ML20147B354
| ML20147B354 | |
| Person / Time | |
|---|---|
| Site: | Salem  |
| Issue date: | 02/01/1994 |
| From: | Public Service Enterprise Group |
| To: | |
| Shared Package | |
| ML20147B009 | List: |
| References | |
| FOIA-96-351 NUDOCS 9701310169 | |
| Download: ML20147B354 (56) | |
Text
7 m,_m e j,
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Public Service j
f Electric and Gas i
a Company i,
WORK CONTROL i
i ENFORCEMENT CONFERENCE l
4 l
FEBRUARY 1,1994 i
l SALEM l
GENERATING STATION L
r 9701310169 970124 0
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WORK CONTROL i
AGENDA t
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1 INTRO / OBJECTIVES HAGAN l
r 1
l
SUMMARY
OF NRC FINDINGS HAGAN i
PROCESS TO CONTROL WORK IN THE FIELD CATALFOMO i
i REVIEW OF IDENTIFIED INCIDENTS CATALFOMO
[
1 l
ASSESSMENT PROCESSES VONDRA j
OVERALL SALEM PERFORMANCE IMPROVEMENTS VONDRA I
REGULATORY ASSESSMENT THOMSON l
SUMMARY
CONCLUSION HAGAN r
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1 s
94EC1 1 L
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WORK CONTROL OBJECTIVES
[
- PROVIDE PSE&G PERSPECTIVE ON THE NRC FINDINGS e CONVEY OUR UNDERSTANDING OF THE ISSUES AND OUR COMMITMENT TO IMPROVEMENT
[
e PROVIDE THE RESULTS OF OUR EVALUATIONS e DEMONSTRATE THAT OUR NORMAL ASSESSMENT PROCESS IS EFFECTIVE AND ADEQUATELY IDENTIFIES GENERIC ISSUES e DEMONSTRATE THAT APPROPRIATE CORRECTIVE ACTIONS ARE BEING TAKEN e DEMONSTRATE THAT ESCALATED ENFORCEMENT ACTION IS NOT WARRANTED 6
94EC12 L
I WORK CONTROL
SUMMARY
OF NRC FINDINGS r
l
- EXAMPLES OF FAILURE TO FOLLOW PROCEDURES IN
[
ACCORDANCE-WITH TECHNICAL SPECIFICATION 6.8.1.a RELATIVE TO THE CONTROL OF MAINTENANCE WORK I
ACTIVITIES WERE NOTED 1
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04EC1 18 q
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i work CONTROL PROCESS TO CONTROL WORK IN THE FIELD GOVERNING NUCLEAR DEPARTMENT ADMINISTRATIVE PROCEDURES e NC.NA-AP.ZZ-0009(Q), " WORK CONTROL PROCESS"
[
e NC.NA-AP.ZZ-0069(Q), " WORK CONTROL COORDINATION" e NC.NA-AP.ZZ-0015(Q), " SAFETY TAGGING PROGRAM"
[
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$4EC13 L
I WORK CONTROL PROCESS TO CONTROL WORK IN THE FIELD
)
i o PROBLEM IDENTIFICATION AND PRIORITIZATION r
t
- WORK REQUEST j
- DAILY PLANNING MEETING
- PLANNING AND SCHEDULING
{
- INTERDEPARTMENTAL INTERFACE o OPERATIONAL PREPARATION
- WORK ACTIVITY CONTROL
- TAGGING REVIEW t
. BLOCKING POINTS
- TAGGING CONTROLS
- REMOVAL OF EQUIPMENT FROM SERVICE
- PERMISSION TO START
- PERFORMANCE
- SUPERVISOR VERIFICATION
- WORK PERFORMANCE
- SIGN OFF WORK ORDER AND TAGGING REQUEST e RETURN TO SERVICE
- TAGGING RELEASE
- RETEST 84EC1-4 s
I 4
i WORK CONTROL PROCESS TO CONTROL WORK IN THE FIELD 4
i 4
i r
I WELL-DEFINED PROCESS i
j CONFIDENT THAT THE PROCESS WORKS 1
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1 1
e4ect44 i
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WORK CONTROL
.i i
i t
i REVIEW OF IDENTIFIED INCIDENTS 1
1 l
FOCUSED LOOK AT IDENTIFIED INCIDENTS I
i i
1 l
1 l
3 4
i l
l l
1 i
1 i
i 1
i 4
I i
i
I WORK CONTROL REVIEW OF IDENTIFIED INCIDENTS e INCIDENTS IDENTIFIED IN INSPECTION REPORT FELL INTO 2 CATEGORIES - TAGGING AND WORK CONTROL I) i e INCIDENTS WERE ASSESSED INDIVIDUALLY AND COLLECTIVELY VIA NORMAL PROCESS l
e INCIDENTS WERE ASSESSED COLLECTIVELY VIA INDEPENDENT REVIEW e PRIMARY CAUSAL FACTOR CATEGORIES ARE
[
COMPARABLE TO COMPREHENSIVE PERFORMANCE ASSESSMENT TEAM PROBLEM STATEMENTS i
t be
?
L 94EC120 L
Il WORK CONTROL REVIEW OF IDENTIFIED INCIDENTS e EVENT CAUSAL FACTOR CATEGORIES
[
- LESS THAN ADEQUATE SUPERVISORY METHODS
- LESS THAN ADEQUATE VERBAL COMMUNICATIONS j
j
- LESS THAN ADEQUATE WORK PRACTICES i
A FAILURE TO FOLLOW PROCEDURES
[
j e CORRECTIVE ACTIONS
- APPROPRIATE LEVEL OF DISCIPLINE
- EXPECTATIONS WERE REINFORCED TO INVOLVED PERSONNEL AND PEERS
[
- OTHER ENHANCEMENTS BASED ON SPECIFIC
~
INCIDENTS e SAFETY SIGNIFICANCE
- NONE OF THESE EVENTS SIGNIFICANTLY AFFECTED PLANT SAFETY 83EC120A 6
I WORK CONTROL ASSESSMENT PROCESS r
~
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BROADER BASED ASSESSMENT I
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O l
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WORK CONTROL ASSESSMENT PROCESSES i
l l
e NORMAL OPERATING EXPERIENCE FEEDBACK PROCESS i
4 i
8 e OTHER ASSESSMENT ACTIVITIES l
l e COMMON EVENT CAUSAL FACTOR CATEGORIES e BROADER IMPLICATIONS 1
4 l
e CORRECTIVE ACTIONS i
e OVERALL SAFETY SIGNIFICANCE 4
i
~
i l
l 94EC146 I
4
I WORK CONTROL ASSESSMENT PROCESSES NORMAL OPERATING EXPERIENCE FEEDBACK PROCESS e REPORT OFF-NORMAL INCIDENTS TO SUPERVISOR I
\\
e SUPERVISOR INITIATES INCIDENT REPORT (IR) AND GIVES IT TO OPERATIONS I
e OPERATIONS DETERMINES PLANT IMPACT (OPERABILITY,.
NOTIFICATIONS, ECG IMPACT, ETC.) AND FORWARDS IR TO APPROPRIATE DEPARTMENT AND LER COOORDINATOR e ALL IR'S ARE DISCUSSED AT SNSS MORNING MEETING WITH PLANT MANAGEMENT e LER COORDINATOR DETERMINES IR REPORTABILITY PER 10CFR50.73 AND COORDINATES INVESTIGATION l
6 944Cl 5 L
i I
i WORK CONTROL i
l OPERATING EXPERIENCE FEEDBACK 1
j e WEEKLY MEETING AT STATION TO REVIEW INCIDENT j
REPORTS, REVIEW PREVIOUS OCCURRENCES, ASSIGN
{
l SIGNIFICANCE, ASSIGN ROOT CAUSE INVESTIGATION
- IR's AND EXTERNAL OPERATliJG EX) !aENCE ARE l
REVIEWED FOR SIMILAR TOPICS AND CORRECTIVE l
l ACTIONS ARE INITIATED i
l e QUARTERLY REVIEW OF CAUSAL FACTOR TRENDS WITH MANAGEMENT i
i i
i
.l l
l j
i 1
1 exci.e
WORK CONTROL l
ASSESSMENT PROCESSES TAGGING irs DURING 4TII QUARTER 1993 (1R11) l 1R NUMBER DATE TITLE OF IR OEF PERSPECnVE/ ASSIGNMENT 93 417 IW5 13 SWirCIIGEARSUPPLY FAN FOUND Tills EVENT INVOLVES FAILURE TD SELF-CllECK TAG INSERVICE WHILE CLEARED AND TAGGED REPLACEMENT Al~rER VIE RETURN OFDIE BREAKER. INVOLVES Tile REPOSITIONING OFTAGS.93-428 10/22 STEAM RELEASE DURING REMOVAL OF Tills EVENT INVOLVES Tile FAILURE TD VERIFY TIIAT VENT AND TAGS FROM 22 BSCDT PUMP DRAIN VALVES ARE CLOSED PRIOR TD RELEASING TAGS AND I
REPOSinONING VALVES. Tills EVENT WAS ON TIIE OPERATING UNrr.
l 93 435 10/29 USE OF A CONTRACTOR EMPI.OYEE AS A Tills EVENT INVOLVES A CONTRACTOR SUPERVISOR WilO WORKED I
HUMAN TAG.
ON AN EllC PUMP 111ATWAS NOTTAGGED. INVOLVES A. FAILURE TO USE NAP-15 GUIDELINES 93 439 10/29 SERVICE WATER LEAK FROM IISW53 DUE Tills EVENT INVOLVES A FAILURE TG 7ERIFY CORRECT VALVE ON TO Tile INADVERTENT REMOVAL OFT 11E TAGGING RELEASE. Tlils IS THE DRST PROBLEM ASSOCIATED WTTil RED TAG FROM ITS UPSTREAM VALVE.
TAGGING RELEASES ON Tile OlITAGE UNIT. IIERE,"IllE NEO PULLED l
WRONG VALVE TAG.93-442 10/31 CONTRACTOR CITT AN ENERGIZED 125 VDC
'HIIS EVENT INVOLVED A CONTRACTOR SUPERVISOR WilO FAILED CABLE.
TO SIGN-ON TAGS. SUPERVISOR FAILED TO USE NAP-15 GUIDELINES.
I 93 451 11/4 LOSS OF IB AND ID VII AL
'HilS EVENT INVOLVES A FAILURE TO ALIGN 111E viral l
INSTRUMENTATION BUSSES DUETU INSTRUMENTAT10N INVERTERS IN SUPPORT OF ASSOCIATED INVERTER MISALIGNMENT.
TAGGING ACMVITY. VIB NOT ALIGNED TO SUPPORTTIIE !!ANGING OF BLOCKING TAGS.93-454 11/6 iB ING START Wrrli LOADING OF 1B 4KV THIS EVENT INVOLVED A FAILURE 1D TAG OFF NORMAL VITAL BUS COMPONENTS SOT 11ATTi!EY CAN BE IDEKDFIED AS BEING OFF NORMAL DURING SUBSEQUENT ACnVITY. T111S IS A VIOLAllON OF i
- NAP-15 GUIDELINES. Tills WAS AN LER (272/93-017 00)93-467 11/13 1 A 230 VAC MCC ENERGIZED DURING DCP IN T111S EVENTTIIE BLOCKING POIKIS IDEKilFIED IN SUPPORT OF TEST 1NG.
THE DCP WERE NOT SUFTICIENTTO SUPPORT Tile TESTING FUNCMON. 'ITSTSUPERVISOR FAILED TD IDENTIFY PROBLEM.93-474 11/19 HYDROGEN GAS LEAK FROM llWG24 IN T111S EVENTTHE BLOCKING POlKI3 IDEKllFIED IN SUPPORT OF DURING DCP DUE TO INSUFF1CIENT T11E DCP JOB PROVED TD BE UNSATISFACTORY. BECAUSE Tills IR BLOCKING POIN13.
CONCERNS WERE SIMILAR TO 93-231.93-382 AND 93 467 (WRONG BLOCKING POIKIS) AND DUE TO TIIE NUMBER OFTAGGING irs OVER Tile LAST ONE MONTH PERIOD (10/15-11/19) A SPECIAL TASK FORCE WAS ESTABLISHED TO REVIEW THE TAGGING PROCESS IN LIGHT OF THE 1993 IR EXPERIENCE.
93 521 12/20 CONTRACIDH FAILURE TO TAG CAFETERIA IN Tills EVENT A CONTRACIDR FAILED TO CLEAR AND TAG Tile l
CIRCUrr liRFAKER FOR WORK PERFORMED BREAKER IN SUPPORT OF lits JOB IN Tile CAFETERIA.
ON Tile WAI.K IN COOI ER L
I WORK CONTROL ASSESSMENT PROCESSES EVENT CAUSAL FACTOR CATEGORIES
.I HUMAN PERFORMANCE.
,j i'
e VERBAL COMMUNICATION i
e WRITTEN PROCEDURE AND DOCUMENTS
- MAN-MACHINE INTERFACE l
e ENVIRONMENTAL CONDITIONS e WORK SCHEDULE
- WORK PRACTICES I
e WORK ORGANIZATION / PLANNING e SUPERVISORY METHODS
- TRAINING / QUALIFICATION a
e CHANGE MANAGEMENT e RESOURCE MANAGEMENT
- MANAGERIAL METHODS t
i 93EC17 l
i i
WORK CONTROL l
ASSESSMENT PROCESS l
HUMAN PERFORMANCE INCIDENT REPORTS 80 l
60 -
f
~~~-
40 -
20 -
l O
i i
i i
i i
3rd Qtr 92 4th Qtr 1st Otr 93 2nd Qtr 3rd Qtr 4th Qtr i
SALEM AVERAGE SALEM ACTUAL
- - -o - - -
vouus l
94E C 149 u
_i
WORK CONTROL PRIMARY CAUSAL FACTORS ON HUMAN PERFORMANCE irs 1-92 2-92 3-92 4-92 1-93 2-93 3-93 4-93 A
COMMUNICATIONS 1
1 4
3 1
1 3
1 B
PROCEDURES 20 15 10 22 14 14 12 16 C
INTERFACE 1
2 0
0 0
0 0
0 D
ENVIRONMENTAL 2
0 0
1 0
0 0
0 E
WORK SCHEDULE O
O O
1 0
0 0
0 F
WORK PRACTICE 14 19 10 10 11 9
8 30 l
G WORK PLANNING 8
9 3
1 3
3 1
8 i
H SUPERVISORY 5
3 6
3 3
3 2
1 1
TRAINING 1
0 1
0 0
0 1
0 J
CHANGE MANAGEMENT 6
7 1
4 1
4 5
3 l
K RESOURCE MANAGEMENT 2
2 2
1 2
1 2
4 l
L MANAGERIAL METHODS 1
3 8
6 6
5 7
5 TOTAL 61 61 45 52 41 40 41 68 7
t,
(
I I
WORK CONTROL
SUMMARY
OF ASSESSMENT RESULTS i
NUMBER OF EVENTS (INCIDENT REPORTS)
PER 100 DAYS CAUSAL FACTORS 2R6 1R10 2R7 1R11 OUTAGE '92 OUTAGE '93 Wrttten Procedures 23 16 15 15 17 12 Work Practices 14 19 11 33 11 9
- Procedure use 4
8 2
23 2
2
- Self-checidng 9
9 7
10 2
7 Work Organization 10 7
3 9
3 1
Supervisory 4
5 4
1 3
1
[
Change Management 7
6 5
3 2
6 Managerial Methode 3
5 5
5 7
8 WRITTEN PROCEDURE AND DOCUMENTS - The written presentation or exchange of information i
WORK PRACTICES - Method workers use to ensure safe and timely completion of task.
WORK OAGANIZATION/ PLANNING - The work-related tasks. Included '
are tha planning, scoping, assignment and scheduling of the task to be performed.
SUPERVISORY METHODS - Techniques used to directly control work-related tasks. In particular, a method utilized to direct workers in the accomplishment of tasks.
CHANGE MANAGEMENT - The process whereby the hardware or software associated with a particular operation, technique, or system is modified
[
MANAGERIAL METHODS - The processes used to control or direct work-related plant activities, including how manpr,ser and material is allocated for a particular objective.
94EC124 L
Il l
i' WORK CONTROL 4
ASSESSMENT PROCESSES l
SUMMARY
OF OEF CONCLUSIONS i
- WEAKNESSES WERE SELF-IDENTIFIED RELATIVE TO l
- WORK PRACTICES l
A PROCEDURE USE i
A SELF CHECKING
- WRITTEN PROCEDURES l
- WORK ORGANIZATION / PLANNING
- SUPERVISORY METHODS,
e PRIOR TO THE FOURTH QUARTER 1993 THE NUMBER OF
[
HUMAN PERFORMANCE EVENTS WERE TRENDING DOWN OVER THE LAST 18 MONTHS e " WORK PRACTICE" IS THE MOST SIGNIFICANT CAUSAL
}
FACTOR CATEGORY TREND IN THE HUMAN PERFORMANCE AREA 4
I 94EC126 L
I WORK CONTROL ASSESSMENT PROCESSES I
e NORMAL QUALITY ASSURANCE ASSESSMENTS e WORK STANDARDS MONITORING PROGRAM l
e TAGGING INCIDENT REPORT REVIEW TEAM e NSR INCIDENT REVIEW TEAM be s
94EC166 L
I i
j WORK CONTROL i
ASSESSMENT PROCESSES
SUMMARY
i i
l I
l 9 NORMAL-OEF PROCESS
[
i
- DAILY l
j
- WEEKLY
- QUARTERLY
- ANNUALLY l
l i
e QUALITY ASSURANCE WORK MONITORING i
e SUPERVISORY WORK STANDARDS MONITORING i
I
{
e NSR INCIDENT REVIEW TEAM i
e RESULTS ARE CONSISTANT i
i b
}
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i e4sc14e i
i work CONTROL COMMON EVENT CAUSAL FACTORS
[
e WORK PRACTICES
- PROCEDURE USE
- SELF CHECKING l
e WRITTEN PROCEDURES e WORK ORGANIZATION / PLANNING I
e SUPERVISORY METHODS l
ss e
h 94EC146
I!
WORK CONTROL OUTAGE SCOPE 1R11 SCOPE
- MAJOR IMPROVEMENTS TO RELIABILITY AND SAFETY OF PLANT
- MAJOR SCOPE OF REVITALIZATION WORK
- LARGE SCOPE OF COMPLEX WORK
- 76 SCHEDUL5D DESIGN CHANGE PACKAGES COMPLETED
- HIGHEST RATE OF CRAFT LOADING
- HIGHEST NUMBER OF CRAFT PERSONNEL e4eci-4e
l WORK CONTROL
~
1R11 COMPLEX EVOLUTIONS
" +
i I
l e SWITCHYARD TIE IN
[
i l
e SHOT PEENING
,i e 89-13 SW REPLACEMENT AND INSPECTION I
i e CONTAINMENT FAN COOLER UNIT REWORK l
e 89-10 MOV e YTASTE GAS COMPRESSOR a
e DIESEL VENTILATION UPGRADE i
94EC147 1
l l
WORK CONTROL i
OUTAGE SAFETY PERFORMANCE SALEM UNITS 1 & 2 300
@ TOTAL ACCIDENTS
~
254 250 -
200 -
377 150 -
129 124
~
101 100 -
O i
i i
i i
i i
i 2R4 1R8 2R5 1R9 2R6 1R10 2R7 1R11 ALL DISCIPLINES 94EC1'91 i
j
WORK CONTROL ASSESSMENT PROCESSES BROADER IMPLICATIONS
~
e COMMON CAUSAL FACTOR CATEGORY LESS THAN ADEQUATE WORK PRACTICES e ROOT CAUSES LARGE SCOPE OF COMPLEX WORK DURING 1R11 A INSUFFICIENT MANAGEMENT / SUPERVISORY OVERSIGHT A LACK OF HOLDING PEOPLE ACCOUNTABLE TO WORK STANDARDS A SELF IMPOSED SCHEDULE PRESSURE A FAILURE TO SELF-CHECK a
1 i
03EC110 e-
i l
i 4
4 WORK CONTROL a
l i
CORRECTIVE ACTIONS 1
i j
PAST i
e PREVIOUS CORRECTIVE ACTIONS WERE PRODUCING EFFECTIVE RESULTS PRIOR TO 1R11 PRE-OUTAGE l
e RISK ASSESSMENT DURING SCHEDULE DEVELOPMENT e REQUIRED TRAINING IDENTIFIED AND PERFORMED
- PRE-OUTAGE MEETINGS e SCOPE REDUCED DIGITAL FEEDWATER e HIGH IMPACT TEAMS TO PLAN MAJOR ACTIVITIES e PRE-OUTAGE EXPECTATIONS KlCK-OFF MEETINGS s SHIFT TURNOVER OUTAGE MEETINGS DURING OUTAGE e WORK STAND DOWN - CRAFT ELECTRICIANS (125 VDC CABLE)
J e WORK STAND DOWN ENTIRE OUTAGE e EACH IR INVESTIGATED AND CORRECTIVE ACTIONS TAKEN e EXPECTATIONS WERE REINFORCED TO INVOLVED PERSONNEL AND PEERS S SIMPLIFIED THE SELF VERIFICATION PROCESS (STAR) e4ect-4a t
l.
I i
1 1
l WORK CONTROL t
i CORRECTIVE ACTIONS i
I i
i r
1 J'
e 4TH QUARTER ASSESSMENT SHOWS THE DESIRED 1
1 RESULTS WERE NOT ACHIEVED i
.i i
e NEED FOR ADDITIONAL CORRECTIVE ACTIONS i
l 1
1 I
i l
5 l
i i
4 0
t J
j encas L
l WORK CONTROL ASSESSMENT PROCESSES ADDITIONAL CORRECTIVE ACTIONS Il e REDUCED SCOPE FOR FUTURE OUTAGES e INCREASED SUPERVISORY / MANAGERIAL TIME IN THE FIELD e OBSERVATION TRAINING REINFORCEMENT e FORMING SEPARATE STATION PLANNING GROUP AND WORK CONTROL CENTER FOR UNIT 1 AND UNIT 2 be i
94EC122 t
WORK CONTROL
~
\\
OVERALL SALEM PERFORMANCE IMPROVEMENT I
- REVITALIZATION SAFETY IMPROVEMENT HARDWARE MODIFICATIONS
- 1R11 SAFETY IMPROVEMENT HARDWARE MODIFICATIONS i
- PERFORMANCE IMPROVEMENTS i
t l
94EC1 09
II WORK CONTROL i
4 OVERALL SALEM PERFORMANCE IMPROVEMENT I
)
1 l
i COMPLETED FOR UNIT 1 AND/OR UNIT 2 9 CONTROL ROCM MODORCATIONS e CLEAN CHEMISTRY LASORATORY i
j
. SUS mmUMar =vem REPucEMmT i
. MA TRANSFORMER RE,tACEMENT e STEAM GENERATOR SAFETY VALVE REPLACEMENT e EMERGENCY RESPONSE FACILrrY TSC e CIRCULATING WATM FISH TROUGH REPLACEMENTS e DIESEL GENERATOR REHASUTY IMPROVE 3.NTS e CONTAMMENT STEAM GENERATOR SLOW DOWN VALVE REPLACEMENTS e
SSURi m - UuTIONl = AC NT e SAFEQUARDS EQUIPMENT CONTROLLER WSTALLATION
{
e LUBE OIL 8TORAGE FACIUTY e WSTALLATION OF SYSTEM TO ADD CHEMICALS 70 AUXIUARY FEED SYSTEM e UPGRADE RADWASTE PANEL PAC) e REPLACEMENT OF MISCELLANEOUS CONDENSATE STRANERS e ROD CONTROL 24 VDC POWER SUPPLY REPLACDIENT e MID LOOP FSTRUMENTATION MODIFICATIONS e GENERATOR HYDROGEN DRYER DEW PolNT MONITOR PURGENWIT e DIESEL GENERATOR HVAC IMPROVEMENTS e S/G FEED PUMP MDEPENDANT CONTROL OL SYSTEM e CONDENSATE POUSHING SULDING IMPROVEMENTS i
84EC1 16 P
L
I WORK CONTROL OVERALL SALEM PERFORMANCE IMPROVEMENTS EFFORTS IN PROGRESS e SERVICE WATER PIPING REPLACEMENT e ELECTRICAL DISTRIBUTION SYSTEM UPGRADE 0 ROSEMOUNT TRANSMITTER UPGRADE e REACTOR VESSEL LEVEL INSTRUMENTATION REPLACEMENT
[<
e SAFEGUARDS EQUIPMENT CONTROLLER REPLACEMENT e DIGITAL FEEDWATER CONTROLS e RADIATION MONITORING SYSTEM UPGRADE l
e CIRCULATING WATER MECnANICAL UPGRADES e PLATFORMS AND LADDERS (PARTIAL) e AF-23 AND GS-4 VALVE REPLACEMENT
- WASTE GAS SYSTEM UPGRADE e INSTALLATION OF OUTAGE ALTERNATE POWER SUPPLY e BORIC ACID CONCENTATION REDUCTION e CIRCULATING WATER AIR REMOVAL SYSTEM e UPGRADE STATION AND CONTROL AIR COMPONENTS 84EC1 18
I WORK CONTROL OVERALL SALEM PERFORMANCE IMPROVEMENT 1R11 HIGHLIGHTS e STEAM GENERATORS
- PERFORMED SHOT PEENING ON ALL HOT LEG TUBES IN j
4 S/G e COMPLETED RT OF FEED WATER INLET NOZZLES SAT l
(FOLLOW UP 1R10 REPLACEW :.riT) e COMPLETED PRESSURIZER RELIEF LINE MODIFICATIONS e UPGRADED INTERNALS FOR PRESSURIZER CODE SAFETY VALVES AND ELIMINATED LOOP SEALS e UPGRADED PRESSURIZER SPRAY VALVE INTERNALS
[
I e UPGRADED PORV AND SPRAY VALVE ACTUATORS 4
e INSPECTED AND REPLACED PRT RUPTURE DISC (HIGH CONTAINMENT ACTIVITY DURING CYCLE 11) i e INSPECTED AND REPAIRED PRESSURlZER MANWAY (HIGH CONTAINMENT ACTIVITY DURING CYCLE 11)
)
exci.n l
t-
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l
l.
I l-WORK CONTROL j
OVERALL SALEM PERFORMANCE IMPROVEMENT 1R11 HIGHLIGHTS
,l i
}
]
e UPGRADED INTERNALS OF ALL AUX FEED WATER i
CONTROL VALVES
[
4 l
e COMPLETED REPLACEMENT OF FAN COIL UNIT SERVICE
, WATER PIPING IN CONTAINMENT i
e CLEANED, INSPECTED AND COATED ALL FAN COIL UNIT l
['
COOLING COILS l
e PERFORMED 89-13 INSPECTIONS OF VALVES, HEAT l:
EXCHANGERS AND PIPING
~
e REPLACED SERVICE WATER CROSS-TIE PIPING l
I e REPLACED DIESEL GENERATOR SERVICE WATER PIPING e UPGRADED #12 WASTE GAS COMPRESSOR e U* GRADED WASTE GAS SYSTEM ANALYZER e UPGRADED CONTROL AIR AND NITROGEN VALVES TO a
CONTAINMENT e UPGRADED BORIC ACID AND PRIMARY WATER FLOW INSTRUMENTATION e COMPLETED REMAINING 89-10 SCOPE L
i
-81 STATICS
-37 DYNAMICS B3EC1 17A 4
4 i.
i i-WORK CONTROL i
OVERALL SALEM PERFORMANCE IMPROVEMENT 1
i 1R11 HIGHLIGHTS i
I j
e SMALL BORE PIPING REPLACEMENT > 5,000 FEET
['
j e 12 LOW-PRESSURE TURBINE INSPECTION i
1 i
l 8 CONDENSER INSPECTION AND REPAIRS / UPGRADE TO SPARGER LINES (ELIMINATE TUBE FAILURE ON CONDENSERS) l l
l e CIRC WATER SYSTEM OVERHAULS AND UPGRADES e GENERATOR INSPECTION h
e ELECTRO HYDRAULIC CONTROL PUMP UPGRADES I
e STEAM GENERATOR FEED PUMP CONTROL OIL SYSTEM 4
j UPGRADE l
e PERFORMED MAJOR SWITCHYARD UPGRADES e REPLACED VITAL AND GROUP BUS 4KV/460-230 VOLT I
TRANSFORMER AND REVISED TAP SETTINGS i
i e REFURBISHED SWITCHGEAR BUS WORK ON VITAL AND
{
GROUP 4KV BUSES l
1 l
i esec117e i
f t
I l-WORK CONTROL OVERALL SALEM PERFORMANCE IMPROVEMENT l
1R11 HIGHLIGHTS l
e INSTALLED PERMANENT BACK-UP POWER SUPPLIES TO l
ELIMINATE TEMPORARY POWER FEEDS DURING OUTAGES
[
l e UPGRADED THE SEC AUTO TEST CIRCUlT e UPGRADED THE CONTROL ROOM ANNUNCIATOR SYSTEM e UPGRADED DIESEL GENERATOR VENTILATION REPLACED
[
l EMERGENCY LIGHTING INVERTERS l
l e UPGRADED RWST LEVEL TRANSMITTERS l
1 e REPLACED ROD CONTROL STEP COUNTERS l
e UPGRADED MAIN STEAM FLOW MEASUREMENT SYSTEM a
i SMC1-17C
i WORK CONTROL
~
PERFORMANCE lMPROVEMENT I
THE RESULTS OF OUR IMPROVEMENTS ARE REFLECTED IN OUR PERFORMANCE TRENDS l
{
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l WORK CONTROL CORRECTIVE MAINTENANCE BACKLOG i
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1990 1991 1992 1993 i
ALL PRIORITIES S4EC1-30
l WORK CONTROi_
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0 0
0 0
0 0
0 0
0, 8
6 4
2 1
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t WORK CONTROL UNPLANNED AUTOMATIC SCRAMS SALEM STATION l
12 l
INDUSTRY MEDIAN 10 -
SALEM 1 f
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l SALEM 2 8-txxxx m 7
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i 1986 1987 1988 1989 1990 1991 1992 1993 94E C1 38
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- -- - --- ----- ---- n --- --------- n -------------- r --- -----_ - j
i WORK CONTROL LICENSEE EVENT REPORTS i
SALEM STATION 100 84 i
V 80 -
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1990 1991 1992 1993 94EC1-33 i
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WORK CONTROL PERSONNEL LER'S SALEM STATION 25 21 20 -
14 Q 15 -
m 2
A 10 -
5 1990 1991 1992 1993
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WORK CONTROL RADIATION EXPOSURE SALEM STATION 800 i
600
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200 -
O 1986 1987 1988 1989 1990 1991 1992 1993 l
INDUSTR.Y MEDIAN SALEM STATION l
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WORK CONTROL l
OVERALL SALEM PERFORMANCE IMPROVEMENTS l
SUMMARY
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- MAJOR SAFETYIMPROVEMENT HARDWARE
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MODIFICATIONS, PARTICULARLYIN 1R11 l
e SIGNIFICANT EFFORT PUT INTO PROCESS
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IMPROVEMENTS TO ACHIEVE IMPROVED PLANT AND PERSONNEL PERFORMANCE i
i j
e OVERALL IMPROVING TREND IN PERFORMANCE OVER
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j PAST SEVERAL YEARS 1R11 PERFORMANCE IS SEEN A8 A PERTURBATION TO EXPECTED RESULTS DUE TO 4
i LARGE SCOPE OF COMPLEX WORK l
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=c a.
I
I WORK CONTROL PSE&G ASSESSMENT OF POTENTIAL VIOLATION NRC FINDING: FAILURE TO FOLLOW PROCEDURES, IN ACCORDANCE WITH TECHNICAL SPECIFICATION
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6.8.1.a, RELATIVE TO THE CONTROL OF SOME MAINTENANCE ACTIVITIES DURING 1R11 e PSE&G DOES NOT DISPUTE THE VIOLATION I
e SEVERAL MITIGATING FACTORS APPLY
- NORMAL INCIDENT EVALUATION PROCESS
[
SELF-IDENTIFIED WORK CONTROL DEFICIENCIES
- TIMELY AND THOROUGH INVESTIGATION OF DEFICIENCIES CONDUCTED
- ROOT CAUSE OF DEFICIENCIES UNDERSTOOD
- COMPREHENSIVE CORRECTIVE ACTION TAKEN OR i'
UNDERWAY FOR BOTH SPECIFIC INCIDENTS AND BROADER IMPLICATIONS 94EC1-47 L
~
i WORK CONTROL PSE&G ASSESSMENT OF POTENTIAL VIOLATIONS
- MINIMAL SAFETY SIGNIFICANCE
- SIGNIFICANT NUMBER OF PLANT
[
MODIFICATIONS / PROCESS IMPROVEMENTS IMPLEMENTED PREVIOUSLY AND DURING 1R11 TO IMPROVE PLANT PERFORMANCE AND SAFETY
- 1R11 PERSONNEL PERFORMANCE DID NOT MEET OUR Il EXPECTATIONS RELATIVE TO THE IMPROVING PERFORMANCE TREND OF SALEM STATION
- PAST PERFORMANCE ON IDENTIFICATION AND CORRECTIVE ACTIONS FOR DEFICIENCIES HAS BEEN GOOD 1,
e BASED ON MITIGATING FACTORS, PSE&G BELIEVES THAT ESCALATED ENFORCEMENT IS NOT WARRANTED 64 9
b 93EC147A
i work CONTROL
SUMMARY
h e THE INCIDENTS AND THEIR ROOT CAUSE ARE UNDERSTOOD j
e THESE ISSUES WERE SELF-IDENTIFIED f
e THEY HAD MINIMAL SAFETY SIGNIFICANCE 1
)
e THE IMPLEMENTATION OF THE WORK CONTROL PROCESS NEEDS TO IMPROVE VIA REFOCUSED MANAGEMENT I
l ATTENTION e APPROPRIATE CORRECTIVE ACTIONS WERE TAKEN/ARE UNDERWAY FOR SPECIFIC ISSUES AND BROADER IMPLICATIONS, INCLUDING A REDUCTION IN SCOPE FOR j
j FUTURE OUTAGES e OUR DESIRED PERFORMANCE LEVEL HAS NOT BEEN REACHED, BUT IS BEING PURSUED e SALEM HAS BEEN ON AN IMPROVING TREND - THE CURRENT ISSUES ARE AN EXCEPTION TO OUR PERFORMANCE AND WERE DRIVEN BY THE AMOUNT OF WORK IN 1R11 e SIGNIFICANT PLANT HARDWARE IMPROVEMENTS THAT WILL PROVIDE A SAFETY PAYBACK ARE BEING MADE
~
- PSE&G BELIEVES THAT ESCALATED ENFORCEMENT IS NOT WARRANTED
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I WORK CONTROL l
CONTROL OF CONTRACTORS l
I GOAL - CONTINUOUS IMPROVEMENT TO MINIMlZE OSHA /FIRST AIDS AND WORK STANDARD INCIDENTS i
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83EC1 11 6'1 1-l
____..--------r 9
WORK CONTROL CONTROL OF CONTRACTORS ACTIONS IMPLEMENTED
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e NAP-68 " CONTROL OF ON-SITE CONTRACTOR
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PERSONNEL" l
e INSTALLATION & TEST ENGINE' IRING SECTION e PRE-OUTAGE MTGS. WITH ALL CONTRACTOR SUPERVISION & CRAFT PERSONNEL FOCUSING ON g
PSE&G's EXPECTATIONS ON SAFETY & ADHERENCE TO OUR WORK STANDARDS 0 PERFORMANCE INDICATOR TRACKING - FIRST AIDS, OSHAs, QARs, HOLD POINTS & REWORK FOR IN-PROCESS I
CORRECTIVE ACTIONS e MAJOR DESIGN CHANGE PKGS. SORC APPROVED IN ADVANCE OF OUTAGE START - 2 MOS.,
. ',0S., 6 MOS.
e ADDITIONAL PSE&G SAFETY REP. DEDICATED TO OUTAGE FULL TIME e OVERTIME CONTROLLED IN ACCORDANCE WITH NAP-5 83EC1 12
I WORK CONTROL l
CONTROL OF CONTRACTORS l
ACTIONS PLANNED OR UNDER CO.NSIDERATION
- I l
e DECREASE IN NUMBER OF PB&M CONTRACTORS e CRAFT FOREMAN ON-SITE IN ADVANCE OF OUTAGE
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START DATE TO STUDY INSTALLATION PACKAGE
- CRAFT START TIME WILL BE ADJUSTED TO ALLOW SUPERVISOR MORE TIME TO PLAN DAY'S WORK ll l
8 ACCELERATED DISCIPLINE FOR CONTRACTOR l
lNFRACTIONS OF OUR WORK STANDARDS e ALL CRAFT PERSONNEL WILL RECEIVE ADDITIONAL TRAINING IN OUR SAFETY TAGGING PROGRAM
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l e CONTINUATION OF PROGRAM TO ISSUE ALL ELECTRICIANS TEST DEVICES-WIGGYS OR TICK TRACERS e DCP TASK PACKAGE TO BE RESTRUCTURED FOR SWITCHYARD PROJECT b
S3EC1 13
l1l m i, u..
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j h Kdear Departmen:
- Tpoye yacate F
Fdwuary 9,1994 r-EAGAN TO LEAD SALEM STATION 1
h ordsr to focus the lughest level of Nuclear Depenment M===gr===* attenbon on the accelerated
[
'-- ;T.u ; in Salen Station performance, I am announcing today a reorganization that will become effectiw immediately, kseph Hagan will serve as Vice President, Nuclear Operations and General Manager-Salem Operations He will be the Change Aaent to lead instantins that will position Salem Stanon to nsidash perform to the standards demanded by our compeutive environment Salem Staban a
11 benefh froen his Icedership as we move to become -w=*ly among the best. I view 1994 as w
a :ritical yuir of transition that requires this lewd of focus by the sesuor -.
-e level of the
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"an Whde fillmg this role, Joe will also retain responsibility for the Nuclear Training 9
C meer.
Duing this period, Bob Howy, General Manager-Hope Creek Operations will report directly to Sieve Mdtenberger, Vice President and CNO.
In N, Chris Connor, General Manager-Nuclear Services; Elliot Rosenfeld-Manager Nuclear Fuels; and Mark Shedlock, Manager Nuclear Procurement and Matenal Control will report
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directly to Stan LaBnina, Vice President Nuclear Eagmeenns We must ensure that the Nuclear Depanment will provide the aaad=1 corranitnuet and focus to pport Salem Stabon's success in eaanw=*ly schevmg Nuclear eacellence The company and st rer co owners have made a sizable invesenent in the revealie=rian of the Salan Smaion over the past few years. Althoush we have seen signi6 cant progress in many areas, we anat== to be i
elallenged by recurnns events with lower than desired prabscnon results. The long-term success ofthe Nuclear Department is W' on the naamisame, uneventihl opernoon of the Salem units.
T= amons that are needed at this time to achwve the desired levels of evaalta=ra will require a giest deal more rnanagement ausnuon as confirmed in the recent C..rhw Performance p
Tsis or=% change will accelernte the kinds of changes that must be made now. I ill be spendmg more of my time in both stahans providag strategic direcnon to ensure that we w
antain our excellent performance at Hope Creek and move the Salem Stauon toward our vision re ofbeing consistently among the best.
Steven E. Miltshy4 r\\
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