ML102460719
Text
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 1 of 84 Pedigree Information CAP 01166830 Type: AR Number:
Due Date:
Event:
Subject:
12/15/2010 SCAQ-Inadequate CAP resolution of significant issues Orig ID: N154130 Owed To: N152144 Priority: A Severity: 40 Status: 1/26/2009 12:56:00 PM Orig Date:
APPROVED Event Date:
PI Aff Fac: Dscv Date:
PRAIRIE ISLAND 01/26/2009 PI Fac/Grp: PI Fac/Grp: Martin, Steven J Petersen, Kurt W 31 Dept: QA / Nuc Oversight 80 Dept: Site Management False No Assign:
Not LockedOrg:Dspln:
-N15413001/26/2009SEE SHAREPOINT FOR COMPLETE PSDSN15413001/26/2009Identification and Resolution of issues. This hasN15413001/26/2009An Adverse Trend exists related to ProblemN15413001/26/2009
-N15413001/26/2009Response to this issue requires NOS reviewN15413001/26/2009
-N15413001/26/2009CONTACT NOS FOR SPECIFIC DETAILSN15413001/26/2009resulted in degraded plant equipment and anN15413001/26/2009In the past two years, the Site has had approximately 95 "A"N15413001/26/2009recommends that this be classified as aN15413001/26/2009unacceptable number of unplanned LCOs. NOSN15413001/26/2009
-N15413001/26/2009Significant Condition Adverse to Quality.N15413001/26/2009
==
Description:==
Description Notes Last Updated By Last Updated Date NSP000051 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 2 of 84 Pedigree Informationventilation. TSC ventilation has been aN15413001/26/2009CAPs written, three of which were for TSCN15413001/26/2009reasons for the TSC ventilation issues is theN15413001/26/2009reoccurring issue for the site, and one of theN15413001/26/2009inadvertent Siren activations.N15413001/26/2009probable the station will have additionalN15413001/26/2009Technical Support Center (TSC) ¿ Four "A" levelN15413001/26/2009
¿N15413001/26/2009center (WCC) at the comfortable level withoutN15413001/26/2009inability to maintain the temp in the Work ControlN15413001/26/2009repositioning the dampers within the TSCN15413001/26/2009Inadvertent Siren activation ¿ Eight "A" levelN15413001/26/2009CAPs written for inadvertent activation. In theN15413001/26/2009 first instance reviewed by NOS a Root CauseN15413001/26/2009 They are:N15413001/26/2009Three specific events comprise 17% of these "A"N15413001/26/2009level CAPs issued (16 of the 95 "A" CAPS issued).N15413001/26/2009
-N15413001/26/2009was "simple and known". Discussions with theN15413001/26/2009Emergency Planning (EP) Manager revealed thatN15413001/26/2009 the station has not solved the issue and it isN15413001/26/2009CAPs did not have a RCE performed as the causeN15413001/26/2009 evaluation (RCE) was performed which identifiedN15413001/26/2009lightning as the cause and stated it could not beN15413001/26/2009 prevented. The next seven of the eight "A" levelN15413001/26/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 3 of 84 Pedigree InformationThe Corrective Action Program (CAP) process hasN15413001/26/2009
-N15413001/26/20091) Issue Identification & Identification of ImportanceN15413001/26/2009four key elements to the process:N15413001/26/2009specific events have a combined total of 20 "B"N15413001/26/2009events reoccurring. Additionally the same threeN15413001/26/2009100 "C" level CAPs written in the past 24 months.N15413001/26/2009level CAPS written against them as well as overN15413001/26/2009
- 2) Issue ScreeningN15413001/26/2009 of IssueN15413001/26/2009
- 3) Issue EvaluationN15413001/26/2009
-N15413001/26/2009Emergency Diesels (EDG) ¿ Four "A" level CAPsN15413001/26/2009 written, three of which were for D5 for excessiveN15413001/26/2009contributed to the damper miss-position events.N15413001/26/2009 ventilation system. WCC temperature andN15413001/26/2009comfort level issues still exist today and it isN15413001/26/2009 believed, by the site that this condition hasN15413001/26/2009taken were less than adequate to investigate theN15413001/26/2009cause of the identified condition and did notN15413001/26/2009 adequately resolve the issue, as evidenced by theN15413001/26/2009was determined that in some cases the actionsN15413001/26/2009 crank case pressure (10/23/07), MaintenanceN15413001/26/2009rule (11/12/2007) and unavailability (07/10/07). -N15413001/26/2009 In review of these three as well as other issues, itN15413001/26/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 4 of 84 Pedigree Informationmembers of screen team were not taken to task,N15413001/26/2009problem vice symptoms. In some cases otherN15413001/26/2009cause was "simple and known".N15413001/26/2009when they asked that no RCE be assigned as theN15413001/26/2009of the CAP process revealed that the screen teamN15413001/26/20092) Issue Screening - NOS review of this key elementN15413001/26/2009standards and ultimately a drive to resolve theN15413001/26/2009on several occasions exhibited the wrong picture,N15413001/26/20093) Issue Evaluation - NOS review of this keyN15413001/26/2009
-N15413001/26/2009element of the CAP process revealed numerousN15413001/26/2009¿ NOS review of this key element of the CAPN15413001/26/2009process revealed that in many cases the site wasN15413001/26/2009 not identifying or understanding the importanceN15413001/26/20091) Issue Identification & Identification of ImportanceN15413001/26/2009
- 4) Issue Resolution/Ownership & Timeliness ofN15413001/26/2009 ResolutionN15413001/26/2009
-N15413001/26/2009issue is either not understood or not completelyN15413001/26/2009 followed up on".N15413001/26/2009
-N15413001/26/2009bring issues to the attention of the site and theN15413001/26/2009 of issues identified by both internal and externalN15413001/26/2009sources as evidenced by the below items and theN15413001/26/2009 of the site. The NRC stated, "Resident InspectorsN15413001/26/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 5 of 84 Pedigree Informationacceptable to not have fixed the problem.N15413001/26/2009resolved, the effort expended was high so it wasN15413001/26/2009Site difficulties with preventing repeat issuesN15413001/26/2009******PROBLEM STATEMENT*********N15413001/26/2009how much time and effort was put into certainN15413001/26/2009problem. On numerous occasions NOS was toldN15413001/26/2009perception that even though the issue wasn¿tN15413001/26/2009problems and the individuals demonstrated aN15413001/26/2009adverse to quality in the area of problemN15413001/26/2009have resulted in a safety-significant trendN15413001/26/2009identification and resolution. The inability toN15413001/26/2009addressed the symptoms vice the actual problem.N15413001/26/2009
-N15413001/26/20094) Issue Resolution/Ownership & Timeliness ofN15413001/26/2009reoccurrence, and in some cases merelyN15413001/26/2009 examples where corrective actions were notN15413001/26/2009timely, did not provide an adequate extent ofN15413001/26/2009 condition and were not sufficient to preventN15413001/26/2009problem and was siloed towards individual tasksN15413001/26/2009and not the ultimate success of the correctiveN15413001/26/2009 action as a whole to ensure actual resolution theN15413001/26/2009untimely, lacked ownership of the identifiedN15413001/26/2009 Resolution ¿ The most prevalent issue observed.N15413001/26/2009NOS review of this key element of the CAPN15413001/26/2009 process revealed a current CAP process that isN15413001/26/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 6 of 84 Pedigree Informationincreased unplanned LCOs, and a reduction inN15413001/26/2009have contributed to degraded plant conditions,N15413001/26/2009 symptoms vice actual issues. These difficultiesN15413001/26/2009SEE ATTACHED COMPLETE PSDS IN SHAREPOINTN15413001/26/2009
-N15413001/26/2009 defense in depth.N15413001/26/2009resources, have resulted in the site focusing onN15413001/26/2009and weaknesses in the screening, evaluation, andN15413001/26/2009identify issues and understand their importance,N15413001/26/2009Program, coupled with limited personnelN15413001/26/2009resolution phases of the Corrective ActionN15413001/26/2009
==
Description:==
Description Notes Last Updated By Last Updated DateWhy did this occur?Lack of ownershipN15413001/26/2009Why did this occur?-N15413001/26/2009Why did this occur?CAP weaknesses resulting in repeat events.N15413001/26/2009Why did this occur?-N15413001/26/2009Why did this occur?Focus on symptoms vice issuesN15413001/26/2009 Why did this occur?-N15413001/26/2009RecommendationsIAW FP-PA-ARP-01.N15413001/26/2009Immediate Action TakenNOS alligned with Performance Assessment Supervisor,N15413001/26/2009General NotesWARNING:PRI field must be updated if A/S reopened.CAP1212567FTLD0102/18/2010RecommendationsPerform causal evaluation of the problem statementN15413001/26/2009Immediate Action TakenBusiness Support Manager, and the Plant Manager.N15413001/26/2009 Notes: Note Type Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 7 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:NOS OBSNOS OBSERVATIONN15412201/27/2009RECOVERYSTRATEGIC RECOVERY PLAN FOR PINGPDVSM0302/23/2009 Keywords: Keyword Description Last Updated By Last Updated DatePARB REVIEW REQD?COMPLETE POTENTIAL MRFFNAPPROVEDXX727701/26/2009OPS STATUSNAAPPROVEDXX727701/26/2009
MODE CHG RESTRAINTNOS REVIEW REQD?YCOMPLETEN15413001/26/2009 POTENTL MRGN ISSUE?LICENSE REVIEW REQD?COMPLETE CROSS-CUTTING ISSUEEQUIP ID REQ'D?NNOTIFYN15413001/26/200910CFR21 REQD?COMPLETE COMP ACTIONS TAKEN?
GOOD CATCH?
INSPECTION REPORT#
INSPECTION YEARIDENTIFIED BYNOSNOTIFYN15413001/26/2009 INSPECTION QUARTER Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 8 of 84 Pedigree InformationUNPLANED TSAC ENTRY?NAPPROVEDXX727701/26/2009 WELL DOCUMENTED?
SCAQ-CAQ-CNAQMLRE0108/26/2009TRENDING COMPLETE?YCOMPLETEN15412204/27/2009SRO REVIEW REQD?NNOTIFYN15413001/26/2009 Attributes:
Attribute Value Reqd By Last Updated By Last Updated DateCAPCAPCORRECTIVE ACTION PROGRAM Event Reportable Items:
Event Type Event Header DescriptionPIPIRCPP.1(D)CA38ACORRECTIVE ACTION Trend/Cause Codes:
Facility Trend 1 Trend 2 Trend 3 Date Process Org Rank Assign Vendor Sfx Description Generic Implication Description Trend/Cause Generic Implications:
Notes Last Updated Date Trend/Cause Notes:
Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 9 of 84 Pedigree Information UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AR01204115ARCOMPLETE01/05/2010Tracking Assignments needed to ensure Priority.AR01186538ARCOMPLETE08/26/2009Add SCAQ-CAQ-CNAQ attribute to CAP template AR01186470ARCOMPLETE08/26/2009Develop capability to calculate assignment priority AT-0085AR0114011601ASCOMPLETE07/02/2009PU.06.B.1, Apply the same methodology AR0117333501ASCOMPLETE05/11/2009Evaluate if corrective actions are requiredAR0117332201ASCOMPLETE05/11/2009Evaluate if corrective actions are required AR0117222201ASCOMPLETE08/21/2009Investigate raising the cAP eval thresholdAR01184090ARCOMPLETE09/28/2009Non level A actins from RCE 1166830AR01117840ARCOMPLETE09/26/2009WANO AFI Performance Management (PI.2)AR01083315ARCOMPLETE05/14/2009DRUM - PI has not be effective at resolving issues thru CAPAR01165841ARCOMPLETE04/20/2009Focused Self Assessment on the CAP program AR01173248ARCOMP-NA03/24/2009Corrective actions to address FP issues are not timelyAR01172753ARCOMP-NA03/13/2009CCE on adhering to CAP milestones failed EFR Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 10 of 84 Pedigree Information1200CA06/15/2009COMPLETEA078680 Change default sort settings for AT-0085 Change the Corrective Action Effectiveness Indicator1100CA06/15/2009COMPLETEA078680 Develop and implement a CAP priority matrix0900CAPR10/30/2009COMPLETEWNDJ040 Develop and implement a Department CAP Health Indicator1000CA08/21/2009COMPLETEWNDJ040
¿Evaluate for cross cutting aspects and update trend codes i0300TRND04/03/2009COMPLETEN1540020 Develop and implement a Site CAP resolution quality0400CA08/21/2009COMPLETEN1521440 Perform Root Cause Evaluation0100RCE04/16/2009COMPLETEA078680 Consolidate all grades issued by the PARB on QF-04320200RCG04/30/2009COMPLETEWDHG010 Complete a site rollout of the Principles for a Strong NSC0700CA07/30/2009COMPLETENRTS010 Once CAP priority matrix has been created0800CA09/03/2009COMPLETEN1521440 Establish management expectations and accountability0500CA07/29/2009COMPLETEN1521440 Revise FP-PA-ARP-01 to address the following issues0600CA10/30/2009COMPLETEWNDJ040 Assignment Summary:
Assign Subject Sub Asgn Type Due Date Status Prime Fac Primary Response
Group Sec Fac Second Response
Group Assign To# of Subs AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 11 of 84 Pedigree Information Accountability for TRP identified failures1600OTHA09/18/2009COMPLETEN1521440 Provide Root Cause Evaluation refresher training1700STPP07/20/2009CANCELEDN1543940 ensure CAP reduction is reviewed by PARB1800CA10/02/2009COMPLETEN1521440 Please provide reporting test plan for AT-0085 Complete a FSA on CAP process effectiveness1300EFR06/30/2010CANCELEDN15416101400EFR12/15/2010ACC/ASGN15416101500CAPR07/17/2009COMPLETEN1521440 Complete a FSA on CAP process effectiveness by eval of EFR 1 Assignment Summary:
Assign Subject Sub Asgn Type Due Date Status Prime Fac Primary Response
Group Sec Fac Second Response
Group Assign To# of Subs AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 12 of 84 Pedigree Information Assignment Detail for AR/Assignment/Sub-Assignment Number:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 13 of 84 Pedigree Information 01166830-01-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 14 of 84 Pedigree Information RCEAssign Type:Due Date:
Subject:
4/16/2009 Perform Root Cause Evaluation Assign To:A0786880 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 04/16/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Allen, Timothy E System: Unit: Site Management 1 Rsch Chgs:
5 Priority: by the PARB.N15412201/27/2009
.N15412201/27/2009
.N15412201/27/2009Completed evaluations will be graded and reviewedN15412201/27/2009Ensure CAPRs are initiated.N15412201/27/2009 the owed to is informed of completion of thisN15412201/27/2009
.N15412201/27/2009This action has a route list attached, insureN15412201/27/2009template found in attachment 16.N15412201/27/2009be guided by a management sponsor and include atN15412201/27/2009with FG-PA-RCE-01. The team membership shallN15412201/27/2009 Perform a Root Cause Evaluation in accordanceN15412201/27/2009least on RCE qualified person.N15412201/27/2009 to the AR screening team or the PARB using theN15412201/27/2009The management sponsor will submit an RCE charterN15412201/27/2009
.N15412201/27/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 15 of 84 Pedigree Information assignment.N15412201/27/2009
==
Description:==
Description Notes Last Updated By Last Updated Date Note Type Notes Last Updated By Last Updated Date Completion Notes:
NRC COMMITMENT?
NRC COMMITMENT DATE OUTAGE NUMBER
TRB?PARB?YA0786804/16/2009 NOS REVIEW?ARE CAPR REQUIRED?YAWAIT/CA0786804/16/2009LICENSING REVIEW?NA0786804/16/2009
MODE CHG RESTRAINT Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Based upon current RCE load at the site, the Original due date for this RCE has been set at 4/16/09. This was reviewed as the due date by the Plant M
anager (AR Screen chair) and the Perf assessment supervisor and is to be co
nsidered the orginal due dateA0786802/27/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 16 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems ResolutionAS011831170100ASCOMPLETE08/05/2009Review CAP Process FL-CAL-ARP-01 Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 17 of 84 Pedigree Information 01166830-02-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 18 of 84 Pedigree Information RCGAssign Type:Due Date:
Subject:
4/30/2009 Consolidate all grades issued by the PARB on QF-0432 Assign To:WDHG0138 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 04/24/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Woodhouse, Gene D System: Unit: Performce Improvemt 1 Rsch Chgs:
5 Priority:QF-0432. Enter the averaged grade components inN15412201/27/2009the attribute section of this assignment.N15412201/27/2009Consolidate all grades issued by the PARB onN15412201/27/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral NotesEntered averaged grade components in the attribute section.WDHG0104/24/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Due date moved per FP-PA-arp-01 to 2 weeks after RCE completed. No special approvals required as this is a RCG moved due to the RCE original date mov
ing.A0786803/05/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 19 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:05. SAFE/EOC/MR19WDHG0104/24/200904. PREV SIM EVENT9WDHG0104/24/200906. OE10WDHG0104/24/2009
- 08. TOTAL SCORE91WDHG0104/24/200907. EFF REVU PLAN8WDHG0104/24/200901. RC & CC19WDHG0104/24/200902. PROP CA'S,CA17WDHG0104/24/2009
- 03. COMP/INT CA9WDHG0104/24/2009 Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Cross
References:
Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 20 of 84 Pedigree Information Assignment Detail for AR/Assignment/Sub-Assignment Number:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 21 of 84 Pedigree Information 01166830-03-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 22 of 84 Pedigree Information TRNDAssign Type:Due Date:
Subject:
4/3/2009¿Evaluate for cross cutting aspects and update trend codes i Assign To:N15400240 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 04/01/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Ofarrill, Jorge L System: Unit: Licensing 0 Rsch Chgs:
5 Priority:¿Evaluate for cross cutting aspects and update trend codes iN15412201/27/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral Notesin itself is a trending cap and not a performance dificiencyN15400204/01/2009General Notesin and of itself. Therefore no potential cross cuttingN15400204/01/2009 General Notesaspect being assigned.N15400204/01/2009General Notesassigned to the many events discussed in the PSDS, this CAPN15400204/01/2009General NotesAlthough certainly many cross cutting aspects could beN15400204/01/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 23 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
ADVERSE TO QUALITY?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Cross
References:
Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 24 of 84 Pedigree Information 01166830-04-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 25 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
8/21/2009 Develop and implement a Site CAP resolution quality Assign To:N15214438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 08/20/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Petersen, Kurt W System: Unit: Performce Improvemt 0 Rsch Chgs:
5 Priority:should be a weighted formula based upon quality, dueWDHG0104/28/2009date and how long a CAP has been open. TRP resultsWDHG0104/28/2009 would be a key input to this indicator.WDHG0104/28/2009timeliness Key Performance Indicator. The indicatorWDHG0104/28/2009Develop and implement a Site CAP resolution quality andWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral Notesthe assigned to. The results from action -10 wasN15214408/20/2009 General NotesThis assignment was discussed with the owed to andN15214408/20/2009General Notesdetermined to meet the needs listed in this action. TheN15214408/20/2009General Notesconsideration of TRP results was discussed/evaluatedN15214408/20/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 26 of 84 Pedigree InformationGeneral NotesThese changes along with the existance of KPIs yieldedN15214408/20/2009General Notesreviewed at the PARB along with the report card data.N15214408/20/2009 General Notesalong with a quality check. The Results from the TRP isN15214408/20/2009General Notesthe result that an additional indicator was not necessary.N15214408/20/2009 General NotesDraft indicator is attached in sharepoint (Action -10)N15214408/20/2009General Notes.N15214408/20/2009General NotesNo further action is required at this time.N15214408/20/2009General NotesThe TRP has had its scope increased to include ACE gradingN15214408/20/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date NRC COMMITMENT DATE NOS REVIEW?
MRFF?TRB?PARB?
OUTAGE NUMBER LICENSING REVIEW?
NRC COMMITMENT?
MR(A)1 ACTION?
MODE CHG RESTRAINT Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 27 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 28 of 84 Pedigree Information 01166830-05-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 29 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
7/29/2009 Establish management expectations and accountability Assign To:N15214438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 07/29/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Petersen, Kurt W System: Unit: Performce Improvemt 1 Rsch Chgs:
5 Priority:- The ¿A¿ and ¿B¿ ¿Owed To¿ is accountable for qualityWDHG0104/28/2009 and timeliness.WDHG0104/28/2009* Identify quality resolution / recognitionWDHG0104/28/2009 Table (FP-G-CD-01 Attachment 1) and randomWDHG0104/28/2009 number generator.WDHG0104/28/2009- Institute a 14 day owed to review of all level ¿A¿ actionsWDHG0104/28/2009 as they are closedWDHG0104/28/2009completed ¿B¿ actions, Sample Size DeterminationWDHG0104/28/2009- PARB to define required departments for each root causeWDHG0104/28/2009grading to ensure effective cross-organizational review.WDHG0104/28/2009Establish management expectations and accountability forWDHG0104/28/2009 the following:WDHG0104/28/2009* A random sample of completed ¿B¿WDHG0104/28/2009evaluations/actions, using total population ofWDHG0104/28/2009- Change TRP review of completed actions to include.WDHG0104/28/2009* Review of Level ¿A¿ actions, not just the final CAPWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 30 of 84 Pedigree InformationThis is an ongoing activity that should be monitored throughWDHG0104/29/2009the paired observation program.WDHG0104/29/2009- Communicate all RCE issues and results to the site.WDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral Notesmanagment expectations shown in SharepointN15214407/29/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date NRC COMMITMENT?
NRC COMMITMENT DATE
NOS REVIEW?
PARB?OUTAGE NUMBER MODE CHG RESTRAINT LICENSING REVIEW?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Received first extension, approval from NOS Manager and Site VP. Extended two weeks to 7/29/09.N12806207/15/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 31 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
TRB?Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 32 of 84 Pedigree Information 01166830-06-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 33 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
10/30/2009 Revise FP-PA-ARP-01 to address the following issues Assign To:WNDJ0438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 09/10/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Windschill, John E System: Unit: Performce Improvemt 3 Rsch Chgs:
5 Priority:(shall) that may not include representatives fromWDHG0104/28/2009of the screening process and documented priority.WDHG0104/28/2009- Attachment 9 is only referenced in step Section 5.10, butWDHG0104/28/2009 includes information relevant to multiple other steps.WDHG0104/28/2009- Designate between SCAQs, CAQs and non-CAQs as partWDHG0104/28/2009 Revise FP-PA-ARP-01 to address the following issues:WDHG0104/28/2009- Clearly state what function is responsible for writing theWDHG0104/28/2009 evaluation assignment statement ¿ Section 5.5, 5.6, 5.7.WDHG0104/28/2009Provide reference to Attachment 9 in all applicableWDHG0104/28/2009 Clarify statement to state meaning of that phrase ¿WDHG0104/28/2009determine if RCE, ACE, CE, or CA is needed.WDHG0104/28/2009
- Composition of screening team allows minimum quorumWDHG0104/28/2009- Screening charter states ¿determine the level of effort¿.WDHG0104/28/2009
sections.WDHG0104/28/2009- Identify Responsible Individual(s) in left column ¿WDHG0104/28/2009
Section 5.10.WDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 34 of 84 Pedigree Informationall closed ¿A¿ actions (not waiting for completion ofWDHG0104/28/2009- Change Attachment 10, TRP Charter to require review ofWDHG0104/28/2009evaluations/actions (not waiting for completion ofWDHG0104/28/2009CAP), and a random sample of completed ¿B¿WDHG0104/28/2009appropriate departments (should) ¿ Attachment 8.WDHG0104/28/2009appropriate departments are represented.WDHG0104/28/2009Re-evaluate quorum requirements such that allWDHG0104/28/2009CAP), using total population of completed ¿B¿ actions,WDHG0104/28/2009 chart, currently viewed only by TRP team, to be presentedWDHG0104/28/2009- Change Attachment 10, TRP Charter to proceduralizeWDHG0104/28/2009 on y-axis.WDHG0104/28/2009formally to PARB. Revise chart to use ¿actions¿ as unitsWDHG0104/28/2009Attachment 1), and random number generator. AddWDHG0104/28/2009Sample Size Determination Table (FP-G-CD-01WDHG0104/28/2009 Table to procedure.WDHG0104/28/2009random number generator, Sample Size DeterminationWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated Date See in progress notes for action 09 of this CAP for basis for due date extension of this action. Action 09 (priority scheme) due date was extended, and this action
(06) is tied to same product (ARP-01 issuance).
Approved extension to 8/19/09, from site VP.
This is tied to action #9 which has been extended to 11/30/09. Received co
ncurrence from site VP (acting) on 8/11 to extend this along with action #
- 9. Moved due date to 11/30/09.N12806208/18/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 35 of 84 Pedigree InformationGeneral Notes2) Attach 9 is only referenced in 5.10 (also referenced inWNDJ0409/10/2009General Notes(this was determined to be clear)WNDJ0409/10/2009General Notes3) Change TRP Charter (decided not to use TRP for this)WNDJ0409/10/2009General Notes5.3 and 5.20)WNDJ0409/10/2009General Notes1) what function is repons for eval assignment statementWNDJ0409/10/2009General NotesComments reviewed by CAP Peer Group. AllWNDJ0409/10/2009General Notesincorporated in Rev 23 of ARP-01 on 8/25/09 except for:WNDJ0409/10/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date MODE CHG RESTRAINT LICENSING REVIEW?
TRB?NRC COMMITMENT DATE MRFF?
MR(A)1 ACTION?
NRC COMMITMENT?
NOS REVIEW?
PARB?OUTAGE NUMBER Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 36 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01187324ARCOMPLETE08/26/2009FP-PA-ARP-01, Rev 22AS011831170100ASCOMPLETE08/05/2009Review CAP Process FL-CAL-ARP-01AS01183116ARAPPROVED06/15/2009Corrective Action Implementation Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 37 of 84 Pedigree Information 01166830-07-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 38 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
7/30/2009 Complete a site rollout of the Principles for a Strong NSC Assign To:NRTS0180 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 07/30/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Northard, Scott D System: Unit: Site Management 0 Rsch Chgs:
5 Priority:and coaching at all levels of management and supervision.WDHG0104/28/2009D15 Team Notes write-ups, and observations, mentoringWDHG0104/28/2009 validate.)WDHG0104/28/2009(Closeout will be based on initial rollout. Use FSA toWDHG0104/28/2009exposure at Management meetings, Leadership Forums,WDHG0104/28/2009Complete a site rollout of the Principles for a StrongWDHG0104/28/2009Nuclear Safety Culture. This should include continuingWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral Noteseffectively rolled out at Prairie Island. Posters were madeNRTS0107/30/2009General NotesThe Principles for a Strong Nuclear Safety Culture have beenNRTS0107/30/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 39 of 84 Pedigree InformationGeneral Notesall Managers and Supervisors. The Principles were alsoNRTS0107/30/2009General Notesreviewed at the Site VP staff meeting. Finally, theNRTS0107/30/2009General Notesthe protected area. A leadership forum was held to reviewNRTS0107/30/2009General Notesthe principles and INPO pocket books have been provided toNRTS0107/30/2009General Notesprinciples in ensuring nuclear safety.NRTS0107/30/2009General NotesThis action is complete. SDNNRTS0107/30/2009General NotesPrinciples are used regularly by the leadership team forNRTS0107/30/2009General Notesmeeting safety moments to reinforce the use of theNRTS0107/30/2009General Notesand installed in all major plant conference rooms and theNRTS0107/30/2009General Notesall plant employees hear the message every time they enterNRTS0107/30/2009General NotesBuilding are rotating a message for all eight Principles soNRTS0107/30/2009 General NotesTraining Center. The explosive sniffers in the SecurityNRTS0107/30/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date NRC COMMITMENT?
NRC COMMITMENT DATE
NOS REVIEW?
TRB?PARB?
OUTAGE NUMBER MODE CHG RESTRAINT LICENSING REVIEW?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 40 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183116ARAPPROVED06/15/2009Corrective Action Implementation Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 41 of 84 Pedigree Information 01166830-08-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 42 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
9/3/2009 Once CAP priority matrix has been created Assign To:N15214438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 09/03/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Petersen, Kurt W System: Unit: Performce Improvemt 1 Rsch Chgs:
5 Priority:department led review of current AR backlog to apply theWDHG0104/28/2009new standards, and prioritizing / managing employee workWDHG0104/28/2009
load.WDHG0104/28/2009Once CAP priority matrix has been created, complete aWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral NotesA and B severity level actions have been reviewed forN15214409/03/2009General Notesadequacy and meeting the orginally identified issue. TheN15214409/03/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date CAPR (assignment #9) extended to 8/18. This assignment follows the CAPR, a pproved by PARB (and site VP) to align with new CAPR due date of 8/18. New
due date for this assignment is 9/3//09. Reference in prog notes for assi
gnment #9 of this AR.N12806207/21/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 43 of 84 Pedigree InformationGeneral Notesas a whole will be approved by PARB duing a meeting heldN15214409/03/2009General Notesindivdiual departments for disposition. The recommendationsN15214409/03/2009General Notesduring the refueling outage.N15214409/03/2009 General Noteslisting and approves decisionsN15214409/03/2009General NotesAdditional action created to ensure that PARB reviews thisN15214409/03/2009General Noteswill be presented to the PARB collectively as well as theN15214409/03/2009General Notesresults are attached in sharepoint. The items listed in redN15214409/03/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date NRC COMMITMENT?
NRC COMMITMENT DATE
NOS REVIEW?
TRB?PARB?
OUTAGE NUMBER MODE CHG RESTRAINT LICENSING REVIEW?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 44 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 45 of 84 Pedigree Information 01166830-09-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 46 of 84 Pedigree Information CAPRAssign Type:Due Date:
Subject:
10/30/2009 Develop and implement a CAP priority matrix Assign To:WNDJ0438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 09/10/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Windschill, John E System: Unit: Performce Improvemt 2 Rsch Chgs:
5 Priority:to interface with the work management process and theWDHG0104/28/2009engineering work management system.WDHG0104/28/2009Develop and implement a CAP priority matrix designedWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 47 of 84 Pedigree InformationGeneral Noteson 8/25/09. Priority appears on modified AT-0085WNDJ0409/10/2009General NotesSupervisors repor. Priority combines input from CAPWNDJ0409/10/2009 General NotesSignificance Level, CAQ attribute, and assignment urgency.WNDJ0409/10/2009General NotesCAP Priority scheme codified in rev 23 of ARP-01 issuedWNDJ0409/10/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Request due date change to 8/18/09. Prioritization scheme has been developed (see Sharepoint for this
action), scheme has been reviewed by managment, and
ITAR 1186470 has been initiated to accomplish the
change within the AT-0085 report. Revised
guidance for ARP-01 has also been drafted and sent
for review via PCR 1187324. Translation of scheme
into a revised AT-0085 report is complex and will
require significant testing. IT and CAP representatives
from Marquette met and determined that 8/18/09 is
an appropriate due date for the remaining work.
Interim actions will continue (management reinforcing
need to review CAP Significance Level on AT-0085
when prioritizing work list).
Due date extension to 8/18/09 approved by PARB on 7/14/09.
Extension request presented to PARB to extend due date to 11/02/09 due to d
ificulty with making changes to PASSPORT and associated reports. Approxima
tely two man-months of efforts have been committed to date to implement the
se changes. PARB approved due date expension to 11/30/09 based upon prefer
ence to implement this change after 1R26. Also received concurrence from N
OS manager for the extension. LKCN12806208/18/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 48 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
OUTAGE NUMBERMODE CHG RESTRAINTWNDJ0409/10/2009 TRB?PARB?NRC COMMITMENT?NCOMPLETEWNDJ0409/10/2009EFR CREATED?YCOMPLETEWNDJ0409/10/2009 Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems Resolution AS01201837ARCOMP-NA01/07/2010FP-PA-ARP-01, rev 23 Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 49 of 84 Pedigree Information Assignment Detail for AR/Assignment/Sub-Assignment Number:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 50 of 84 Pedigree Information 01166830-10-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 51 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
8/21/2009 Develop and implement a Department CAP Health Indicator Assign To:WNDJ0438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 08/21/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Windschill, John E System: Unit: Performce Improvemt 2 Rsch Chgs:
5 Priority:Indicator. The indicator should be a weighted formulaWDHG0104/28/2009based upon quality, due date and how long a CAP hasWDHG0104/28/2009
been open.WDHG0104/28/2009Develop and implement a Department CAP HealthWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral NotesA department CAP report card was developed as a FleetWNDJ0408/21/2009General Notesdepartment KPI. The KPI was approved by the Exec SponsorWNDJ0408/21/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date This CAPR wast changed to a CA by the 5/25//09 PARB Meeting. A new CAP was created to add accountability for TRP failed Actions / CAPs
First extension granted by site VP (acting) on 7/30. Due date approved to
8/21/09.N12806207/31/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 52 of 84 Pedigree InformationGeneral Notes8/21/09. The KPI effectively provides an overall gradeWNDJ0408/21/2009General Noteson 8/20/09, and loaded into the fleet KPI program onWNDJ0408/21/2009General Noteseach major site department's support of the CAP.WNDJ0408/21/2009General Notesas determined by a senior site manager of A, B, C, D or F ofWNDJ0408/21/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date NRC COMMITMENT?
NRC COMMITMENT DATE
NOS REVIEW?
TRB?PARB?
OUTAGE NUMBER MODE CHG RESTRAINT LICENSING REVIEW?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 53 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems ResolutionAS01194548ARCOMPLETE08/21/2009Performance Improvement Report Card - New Dpt KPI Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 54 of 84 Pedigree Information 01166830-11-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 55 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
6/15/2009 Change default sort settings for AT-0085 Assign To:A0786880 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 06/02/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Allen, Timothy E System: Unit: Site Management 0 Rsch Chgs:
5 Priority:Report to severity level, then due date.WDHG0104/28/2009Initiate an ITAR and track to closure with this CA.WDHG0104/29/2009Change default sort settings for AT-0085 SupervisorsWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral Notestracked as part of CAP 1184090-01 which tracks the Non levelA0786806/02/2009General NotesA actions found during this RCE.A0786806/02/2009General NotesThis CA created in error from original report. It is beingA0786806/02/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 56 of 84 Pedigree Information NRC COMMITMENT?
NOS REVIEW?
MRFF?TRB?PARB?
OUTAGE NUMBER LICENSING REVIEW?
NRC COMMITMENT DATE MR(A)1 ACTION?
MODE CHG RESTRAINT Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 57 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 58 of 84 Pedigree Information 01166830-12-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 59 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
6/15/2009 Change the Corrective Action Effectiveness Indicator Assign To:A0786880 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 06/02/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Allen, Timothy E System: Unit: Site Management 0 Rsch Chgs:
5 Priority:Change the Corrective Action Effectiveness IndicatorWDHG0104/28/2009(MRM) ¿meets¿ standard to 100%WDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral Notesentry. It is being completed by CAP 1184090-02 which tracksA0786806/02/2009 General Notesthe non level A actions found during this RCE.A0786806/02/2009General NotesThis CA created in error during the original RCE action dataA0786806/02/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date LICENSING REVIEW?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 60 of 84 Pedigree Information NRC COMMITMENT?
NRC COMMITMENT DATE
NOS REVIEW?
TRB?PARB?
OUTAGE NUMBER MODE CHG RESTRAINT MRFF?MR(A)1 ACTION?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 61 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 62 of 84 Pedigree Information 01166830-13-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 63 of 84 Pedigree Information EFRAssign Type:Due Date:
Subject:
6/30/2010 Complete a FSA on CAP process effectiveness Assign To:N15416138 Department:
95 Status/Date:
CANCELED PI Aff Fac: 06/16/2010 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Notbohm, Andrew D System: Unit: Performce Improvemt 1 Rsch Chgs:
5 Priority:the new quality indicators are being utilized by departmentsWDHG0104/29/2009indicated by: all CAPs are prioritized with the new codes,WDHG0104/29/2009to drive performance (suggest interviews of employees),WDHG0104/29/2009 for 1st quarter of 2010.WDHG0104/29/2009and the new indicators are blue or green trending to blueWDHG0104/29/2009quality indicators, and NOS audit reports. Success will beWDHG0104/29/2009Complete a FSA on CAP process effectiveness based onWDHG0104/28/2009EFR results of severity level ¿A¿ and ¿B¿ CAPs closed inWDHG0104/28/2009 the last half of 2009, newly developed site and departmentWDHG0104/28/2009
==
Description:==
Description Notes Last Updated By Last Updated Date Due date extended with permission from NOS, Business Support Manager and Site VP. approval attached in sharepoint.N10436903/25/2010 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 64 of 84 Pedigree InformationGeneral Notes-level) address the concerns of this EFR. SVP, SiteN15416106/16/2010General NotesDirector and NOS manager were present and concurred withN15416106/16/2010 General NotesPARB approval.N15416106/16/2010General Notesdecision that the metrics meaured in EFR 01187837-20 (AN15416106/16/2010General Notes6/15/10 PARB approved cancellation of this EFR with theN15416106/16/2010 Completion Notes:
Note Type Notes Last Updated By Last Updated Date PARB?TRB?EFR CONCLUSIONCOMPLETE Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date UTC No.Manufacturer Model No.Serial No.
Material
References:
AS01205468ARAPPROVED11/17/2009FSA: Pre-71152 PI&R NRC inspection/CAP Process Effectiveness Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 65 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 66 of 84 Pedigree Information 01166830-14-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 67 of 84 Pedigree Information EFRAssign Type:Due Date:
Subject:
12/15/2010 Complete a FSA on CAP process effectiveness by eval of EFR 1 Assign To:N15416138 Department:
48 Status/Date:
ACC/ASG PI Aff Fac: 06/16/2010 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Notbohm, Andrew D System: Unit: Performce Improvemt 0 Rsch Chgs:
5 Priority:transients and no repeat non-compliance with regulatoryWDHG0104/29/2009trend in equipment reliability, reduced operationWDHG0104/29/2009requirements. Measurement will be reflected in theWDHG0104/29/2009 Due date 4th quarter of 2010.WDHG0104/28/2009MRM KPI¿s indicating Blue for the identified areas.WDHG0104/29/2009resolution of significant issues as indicated by: increasedWDHG0104/29/2009Complete a FSA on CAP process effectiveness byWDHG0104/28/2009evaluating EFR #1 results, site and department qualityWDHG0104/28/2009 indicators, and NOS audit reports. Success is effectiveWDHG0104/29/2009
==
Description:==
Description Notes Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 68 of 84 Pedigree InformationGeneral Notes4) Reactivity Management Events Unit 2N15416106/16/2010General Notes3) Reactivity Management Events Unit 1N15416106/16/2010 General Notes2) Equipment Reliability Unit 2N15416106/16/2010General Notes5) NRC Findings and ViolationsN15416106/16/2010 General NotesImproving trend method defined in FP-PA-PI-01.N15416106/16/2010General Notesusing three (3) data points (most recent 3 months).N15416106/16/2010 General NotesSuccess will be if each indicator has an improving trendN15416106/16/2010General Notesfollowing:N15416106/16/2010General Notes6/15/2010 PARB approved modification of EFR to theN15416106/16/2010General NotesComplete an effectiveness review (use QF-0422) for theN15416106/16/2010 General Notes1) Equipment Reliability Unit 1N15416106/16/2010General Notesfollowing metrics:N15416106/16/2010 Completion Notes:
Note Type Notes Last Updated By Last Updated Date PARB?TRB?EFR CONCLUSIONCOMPLETE Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 69 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Cross
References:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 70 of 84 Pedigree Information 01166830-15-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 71 of 84 Pedigree Information CAPRAssign Type:Due Date:
Subject:
7/17/2009 Provide Root Cause Evaluation refresher training Assign To:N15214438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 07/14/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Petersen, Kurt W System: Unit: Performce Improvemt 0 Rsch Chgs:
5 Priority:Provide Root Cause Evaluation refresher training to allWDHG0105/11/2009qualified RCE personnel.WDHG0105/11/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral NotesFrom a training/qualification prospect - the RCE qualN15214407/14/2009 General Notesrequirements listed on the JFG and in the RCE Manual haveN15214407/14/2009General Notes.N15214407/14/2009General NotesRefresher training using IP95001 and IMC 0305 critiera wasN15214406/02/2009General Notescompleted on May 4- May 7, 2009. Action CompleteN15214406/02/2009General Notesnot changed yet. At this time there are 3 still shown asN15214407/14/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated DateTHIS CAPR added as part of the final PARB reviewA0786806/02/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 72 of 84 Pedigree InformationGeneral NotesWe are at little or no risk with the qual list still showingN15214407/14/2009General Notesthese 3 people qualified as NO ONE is assigned as a RCEN15214407/14/2009 General NotesInvestigator without station mgt. approval. We are NOTN15214407/14/2009General Notesformally changed, then they would definitely NOT meet theN15214407/14/2009General Notesqual requirements and would come off the PA qual matrix.N15214407/14/2009 General Notes.N15214407/14/2009General NotesThe three remaining individuals that have not completed theN15214407/14/2009General Notesrefresher training will be disqualified as a matter ofN15214407/14/2009 General Notesmanagment decison by the end of August 2009N15214407/14/2009General Notesunnecessarily vulnerable for an unqualified worker eventN15214407/14/2009General Notesbecause of the way RCE teams are manned at this time.N15214407/14/2009 General Notes.N15214407/14/2009General Notestracked on their accredited program qual matrix (ESP or RP,N15214407/14/2009General Notesetc.) they are tracked only in PA. Once the program isN15214407/14/2009General Notesaccordance with the PA program. The RCE quals are NOTN15214407/14/2009General Notesqualified people are still "technically" qualified inN15214407/14/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date OUTAGE NUMBER NRC COMMITMENT?NCOMPLETEN15214406/02/2009 TRB?PARB?EFR CREATED?NCOMPLETEN15214406/02/2009 MODE CHG RESTRAINT Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 73 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AS01183117ARCOMPLETE03/06/2010Thorough Evaluation of Problems Resolution Cross
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 74 of 84 Pedigree Information 01166830-16-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 75 of 84 Pedigree Information OTHAAssign Type:Due Date:
Subject:
9/18/2009 Accountability for TRP identified failures Assign To:N15214438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 09/18/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Petersen, Kurt W System: Unit: Performce Improvemt 1 Rsch Chgs:
5 Priority:er accountability model is used by the site for over due CAPA0786806/02/2009actions. As this is a CAPR, the actions need to be formaliA0786806/02/2009 zed / put into processA0786806/02/2009ilures found by the TRP. This model should parallel what evA0786806/02/2009Develop and implement an accountability model for quality faA0786806/02/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral Notesdid not meet the requirements set forth in FP-PA-ARP-01N15214407/15/2009 General Notesto provide the infomation on why the reviewed items (in TRP)N15214407/15/2009 General NotesThe accountabilty model to be used for TRP failures will beN15214407/15/2009General NotesAttachement 10 to both the owed to AND the site VP orN15214407/15/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 76 of 84 Pedigree InformationGeneral Notesbelow the level of detail for a fleet procedure.N15214407/15/2009General Notes.N15214409/18/2009General Notesactual face to face accountabilty meeting is the stationN15214407/15/2009General Notestechnique to meet the review by the PARB. This execution isN15214407/15/2009General NotesThis Action was reveiwed by PARB on 9/18/09. The PARBN15214409/18/2009 General Notescorretive action program and there are other venues toN15214409/18/2009General Notesachieve the accountabilty aspects.N15214409/18/2009General Notesapproved elmination of this action in its entirety.N15214409/18/2009General NotesAccountabilty actions were not deemed appropriate in theN15214409/18/2009General Notesin the last section of the implementation section. TheN15214407/15/2009General Notesdates. Attachment 10 currently has established the processN15214407/15/2009 General Notesdesignee. This is the parallel process for CAP missed dueN15214407/15/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date ADVERSE TO QUALITY?
Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Cross
References:
Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 77 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 78 of 84 Pedigree Information 01166830-17-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 79 of 84 Pedigree Information STPPAssign Type:Due Date:
Subject:
7/20/2009 Please provide reporting test plan for AT-0085 Assign To:N15439438 Department:
95 Status/Date:
CANCELED PI Aff Fac: 07/16/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Brown, Andrew System: Unit: Performce Improvemt 0 Rsch Chgs:
5 Priority:(2 overall scenarios) to ensure before UAT, IT can doGRTC0307/15/2009 adequate testing.GRTC0307/15/2009Provide current report testing plan as well as with changesGRTC0307/15/2009
==
Description:==
Description Notes Last Updated By Last Updated Date Note Type Notes Last Updated By Last Updated Date Completion Notes:
Attribute Value Reqd By Last Updated By Last Updated Date Attributes:
Please cancel this step should be associated to ITAR 01186470 see sharepoint for documentationLJENGE0107/16/2009 In Progress Notes:
Notes Last Updated By Last Updated Date AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 80 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component
References:
Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Cross
References:
Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 81 of 84 Pedigree Information 01166830-18-00 AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 82 of 84 Pedigree Information CAAssign Type:Due Date:
Subject:
10/2/2009 ensure CAP reduction is reviewed by PARB Assign To:N15214438 Department:
85 Status/Date:
COMPLETE PI Aff Fac: 10/02/2009 Not Locked Pri Resp Grp:
Sec Resp Grp:
Last Name:
Petersen, Kurt W System: Unit: Performce Improvemt 0 Rsch Chgs:
5 Priority:Schedule review of CAP action REcommendations in action -08N15214409/03/2009are reviewed and approved by PARB .N15214409/03/2009
==
Description:==
Description Notes Last Updated By Last Updated DateGeneral NotesAt this time there is no further action needed on thisN15214410/02/2009General Notes.N15214410/02/2009General Notesare expected to result in addressing these issues.N15214410/02/2009General Notesat the October 1,2009 ad hoc meeting. Separately each deptN15214410/02/2009General NotesThe CAP reduction effort was provided to the PARB membersN15214410/02/2009General Notesrecommendations for action. Additional follow up meetingsN15214410/02/2009General Noteswas provided a listing of the open A & B CAPs withN15214410/02/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date Notes Last Updated By Last Updated Date In Progress Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 83 of 84 Pedigree InformationGeneral Notesof formality depending upon the need.N15214410/02/2009General Notesone time effort but a continuing action with varying degreeN15214410/02/2009 General Notesassigment. Review of inventory is not anticipated to be aN15214410/02/2009 Completion Notes:
Note Type Notes Last Updated By Last Updated Date MODE CHG RESTRAINT
LICENSING REVIEW?
TRB?NOS REVIEW?
MRFF?
MR(A)1 ACTION?
NRC COMMITMENT?
NRC COMMITMENT DATE PARB?OUTAGE NUMBER Attributes:
Attribute Value Reqd By Last Updated By Last Updated Date Ref Type Reference Nbr Ref Sub Ref Nbr Type Status Status Date Description Cross
References:
Attribute Notes Last Updated By Last Updated Date Attributes Notes:
AT-0175 Action Request Record Report Report Date: 07/21/2010 REV.2 Page 84 of 84 Pedigree Information Facility Doc Type Sub Type Document Number Sheet Rev Minor Doc Date Title Reference Docs:
UTC No.Manufacturer Model No.Serial No.
Material
References:
Facility Unit Op Sys Division Area System Class Equip Type Equipment Comp Type Component.
Equipment/Component