Text

Confirmatory Action Letter CAL 3-04-01, Excellence Plan - Revision 7
	ML052850062
Person / Time
Site:	Point Beach
Issue date:	09/30/2005
From:	Koehl D L; Nuclear Management Co
To:	; Document Control Desk, NRC/RGN-III
References
	NRC 2005-0128, CAL 3-04-001
	Download: ML052850062 (195)
	v • d • e

N_Committed to Nuclear Excelence Point Beach Nuclear Plant Operated by Nuclear Management Company, LLC September 30, 2005 NRC 2005-0128 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555 Point Beach Nuclear Plant, Units 1 and 2 Dockets 50-266 and 50-301 License Nos. DPR-24 and DPR-27 Confirmatory Action Letter CAL 3-04-01 Excellence Plan -Revision 7 The purpose of this submittal is to transmit Revision 7 of the Point Beach Nuclear Plant Excellence Plan. In accordance with verbal concurrence by representatives of Region IlIl, only Excellence Plans that contain commitments contained in the NRC letter dated April 21, 2004, to Nuclear Management Company, LLC (NMC) are included in this submittal.

This is the final transmittal of the Commitment Excellence Plan.Summary of Commitments There are no new commitments or revisions to existing commitments contained in this letter.Dennis L. Koehl Site Vice-President, Point Beach Nuclear Plant Nuclear Management Company, LLC Enclosure cc: Regional Administrator, Region l1l, USNRC (electronic file)Project Manager, Point Beach Nuclear Plant, USNRC (electronic file)Resident Inspector

-Point Beach Nuclear Plant, USNRC (electronic file)6590 Nuclear Road s Two Rivers, Wisconsin 54241 Telephone:

920.755.2321 ENCLOSUREI NUCLEAR MANAGEMENT COMPANY, LLC POINT BEACH NUCLEAR PLANT Excellence Plan Confirmatory Action Letter Commitment Plans Revision 7 PBNP Excellence Plan Index Revision 7 Focus Area: Action Plan #OR-01-001 OR-01-004 Focus Area: Action Plan #OR-02-001 Focus Area: Action Plan #OR-05-008 Focus Area: Action Plan #OR-08-005 OR-08-007 OR-08-01 5 OR-08-01 6 OR-08-017 Human Performance Plan Type Priority Action Plan Title Commitment I 1A 1A Improve Human Performance and Work Practices Commitment I 1A 1A Individual Behavioral Excellence Oversight

& Assessment Plan Type Priority Action Plan Title Commitment 1 3C 3A Nuclear Oversight EffecUveness Management Effectiveness Plan Type Priority Actlon Plan Title Commitment 1 3B 3B AFW Root Cause Evaluation (RCE)Corrective Actions Engineering Organizational Effectiveness Plan Type Priority Action Plan Title Commitment 1 1A 1A Improve Human Performance (HU) In Engineering Commitment 2 3C 6C Utilize the Quality Review Team Commitment 2 3C 3B Establish an Engineering Safety & Design Review Group Commitment 2 3C 3B Reduce Operable But Degraded / But Non-Conforming Backlog Commitment 1 3B 3B Improve Operations Department and Engineering Department Interface Page I of 5 Effective Date 9/29/2005 PBNPRExcellence Plan Index Revision 7.Focus Area: Emergency Preparedness (EP): Action Plan Plan Type Priority Action Plan Title OP-09-001 Commitment I 3B 1C .Improve EP Infrastructure (Processes,'

Programs and Technology)

OP-09-003 Commitment 1 3C 1C Revise Emergency Plan Implementing Procedures' OP-09-004 Commitment 1 3C 3B Upgrade Emergency Action Levels (EALs)OP-09-005 Commitment 1 3B 3G Control / Maintenance of EP Required Equipment Focus Area: Corrective Action Program (CAP)Action Plan # Plan Type Priority Action Plan Title OP-10-001 Commitment 1 3C 3B Improve CAP Action Request Screening and Prioritization, Operability Determination and Problem Reporting OP-10-004 Commitment 1 3C 38 CAP Resolutions Effectively Address Problems OP-10-005 Commitment 1 3C3B Improve CAP Trending and Use of Trending OP-10-006 Commitment 1 3C 3B Effective Root Cause Evaluations OP-10-010 Commitment 23C3B Operating Experience (OE) Improvement Plan OP-10-011 Commitment 23C6C Improve Effectiveness of Self Assessments OP-10-013 Commitment 1 3C3B Resolution of 2003 CAP Self Assessment Areas for Improvement Focus Area: Configuration Management (CM)Action Plan # Plan Type Priority Action Plan Title OP-14-001 Commitment 1 3C 38 Improve the Configuration Management Program Page 2 of 5 Effective Date 9/29/2005 PBNP'Excellence Plan Index Revision 7 Focus Area: Configuration Management (CM)Action Plan # Plan Type Priority, Action Plan Title OP-14-003 Commitment' I 3C 3B Validate Design Bases for High Risk:Systems OP-14-005 Commitment 2 3C 3B Validate and Integrate Calculations and Setpoints OP-14-007 Commitment 2 3C 3B. Updated Vendor Technical Information Program (VTIP)Page 3 of 5 Effective Date 9/2912005 PBNP Excellence Plan Index Revision 7 Focus Area: Equipment Reliability (AFW)Action Plan # Plan Type Priority Action Plan Title EQ-1 5-001 Commitment 1 3C IC AFW Appendix R Firewall Project EQ-15-011 Commitment 1 3B 3B Bolted Fault EQ-15-012 Commitment 1 1A 1A Manhole and Cable Vault Flooding EQ-1 5-015 Commitment 2 3C 3D Auxiliary Feedwater Electrical Modifications EQ-15-016 Commitment 1 4B 4D Determine Condition of Underground Electrical Cables Which Have Been Submerged Page 4 of 5 Effective Date 9/2912005 PBNP Excellence Plan Index Revision 7 Focus Area: Training Organizational Effectiveness Action Plan # Plan Type Priority Action Plan Title TR-18-002 Commitment 1 5C 6E ESP Training Page 5 of 5 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OR Priority 1 1A 1A Human Performance Improve Human Performance and Work Practices OR-01 -001 CAP# 031915 Plan Type Commitment Plan Revision No: 2 Plan Status In Closure Problem Statement:

Causal Factors: Obiectives:

Action Steps: Number OR-01-001

.1 Management has not been fully effective at improving human performance.

I No well defined or documented program exists.2 Lack of line ownership and support of human performance improvements.

3 Human performance tools have not been consistently provided or utilized.I Human Performance infrastructure is established to facilitate improved station performance.

Action Step [I Commitment Develop and communicate a human performance vision, strategy, and values statement.

Owner Group Start Date Comp Date Due Date Deliverable Performance Assessment 2Q03 23-Aug-03 3Q03 Issued statement tTrack IDs CA030222 flResource 300270 3009_300380 3005 _# Persons 10 I I Hrs Per Persqon 5 30 Commnents

'1. ., !X I Page I of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step II Commitment OR-01 -001.2 Establish a Human Performance Working Group (HPWG) sponsored by the Plant Manager.Performance Assessment 1 Q03 12-Aug-03 3Q03 Documented HPWG charter and membership.

tTrack IDs CA030226;esource # Per'e's Pers-on __ m _300010 3005 1 80 20 hr/quarter 300020 3005 80 20 hr/quarter 300030 3005 1 80 20 hr/quarter 300130 3004 1 80 20 hr/quarter 300140 3005 80 20 hr/quarter 300150 3005 1 80 20 hr/quarter 300270 3009 10 1 300380 3009 1 5 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01 -001.3 Implement the PACE program to track and Performance 2Q03 08-Jul-03 2Q03 See Action Plan OP-10-01 1.3 and its trend the group and leadership job Assessment substeps for completion of this item. This observabions (also see CA028603).

item is being accomplished via the noted Action Plan OP-10-01I and this item is considered closed to avoid duplication.

tTrack IDs N/A Number Action Step 3-I Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.4 Analyze and report site and department clock D -'. 3nn2 nA i^.4 A AnnP -A.l- ---..--* --- -resets, leadership job observations an data to determine actionable items.d other Assessment tTrack [Ds CA030228 zWvo Z't-UCI,-UJ

+%VtUU rntsUIw UUUU1tfIeILe in a [eporr.3 Resourc #1 1'erson -HrsPer P rn K C3 m mints I 300380 3005 1 1 30 Page 2 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.5 Revise NP 13.6.1, Point Beach Site Performance 2Q03 26-Nov-03 4Q03 NP 13.6.1 Issued, including requirement for Observation Program. Assessment

'paired' observations.

tTrack IDs CA030229 iesouiire

Prsons Hrs Pe Person Con -en -ts 300270 3009 15 24 2 hours2.314815e-5 days 5.555556e-4 hours 3.306878e-6 weeks 7.61e-7 months per month per person 300380 3005 1 5 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.6 Establish a procedural requirement for selected Performance 4003 03-Dec-03 4Q03 Procedurally documented requirement.

departments to conduct human performance Assessment Action Plan Step OR-01-001.14 mini-stand-downs (approximately 30 minutes) accomplishes this action.periodically using materials provided by the human performance working group.tTrack IDs CA030230 ersons n i 300380 3005 0 0 Number Action Step I Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.7 Selected denartments to assion de~nrtmPnt-n ..-- -l level human performance liaisons.Perrormance Assessment Z(UU3;M-Jul 03 3Qu3 Documented assignments of Human Performance liaisons.tTrack IDs CA030231 Resource Hrs Per P n Comments 300010 3005 1 80 20 hr/quarter 300020 3005 1 80 20 hr/quarter 300030 3005 1 80 20 hr/quarter 300130 3004 1 80 20 hr/quarter 300140 3005 1 80 20 hr/quarter 300150 3005 1 80 20 hr/quarter 300160 3004 1 80 20 hr/quarter 300170 3004 1 80 20 hr/quarter 300210 3004 1 80 20 hr/quarter 300270 3009 15 1 Page 3 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.8 Direct supervisors and managers to look for Performance 2003 26-Nov-03 4Q03 NP 13.6.1 issued directing peer-to-peer and promote the use of "peer to peer' coaching Assessment coaching during job observations.

during job observations.

tTrack IDs CA030234 30027603009P

~ni-P*300270 3009 15 104 12 hrweek 300380 3005 1 20 l Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.8.A Perform an effectiveness review of utilization of Performance 1Q04 25-Feb-04 1Q04 Completed EFR054128.

peer-to-peer coaching monitoring during the Assessment performance of Job Observations.

tTrack IDs EFR054128 Number Action Step 3 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.9 Assign a chairperson for each designated p5 mnrA 1 fend 4 A-.. ^n I :e -ID ., -departments respective human performance Improvement team and ensure that the team meets regularly to carry out its responsibilities.

rVI IU, II RIC Assessment I ',uo I r.lIdIy-UJ 4WAU LibL UI I-IrI I n CsignlmeIn tTrack IDs CA030235 Page 4 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.10 Equip the department HPITs with a method to diagnose recurring human performance problems and make recommendations.

Performance Assessment 2Q03 03-Dec-03 4Q03 Documented methodology.

tTrack IDs CA030236 Resource # Persons Hrs Per Person --Comunts -300010 3005 1 80 20 hr/quarter 300030 3005 1 80 20 hr/quarter 300130 3004 1 80 20 hr/quarter 300140 3005 1 80 20 hr/quarter 300150 3005 1 80 20 hr/quarter 300170 3004 1 80 20 hr/quarter 300210 3004 1 80 20 hr/quarter Number Action Step I Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.11 Revise NP 1.6.10 to improve identification of critical steps, error-likely situations at each critical step, and possible consequences of active errors at each critical step as well as defenses or contingencies for each critical step. Clarify the difference between task assignment and a pre-job brief.Business Procedures 2Q03 29-Aug-03 3Q03 Revised NP 1.6.10 which addresses error-likely situations tTrack IDs CA028864 300020 3005 1 1 20 Page5 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Owner Group Start D.Revision 7 Number Action Step F Commitment ate Comp Date Due Date Deliverable OR-01 -001.12 Brief First Line Supervisors (FLSs) on NP 1.6.10.revised Performance Assessment tTrack IDs CA030238 2Q03 10-Sep-03 3Q03 Documented briefing Rsource # rs i Per Person 'Comments 300010 3005 3 1 300020 3005 20 1 300030 3005 5 1 300050 3005 10 1 300130 3004 30 1 300140 3005 5 1 300150 3005 5 1 300160 3004 5 1 300170 3004 5 1 300210 3004 10 1 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.13 Perform an effectiveness review for Performance 3003 15-Jan-04 1Q04 Completed effectiveness review.improvements to the prejob brief process. Assessment tTrack IDs EFR030243 F 'eurce ' 'Persons HrI Per Peion Comments 300380 3005 3 20 Number Action Step j Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.14 Develop a Human Performance Proaram DS A n- o.Procedure that contains the details of PBNP's Human Performance Program.reHormance Assessment ZUV3 u03-uec-u 4UU11 issued human Perrormance Program Procedure.

tTrack IDs CA030244 Resource Persons Hrs Pe r Person ' --300270 3009 10 2 300380 3005 1 80 Page 6 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step Li Commitment ate Comp Date Due Date Deliverable OR-01-001.15 Implement a site wide plan to communicate our Performance 3003 23-Sep-03 3Q03 Documented plan.human performance initiatives.

Assessment tTrack IDs CA030246 Ro Penrs Pero Comoments-3003803005

..240 20 hr/mo I 300390 3005 1 60 5 hr/mo Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.16 Implement a standard method of publicizing Performance 3Q03 17-Oct-03 4Q03 Documented standard format.lessons learned from both site and department Assessment human performance clock resets.tTrack IDs CA030247 Resource # Persons Hrs Pe'rPerson -Cornent

l 300380 3005 1 40 Number Action Step Ci Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.17 Evaluate the human performance Coach's Performance 3Q03 20-Nov-03 4Q03 Documented Comparison of 'Coach's Camp' for use at PBNP (Felicia Hennessy).

Assessment Camp" Lesson Plan to existng NMC Supervisor Training.tTrack IDs CA030248 R'_source P rH s e o do mm eits 1 300380 3005 1 10 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.18 Incomorate human performance error reduction Q-fak on ,an n A rvn -A-fl- #--I, .-A tools in the Safety Simulator for the fall outage. od0t5.Y tTrack IDs CA030250[ Resource 1 300340 3005 _300380 3005 _.WuV ou-oWx~u u WuV Safety Simulator.

Persons 4 Hrs Per Person I_40 --, Comments I Page 7 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step D Commitment OR-01-001.19 Provide training to instructional staff on human Training 4Q02 20-Feb-03 1Q03 Training attendance records.performance fundamentals and how to incorporate them into training materials.

tTrack IDs RFT026704[ R AT!#P- --#-Pers '-on -I N-C- Pi' ioa 300130 3006 2 16 Number Action Step g Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01 -001.20 Conduct an assessment of Work Package Maintenance I&C 2Q03 17-Jul-03 3Q03 Assessment report.Walk downs.tTrack IDs CA030251 KResource

Persons [ P P i J Comments 300050 3005 3 4 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.21 Ensure the Work Package Walk down form Maintenance l&C 2Q03 17-Jul-03 3Q03 Assessment report documents whether (PBF-9175) meets the requirements of NP form meets procedure requirements.

1.1.7.tTrack IDs CA030252 R~sbu, L of# Persons JrsPePrsn1Cm et --300050 3005 14 Number Action Step i1 Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-01-001.22 Conduct an effectiveness review of station .. AMA._human performance.

--- Perfromance Assessment tTrack IDs EFR030254 I Ub0 1 7-Mar-us 1u o Documented Effectiveness Review (E -K).(Sustainability Assessment (via PBF-0133f) required.)

PsnResource

Persons Hrs Per Person Comrments 0000 1 30 Fleet HU Coordinator.

300020 3008 1 30 300160 3004 1 30 300380 3005 2 50 Page 8 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number OR-01 -001.23 Action Step jj Commitment Conduct an interim effectiveness review of station human performance.

tTrai Performance Assessment Ik IDs EFR055971 3Q04 22-Jun-04 3Q04 Documented Effectiveness Review (EFR).Page 9 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments CAP# 052553 Revision 7 Plan Type Commitment Plan Revision No: 3 Plan Status In Closure Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OR Priorit Human Performance Individual Behavioral Excellence OR-01 -004 y 1 1AIA Problem Statement:

Causal Factors: Obiectives:

Point Beach's performance needs improvement to guarantee long-term success.PBNP processes and procedures are adequate; however, individual behavioral changes are necessary to successfully implement the processes and procedures to improve overall plant p I Changes to processes and procedures were emphasized in 2003, in part because these are easier to control and measure than changes to behavior.1 A PBNP "Picture of Excellence" is developed to require individual behaviors and accountability necessary to sustain performance Improvement.

2 The PBNP 'Picture of Excellence" is communicated to PBNP employees and the workforce is briefed on the application of and expectations for the program.3 Infrastructure and tools required to execute and reinforce the "Picture of Excellence' are established.

4 Tools to monitor effectiveness of and recognize "Picture of Excellence" program successes are established.

5 ACEMAN is effectively used to improve performance of station personnel.

Action Steps: Number Action Step iJ Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.1 PBNP management validates the picture and Site VP & ECP 4Q03 30-Jan-04 1Q04 Approved Change Management Plan.process developed by the Human Performance (Sustainability Assessment (via PBF-Working Group (HPWG) and the HIT team. 0133( a required.)

tTrack IDs CA054768 F 7:Resource

l- #Persons -l HrsPerPerson l -Comments -300270 3009 8 4 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.2 Import ACEMAN "thumbs up/thumbs down' Business l/T 1Q04 04-Feb-04 1Q04 Database available on the PBNP LAN.database.

... ...Oupport o Infrastructures tTrack lDs CA054770 toustainabiiity Assessment (via PEP-0133fl required.)

---Resouir c e i 76ffiiEFi;7i

-_-rmnt~645LCLER 1 20 300220 3008 1 20 Page 1 0 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 7 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.2.A Revise NP 1.1.10 to Include reference to the Performance 2Q04 17-Aug-04 3Q04 Revised NP 1.1.10.ACEMAN database, Including an attachment Assessment on how to use it and a note stating that the information will be rolled up and reviewed by management monthly.tTrack IDs CA058296 rResource l :- ersons l Hrs Per rson o F`T-;-77.

rnmets -300140 3007 1 10 Number Action Step i Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.3 Publish Behavioral Examples Brochure.

Communications 4Q03 26-Feb-04 1Q04 High Level Step intended to capture actions contained within substeps.

No deliverable required.tTrack IDs See Substeps Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.3.A Develop brochure containing Communications 4Q03 30-Jan-04 1Q04 Draft brochure.explanations/examples of results/behaviors.(i.e. What does "no rework' mean? What does pride look like?). Brochure should also contain 2004 focus areas.tTrack IDs CA054771 RPerons Wiw PerPerson lCommtsl 300390 3005 1 30 Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.3.B Finalize Brochure.

A Anna 4a-ChknA IVnA Finl 41rnlh-u I 1 -latv nt~-.-VI-u lWUF Filial uDlUUIlw.tTrack IDs CA054772 300390 3005 1r -# Pnts 300390 3005 i 1 5 Page 11 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step L Commitment OR-01-004.3.C Publish Brochure.

Communications 1004 26-Feb-04 1004 Published Brochure.tTrack IDs CA054773 f Reouce ;#Persons Hris Per T Per-n ii_' -Comments 300390 3005 1 4 Number Action Step i Commitment 2004 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.4 Implement ACEMAN training.

Performance 1Q04 09-Jun-04 2Q04 High Level Step intended to capture Assessment actions contained within substeps.

No deliverable required.tTrack IDs See Substeps Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.4.A Prepare Briefing Material:

Create power point Training 1Q04 16-Jan-04 1Q04 Documented training material.presentation; make blank ACEMAN cards, develop explanation of barriers.tTrack IDs CA054775[ Resource, #Prsons' [ 'ls Per Person { °Cornients 300270 3009 10 6 Number Action Step : Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.4.B Brief Senior Manaaers:

Review Chanae 4. :n ^^ In -s .A 4A na f Management Plan/project schedule; small , Id40'l lu.Jdl group session led by an executive to explain basics and specifics; pilot All-Hands Training.tTrack IDs CA054776;i;r-ce '#Persons Hrs Per Person 1 300130 3005 1 4 300270 3009 10 6 IV.+ I UQ-%oUflplele u iirnigy 101111.Comments , Page 12 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step F: Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.4.C Brief remaining Managers, General Supervisors, and Work Week Managers (two Training 1Q04 20-Feb-04 1Q04 Completed briefing forms.sessions).

tTrack IDs CA054781...-; .# Persons Hrs Per Person -j _o-nment 300130 3006 8 300270 3009 4 4 Number Action Step F1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.4.D Brief supervisors.

Training 1Q04 26-Mar-04 1Q04 Completed briefing forms.tTrack IDs CA054783 esource # Persons Hrs Per Person _ Comments 300130 3006 6 4 300270 3009 12 4 Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.4.E Brief workforce.

Training 2Q04 30-Jun-04 2Q04 Completed briefing forms.tTrack IDs CA054785 f t4s6urce i # r i Hri Per Person s jiiieiiit 300130 3006 30 3 300270 3007 30 3 Number Action Step F] Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.4.F Revise 'New Employee Checklist' to cover Human 1Q04 12-May-04 2Q04 Revised checklist.

ACEMAN.Kesources tTrack IDs CA054787 FiResource

Piesons .' Hrs Per1Person i 300110 3007 1 1 10 ,.j ,1~ , -- _ C .m- In ts -_ --I ._ ,.. :. Comments Page 13 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i] Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01 -004.5 Revise standard Plan-Of-The-Day (POD)meeting agenda to include ACEMAN focus.NMC Letter NRC 2005-0062:

Revise standard senior management short-term planning agendas to include ACEMAN focus.Production Planning 1 Q04 26-Jan-04 1 Q04 Revised agenda in use at POD.(Sustainability Assessment (via PBF-0133fl required.)

tTrack IDs CA054788=our rsons [ Hrs PeonPme, , c ints , 659LCLER 1 8 Number Action Step i Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-O01-004.6 Produce and post "Picture of Excellence' Communications 1Q04 14-Jan-04 1Q04 Posted picture. (Sustainability Assessment poster in Front Office Conference Room (via PBF-0133f) required.)(FOCR).tTrack IDs CA054790 7 1 eource ' .Persons 'l Hrs Per Person , .-,CrneriTi 300390 3005 1 4 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.7 Implement ACEMAN assessments at POD Dl-f RA-- 4r wnAreA I--n AA 4^nA ArcshAAKI

-,I.- -, meeting.r-m--a mylavlO4vi I %aw.vJJm2dI-Ut I WUs P%,reVMV4M rdU11W sys.Le1 V1PIcUyUa at r-ULL.(Sustainability Assessment (via PBF-0133fl required.)

NMC Letter 2005-0062:

Implement ACEMAN assessments at senior management short-term planning meetings as appropriate to plant conditions.

tTrack IDs CA054791[. esource -#Persons' Hrs P rPeson -Comm eOnts ' i 300270 3009 l 15 l 0 Page 14 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step E Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.8 Form a communications team. Communications 4Q03 12-Mar-04 1Q04 Documented minutes from the first team meeting. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA054793 Resource # Persons lHrsPer Person- , omments 300390 3005 1 8 Number Action Step iV Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.9 Develop a four-week rotating schedule for D- Communications 1 Q04 26-Jan-04 1Q04 Documented first four week cycle.15s: incorporate human performance and (Sustainability Assessment (via PBF-safety information; draft first several weeks. 0133f) required.)

tTrack IDs CA054797.Rource , .#Persons Hrs Per Person. Comments 300390 3005 1 40 Number Action Step i Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.10 Implement D-15 meetings.

Performance 1Q04 26-Jan-04 1Q04 High level step intended to capture substep Assessment requirements.

No deliverable required.tTrack IDs See Substeps Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.10.A Decide best way to do D-15s given our lack of Plant Manager 1Q04 22-Jan-04 1Q04 Documented methodology.

a rigid work schedule.tTrack IDs CA054799 , Resoure '# Persons -Hr PerPesoCm 300180 3004 300270 3009 1 2 Page 15 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 7 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.10.B Institute D-15s. Performance 1Q04 27-Jan-04 1Q04 D-15s implemented (copy of D-15 material Assessment and schedule).

tTrack IDs CA054800, CA054801, CA054802, CA054803, CA054804, CA054805, CA054806, CA054807, CA054808, CA054809, CA054810, CA054811, CA054812, CA054814, CA054815, CA054816, CA054817, CA054818, CA054819, CA054820, CA054821, CA054822, CA054998 Number Action Step it Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01 -004.11 Begin communication strategy to reinforce Communications 1 Q04 01-Apr-04 2Q04 Slides from PBTV and handouts from ACEMAN program. hallway display. (Sustainability Assessment (via PBF-01 330 required.)

tTrack IDs CA054824[l Rsource #Persons l rs PerPerson l Comment5 s 300390 3005 2 20 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.12 Institute more frequent NINMC Today' Communications 1Q04 19-Mar-04 1Q04 Evidence that NMC Today Newsletters are publications.

issued more frequently than weekly.(Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA054826 r -Resci -c #Persons fHrierPOrsmn 4 .^Commerit

-'300390 3005 1 50 110 per newsletter.

Number Action Step g Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.13 Implement ACEMAN job observation card. Performance 1 Q04 09-Sep-04 3Q04 High level step capturing actions in Assessment substeps which implement the ACEMAN job observation card. No deliverable required.

Satisfactory completion of this step requires completion of only a portion of step OR-01-004.13.C.

tTrack IDs See Substeps Page 16 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [ Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.13.A Develop and implement job observation card Operations 1 Q04 12-Feb-04 1 Q04 Observation card available in the job for ACEMAN attributes.

observation database.tTrack IDs CA054838 FR~eource J #Person~s 1Hrs'PerPerson

.XComnentsi 300020 3008 1 10 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.13.B Brief supervisors on ACEMAN card and use. Operations 1Q04 26-Feb-04 1Q04 Documented presentation at the First Line Supervisors Meeting.tTrack IDs OTH055255 eirsos rsPerP Resource lers on l i Commensl300020 3008 1 10 Number Action Step F2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.13.C Job Observations

-Site Management will Performance 1Q04 28-Feb-05 1Q05 Site Management job observations assess ACEMAN behaviors/results once per Assessment conducted to assess ACEMAN month. implementation and effectiveness

(>30 Management observations of the ACEMAN program per month).tTrack IDs CA054839, CA054840, CA054841, CA054842, CA054843, CA054844, CA054846, CA054848, CA054850, CA054851, CA054852, CA054854, CA054856, CA054857, CA054859, CA054860, CA054861, CA054862, CA054864, CA054865, CA054867, CA054868, CA054869 Resource P Persons HrsPer Person -Comments

'300270 3009 37 1 37 individuals from a variety of groups are performing these assessments.

Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.14 ImplementACEMAN assessments at 4 f..,4,..A 1... C- 1nn^ -r>hsfI > ^ ----,, .Production Meetings.Planning I wus I O-rVD-WUQ W-l u^st VIN rauingy SySt eminployea at Production meetings. (Copy of revised agenda and results of rating from first meeting). (Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA054870 Page 17 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step it Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.15 Compare POD and Production Meeting assessments to ensure alignment.

Production Planning 1 Q04 26-Mar-04 1 Q04 Copy of presentation of Production Meeting Results at POD. (Sustainability Assessment (via PBF-01330 required.)

NMC Letter NRC 2005-0062:

Evaluate alignment of senior management team short-term planning meeting assessments of ACEMAN and document results in the quarterly human performance trend report (Action Step OR-01-004.34).

tTrack IDs CA054876 Resource #Prsons Hrs Comments : 300040 3008 1 5 300270 3009 15 0 Number Action Step 7 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.15.A Formalize the POD meeting, including a Production 3004 18-Oct-04 4Q04 Documented, sustainable guidance of POD published agenda, ACEMAN assessment Planning meeting requirements.

information and alignment with the other production meetings held onsite.tTrack IDs CA058261 e iouce # Persons -. rs Per Perso 659LCLER 1 15 300040 3009 1 25 Number Action Step iV Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.16 Assessment of work week Derformance vs. -.ons n I -n -I_ 1- -ACEMAN attributes at E+1 Meetings.rruuuLLIUII Planning J;tU4 U 1 -JUIU 3'JUUQ Gopy or assessment from Tirst E*1 meeting, copy of revised agenda, (Sustainability Assessment (via PBF-0133D required.)

tTrack IDs CA054877 Pesou # Persons Hrs Per Person Comments 300040 3009 1 10 Page 18 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i/ Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.17 Build additional accountability into work week Production 2Q04 11 -Jun-04 2Q04 Documented sample presentations to process via review of work week performance Planning POD. (Sustainability Assessment (via PBF-at POD. 0133f) required.)

tTrack IDs CA054878 iesOUrce #Persons Hrs Per Person ' Cominents'

'300040 3009 10 Number Action Step i/ Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.18 Begin Monthly group/department/site rollups Performance 2Q04 26-Apr-04 2Q04 Rollup documented in Electronic Database.with month of March. Assessment (Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA054879 Ireirsons

~ Personomi~n Resource Hrs Per Persons, 300270 3009 17 12 1 hour1.157407e-5 days 2.777778e-4 hours 1.653439e-6 weeks 3.805e-7 months per month.Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.19 Begin review of department indicators at Business 2004 03-May-04 2Q04 ACEMAN indicators reviewed at monthly Management Review Meetings.

Management Review Meetings.

Copy of agenda and ACEMAN slides.(Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA054880l 3 Resource ;, l # Persons' Hrs Per Person [.-W -Comments 300270 3009 30 1 2 1 hour1.157407e-5 days 2.777778e-4 hours 1.653439e-6 weeks 3.805e-7 months per month.Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.19.A Create a job aid (desktop guide) for personnel D ...,---- -5na ,'-.-..".-

--nA f-l-who compile the MRM packages to ensure that the ACEMAN database rollup and guidance on using it is included.Dual Iuzz QWV" I (-;:neP*U' oWaU*i-ipy Ul Lmie n1ew UtKwLUp gUlUi.tTrack IDs CA058297[ Resource

Persons 1HrsPer Prson -rnnts -:, 300210 3009 1 20 Page 19 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step id Commitment 1Q05 OR-01-004.20 Begin weekly group ratings. Performance 3Q04 28-Jul-04 3Q04 Copy of weekly assessments; Copy of D-Assessment 15 agenda specifying rating activity.(Sustainability Assessment (via PBF-0133f required.)

tTrack IDs CA054881' Resource # Persons l HrsPerPerson

'. .Comments

'300380 3005 1 20 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.21 Build accountability into PBNP processes.

Performance 2Q04 18-Oct-04 4Q04 High level step intended to capture Assessment substeps.

No deliverable required.tTrack IDs See Substeps Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.21.A Build accountability in CAP/OE Process (CAP Performance 2Q04 09-Jun-04 2Q04 Documentation of changes implemented.

Coaches).

Assessment tTrack IDs CA054883l Resource U Persons l Hrs erPerson, Comments 300380 3009 1 10 Number Action Step Em Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.21.B Conduct self-assessment to determine other .AA n I.- --m -,m--ways to build in accountability.

rVIIU11 10 lLu Assessment tTrack IDs CA054884 AQ~UA UV-,JUI-U-f ZWU4+LJUoumen::ILte

[VUIIIomMenaallfs.

Resource #Persons Hrs PerPerson-Comments 300050 3005 1 40 300380 3005 1 40 Page 20 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.21.C Review the management observation program Performance 3Q04 04-Aug-04 3Q04 ** Deleted by PERG 10/18/2004

-and ensure guidance for conducting Assessment observations exists.tTrack IDs CA058008[ Resource # Persons :Hrs Per Person : ; Comments 300050 3005 1 40 Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.21.D Review implementation of policies and Human 3Q04 10-Sep-04 3Q04 ** Deleted by PERG 10/18/2004

- practices to ensure reward and discipline is Resources being applied as intended throughout the organization.

tTrack IDs CA058364 Resource l #Persons f HrssPer l rw Commeitsil 300110 3007 1 40 Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.22 Review existing represented employee Human 2Q04 17-Jun-04 2Q04 Published method for use of form with performance feedback form with the union to Resources represented employees. (Sustainability determine best way to incorporate ACEMAN. Assessment (via PBF-0133f) required.)

tTrack IDs CA054885 Resource # Persons HrsPerPeron Comments 655LELEC 1 20 655LMECH 120 300110 3009 1 20 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.22.A Perform a review on 25% of completed l..--. .^. -n I n- n -n-^ ,.. -... ... ....represented performance feedback form ti IS. Resources Track IDs CA058407 I WUU VO-Mard-UU 4%AUQ UVWo1umnteu revIew Win resUIls.300110 3007 1 300110 3009 1 4 Page 21 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.23 Install Lite Boards and Human Performance Performance 1Q04 29-Mar-04 2Q04 Installed equipment, article explaining in stanchion.

Assessment NMC Today.tTrack IDs CA054888 i Resourie 7 Persn, r e~r rs H -Crmet ' Pe li 655LMECH 2 20 300390 3005 1 20 Number Action Step E Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.24 Revise Human Performance Program Performance 1 Q04 17-Mar-04 1 Q04 Revised NP 1.1.10 consistent with Picture Procedure to be consistent with the Picture of Assessment of Excellence. (Sustainability Assessment Excellence. (via PBF-0133f) required.)

tTrack IDs CA054891 Resourcei

' # Persons Hrs PerPers n --omens 300160 3005 1 40 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.25 Implement "Safety Focus of the Day". Safety 1Q04 26-Mar-04 1Q04 High level step intended to capture substeps.

No deliverable required.tTrack IDs See Substeps Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.25.A Develop use of "Safety Focus of the Day". iCAafA 1In r.%IA 1AAA-AA ItnA for R b gczlvly I wvs wolvolvs I -v v IleflLvU -....l.... ... od.-y ru~Ua of the Day.tTrack IDs CA054892~Resource

.-#Persons Hrs-ePerion--'.

Comments 300340 3005 10 20 Page 22 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step :: Commitment OR-01-004.25.B Begin Safety Focus of the Day. Safety 1Q04 26-Mar-04 1Q04 Documented NOS Observations of stated safety focuses.tTrack IDs CA054893 Resource # Persons l Hrs Per Person ; Commern-ts 300140 3007 3 1 Number Action Step Fi Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.26 Revise CAP Trend reports to bin vs. barriers, Performance 1 Q04 14-May-04 2Q04 Issued 1st quarter CAP trend report results and attributes.

Assessment organized around ACEMAN principles.(Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA054894 F eourc e #Persons H rs er-erson .Comments 300380 3005 1 20 Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-01 -004.27 Implement the "right person, right picture, right Plant Manager 1 Q04 19-Nov-04 4Q04 High level step intended to capture process, right coaching and involvement" substeps.

No deliverable required.model.tTrack IDs See Substeps Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.27.A Include the "right Derson. riaht picture. riaht 4 rmn Ag ^ ions I ,^ fAt--A. ..---K '-process, right coaching and involvemi model as we analyze information.

t-~I H-- eUrlllanceI ant" Assessment tTrack IDs CA055218 FRsource l --# F 1300270 3009 IWu.+4ty- [V ar-VI -I WV-+IVIILUIlsdI Useu iFr MCIV1MAN rOIIOUt.3ersonis 1 Hrs Per Person * -. Comments 0 No time is required to implement this step. It is a way to frame our decision making Page 23 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments t Owner Group Start D Revision 7 Number Action Step D Commitmeni ate Comp Date Due Date Deliverable OR-01-004.27.B Verify effectiveness.

Nuclear 1Q04 29-Nov-04 4004 Documented NOS observations.

Oversight tTrack IDs CA055220 Resource # Pers6ns Ws Per NersonrT c^ -Com-ents

'300140 3007 1 10 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.28 NOS will perform periodic assessments of Nuclear 1 Q04 29-Jun-04 2Q04 Documented NOS Observations.

ACEMAN implementation.

Oversight (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA054899 7 R 50urc -l # Persons Hrs Per Pern' J Comments 300140 3007 4 4 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.28.A Periodic NOS assessments of ACEMAN Nuclear 3Q04 17-Sep-04 3Q04 Documented NOS observations, implementation.

Oversight tTrack IDs CA058238 , XResou'rce'"

FP'ersons

-Hrs Per Person .Comments 642LCLER 1 10 300140 3005 1 80 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.29

- - Deleted in Revision 4 Site VP & ECP 2Q04 13-May-04 2Q04 Step deleted in Revision 4. No deliverable required.tTrack IDs CA054900 I Resource, # Persons Hrs PerPerson--

-Comments -, 300270 3009 6 40 I Page 24 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number OR-01 -004.30 Action Step 7 Commitment Use NMC Bucks and Quick Thanks Programs to recognize individuals successfully demonstrating elements of the 'Picture of Excellence".

Performance Assessment 1 Q04 18-Oct-04 4Q04-Deleted by PERG 10/18/2004

'-tTrack IDs CA054901, CA054902, CA054903, CA054904, CA054905, CA054906, CA054907, CA054908, CA054910, CA054911, CA054912, CA054913, CA054914, CA054915, CA054917, CA054918, CA054919, CA054920, CA054921, CA054922, CA054923, CA054924, CA054925 Resource # Persons 1Hrs Per Pers Comments Number Action Step J Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.31 Institute ACEMAN parking spots, which Performance 2Q04 03-May-04 2Q04 Parking spaces marked and available.

employees nominate.

Assessment tTrack IDs CA054926[ l ' ^c #Persons { Hrs e r-, ' C mrintits.

300380 3005 1 5 Number Action Step : Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.32 Celebrate ACEMAN successes.

Performance 3Q04 18-Oct-04 4Q04 ** Deleted by PERG 10/18/2004 Assessment tTrack IDs See Substeps Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.32.A Plan a celebration late 2004 to reinforce Performance leaming and celebrate ACEMAN successes.

Assessment tTrack IDs CA054934 Rsource. #l 300380 3005 3Q04 11-Oct-04 4Q04** Deleted by PERG 10/18/2004

-Persons Hrs Per Persoinf : Comments 7 40 Page 25 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step D Commitment OR-01-004.32,B Hold celebration.

Performance 4Q04 18-Oct-04 4Qo4 ** Deleted by PERG 10/18/2004

- Assessment tTrack IDs CA054936 Resource # Persons tirs Per Person -.;.Comnments L ;300380 3005 1 80 Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.33 Implement ACEMAN in the Performance Human 1Q04 03-Dec-04 4Q04 High level step intended to capture Management Process (PMPs). Resources substeps.

No deliverable required.tTrack IDs See Substeps Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.33.A Develop standard PMP language for NMC Human 1 Q04 27-Apr-04 2Q04 Standard language published by Human employees.

Resources Resources.

tTrack IDs CA055002.Resource # #Persons HrsPerPerson.

--C 300110 3007 2 8 Number Action Step : Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.33.B Implement standard language (this can be '-- conn In-A I,,-n A sonnA RiA.rV..-

.DRPAD /used as a method to refocus us after the outage).Resources ouvw ou-ullus w--VI- I~d r01Iver::>

IWVQU.tTrack IDs CA055005, CA055006, CA055007, CA055008, CA055009, CA055010, CA055011, CA055012, CA055013, CA055014, CA055015, CA055016, CA055018, CA055019, CA055020, CA055021, CA055022, CA055023, CA055024, CA055025, CA055026, CA055027, CA055028 Resource It Persons Hrs Per Person. Comments : 300270 3009 23 1 PMPs will be revised at this time as part of our routine process. Incorporating standard language does not represent additional resources.

Page 26 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.33.C Verify implementation.

Human 2Q04 13-Jul-04 3Q04 PMPs sampled for assessment of Resources ACEMAN attributes.

tTrack IDs OTH055256 Resource : # Persons .Hrs Per erson Coments : 300110 3007 2 16 Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.33.D Human Resources to develop and Human 4Q04 03-Dec-04 4Q04 Communication on 2005 standard PMP communicate standard PMP language for Resources language.2005. This language will include ACEMAN attributes and other common language as determined appropriate by Site Management.

tTrack IDs CA058274 dResource

[ #Persons -Hrs Per Person .Comments -3001103009 1 4 Number Action Step id Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.34 Revise Human Performance trend reports to Performance 1Q04 27-May-04 2Q04 Documented 1st quarter human bin vs. barriers, results, and attributes.

Assessment performance trend report organized around ACEMAN. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA055029 Resource -- #Persons f HrsPer Per6ii ACommen't-s' 300380 3005 1 40 Number Action Step F: Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.35 Publish Department Excellence Plans Business 2Q04 27-Aug-04 3Q04 High level step intended to capture substeps.

No deliverable required.tTrack IDs See Substeps Page 27 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [ Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.35.A Determine best method for implementing Business 2Q04 02-Jul-04 3Q04 Documented methodology.

department excellence plans (actual plans, Procedures matrices, or other).tTrack IDs CA055031 Resource # Persons Hrs Per Person Comments 300210 3009 1 20 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01 -004.35.B Create department excellence plans.Business 3Q04 25-Aug-04 3Q04 Documented plans.tTrack IDs CA055032, CA055033, CA055035, CA055036, CA055037, CA055038, CA055039, CA055040, CA055041, CA055042, CA055043, CA055044, CA055045, CA058450, CA058453, CA058455, CA058457, CA058460.Resource #Persons : rs Per.Person Comments 300010 3009 1 40 300020 3009 1 40 300030 3009 1 40 300040 3009 1 40 300050 3009 1 40 300110 3009 1 40 300130 3005 1 40 300140 3005 1 40 300150 3009 1 40 300170 3009 1 40 300220 3009 1 40 300240 3009 1 40 300280 3009 1 40 300290 3005 1 40 300340 3005 1 40 300350 3005 1 40 300360 3009 1 40 300380 3009 1 40 300390 3005 1 40 400290 3009 1 40 Page 28 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step 2 Commitment OR-01-004.35.C Publish Department Excellence Plans Business 3Q04 27-Aug-04 3Q04 Published plans.tTrack IDs CA055046 Resource-

Persons Hrs Per Person l Comments l300210 3009 1 20 Number Action Step it Commitment 1005 Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.36 Conduct Effectiveness Review. This review will Performance 4Q04 18-Nov-04 4Q04 Completed effectiveness review report.include a review of the identified performance Assessment (Sustainability Assessment (via PBF-indicators to determine whether the focus area 01330 required.)

objectives have been met and whether improvements in this focus area are sustainable.

tTrack IDs CA055030 Resource # Persons Hrs Per Person Ctomments 300140 3007 1 40 l 300380 3005 1 60 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.37 Facilitate independent and regulatory reviews. Site VP & ECP 4Q04 28-Feb-05 1Q05 Plan closeout package.tTrack IDs CA056824 Resource l # Persons Hrs Per Person Comments -. -300290 3008 1 16 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-01-004.38 Proceduralize the methodology developed for Business 3Q04 08-Oct-04 4Q04 Procedure/guideline created for Action Step # OR-01-004.35.A.

preparation and application of a department excellence plan (including frequency of self-assessment portion).tTrack IDs CA058512[<Resource l #Persons Hrs Per Person : -Comments 300210 3009 1 30 Page 29 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Page 30 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

OR Priority 1 3C 3A CAP# 033241 Plan Type Commitment Plan Revision No: 4 Focus Area: Oversight

& Assessment Plan Status In Closure Action Plan Title: Action Plan Number: Problem Statement:

Causal Factors: Nuclear Oversight Effectiveness OR-02-001 NOS has not been fully effective at issue identification and management response to issues.1 Staffing issues, including insufficient training and development opportunities, inadequate resources, and insufficent technical expertise.

2 NOS was not fully effective in identifying problems.3 NOS was not fully effective in obtaining adequate management response to NOS identified issues.Obiectives:

I Improve NOS staffing effectiveness by implementing a rotation policy, assigning assessors to maintain functional area cognizance, and completing the personnel qualification matrix tool.2 NOS is effective in communicating significant issues to Site Management.

3 NOS is effective in assuring management response to QA findings.4 Implement integrated assessment of performance.

5 NOS is effective in identifying major weaknesses within the PBNP organization, ensuring problems are resolved, and ensuring timely implementation of corrective actions to address findings.Action Steps: Number Action Step D Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.1 Plan and conduct a critical Self Assessment of Nuclear the NOS Organization.

Oversight tTrack IDs CA030260 2Q03 20-Jun-03 2Q03 Self-assessment report.Resource : # Persons Hrs Per Person Comments 642LCLER 1 40 642LCLER 1 40 CONTPRO 2 80 100000 1000 3 80 300010 3008 1 40 300140 3005 1 40 300140 3005 1 40 300330 3005 1 40 Page 31 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step go Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.1.A Analyze the self-assessment results, create action plan steps, and revise Excellence Plan Revision 0 action plan steps as necessary to address the causes of NOS performance weaknesses identified in the self assessment.

Nuclear Oversight 2Q03 23-Jun-03 2Q03 Revision 1 of this Action Plan (OR-02-001) submitted.

tTrack IDs CA030261-Resource # Persons Hrs Per Person --Comments 300140 3005 1 40 300140 3005 1 40 300330 3005 1 40 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2 Develop a Qualification needs matrix that Nuclear 3Q03 22-Jan-04 1004 A qualification matrix listing the appropriate identifies the skill set needed to conduct Oversight skill set necessary to be an effective NOS effective assessments.

organization.

tTrack IDs CA030263 Resource # Persons Hri Pei Perso l- Comments 300140 3005 1 40 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.A Use the Performance Assessment model developed by NMC to identify each assessor's developmental needs.Nuclear Oversight 2Q03 29-Jan-04 1 Q04 A qualification needs list for the assessors.

tTrack IDs CA030264 Resource # Persons Hrs PerPerson Comments 300140 3005 1 40 300330 3007 8 2 Page 32 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step it Commitment 3Q04 OR-02-001.2.A.1 Assign functional area cognizance based on Nuclear 3Q03 17-Feb-04 1Q04 List of individuals assigned functional area the Performance Assessment Model. Oversight cognizance. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA031640 is i # # Persons Hri Per Person -Comments 300140 3005 1 80 300140 3005 1 20 Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.A.2 Develop a process or procedure to ensure the Nuclear 3Q04 23-Aug-04 3Q04 Documented process or procedure.

functional area process is sustainable.

Oversight tTrack IDs CA057739 Resource # Persons Hrs Per Person Comments 642LCLER 1 20 300140 3005 1 80 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.B Implement a plan to achieve the training and Nuclear 3Q03 16-Jul.04 3Q04 Plan approved.

Scheduled actions, developmental needs as identified in the Oversight through current date, complete.Performance Assessment model and functional (Sustainability Assessment (via PBF-area cognizance.

0133f) required.)

tTrack IDs CA030267 Resource .#Persons l Hrs Per Person -Comments 300140 3005 1 40 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.B.1 Revise training matrix established in CA030267 M,,- -AnnOA 47 M-- AA AnnA... f'1,A A(nRA -cc r -In ---for NOS assessors to define schedule for training/development for the first 6 months of 2005.tTrack IDs Oversight'w-q , t-Uv;-Vq 'wus r~ VVIOVU N'..Jt 0ao caaUi LIOIIi lY 111dUIA.Page 33 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step D: Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.2.2 Revise training matrix established in CA030267 Nuclear 2Q05 20-Jun-05 2Q05 Revised NOS assessor training matrix.for NOS assessors to define schedule for Oversight training/development for the last 6 months of 2005.tTrack IDs CA058519 Number Action Step i] Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.C Implement a rotational plan and have it Nuclear 2Q03 24-Feb-04 1Q04 Rotational plan endorsed by the Site Vice endorsed by the Site Vice President.

Oversight President. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA028109 Resource -Persons Hrs PerPerson

---Comments 300140 3005 1 80 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.C.1 Revise the NOS rotation plan to include both Nuclear 3Q04 10-Sep-04 3Q04 Revised formalized rotational plan.NOS leadership and assessors.

Formalize the Oversight plan in a plan or procedure.

tTrack IDs CA058184 Resource #Persons Hrs Per Person Cornmeni 642LCLER 1 20 300140 3005 1 80 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.2.D Retain the aDpropriate skill set in the areas of -I... --A --,.,,,,, ng -T: -:^ IA -- A A A _Operations, Engineering and Support functions, and those areas identified in the qualification needs matrix that are not met by the current assessors.

INUtusdl Oversight AwUa UU-JuI-U,, 4AUD Inis step is cioseO Dy incorporation into Action Steps OR-02-001.2,B and OR-02-001.2.C.tTrack IDs CA030269 Page 34 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 7 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.3 Implement a communication plan that includes Nuclear 1 Q03 08-Dec.03 4Q03 Approved communications plan.periodic meetings between line management Oversight and NOS leadership.

tTrack IDs CA030270l Resource l #Persons Hrs Per Pers6n lComments

-300140 3005 1 40 Number Action Step 3 Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.4 Implement an intrusive methodology to identify Nuclear 3Q03 04-Apr-04 2Q04 Approved procedure and assessor briefing issue significance.

Oversight sheets. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030271 Resource -Persons Hrs PerPerson Comments 300140 3005 1 20 300330 3007 8 20 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.4.A Implement a standard format for action Nuclear 3Q03 08-Dec-03 4Q03 Defined standard format.requests based on fleet procedure FP-NO-IA-Oversight 08.tTrack IDs CA031962 Resouvrce

Persons Hrs Per Person Comments 300140 3005 1 40 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.4.B Nuclear Oversight to include continuing training KI-I1- AnnA I. nA .2nA n-'-f-A -----on the Problem Development (PDS) procedure (FP-NO-IA-08) and perform the training annually for PBNP assessors.

Ovrg Oversight-vu , --pH-v ---I documenting this requirement.

tTrack IDs CA058182 Page 35 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step C Commitment OR-02-001.4.C Nuclear Oversight to perform an assessment of Nuclear 3Q04 11-Nov-04 4Q04 Self-Assessment Report.the Problem Development Sheet (PDS) Oversight process used by PBNP NOS to determine effectiveness.

tTrack IDs CA058183 Resource #Persons Hrs Per Person. Comments 300140 3007 1 40 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.5 Evaluate relocation of NOS assessors to within Nuclear 3003 04-Oct-04 4Q04 Deleted by PERG 10/18/2004

- the protected area of the plant or the south Oversight gate house.tTrack IDs CA030272 Resource .#Persons Hrs Per Persohi l Comments 655LCUST 5 40 300060 3005 1 40 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.6 Execute the Integrated Assessment of I... 1- 1n W A,,, A- nA .VnA An int-rs-A ,,--,+-,+.,, ,J nl..Performance, carry out the actions as detailed in Change Management Plan 2003-08.Oversight I -IU-U-/\U-U ---IF-u -Il O: I0 :U t OliOdllU JI U 110l11 performance. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030273 Resource;

Persons Hrs Per Person Comments:

t : 300140 3005 2 20 300140 3005 1 40 300330 3007 2 40 300330 3007 8 8 300380 3009 1 40 Page 36 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 7 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.6.A Develop a method to evaluate the performance Nuclear 3Q04 06-Aug-04 3Q04 Approved method to rate the Integrated of the integrated Assessment of Performance.

Oversight Assessment of Performance.

tTrack IDs CA056016 Resource # Persons Hrs Per Person -Comments 642LCLER 1 20 300140 3005 1 10 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7 Develop a formal process for Nuclear 1Q03 25-Sep-03 4Q03 Approved guideline or procedure.

monitoring/reporting the status of open Oversight Significant QA Findings. (CA028648) tTrack IDs CA030274 Resource .Persons Hrs Per Person .A Comments 642LCLER 2 20 300140 3005 1 40 300330 3007 1 80 Number Action Step : Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7.A Establish a process for the NOS Manaaer or N I,-\ra., 4nA 1.I.., n n Anl n I-----NOS Supervisor to discuss the status of NOS Oversight Significant QA Findings with plant management.

tTrack IDs CA030275-Resource

';_300140 3005 Dour1VI I U-INUV-UJ

§+UJ LJULmU1IIteU pruoces.# Persons Ors Per Person f Comments 1 10 Page 37 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 7 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7.B Provide a briefing to NOS assessors and upper Nuclear 3Q03 19-Dec-03 1Q04 Briefing documentation.

station management on the newly developed Oversight process for reporting NOS Significant QA Findings status.tTrack IDs CA030277 zResource

Persons Hrs Per Person -Commnt 3001403005 1 8 300330 3007 8 2 Number Action Step iV Commitment 1Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7.C Implement the process for reporting NOS Nuclear 3Q03 29-Jan-04 1Q04 Issue an NOS Significant QA finding status significant QA findings.

Oversight report. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030278 Re s uc .0#Persons "rs Per Person f; Commenfis.

300140 3005 1 8 300140 3005 1 8 Number Action Step F: Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-0011.7.D Conduct the first NOS Significant QA Findings status meeting.tTrack 11 Nuclear Oversight Ds CA030280 3Q03 09-Jul-03 1Q04 This action is closed by incorporation into Action Step OR-02-001.7.C (CA030278).

Page 38 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step iV Commitment 4Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.7.E Perform an effectiveness review.Nuclear Oversight tTrack IDs EFR030281 3Q04 16-Nov-04 4Q04 Effectiveness review report. (Sustainability Assessment (via PBF-0133f) required.)

Resource.

.#Personis

-HrsPer Person- Comments*642LCLER 1 40 CONTPRO 2 40 100000 1000 3 80 300140 3005 1 40 300140 3007 1 40 300330 3005 1 48 300330 3007 2 48 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.8 Perform interim self-assessment effectiveness Nuclear 3Q04 09-Jul-03 3Q04 This step is closed by incorporation into review using an approved assessment process Oversight Action Step OR-02-001.7.E.

to assure schedule/plan adherence and determine the effectiveness of the completed individual actions. Revise the action plan based on the results of the assessment.

tTrack IDs EFR030283 Number Action Step F: Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-02-001.8.A Perform Final Effectiveness Assessment using Ka Anna nn- .,m -n l .. -nnA ic ; i an approved assessment process to establish that the implemented actions have improved NOS effectiveness.

Oversight OW-iJ U:-JU-U -VJ A ti. on p -" .- uy Step O R-02-0..1.....

Action Step OR-02-001.7.E.

tTrack IDs EFR030285 Page 39 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number OR-02-001

.9 Action Step F~ Commitment Perform benchmarking for ideas to improve NOS effectiveness.

tTracl Nuclear 30 Oversight k IDs CA030287!03 13-Dec-03 4Q03 Documentation of benchmarking results.#P~ersos I -. rs Per!lp 300140 3005 1 1 80 I Page 40 of 188 Page40 o 188Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OR Priority 1 3B 3B CAP # 053962 Plan Type Commitment Plan Revision No: 0 Plan Status In Closure Management Effectiveness AFW Root Cause Evaluation (RCE) Corrective Actions OR-05-008 Problem Statement:

Causal Factors: Obiectives:

Corrective actions from AFW RCE's 069 rev 1,191 rev 1, and 202 must be effective and completed in a timely manner to improve PBNP's regulatory standing.I Loss of design and configuration control of the AFW system was the major contributor to PBNP being classified in column 4 of the NRC action matrix.1 The Auxiliary Feedwater Root Cause Evaluation corrective actions are complete and correct the root causes and contributing causes identified in the RCEs.Action SteDs: Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-05-008.1 Assign a management lead for performing an Engineering 1Q04 01-Mar-04 1Q04 Name of management lead. (Sustainability effectiveness review of corrective actions from Processes Assessment (via PB F-01 330 required.)

the 3 AFW RCEs and AFW issues identified in the NRC 95-003 Suppemental Inspection Report, dated February 4, 2004.tTrack IDs CA055857 Resource l #Persons l Hrs Per Person Cornments

-300160 3009 1 1 Number Action Step Ev Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-05-008.2 Develop an effectiveness review plan and Engineering 2Q04 11-May-04 2Q04 Plan and schedule for effectiveness schedule.

Processes review. (Sustainability Assessment (via PBF-0133f) required.)

tTrack lDs CA055859l Resource f #Persons .HaPerPerso

Comments

.300160 3005 1 32 Page 41 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step i Commitment 2Q05 OR-05-008.3 Establish a cross functional team to perform Engineering 2Q04 04-Jun-04 2Q04 List of team members. (Sustainability the effectiveness review. Processes Assessment (via PBF-01330 required.)

tTrack IDs CA055860 Resource # Persons Hrs Per Person Comments 300160 3005 1 16 Number Action Step i! Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-05-008.4 Perform interim effectiveness review. Engineering 3Q04 20-Sep-04 3Q04 Interim effectiveness review report.Processes (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs EFR055861 Resource .Persons Hrs Per Perso -Coments CONTPRO 1 60 NNMC Support.300160 3005 1 60 300170 3004 2 60 Number Action Step id Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-05-008.5 Perform final effectiveness review to address Engineering 1Q05 05-May-05 2Q05 Final effectiveness review report.corrective actions remaining arter competing the interim effectiveness review.Processes (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs EFR055862 Page 42 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

OR Priority I 1A 1A CAP# 033271 Plan Type Commitment Plan Revision No: 4 Focus Area: Action Plan Title: Action Plan Number: Engineering Organizational Effectiveness Improve Human Performance (HU) in Engineering OR-08-005 Plan Status In Closure Problem Statement:

Causal Factors: Obiectives:

Engineering Management has not been fully effective in improving human performance.

1 No well defined or documented program exists.2 Lack of line ownership and support of human performance improvements.

3 Human performance tools have not been consistently provided or utilized.1 Establish an Engineering Human Performance Improvement Team.2 Establish a process for identifying and evaluating human performance events.3 Communicate expectations and provide human performance tools to improve Engineering performance.

4 Achieve an improving trend in the Engineering Event Clock performance indicator.

Action Steps: Number Action Step I] Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.1 Establish a draft Charter for a Point Beach Engineering 2Q03 28-Apr-03 2003 Draft Charter contained in ESG 1.8.specific Engineering Human Performance Processes Improvement Team (HPIT). Continuous Improvement tTrack IDs CA030402 L ,sounr c #Persons---

P~Pt~ T p e 4 [ + ~~\I~T ]300180 3005 1 16 Number Action Step [ Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.2 Identify members of new PBNP Enoineerina

.. A, HPIT.r-1YUMFInlg ZWIUJ 1IL-May-U.

ZIUu3 LISt OT 11ri I MemDers.tTrack lDs CA030403 300150 3009 300160 3009 1 1 300170 3009 1 1 300180 3009 2 1 Page 43 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step []Commitment OR-08-005.3 Conduct first meeting of new PBNP Engineering 2Q03 12-May-03 2003 HPIT Meeting Minutes.Engineering HPIT. Processes Continuous Improvement tTrack IDs CA030404~r 300180 3005 1 1 4 Number Action Step 3 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.4 Evaluate Engineering HU events. Engineering 2Q03 26-Jun-03 2003 HPIT Meeting Minutes.Processes Continuous Improvement tTrack IDs CA030406 30 3 3 0 2 300130 3004 1 2 300150 3004 1 2 300150 3005 1 2 300160 3004 1 2 300170 3004 1 2 300170 3005 1 2 300180 3004 1 2 1300180 3005 1 2 2 Page 44 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step E Commitment OR-08-005.5 Identify training recommendations for HU Engineering topics. Processes Continuous Improvement tTrack IDs CA030408 2Q03 26-Jun-03 2003 HPIT Meeting Minutes.300130 3004 1 2 300150 3004 1 2 300150 3005 1 2 300160 3004 1 2 300170 3004 1 2 300170 3005 1 2 300180 3004 1 2 300180 3005 2 2 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.6 Evaluate training recommendations on HU Engineering 2Q03 31-Jul-03 3Q03 TAC meeting minutes.topics.tTrack IDs CA030409 B ce.ur --#.,peso~s'

^~/ Xl~r roeOF '300180 3009 1 4 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.7 Implement training on HU topics. Training General 2Q03 20-May-03 2Q03 Approved lesson plan and documented tTrack IDs CA030411 training.Page 45 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step LI Commitment OR-08-005.8 Establish a process for identifying, evaluating, Engineering 2003 22-Apr-03 2003 Draft communication plan.and communicating Eng. HU events. Processes Continuous Improvement tTrack I~s CA030412 300180 3005 1 2 Number Action Step E] Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.9 Finalize HPIT Charter and communication plan Engineering 2Q03 26-Jun-03 2Q03 Issue ESG 1.8 and HPIT Meeting Minutes.for HU Initiatives.

Processes Continuous Improvement tTrack IIs CA030413 RiFg -h -Hu PeDtfi5_300130 3004 1 2 300150 3004 1 2 300150 3005 1 2 300160 3004 1 2 300170 3004 1 2 300170 3005 1 2 300180 3004 1 2 300180 3005 2 2 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.10 Implement communication plan for HL initiatives.

Engineering Processes Continuous Improvement tTrack IDs CA030414 2Q26 26-Jun-03 2003 HPIT meeting minutes and copy of June, 2003 Engineering Alignment meeting topics.30018es030

-1 1-1'17- '7 -MM j-300180 3005 1 1 8 ll Page 46 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step* E. Commitment OR-08-005.11 Conduct initial assessment on HU Error Engineering 2Q03 24-Jun-03 2Q03 Assessment Results documented.

Reduction tool use. Processes Continuous Improvement tTrack IDs CA030415 Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.12 Implement Engineering specific Observation/Coaching Program.Engineering 2Q03 08-Jul-03 3003 Revise ESG 1.7 to include o1 Processes program.Continuous Improvement tTrack IDs CA030416 Hrs. P Prs mes-=,.V 3 1 01 300180 3005 1 1 16l_ _v .... ..............................................................................------------...

.Dservation Page 47 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i Commitment 3004 Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.13 Conduct HU Training with focus on use of the Training General 1004 Pre-Job Brief, Verbal Communication, Challenging Information, Stop When Unsure, and Procedure Use and Adherence HU Tools.tTrack IDs CA055638 29-Mar-04 2Q04 Approved lesson plan and documented training. (Sustainability Assessment (via PBF-0133f) required.)

_ gumFe e 05 ilrpF r ji Pj oj is, 4 y mm~e.tv 300130 3006 1 8 300150 3004 25 4 300150 3005 3 4 300150 3009 1 4 300160 3004 30 4 300160 3005 3 4 300160 3009 1 4 300170 3004 25 4 300170 3005 4 4 300170 3009 1 4 300180 3004 20 4 300180 3005 2 4 300180 3009 1 4 Number Action Step i Commitment 1005 Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.14 Evaluate existing PACE observation cards for Engineering capability of assessing HU tools use in Processes Engineering and revise as needed. Continuous Improvement tTrack IDs CA055639 1Q04 25-Feb-04 1004 Completed evaluation. (Sustainability Assessment (via PBF-0133f) required.)

1r -0rs 33 Persons 12 300180 3005 1 32 Page 48 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [IJ Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.15 Identify Engineering tasks In U1 R28 that can Engineering 1004 18-Mar-04 2004 U1R28 Engineering Task List distribution be used as observation activities to assess HU Processes memo.tool use and provide list to Engineering Continuous Supervisors and Managers.

Improvement tTrack IDs CA055640 300180 3005 1 8 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.16 Evaluate ability of Engineering Supervisors to Engineering 2Q04 19-May-04 2Q04 Completed evaluation.

spend time observing/coaching work group Processes members (use Work List or other methods).

Continuous Improvement tTrack IDs CA055641 I c B1* 'T 07090t 300180 3005 1 32 Number Action Step 6] Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.17 Solicit post-training feedback on effectiveness Training General 2Q04 28-Jun-04 2Q04 Training feedback summary. (Sustainability of 1Q04 HU Training and evaluate results. Assessment (via PBF-0133f) required.)

tTrack IDs CA055642 re -rn 300130 3005 1 8 Number Action Step Ii Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.17.A Facilitate Independent and regulatory reviews. Sito A R FAIEA 137- 1..1-AA 12flfA t n n --r 1 tTrack IDs CA056836 su- r -#.7Persons 300290 3008 ' 1-s,- v ww%.V0tJU I ,Ud.ldwS IEUI uIVSI 1 IU I .16I2r Pe eri-Qn I' 'n '-' '16 T Page 49 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step n Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.18 Perform Interim effectiveness review (at -6 Engineering 3Q04 30-Sep-04 3004 Completed Effectiveness Review (EFR).months) of actions taken to date. Processes Continuous Improvement tTrack IDs EFR055643 F ~ ~ j o c -Q n 3 1 l i -N P r i 1 b lil e D t I B; =300180 3005 1 32 Number Action Step iJ Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.19 Perform effectiveness review (at -12 months) Engineering 1Q05 28-Feb-05 1005 Completed Effectiveness Review (EFR).of actions taken to date. Processes (Sustainability Assessment (via PBF-Continuous 0133f) required.)

Improvement tTrack IDs EFR055644_eo 7 i 1 , 300180 3005 1 32 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.20 Provide training to Enaineerina suoervisors and 4r. n -. I-..AC:. Ga r toa ----A-- --. -managers on performing job observations, conducting pre-job briefs, detecting error-likely situations, and Improving supervisor-employee interface.

II ralnl II enerl ulal I %dvj£I9Jd I- UJ ILd vIj II Ol IIl iy i~bbVi I II IdL=I ldl0 di IU dILMI UdiILM records.tTrack IDs CA060869.--i -s~<17t~Son U~Cg. ------ A- ',oMINIMI 300130 3006 1 16 300150 3005 3 4 300150 3009 1 4 300160 3005 3 4 300160 3009 1 4 300170 3005 6 4 300170 3009 1 4 3001803005 2 4 Page 50 of 188 Effective Date 9129/2005 PBNP Excellence Plan Revision 7 Plans with Commitments Number Action Step a] Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-005.21 Formalize the Engineering Code of Conduct Engineerin 4Q04 28-Feb-05 1Q05 Issuance of an approved guideline.

Into an Engineering Supplemental Guideline.

Engn eeting -Q.SuppieentalPrograms Testing tTrack lDs CA060870 300160 3005 1 40 Page 51 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number OR Priority 2 3C 6C Engineering Organizational Effectiveness Utilize the Quality Review Team OR-08-007 CAP # 033274 Plan Type Commitment Plan Revision No: 4 Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

There are concerns with the quality of some plant modifications and Engineering products.I Quality standards and metrics were not used to assess/measure quality of modification packages.I Develop a metric to measure the quality of Engineering modification packages.2 Implement an Engineering Quality Review Team.3 Improve the quality of Engineering products.Action Steps: Number OR-08-007.1 Action Step L Commitment Schedule and conduct monthly review of selected completed mod packages.

This will be accomplished through the Quality Review Team (QRT), which is comprised of the Design Engineering Manager and a rotating selection of Engineering supervisors.

Selected design products are reviewed for quality and completeness.

The team grades the packages and provides feedback via the corrective action program to the design engineers.

Owner Group Start Date Comp Date Due Date Deliverable Engineering Design 3Q03 01-Aug-03 3Q03 Established procedural requrlements for periodic reviews by the QRT.tTrack IDs CA030433 Number OR-08-007.2 Action Step L Commitment Develop criteria and a performance indicator to measure quality of mod packages.tTrack IC Owner Group Start Date Comp Date Due Date Deliverable Engineering Design)s CA030434 2Q03 11-Jun-03 2Q03 Performance Indicator Page 52 of 188 Effective Date 9/29/2005 Number OR-08-007.3 Number OR-08-007.4 Action Step El Commitment Provide feedback to affected engineers on lessons learned from monthly reviews.tTrack IC Action Step i Commitment 1005 Perform an Effectiveness Review (EFR) of the QRT.tTrack IC I PBNP Excellence Plan Plans with Commitments Owner Group Start D Engineering 3003 Design is CA030435 late Comp Date 01-Aug-03 Comp Date 30-Sep-04 Revision 7 Due Date 3Q03 Due Date 3Q04 Deliverable Establish procedrual expectations for CAP initiation for lessons learned identified by the QRT.Deliverable Completed Effectiveness Review (EFR).(Sustainability Assessment (via PBF-01 33f) required.)

Owner Group I Engineering 3C Design Configuration Management (and Q-List items)ls EFR055708 frc, , 4"" f l -, # XPesoW s 0170 3004 _3380 3005 Start Date)04 , ..-I~rsP~r U0 16_ _ _ ! = _ , _ _ _ _,

fl , _ , = a Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-007.5 Facilitate Independent and regulatory reviews. Site VP & ECP 4Q04 05-Jan-05 1Q05 Plan closeout package.tTrack IDs CA056837 N7R e 6 urc W -'# P ersonsj 1 I-jH-isP er Person0 Com ment 300290 3008 1 16 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-007.6 Review recommendations contained in QRT Engineering 4Q04 03-Nov-04 4Q04 Documented review.effectiveness review (EFR055708) and Design Implement QRT process improvements as appropriate.

tTrack IDs CA059668 1eso7rce 0Perpns ^ H 4s Pe9r Pearson y ^mmentX 300170 3009 1 40 Page 53 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Page 54 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Plilar of Excellence:

Focus Area: Action Plan Title: Action Plan Number OR Priority 23C3B Engineering Organizational Effectiveness Establish an Engineering Safety & Design Review Group OR-08-015 CAP# 053497 Plan Type Commitment Plan Revision No: 2 Plan Status Open Problem Statement:

Causal Factors: Oblectives:

Action Steps: PBNP Engineering products require Improvement to sustain consistently high standards and quality that satisfy two fundamental attributes of Engineering Excellence,'Rigorous Application of Engineering Principles" and "Strong Design Basis & Configuration 0 1 Weaknesses in the preparation and review cycie of Engineering products.2 Inconsistent understanding of the attributes of a quality independent review.1 Improve quality of Engineering products.Number Action Step fj Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-015.1 Develop Engineering Supplemental Guideline Engineering 4Q03 19-Dec-03 4Q03 Copy of issued Engineering Supplemental for the Engineering Safety & Design Review Processes Guideline.

Group Charter.tTrack IDs CA055470 Number Action Step F Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-015.2 Implement the Engineering Safety & Design Engineering 3Q03 22-Oct-03 4003 Memo reflecting assignment.

Review Group (ESDRG) Processes tTrack IDs CA055472 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-015.3 Develop a Change Management Plan.Engineering Processes tTrack IDs CA055473 4Q03 1 5-Dec-03 4Q03 Copy of Change Management Plan.Page 55 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step M Commitment ate Comp Date Due Date Deliverable OR-08-015.4 Communicate establishment of the ESDRG Engineering 3Q03 29-Sep-03 3003 Copy of memo.and scope of review. Processes tTrack IDs CA055474 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-015.5 Conduct Training Needs Analysis for ESDRG. Engineering 4Q03 17-Nov-03 4Q03 Copy of needs analysis.Processes tTrack IDs CA055475 Number Action Step {; Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-08-015.6 Establish feedback vehicle(s) to Engineering Engineering 1Q04 17-Feb-04 1Q04 Copy of memo or report. (Sustainability personnel related to issues found by ESDRG. Processes Assessment (via PBF-0133f) required.)

tTrack IDs CA055477 Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-08-015.7 Perform an Effectiveness Review. Engineering 3Q04 23-Sep-04 3Q04 Effectiveness Review. (Sustainability Processes Assessment (via PBF-0133f) required.)

tTrack IDs EFR055478 00& ore #Pron rs fir- 7P7- Tqdfifi t* I 300160 3004 3 20 300160 3009 1 40 Number Action Step [1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-01 5.8 Facilitate independent and regulatory reviews. 01.. M L On ifi An. -- ^. .. --~ -~- I> I L 6 v I -a l c u s w ~ u m tTrack IDs CA056838 r 3230our08 c -l 300290 3008 1 1 UUDVall-vu

%AVUD rIdla UUbtUL PIAcdaU._ ' r Pelrs P-erson 1 l ~ d ,i n1 7 i > m j '161 6 ._1 j 1 Page 56 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revislon 7 Number Action Step LI Commitment OR-08-015.9 Perform an Effectiveness Review. Engineering 3Q05 4005 Effectiveness Review Report.Design tTrack IDs EFR059846 Per er -on 300170 3004 2 20 300170 3005 1 40 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-015.10 Improve the ESDRG Feedback Process.Engineering Design 1005 21-Feb-05 1Q05 Revision to Engineering Supplemental Guideline (ESG) 6.3.tTrack IDs CA060194 300170 3004 300170 3005 A_ ._ , ..-#Peii-I* 1 1 1-H'PerrPersoO, 1 7E1 tIDL80: 40 1 m I mmon%-Page 57 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OR Priority 23C3B Engineering Organizational Effectiveness Reduce Operable But Degraded I But Non-Conforming Backlog OR-08-016 CAP# 053390 Plan Type Commitment Plan Revision No: 0 Plan Status Complete Problem Statement:

Causal Factors: Oblectives:

Action Stens: There are 32 Operable But Degraded and Operable But Non-Conforming Conditions.

This does not meet the NMC goal (20 or less).I Issues discovered during self-assessments increased focus on discovery rather than correction.

2 The emphasis upon discovery and application of immediate compensatory measures Impacted the station's ability to resolve the conditions in a timely manner.I Reduce the backlog to the NMC goal or less.Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-016.1 Increase visibility of outstanding Operability Engineering 4003 17-Dec-03 4Q03 Copy of OD list from a POD meeting.issues by presenting a list of open issues weekly in the POD.tTrack IDs CA055360 Number Action Step E] Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-016.2 Designate a Manager accountable for continual Engineering 4003 08-Dec-03 4003 Name of designated Manager.Improvement in OD backlog.tTrack IDs CA055361 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-08-016.3 Reduce number of outstanding ODs to 20 or A fAnn nQ I-.A. fn n JIconA al. -n --- of- n oL'n4 ..0-_;-_less with support from all individual groups.Track progress / status of open ODs on a weekly basis until backlog Is consistently less than the goal.Vn 1* IneI ig'tUUJ.4Z"un-w% OWL Assesment U ( oPen B- 1. ruired.a)nlLy Assessment (via PBF-0133f) required.)

tTrack lDs CA055362 Page 58 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i Commitment 3004 Owner Group Start Date Comp Date Due Date Deliverable OR-08-016.4 Reduce the number of ODs older than I fuel Engineering 1Q04 29-Jun-04 3004 No open OD's > I fuel cycle (exceptions cycle to the greatest extent possible in per step 5 below). (Sustainability accordance with GL 91-18 requirements.

Assessment (via PBF-01330 required.)

tTrack IDs CA055363 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OR-08-016.5 For any ODs that are. or will be open longer r 4nfA 4e4 h.. gnA Annre nA Imc4nttir.n.

{i r ,d .l-A-than i fuel cycle, fully document justification and obtain Plant Manager approval for each in accordance with GL 91-18 requirements.

cr * neenny 1,.I%I Is-aunI-.w QuAt LfUVUI I IWIItUVI I VIrm 1 Idol VI JU-I.IIWUIVI I.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA055364 eS1Q1r -Por.1ns r,*jr ail 1q mmLIs 300170 3004 1 8 300170 3004 1 24 jPrepare and present documentation.

300270 3009 1 4 Review and approve.Page 59 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number OR Priority 1 3B 3B CAP# 054219 Engineering Organizational Effectiveness Improve Operations Department and Engineering Department Interface OR-08-017 Plan Type Commitment Plan Revision No: 2 Plan Status Open Problem Statement:

Causal Factors: Oblectives:

Ineffective communication between Engineering and Operations contributed to the lack of a common understanding of some system design basis and operational practices.

I Less than adequate understanding of Operations and Engineering priorities and associated communication of those priorities.

I Improve the interface between Operations and Engineering to ensure that the station priorities are reflective of actions necessary for achievement of equipment excellence.

Action Steps: Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.1 Implement an Operational Decision Making Operations 1Q04 04-Aug-04 3Q04 Operational Decision Making Procedure Procedure.

Issued. Documented briefing.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA056045 300020 3005 1 40 Number Action Step i Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.2 Conduct a Self Assessment of the Eng Equip 3Q04 27-Aug-04 3Q04 Self Assessment Report. (Sustainability effectiveness of the Plant Health Committee.

Systems Assessment (via PBF-0133f) required.)

Maintenance Engineers

-Electrical tTrack IDs SA056046 p 66i t .6 , .EN 5 I t. -I pers `-JRrsv -P.01*6 I r- -6 in-1resi -V t"?4r;j, ' ei -Z .-1 300150 3005 1 1 1 80 1 1 Page 60 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step LI Commitment ate Comp Date Due Date Deliverable OR-08-017.3 Complete action step OP-14-005.2.F, Implement revised EOP setpoints In Emergency Operating Procedures.

Business Procedures 3005 28-Sep-05 2Q07 Action step OP-14-005.2.F complete.tTrack IDs CA056047 654LOPR2 2 24 66OLCLER 1 16 300020 3005 2 40 300020 3008 1 360 300130 3006 1 40 300160 3008 1 40 300170 3004 2 40 Number Action Step Wi Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OR-0S-017.4 Conduct a Self Assessment of the effectiveness of the Design Engineering Review Board (reference Action Plan OR-08-009).Engineering Design 4Q04 30-Nov-04 4Q04 Self Assessment Report. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs SA056048 300170 3004 2 8 1 Page 61 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step RI Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.5 Reduce the number of Operable but Degraded/But Non-conforming backlog per Action Plan OR-08-016.

Engineering 2Q04 29-Jun-04 3004 Action Plan OR-08-016 complete.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA056049 654LOPR1 1 16 Stroke manual valves.655LMECH 3 32 WModify MSSVs.300160 3004 1 8 Manual valve program.300170 3004 1 8 ccept CV-369.300170 3004 3 40 Close out AFW wall.300170 3004 2 8 FSAR changes.300170 3004 2 8 Accept Zum strainers.

300170 3005 1 2 Accept CV-369.300170 3005 1 16 Close out AFW wall.300300 3005 1 12 Modify MSSVs.Number Action Step M Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.6 Reduce Total Operator Burden to exceed NMC Operations 1004 21-Jan-05 1005 Point Beach Operations Department Total fleet expectations

(<36 total). Operator Burden <36. (Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA056050 Resource Persons l0r% Per Pel l9 J riiW t 300020 3005 1 48 Number Action Step E] Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.7 Facilitate independent and regulatory reviews. Site VP & ECP 1Q05 28-Feb-05 1005 Plan closeout package.tTrack IDs CA056839 3002903008 1 16 Page 62 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step FI Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.8 Establish a living plan and business case to Engineering 3Q04 10-Jun-05 2Q05 Schedule of long-term equipment projects.improve long-term equipment performance as Prrams -Long a tool to be used by Plant Health Committee.

Term Programs tTrack IDs CA059592 300160 3005 1 120 Number Action Step U Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.9 Implement an integrated model of industry best Engineering 4004 25-Feb-05 1005 Model developed and integrated into Plant practices for equipment reliability.

Examples of Programs -Long Health Committee process.possible best practices Include AP-913 -Term Programs Equipment Reliability, AP-928 -Work Management.

tTrack IDs CA059593 lr+ {f°Y~ FI #Peersons ant bF-ptwps lt~ e -2Pt en_-300160 3005 1 120 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OR-08-017.10 Conduct a Self Assessment of the Engineering effectiveness of the Plant Health Committee.

Equipment Systems BOP Mechanical tTrack IDs SA059604 2Q05 17-Jun-05 2Q05 Self Assessment Report.-300s1u50 e F P3r00n5l w Hr1 P8r loflmfe 300150 3005 180 Page 63 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

OP Priority 1 3B 1C CAP # 033294 Plan Type Commitment Plan Revision No: 3 Focus Area: Action Plan Title: Action Plan Number Problem Statement:

Causal Factors: Emergency Preparedness (EP)Improve EP Infrastructure (Processes, Programs and Technology)

OP-09-001 The Emergency Preparedness infrastructure was not consistently maintained.

Plan Status In Closure I 2 3 4 5 6 Management oversight was not fully effective.

Emergency Preparedness staff was inadequately trained In plant processes and procedures.

The Emergency Preparedness staff did not fully understand roles and responsibilities.

The corrective action program was not fully/effectively implemented in the Emergency Preparedness group.SAMG ownership was inappropriately assigned to EP.External and Internal Operating Experience have not been fully utilized.Oblectives:

¶2 3 4 5 6 Enhanced management oversight of Emergency Preparedness program and training.Enhance knowledge of EP staff.Define Emergency Preparedness staff roles and responsibilities.

Corrective Action Program (CAP) In Emergency Preparedness is Implemented In accordance with station procedures and standards.

Structured practices for staffing and training Emergency Response Organization (ERO) positions.

SAMGs are owned and maintained by Operations.

Action SteRs: Number Action Step al Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.1 Implement an Emergency Preparedness Radiation 2Q03 08-Jul-03 3Q03 Approved EPAC charter Advisory Committee (EPAC) which indudes Protection membership of senior site leadership tTrack IDs CA030458 Number Action Step E] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.2 Implement an EP Training Advisory Committee (TAC) which indudes selected members of the ERO.Training 2Q03 21-Jul-03 3Q03 TAC Members assigned and first meeting minutes documented.

tTrack IDs CA030459 300360 3009 1 1 1 10 I Page 64 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step Li Commitment ate Comp Date Due Date Deliverable OP-09-001.3 Develop and communicate an EP vision and Emergency 2Q03 13-Jun-03 2Q03 Article printed in NMC Today.mission statement for the site. Planning tTrack IDs CA030460 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001

.4 Clarify minimum staffing requirements for Emergency 1005 24-Mar-05 1Q05 Issued EP 5.0.Emergency Response.

Planning tTrack IDs CA030461 i; #;wrsns-" ~' ,rsper'- l _§M 300030 3009 120 , 300360 3009 1 20 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001

.5 Implement a structured approach to ERO Emergency 2Q03 15-Jul-03 3Q03 Memo outlining responsibilites and Rev. 0 staffing by transitioning to rotating ERO duty Planning rotation schedule.roster teams for key positions.

tTrack IDs CA030462 300360 3009 1 2 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.6 Identify a new site custodian for SAM(Gs. Emergency Planning tTrack IDs CA030463 2003 11-Jun-03 2Q03 Memo from EP Manager identifying SAMG custodian.

Page 65 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step [ Commitment ate Comp Date Due Date Deliverable OP-09-001.7 Improve station practices for assigning, training Emergency 3Q03 01-Oct-03 4003 Procedure defining the practice is and retiring ERO staff positions.

Planning approved and issued.tTrack IIs CA030464 300360 3005 1 1 10 I Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.8 Improve implementation of the corrective action Emergency 2Q03 10-Jul-03 3003 Training attendance records.program by training the EP staff. Planning tTrack IDs CA030465 Number Action Step aI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.9 Implement effective document control and Emergency 2Q03 26-Dec-03 4Q03 Signed copy of documents reviewed by records retention practices used by the EP Planning Excellence Team quality check group. representative.

tTrack IDs CA030466 664LCLER 1 100 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.10 Define roles and responsibilities of Emergency Emergency 2Q03 26-Dec-03 4003 Approved organizational chart and list of Preparedness staff members. Planning routine callups assigned by person.tTrack 10s CA030486 L I 300360 3005 1 1 1 5 Page 66 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step ;3 Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.1 1 Implement procedures, guidelines, or job aids that formalize the processes for Emergency Preparedness staff members responsibilities.

Emergency Planning 2Q03 15-Dec-04 4Q04 Approved procedures, guidelines and/or job aids. (Sustainability Assessment (via PBF-01331) required.)

tTrack iDs CA030487' '-SLQZ~ci-'

q'r'~Sipgns' rA * -'l PP^}'i lwl' ni s/l , *Zmm§n' ~ -664LCLER 1 200 664LTECH 1 200 300360 3005 1 200 Number Action Step RJ Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-001

.12 Implement across training' of Emergency Preparedness staff members based on the procedures, guidelines and job aids to strengthen Emergency Preparedness staff members integrated knowledge of EP.Emergency Planning 2004 21-Feb-05 1Q05 Qualification cards for EP staff members completed in accordance with defined schedule. (Sustainability Assessment (via PBF-01 330) required.)

tTrack IDs CA030488 LttSQUt B' #,rers I I n, -1r1.1 ..-if 300360 3005 1 100 300360 3009 1 50 Number Action Step Ii Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001

.13 Implement an effective process for documenting, collecting, assimilating, and validating EP cornerstone performance indicators.

Emergency Planning 2Q03 22-Dec-03 4Q03 Procedure describing process approved and issued.tTrack IDs CA030489'R esor~ QwIc 'q ' # 'P e 'r 5-n ' ' ' ' f ' ' 'om m'e n ts ~~^ I o n sf ee ~ 1 -100000 1000 1 20 1 300360 3005 1 20 Page 67 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.14 Conduct an effectiveness review. Emergency 4Q03 10-Jul-03 4004 Effectiveness review report.Planning tTrack IDs EFR030491 v _r P i 300360 3005 1 80 Number Action Step J Commitment 1005 Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.15 Conduct an effectiveness review. Emergency 4Q04 15-Dec-04 4Q04 Effectiveness Review (EFR) report to Planning Include 1) EP staff knowledge, 2) EP roles and responsibilities, and 3) EP CAPs.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs EFR030493 CONTSRVS 2 24 300140 3005 1 24 I 300360 3009 1 24 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.15.A Facilitate independent and regulatory reviews. Site VP & ECP 1Q05 20-May-05 3Q05 Deliver closeout package.tTrack IDs CA056840[ s.i~ Vrqn-5 f NprnAM 1 o~nts 3002903008 1 16 Number Action Step L1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.16 Review the current requirement to do an annual A fnnq on n- nAA E2-.iz-.4

= r21lo is r n);rar review of SAMGs and adjust frequency of review as appropriate.

%JFW10auun1 4;twu;4 I CWLt-Uli -tQUO F-%VV1eaC-r>VU 11 Imfulreu.tTrack IDs CA031478-,KwfA7-fes0 r 1wrpri04 .11 ..... .= .L I., M.........

7,0 .-'---- --"-00 urc00 eq1ns h fr 1esoj QpWents, 300020 30071 Page 68 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.17 Re-review Emergency Planning OE evaluations Emergency 3Q03 13-Dec-03 4003 Document review and write CAPs to performed since 711/01 for adequacy.

Planning address any inadequacies.

tTrack IDs CA032088 IT8~f~ I-Q 300360 3005 1 250 1 300360 3009 1 50 Number Action Step F1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-001.18 Review Emernenev Plannina related CAPs x .. _written since 7/1/01 for recurring and unresolved Issues.emergency Planning 3JUU u(-Deo-us 4UU5 Document review ana write CAPs to address any Inadequacies.

tTrack IDs CA032089 F ;'1sgesurcke

Po~~I~rions.

f ~- ir'Per-sQf l ~300360 3005 1 250 300360 3009 1 50 Page 69 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 13CIC Emergency Preparedness (EP)Revise Emergency Plan Implementing Procedures OP-09-003 CAP# 033302 Plan Type Commitment Plan Revision No: 3 Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

The Emergency Plan and supporting procedures are not adequately aligned.1 Changes were made to supporting procedures without recognition of their effect on the Emergency Plan.2 The change process did not ensure that proposed changes to the program were adequately reviewed.I Revised Emergency Plan and supporting procedures are aligned.2 The Emergency Response Organization (ERO) is trained on the Emergency Plan and procedure revisions.

3 The change process will reliably assist in identifying effects of change on Emergency Plan.Action Steps: Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.1 Evaluate the Emergency Plan to determine Emergency 2Q03 17-Jun-03 2Q03 Document nonconformance In accordance compliance with 10 CFR 50, Appendix E, and Planning with the CAP. If required, submit NUREG-0654.

temporary changes to Plan or Procedures.

tTrack IDs CA030509 Number Action Step [ Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.2 Staff a team of plant personnel to upgrade and revise the Emergency Plan, Emergency Plan Implementing Procedures, Emergency Plan Maintenance Procedures, and Position Instruction Manuals.Site VP & ECP 2Q03 08-Jun-03 2Q03 NMC Today article outlining project members and responsibilities.

tTrack IDs CA030510 Page 70 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step [ Commitment OP-09-003.3 Provide existing documentation of current Regulatory 1Q03 16-Jun-03 2Q03 Deliver existing CLBs related to license basis to the EP staff. Affairs -Emergency Plan and procedures.

Ucensing tTrack IDs CA030511 Number Action Step n Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.4 Review CLB document, NUREG-0654, and 10 Emergency 2003 18-Jul-03 3Q03 Procedures in draft form, through technical CFR 50, Appendix E, and NEI 99-02 against Planning review, as documented on PBF-0026a existing Emergency Plan and supporting procedures.

Draft changes to Plan and procedures as necessary.

tTrack [Ds CA030543 664LCLER 2 30 300010 3005 1 100 300020 3005 1 100 300030 3005 1 100 300130 3006 I 100 300270 3009 ¶ 100 300360 3005 1 100 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.5 Complete 50.54(q) reviews for identifi4 procedure revisions.

ad Emergency Planning tTrack IDs CA030544 3003 12-Sep-03 3Q03 Completed reviews as documented on PBF-0026a and PBF-1301 3-0-00s 30'(9 7 !HF-7 ' "3005 2 40 300030 3005 1 2 1 40 Page 71 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.6 Leadership team to review changes to Site VP & ECP 3003 25-Sep-03 3Q03 Completed reviews as documented on Emergency Plan and supporting procedures for PBF-0026a, Section iII, Document Owner understanding and to determine training needs. Review tTrack IDs CA030545 300270 3009 1 0 1 0 Number Action Step [1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.7 Perform commitment changes, if appropriate, Regulatory 3Q03 28-Jul-03 3Q03 Approved commitment changes or return in accordance with NP 5.1.7. Affairs -to Licensing Basis approved by NRC SER Licensing dated 6/10/83.tTrack IDs CA030546[ esource J Nrje----ns

}H -'-IF 66OLCLER 1 10 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.8 Design and develop continuing training Training 3003 19-Dec-03 4Q03 Approved lesson plans.materials for the Plan and procedure changes identified.

tTrack IDs CA030547 R40esurc7 PeraoFn4s J ks§eH 1'ei&[661 LCLER 3 20 300360 3005 4 80 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.9 Implement continuing training as required for Training 3003 27-Feb-04 1Q04 Completed attendance records the plan and procedure changes.tTrack IDs CA030548[--- :Ji- ij COMMns Hr-ereAO4 1 -' -nn, i 300360 3005 4 1 40 Page 72 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step Li Commitment OP-09-003.10 Issue the revised Emergency Plan and Emergency 4003 25-Mar-04 1Q04 Index showing procedures were Issued.supporting procedures.

Planning tTrack l0s CA030549 RO Qfl Bs pqr F ~mj~lP. £ 1 66OLCLER 2 40 Number Action Step F] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.11 Upgrade initial training materials for ERO Training General 4Q03 02-Apr-04 2Q04 Copies of indices showing training members. materials were issued, as necessary.

tTrack IDs CA030550 P1 r S~~I er9 %Q; >P-- In BIJA RVb-m wF4;0 300130 3006 2 500 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.12 Upgrade NP 1.8.3 and PBF-1 301 to assist with Emergency 2Q03 02-Jul-03 3003 Approved procedure NP 1.8.3 and form completing appropriate 50.54(q) reviews. Planning PBF-1301.tTrack IDs CA030552 Number Action Step J Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-09-003.1 3 Conduct an effectiveness review.Emergency 2C Planning tTrack IDs EFR030554 Q04 28-Aug-04 3004 Effectiveness review report. (Sustainability Assessment (via PBF-0133f) required.)

I e0sur3c6 3P0e05n2 s F hr 0Pqr 1 ,oiimtn '4 300360 3005 2 80 Page 73 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number OP-09-003.14 Action Step L Commitment Revise PIMs to match the Plan and procedure changes.ate Comp Date Due Date Deliverable Emergency Planning 3Q03 12-Dec-03 4Q03 Copy of approved PBF-0026a and PBF0026c's as necessary. (PiMs will be issued under step OP-09-003.10) tTrack IDs CA031943 3003603005 1 60 Page 74 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 1 3C3B Emergency Preparedness (EP)Upgrade Emergency Action Levels (EALs)OP-09-004 CAP # 050434 Plan Type Commitment Plan Revision No: 0 Plan Status Open Problem Statement:

Causal Factors: EALs are not consistent with current Industry standards and are cumbersome to use.I Addition of the barrier matrix resulted In less than rigorus maintenance of NUREG-0654 standards.

2 Historic original process and knowledge did not result in NRC pre-approval of EALs.3 Did not move to industry standard.1 Develop an EAL scheme that is consistent with NEI 99-01 Rev. 4 and submit to NRC.Oblectives:

Action Steps: Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.1 Obtain a vendor to initiate the EAL upgrade Emergency 3003 29-Aug-03 3Q03 Purchase order.project Planning tTrack IDs CA052680 Number Action Step F1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.2 Draft revision to EALs to restore renuiatorv A- -. ^. ^ s ... h -.. -. --. A compliance.

-' mergency Planning tTrack IDs CA052681, CA055057 dtUud 1 6-Jan-U4 1UU4 LDrat1 T ot E Appendix B and EPIP 1.Z.-es-urCo --# Persons-rs Per Pers~t comm-:entI-ou I 664LTECH 1 8 300020 3005 2 8 300360 3005 1 2 300360 3009 1 2 Page 75 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step a Commitment ate Comp Date Due Date Deliverable OP-09-004.3 PORC approval of EAL revisions restoring Emergency 1Q04 16-Jan-04 1004 PORC minutes documenting review.regulatory compliance.

Planning tTrack IDs CA052682, CA055057 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.4 Obtain appropriate State and County approval Emergency 1Q04 16-Jan-04 1 Q04 Copy of State and County Approvals.

of EAL revisions restoring regulatory Planning compliance.

tTrack IDs CA052683, CA055057 664LCLER 1 2 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.5 Conduct training on EAL changes restoring Training 1 Q04 22-Jan-04 1Q04 Copy of completed training records.regulatory compliance.

tTrack IDs CA052686, CA055057 r-I zcE~F }i W;g Fesn kr Er9!662LCLER 12 300360 3009 1 1 Number Action Step [U Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.6 Implement EAL revisions restoring regulatory Emergency 1004 16-Jan-04 1Q04 Copy of PBF-0026a/c showing issue date compliance.

Planning for EP Appendix B and EPIP 1.2.tTrack IDs CA055057 Page 76 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step R] Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.7 Draft EAL upgrade to NEI 99-01 scheme.Emergency Planning 3003 15-Apr-04 2Q04 Copy of PBF-0026a/c for EP Appendix B and EPIP 1.2 drafted. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA052688 664LTECH 2 40 664LTECH 2 40 CONTPRO 4 776 300020 3005 3 120 300130 3006 2 80 300160 3009 1 20 300360 3005 1 120 300360 3009 1 120 Number Action Step FI1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.7.A Draft EAL upgrade re-submittal. (backfit step for completed re-submittal)

Emergency Planning 3Q04 28-Mar-05 1Q05 Copy of PBF-0026a/c for EP Appendix B and EPIP 1.2 drafted.tTrack IDs CA061256-..Fe- -.-. _ e j ._ ., iply nt 664LCLER 2 40 CONTPRO 4 776 300020 3005 3 120 300130 3006 2 80 300160 3009 1 20 300360 3005 1 120 300360 3009 1 120 Page 77 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 06 Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.8 PORC approval of EAL upgrade changes.Emergency Planning 2004 19-May-04 2Q04 PORC meeting minutes documenting review. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA052689 66OLCLER 2 16 300020 3005 1 2 300030 3009 1 2 300180 3009 1 2 300210 3009 1 2 300270 3009 1 2 300360 3005 1 2 300360 3009 1 2 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.8.A PORC approval of revised submittal documents. (backfit step for completed re-submittal)

Emergency Planning 3004 29-Mar-05 1005 PORC meeting minutes documenting review.tTrack IDs CA061257 66OLCLER 2 16 300020 3005 1 2 300030 3009 1 2 300180 3009 1 2 300210 3009 1 2 300270 3009 1 2 300360 3005 1 2 300360 3009 1 2 Page 78 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Revislo Plans with Commitments Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.9 Submit site approved EAL upgrade changes to Emergency 2Q04 25-May-04 2004 Copy of transmittal letter. (Sustainability state and counties for approval.

Planning Assessment (via PBF-0133f) required.)

tTrack IDs CA052690[ g3 s > l l ;p, nX l Per = , -o 9i1t 300360 3005 1 2 300360 3009 1 2 Number Action Step aI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.9.A Submit site approved EAL upgrade re-submittal Emergency 3Q04 29-Mar-05 1Q05 Copy of transmittal letter(s).

to State and Counties for approval. (backfit Planning step for completed re-submittal) tTrack lDs CA061258 300360 3005 1 1 2 300360 3009 1 2 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.10 Obtain state and county approval of EAL Emergency 2Q04 11-Jun-04 2Q04 Copy of State and County approvals.

upgrades and incorporate comments.

Plannino (Sustainabilitv Assessment (via PBF-nn7 tTrack IDs CA052691 F =-R4040l~e

-Hi- S ---pie 664LCLER l i 300360 3005 i 300360 3009 l__ *-* -r I -u -* -_-0133f) required.)

'410sg n I Kras PeqrIer jl'1 2 1 4 OUp"MtQD?I Page 79 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Dt Revision 7 Number OP-09-004.1 0.A Action Step [I] Commitment Obtain State and County approvals of EAL upgrade re-submittal. (backfit step for completed re-submittal) ate Comp Date Due Date Emergency Emergency Planning ck IDs CA061259 3Q04 29-Mar-05 1005 Deliverable Copy of State and County approvals.

ti rra....1 *1 ..-664LCLER 1 2 300360 3005 1 4 300360 3009 1 4 Number OP-09-004.1 1 Action Step i Commitment 2Q05 Submit site approved EAL upgrade changes to NRC for pre-approval.

tTrack ID Owner Group Emergency Planning Is CA052692 Start Date 2Q04 Comp Date 25-Jun-04 Due Date 2Q04 Deliverable Copy of transmittal letter. (Sustainability Assessment (via PBF-0133f) required.)

Number OP-09-004.1 1.A Action Step aI Commitment Submit site approved EAL upgrade re-submittal to NRC for pre-approval. (backfit step for completed re-submittal)

Owner Group Emergency Planning) CA061260 Start Date Comp Date Due Date 3Q04 29-Mar-05 1Q05 Deliverable Copy of transmittal letter/package.

tMn ack ID esr;i9- #Pprsqn;s 1 -'rs Per P -epr s.. _p _e 662LCLER I 1 2 300360 3009 1 1 1 Page 80 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step EI Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.12 Conduct training on site approved EAL upgrade changes.Emergency Planning 3004 29-Jun-05 2Q05 Copy of completed training records.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA052693-- r heo

1% PRiO qW q od h--CONTSRVS 1 8 300020 3005 1 4 300020 3007 2 4 300020 3008 4 4 300020 3009 4 4 300130 3006 10 4 300180 3009 4 4 300270 3005 4 4 300270 3009 4 4 300360 3005 1 8 300360 3009 1 8 Number Action Step i Commitment 3Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.13 After NRC approval, implement upgraded EALs.Emergency Planning 1Q05 01-Aug-05 3005 Copy of PBF-0026a/c showing Issue date for EP Appendix B and EPIP 1.2.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA052694_~j tft L.,_ _ _ _ ..__ U.....................i 66esourceR

2rso Hrs 1e6 Prsrp C1mme1n 66OLCLER l 2 16 Page 81 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step El Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-004.14 Conduct an effectiveness review of upgraded Emergency EAs Planning tTrack IDs EFR052695 3Q05 4Q05 Assessment Report.e -- Iu: , re CONTSRVS 224 300140 3005 1 24 300360 3005 1 16 300360 3009 1 24 Page 82 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority I 3B 3G CAP# 050222 Plan Type Commitment Plan Revision No: 2 Plan Status In Closure Emergency Preparedness (EP)Control / Maintenance of EP Required Equipment OP-09-005 Problem Statement:

Causal Factors: Oblectives:

Action SteRs: Number The process and controls to implement EP required equipment is ineffective.

I Configuration Control of some facilities has not been maintained effectively.

2 Equipment required for emergency response is not documented adequately.

3 Equipment required for EAL classifications is not well documented.

I EP equipment and facilities are documented and controlled.

Action Step Fj Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.1 Develop a matrix of EP required equipment Emergency 3Q03 13-Dec-03 4003 This is a high level step to capture all Planning action steps associated with developing a matrix of EP equipment.

tTrack IDs See Substeps Number Action Step C] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.1.A Develop matrix of EP equipment required to Emergency 3Q03 28-Sep-03 3Q03 List of equipment added to the EP support SBCC / EOF facilities.

Planning equipment matrix.tTrack IDs CA052384 3003603005 1 35 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.1.8 Develop matrix of EP equipment required to support TSC facilities.

tTracl Emergency Planning c IDs CA052385 3Q03 14-Oct-03 4Q03 List of equipment added to the EP equipment matrix.l 300360 I [ r l 35 300360 3005 1 1 35 Page 83 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start 0 Revision 7 Number Action Step L Commitment ate Comp Date Due Date Deliverable OP-09-005.1.C Develop matrix of EP equipment required to Emergency 4Q03 17-Oct-03 4Q03 List of equipment added to the EP support OSC facilities.

Planning equipment matrix.tTrack IDs CA052386 F k eo ! _300360 3005 1 35 Number Action Step j-1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.11.D Develop matrix of EP equipment required to Emergency 4003 31-Oct-03 4Q03 List of equipment added to the EP support CR facilities.

Planning equipment matrix.tMrack IIs CA052388 300360 3005 1 35 1 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.11.E Develop matrix of EP equipment required to Emergency 4003 21-Nov-03 4003 List of equipment added to the EP support AEOF / JPIC facilities.

Planning equipment matrix.tTrack I~s CA052389-qrsgns 0 A 300360 3005 1 35 Number Action Step L1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.1.F Develop matrix of EP equipment required to Emergency 4Q03 13-Dec-03 4Q03 Ust of equipment added to the EP support EAL classification.

Planning equipment matrix.tTrack IDs CA052390 I I C"I .MM P 300360 3005 1 1 35 Page 84 of 188 Effective Date 912912005 Number OP-09-005.2 Action Step F1 Commitmeni Update facility matrix to Include admir configuration control of EP related fac equipment.

PBNP Excellence Plan Plans with Commitments I Owner Group Start D tistrative Emergency 3Q03 flitles and Planning tTrack lDs CA052408 ate Comp Date Due Date 1004 Revision 7 06-Jan-04 Deliverable List of equipment added to the EP equipment matrix.Number Action Step j1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.3 Review matrix drafted in step 1. Emergency 1Q04 06-Jan-04 1Q04 Copy of signature sheets from review Planning documents.

tTrack iDs CA052408 it ";Rtig.rc0 1.Pej os f -PeP§ 71 o2 300020 3005 1 5 300030 3005 X 5 300360 3009 1 5 Number Action Step Ri Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.4 Document the licensing basis of required EP Emergency 1 Q04 25-May-04 2Q04 Basis summary document (Sustainability equipment contained in the matrix. Planning Assessment (via PBF-0133f) required.)

tTrack IDs CA052409-e so u r ce P.eQs 6 0e~f;3DlV-pa 300290 3008 1 60 300360 3005 1 60 Number Action Step i] Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.5 Evaluate whether each piece of EP Equipment Emergency 1004 07-Jun-04 2Q04 Evaluation report. (Sustainability in the matrix meets its associated EP functional Planning Assessment (via PBF-0133f) required.)

requirements.

tTrack IDs CA052413 300150 3004 2 60 300170 3004 2 60 Page 85 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Stop ] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.5.A Work with RP and Engineering to delineate Emergency 3Q04 17-Dec-04 4Q04 Updated functional status report and new requirements of returning Radiation Monitors Planning action steps, as necessary, to maintain (as listed in NPM 2004-0370) to functional sustainability.

status.tTrack lDs CA058251 300030 3005 1 1 80 300360 3009 1 80 Number Action Step i6 Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.6 Perform an assessment of the equipment in Emergency 1Q04 07-Jun-04 2004 Copy of Assessment Report the matrix for reliability I maintainabiiity

/ Planning (Sustainability Assessment (via PBF-obsolescence.

01330 required.)

tTrack IDs CA052414 300360 3005 1 20 Number Action Step EL Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.6.A Work with IT to determine the need for the WE '2^AA 47 MfIp A AfnnA 0-ns4 A-1-rt -A f-, %A/I microwave system as a backup. Determine a replacement if the backup is still required.Planning VW%If 1-14US ~ Ws n uPilu I uvm Ivea .. to -cu V.l s c Il---uwve or new backup, or reason for it not being required.

Additional action steps (as required) to maintain sustainability.

tTrack IDs CA058252 300220 3008 10 300360 305 1Pr 8 300360 3005 1 80 Page 86 of -88 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step Rj Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.7 Evaluate the adequacy of preventative Emergency 1004 07-Jun-04 2Q04 Report of maintenance scope adequacy.Maintenance (PM) performed on EP equipment Planning (Sustainability Assessment (via PBF-contained In the matrix. 0133f) required.)

tTrack IDs CA052415# Persons_ P *300150 3004 3 40 Number Action Step N Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.8 Revise/ Initiate PM procedures performed on Emergency 2004 16-Sep-04 3004 Ust of actions taken vs. findings from the EP equipment contained In the matrix and Planning report on the Maintenance scope. .generate additional call-ups, as required. (Sustainability Assessment (via PBF-0133!) required.)

tTrack lDs CA052417 A , l. :ens' # Per oPersdn4 ., Co 300150 3004 3 60 Number Action Step EI Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.9 Create and formalize channel specific equivalent Information as presently captured on PBF 2068g forms (Status of an RMS Channel Not In Service) as well as EAL data for each RMS channel.Radiation Protection 2Q04 25-Aug-04 3004 Copy of PBF-2068g forms created.(Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA052419 300030 3005 1 16 300360 3005 1 16 Page 87 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.10 Revise RMSASRBs that are affected by EP Operations 3Qo4 28-Oct-04 4004 Approved procedure cover sheet equipment. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA052420 66OLCLER 1 16 300200 3005 1 40 Number Action Step Ri Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.11 Implement a procedure to address EP Emergency 4004 17-Jan-05 1Q05 Approved procedure cover sheet, or equipment that is not addressed via CHAMPS Planning documented justification that EP or RMS data fioms. equipment is appropriately controlled by methods in place. (Sustainability Assessment (via PBF-0133f) required.)

tTrack iDs CA052421 660LCLER 1 1 6l 300360 3005 1 10 Number Action Step F1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.1 1.A Provide an updated EP equipment matrix Emergency 1005 29-Mar-05 1Q05 Updated EP equipment matrix.following compleuon Ot associated Plan steps. Planning -tTrack IDs CA061261 300360 3005 l rsoqns 'r Pqc-ff Q -'D M , , 1 20 Page 88 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step i Commitment 2005 ate Comp Date Due Date Deliverable OP-09-005.12 Conduct an effectiveness review. Emergency 2Q05 20-Jun-05 2Q05 Effectiveness review report. (Sustainability Planning Assessment (via PBF-0133f) required.)

tTrack IDs EFR052422 CONTSRVS 2 24 300340 3005 1 24 3003403009 1 24 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-09-005.12.A Facilitate Independent and regulatory reviews. Site VP & ECP 2005 29-Jun-05 3005 Plan closeout package.tTrack IDs CA056841 300290 3008 1 16 Page 89 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number.OP Priority I 3C3B CAP# 031160 Plan Type Commitment Plan Revision No: 3 Corrective Action Program (CAP) Plan Status In Closure Improve CAP Action Request Screening and Prioritzation, Operability Determination and Problem Reporting OP-10-001 Problem Statement:

Causal Factors: Oblectives:

(1) The CAP screening process has not been fully effective at establishing station focus on the most risk significant issues.(2) The quality of Operability Determinations (ODs) is Inconsistent.

I The CAP Screening Team did not adequately screen Action Requests (AR) that emphasized nuclear risk and operability.

2 The CAP Screening Team did not fully understand their roles and responsibilities.

3 Some Operability Deteriminations have lacked rigor and have needed to be revised.I The CAP Screening Team effectively establishes CAP priorities and focus for CAP ARs based upon defined screening criteria.2 Implement the NMC fleet operability determination process.3 Senior plant management owns CAP screening.

Action Steos: Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.1 Revise the CAP AR screening process to Performance 4002 14-Feb-03 2003 Documented screening criteria.provide clear focus on the most significant Assessment Items based upon nuclear safety and risk.tTrack IDs CA030558 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.2 Conduct briefing for CAP Screenina Team P 3r3nn'-n-n 13onV2 -M ktfin,-members on their roles and responsibilities and on CAP program elements.Assessment , wuo L--dy-U7 pu vullvlzavIusvl-ll tTrack IDs OTH028137 Page 90 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Revision 7 Number Action Step El Commitment Comp Date Due Date Deliverable OP-10-001.3 Provide tools to aid In CAP Screening.

Performance 4Q02 14-Feb-03 2Q03 Issued workflow/decision-making chart.Assessment tTrack iDs CA030558 Number Action Step []Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.4 Communicate the new CAP screening Performance 4002 14-Feb-03 2Q03 Internal memo from Site VP.practices and reasoning to site personnel.

Assessment tTrack IDs CA030558 Number Action Step J Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.5 Implement screening criteria that emphasizes Performance 1Q03 09-Apr-03 2Q03 Revised NMC Corrective Action Procedure EP Risk Significance Planning Standards into Assessment to Include EP Risk Significance Planning Station procedures.

Standards.

tTrack IDs CA027792 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.6 Perform benchmarking of screening Performance 1Q03 15-Apr-03 2Q03 Documented assessment report.Improvements.

Assessment tTrack IDs OTH028220 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.7 Assess the effectiveness of the CAP Screening Nuclear 2Q03 30-Jun-03 2Q03 Issued effectiveness review report.Team during the 2nd quarter of 2003. Oversight tTrack IDs OTH029052 p.. 1 #P m rs 2 l 1I -300140 3007 1 1 1 20 1 Page 91 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start C Revision 7 Number Action Step 2 Commitment late Comp Date Due Date Deliverable OP-10-001.8 Assess the effectiveness of the CAP Screen Nucdear 4003 12-Dec-03 4003 Issued effectiveness review report.Team during the 4th quarter of 2003. Oversight tTrack IDs OTH028136 M_. Per F401 .__300140 3007 1 20 Number Action Stp Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.9 Develop a Condition Adverse to Quality Status Performance 2Q03 09-Jan-04 1Q04 PublIshed status report.report. Assessment tTrack IDs CA030564 IF ,, ywu;e',

.' ", 8,,rpi I , I ':i ._ I'~ '~ ^°" 300380 3009 2 80 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.10 Brief Operability Determination expectations

& Plant Manager 1Q03 14-May-03 2Q03 Completed record of briefing.requirements with Shift Managers at monthly meeting.tTrack IDs CA030565 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.11 Implement the NMC Fleet Operability Engineering 2Q03 10-Sep-03 3Q03 Fleet Procedure record of acceptance.

Determination procedure.

Programs tTrack I0s CA030567# .fte fto fl k a w ms Zblr !'E &t t , P ^' Smm e i , , t n 81FAMA -,~ .., wcTIf *..300150 3004 50 4 300160 3004 54 4 300160 3004 2 120 Page 92 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step LI Commitment OP-10-001.12 Provide Operators and Engineers training on Training the Operability Determination process.tTrack IDs OTH029032 2003 22-Aug-03 3Q03 Completed training record.-Irpjsons o-po Pei :P^Qa n -mmIns 300020 3005 50 2 300130 3005 1 40 300150 3004 50 2 300160 3004 40 2 300170 3004 50 2 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.13 Develop specific plans for implementation to Performance 1Q03 14-Mar-03 2003 Completed plans.reinforce reporting of problems.

Assessment tTrack IDs OTH028195, OTH028196, OTH028197, OTH028198, OTH028200, OTH028201, OTH028202, OTH028203, OTH028204, OTH028205, OTH028206, OTH028207, OTH028208 Number Action Step EI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-i10-001.13.A As follow-up to Step OP-10-001.13, provide a Performance reinforcement of problem Identification Assessment expectations to the site.tTrack IDs CA031696 3003 23-Oct-03 4003 E-mail showing plant group Identified in Action Step OP-10-001.13 acknowledgement of distributed message-300380 3009 1 1 1 10 i -Page 93 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i] Commitment 4Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.14 Perform an external assessment of the Performance 1Q04 18-Jun-04 2Q04 Assessment report (Sustainabllity effectiveness of the screening process Assessment Assessment (via PBF-01331) required.)(assessment is to Include review for Level 'A event misclassification, and percentage of Level 'B' events properly categorized).

tTrack iDs EFR030568~ A-K L1 300380 3009 2 40 Number Action Step [1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.14.A Facilitate Independent and regulatory reviews. Site VP & ECP 3Q04 30-Sep-04 4Q04 Plan coseout package.tTrack IDs CA056842 300290 3008 1 16 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-001.15 Perform an effectiveness review of ODs via the Engineering 3Qo3 20-Feb-04 1004 Completed Effectiveness Review Report.I process and report results to bei Management.

ilor De tTrack IDs EFRO: 300170 3004 isign 31948_PersosrPetPriso g Cpmments-[ l # Persons -60 Page 94 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 1 3C3B Corrective Action Program (CAP)CAP Resolutions Effectively Address Problems OP-10-004 CAP# 031160 Plan Type Commitment Plan Revision No: 4 Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

Corrective actions do not always resolve problems.1 Some corrective actions taken have not resolved the Identified problems.2 Ownership of significant station Issues was not consistently assigned to ensure timely issue resolution.

3 Some personnel do not understand their roles & responsibilities in the Corrective Action Program.I A Technical Review Panel Is established (and in place until the Site VP and Plant Managment agree the need no longer exists) to review selected corrective actions to ensure the actions taken effectively resolve the issue.2 Issue Owners are assigned to significant issues.3 Station personnel are aware of their roles and responsibilities in the Corrective Action Program (CAP).4 Corrective Action Program improvements have led to timely corrective actions that resolve problems.5 Managers monitor and improve the health of the CAP Program at a station and an Individual department level.Action Steps: Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.1 Develop a method to assign an 'Issue Owner' Performance 1Q03 28-Feb-03 2003 CAP Screening Team guidance form.to significant issues. Assessment tTrack IDs OTH028191 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.2 Review all open Priority 5 CAP Items and either Performance

.1003 28-Feb-03 2Q03 Documentation of completed scrub.close with no action or reprioritize the Item. Assessment tTrack IDs OTH028171, OTH028172, OTH028173, OTH028174, OTH028175, OTH028176, OTH028177, OTH028178, OTH028179, OTH028180, OTH028181, OTH028182, OTH028183 Page 95 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.3 Conduct a Stream Analysis of the Corrective Performance 1Q03 08-Apr-03 2Q03 Documented CAP Stream Analysis results.Action Program issues. Assessment tTrack IDs OTH028169 Number Action Step ,_ Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.4 Conduct briefing for station personnel Performance 1Q03 20-Jun-03 2Q03 Briefing attendance records.(individual contributors) covering key elements Assessment of the CAP and their roles & responsibilities.

tTrack IDs OTH028216 Number Action Step [1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.5 Review lesson plan ORI-01-LPARP for Training 2Q03 06-May-03 2Q03 Documented review of ORI-01-LPARP, or changes to the new employee CAP lesson plan issued revision of that lesson plan.against program changes and improvements.

Revise as required.tTrack IDs OTH028218 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.6 Reduce Qualitv Check backloo. Communicate 4^nQfl) 4I AnnA t'AM no tn- Z.l4Z.I1 problems noted during Quality Check to the CARB. Clarify Quality Check guidance to ensure emphasis Is placed on CAPs that involve CAQs.Assessment I %Avo I -Jr1Jl -uJQ 4%dwu VsPiPD InllJULWe VI IIIiUCI IEVIJW VI qUalILy check information and copy of CAP performance indicator for quality check.tTrack IDs OTH028539 Page 96 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step n Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.7 Create a technical panel to perform a multi- Performance 2003 15-Apr-03 2Q03 Documentation of Technical Review Board.discipline review of the Corrective Actions from Assessment root causes and other significant Corrective Actions to ensure appropriate actions are being taken to address the problem. The panel will remain in place until the Site VP and Plant Manager agree the need no longer exists.tTrack IDs OTH029030, OTH029031 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.8 Develop desktop guide to assist supervisors Performance 2003 14-Jul-03 3Q03 Desktop guide Issued.and CAP Liaisons in the review and closeout of Assessment corrective actions.tTrack IDs CA030586[~~~~~~~~;

011 ,-S~~N l §i +-Ye, 300380 3009 1 40 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.9 Conduct briefing to improve Apparent Cause n^1%sn 4 A A..- n An nf2lAfi .a-ra 4 Evaluation and Condition Evaluation awareness.

r-rull. 101 lE Assessment tTrack IDs CA030587 300270 3005 .300270 3005 300380 3009 4%duQ I F-V-ruWg-u Qodu DI lWlli dLlMlUdlce leWWUs.Persons 15 50 1__Hrs Per Persg a I 2.5 2.5_120 _I S .Gomwmnt*I_Page 97 of 188 Effective Date 9/2912005 PBNP Excellence Plan Revision 7 Plans with Commitments Number Action Step [I Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.10 Assess feedback from CAP Key Element and Performance 2Q03 30-Jul-03 3Q03 Documentation of feedback assessment Roles & Responsibilities briefing provided to Assessment and any necessary CAP changes station personnel.

implemented.

tTrack iDs CA030588 1-esguAc #PI w f0 1Per rompaj I ;300380 3009 1 60 Number Action Step I] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.11 Conduct an assessment of the use of the CAP Maintenance 4Q03 22-Dec-03 4Q03 Assessment report.by Maintenance.

Programs &Facilities tTrack IDs CA031300 Number Action Step ij Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.12 Perform an effectiveness review (including Performance 1Q04 17-Jun-04 2Q04 Documented effectiveness review report.validation of effectiveness of Technical Review Assessment (Sustainability Assessment (via PBF-Panel, Issue Managers, and station personnel 0133f) required.)

awareness of their roles and responsibilitIes In CAP). Employee surveys are to be used as a method of validation.

tTrack IDs EFRO31301-]?esourc*e

ftPersgflsg f H-r4 PFV-r-F*p6c

~ -~~iX~300380 3009 2 40 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.12.A Facilitate independent and regulatory reviews. Site VP & ECP 3Q04 30-Aug-04 3004 Plan Steps 12 and 15 closeout packages reviewed.tTrack IDs CA056843 Ro 4 B Prtns ape R -Q 7 rnrnsoi 300290 3008 1 16 Page 98 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.13 Provide hands-on workshops of t-Track as Performance 2Q03 09-Jan-04 1004 Attendance lists.familiarization to personnel who request Assessment workshop attendance.

tTrack IDs CA031698 Number Action Step 0 Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.14 Perform a follow-up Effectiveness Review to Performance 4004 17-Nov-04 4004 Documented effectiveness review report.ensure that actions taken remain effective.

Assessment (Sustainability Assessment (via PBF-01330 required.)

tTrack ID9 EFR055571 300380 3009 2 40 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.14.A Facilitate independent and regulatory reviews. Site VP & ECP 1Q05 20-May-05 3Q05 Plan closeout package.tTrack IDs CA056844 0. ,E,,:*, reos S tPr~ l;i,;tW~~~

300290 3008 1 16 Number Action Step iJ Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.15 Nuclear Oversight assessment of procedure compliance and effectiveness of issue manager program.tTrack Ii Nuclear Oversight)s SA055911 2Q04 25-Jun-04 2Q04 Documented assessment report.(Sustainability Assessment (via PBF-01330 required.), R p~ep ti wPrc.sr #e P e jro n ~ r , ! ;. C om -me ts 3 0 4 0 5 4 0 , 300140 3005 1 2 1 40 Page 99 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [l]commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.15.A Nuclear Oversight assessment of procedure Nuclear 4Q04 06-Dec-04 4Q04 Documented Assessment Report compliance and effectiveness of IssueO erih( bs va on Rp t)Manager program (now contained within NPOvrih bsvaonRpt) tTrack IDs CA0601 36 300140 3005 5 20 Number Action Step Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.16 Expand CARB membership.

Performance 2004 17-Jun-04 2Q04 Documented GARB membership change.Assessment (Sustainability Assessment (via PBF-tTrack lDs CA055913013)rqie.

300380 3009 130 Number Action Step Fj Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.17 Communicate Change Management PlanPefmac 1042-r04 Q4GABeengiuts (CMP 2004-06) to GARB. Asessmranent0 4Mr0 Q4CABmeigmnts tTrack iDs CA056507 Number Action Step F- Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-004.18 Perform an Effectiveness Review (EFR) once ---4 nnr 13 A-~ n= ~f.1l rA=I~CMP 2004-06 has been comnpleted for one calendar quarter. The review Is to consist of: an evaluation of the Inventory of open CAPs, a sample review of Level D CAPs assigned to the non-CAP portion of the system and a sample review of the quality of CAP activity closures.Assessment

.w -r v v .£ 3 v .J... P.- --.- I- "J.tTrack iDs EFR056763 19 0 .I H P er ersif m m ntA 300380 3009 1 3 1 40 Page 1 00 of 188 PagelO~o 188Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Page 101 of 188 Effective Date 9/29/2005 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: PBNP Excellence Plan Plans with Commitments OP Priority 1 3C3B CAP# 031160 Corrective Action Program (CAP)Improve CAP Trending and Use of Trending OP-10-005 Revision 7 Plan Type Commitment Plan Revision No: 3 Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

Trend coding and trend analyses have not been used effectively to identify and correct adverse trends.I The CAP trending process was not considered a value added activity or priority by station management.

2 Some CAP Liaisons have not received training on trend coding and trend analysis.3 CAP trending information Is not an input Into Training.I CAP Trend Reports reflect station peformance and identify potential adverse trends.2 CAP Trend Reports are used by station managers and supervisors to resolve emerging issues.Action Steps: Number Action Step j Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.1 Develop a method to address the CAP AR Performance 1003 24-Feb-03 2Q03 Documented method to address CAP trend trend coding backlog. Assessment coding backlog.tTrack IDs OTH028138 Number Action Step j Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.2 Trend code the Level A & B CAPs from 2002. Performance 2003 12-Jun-03 2Q03 A report shows no 2002 Level A & B CAPs Assessment that have not been trend coded.tTrack IDs OTH029881 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.3 Develop a method to trend code CAP ARs In a Drn-~.^ 4 ^^q -A=An inn -XrA^A --A ---- BAA- Ar.lA timely manner.re n I anUI Elide 1%A Assessment tTrack IDs OTH028138, OTH028150 MO 2-1-Fu-0-3 etIUJ ouwumented method for arend coding ANS at the front end of the process.Page 102 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step Mi Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.4 Identify trigger thresholds for adverse trend Performance 2003 06-May-03 2Q03 Documented thresholds defining adverse Identification (E, PM, PO, PC, PR, T) Assessment trend criteria for appropriate departments.

tTrack IDs OTH028139, OTH028140, OTH028141, OTH028142, OTH028143, OTH028144, OTH028145, OTH028146, OTH028147 Number Action Step Eo Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.5 Review CAP trend capabilities and Trend Performance 1Q03 21-Apr-03 2Q03 Issued 4th Qtr 2002 CAP Trend Report.Report format with CARB using a completed Assessment Trend Report tTrack IDs OTH028148 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.6 Establish standard CARB agenda and Charter. Performance 1 Q03 12-Mar-03 2Q03 Approved CARB Charter & meeting Assessment agenda that directs the review of CAP Trend Reports.tTrack IDs OTH028161 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.7 Imorove CAP trendina (develop an aporoach -----r --* --_-

_ _1 r r r1 ---for acceptance by Senior Management).

Determine how to indude trending of equipment failures.rIIYIIWWfenny Equipment Performance 4Wu0 UZMzay-U3 zwuU Recornmendauon on now to implement equipment failure trending.tTrack IDs OTH028151 Page 103 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step E[ Commitment OP-10-005.8 Provide trend coding and trend analysis Performance 1Q03 10-Apr-03 2Q03 Briefing attendance sheets.briefing to CAP Ualsons. Assessment tTrack IDs OTH028157 Number Action Step IZ Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.9 Perform benchmark of CAP trending.

Performance 2Q03 20-May-03 2Q03 Trending benchmarking report.Assessment tTrack IDs OTH029028 Number Action Step []Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.10 Incorporate CAP trending data into the Training 2Q24 24-Jul-03 3003 TAC & CRC process revised.TAC/CRC processes.

tTrack IDs CA030589 300130 3005 1 60 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.11 Develop process to trend and analyze selected F-ni---inn 1nna 41 C-n IoA 4 fnA l...... .A t equipment failures.Programs oW-ol reu-vs l ww*V, -L-t tluCOO lJu uIlu.IIy ,aIluIea of selected equipment types.tTrack IDs OTH029883[ R turce # #Pofers-ons 1 WIrs prP0-fo id g Wmmn 300150 3009 1 1 120 Page 104 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step CI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-1 0-005.11.A Implement process to trend and analyze Engineering 3Q04 29-Jul-04 3Q04 Completed call-up and Initiation of CAPs selected equipment failures.

Equipment for Identified trends, as required.Performance tTrack IDs CA055572 300160 3004 1 0 16 Number Action Step i Commitment 1005 Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.12 Perform an Effectiveness Review of how well Performance 1Q04 02-Mar-04 1004 Effectiveness review report. (Sustainability CAP Trend Reports are used by managers and Assessment Assessment (via PBF-0133f) required.)

supervisors to correct emerging Issues.(Review to Include assurance that periodic reports are issued and reviewed by plant management and that declining performance trends are identified and actions are taken to correct performance).

tTrack IDs EFR030590 rowsource

-#perQns -r Per iPe er'fF'.CWo!rIi ,Wift 300140 3007 1 80 Number Action Step El Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.12.A Perform an Effectiveness Review (as follow-up

,,-^.A n-- e!AnA Manna F m. a...to EFR030590) to assure that periodic trend reports are issued and reviewed by Plant Management and that declining performance trends are Identified and actions are taken to correct performance.

Assessment

.3%du-u*eQVeVw OWIUC r-I1wCUVEHwt rMvrn trnFrj Mputt.tTrack ID9 EFR056172 30 00 37 Persons W H1 I g0 300140 3007 1 1 1 80 I Page 105 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step Pi Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.13 Perform a closeout effectiveness review.(Review to include assurance that periodic reports are issued and reviewed by plant management and that declining performance trends are identified and actions are taken to correct performance).

Performance Assessment 1005 18-Feb-05 1005 Documented Effectiveness Review Report.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs EFR055573 100000 1000 2 40 -300380 3005 2 40 Number Action Step Lj Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.14 Revise NP 6.1.1, Training, to reflect the DRUM Training General 2Q05 27-Apr-05 2Q05 Revised NP 6.1.1.process and reflect Excellence Plan OP-10-005.10 in the Bases.tTrack IDs PCRO62184 660LCLER18l 300130 3005 1 8 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-005.15 Improve the CRC/TAC Meeting Minutes to T.r.n;.n IVnnnl '7onAn 1 -g ns-RrITAf' RAA-,,- RA3,f-adequately reflect the Trend Issues or Data addressed by the CRC/TAC and the decisions made. Assess (for adequacy) the implementation of NP 6.1.1, Section 3.3.4 requirements against OP-10-005 Objective

2., .--, .. ---I -fUw-VJ %flVJ IIIIUC "F. -nk l-l"lll l, lll---tTrack IDs CA062185' Resource -- -#P0ons 6i rsPerers [q l MW Omm nlI 300130 3005 1 16 Page 106 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number OP-10-005.16 Action Step CI Commitment Conduct an Effectiveness Review of Plan OP-10-005 Steps 14 and 15 upon completion of these actions.Training General 3Q05 18-Sep-05 3Q05 Effectiveness Review Report.tTrack IDs EFR062186....Page 107 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 1 3C 3B Corrective Action Program (CAP)Effective Root Cause Evaluations OP-10-006 CAP# 031160 Plan Type Commitment Plan Revision No: 4 Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

Root Cause Evaluations (RCEs) have not been fully effective at improving station performance and preventing some repeat events.I Root Cause Evaluations were typically performed by individual evaluators Instead of root cause teams.2 There are no formal requirements for root cause team evaluators or team leaders.3 Root Cause Evaluation progress was not monitored by station management 4 CARB Root Cause quality assessment scoring methodology was not fully effective.

I Average Root Cause Evaluation quality grade Is greater than/equal to 85.2 Reduce recurrent problems through Improved root cause quality.3 Individuals receive Instruction to become root cause evaluators and team leaders.Action Steps: Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.1 Establish a Root Cause mentor and strengthen Performance 1Q03 21-Mar-03 2Q03 RCE charter documenting mentor and the RCE Management Sponsor criteria.

Assessment sponsor criteria.tTrack IDs OTH028187 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.2 Provide Root Cause Evaluator refresher Performance 2Q03 22-May-03 2Q03 Briefing attendance records.briefing.

Assessment tTrack IDs OTH028188 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-1 0-006.3 Promote the use of RCE Teams vice single Performance investigators for significant event investigation.

Assessment tTrack IDs OTH028187 1Q03 21-Mar-03 2Q03 Documented in RCE charter.Page 108 of 188 Effective Date 9/29/2005 Number OP-10-006.4 Action Stp [] Commitment Develop RCE Evaluator certification s PBNP Excellence Plan Plans with Commitments t Owner Group Start D tandard. Performance 1 Q03 Assessment tTrack IDs OTH028189 ate Comp Date 22-Apr-03 Revision 7 Due Date 2Q03 Deliverable Approved RCE certification card.Number OP-10-006.5 Action Step LI Commitment Owner Group Develop a defined approach or methodology for Performance RCE Charter and Scope development.

Assessment tTrack IDs OTH028187 Start Date 1Q03 Comp Date 21-Mar-03 Due Date 2Q03 Deliverable RCE Charter template.Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.6 Develop guidance for Improved Extent of Performance 1003 29-Aug-03 3Q03 Improved guidance for Extent of Condition Condition assessment Assessment assessments.

tTMack IDs PCR028386 300380 3009 1 20 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.7 Develop a certification to function as a Root Performance 1003 30-Apr-03 2003 Approved RCE Team Leader Certification Cause Evaluation Team Leader. Assessment Card.tTrack IDs CA028119 Number Action Step IZ Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.8 Revise NMC Fleet CAP procedure to direct the Performance 1Q03 03-Apr-03 2Q03 Revised NMC Fleet CAP procedure.

PU! nIUIII ce U T a K%%V. Tfu any iNdr%%t ill is greater than GREEN.riurng Ulat Assessment tTrack IDs CA027792 Page 109 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step E] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.9 Develop station expectation that RCE Performance 1Q03 12-Jun-03 2Q03 Revised CARB Charter.Management Sponsor provide periodic Assessment progress updates to CARB of an RCE in progress.tTrack IDs CA028121 300270 3009 6 1 300380 3009 1 50 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.10 Develop a standard RCE grading Performance 1Q03 21-Mar-03 2Q03 Documented RCE grading criteria.criteria/checklist for CARB to utilize when Assessment reviewing RCEs.tTrack IDs CA030591 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.11 Assess recent root cause evaluations to verify Performance 1Q03 21-Aug-03 3003 CAP Self Assessment report.that multi-disciplinary teams are being used for Assessment Root Cause Investigations where appropriate.

tTrack IDs EFR028122 ,Resource 1 i6Prsons 1HrdPer PejsoCo e 300380 3009 3 40 Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.12 During 2004 CAP Self Assessmentverifv that 4^n 4 A h... t^A 'f fA 9 f1AMl Q..I5 multi-disciplinary teams are being used for Assessment Root Cause Investigations where appropriate.

tTrack IDs EFR028124 I- Re.sur.ce

1 Persons lirs p ,r pe(o 300380 3005 1 2 40 300380 3009 1 40 Mrw .%AVt%IVIIIIULIuU V-rT QW11 P I IsmeIL IepoIt.(Sustainability Assessment (via PBF-01330 required.)

-- Corie h t , I1 Page 10 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step [Z Commitment OP-10-006.13 Train personnel on equipment root cause Engineering 2003 16-Jun-03 2003 Completed training records or briefing evaluation approach/procedure.

Processes sheets.tTrack IDs OTH029029_u kc -W. avi er' gONJ-: U 300380 3009 1 120 Number Action Step i] Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.14 Establish a conUnuIng/refresher training course Training 2Q03 04-Sep-04 3Q04 Training lesson plan developed.

for Root Cause Evaluators. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030592 300130 3005 1 80 l Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.15 Perform a closeout effectiveness review Performance 1Q05 10-Mar-05 1005 Documented effectiveness review report.(independent assessment).

Assessment (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs EFR055574 CONTPRO 2 40 100000 1000 2 40 300380 3005 1 40 300380 3009 1 40 Number Action Step M Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.15.A Facilitate independent and regulatory reviews. Site VP & ECP 1005 tTrack IDs CA056845 29-Jun-05 3005 Plan closeout package.300290 3008 1 1 T 16 __1_Page 1 11 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.16 Revise PB-ORI-GEN-401L to specifically Performance 4Q04 21-Jan-05 1Q05 Revised Lesson Plan.reference the Excellence Plan and the CAL Assessment commitment requirement.

tTrack IIs CA059824 3003803005 1 20 300380 3009 1 5 Number Action Step EL Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-006.17 Track Implementation of RCE Biennial 4 ,r%=,AIJ AA- AC 41nne fr-inin -- ----rtll lUlllldllCU Refresher Training (Training implemenation of Assessment PB-ORI-GEN-401 L during 1st Quarter 2005).tTrack l3s OTH059821 300130 3006 300380 3005 , uV.uo2-1val-uo I WvIUJ I raImny QLILWUCI I, raJU.EDAA_^ ' -1 1 40 40 z _ q 4-WJ!MAMU

'1, I Page 112 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 2 3C 3B Corrective Action Program (CAP)Operating Experience (OE) Improvement Plan OP-10-010 CAP# 031808 Plan Type Commitment Plan Revision No: 4 Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

Operating Experience (0E) has not been effectively used to prevent events and improve station performance.

1 Expectations have not been communicated or reinforced that OE Is part of our core business.2 QE data is spread between two databases.

3 There Is no procedure for plant personnel to acquire OE, nor any documented expectation for its use.4 The Implementing procedure for processing OE lacks sufficient detail.1 Expectations are clearly communicated.

2 OE is contained within a single database.3 Procedures for acquiring and processing OE are Issued.4 OE data is effectively used to Improve the quality of work.Action Steps: Number Action Step i Commitment 3004 Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.1 Develop and implement a new external Operating Experience Procedure that specifies roles and responsibilities and details of the OE program and process.Performance Assessment 4003 10-Jan-04 1Q04 Approved Procedure. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA029464 , u -wPrsqop i;rV r 0 oiments'300020 3005 1 6 300140 3005 1 20 300160 3004 1 6 300270 3009 1 10 300380 3005 1 120 Page 113 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step Li Commitment OP-10-010.2 Cancel AM 3.13. Performance 4Q03 26-Dec-03 1Q04 Canceled AM 3.13 Assessment tTrack IDs CA030600 V ~__qj*p ~p ip, mf *. Tnm nt 300380 3005 1 20 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.3 Establish Operating Experience Points of Performance 3Q03 29-Jul-03 3Q03 OEPOCs established and briefing Contact (OEPOC) and brief the OEPOCs on Assessment documented.

their duties.tTrack IDs CA030601 30001so0wpe on 'o' i -3 1 '300010 3005 1 5 300020 3005 1 5 300030 3005 1 5 300130 3004 1 5 300140 3005 1 5 300150 3004 1 5 300160 3004 1 5 300170 300415 300210 3004 1 5 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.4 Develop a procedure on the acquisitio expectations for use of OE.n and Performance Assessment tTrack IDs CA029465 4Q03 08-Jan-04 1Q04 Approved Procedure (Sustainability Assessment (via PBF-0133f) required.)

Resq rce P-r- -r -sp 40 ji ~ -' ~ -'- >,ontinen~ts

"'662LTECH 1 40 300380 3005 1 40 Page 114 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step II Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.5 Once established, the OEPOC will conduct a briefing for their respective groups on the OE action plan and the role of the OEPOC.Performance Assessment 3Q03 19-Aug-03 3003 Briefing documented.

tTrack IDs CA031759 u _ons "rsjrq qme-m -r--=--300010 3005 1 5 300020 3005 1 5 300030 3005 1 5 300130 3004 1 5 300140 3005 1 5 300150 3004 1 5 300160 3004 1 5 300170 3004 1 5 300210 3004 1 5 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.6 Conduct an assessment of the use of Maintenance 2003 13-Aug-03 3Q03 Copy of the Assessment Report.Operating Experience in the development of Programs &Maintenance work plans. Facilities tTrack IDs CA030602'Resourc # Pjersons 'll i Perf-p i 300050 3009 3 8 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.7 Revise NP 10.2.1. 10.2.2 and 10.2.4 to reaulre Dr-4-..4i, .2nnw Vs1. In- onA 4 lflA D.r. -1 i NP 4n 9 4ID4f%) 1 planners to search for and use OE in the work plans.Planning Q%.IuI oldll- I4W IO .. -4 .- ., -.--, NP10.2.4 tTrack IDs CA030603 300040 s-ns 3H0s0 Pe1 9 300040 3004 1 1 90 1 Page 115 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step Li Commitment ate Comp Date Due Date Deliverable OP-10-010.8 Brief the planners on the new standards for Maintenance 1Q04 21-Jan-04 1Q04 Briefing documented.

work packages.

Programs &Facilities tTrack IDs CA030604 300050 3005 1 8 Number Action Step U Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.9 Develop an OE website. Performance 3003 24-Mar-04 1Q04 Accessible OE web page Assessment tTrack IDs OTH028689!"d OqrQns, OM OT 4 MA 662LTECH 1 90 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.10 Implement a structured process for acquiring Performance 4003 07-Jan-04 1Q04 Documented procedure or guideline.

and disseminating OE for major work week Assessment activities.

tTrack IDs CA030605 I sr, # I' Permso s r RPArY f soia g l 3003803005 1 5 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.11 Assess the effectiveness of the use of OE at Performance 1 Q04 10-Jan-04 1Q04 Documented assessment the DPM and POD. Ac........t tTrack IDs CA030606-Be s o u r c e 1 .I*F 1 m 300380 3005 1 40 Page II6 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step Fj Commitment OP-10-010.12 Improve the software interface to INPO Business Irr 3Q03 25-Nov-03 4003 Completed Software Work Request.newsgroups.

Support &Infrastructures tTrack IDs CA030607 o'-^esqUrc MTQfnA --ets 1 300220 3008 1 60 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.13 Conduct an assessment of the use of Maintenance 2Q03 12-Aug-03 3Q03 Assessment report Operating Experience In the conduct of Programs &Maintenance pre-job briefings.

Facilities tTrack IDs CA030608[ l e u pp #Perso 3000503009 3 8 Number Action Step Z Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.14 Develop and implement procedural guidance to Performance 4Q03 08-Jan-04 1Q04 Revised procedure.

ensure that significant SOERs are living Assessment documents that are systematically revisited.

tTrack iDs CA030610 , e Prs, .Hrs Per P&e qIp I ' ' Co.npments 300380 3005 1 40 Number Action Step iJ Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.15 Eliminate the use of two different databases for Performance 2003 03-Sep-03 3Q03 Open OE Is available in t-Track.the tracking of OE. Assessment (Sustainability Assessment (via PBF-0133fl required.)

tTrack IDs CA030611 300220 3008 1 120 300380 3005 1 40 Page 1 17 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step LI Commitment ate Comp Date Due Date Deliverable OP-10-010.16 Develop and implement a communication plan. Performance 4003 10-Dec-03 4003 Documented Communication Plan.Assessment tTrack IDs CA030612 3003803005 1 25 Number Action Step Fj Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.17 Generate a Request for Training (RFT) to Performance 1004 08-Jan-04 1004 Completed RFT.evaluate OEPOC training and end user training.

Assessment tTrack IDs CA030613 300380 3005 1 5 Number Action Step F] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.18 Revise the fleet OE procedure to strengthen Performance 4Q03 17-Dec-03 4003 Revised procedure.

the guidance on when to send OE out to the Assessment Industry.tTrack IDs CA030614 300380 3005 1 5 Number Action Step i Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.19 Conduct an effectiveness review. Performance 2Q04 25-Jun-04 2004 Documented effectiveness review.Assessment (Sustainabilit Assessment (via PBF-01 33fl required.)

tTrack IDs CA030615 300380 3005 1 3 1 40 l Page 118 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step 2 Commitment ate Comp Date Due Date Deliverable OP-10-010.19.A Facilitate independent and regulatory reviews. Site VP & ECP 3Q04 30-Jul-04 3Q04 Plan closeout package for Step 19.tTrack IDs CA056846 300290 3008 1 16 _I Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.20 Develop a performance indicator which Performance 4003 08-Jan-04 1004 Documented performance indicator and measures evaluation quality. Assessment requirements for monitoring.

tTrack iDs CA031912 300380 3005 1 20 Number Action Step 6j Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.21 Determine Improvements required for the OE Performance 1 Q04 17-Feb-04 1Q04 Completed condition evaluation and disseminated through the POD. Assessment submitted form PBF-0133b to ensure followup actions to this plan occur, if required. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CE012966 300380 3005 1 T 20 Number Action Step ij Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.22 Implement a new electronic method for access of OE for prejob briefs for Maintenance.

Maintenance Services 1004 02-Nov-04 4Q04 Documentation of Maintenance use of OE during pre-job briefs. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA032717 3000203008 1 80 3000503009 1 120 300220 3008 1 80 300380 3005 1 80 Page 1 9 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step i Commitment 1Q05 ate Comp Date Due Date Deliverable OP-10-010.23 Perform an effectiveness review of the implementation of CA032717 within the Maintenance organization as well as effectiveness of this plan.Performance Assessment 1005 28-Jan-05 1Q05 Documented effectiveness review.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs EFR055188 r , r _0000 2 40 300020 3008 1 40 300050 3009 1 40 300380 3005 1 60 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.24 Revise NP 5.3.11 to ensure that-Topical OE Is presented to the Managers at the POD.-Job specific OE Is presented prior to the E-5 meeting.-The format for Job specific OE Includes a section on broader applicability.

Performance Assessment 1004 20-May-04 2Q04 Revised NP 5.3.11.tTrack IDs CA055836 30038 305 1 2 0 300380 3005 I 1 1 20 l Number Action Step El Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.25 Communicate expectations and requirements Performance of the Operating Experience Program. Assessment tTrack IDs CA059475 3004 01-Dec-04 4004 At least four articles published in PBNP newsletter (NMC Today for PBNP).300380300 1 -1 300380 3005-1 1 1 12 1 Page 120 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.26 Implement NMC FP-PA-OE-01 Revision 2 at Performance 3Q04 29-Dec-04 4Q04 NP 5.3.2 Revision 14 issued.PBNP as NP 5.3.2 Revision 14. Assessment tTrack IDs OTH058595 660LCLER 1 12 300380 3005 1 4 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.27 Select individuals to develop and input pre-job Maintenance 2Q05 16-Jun-05 2005 Documented personnel assigned for the briefs for the outstanding maintenance Services input project.procedures and periodic callups (initially, a minimum of one each from EM / MM / iCM).tTrack IDs CA063322 t ! ~ D e m fns H 3 P ~ x n ;i ! 6 b mvir ~ -f l j -i 300100 3005 1 5 1 Number Action Step ai Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.28 Identify individual training needs for the Maintenance 2Q05 16-Jun-05 2Q05 Documentd training needs for those selected Individuals and provide the required Services individuals named in OP-10-010.27.

training/mentoring needed for database access (pre-job brief database, CHAMPS, EDMS, INPO OE website) and input tTrack IDs CA063323 300100 3005 1 6 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-010.29 Establish work off curves and initiate t-Track A-t-no-r-

---I. ... I% inns1: WAI. L ff r. .Ne- --. A + -If- -action items to monitor and track the progress of the input to the pre-job brief database.IVICU ILVI I05%ll Services r-%ua.IVn-JuIIJ swum.vacIon s, as nueVeI de IId W Up l- l .t actions, as needed.tTrack iDs CA063324 300100 3005 1 30 Page 121 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D.Revision 7 Number Action Step L Commitment ate Comp Date Due Date Deliverable OP-10-010.30 Populate the pre-job database with the commonly used maintenance work documents (technical maintenance procedures and preventative maintenance callups).Maintenance Services 2005 31-Aug-05 3Q05 Documented listing of populated database.tTrack IDs CA063325-655LI¢ 1id 700 655LELEC 1 870 655LINST 1700 655LMECH 1 640 300100 3005 1 40 Page 122 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 23C6C CAP # 033342 Plan Type Commitment Plan Revision No: 3 Plan Status In Closure Corrective Action Program (CAP)Improve Effectiveness of Self Assessments OP-10-011 Problem Statement:

Causal Factors: Obiectives:

Important elements of the continuous performance improvement process are not effective in driving needed station improvement.

I Benchmarking has been over-reliant on informal comparisons with other NMC facilities.

2 Management and group observations are fragmented and not analyzed to detect or prevent adverse trends.3 Self-assessments are often not performed as scheduled and do not take full advantage of Industry peers.I Benchmarking is conducted in formal, systematic methods against industry performance.

2 Data from the job observation program is analyzed and disseminated to detect and prevent adverse trends.3 Quality, focused self-assessments are routinely conducted.

Action Steps: Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.1 Create a change management plan to Performance 3003 13-Oct-03 4Q03 Approved Change Management Plan.implement this plan. Assessment tTrack IDs CA030617 300380 3005 1 20 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.2 Validate the scope of this action plan by conducting a self assessment of our continuous improvement efforts.Performance Assessment 3Q03 11-Aug-03 3Q03 Documented assessment report.tTrack IDs CA030075 3. 0 3005 4 0 300140 3007 1 1 40 300380 3005 1 40 Page 123 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step 2 Commitment ate Comp Date Due Date Deliverable OP-10-011.2.A Following validation of the scope, revise this Performance 3Q03 11 -Aug-03 3Q03 Revised action plan if required.action plan if appropriate.

Assessment tTrack IDs CA030075 300380 3005 1 10 Number Action Step ZJ Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.3 Improve the job observation process. Performance 2Q03 14-May-04 2Q04 No deliverable required.

This is a high Assessment level step to capture action steps associated with Job Observation Process Improvements.

tTrack ID See Substeps Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.3.A Delete NP 13.3.1. Performance 3003 26-Nov-03 4003 NP 13.3.1 deleted.Assessment tTrack IDs CA028604 rs9ns-r mf 300380 3005 1 10 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.3.B Delete NP 13.2.1. Performance 3Q03 26-Nov-03 4003 NP 13.2.1 deleted.Assessment tTrack IDs CA030618 308esou3c0 1 #Ntsns T 10 I I 300380 3005 1 10 Page 124 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D;Revision 7 Number Action Step a Commitment ate Comp Date Due Date Deliverable OP-10-011.3.C Implement PACE database for job observation processes.

Specific details are documented in Change Management Plan 2003-10.Performance Assessment 2Q03 23-Oct-03 4003 Useable common database on PBNP LAN.tTrack IDs CA028603 300 10 3 0 5 1 4l 300010 3005 1407 300020 3007 1 40 300030 3005 1 40 300050 3005 1 40 300220 3008 1 40 300380 3005 1 40 Number Action Step R Commitment 4Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.3.D Perform an effectiveness review of site Performance 1Q04 14-May-04 2004 Documented effectiveness review.leadership observation programs.

Assessment (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA028467 0000 120 300380 3005 1 40 Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.3.E Develop Change Management Plan for PACE nevVn Ar t'-- -n-- ---------implementation.

Assessment tTrack IDs CA030227 zWVQ l.-OupuVa v3WU0 Pppovea Change Management Plan.T .- ...I .. I II .-HOOL0.0 0 rwsns h5 pr rerQn M5inqmm "en 300220 3008 i 40 300380 3005 1 40 Page 125 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step F Commitment ate Comp Date Due Date Deliverable OP-10-011.3.F Issue Point Beach Site Observation Program. Performance 4Q03 26-Nov-03 4003 NP 13.6.1 issued. NP shall include a NP 13.6.1. Assessment definition of standards, expectations, trending, and reporting of observations.

tTrack IDs CA052990 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP--10-011.4 Improve the benchmarking process. Performance 2Q03 14-May-04 2Q04 No deliverable required.

This Is a high Assessment level step to capture action steps associated with Benchmarking Process Improvements.

tTrack IDs See Substeps Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.4.A Develop a benchmarking procedure.

Performance 4003 07-Jan-04 1Q04 Issued procedure.

Assessment tTrack IDs CA028607 300380 3005 1 10 Number Action Step I Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.4.B Develop a performance indicator for benchmarking.

Performance Assessment tTrack IDs CA030619 4Q03 07-Jan-04 1Q04 Approved Performance Indicator.

F 1 , ._ .300380 3005 1 1 1 10 Page 126 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step i Commitment 4004 OP-10-011.4.C Perform benchmarking effectiveness review. Performance 2Q03 07-Jul-04 3004 Documented effectiveness review.Assessment (Sustainability Assessment (via PBF-0133f required.)

tTrack IDs CA028465 0000 120 300380 3005 1 40 Number Action Step [1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.4.D Revise NP 13.1.1 to eliminate requirement for Performance 2Q03 12-Feb-04 2Q04 NP 13.1.1 revision trip report for benchmarking since Assessment benchmarking report Is required.tTrack IDs CA030621 300380 3005 1 10 Number Action Step I1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.5 Improve the focused self assessment process. Performance 2Q03 13-May-04 2004 No deliverable required.

This is a high Assessment level step to capture action steps associated with Self Assessment Process Improvements.

tTrack IDs See Substeps Number Action Step i6 Commitment 4Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.5.A Revise NP 13.1.1 to include additional detail on Performance 4Q03 13-Feb-04 1Q04 NP 13.1.1 revision. (Sustainability the conduct of self assessments.

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=eSmWllv IVIlI r-DrwU-V ,~3lu rquilm.)tTrack IDs CA028605 300380 3005 1 40 Page 127 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step R Commitment 4004 OP-10-011.5.B Revise AM 3-6 to reflect changes to PB self- Performance 2Q03 07-Apr-04 2Q04 AM 3-6 revision if needed. (Sustainability assessment philosophy, if needed. Assessment Assessment (via PBF-0133fl required.)

tTrack IDs CA030622# PerO pT H s, Per PloDS C rfl; _66OLCLER 1 5 300380 3005 1 20 =300380 3009 1 10 Number Action Step :7 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.5.C Implement NMC SnapShot self-assessment Performance 2Q03 16-Jul-03 3Q03 Procedure issued for performing snapshot process. Assessment self-assessments.

tTrack IDs CA030623 300380 3005 1 20 Number Action Step J Commitment 4Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.5.D Proceduralize PB Quarterly Effectiveness Performance 4Q03 14-Apr-04 2Q04 Procedure issued for performing quarterly Review guideline.

Assessment effectiveness reviews. (Sustainability Assessment (via PBF-0133fl required.)

tTrack IDs CA030626-m Perans r Per eisOn 66OLCLER 5 300380 3005 40 300380 3009 1 10 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.5.E Reinforce procedural requirements for self Performance 2Q03 28-Jul-03 3Q03 Memo issued.assessments.

Assessment tTrack IDs CA030627_.... -..,, -1. ._..B M #Pk~ersqns llras Per Pe espn, 300380 3005 1 1 20 -I Aorn~MMnAtPs Page 128 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step i Commitment 4004 OP-10-011.5.F Develop a process for site leadership review of Performance 1Q04 13-May-04 2004 Documented process. (Sustainability completed self-assessments.

Assessment Assessment (via PBF-0133f) required.)

tTrack IDs CA030635+uesu;9S1l.

Apr%~~~qrpB~

prll l -i 3 0 0 3 8 0 3 0 0 5 2 60 1 300380 3009 1 20 Number Action Step I Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.6 Maintenance Self Assessment improvements.

Maintenance 1Q03 10-Dec-03 4Q03 No deliverable required.

This isa high level step to capture action steps associated with Maintenance Self Assessment Improvements.

tTrack IDs See Substeps Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.6.A Assign a Maintenance Self-Assessment Maintenance 2Q03 16-Jun-03 2Q03 A copy of the notification to the Individual Coordinator Programs & assigned and to the organization, which Facilities Identifies the reporting relationships, and the roles and responsibilities of the Coordinator.

tTrack IDs CA030628 Peoj00 .# e-ns 7 P , 300050 3009 1 4 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.6.B Establish and publish the criteria for selecting Maintenance 2Q03 26-Jun-03 2Q03 Copy of the selection criteria.topics for Maintenance Self-Assessments.

Prnoomms &Facilities tTrack IDs CA030629 300050 30 9 1 6 I 300050 3009 1 1 _6..Page 129 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.6.C Incorporate the Maintenance Self-Assessment Maintenance 3Q03 10-Dec-03 4003 Copy of the applicable section(s) of the Program in the Conduct of Maintenance Conduct of Maintenance Manual".Manual.tTrack IDs CA030630[-- qr0lo.- --l# e o s -7 XlpepNA9I frD 300050 3009 1 8 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.6.D Establish a three year Maintenance Self- Maintenance 2Q03 08-Jul-03 3Q03 Copy of the Plan and Schedule.Assessment Plan and Schedule.

Programs &Facilities tTrack IDs CA030632--->a-lr ~ ~ ~ --- -------ts1 oita5 e 300050 3009 1 6 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.6.E Integrate results of Self Assessments into the Maintenance 3Q03 10-Dec-03 4Q03 A copy of the applicable section(s) of the Maintenance Quarterly Reports (QER) and 'Conduct of Maintenance Manual'.ensure that the QER are used to refine the assessment plan and schedule.

Indude this in the Conduct of Maintenance Manual.tTrack IDs CA030634 fipsos ,r* Per Perpon----

-_0offinnti I 300050 3009 1 8 Number Action Step i Commitment 4Q04 Owner Group Start Date Comp Date Due Date Deliverable OP--10-011.7 Implement a site wide integrated assessment Nuclear 1003 06-Aug-04 3004 Process implemented as required by OR-reporting process. Oversight 02-001.6. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030273 Page 130 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step E] Commitment 4Q04 Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.8 Establish an expectation that managers review Plant Manager 1Q03 03-Apr-03 2Q03 Plant Manager expectations conveyed at the key performance indicators with their POD and 2C's meetings. (Sustainability departments on a monthly basis. Assessment (via PBF-0133f) required.)

tTrack IDs CA028606 Number Action Step 0 Commitment 4004 Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.9 Conduct an Effectiveness Review (EFR) of the Performance 4004 15-Nov-04 4Q04 Completed Effectiveness Review (EFR)continuous performance improvement process. Assessment report. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs EFR030637 0000 2 40 300380 3005 2 60 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.10 Establish a process whereby performance Performance 3Q04 25-Aug-04 3Q04 Documented process for performance Indicators relevant to each department are Assessment Indicator review by department.

routinely reviewed by the departmental staffs.tTrack IDs CA055887 E- R e o r c D P e o n i e e P r n jQ J 1 8 f t S I~300380 3005 1 40 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.11 Implement recommended actions required to ..^. .. -. -AA .l -improve benchmarking effectiveness.

Assessment JWW 1 4Q(;I-WJ 4UQt P4O UtiliVraduti (qUircu. I I lI IS d 11Ign level step to capture action steps associated with benchmarking improvements.

tTrack IDs See Substeps Page 131 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step L1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.11.A Communicate benchmarking program Performance 3Q04 13-Oct-04 4004 PBNP newsletter article addressing standards and expectations.

Assessment benchmarking program standards and expectations.

tTrack IDs CA058402 f~ ~ ~ ~~ ~P P*UiFl !;iflerso'ns In% ii ~ F i ;t 300380 3005 1 4 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-011.11.B Chemistry, Nuclear Oversight, Radiation -F- -IfnnA 4A t-nA AfIl nniA f (f Ph-kint KI-.- vr-inhf Protection, and Regulatory Affairs Departments complete approval and distribution of their 2004 Benchmark Plans in accordance with NP 13.7.1.Assessment il\AVw I V9t "\AU, Radiation Protection, and Regulatory Affairs Departments 2004 benchmark plans with approval signature from Site Vice President (or designee).

tTrack IIs CA058403 1 300380 3005 1 1 P z 11 jIo_ 8 1 1 Page 132 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority I 3C 3B Corrective Action Program (CAP)Resolution of 2003 CAP Self Assessment Areas for Improvement OP-10-013 CAP # 034277 Plan Type Commitment Plan Revision No: I Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

Action Steps: The Point Beach Corrective Action Program has several areas for Improvement.

1 A self-assessment was conducted in July 2003 to gauge progress in CAP improvement efforts and to Identify where further improvements could be made. Several Issues were Identified that require further assessment and action.1 Self-assessment of the PBNP CAP Program (SA-CAP-2003-01) comments/observations have been resolved.Number Action Step R Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.1 Determine how to improve the CAP Screening Performance 3003 27-Aug-03 3003 Completed Condition Evaluation and Team's Significance Level determination during Assessment referenced corrective actions.screening of CAPs to ensure Conditions Adverse to Quality are appropriately identified.

tTrack lDs CE012024 300380 3009 1 30 l Number Action Step : Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.2 Determine how to ensure that CAPs for Par- --:3nrn 'M A.-. f on )2rflI2 P..l ---1-.-A I..#.Maintenance Rule systems declining to a(1)status receive the appropriate causal determination to satisfy NUMARC 93-01 requirements.

Assessment.JWu owVt-uv, uv relelplnedu crUecIIe cvaluco llun s u referenced corrective actions.tTrack IDs CE012025 ReosQou r:e , #Wersons Hrs 1Pe1rPemrsop

-r-qmments 300380 3009 1 2 1 40 Page 133 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.3 The RCE threshold of the CAP Screening Performance 3Q03 28-Aug-03 3Q03 Completed Condition Evaluation and Team appears to be too high; detemnine how to Assessment referenced corrective actions.improve performance in this area.tTrack iDs CE012027 l-- e-so u e -l -#P erso ns HIS -~ P5 r V e jg [ 7 7 7 t s -;300380 3009 2 40 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.4 Determine how to ensure that human Performance 3Q03 30-Aug-03 3Q03 Completed Condition Evaluation and performance issues are evaluated and Assessment referenced corrective actions.addressed by the Human Performance program.tTrack IDs CE012028 300380 3009 2 20 Number Action Step EI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.5 Determine how to Improve station compliance Performance 3Q03 27-Aug-03 3Q03 Completed Condition Evaluation and with CAP process requirements (e.g. due date Assessment referenced corrective actions.and priority assignments, due date extensions).

tTrack IDs CE012029#,sou~ P#reson~s

}tr P~~mer Pr~ersn} CQrmmn1p 300380 3009 2 30 Number Action Step al Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.6 Determine how to ensure Effectiveness 2r%.A r w n- A..-. nA 1 -4 ; e Reviews are consistently performed and they make a conclusion regarding the effectiveness of corrective actions.Assessment.jWuo 41 t cuv-vg 1%dV I-VomIpI0IM

%oVIIUILIVI QVdIUd1IVTn danU referenced corrective actions.tTrack IDs CE012030 300380 3009 1 '- Per ' Pr t 30 lmments 300380 3009 2 1 30 1 Page 134 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Revision 7 Plans with Commitments Number Action Step Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.7 Determine how to improve the timely Performance 3Q03 29-Aug-03 3Q03 Completed Condition Evaluation and completion of ACE Quality Grading. Assessment referenced corrective actions.tTrack IDs CE012031 300380 3009 2 40 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.8 Determine how to improve feedback to CAP Performance 3Qo3 28-Aug-03 3Q03 Completed Condition Evaluation and Initiators for ARs that are dosed to trend. Assessment referenced corrective actions.tTrack IDs CE012026 300380 3009 2 40 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.9 Hold a joint workshop with the prescreeners Performance 3Q03 09-Oct-03 4Q03 Documented workshop attendance sheet (CAP Liaisons) and the Plant Managers Assessment and agenda.Screen Team and go over requirements and definitions.

tTrack IDs OTH033103 300380 3009 1 20 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.10 Align NP 7.7.5 with NUMARC 93-01 and NP 5.3.1 to include the 'cause determination of appropriate depth' and Identify any corrective action to predude recurrence' requirements of NUMARC 93-01 regarding each move of a Maintenance Rule system from a(2) to a(1)status.Engineering Programs -Long Term Programs 4Q03 08-Jan-04 1Q04 Revised NP 7.7.5 procedure.

tTrack IDs CA051898 300160 3009 1 1 40 Page 135 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step E] Commitment ate Comp Date Due Date Deliverable OP-10-013.11 Formalize the practice of Iniating a root cause Performance 3003 01-Oct-03 4Q03 Documented memo from Screen Team evaluation for all Level A Issues, until Assessment Chair.documented justification for non-performance Is approved by the Screen Team or the CARB.tTrack IDs OTH051851 300380 3009 1 30 Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.12 Document the CAP program expectations into Performance 3Q03 30-Apr-04 2Q04 Approved 'talking point' document and a 'talking point" format for Managers and Assessment action items assigned to appropriate work Supervisors to utilize as group discussion Item. groups.tTrack IDs CA032851 300010 3005 1 2 300020 3005 1 2 300030 3005 1 2 300130 3004 1 2 300140 3005 1 2 300150 3004 1 2 300160 3004 1 2 300170 3004 1 2 300210 3004 1 2 300380 3005 1 45 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.13 Standardized Effectiveness Review Format for Perform Root Cause Evaluations

-A "draft Assessr Effectiveness Review format has been developed at Point Beach. This format should be presented to the NMC CAP Peer Team for revision and formal adoption by the NMC Fleet.tTrack IDs CA032845 ance nent 3Q03 28-Oct-03 1Q04 Revised NMC Fleet procedure or guide.[ ej me PeIrIsIns In -HfrPB [ ';Q tsj-neis -1 300380 3009 2 1 45 Page 136 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.14 The group heads for those groups with multiple ACEs awaiting grading for greater than 30 days determine how their department is to maintain ACE grading up-to-date and their plan to bring the current backlog up-to-date.

Performance Assessment 3003 28-Oct-03 4003 Documented plans for maintaining ACE grading up-to-date for Engineering, Business, Maintenance, Production Planning, Performance Assessment, and Radiation Protection.

tTrack IDs CA051877, CA051878, CA051879, CA051880, CA051884, CA051888 303 300,rT9 1 20ef ej e -300030 3009 1 20 300040 3009 1 20 300050 3009 1 20 300160 3009 1 20 300210 3009 1 20 300380 3009 120 Number Action Step C Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-10-013.15 Perform a random sampling of CAPs dosed with no action, and feedback desired by the initiator to evaluate the effectiveness of the current process of assigning a person to give face-to-face feedback at the morning managers Screen Team meeting.Recommend a look back of approximately 3 to 4 months.Performance Assessment 3Q03 30-Sep-03 4Q03 Documented survey/sample results.tTrack IDs OTH051850 300380 3009 1 1 20 Page 137 of 188 Effective Date 9/29/2005 Number OP-10-013.16 Action Step id Commitment 3Q04 As part of the self assessment in preparation for the P&IR Inspection, determine whether the actions taken as part of this plan have been effective.

Assessment to Include an independent review.PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 ate Comp Date Due Date Deliverable Performance Assessment 2Q04 03-Aug-04 3Q04 Completed self assessment report.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs SA055575-j 2 #Fecp:na l- Hr --, CONTPRO 2 40 300380 3005 1 40 300380 3009 I 3 I 40 l C-no-mwment

==Number OP-10-013.16.A Action Step rI Commitment Owner Group Start Date Comp Date Facilitate independent and regulatory reviews. Site VP & ECP 3Q04 25-Aug-04 tTrack IDs CA056847 300290 3008 1 16 Due Date Deliverable 3004 Plan closeout package.X:121.19M I4 Page 138 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 1 3C 3B Configuration Management (CM)Improve the Configuration Management Program OP-14-001 CAP# 033370 Plan Type Commitment Plan Revision No: 2 Plan Status Open Problem Statement:

Causal Factors: Obiectives:

Sufficient engineering resources were not dedicated to updating the plant configuration documentation.

1 Lack of focus and ownership of configuration management processes.

I The configuration Management Group is staffed.2 NMC Fleet modification closeout standards are Implemented.

3 Configuration Management Program guidelines and procedures to improve configuration management are Issued.4 Reduce the backlog of modifications that have been in closeout greater than 90 days since acceptance.

Action Steps: Number Action Step l Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.1 Select design supervisor for new configuration Engineering 2Q03 23-May-03 2Q03 Organization Chart showing K. Holt as management group. Design Engineering Design Configuration Management Supervisor.

tTrack IDs CA030736 Number Action Step Ej Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.2 Develop Charter for new Configuration Engineering 2Q03 06-Jun-03 2Q03 Completed charter document.Management Group. Design Configuration Management (and Q-List Items)tTrack IDs CA030736 Page 139 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step Li Commitment OP-14-001.3 Perform initial scope review of outstanding Engineering 2Q03 06-Jun-03 3Q03 Document findings of scope review.issues Design tTrack lDs CA030739 300170 3005 1 I 16 T Number Action Step [] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.4 Perform benchmarking trip of industry leader. Engineering 2003 27-Mar-03 1Q03 Benchmarking Trip report, CAP032374.

Design Configuration Management (and Q-LIst Items)tTrack IDs CA030790 Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.5 Benchmark NMC Fleet processes.

Engineering 2Q03 18-Sep-03 3Q03 Benchmarking report.Design Configuration Management (and 0-List items)tTrack IDs CA030740, CA030790[$7-BQ EIP.Q1 ' j C #ofl fQiI n m 1 300170 3005 2 16 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.6 Finalize scope of program. Engineering 3Q03 01-Oct-03 4Q03 Issue scope document Design tTrack IDs CA030743 L esource --tpoWns -] rH Per pxon-300170 3009 1 l 40 r__1= =.,1__ __=._, ,>E .: s oL E Er S _. .e .................................................................. _ .. wR 4 .. s -Uiomimenltp A Page 140 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliver Revision 7 Number Action Step 21 Commitment able OP-14-001.7 Finalize Resource requirements.

Engineering 3Qo3 01-Oct-03 4003 Documented staffing requirements.

Design tTrack IDs CA030743 300170 3009 1 8 Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.8 Obtain funding approval.

Engineering 2Q04 25-Jun-04 3Q04 Funding approval obtained.Design tTrack IDs CA030745 300170 3005 1 16 Number Action Step 1a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.9 Complete staffing additional FTEs (Objective 1). Engineering 2Q04 25-Jan-05 1Q05 Organization Chart depicting assignment of Design Indivduals to CM group.tTrack IDs CA030746 9r *PerIq ns m Per PwiMn J Cpwmv h-l 300170 3005 2 24 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.10 Implement Configuration Management Engineering 1Q04 30-Jan-04 1Q04 CM Program Document.Program that addresses CM process Design weaknesses, group functions and Interfaces.

tTrack IDs CA032094 3130esource-1 4P0erons iPePerxsr 1pmmei3 i 300170 3005 1 40 i Page 141 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.11 Implement fleet standards for modification closeout (Objective 2).Engineering Design 2Q04 16-May-04 2Q04 Established time limit for closeout.Revised design change procedure.

Established performance indicator in monthly Management Review Mtg.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030747[-B 7ouPI 'NO-er-ons

PirP = m-- ---'300170 3005 l 1 24 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.11 .A Reduce number of modifications not meeting.the 90 day closeout requirement to 20 or less.Engineering Design Configuration Management (and Q-List Items)2Q04 30-Mar-05 2Q05 List of modifications not meeting the 90 day closeout requirement. (Sustainability Assessment (via PBF-01330 required.)

tTrack IDs CA055681 r7 .IP# fY1 r~so -f~p~rhsfT'W

-300170 3004 1 8 P l rye!5 80 1 ---300170 3005 1 40 l Number Action Step Pi Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.12 Interim Effectiveness Review (EFR).Engineering Design 2Q04 20-May-04 2004 Documented Effectiveness Review (EFR).(Sustainability Assessment (via PBF-0133f) required.)

tTrack 10s EFR030748~~~~.. ..B.,. .I lQ1M0'Usource.

Pr.ons l t k s , rer J e , -, itnnts 300170 3005 1 24 300170 3009 1 24 Page 142 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step F1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.13 Identify all procedures and processes affecting Engineering 2Q03 23-Oct-03 4003 List of procedures and processes needing configuration management and design Design revision.documentation.

tTrack IDs CA030791 300170 3005 1 40 300170 3009 1 40 Number Action Step [] Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.14 Identify resources and scope necessary to Engineering 3Q03 04-Dec-03 4003 List of resources and scope.revise and develop procedures.

Design tTrack IDs CA030794 300170 3005 n1 1 16 l l 300170 3009 1 16 Number Action Step Pi Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.15 DeveloD specific Derformance indicators.

4 FC41 A- fZ n enn standards, or health reports for design engineering programs including calculations, set point control, vendor manuals, and piping analysis.Design I %AUj IVU-MdQ -U~J I %WU;;rUI~llidlWIlUI.dWI:Q biPWI=UdlU>

WI health reports implemented. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030795 BesQu.rP 1I-er1o1s Iirs eP1ersI --1w!wienM -I CONTSRVS 2 80 300170 3005 1 40 Page 143 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.16 Based upon Identified scope and resources, Engineering 1Q06 3Q06 Issued new/revised procedures.

revise and develop procedures.

Design tTrack IDs CA030796 9 1 er3 n, ----r-- -1 I .gw71n nI CONTSRVS 2 320 300170 3004 1 160 300170 3005 1 160 Number Action Step i9 Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.16.A Perform a progress review of step OP Engineering 3Q04 19-May-05 2Q05 Completed progress review. (Sustainability 001.16. Design Assessment (via PBF-0133f) required.)

Configuration Management (and Q-List Items)tTrack iDs CA055682 300170 3004 1 24 l 300170 3005 1 24 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-001.17 Final Effectiveness Review (EFR). Engineering 3Q06 3Q06 Documented Effectiveness Review (EFR).Design tTrack IDs EFR030798__ -,- ., _ _ ... ....... _.. i. -. ..- -. .. -, 0nmesourej I 1 ' Prrsons lr 1 pPeorm l2fommen~

I t I I .1 300170 3005 1 24 300170 3009 1 24 Page 144 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 1 3C3B Configuration Management (CM)Validate Design Bases for High Risk Systems OP-14-003 CAP# 033378 Plan Type Commitment Plan Revision No: 3 Plan Status Open Problem Statement:

Causal Factors: Oblectives:

Design Basis documents need to be updated to reflect the current plant configuration.

I Management oversight of the DBD program was not sufficient.

2 Some of the original plant setpoint analysis are not well documented.

I Design Basis Documents (DBDs) for the following high risk significant systems are updated and validated:

Auxiliary Feedwater, Service Water, Fire Protection, Emergency Diesel Generators, Component Cooling, 480V, and 13.8KV.Action Steps: Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-003.1 Select 5 to 8 of the most risk significant system Engineering 2Q03 22-May-03 2Q03 List of Selected DBD's DBDs, (this will cover systems that have 50 to Design 80% of the CDF). The following seven systems Configuration were selected:

AF, SW, FP, DG, CC, 480V, Management and 13.8KV. (and Q-List Items)tTrack IDs CA030767 Number Action Step R Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-003.2 Assign ownership to the selected DBD's within Fn1.. .,ronL A et --n .n- Akn --A Design Engineering.

Design I IJUI-U,5 4*WU cuouuI dLJWr1piinr1UU Via Sufln fian ltep OP-14-002.2.

This item dosed to avoid duplication.

tTrack IDs N/A Page 145 of 188 Effective Date 9/29/2005 Number OP-14-003.3 Action Step i Commitment 2Q05 Revise and implement NP 7.7.3, 'Design Basis Document Creation, Revision, and Maintenance' and DG-G10, 'Design Basis Document Writer's Guide" to support validation and streamlining of the subject DBD's.tTrack ID PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 ate Comp Date Due Date Deliverable Engineering Design Configuration Management (and 0-List items)is CA051894 2Q03 09-Nov-04 4004 Issuance of NP 7.7.3 and DG-G10 (SustaInability Assessment (via PBF-0133f) required.)

CONTSRVS 2160 Contract Services 300170 3005 .1 80 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-003.4 Issue validation plan and process for Engineering 2Q03 24-Mar-05 1Q05 Validation Guideline (Sustainability performing validation, performing revisions, and Design Assessment (via PBF-0133f) required.)

identifying open items and entering them Into Configuration the CAP system. Management (and Q-Ust Items)tTrack IDs CA030768 300170 3005 2 40 Number Action Step 63 Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-14-003.5 Develop resource requirements and milestone C.-I-A.- sfAA 47K1k...AA AsnsA nf. .....f -h.IA S.inndHili4 schedule based on completion of work within a 2 year Interval.Design~W ,,-1u-w -W., Assessment (via PBF-01330 required.)

tTrack IDs CA030769 30s.0u170 30Persons r 1 t eresoii .A 300170 3005 1 16 lPage 146 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step I] Commitment OP-14-003.6 Complete validation of EDG, 13.8 KV, VAC and CC System DBDs.A, 480 Engineering 1Q05 Design Configuration Management (and Q-List items)tTrack IDs CA030770 3Q06 Updated Validated DBDs aI l TI --I w -.nf7 -.I. siur"l .Yr~tssr usrs P- 5oUzts 649LCLER 1 200 CONTPRO 3 725 300170 3004 2 600 300170 3005 j 1 480 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-003.6.A Complete validation for Auxiliary Feedwater, Engineering 2004 26-May-05 2005 Completed progress review. (Sustainability Service Water, and Fire Protection.

Perform a Design Assessment (via PBF-0133f) required.)

progress review, validate schedule and quality Configuration of completed work. Management (and Q-List Items)tTrack IDs CA055683 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-003.6.B Complete validation for AFW. Engineering 2Q04 30-Sep-04 3Q04 Updated and validated DBD for AFW.Design Configuration Management (and Q-List items)tTrack IDs CA056772 Page 147 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step DI Commitment OP-14-003.6.C Complete validation of SW and FP. Engineering 3004 30-Jun-05 2005 Updated and validated DBD for SW and Design FP.tTrack IDs CA056773 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-003.7 Effectiveness Review. Establish perodicDBD Engineering 3Q06 4006 Incorporated into station Self-Assessment OP14 .n--o--- pr di E g 3Q06 ----e-pIlWa C. part L VI U lt M2 sm U I A)plan.Design Plan.tTMack I~s EFR030771.Io -r G i-HPefl]; -ommeO g 300170 3005 1 24 300170 3005 1 24 300170 3009 1 1 24 Page 148 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: OP Priority 2 3C 3B Configuration Management (CM)Validate and Integrate Calculations and Setpoints OP-14-005 CAP# 033381 Plan Type Commitment Plan Revision No: 3 Plan Status Open Problem Statement:

Causal Factors: Oblectives:

Action Steps: Number Discrepancies exist in system calculations.

Some setpoints do not have a dear and retrievable design basis.I Lack of available original Westinghouse or Bechtel analyses.2 Failure to dedicate resources for creation/maintenance of necessary calculations.

3 Lack of useful cross-reference for equipment setpoints, calculations, and procedures.

1 Calculations are upgraded to provide a dear basis for safety-related setpoints and to create a cross-reference for setpoints, calculations, and procedures.

Action Step R Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.1 Issue generic validation plan Engineering 2Q03 10 -Jul-03 3Q03 validation plan Design tTrack IDs CA030784 300170 3005 1 40 Number Action Step El Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.2 Develoo resource requirements and milestone

-l^- o .;l- -rm ---schedule based on completion of wor*- --cnIglJIIInng

k. Design Configuration Management (and Q-List Items)tTrack [Ds CA030785 Z&IUJ I Uug-u. avJi3 Issueo 3uI1aule E B8SQJ.Jrie

_f Persnr -ersqn omments 300170 3005 1 16 Page 149 of 188 Effective Date 9/2912005 PBNP Excellence Plan Revisio Plans with Commitments Number Action Step [ Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.2.A OPS/ENG review EOP setpodnts.

Identify set Operations 3003 13-Oct-03 4003 Ust of STPTs requiring revision.points that require revision.tTrack IDs CA052523 300020 3007 1 30 300170 3004 1 30 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.2.B Revise and enhance the EOP Setpoint Index in EngIneering 4003 18-Dec-03 4Q03 Copy of issued index in EDMS.EDIMS. Design Configuration Management (and 0-List items)tTrack IDs CA052524 660LCLER 2 15 l300170 3004 2 60 Number Action Step n Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.2.C Determine new format /content /prioritization of Operations 4003 17-Nov-03 1Q04 Copy of letter detailing attributes (Content EOP setpoint calculations.

/Format /PrIor5tization).

tTrack IDs CA052525 n 7 3000203u007 1 .Perssns isPe ; C 300020 3007 l 1 l 10 I Page 150 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step Ri Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.2.D Revise/Update/Create calculations.

Engineering Design 1005 29-Jun-05 2Q05 A copy of the signature page from each calculation that is approved by June 15, 2005 showing approval signatures.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA052526 65OLCLER 1 260 Based on 10 hrs/week for 6 months CONTPRO 6 900 Average based on -5400 hours (3 full-time for 6 months; 7 full-time for 2 months)300170 3004 6 1040 Based on 40 hrs/week for 6 months 300170 3005 3 130 Based on 10 hrs/week for 3 months 300370 3005 2 1040 Based on 40 hrslweek for 6 months 300370 3009 1 320 Based on 8 hrslweek for 2 months 300400 3004 2 520 Based on 20 hrstweek for 6 months Number Action Step Ri Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.2.E Final review and acceptance of the revised Engineering 4Q04 04-Apr-05 2Q05 A copy of the Project Plan describing EOP setpoint calculations Design requirements for Operations or EOP Procedure Coordinator approval of EOP setpoint calculations. (Sustainability Assessment (via PBF-0133f) required.)

tTrack l1s CA052527 300020 3007 1 80 Number Action Step g Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.2.F Implement revised EOP setpoints in Emergency Operating Procedures.

Business Procedures tTrack IDs CA052528 3Q05 2Q07 A copy of memo detailing EOPs changed.Resouce. ' ' ' Persons ' ra Psr PeiQ- j -' "omments 300020 3007 1 1 i 320 1 Page 151 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step R Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.3 Identify the population of calculations.

Engineering 4Q03 06-Apr-04 2Q04 List of caiculations subject to validation.

Design (Sustainability Assessment (via PBF-Configuration 0133f) required.)

Management (and Q-Ust items)tTrack IDs CA055448 300170 3004 9 400 Number Action Step RI Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.4 Make presentation to We Energies Senior Engineering 1004 31-Mar-04 1Q04 Meeting notes from presentation to We Project Team regarding project scope, Design Energies Senior Project Team.schedule and budget. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA055449 IJ 3001703009 1 40 Number Action Step i Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.5 Commence work on project. Engineering 1Q04 08-Mar-04 1Q04 Documented communication of project Design kickoff. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA055450 Number Action Step i9 Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.6 Develop progress indicators to track work trnaA 124LA.-nA 4 ^AA 0-M-. I.Al.-f- RIQct-in,-hIItv completed vs. expenditures.

Design Configuration Management (and 0-List items)tTrack IDs CA055451 Bo'Aw.J I--dlW I~ IW Assessment (via PBF-0133f) required.)

300170 3005 1 80 Page 152 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step W Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.7 Prepare semi-annual progress reporL Engineering 2Q02 01-Jul-04 3Q04 Progress report. (Sustainability Design Assessment (via PBF-0133fl required.)

tTrack IDs CA055452 300170 3005 2 40 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.8 Perform mid-project effectiveness review. Engineering 3Qo4 20-Aug-04 3Q04 Effectiveness review report. (Sustainability Design Assessment (via PBF-0133f) required.)

tTrack IDs EFR055453 300170 3004 3 40 Number Action Step J Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.9 Prepare semi-annual progress report Engineering 1Q05 04-Feb-05 1Q05 Progress report. (Sustainability Design Assessment (via PBF-0133f) required.)

tTrack IDs CA055454 M _OP071 1, -300170 3005 2 40 Number Action Step I Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.10 Incorporate relational database Into station Engineering 2Q05 24-May-05 2Q05 Relational database online and available to information system. Design station personnel. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA055455 Page 153 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step 2 Commitment OP-14-005.11 Perform final effectiveness review. Engineering 2007 2Q07 Effectiveness Review report.Design tTrack IDs EFR055457 300170 3004 3 40 Number Action Step EL Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.12 Prepare semi-annual progress report. Engineering 3Q05 05-Aug-05 3Q05 Progress report.Design tTrack IDs CA062049 300170 3005 1 40 300370 3005 1 40 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.13 Place calculations on Administrative Hold. Engineering 1Q05 31-Mar-05 1Q05 A copy of the completed form PBF-1608 Design that placed the calculations on Administrative Hold.tTrack IDs CA062050 66OLCLER 2 20 300170 3004 3 8 300370 3005 1 8 Page 154 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [iCommitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.14 Revise/Update/Create Electrical calculations (Interim Set of Completed Calculations).

Engineering Design Electrical

-PB 1Q05 4Q05 A copy of the signature page from each calculation that Is approved between June 15, 2005 and December 1, 2005 showing approval signatures.

tTrack IDs CA062051 65OLCLER 1 78 Based on 3 hrs/week for 6 months CONTPRO 1 1040 Based on 1 full-time for 6 months 300170 3004 2 1040 Based on 20 hrslweek for 6 months 300170 3005 1 520 Based on 20 hrs/week for 6 months 300370 3009 1 52 Based on 2 hrs/week for 6 months 300400 3004 2 130 Based on 5 hrslweek for 6 months Number Action Step aI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.15 Revise/Update/Create Mechanical calculations (Interim Set of Completed Calculations).

Engineering Design Mechanical

-PB 1Q05 4Q05 A copy of the signature page from each calculation that is completed between June 15, 2005 and December 1, 2005 showing approval signatures.

tTrack IDs CA062053# 4 , _ _ _ _ _ _ _ _ , , ..65OLCLER 1 104 Based on 4 hrs/week for 6 months CONTPRO 1 1040 Based on 1 full-time for 6 months 300170 3004 2 1040 Based on 2 part-time at 20 hrs/week for 6 months nd 1 full-time for 6 months 300170 3005 1 260 Based on 10 hrs/week for 6 months 300370 3005 1 1040 Based on 40 hrs/week for 6 months 300370 3009 1 52 Based on 4 hrs/week for 6 months 300400 3004 2 260 Based on 10 hrs/week for 6 months Page 155 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step Fi1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.16 Revise/Update/Create I&C calculations (Interim Set of Completed Calculations).

Engineering Design l&C 1005 4Q05 A copy of the signature page from each calculation that Is completed between June 15, 2005 and December 1, 2005 showing approval signatures.

tTrack lDs CA062056 ,o" -M u- m 65OLCLER 1 78 Based on 3 hrs/week for 6 months CONTPRO 2 1040 Based on 2 full-time for 6 months 300170 3004 1 1040 Based on 20 hrslweek for 6 months 300170 3005 1 520 Based on 20 hrs/week for 6 months 300370 3009 1 52 Based on 2 hrs/week for 6 months 300400 3004 2 130 Based on 5 hrs/week for 6 months Number Action Step EJ Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.17 Revise/Update/Create Electrical calculations (Final Set of Completed Calculations).

Engineering Design Electrical-PB 1005 1006 A copy of the signature page from each calculation that is completed between December 1, 2005 and the end of the project showing approval signatures.

tTrack IDs CA062058-P eje fo 65OLCLER 1 39 Based on 3 hrs/week for 3 months CONTPRO 1 520 Based on 1 full-time for 3 months 300170 3004 2 520 Based on 40 hrs/week for 3 months 300170 3005 1 130 Based on 10 hrs/week for 3 months 300370 3009 1 26 Based on 2 hrs/week for 3 months 300400 3004 2 65 Based on 5 hrsAweek for 3 months Page 156 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step R Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.18 Revise/Update/Create Mechanical calculations (Final Set of Completed Calculations).

Engineering Design Mechanical

-PB 1Q05 2Q06 A copy of the signature page from each calculation that is completed between December 1, 2005 and the end of the project showing approval signatures.

tTrack lDs CA062059!Ffe 'e7e 65OLCLER 1 78 Based on 3 hrslweek for 6 months CONTPRO 1 1040 Based on I full-time for 6 months 300170 3004 2 1040 Based on 2 part-time at 20 hrstweek for 6 months and I full-time for 6 months 300170 3005 1 260 Based on 10 hrstweek for 6 months 300370 3005 1 1040 Based on 10 hrslweek for 6 months 300370 3009 1 52 Based on 2 hrstweek for 6 months 300400 3004 2 130 Based on 5 hrslweek for 6 months Number Action Step [L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-005.19 Revise/Update/Create l&C calculations (Final Set of Completed Calculations).

Engineering Design l&C 1Q05 3006 A copy of the signature page from each calculation that Is completed between December 1, 2005 and the end of the project showing approval signatures.

tTrack l0s CA062060 65OLCLER 1 156 Based on 3 hrstweek for 12 months CONTPRO 2 1560 Based on 2 full-time for 9 months 300170 3004 11040 Based on 20 hrs/week for 12 months 300170 3005 1 390 Based on 10 hrs/week for 9 months 300370 3009 1 104 Based on 2 hrslweek for 12 months 300400 3004 2 240 Based on 5 hrs/week for 11 months Page 157 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step a Commitment ate Comp Date Due Date Deliverable OP-14-005.20 Create Baseline Schedule of new/revise/updated calculations being developed by the project calculation support vendor.Engineering Design 4004 31-Mar-05 1005 A copy of the Level 2 Baseline Schedule created and agreed upon between PBNP and S&L.tTrack IDs CA062062 Fl M1.-E- 1-B I CONTPRO 3 80 300170 3004 3 80 300370 3005 1 80 300370 3009 1 24 Page 158 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number OP Priority 2 3C 3B Configuration Management (CM)Updated Vendor Technical Information Program (VTIP)OP-14-007 CAP# 033416 Plan Type Commitment Plan Revision No: 3 Plan Status In Closure Problem Statement:

Causal Factors: Obiectives:

The Vendor Technical information program (VTIP) does not meet industry standards.

I Lack of ownership of the Vendor Technical Information program.I The VTIP program responsibilitIes assigned to Configuration Manangement Group.2 Strengthen the VTIP program and address issues Identified In a self-assessment.

Action Steps: Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.1 Establish process ownership and procedures.

Engineering 2Q03 23-May-03 2Q03 Procedures NP 7.2.13 and NP 7.2.14 have Design been approved and issued. Ownership of VTIP Is with Engineering Design Configuration Management group.tTrack IDs CA030936 Number Action Step n Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.2 Identify resources necessary to support the )rin,2 gnKNnns A(nV2 I.of n------I vendor technical information program.Design tTrack IDs CA030939 oWvo , v-lv-v ~vv u-ulvlvllvll 3 0073,i 0 1 300170 3009~F 1 16 1 Page 159 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step I] Commitment ate Comp Date Due Date Deliverable OP-14-007.3 Assign resources to configuration management Engineering 3Q03 07-Jan-05 1Q05 Issue purchase order to contractor or group. Design assignment of duties to new or existing Configuration staffing.Management (and Q-Ust items)tTrack IDs CA030941 300170 3005 1 8 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.4 Perform review of vendor contact program, Engineering 4Q03 20-Apr-05 2Q05 Issuance of revised procedure, NP 7.2.14.incorporate industry best practices.

Design (Sustainablilty Assessment (via PBF-Configuration 0133f) required.)

Management (and Q-List items)tTrack IDs CA030943 300170 3005 1 40 Number Action Step i Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.5 Effectiveness Review (EFR). Ennineering 2Q04 14-Jun-05 2Q05 Effectiveness Review Report.Design tTrack IDs CA030945 (Sustainability Assessment (via PBF-0133f) required.)

esoHt Prersons hrsePeerasnI

qmjnelt 300170 3005 1 1 24 300170 3009 1 24 Page 160 of 1 88 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step [1 Commitment OP-14-007.6 Obtain funding approval for necessary Engineering 2Q04 20-Jun-04 2004 Funding approval.resources Identified in step OP-14-007.2.

Design Configuration Management (and Q-List items)tTrack IDs CA031984%P~on -_- I 300170 3009 1 40 Number Action Step :1 Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.7 Develop a plan and Identify resources for Engineering 4003 06-Apr-04 1004 Completed plan and required resources baselining of CIMs for key safety related Design identified.

components.

Configuration Management (and Q-Ust items)tTrack IDs CA055684 300170 3005 1 24 Number Action Step i Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.8 Review and address issues Identified in the 47-IA---EAA s ns DA17AA-, nA sons 0--4 c ri..nA jIfiI.VTIP self-assessment and In CA0002 CA001634, and CA002968.48, Design Configuration Management (and Q-List items)tTrack IDs CA055685 , ... Qmy-w aw_follow up corrective actions. (Sustainability Assessment (via PBF-0133f) required.)

300170 3005 1 1 1 96 1 Page 161 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step M Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.9 Perform reviews of a sample of Component Engineering 2004 17-Mar-05 1Q05 Documented CIM sample review Including Instruction Manuals (CiMs). Document Design discrepancies, corrective actions initited, discrepancies, Initiate corrective actions for Configuration listing of CiMs and related documents significant Items, revise CIMs and related Management requiring revision.documents as necessary. (and Q-List items)tTrack IDs CA057323[PPL[9r WjAJw%4 Mm F 300170 3004 1 320 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable OP-14-007.10 Determine whether further CIM reviews are required based on trend reviews, and develop plans for further reviews, if necessary.

Engineering 1Q05 18-Apr-05 2Q05 Documented trend review, determination of whether additional reviews are necessary, and a developed plan (if necessary).

tTrack IDs CA057324 ,#,Pp'ippqns

' i Qn Ime-300170 3005 1 1 16 Page 162 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number.EQ Priority 1 3C IC Equipment Reliability (AFW)AFW Appendix R Firewall Project EQ-15-001 CAP# 033393 Plan Type Commitment Plan Revision No: 2 Plan Status Complete Problem Statement:

Causal Factors: Oblectives:

Alton Steps: Number Appendix R safe shutdown analysis done during rebaselining project, identified need for additional fire separation In Auxiliary Feedwater Pump room.I Appendix R rebaselining project utilized more rigorus analytical techniques and criteria than were available during original Appendix R analysis.I Complete modifications required to resolve Auxiliary Feedwater Pump room Appendix R issues.Action Step I] Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.1 Complete Engineering for Mod MR99-034B Engineering 4Q02 01-Dec-02 4002 Approved Mod Package (Relocate Electrical Components)

Design Electrical-PB tTrack IDs CA030833 Number Action Step f Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.2 Complete Engineering for Mod MR99-034C Engineering 4Q02 01-Dec-02 4Q02 Approved Mod Package (Relocate Piping/Tubing

& Install Fire Damper) Design Civil/Structural

-PB tTrack IDs CA030834 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.3 Complete Engineering for Mod MR99.(relocate conduit and pipe supports)034D Engineering Design Civi/Structural

-PB tTrack IDs CA030835 4Q02 01-Dec-02 4Q02 Approved Mod Package Page 163 of 188 Effective Date 9/29/2005 Number EQ-15-001.4 Action Step R Commitment Complete Engineering for Mod MR99-034 (Install 3 hour3.472222e-5 days 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months firewall).

PBNP Excellence Plan Plans with Commitments Owner Group Start D Engineering 3Q02 Design CivilStructural

-PB ate Comp Date 03-Oct-02 Revision 7 Due Date 4002 Deliverable Approved Mod Package.tTrack IDs N/A Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.5 Complete Engineering for Mod MR99-034A Engineering 1Q03 01-Jul-03 3003 Approved Mod Package (Modify Halon Detection and Annunciation Design System) Civi/Structural

-PB tTrack l0s CA030836 4 =_=300170 3004 1 80 l Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.6 Complete Design Engineering Review Board Engineering 1003 01-Jul-03 3Q03 Design Review Board approval.for Mod MR99-034A Design Electrical-PB tTrack lDs CA030836 Number Action Step ri Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.7 Complete Engineering for Mod MR99-(Install the 1 hour1.157407e-5 days 2.777778e-4 hours 1.653439e-6 weeks 3.805e-7 months fire wrap)nee-i33 Engineering IC Design Electrical-PB tTrack IDs CA030837 103 04-Sep-03 3Q03 Approved Mod Package D 3004 1 1 100 I Page 164 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start 0 Revision 7 Number EQ-15-001.8 Action Step 0- Commitmen, Complete Mod Implementation MR99 (Relocate Electrical Components) t 2004 ate Comp Date Due Date t A.r-US4tQ Maintenance Construction (General Supervisor Installation Services)tTrack IDs CA030838 4Q02 14-Apr-04 2004 Deliverable Modification Installed and accepted.(Sustalnability Assessment (via PBF-0133f) required.)

~~, 1 ,-V CONTCFT 3 40 300100 3005 140 Number EQ-15-001.9 Action Step i6 Commitmenr Complete Mod Implementation MR99 (Relocate Piping/Tubing

& Install Fire t 2Q04 Owner Group Start Date Comp Date Due Date Deliverable Fo34kC Maintenance Damper) Construction (General Supervisor Installation Services)tTrack IDs CA030838 4Q02 14-Apr-04 2Q04 Modification installed and accepted.(Sustainability Assessment (via PBF-0133f required.)

Number EQ-15-001.10 Action Step ga Commitmenl Complete Mod Implementation MR99 (Relocate Conduit and Pipe Supports't 2004 Owner Group Start Date Comp Date Due Date U.34LI Maintenance Construction (General Supervisor Installation Services)tTrack l1s CA030839 4002 14-Apr-04 2Q04 Deliverable Modification Installed and accepted.(Sustainability Assessment (via PBF-01330 required.)

_ lq% NIPPpns VI.iG~fx-;

.o CONTSRVS 2 16 300100 3005 1 4 3001703004 1 16 Page 165 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.11 Complete Mod Implementation MR99-034A (Modify Halon Detection and Annunciation System)Maintenance Construction (General Supervisor Installation Services)3Q03 14-Apr-04 2Q04 Modification installed and accepted.(Sustainability Assessment (via PBF-0133f required.)

tTrack IDs CA030840 Number Action Step i9 Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.12 Complete Mod Implementation MR99-033 (Install fire wrap). Some Field Engineering will be required.Maintenance Construction (General Supervisor Installation Services)2003 14-Apr-04 2Q04 Modification installed and accepted.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030841 A- a -- -- gGina Hi j ,# ,t CONTSRVS 1830 300100 3005 2 80 300170 3004 1 80 Number Action Step 0 Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.13 Modification Closeout Site Projects 4Q03 26-May-04 2Q04 Modification dose out package.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA030842 3 r P38 -Per,,l j v --m,,me, S -300370 3005 1 138 lPage 166 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i q Commitment 2Q04 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-001.14 Complete Mod Implementation MR99-034 Maintenance (Install 3 hour3.472222e-5 days 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months firewall).

Construction (General Supervisor Installation Services)tTrack lDs CA031651 2003 14-Apr-04 2Q04 Modification Installed and accepted.(Sustainability Assessment (via PBF-0133f) required.)

Page 167 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number EQ Priority 1 3B 3B Equipment Reliability (AFW)Bolted Fault EQ-15-011 CAP # 033426 Plan Type Commitment Plan Revision No: 3 Plan Status Open Problem Statement:

Causal Factors: Oblectives:

The calculated worst case fault current does not indude the correct design basis assumptions and may exceed the design rating of some motor control centers and power panel breakers.1 Changes made to plant electrical load configurations may have increased fault current beyond original design margin.2 Reanalysis of plant electrical systems revealed previously unknown design limitations for worst case fault Interrupting capability.

1 Calculations to support fault protection reflect design basis assumptions.

2 Plant equipment is restored to capability that can withstand calculated fault current.3 Bolted fault project is completed in accordance with project schedule.Action Steps: Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-1 5-011.1 Obtain budget approval from WE. Site Projects 2003 06-Aug-03 3Q03 Signed PAR tTrack IDs CA031021 CONTPRO 2 3500 300170 3004 2 1500 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.2 Complete design field eng. for MCCs. Engineering 2Q02 4Q05 Approved change packages.Design Electrical-PB tTrack lDs CA031023 T Pzsn 1 Is1~ro nrnen 300170 3004 1 5000 300370 3005 2 1750 Page 168 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Revisic Plans with Commitments Number Action Step RI Commitment 2005 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.3 Procure and Receive MCC Buckets. Business Supply 1Q02 21-Mar-05 1005 All MCC Buckets On-site and accepted.Chain (Sustainability Assessment (via PBF-0133f) required.)

tTrack iDs CA031024 300240 3004 1 Pr96 locurement Engineer 300240 3004 1 96 Receipt Engineer Number Action Step n Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.4 Procure and Receive MCC Bracing. Business Supply 1002 15-Feb-03 1Q03 All Bracing On-site and accepted.Chain tTrack IDs CA031025 n 7 Page 169 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step W Commitment 3Q05 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.5 Complete Design Analysis Engineering.

Revise degraded grid calculations to support changing transformer tap settings.

Revise short circuit calculations based on tap settings.The following actions are tied to LER 266/97-032-00: A) PBNP 4160V and 480V system operating voltages are significantly higher than normal system voltages and therefore Increase the magnitude of available fault current (related to the new fault duty calculation, N97-0154, Rev.0). Action from dosed CR 93-137, Action 4).B) Operating the 480V system at voltages higher than 500V causes equipment to be de-rated from ratings at 480V to ratings at 600V for fault current (related to the new fault duty calculation, N97-0154, Rev.0). (Action closed from CR 93-137, Action 5).C) Calculation assumes all the contributing loads are on. System model should be revised with plant operations to determine more realistic equipment alignments (related to the new fault duty calculation, N97-0154, Rev.0).(Action closed from CR 93-137, Action 6).D) Additional scenarios should be analyzed and existing scenarios should be revised to more accurately reflect how PBNP is operated (related to the new fault duty calculation, N97-0154, Rev.0). (Action closed from CR 93-137, Action 7).Engineering Design Electrical-PB 4002 28-Sep-05 3005 Approved Calculations (Sustainability Assessment (via PBF-0133f) required.)

M~ack II~s CA031027 Number Action Step CI Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-1-C11.5.A Facilitate independent and regulatory reviews. Site VP & ECP 4004 tTrack IDs CA056848 3005 Plan closeout package for Step 5.300290 3008 1 16 IlPage 170 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step LI Commitment EQ-15-011.6 Complete MCC New Bucket Installation.

Maintenance 3Q02 1007 Ops Accepts MCC modification.

Electrical tTrack IDs CA031030 655LELEC 4 6750 300310 3005 2 7000 300330 3007 2 3300 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.7 Complete MCC Bracing Installation.

Maintenance 2Q04 1Q07 Ops And Eng Accept bracing modifications.

Electrical tTrack IDs CA031031 655LELEC 3 1280 300310 3005 1 1460 300330 3007 1 640 Number Action Step FI Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.8 Determine Scope of Power Panel (PPyMotor Engineering 3Q04 4Q05 Issue BOM to Procurement Control Center (MCC) Individual Breaker Design Electrical Replacement.

-1PB tTrack iDs CA031033 3001703004 2 200 Number Action Step Li Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.9 Procure PP/MCC Individual Replacement Business Supply 3Q04 2Q06 All PP/MCC Individual Breakers On-Site Breakers.

Chain and accepted.tTrack IDs CA031035 KesOur-gFes-on-s- -as If er ,eav Q Mret 300240 3004 1 1 40 LProcuirement Engineer 300240 3004 1 12 lReceipt Engineer Page 171 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start Date Comp Date Due Date Deliverable Revision 7 Number Action Step Li Commitment EQ-15-011.10 Complete Implementation Of PP/MCC Maintenance 4Q03 2Q07 Ops And Engineering Accept PP Individual Breaker Replacements.

Electrical modifications.

tTrack IDs CA031036 P erso n~ r to ° -l 15 ' ~ `1re7 654LOPR1 1 40 655LELEC 3 120 300050 3008 2 40 Number Action Step E] Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.11 Determine Scope Of transformer Tap Changes Engineering 2Q04 1Q06 Approved change package.and issue change package. Design Electrical-PB tTrack lDs CA031037 300170 3004 2 400 Number Action Step Pl Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.12 Procure transformer Tap Change Material.

Business Supply 3Q04 06-Dec-04 4Q04 Material On-Site And Inspected or Chain Confirmation documented that no material Is required. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA031038.Q 99[0 300240 3004_300240 3004 _An____F ~rKsqU4 I.}HrSTefFr-

-- oh Pikmwglltg 24 Procurement Engineer 40 IReceipt Engineer Page 172 of 188 Effective Date 9/29/2005 Number EQ-15-011.13 Action Step D Commitment Perform transformer Tap Changes.PBNP Excellence Plan Plans with Commitments Owner Group Start D0 Site Projects 4Q04 tTrack IDs CA031039 I Mate Revision 7 Comp Date Due Date 2Q07 Deliverable Ops And Eng. Accept PP modification.

Number EQ-15-011.14 Action Step a Commitmeni

- - Deleted in Revision 6 ***Owner Group Site Projects tTrack IDs CA031041 Start Date Comp Date Due Date 4Q06 16-Mar-05 1Q07 Deliverable Step deleted In Revision 6. No deliverable required.Number EQ-15-011.15 Action Step E Commitment Owner Group Obtain Project Funding Reauthorization (based Site Projects on project scope change) from We Energies.tTrack IDs CA032573 1300370 3005 1 ., Start Date Comp Date Due Date Deliverable 3Q03 17-Dec-03 4Q03 Signed PAR.Doingr 1"Y491 Me~ t~m, erAM5s 2 1 24 1 I Page 173 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step Ri Commitment 2Q05 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-011.16 interim progress review following U2R27.Site Projects 2Q05 26-May-05 2005 Documented interim progress review confirming project on track through 2Q05 in accordance with established schedule or recovery plan is in place. (Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA055676 3 -km 2 3073005 12 1 40 Page 174 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number EQ Priority IIAIA Equipment Reliability (AFW)Manhole and Cable Vault Flooding EQ-15-012 CAP # 033430 Plan Type Commitment Plan Revision No: 3 Plan Status Open Problem Statement:

Causal Factors: ObQectives:

Action Steps: Number Several Electrical manholes/vaults are regularly flooded with groundwater.

I Original design of these electrical vaults and duct runs were not made watertight.

2 Means of dewatering these vaults were not made permanent.

1 Implement a solution to keep the cables In Maintenance Rule scope manholes from becoming submerged.

Action Step [ Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.1 Meet with Architect Engineering Company Engineering 4Q03 04-Feb-03 1Q03 Meeting documentation.(A/E) to assess scope of engineering study. Design Civil/Structural

-PB tTrack IDs CA031046 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-1 5-012.2 Request proposal for engineering stuc ly. Engineering Design Civil/Structural

-PB tTrack IDs CA031046 1Q03 18-Apr-03 2Q03 Proposals submitted.

Page 175 of 188 Effective Date 912912005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step Li Commitment ate Comp Date Due Date Deliverable EQ-1 5-012.3 Request funding to perform engineering study. Engineering 1 Q03 02-May-03 2Q03 Copy of the Request for Phased Approval Design (RPA).Civil/Structural

-PB tTrack IIs CA031046 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.4 Award contract for engineering study. Engineering 1Q03 13-May-03 2Q03 Purchase Order Issued.Design Civil/Structural

-PB tTrack IDs CA031046 Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.5 Receive and reviewengineerinanstudv

_ -l -- r --- .....- .-alternatives.

Design Clvil/Structural

-PB tTrack IDs CA031048 ZVUO U I-5UI-U3 JW1UJ vocumentea review compleuon.,JsssQuJP.

1 F res'n Nrs e~r Cbnc,,Q1 -,mmor,1t$

CONTPRO 3 70 300170 3004 1 200 300170 3005 1 100 300170 3009 200 Page 176 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revsion 7 Number Action Step n Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.6 See Substeps.

Engineering 4003 18-Dec-03 4Q03 See Substeps.Design Cvli/Structural

-PB tTrack iDs See Substeps CONTPRO 3 60 300170 3004 1 500 Number Action Step a Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.6.A Request funding to design modification and Engineering 4Q03 18-Dec-03 4Q03 Modification Package.complete detailed design to dewater Manholes Design land 2. Civil/Structural

-PB tTrack IDs CA031049 Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.6.B Initiate call-ups that pump remaining Maintenance Rule scope manholes at a frequency that precludes long-term submergence of cable.Engineering Design Civil/Structural

-PB 4003 18-Dec-03 4003 Call-up documentation.

EQ-1 5-012.6.C has been done as an altemative to this step. Nevertheless, call-up documentation for all Maintenance Rule scope manholes with the exception of Z-066 A-D, Z-067 A-D, and Z-068 has been provided.

Work Order 0309581 will Inspect and pump out If necessary manholes Z-066 A-D, Z-067 A-D, and Z-068. These manholes will then be sealed. This Work Order Is scheduled for completion during 2004. Work Orders 0311882, 0311883, and 0311884 will then repoen these manholes during 3Q04 to determine how effective sealing the manhole covers is at keeping water out.The need to initiate call-ups for these additional manholes will be determined at that time.tTrack IDs CA031049 Page 177 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.6.C As an alternative to EQ-15-012.6.b, document Engineering 4Q03 18-Dec-03 4Q03 CAP documentation.

current condition of cables and ensure there is Design a plan to develop a cable condition monitoring CivilStructural

-program. PB tTrack ID, CA031049 Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.7 Request funding to install modification to Engineering 4Q03 14-Jan-04 1Q04 RPA dewater Manholes 1 and 2. Design Civil/Structural

-PB tTrack IDs CA031051 300170 3004 1 40 Number Action Step i9 Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.8 Complete installation of modification to dewater Engineering 1Q04 25-May-04 2Q04 Modification installed and accepted.Manholes I and 2. Design (Sustainability Assessment (via PBF-CiviVStructural

-0133f) required.)

PB tTrack IDs CA031053---- Itf Persons lrtie Mr Pfflt 4eg nt, CONTCFT 2 400 300170 3004 1 200 Number Action Step gI Commitment 3Q04 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.9 Monitor effectiveness of installed mod to dewater Manholes I and 2.ification Engineering Design Civi/Structural

-PB tTrack IDs EFR031055 2004 26-Aug-04 3Q04 EFR report. (Sustainability Assessment (via PBF-0133f) required.)

300170 3004 1 1 1 100 I Page 178 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Owner Group Start D Revision 7 Number Action Step D Commitment ate Comp Date Due Date Deliverable EQ-15-012.10 He Deleted in Revision 3 Engineering 1004 29-Mar-04 1Q04 CAP documentation.

Design Civil/Structural

-PB tTrack IDs CA031056 300170 3004 1 100 Number Action Step EI Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.11 Perform an effectiveness review (include Engineering 3005 4Q08 Effectiveness review report.issues of CAP060550 and Plan Objectives).

Design Civil/Structural

-PB tTrack IDs EFR060891 300170 3004 1 100 300170 3005 1 20 Number Action Step EI Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-012.12 Monitor effectiveness of Modification 1 004, Replace Sump Pumps In Manhol and #2.OR 05- Engineering

'es #1 Design Civil/Structural

-PB tTrack IDs EFR063293 300170 3004 300170 3005i 2Q06 2006 Effectiveness review report.lSons 1 1 W-5r Pir F~rimo. 1 i fItI 'yim~meS ', 100 20 i-J--.-Page 179 of 188 Effectivo Date 9/29/2005 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number PBNP Excellence Plan Plans with Commitments EQ Priority 2 3C 3D CAP# 033442 Equipment Reliability (AFW)Auxiliary Feedwater Electrical Modifications EQ-15-015 Revision 7 Plan Type Commitment Plan Revision No: 2 Plan Status In Closure Problem Statement:

Causal Factors: Oblectives:

Some Auxiliary Feedwater (AFW) system component power supplies do not meet current design basis requirements.

I Original AFW system design classification was upgraded to safety-related, however some aspects of the design were not upgraded to meet current design for safety-related systems.1 AFW component power supplies meet design basis requirements (Plant modifications have been completed; remaining work requires the dc system calculations to be updated before modification closeout).

Action Steps: Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-015.1 Issue electrical modifications for SR power to Engineering 1Q03 19-May-03 2Q03 Approved modification packages MR 03-DPIS devices and re-power recirculation valves. Design Electrical 005. MR 03-006.-PB tTrack IDs CA027029, CA027154 Number Action Step E Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-015.2 Implement electrical modifications for SR power to DPIS and re-power recirculation valves.Maintenance Electrical 2Q03 15-Aug-03 3Q03 Modification installed and accepted.tTrack IDs CA031086; Iramp;Z" k~'CONTCFT 5 200 300100 3004I 1 262 Page 180 of 188 Effective Date 9/2912005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step [ Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-015.3 Issue an electrical modification to eliminate a Engineering 3Q03 19-Dec-03 4Q04 Approved modification package MR 03-007.potential common mode failure of the SW Design Electrical supply to three of four AFW pumps during a -PB postulated seismic event tTrack IDs CA027167 307 3 30170 3004 1 60 300170 3004 1 200 Number Action Step j Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-1i5-015.4 Implement electrical modification for SW Maintenance 4Q03 02-Apr-04 2Q04 Installed and accepted modification.

supply to AFW pumps. Electical tTrack IDs CA031088 Number Action Step I Commitment 3004 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-015.5 Closeout modification package and Ooerablltv F -n---Ar.. -n ns I *..n AA I2fwlfA Ri,..Av*dlr nm- ------nH Determination (OD).Design Electrical-PB I A vr.-Iul-wt JAu MWIVIILWUUII pJpO1VpUEit

%IplumU dllU Operability Determination dosed.(Sustainability Assessment (via PBF-0133f) required.)

tTrack IDs CA031901 300170 3004 1 1 1 80 Page 181 of 188 Effective Date 9/2912005 Pillar of Excellence:

Focus Area: Action Plan Title: Action Plan Number: PBNP Excellence Plan Plans with Commitments EQ Priority 1 4B 4D CAP# 033444 Equipment Reliability (AFW)Determine Condition of Underground Electrical Cables Which Have Been Submerged EQ-1 5-016 Revision 7 Plan Type Commitment Plan Revision No: 2 Plan Status In Closure Problem Statement:

Causal Factors: ObiectIves:

Action Steps: Number Underground medium voltage cables may be degraded due to being frequently submerged In water.I Affected cables have not been identified.

2 Method of cable assessment has not been determined.

3 Cable assessments have not been performed.

4 Periodic cable assessment callups have not been established.

1 The condition of the underground 480V, 4160V, and 13.8KV cables that are safety-related or provide offsite power is understood and monitored.

Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-016.1 Presentation to PRB to obtain funding. Engineering 1Q03 04-Apr-03 2Q03 PRB decision.Equipment Systems Electrical tTrack IDs CA031097 Number Action Step 2 Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-016.2 Identify cables and determine method to Engineering 1Q03 15-May-03 2Q03 List of cables to be tested and the method determine cable condition.

Equipment that will be used.Systems Electrical tTrack IDs CA031097 Page 182 of 188 Effective Date 912912005 Number EQ-15-016.3 Action Step C Commitment Perform data collection and analysis.I PBNP Excellence Plan Plans with Commitments Owner Group Start D Engineering 2Q03 Equipment Systems Electrical MTrack IDs CA031638 ate Comp Date 09-Jul-03 Revision 7 Due Date 3Q03 Deliverable Cable condition assessment report(s)Number Action Step ij Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-016.4 Establish call-ups for future cable condition Engineering 2Q03 25-May-04 2Q04 Call-ups in place for future condition monitoring.

Equipment monitoring. (Sustainability Assessment (via Systems PBF-01 33f) required.)

Electrical tTrack IDs CA031639 300150 3005 60 Number Action Step j Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-016.5 m Deleted In Revision 2 Engineering 1Q03 25-Feb04 4005 Step deleted 02-21-04.

No deliverable Equipment required.Systems Electrical tTrack IDs CA031099 300150 3004 l 1 120 _, 300150 3005 l 1 120 1 Page 183 of 188 Effective Date 9/2912005 PBNP Excellence Plan Revislo Plans with Commitments Number Action Step J Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable EQ-15-016.6 Perform effectiveness review of steps EQ Engineering 1Q05 12-Jan-05 1Q05 Documented Effectiveness Review (EFR).016.1 to EQ-1 5-016.4. Equipment (Sustainability Assessment (via PBF-Systems 0133fl required.)

Electrical tTrack IDs EFRO31101 300150 3005 1 20 Number Action Step [I Commitment Owner Group Start Date Comp Date Due Date Deliverable EQ-15-016.7 Deleted in Revision 2 Engineering 1Q04 29-Mar-04 1Q04 Step deleted 02-21-04.

No deliverable Equipment required.n 7 Performance tTrack IDs CA031103 300150 3005 300150 3009!IE 10 r 10 I Am Tt ._I I-.4 I Page 184 of 188 Effective Date 9/29/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Pillar of Excellence:

Focus Area: Action Plan Tltle: TR Priority 1 5C 6E Training Organizational Effectiveness ESP Training TR-18-002 CAP # 033456 Plan Type Commitment Plan Revision No: 3 Plan Status In Closure Action Plan Number: Problem Statement:

Causal Factors: There are known and documented shortcomings in the engineering support training program that have not been corrected in a timely fashion.I Lack of definition for core tasks as denoted on the qualification matrix.2 There was inadequate communication of the change In qualification matrix usage.3 There was inadequate change management planning that resulted in distractions to both the line and training organizations.

4 Throughout PBNP, training was not considered as part of core business.5 There is a lack of consistent guidance and oversight by the line and training organizations.

Obiectives:

1 2 Achieve accreditation renewal of the ESP training Program.The ESP Training Program Is evaluated and does not have any downward trends or repeat issues (e.g., IFA's, findings, etc.) as identified in the previous CSER.A qualified Engineering workforce supports stations priorities and schedules.

Occurrences of missed training for ESP indicate a downward trend.3 4 Action Steps: Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.1 Eliminate the 3 Unit Site organization for Site VP & ECP 3Q02 01-Oct-02 2Q03 Updated Organization Chart.engineering and training groups.tTrack IDs N/A raseu 'per 7'Qs";tres .m~n 300270 3009 1 1 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.2 Complete a Job analysis for the ESP population 3^ soni nA ln 1Inn bng A A-.-.* n Iiti-M.n c-if.-to identify the core qualifications required for each posliton.Processes oncvo u w-ovy-va wave q Vualf iytio Fru m ,ents.qualification requirements.

tTrack IDs CA031154 300270 3005 13 2 300270 3009 1 26 Page 185 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.3 Conduct a gap analysis (based upon step TR- Engineering 3003 01-Sep-03 3Qo3 A document containing a list of tasks18-002.2) to determine which, if any, Processes required for each person.qualifications are required for each engineer.tTrack Ios CA031155 300 130 300270 3005 13 1 2 1 300270 3009 1 26 Number Action Step U Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-1 8-002.4 Update the qualification matrix to reflect the Training General 3003 15-Sep-03 3003 An updated qualification matrix that reflects core qualifications for each position as core qualifications for each position.determined by the job analysis (step TR-1 8-002.3).tTrack IDs CA031156 300130 3006 1 4 Number Action Step I Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.5 Upgrade the mentoring guides to the NMC Training General 2Q03 30-Jun-03 2Q03 Mentoring guides created in the NMC format. format.tTrack IDs CA031157 Number Action Step f Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.6 Develop a work down curve for each enaineer 4Pfl'2 Adln K n.. f3 Anna f%^l2 -..to complete all core qualifications (bai TR-18-002.3 and TR-18-002.4).

sed on Processes tTrack IDs CA031158 I Ova?ls-lNUWV-tVa t~VJO vYWnsurvWI WIrve auVLnnenWt%3u.

F" 0 3009 1 4 1 2 1 l Page 186 of 188 Effective Date 912912005 PBNP Excellence Plans with Commitmei Action Step LI Commitment Owner Group Revision 7 Number Start Date Comp Date Due Date Deliverable TR-1 8-002.7 Implement the NMC TAC and CRC concept. Engineering 4Q02 01-Jul-03 3Q03 TAC/CRC membership.

tTrack IDs CA031159 Number Action Step L Commitment Owner Group Start Date Comp Date Due Date Deliverable TR- 8-002.8 Develop a formal process for determining Engineering 1 Q03 01-Jul-03 3Q03 Revised Engineering Support Training which personnel will be enrolled In the ESP Processes Program Description (ESTP) attachment.

training program.tTrack IDs CA031159 Number Action Step fl Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-1 8-002.9 Implement a site policy on training attendance.

Training 1003 27-Aug-03 3Q03 Attendance policy created and communicated site-wide.

tTrack IDs CA031161 3002703009 1 1 Number Action Step LI Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.10 Develop a process that facilitates implementation of position-specific continuing training.Training General 1Q03 30-Jun-03 2Q03 ES-TP Revision 1 issued.tTrack IDs CA031163 Page 187 of 188 Effective Date 9129/2005 PBNP Excellence Plan Plans with Commitments Revision 7 Number Action Step i Commitment 1Q05 Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.11 Perform an Effectiveness Review (EFR). Training General 3Q04 27-Dec-04 4004 Completed Effectiveness Review (EFR).(Sustainability Assessment (via PBF-0133f) required.)

tTrack iDs EFRO31165 300130 3005 1 80 Number Action Step 1 Commitment Owner Group Start Date Comp Date Due Date Deliverable TR-18-002.11.A Facilitate Independent and regulatory reviews. Site VP & ECP 1005 28-Feb-05 1Q05 Plan closeout package.tTrack IDs CA056849 300290 3008 1 16 Number Action Step aI Commitment Owner Group Start Date Comp Date Due Date Deliverable I TR-18-002.12 Determine and implement a process for On-the-Job Mentoring (OJM) scheduling to ensure trainees are able to complete their qualifications in a timely manner.Engineering Processes 1003 01-Aug-03 3003 OJM scheduling process documented.

tTrack lDs CA031168 7 esoucej #Pegsons' Hrs ePer Pe r so' -x,- W, osmsm tP 300160 3009 5 4 Page 188 of 188 Effective Date 9129/2005

NRC 2005-0128, Confirmatory Action Letter CAL 3-04-01, Excellence Plan - Revision 7

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NRC 2005-0128, Confirmatory Action Letter CAL 3-04-01, Excellence Plan - Revision 7

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