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{{#Wiki_filter:Palisades Nuclear Safety Culture Assessment Briefing September 12, 2012 Agenda*Nuclear Safety Culture Assessment -Timeline- | {{#Wiki_filter:Palisades Nuclear Safety Culture Assessment Briefing September 12, 2012 | ||
-Results Analysis | |||
-Action Plans 2 | Agenda | ||
Commitment Entergy Corporation and Palisades Nuclear Plant is committed to establishing and maintaining a strong Nuclear Safety Culture.3 4 | * Nuclear Safety Culture Assessment | ||
*December 2011 -contract proposal accepted from CEI*Jan 16 -31, 2012 survey conducted*Jan 25, 2012 ATC CO issued includes NSC assessment | - Timeline | ||
*Feb 20, 2012 two week on site assessment period begins | - 3rd Party Assessment | ||
*April 5, 2012 -CEI debriefs management and site on NSC assessment | - Results | ||
*End of April -draft NSC action plan created*June 3, 2012 -NSC assessment to Recovery Plan gap assessment completed by outside contractor*July 2012 -Independent industry assessment complete*Oct 15, 2012 -Synergy survey scheduled | - Results Analysis | ||
- Action Plans 2 | |||
Commitment Entergy Corporation and Palisades Nuclear Plant is committed to establishing and maintaining a strong Nuclear Safety Culture. | |||
3 | |||
* | |||
Timeline 4 | |||
* | |||
TIMELINE | |||
*> 50% Response Rate from all Groups*Total Site Population of 783*123 or 15.7% Selected for Interviews or Focus Groups*Cross-Sectional Sample of Employees 9 | * Oct 2011 - Station Recovery Plan implemented | ||
* November 3, 2011 - NSCMP held | |||
*76% Survey Response Rate | * December 2011 - contract proposal accepted from CEI | ||
*15 Plant Observations* | * Jan 16 -31, 2012 survey conducted | ||
Management and supervision has not been able to engage the workforce, provide healthy avenues for reporting concerns, and | * Jan 25, 2012 ATC CO issued includes NSC assessment | ||
* Feb 20, 2012 two week on site assessment period begins | |||
* April 5, 2012 - CEI debriefs management and site on NSC assessment 5 | |||
TIMELINE | |||
* April 18, 2012 - final NSC report issued to site | |||
* April 8 to May 12, 2012 - refueling outage | |||
* End of April - draft NSC action plan created | |||
* June 3, 2012 - NSC assessment to Recovery Plan gap assessment completed by outside contractor | |||
* July 2012 - Independent industry assessment complete | |||
* Oct 15, 2012 - Synergy survey scheduled 6 | |||
3 rd Party Assessment 7 | |||
3rd Party Assessment | |||
* Conger & Elsea Inc. (CEI) | |||
* Meets intent of USNRC 95003 & NEI 09-07 third party Safety Culture Assessment Team Criteria | |||
* Two Members Involved in Development of Methodology for USNRC | |||
* Team Leader Has 25 Years Experience, Including Davis-Besse Assessments | |||
* Independent from Entergy and Palisades 8 | |||
3rd Party Assessment | |||
* Depth and Scope | |||
* 100% Palisades Employees Invited | |||
* 76% Responded | |||
* > 50% Response Rate from all Groups | |||
* Total Site Population of 783 | |||
* 123 or 15.7% Selected for Interviews or Focus Groups | |||
* Cross-Sectional Sample of Employees 9 | |||
3rd Party Assessment | |||
* Info was Gathered from Multiple Data Points | |||
* > 10 % Interviews | |||
* 76% Survey Response Rate | |||
* 15 Plant Observations | |||
* provide a strong basis from which conclusions related to the organizations safety culture can be drawn. | |||
10 | |||
11 Results | |||
* Relatively few significant differences between work groups | |||
* Corrective action strategy equal across the station | |||
- Recovery plan actions address safety culture | |||
- NSC action plan address gaps | |||
- Actions captured in PCRS | |||
* No regulatory compliance issues identified | |||
- One item of concern was referred to ECP | |||
* 3 enhancement actions | |||
* Product was not intended to assess corporate safety culture 12 | |||
Results | |||
* Three key take aways provided | |||
* Five Areas for Improvement (AFI) | |||
- AFIs binned under the three key take aways 13 | |||
Key Take Away There is a significant loss of confidence in the Site Leadership Team. | |||
Management and supervision has not been able to engage the workforce, provide healthy avenues for reporting concerns, and beneficially challenge each other to make the right decision. | |||
AFIs | |||
* Leadership behavior that communicates clear expectations and standards, and exhibits the behaviors that are consistent with the message, needs to be demonstrated to regain the engagement and trust of the Plant. | |||
* Palisades Management needs to evaluate what behaviors can be used to create an environment where beneficial challenging, a healthy questioning attitude, and the reporting of concerns can be accepted, supported and desired. Efforts to erase the perceptions of fear around potential punishment will have to be made to provide a better foundation from which the appropriate behaviors can be effectively achieved. | |||
* A clear, consistent and unified vision, mission and values message needs to be reconstituted for the Plant. Processes around decision making, resource allocation, coordination of work and human performance need to be aligned with this message. These processes need to be communicated, understood and used such that work activities are performed safely. 14 | |||
Key Take Away The processes to develop a learning organization and to understand how to improve performance are not valued or prioritized by the Plant. | |||
AFI Performance Improvement overall, and the CAP in particular, at the Palisades Plant needs to be reassessed and realigned to ensure that all employees understand its value and priority in enhancing Plant performance. | AFI Performance Improvement overall, and the CAP in particular, at the Palisades Plant needs to be reassessed and realigned to ensure that all employees understand its value and priority in enhancing Plant performance. | ||
15 | 15 | ||
AFI Palisades needs to ensure that any accountability model that is used is consistently implemented against | |||
16 17 Action Plan*Recovery Plan gap assessment-Actions compared against NSC assessment results*Safety Culture Action Plan-Addresses gaps in Recovery Plan actions vs. NSC assessment*Vision/Strategy/ | Key Take Away Accountability is perceived to be only punitive and has created a pervasiveness of SCWE issues across the organization. | ||
*Entergy Corporation 4 platforms | AFI Palisades needs to ensure that any accountability model that is used is consistently implemented against clearly communicated and prioritized standards and expectations, which recognizes and reinforces desired behaviors and uses effective coaching, minimizing punitive actions, for undesirable behaviors. | ||
*Metrics to Measure Improvement | 16 | ||
*Safety culture attributes coding 18 Action Plan Wildly Important Goals | |||
*EVENT FREE OPERATIONS DAY-TO-DAY | 17 Action Plan | ||
*R22 AND R23 SAFE AND ERROR FREE | * Recovery Plan gap assessment | ||
*CORRECTIVE ACTION PROGRAM IMPROVEMENTS | - Actions compared against NSC assessment results | ||
*IMPROVE EQUIPMENT RELIABILITY 19 Action Plan Entergy Nuclear Four Platforms: | * Safety Culture Action Plan | ||
*Trust, Honesty, Fairness, Integrity | - Addresses gaps in Recovery Plan actions vs. NSC assessment | ||
*Be deliberate -actions under control -follow the rules. | * Vision/Strategy/Wildly Important Goals (WIGs) | ||
*Set and continuously reinforce high standards | * Entergy Corporation 4 platforms | ||
*Do what you will say you will do 20 Action Plan AFI-1, AFI-2 and AFI-3 actions:*Vision/Strategy/ | * Metrics to Measure Improvement | ||
*Leadership one-on-one meetings | * Safety culture attributes coding 18 | ||
*Case Study regarding Sept | |||
*Stand-down on procedure use and adherence | Action Plan Wildly Important Goals (WIGs) | ||
*Reinforcement of | * EVENT FREE OPERATIONS DAY-TO-DAY | ||
*Communication of risk management principles | * R22 AND R23 SAFE AND ERROR FREE | ||
*Communications Advisory Group 22 Action Plan AFI-4 actions:*Increasing CAP understanding among all workers*Improving CAP through CARB improvements | * CORRECTIVE ACTION PROGRAM IMPROVEMENTS | ||
*Improving ACE and | * IMPROVE EQUIPMENT RELIABILITY 19 | ||
*Actions to reduce CR backlogs | |||
*Review | Action Plan Entergy Nuclear Four Platforms: | ||
*Train | * Trust, Honesty, Fairness, Integrity | ||
*Trend ineffective use of OE | * Be deliberate - actions under control - follow the rules. | ||
*Assess site OE program improvement 23 Action Plan AFI-5 actions:*CEI NSC Assessment results briefings conducted*Site Vice President small group meetings | * Set and continuously reinforce high standards | ||
*Shop briefings on SCWE | * Do what you will say you will do 20 | ||
*Communications Advisory Group created | |||
* | Action Plan AFI-1, AFI-2 and AFI-3 actions: | ||
*CRG communication role on NSC issues | * Vision/Strategy/WIGs | ||
*Department specific surveys monthly 24 Actions*Human Performance | * Development of written roles and responsibilities | ||
-Decision-Making-Work Management Discipline readiness-Communications improvements on key decision making | * Leadership one-on-one meetings | ||
- | * Case Study regarding Sept 25th event | ||
- | * CBT regarding Accountability, Behaviors, Procedure Use | ||
-Resources-Key positions all filled -Most openings have approval to post-HR working to streamline process-Procedure quality reviews 26 Actions*Human Performance | * Stand-down on procedure use and adherence | ||
-Work Control-Work Management action plan-Focus on preparations | * Reinforcement of What Good Looks Like 21 | ||
-Risk Management 27 Actions*Human Performance | |||
-Work Practices*Procedure Use and Adherence training. | Action Plan AFI-1, AFI-2 and AFI-3 actions: | ||
*Procedure improvement program 28 Actions*Problem Identification and Resolution | * Eliminating process implementation gaps | ||
-Corrective Action Program*CAP improvement plan instituted-Line ownership of processes-CAP Procedure use and adherence-Causal evaluation quality-Self-assessment program | * Snapshot Assessment of risk assessment practices and behaviors | ||
-Timely and quality action implementation 29 Actions*Problem Identification and Resolution | * Discussion of integrated risk at key meetings | ||
-Operating Experience*CAP improvement plan instituted with actions to improve OE 30 Actions*Problem Identification and Resolution | * Communication of risk management principles | ||
-Self & Independent Assessments*NOS meets with Site Leadership Team*Use of elevation and escalation process | * Communications Advisory Group 22 | ||
*Communications Advisory Group developed | |||
*Corporate oversight 31 Actions*Other Safety Culture Components | Action Plan AFI-4 actions: | ||
-Accountability*Entergy 4 platforms*HU/IS Superintendent in position | * Increasing CAP understanding among all workers | ||
*Accountability Model Training | * Improving CAP through CARB improvements | ||
*Small Group meetings | * Improving ACE and RCEs quality | ||
*Procedure improvement program 32 Actions*Other Safety Culture Components | * Actions to reduce CR backlogs | ||
-Continuous Learning Environment*Training specific action | * Review POCs for each department | ||
*Corrective Action Program improvements 33 Actions*Other Safety Culture Components | * Train POCs with regard to OE | ||
-Organizational Change Management*HOT TOPICS*Communications Advisory Group 34 Actions*Other Safety Culture Components | * Trend ineffective use of OE | ||
-Safety Policies*Wildly Important Goals*Site strategy includes safety | * Assess site OE program improvement 23 | ||
Action Plan AFI-5 actions: | |||
* CEI NSC Assessment results briefings conducted | |||
* Site Vice President small group meetings | |||
* Shop briefings on SCWE | |||
* Communications Advisory Group created | |||
* Devils Advocate role is implemented | |||
* CRG communication role on NSC issues | |||
* Department specific surveys monthly 24 | |||
Actions | |||
* Human Performance | |||
- Decision-Making | |||
- Work Management Discipline readiness | |||
- Communications improvements on key decision making | |||
- Devils advocate program | |||
- Stop when unsure | |||
- Risk Management 25 | |||
Actions | |||
* Human Performance | |||
- Resources | |||
- Key positions all filled | |||
- Most openings have approval to post | |||
- HR working to streamline process | |||
- Procedure quality reviews 26 | |||
Actions | |||
* Human Performance | |||
- Work Control | |||
- Work Management action plan | |||
- Focus on preparations | |||
- Risk Management 27 | |||
Actions | |||
* Human Performance | |||
- Work Practices | |||
* Procedure Use and Adherence training. | |||
* HU brief procedure streamlined | |||
* Procedure improvement program 28 | |||
Actions | |||
* Problem Identification and Resolution | |||
- Corrective Action Program | |||
* CAP improvement plan instituted | |||
- Line ownership of processes | |||
- CAP Procedure use and adherence | |||
- Causal evaluation quality | |||
- Self-assessment program | |||
- Timely and quality action implementation 29 | |||
Actions | |||
* Problem Identification and Resolution | |||
- Operating Experience | |||
* CAP improvement plan instituted with actions to improve OE 30 | |||
Actions | |||
* Problem Identification and Resolution | |||
- Self & Independent Assessments | |||
* NOS meets with Site Leadership Team | |||
* Use of elevation and escalation process | |||
* Communications Advisory Group developed | |||
* Corporate oversight 31 | |||
Actions | |||
* Other Safety Culture Components | |||
- Accountability | |||
* Entergy 4 platforms | |||
* HU/IS Superintendent in position | |||
* Accountability Model Training | |||
* Small Group meetings | |||
* Procedure improvement program 32 | |||
Actions | |||
* Other Safety Culture Components | |||
- Continuous Learning Environment | |||
* Training specific action created and being addressed NSC plan | |||
* Enhancements to training forms related to qualification | |||
* Corrective Action Program improvements 33 | |||
Actions | |||
* Other Safety Culture Components | |||
- Organizational Change Management | |||
* HOT TOPICS | |||
* Communications Advisory Group 34 | |||
Actions | |||
* Other Safety Culture Components | |||
- Safety Policies | |||
* Wildly Important Goals | |||
* Site strategy includes safety focus on safe, error free operations while improving our ability to find and fix our own issues. | |||
* HU/IS Superintendent position filled | |||
* Metrics on Leader Observations | |||
* Top decile Total Industrial Safety Accident rate (TISA) 35 | |||
Actions | |||
* Safety Conscious Work Environment | |||
- Environment for Raising Concerns | |||
* ECP communication and outreach | |||
* Small Group Meetings | |||
* Accountability vs. discipline | |||
* Devils advocate program | |||
* Shop briefs on SCWE 36 | |||
Actions | |||
* Safety Conscious Work Environment | |||
- Preventing, Detecting, Mitigating Perceptions of Retaliation | |||
* Small Group meetings | |||
* ERB process | |||
* Shop briefs on SCWE | |||
* Improved communications | |||
* Corporate action for SCWE training periodicity | |||
* Safety Culture fact & information sheet 37 | |||
Closing | |||
* Palisades and Entergy recognized need to assess safety culture | |||
* Prompt 3rd party assessment conducted | |||
* Prompt and aggressive action plan implemented | |||
* Results show improvement | |||
* Focus on sustainability 38}} | |||
Revision as of 22:53, 11 November 2019
| ML12255A009 | |
| Person / Time | |
|---|---|
| Site: | Palisades |
| Issue date: | 09/11/2012 |
| From: | Entergy Nuclear Operations |
| To: | NRC/RGN-III |
| References | |
| Download: ML12255A009 (38) | |
Text
Palisades Nuclear Safety Culture Assessment Briefing September 12, 2012
Agenda
- Nuclear Safety Culture Assessment
- Timeline
- 3rd Party Assessment
- Results
- Results Analysis
- Action Plans 2
Commitment Entergy Corporation and Palisades Nuclear Plant is committed to establishing and maintaining a strong Nuclear Safety Culture.
3
Timeline 4
TIMELINE
- Oct 2011 - Station Recovery Plan implemented
- November 3, 2011 - NSCMP held
- December 2011 - contract proposal accepted from CEI
- Jan 16 -31, 2012 survey conducted
- Feb 20, 2012 two week on site assessment period begins
TIMELINE
- April 18, 2012 - final NSC report issued to site
- April 8 to May 12, 2012 - refueling outage
- End of April - draft NSC action plan created
- June 3, 2012 - NSC assessment to Recovery Plan gap assessment completed by outside contractor
- July 2012 - Independent industry assessment complete
- Oct 15, 2012 - Synergy survey scheduled 6
3 rd Party Assessment 7
3rd Party Assessment
- Conger & Elsea Inc. (CEI)
- Two Members Involved in Development of Methodology for USNRC
- Team Leader Has 25 Years Experience, Including Davis-Besse Assessments
- Independent from Entergy and Palisades 8
3rd Party Assessment
- Depth and Scope
- 100% Palisades Employees Invited
- 76% Responded
- > 50% Response Rate from all Groups
- Total Site Population of 783
- 123 or 15.7% Selected for Interviews or Focus Groups
- Cross-Sectional Sample of Employees 9
3rd Party Assessment
- Info was Gathered from Multiple Data Points
- > 10 % Interviews
- 76% Survey Response Rate
- 15 Plant Observations
- provide a strong basis from which conclusions related to the organizations safety culture can be drawn.
10
11 Results
- Relatively few significant differences between work groups
- Corrective action strategy equal across the station
- Recovery plan actions address safety culture
- NSC action plan address gaps
- Actions captured in PCRS
- No regulatory compliance issues identified
- One item of concern was referred to ECP
- 3 enhancement actions
- Product was not intended to assess corporate safety culture 12
Results
- Three key take aways provided
- Five Areas for Improvement (AFI)
- AFIs binned under the three key take aways 13
Key Take Away There is a significant loss of confidence in the Site Leadership Team.
Management and supervision has not been able to engage the workforce, provide healthy avenues for reporting concerns, and beneficially challenge each other to make the right decision.
- Leadership behavior that communicates clear expectations and standards, and exhibits the behaviors that are consistent with the message, needs to be demonstrated to regain the engagement and trust of the Plant.
- Palisades Management needs to evaluate what behaviors can be used to create an environment where beneficial challenging, a healthy questioning attitude, and the reporting of concerns can be accepted, supported and desired. Efforts to erase the perceptions of fear around potential punishment will have to be made to provide a better foundation from which the appropriate behaviors can be effectively achieved.
- A clear, consistent and unified vision, mission and values message needs to be reconstituted for the Plant. Processes around decision making, resource allocation, coordination of work and human performance need to be aligned with this message. These processes need to be communicated, understood and used such that work activities are performed safely. 14
Key Take Away The processes to develop a learning organization and to understand how to improve performance are not valued or prioritized by the Plant.
AFI Performance Improvement overall, and the CAP in particular, at the Palisades Plant needs to be reassessed and realigned to ensure that all employees understand its value and priority in enhancing Plant performance.
15
Key Take Away Accountability is perceived to be only punitive and has created a pervasiveness of SCWE issues across the organization.
AFI Palisades needs to ensure that any accountability model that is used is consistently implemented against clearly communicated and prioritized standards and expectations, which recognizes and reinforces desired behaviors and uses effective coaching, minimizing punitive actions, for undesirable behaviors.
16
17 Action Plan
- Recovery Plan gap assessment
- Actions compared against NSC assessment results
- Safety Culture Action Plan
- Addresses gaps in Recovery Plan actions vs. NSC assessment
- Vision/Strategy/Wildly Important Goals (WIGs)
- Entergy Corporation 4 platforms
- Metrics to Measure Improvement
- Safety culture attributes coding 18
Action Plan Wildly Important Goals (WIGs)
- EVENT FREE OPERATIONS DAY-TO-DAY
- R22 AND R23 SAFE AND ERROR FREE
- CORRECTIVE ACTION PROGRAM IMPROVEMENTS
- IMPROVE EQUIPMENT RELIABILITY 19
Action Plan Entergy Nuclear Four Platforms:
- Trust, Honesty, Fairness, Integrity
- Be deliberate - actions under control - follow the rules.
- Set and continuously reinforce high standards
- Do what you will say you will do 20
Action Plan AFI-1, AFI-2 and AFI-3 actions:
- Vision/Strategy/WIGs
- Development of written roles and responsibilities
- Leadership one-on-one meetings
- Case Study regarding Sept 25th event
- CBT regarding Accountability, Behaviors, Procedure Use
- Stand-down on procedure use and adherence
- Reinforcement of What Good Looks Like 21
Action Plan AFI-1, AFI-2 and AFI-3 actions:
- Eliminating process implementation gaps
- Snapshot Assessment of risk assessment practices and behaviors
- Discussion of integrated risk at key meetings
- Communication of risk management principles
- Communications Advisory Group 22
Action Plan AFI-4 actions:
- Increasing CAP understanding among all workers
- Actions to reduce CR backlogs
- Review POCs for each department
- Trend ineffective use of OE
- Assess site OE program improvement 23
Action Plan AFI-5 actions:
- Site Vice President small group meetings
- Shop briefings on SCWE
- Communications Advisory Group created
- Devils Advocate role is implemented
- Department specific surveys monthly 24
Actions
- Human Performance
- Decision-Making
- Work Management Discipline readiness
- Communications improvements on key decision making
- Devils advocate program
- Stop when unsure
- Risk Management 25
Actions
- Human Performance
- Resources
- Key positions all filled
- Most openings have approval to post
- HR working to streamline process
- Procedure quality reviews 26
Actions
- Human Performance
- Work Control
- Work Management action plan
- Focus on preparations
- Risk Management 27
Actions
- Human Performance
- Work Practices
- Procedure Use and Adherence training.
- HU brief procedure streamlined
- Procedure improvement program 28
Actions
- Problem Identification and Resolution
- Corrective Action Program
- CAP improvement plan instituted
- Line ownership of processes
- CAP Procedure use and adherence
- Causal evaluation quality
- Self-assessment program
- Timely and quality action implementation 29
Actions
- Problem Identification and Resolution
- Operating Experience
Actions
- Problem Identification and Resolution
- Self & Independent Assessments
- NOS meets with Site Leadership Team
- Use of elevation and escalation process
- Communications Advisory Group developed
- Corporate oversight 31
Actions
- Other Safety Culture Components
- Accountability
- Entergy 4 platforms
- HU/IS Superintendent in position
- Accountability Model Training
- Small Group meetings
- Procedure improvement program 32
Actions
- Other Safety Culture Components
- Continuous Learning Environment
- Training specific action created and being addressed NSC plan
- Enhancements to training forms related to qualification
- Corrective Action Program improvements 33
Actions
- Other Safety Culture Components
- Organizational Change Management
- HOT TOPICS
- Communications Advisory Group 34
Actions
- Other Safety Culture Components
- Safety Policies
- Wildly Important Goals
- Site strategy includes safety focus on safe, error free operations while improving our ability to find and fix our own issues.
- HU/IS Superintendent position filled
- Metrics on Leader Observations
- Top decile Total Industrial Safety Accident rate (TISA) 35
Actions
- Safety Conscious Work Environment
- Environment for Raising Concerns
- ECP communication and outreach
- Small Group Meetings
- Accountability vs. discipline
- Devils advocate program
- Shop briefs on SCWE 36
Actions
- Safety Conscious Work Environment
- Preventing, Detecting, Mitigating Perceptions of Retaliation
- Small Group meetings
- ERB process
- Shop briefs on SCWE
- Improved communications
- Corporate action for SCWE training periodicity
- Safety Culture fact & information sheet 37
Closing
- Palisades and Entergy recognized need to assess safety culture
- Prompt 3rd party assessment conducted
- Prompt and aggressive action plan implemented
- Results show improvement
- Focus on sustainability 38