface)?43210x1SA1.2Issufficientspaceallovedbetveenthepanelandopposingsurfacessuchthattheoperatormayperformrequiredtasksvithouthindrance?43210x2Shl.3Iftheoperatorisrequiredtoseeoverastandupconsole,doestheconsoleheightnotexceed58inches?SA2ControlRoomLaoutSh2.1Doesthelocationoftheshift~upervisor'sofficepermitpromptaccesstothecontrolroomunderallconditions?43210x2C-83~~(

Pane1Sh2.2Areoperator'sdesksandchairscomfortableandingoodrepair?Sh2.3Poramultimnitplant,aresenioroperatorsvhosuperviseorassistintheoperationsofmorethanoneunitstationedsuchthattheymaycommunicateeffectivelyvithalloperatorsandvieveachcontrolboard?43210x2.SA2.4hreoperatorsprovidedvithsufficientdeskandvorkingspaceforperformanceofrequiredtasks?Sh3Control/DilaGrouiIstheassociationoffeedbackindicationtorelatedcontrolsmadereadilyapparentthroughlabeling,mimics,demarcationlinesorposition'?43210x3C-84

PanelSh41abelsSAC~1%hereabstractsymbolsareused,aretheyofstandardconfiguration,distinguishablefromothersymbols,andconsistentinusewithinandacrosspanels?43'210x2Sh4.2hrelabelslocatedsuchthattheydonotcoverordetractfromothernecessaryinformation?43210x3SA43Isextraneousinformationnotincluded(e.g.,manufacturer'strademark,patentnotice,etc.)?43210x1Sh5UnitInteationSh51Foramulti~nitplant,arealarmsforsharedplantsystemsduplicatedinallcontrolrooms?43210x3Sh52Foraulti~nitplants,ifequipmentissharedbetveencontrolrooms,isthereadministrativecontroloveruseoftheequipment?43210x2C-85 0

PanelSh5.3Isthestatusofsharedequipmentdisplayedineachcontrolroom?32l0x3C-86

PanelSBINSIRUMENThTIONhNDHhRDWhRESB1IndicatorsSB1.1Areindicatorscaleseasilyreadvhenstationedatthepane1243210x3~%'4plySB1.2Istheuseofmultiscaleandlogarith-43210x2micscaleindicatorsminimixedTSB1.3hredisplaysvhichreflectonlyademandsignallabeledaccordingly743210x3SB1.4AreprocessunitsandmultipliersspecifiedT43210x3SB1.5hredru~ypecountersreadablefromthenormalvievingposition?43210x3C-87

ParolSB1.6Aredigitaldisplaysreadablefromthenormalvievingposition?SB2-;';<'ecorders.';-.SB2.1.Is,.allrecorderinformationvisiblethroughrecordervindows(ie.openMooroperationnotrequired)?43210x2'SB2.2Domulti-channelrecordersclearlydisplaythechannelbeingplotted?43210x2SB3IndicatiLihtsHaveproceduralordesignprovisionsbeenimplementedtopreventinter-changingindicatinglightlenses?43210x2C-88

PanelSB4SvftehesSB4.1%herecontiguouslegendpushbuttonsareused,arebarriersprovidedtopreventinadvertentactuationofadjacentpushbuttons743210x3SB4.2hrekey~peratedswitchesusedonlywhereappropriate(i.e.,topreventunauthorizedcontrolactuation)743210x2C-89

PanelSChNNURADIATORSIsthedensityofannunciatormatricessuchthattheoperatormayquicklyascertainavindo~position?43210x3Areannunciatorresponsecontrolscodedforeaseofrecognition{color,shape,demarcation,etc)?43210x2

SD'OMPUTERSSD1CoasoleSDl.lDotypewriterkeyboardsconformtothestandard"QWERTT"arrangement?43210x1'gySD1.2Donumerickeyboards,conformtoeitherthe"telephone"styleorthe"calculator"stylearrangement?:~SD1.3Dofunctionkeyboardscontainonlythosekeysvhichareusedbytheoperators(ienoirrelevantkeyssuchasusedbyprogrammers)?43210x1SD1.4hrefunctioncontrolssegregatedfromalphanumerickeys?43210x1SD1.5Arefunctioncontrolsclearlylabeledtoindicatetheirfunction?43210x2C-'91

(.SD2CaabilftSD2.1Iscomputeruseandsoftwareaccessadministrativelycontrolled?43210x2SD2.2Isthesystemdesignedsuchthatdataisnotlostduringprinterdownperiods?43210x2SD3CRTG.SD3.1hreCRTsfreefromglareandeasilyreadablefromnormalviewingpositions?43210x2SD3.2hremessageswhichrequireimmediateoperatorresponsehighlightedtoattracttheoperator'sattention?xSD33krepromptsanderrormessagesusedtoguidetheoperatorinpropersystemoperation?43210x2SD3.4hreabbreviations,acronyms,andsynonymsusedconsistentwiththoseusedelsewhereinthe.controlroom?43210x2C-92

~(8!ViPrintersSD4.IAreprinterslocatedinareadily.accesibleareainthecontrolroom?432l0jl">PD4.2Doprintershavethecapabilitytorecordalarm,trend,andplantstatusdata?SD4.3IsthesystemcapableofprovidingahardcopyofanypageappearingontheCRT?432l0xlC-93'

SEIAreprocedures,referencematerialsandotherdocumentsreadable*(i.e.notdirty,tora,do~aredorothervisedifficulttoread)?.,:,.:i">'SE2Isasetofcomputeroperatingproceduresavailableinthecontrolroomdescribingthecomputersystem,proceduresnecessarytoaccomplishoperato~anputerinterfacefunctionsandcontingencyactionsintheeventofacomputerfailure?43210z2C-94

SPCONTROLROOMENVIRONMENTSPlConaunicationsSFl.lAreperiodicmaintenancetestsper-formedonallconmunicationssytems?43210x2SF1.2Issufficientcommunicationsequipment(cords,5acks,etc.)providedinwellmarkedlocations?43210x2SF1.3Isanintercomsystemprovidedcon-nectingthecontrolroomvfththeshiftsupervisor'soffice?43210x2SF1.4hreinstructionsprovidedfortheuseofallcommunicationssystems?43210x2SP1.5Areoperatorstrainedintheuseofallcamunicationssystems?C-95

SP2~LihtingSP2.1Areilluminationlevelsatoperatordesksadequateforthetasksbeingperformed(50footcandlesminimum,100footcandlesmaximum,75foot-candlesrecommended)?43210x3SP2.2'silluminationuniformoveragivenworkstationandfromonestationtoanother?43210x2"SP2.3Esshadowingavoidedonpanelsandotheroperatorvorkareas?43210x2SP2.4.Havedirectsourcesofglarebeenavoided(e.g.lightemittedfromdisplaysandindicators)?43210x2C-96

SP3EheencReonseuientSP3.1Isoperatorprotectiveequipmentperiodicallychecked?43210x2..',SP3.2Isasufficientquantityofprotectiveequipmentandexpendablesprovided?43210x2SF3.3hreinstructionsprovidedfortheuseofprotectiveequipmentandexpendables?SF3.4hreoperatorstrainedintheproperuseofprotectiveequipmentandexpendables?4321'x.-3SP35Arefireandrescueequipmentperiodicallychecked?43210x2SP3.6Areinstructionsprovidedfortheuseoffireandrescueequipment?I43210x2C-97

(SP37kreoperatorstrainedintheproperuseoffireandrescueequipment?43210x3SF3.8Isradiationmonitoringequipmentperiodicallychecked?c>43210x2SF3.9kreinstructionsprovidedfortheuseofradiationmonitoringequipment?43210x2SP3.10'Areoperatorstrainedintheproperuseofradiationmonitoring,.equipment?43210x3C-98

SQHAQCENhNCEhNDSURVEILLANCESG1.~TasAreaaintenancetapssecurelyaffixedtopanelccnnponents2kx'einventorieskeptforoperationalsparepartsandexpendables243210xIC-99 0

APPENDIXEINTEGRATEDCOSMETICPACKAGE

AppendixEINTEGRATEDCOSMETICPACKAGEAllofthefiguresandtablesdescribingtheIntegratedCosmeticPackage(ICP)arecontainedinAppendixE.TableE-1listsallHEOsresolvedbytheICPandthechangethatwasinstituted.TableE-2li'ststhecomponentlabelsincludedintheICP.TableE-3liststheindicatorscaleschangedbytheICP.TableE-4liststhecontrolhandlesreplacedbytheICP.TableE-5liststheindicatorlightschangedbytheICP.FiguresE-1throughE-4showthedemarcationlinesthatwereinstalledonthesimulatorcontrolpanels.FiguresE-5throughE-26arephotographsoftheICPasinstalledonthesimulatorcontrolpanels.OnthebackofeachphotoisalistofHEOsaddressedbythephotograph.SomeelementsoftheICPwerenot.installedonthesimulatorforverificationinthisfashion,forreasonsdescribedinthetext,Section5.3.2.Therefore,allcosmeticHEO'scannotbeaccountedforbythephotographs.

TableE-1NAP-1CosmeticPackageHEOResolutionNEO'emarcationComponentLabelinIndicatorScaleRelacementIndicatorRangeHarkinSystemNNP-1CodesChartHimicsandConventionsPaerCS-001*CS-004CS-007CS-010CS-011CS-025*CS-028CS-030*CS-031*CS-03>CS-040'S-041*CS-043CS-044CS-048CS-049CS-050CS-052*CS-055*CS-058*CS-05>CS-060*CS-061*CS-065CS-066CS-067*OCS-100'CS-101OCS-102OCS-103OCS-104OCS-105OCS-106*OC5-107OCS-108*OCS-011OCS-110OCS-111*OCS-112OCS-113OCS-114OCS-115*XXXXXXXX*Notincludedinsimulatorverificationstudy.E-2

TableE-1NHP-1CosmeticPackageNEOResolutiontcontinued)NEO'ndicatorIndicatorDemarcationComponentScaleRangeSystemNHP-1CodesChartLabelinRelacementHarkinHimicsandConventionsPaerOCS-116*OCS-118*OCS-120*OCS-126*OCS-127*OCS-128*OCS-129OCS-130OCS-131OCS-132*OCS-133OCS-134*OCS-135OCS-136OCS-137OCS-139OCS-014*XOCS-140*OCS-141OCS-142*OCS-143OCS-144*OCS-145OCS-146OCS-147OCS-148*OCS-149OCS-150OCS-151*OCS-154*OCS-156*OCS-157OCS-158OCS-159*OCS-016OCS-163*OCS-017OCS-172*OCS-175*OCS-178*OCS-179*OCS-180"OCS-018OCS-019*Notincludedinsimulatorverificationstudy.E-3

TableE-1NMP-1CosmeticPackageHEOResolution(continued)NEO'ndicatorIndicatorDemarcationComponentScaleRangeSystemNMP-1CodesChartLabelinRelacementMarkinMimicsandConventionsPaperOCS-020OCS-022OCS-226OCS-023OCS-024OCS-025*OCS-029+OCS-030OCS-031OCS-034OCS-036OCS-039OCS-005.1OCS-005.2OCS-005.3OCS-005.4OCS-005.5OCS-005.6OCS-005.7OCS-053OCS-055*OCS-058.1OCS-059OCS-006*OCS-006.2OCS-068+OCS-007OCS-073OCS-075OCS-076OCS-008OCS-083OCS-083.1OCS-009OCS-097OCS-098OCS-099VER-011*VER-040VER-010*OCS-138*QS-014"VAL-022XXXXXXX*Notincludedinsimulatorverificationstudy.E-4

TableE-2ComponentLabelsIncludedInICPHEONCs-007Cs-007Cs-007Cs-007OCS-055Ocs-055Ocs-055Ocs-055Ocs-055Qs-014Qs-014Qs-014Qs-014Qs-014Qs-014Qs-014cs-007OCS-025Ocs-025Ocs-034Ocs-034Ocs-034Ocs-034Ocs-034Cs-007Cs-007Cs-007Cs-025CS-055Ocs-055Ocs-055Cs-007Cs-007Cs-007Cs-007Cs-007Cs-007Cs-043Ocs-055Ocs-055Ocs-055Cs-007Cs-007CS-007Cs-007Cs-007Cs-010PANELAAAAAAAAAA2A4A5A6A6A8A7BBBBBBBBEEEFFFFFFFFFFHHHHHHLABELTurbBypassValve12H-12IHydrogenGasTempControlTurbineOilTempControlRed-345KVLineVoltageBlack-24KVGeneratorVoltagePH1NMP-Volney9PH2NMP-Volney9PH3NMP-Volney9NMP-Volney9R925AnnunciatorTile4-8AnnunciatorTile1-6AnnunciatorTile4-3AnnunciatorTile2-5AnnunciatorTile3-4AnnunciatorTile2-3AnnunciatorTile4-1CoreMonitorIvth12SERVOTESTIvth11SERVOTESTBearingOilStatorTempRotorTempH2CoolersStatorWaterConductivityRed-StackGasMonitor7Black-StackGasMonitor8FeedwaterMasterRecircMasterIRM/ARMSelectSwitchesandRecordersRed-OffGasTempoFBlack-EJCondFlowBypassRWMOffGasDischargeTemp-50to+150oFCRDFlowControlFWP12BypassValveFWP11BypassValveFWP12ValveControlFWP13ValveControlFWP11ValveControlFWRecirctoCNDSRBlockingVlvMainSprayIsolVlv7%TestPostLocaVentVlvs201.1-9&201.1-11PostLocaVentVlvs201.1-14&201.1-16IntakeWaterTempDilutionFlowRBldgCool/ServWaterVlvLakewaterLvlAlarmSetpointFWRecirctoCondFlowControlOffGasDilutedPressE-5

HEOOComponentPANELTableE-2LabelsIncludedInICP(continued)LABELCs-010CS-010Cs-010Cs-010Cs-049Ocs-031Ocs-036Ocs-036Ocs-055Ocs-055Ocs-055OCs-076Ocs-076NOTHEOQs-014Cs-007Cs-007Cs-007Cs-007Cs-007Cs-007Cs-007Cs-007Cs-007Cs-007Cs-007Ocs-055Ocs-055OCS-073NOTHEOQS-014Cs-007Cs-007CS-007Cs-007Cs-055Cs-055Cs-058Cs-058CS-059Ocs-029Ocs-055Ocs-055OCS-055OCS-055OCS-055Ocs-055OCS-055NOTHEOHHHHHHHHHHHHHHH3JKKKKKKKKKKKKKKK2LLLLLLLLLLOffGasSystemPressOffGasTempOffGasVacuumPumpllOffGasVacuumPump12TemperingGateOffGasMixingJetFlowOffGasVacuumControlVlv12OffGasVacuumControlVlv11Chiller12SystemCLC-24Chiller13SystemCLC-24ChillerllSystemCLC-24HotwellLevelNorthHotwellLevelSouthTBldgCool/ServWaterVlvAnnunciatorTile4-8CondsrCircWaterPumpDischCleanupPCV12(HP)CleanupPCVll(LP)EMCondsrMakeupLCVllEMCondsrMakeupLCV12CleanuptoCond&WasteFlowCleanupSystemSelectorShutdownCoolingTCVllShutdownCoolingTCV12ShutdownCoolingTCV13CleanupSystemFlowLOCKOUT86-17PushtoOpenBVA033-41DowncomerSubmergenceLOCKOUT86-16AnnunciatorTile2-2Manual/AutoController12Manual/AutoControllerllNitrogenSupplyIllNitrogenSupplyI12ContVenttoEmerVentilSys'ContVenttoEmerVentilSysContainmentIllFlowContainmentI12FlowN2VenttoEMVentPressDrywellCamReturnIV(legendpushbutton)System1202Green/HpRedSystemll02Green/HpRedDrywellCamIVEMVentExhaustFanllInletN2PurgeBypassPostLocaVentVlvs201.2-09SpentFuelPoolLevelEMVentExhaustFan12InletPressIV121IV122PCV&201.1-16PCVE-6

TableE-2ComponentLabelsIncludedinICP(continued)HE08VAL-022QS-014CS-067CS-030CS-030CS-030CS-030CS-030CS-030Panel~LL3NRSPRSPRSPRSPRSPRSPLabelDrywellAmbientTempAnnunciatorTile2-5DischargeValve(legendpushbutton)ReactorTempRRP14TorusTempDrywellPressDrywellTempReactorPressReactorTempRRP15E-7

TableE-3IndicatorScalesReplacedinICPHEOCOCS-120OCS-158OCS-126CS-011CS-OllOCS-115OCS-116OCS-118OCS-157OCS-112OCS-113OCS-145OCS-148OCS-150OCS-163OCS-172CS-011CS-011OCS-058.1OCS-075OCS-075OCS-105OCS-106OCS-108OCS-141,OCS-141OCS-143OCS-143OCS-143OCS-144OCS-100OCS-101OCS-102OCS-104OCS-103OCS-103OCS-131OCS-134OCS-135OCS-135OCS-135OCS-135OCS-136OCS-136OCS-137OCS-137OCS-137VER-011PanelAABEEEEEEFFFFFFHHHHHHHHHHHHHHKKKKKKKKKKKKKKKKKKLabelngTankessto150Fto150'Fto150'FSteamChestPressureTurbineOilTempTemperatureRecorderOffGasTempOffGasChillerDischTempOffGasRecorderStackGasRecorderDrywellTorusPSIDRecorderEjectorCondFlowCoreDifferentialPressReactorPressTotalRecirculationFlowRecircPumpDiffPressCoolWtr/ReactDiffPressScramDischargeVolumeHoldiLevelScramSolonoidAirHeaderPrRecorderOffGasDilutedTempOffGasSystemFlowCondVacDissolved02CondDissolvedOgFWIntake/DiscnTunPAirEjectorCondensorFlowSprayPumpAmpsRecombinerllDischTempRecombiner12DischTempChillerOilOffGasTemp-50ChillerN12OffGasTemp-50Chiller512OffGasTemp-50ServiceWaterHeaderPressureContainmentSprayPumpAmpsCoreSprayToppingPumpAmpsDrywellPressCUtoCond/WasteFlowSDCoolingSystemTempOutSDCoolingSystemTempInCleanupPumpSuctionPressAuxCleanupPumpAmpsEmerCond121WaterTempEmerCond122WaterTempEmerCondillWaterTempEmerCond112WaterTempEHCondSceamHDRllPressEMCondSteamHDR12PressSDHeatExcnllOutSDHeatExch12OutSDHeatExch13OutLiquidPoisonTankLevelE-8

TableE-3IndicatorScalesReplacedinICP(continued)PanelLabelVER-011CS-004CS-004CS-058CS-061CS-061OCS-129OCS-129OCS-130OCS-130OCS-130OCS-130OCS-128CS-031KLLLLLLLLLLLLRSPmakeupTankLevelTorusWaterLevelChanllTorusWaterLevelChan12N2VenttoEmergVentPressContainmentVentjjllFlowContainmentVentA[12FlowllDWEDTLevel12DWEDTLevelllDWFDLeakRatellDWFDLevel12DWFDLeakRate12DWFDLevelFuelPoolLevel(DifffromNormal)AllmetersE-9

TableE-4ControlHandlesReplacedbyICPPanelEquipmentControlTypeCurrentRecommendedTypeHHHFAAAA4AAA5AAAAAAAAAAAAAEEEEEEELLLLTemperingGateFishScreen11FishScreen12MainSteamIsolVlv7%testLiftPumpBypassSW345KVSysVoltFreySynSelectorR1022DieselGovernorVoltsAdjRheostatGen102VoltsAdjRheostatGEn103DieselGovernorSynSelectorR1032MeterScaleSelectorReclosingSelectorR915TapChgerContTrans10SynSelectorR915SynSelectorR925AutoReclosingR915AutoReclosingR925GovernorFrySelectSW115KVBusReclosingSelectorR925AutoReclosingR10AutoReclosingR40VesselIsolllVesselIsol12MechPressureRegElecPressureRedGovernorExciterRheostatMasterSyncContNon.Sys11OxyAnalRangeContMon.Sys12OxyAnalRangeContMon.SysllHydAnalRangeContMon.Sys12HydAnalRangelower/raisedrain/normdrain/normselectorselectorselectorselectorraise/lowerraise/lowerraise/lowerraise/lowerselectorselectorselectorraise/lowerselectorselectorselectorselectorraise/loverselectorselectorselectorselectorselectorselectorraise/lowerraise/lowerraise/lowerraise/lowerraise/lowerSelectorSelectorSelectorSelectorJTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTJJJJstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarstarE-10

TableE-5IndicatorLightColorChangesinICPHEONOCS-019OCS-024CS-065PanelEquipmentMainSteamIsolVlvsLoadlimitcontrollerEFWCH11ResettonormalLightMeaningInputselectionlatchedlowspeedstophighspeedstopKnormalpowersupplyCurrentColoryellowyellowredyellowgreenRecom-mendedColorwhiteyellowwhitewhitewhiteCS-065EFWCH12Resettonormalalternatepowersupplygreenwhite

2FFigureE-1PanelFDemarcationLine

2L3L4L5L6L7LPANELLFigureE-2PanelLDemarcationLines

2K3K4K5KFigureE-3PanelKDemarcationLinesPANELI(

2H3HPANELHFigureE-4PanelflDemarcationLines

~~~~~~~~KHCBERR%%WL~if@lI~i~go~

FigureE-26PanelLandKOvervi,ewHEOresolutionsillustratedbyFigureE-26:OCS-008OCS-006OCS-005.1OCS-005,2 Fi.gureE-26PageNE>>38 QJ.~)I~gpg>-'cpQ>)jc~~l~1~ml~CINW~AOtQff.5C4GCA~OIQtt$c'c0cCIQQ6U4QMccNCSA'IJ,iUKILlCC<SOCCERCcCCtl0ccc&!30CICCOCICelccQccccccccceg3laic.ticcI~cc4ccccocpc0ccCCclcccc\elo*CQOcCe6CklOCCIlcccccMA&%IVJc~(~~1-Ji@~'ljI%II&le0ccccccEQ440cccccc~CIOW'clcccc~~

CgIl FigureE-25PanelLHEOresolutionsillustratedbyFigureE-25:CS-007OCS-005.lOCS-006OCS-008OCS-055 FigureE-25'PageIE-37 WDESDIII4~ea~WdsOD<<eaI~Seel4IIE>>~ae>>~'ceI4EfStta4~SOW~li>>Oeall~eIalee>>4laeISa>>l~la<<oat<<OOleaseSelec<<l~essa<<acft<<>>aNacah~I>>DL~ED~aeeef<<eoaeaeenSe<<<<ILelea>>L~tfet4oe~fee\Ifa>>DIole>>as~taa~fecaleetetetleel>>ee~tl~aaa>>L~aa~t<<l~aalate4~ae~Sla~~I<<EDS.DIsOeaSale4~I<<~ae<<elIs4esoaelo~aafsel4ISDO~HaaltaSS>>ODSD~aaNINEStale4~slleelate4~<<laaDES4oaaeOallaaOaII4<<eaa<<DO~all<<SAOEOI4saa<<ISSIo>>a>>4~aao~el<<OISaelel4~aaDisesl4~aia4elecaltacsea<<<<asEID<<OL~i<<LSOSOLOI>>WAINDDe>>ja<<>>>>le~W4<<ele<<4EaalO<<SDI~4~ESoctaDIi~4<<4~elltaco<<I4~W~!It4I~e~~>>~IIS>>e~a~eli~ifl>>I-ii~'IIIL4L~44L~~QjNS*lla~"Il,~~IINLL

FigureE-24PanelLHEOresolutionsillustratedbyFigureE-24:VAL-022CS-004CS-007CS-060OCS-129OCS-130OCS.-008OCS-097OCS-098OCS-006OCS-005.1 FigureE-24,Page')E-36

~aaaaaaa='aaa~aŽ"'aa~.~aaaaaaM0aaa~awaaaluH8~aa.l'a

FigureE-23PanelKandLHEOresolutionsillustratedbyFigureE-23:OCS-011CS-060CS-052CS-004OCS-135OCS-136OCS-005.2OCS-009OCS-055.CS-007 Figure'E-23PageIE-35 Cadi0~IPOlds~~I>>\<<Ddt<<apDladle~WDP0~I<<Oal'ads<<hPDD<<0OElDO~H4~IPWD~\e<<OWCasa0P<<~leI<<l~Isr0~<<<<0Idle0~DWIDPI~lassIa<<0DaaP~<<DW0~WlaE~Ie~tdd<<ae0~ESllP~<<WdV<<~IDID0<<s<<ad0~alpaIaaao~tpe~<<<<a<<Ee0~la<<~EEde~opdp<<ewe0Dwe0~Idled\<<<<awistDeca~aa<<DIcoteadelerarer<<IOIU<<OIIDW<<CPU<<0aw<<aweeDNO0MINIwh~csashhhdeclaaarwlasrPIIadIICIDIDhalaad<<IeotlDW<<<<I<<~area0<<wwo<<ctdaaeloaloNdarosaIIDptcsaodppahe0Dl<<aWWPasdecaaDawDdrl>>DDW<<ed<<<<da<<leos~lUEI~c<<ssctrcapsg<<WQ<<vsaoSlIPES<<ED<<waIE0~I<<<<SI<<<<P~<<<<CE0P<<ddls~~IIPlItaatad>>,oaIe~0I<<El~I0hell0Oeoew~DP<<Osdap~EalDID<<OldPO~altD<<alI!I~<<P~PPI<<aces~<<~WIEa~WIe<<EPCPDDPW0~0UMlaaDIIWIaDECDPWpchaaarch<<<<weelapseDaasw~d~0DaaaaNaP<<DDeClearPIIPt~DhWPd<<<<<<<<C<<<<PO<<Pe~aaPitsI~ICP'IC.Oea~0)OkA2WgI'Ma~~~~'tIIdMIIaCI I

FigureE-22PanelK.HEOresolutionsillustratedbyFigureE-22:OCS-102OCS-103OCS-137OCS-005.'2OCS-006OCS-073OCS-009'CS-055CS-007

)Ap(~'IFigure"E=22PageIE-34 w+rm~~wgl.v'IP~/g.~J'\~0-s~~~IMH~5mliIIZ

FigureE-21PanelHandKHEOresolutionsillustratedbyFigureE-21:ocs-104Ocs-131ocs-099OCS-006OCS-005.3OCS-005.2ocs-055 FigureE-21,;PageIE-33 4s~'4~OUVIUNrID'.-IDIOtt444oaslOta<<0sots<<t~>>4wsaao<<40oa>>Ulaaosta0~swItal<<I~tsW444OlWas<<slI<<t<<444~4ooI0ot<<>>aa<<ostat<<04044Otao4>>W<<O~040144IOO~t<<tta~Sl<<IOsl<<I4<<<<0O<<l<<I~II<<<<I'<<O~<<44aas00<<IO~\>>~Ioo<<4aso~alai0W00~Uas4>>ta'au<<slaD>>440W4<<tata4>>aaIUW4I4>>44o<<4p4>>saDaaa0stats4>>~I0<<44>>s<<<<4D>>~4aaaoW<<4l<<stIW>>O14Oa<<O<<I'40t>>0444w~0w~r<<w>>WW>>WW>>4>>4>>assi04<<O<<lao<<<<ltos4>>4>>Isawa0IS4'Iot<<Ql~<<40~la>>0W0stotll>>0W<<4>>IUW04>>0W0Wa<<4%0~4<<w>>aloo0440

FigureE-20PanelHHEOresolutionsillustratedbyFigureE-20:ocs-005.3ocs-006Ocs-141OCS-143Cs-010CS-011 FigureE-20'PageIE-32

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FigureE-19PanelHHEOresolutionsillustratedbyFigureE-19:OCS-005.3OCS-005.5OCS-006CS-050CS-010OCS-017OCS-055-FigureE-19Page5E-31 4441jI~~11111)I)01"0AO)10)~I)a'b)IAOtttI)lttta)))Ilh)ftlltlallIIT'1101')010)~)11'll11~)Vt~AISIS)S)f)ITI)Iarl)I)I~)41)A~1000AI)AA~0100)I1)1'SaSlIQ+I0'100)II)AAOC10)11S)11010))~egae>c>3e~Qo>O04I)1111111)~~I'111I~I)1I)0~0S~E.I))))])t)tI)N1))O~-IaI,--)IIl)))]))itll)Ol)RI')I4AR4ahhf)AII))IIO~41)ATA\IStlI)IS)t')I"II)'IateI41'atlaItaIIII)~)1011*011"Oln)41Ta4Il)TA))~IllSI1)SI)al)AITA111)011I'Iltl~Ill~)110)Allit)f10Alll111)I1)111~0Alill)Ill4~A)1~IIIIlliat0)I4aft)aftft)TAIIS)aII)SITA01110111010)fl111litOIS~3e3e3Oe)cregaQeQnge>OoQieSIIT~IITTO11)I0IISIISlll+I~Sa)ISIS11111tt)~0II)l)AOClO)llaTSo114ah4ahh)TAa))aoI~AT)ISI)I'Tla)14STS4thit4af14~Ia)ill;I)O)11011.0)IIS'RILIll4114Il)TI))IIII)l)IISI)a)AlAlt)f10Ali)111~ahaIT)S114ah4ahhTla)la~~~(+PlI~1I~itl100I1Il~GgsQo)llallh4OTAOTO440+~0LARVAII)SITA011~0~4114Ifl~II')laOl))l10)TI)1"'IITIi.'aalafOQOSI-IIF

FigureE-18PanelHHEOresolutionsillustratedbyFigureE-18:OCS-005.3OCS-005.5OCS-006OCS-006.2OCS-075OCS-076OCS-107Cs-007 FigureE-18PageIE-30 T4wit4snilI.41Iii,ni~IICladTtIT)n6~8G)Qttt>CT)IIICIIVALin~In'I3sin.I~~I,~J'IItIn~o~IIlttnMGII-ttn-II0II.t.'CtntaI0asIfI4stnltlttlnatwtlllGtnsta1)ntlIIKlI1I440.CmI0l,i)tlttnslSs.Iatt>tlttAAJTILTIJIKSGTIIi.ti;nsI.Tsl.~.3IMlital)TSTICsttln1111011A~ST)ItststcsnviasinnInsOl01515IGTNII)0Itis'tllnWn011TAIICMalt111ACIIAGI~t)tllISTIONICCIGT)151ISTIGNIts)as)0SIITISKNIts)tIIATIOKOI)GON~IKTII.ta(InsntIlsnCsnn)ntttts))IG0I"z1)1ttINGlitI~tttnttttttIltttsItltaG)nCT'tttttIIItllts>dITtstts'0allttnt01tlCINCIntntl)lntA500tsttt%laGsttsn)ttts)CsnIINTI)'IAtt-sasAllIlln01'tn~t0150111At)OIn)ln~n51T15Ins)AOIstl~tltnTart01550)Tant)5ITI)asl)040illa~00)Illnn.nWTII500)IItslinnstst)tnItn~Icollnn~IsIM)nnSTSIC005)OltlANIItSISItttVtI.salt))144)tHltns'15aGtbbtnnwttttt511tttIIITtlltnaGtbt~tttnI'I~III~lntS'Tilts0)ltOAtattlIISTII)'T'I-s])CTISeaIt)stItalS)1115~)ltatsnCCTCCtttttntasltsnstsstt4sd51TIIIGAN'IIAtWW)5I.T,~Ian10)N)ttsaAlllt"-t5)TCIttsn)AtAIIsssl111It)sissI)ts)GT00~)1stII'IIITT)IIA050TStstnttssnnnst~cs"RTOsnsst~tIAnstITSTI)CTCIKK0I)IINItsIsa)0)IT5saan05cs-tttnAAIstilt~CCSIWlATTCAn)AsttMlTI-ClansGtststatttAAlLACAITtsttt)I~ssIMlIMIasstOltt)ANCAOIIttntsa~AAtI)ItsCatTN)IIO

FigureE-17PanelHOverviewHEOresolutionsillustratedbyFigureE-17:OCS-006.2OCS-005.5OCS-005.3 hIFigure'E-17Page5E-29 ceIII~~'44IS~eMeece~SS4~4IS44WISSS44Veet4sp~JP~ee~~4ee~Jp~PetCS~setce44IJPUPSSS4eatsee~JPIJPeewcee~swcee444CSPAt~lCCS~4~eJV44VISespseee~JceteteStIeCeseepeepcceptsae~~4IeeeSCCSAS~JPCJCSCJCSteeteSeeSLSCCL~CJCStespC44QIJeeIJcstestepecsCaO~

FigureE-16PanelFHEOresolutionsillustratedbyFigureE-16:OCS-112OCS-005.4OCS-145OCS-146

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FigureE-15PanelFHEOresolutionsillustratedbyFigureE-15:Ocs-114ocs-005.4Ocs-150OCS-055cs-007 FigureE-'15'age5E-27 tt'll=30:<:3gL0'0:II0'a~ga<3gIJI.0!33-II00III0nQr.I~I~IIE~TOhCIII%1ICCacn3c<accecxu<ccIII<III<eKOtCFRWtCCC3CFC<TIQtI.0~l~3A'"~~Q~Q~Q~~9.=-El=--C3~O<<Q$<l'4ar~'t~tI~a>>33<3.l'..<<<&<Liat~"l.a'atta'l~~rrJ<.traFtllaAIlp,er4~aatt<,rtl'l'arer'll'.FtO<<QgJFa~Far3~atrava.tt~<<OaaaMl<ter~.:<atttatta,l~Iltt'lA~\~<war

FigureE-14PanelFHEOresolutionsillustratedbyFigureE-14:Ocs-018Ocs-019OCS-020Ocs-030OCS-005.4OCS-005.6OCS-'005.7CS-043Cs-044OCS-113Ocs-147cS-007OCS-055

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FigureE-13PanelFOverviewHEOresolutionsillustratedbyFigureE-13:OCS-005.4OCS-005.7

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FigureE-12PanelEHEOresolutionsillustratedbyF.igureE-12:

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-k FigureE-.9PanelAHEOresolutionsillustratedbyFigureE-9:OCS-007VER-040 Figui'eE-9"PageIE-21 i'I)~OgIn'(0~Q'O54(0:8(o(60f'(otIIt.~(p.QIt+a~Plarp.5-C>gCe(o(ogt~(o'Ce~g(oIgt:CO.(o-;,Co'rl~~ri~+~~i9 frt FigureE-8PanelAHEOresolutionsillustratedbyFigureE-8:OCS-022OCS-023OCS-'024VER-040CS-007 WliFi;gure'-8Page5E-20 1j'.,o]-grl~~-~,~6g'pi,-I-~'='>)aJT)I4~~)J~~-L4r:--1~w'i,.IlII:

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