ML102500636

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2009/11/09-NRC000013-NRC Inspection Manual, Inspection Procedure 9501, Inspection for One or Two White Inputs in a Strategic Performance Area
ML102500636
Person / Time
Site: Prairie Island  Xcel Energy icon.png
Issue date: 11/09/2009
From:
NRC/NRR/DIRS/IRIB
To:
Atomic Safety and Licensing Board Panel
SECY RAS
Shared Package
ML102500629 List:
References
50-282-LR, 50-306-LR, ASLBP 08-871-01-LR-BD01, RAS 18573
Download: ML102500636 (14)


Text

Issue Date: 11/09/09 1 95001 NRC INSPECTION MANUAL IRIB INSPECTION PROCEDURE 95001 INSPECTION FOR ONE OR TWO WH ITE INPUTS IN A STRATEGIC PERFORMANCE AREA

PROGRAM APPLICABILITY: 2515

CORNERSTONES: ALL

INSPECTION BASIS: The U.S. Nuclear Regulatory Commission's (NRC

=s) revised inspection program includes three parts: baseline inspections; generic safety issues and special inspections; and supplemental inspections performed as a result of risk-significant performance issues. The inspection program is designed to apply NRC inspection assets in an increasing manner when risk-significant performance issues are

identified by inspection findi ngs or performance indicators (PIs). The NRC regional offices will perform a supplemental inspection followin g the identific ation of an inspection finding categorized as risk-significant (i.e., white, yellow, or red) in accordance with the significance determination process (SDP) or when a PI exceeds the "licensee response band" threshold. The scope and

breadth of these inspections w ill be based on the guidance provided in the NRC

=s assessment AAction Matrix,@ as described in Inspection Manual Chapter (IMC) 0305, "Operating Reactor Assessment Program," and the

Supplemental Inspection Table included in IMC 2515, "Light-Water Reactor Inspection Program - Operations Phase," Appendix B, "Supplemental Inspection Program."

The supplemental inspection program is designed to support the NRC

=s goals of ensuring safety and security and achieving organizational excellence.

This procedure provides the supplemental response for one or two white inputs (in different cornerstones) in a strategic performance area. The guidance provided in this procedure was developed with consideration of the following boundary conditions:

$ Supplemental inspections will not be done for single or multiple green issues;

Issue Date: 11/09/09 2 95001 $ The baseline inspecti on procedure (IP) for identification and resoluti on of problems (i.e., IP 71152, "Identification and Reso lution of Problems") is independent of the s upplemental response;

$ The inspection requirements contained in this procedure will be completed for each white issue and are the same regardless of whether the issue originated from a PI or an inspection finding; and

$ New examples of performance issues resulting from supplemental inspections will be evaluated and categorized in a similar manner to that of the baseline inspection program using the SDP.

95001-01 INSPECTION OBJECTIVES

01.01 To provide assurance that the root causes and contributing causes of risk-significant performance issues are understood.

01.02 To provide assurance that the extent of condition and ext ent of cause of risk-significant performance issues are identified.

01.03 To provide assurance that the licensee' s corrective actions for risk-significant performance issues are sufficient to address t he root and contributing causes and prevent recurrence.

95001-02 INSPECTION REQUIREMENTS

In order to adequately protect the health and safety of the public once a risk-significant

performance issue is identified, the NRC staff must ensure t hat a licensee identifies the causes and implements actions to preclude repet ition of the performance issue. The most effective and efficient way for the NRC to accomplish this objective is to first allow the licensee the opportunity to perform their own ev aluation of the performance issue and then review the licensee

=s evaluation. The following in spection requirements represent a comprehensive set of attributes related to pr oblem identification, r oot cause analysis, and establishment of corrective actions.

The licensee

=s evaluation will generally need to address each of the inspection requirements in order to ensure that the causes of the performance issue are identified and effective corrective actions are taken to prev ent recurrence. Howeve r, the depth of the licensee=s analysis may vary depending on the significance and complexity of the issue. In some cases, the answers to specific inspection requirements will be self-evident with little additional review or analysis required.

This procedure does not intend NRC inspectors to perform an independent evaluation of the performance issue nor to merely verify that an evaluation has been performed without Issue Date: 11/09/09 3 95001 assessing its adequacy. Rather, inspectors s hould sufficiently challenge aspects of the licensee=s evaluation, as necessary, to ensure that the cause(s) of the performance issue have been identified and appropriate corrective actions have been planned or taken to prevent recurrence. Inspectors may use information previously obtained from the baseline inspection program to fulfill the inspection requirements; however, the inspection report associated with this inspection should contain the NRC

=s assessment of the licensee

=s evaluation for each inspection requirement. Th e results of this in spection should be documented in accordance with the guidance contained in IMC 0612, "Power Reactor Inspection Reports," Appendix C, "Guidanc e for Supplemental Inspection Reports."

Significant weaknesses in the licensee

=s actions to address the performance issue, including weaknesses involved with the failure to identify the safety culture components described in IMC 0305 [C1] or to perform an adequate evaluation of the performance issue, may be subject to additional agency actions, including: (1) those specified in IMC 0305; [C1] (2) additional enforcement actions; or (3) an expansion of this procedure as necessary to independently acquire the information necessary to satisfy the inspection requirements. Expansion of this IP may be necessary if inspectors need to independently evaluate the

performance issue(s) or safety culture aspects as a result of the licensee not performing its own analysis. It is not expected for inspecto rs to perform this evaluation as a separate supplemental inspection.

In general, licensees should be gi ven an opportunity to correct any identified deficiencies prior to re-inspection. For significant weak nesses in the licensee's actions to address a performance issue associated with an inspection finding, including a substantial inadequacy in the licensee's eval uation of the root causes of the original performance issue, determination of the ext ent of the performance issue, or the actions taken or planned to correct the issue, the or iginal performance issue will remain open and will not be removed from the action matrix until the weaknesses are addressed and corrected. For significant weaknesses in the licensee

=s actions to address a performance issue that is associated with a PI, a parallel PI inspecti on finding will be opened and given the same color as the PI; however, the finding will not be double counted in the action matrix. Refer to IMC 0305 for guidance on parallel PI inspection findings and related significant enforcement review panels. Programmatic weaknesses associated with the licensee

=s evaluation of the performance issue will also be documented in the inspection report by briefly describing the weaknesses in the tr ansmittal letter and the summary of findings section. An amplified discussion of the weaknesses should be pr ovided in the report details. Additional focus will be given to those areas during the next biennial problem identification and resolution (PI&R) baseline inspection performed in accordance with IP 71152.

If new or additional examples of performance issues (non-programmatic) are identified during this inspection or by the licensee during their evaluation, then the new issues will be evaluated using the SDP, and the corresponding supplemental IP will be performed. Supplemental inspections will also be perfo rmed if additional examples of performance issues are reported by PIs that result in crossing a new PI threshold. Additional supplemental inspections will gen erally not be performed if the new or additional examples of performance issues reported by PIs do not result in crossing a new PI threshold.

Issue Date: 11/09/09 4 95001 The following inspection requirements are generally applicable for both single inspection findings and for performance issu es reported by PIs that mi ght represent more than one independent event (e.g. multiple scrams). If a white performanc e issue is due to multiple events or occurrences, then it is expected that the licensee

=s evaluation would address each of the events or occurrences. This could be accomplished by doing either independent evaluations for each occu rrence or one collective evaluation.

02.01 Problem Identification

a. Determine that the evaluat ion documented who identifi ed the issue (i.e., licensee-identified, self-revealing, or NRC-identified) and under what conditions the issue was identified.
b. Determine that the eval uation documented how long the issue existed and prior opportunities for identification.
c. Determine that the evaluation documented the plant-specific risk consequences, as applicable, and compliance concerns associated with the issue.

02.02 Root Cause, Extent of Conditi on, and Extent of Cause Evaluation

a. Determine that the problem was evaluated using a systematic methodology to identify the root and contributing causes.
b. Determine that the root cause evaluation was conducted to a level of detail commensurate with the significance of the problem.
c. Determine that the root cause evaluation included a cons ideration of prior occurrences of the problem and knowledge of prior operating experience.
d. Determine that the root cause evaluation addressed the extent of condition and the extent of cause of the problem.
e. Determine that the root caus e, extent of condition, and ex tent of cause evaluations appropriately considered the safety culture components as described in IMC 0305.

[C1]

02.03 Corrective Actions

a. Determine that appropriate corrective actions are specified for each root and contributing cause or that the licensee has an adequate evaluation for why no corrective actions are necessary.
b. Determine that corrective actions have be en prioritized with consideration of risk significance and regulatory compliance.
c. Determine that a schedule has been established for implementing and completing the corrective actions.

Issue Date: 11/09/09 5 95001 d. Determine that quantit ative or qualitative meas ures of success have been developed for determining the effectiveness of the corrective actions to prevent recurrence.

e. Determine that the corrective actions planned or taken adequately address a Notice of Violation (NOV) that was the basis for the supplemental inspection, if applicable.

02.04 Evaluation of IMC 030 5 Criteria for Treatment of Old Design Issues

This part of the IP is to be implemented when the licensee has requested credit for self-identification of an old design issue and when sufficient information was not previously available to allow the NRC staff to determine whether the finding met the old design issue criteria in IMC 0305. IMC 0305 al lows credit to be given to licensees for self-identification of certain old design issues, such as t hose pertaining to engi neering calculations, engineering analyses, associated operating procedures, or plant equipment installations. In such cases, the inspectors should eval uate whether the performance issue meets the criteria in IMC 0305 to determine if the issue is an old design issue.

95001-03 INSPECTION GUIDANCE

General Guidance. This IP is used to assess the adequacy of the licensee

=s evaluation of a white performance issue. As such, a reasonable time (generally within 30-60 days) sh ould be allowed for the licensee staff to complete their evaluation; how ever, all corrective actions may not be fully completed upon commencement of this supplemental inspection. The inspection should not be scheduled until the licensee has completed its problem identification, evaluation, and corrective action plan. In the event that t he licensee has not defined their corrective action plan within a reasonable time, regional managem ent should prompt the licensee to provide the basis, including risk insights, for the delay. Implementation of the licensee's corrective actions may be verified during subsequent baseline inspections, such as the biennial PI&R inspection performed in accordance with IP 71152.

The following guidance is provided to help the inspector fulfill the specific inspection requirements contained in Section 95001-02. It is not intended that the inspector verify that the licensee

=s evaluation contains every attribute contained in the inspection guidance section. The intent is that the inspector uses the guidance sections of this procedure to look for weaknesses in the licensee

=s evaluation that might indicate an issue associated with one of the inspec tion requirements.

Definitions.

Root Causes are defined as the basic reasons (e.g., hardware, process, or human performance) for a problem, which if corrected, will prevent recurrence of that problem.

Contributing Causes are defined as causes that by themselves would not create the problem but are important enough to be recognized as needing corrective action.

Contributing causes are sometimes referred to as causal factors. Causal factors are those Issue Date: 11/09/09 6 95001 actions, conditions, or events that directly or indirectly influence the outcome of a situation or problem.

Repeat occurrences are defined as two or more indep endent conditions resulting from the same basic cause(s).

Common Cause is defined as multiple failures (i.e., two or more) of plant equipment or processes attributable to a shared cause.

Extent of Condition is defined as the extent to which the actual condition exists with other plant processes, equipmen t, or human performance.

Extent of Cause is defined as the ex tent to which the root causes of an identified problem have impacted other plant processe s, equipment, or human performance.

Consequences are defined as the actual or potential outcome of an identified problem or condition.

Specific Guidance.

03.01 Problem Identification

a. The evaluation should st ate how and by whom the iss ue was identified. When appropriate, the licensee's failure to identify the problem at a precursor level should be evaluated. Specifically, the licensee's failure to identify a problem before it becomes risk-significant may indicate a more substantial problem. Examples include the licensee's failure to: (1) ent er a recognized non-compliance into the corrective action program; (2) raise safety concerns to management; or (3) complete corrective actions for a previous ly identified problem that resulted in further degradation. If the NRC identified the white performance issue, the evaluation should address why the licensee's processes, such as peer review, supervisory oversight, inspection, testing, self-assessments, or quality activities, did not identify the problem.
b. The evaluation should state when the problem was identified, how long the condition(s) existed, and whether there were prior opportunities for correction. For example, if a maintenance activity resu lted in an inoperable system that was not detected by post-maintenance testing or quality assurance oversight, the reasons that the testing and qu ality oversight did not detect the error should be included in the problem identification statement and addressed in the root cause evaluation.
c. The evaluation should address the plant-specific risk consequences of the issue. A plant-specific assessment may better c haracterize the risk associated with the issue due to the generic nature of the PIs. For conditions that are not easily assessed quantitatively, such as the unavailability of security equipment, a qualitative assessment should be completed. The evaluation should also include an assessment of compliance. As app licable, some events may be more appropriately assessed as hazards to plant personnel or the environment. The Issue Date: 11/09/09 7 95001 inspector=s review of the risk assessment should be coordinated with a senior reactor analyst.

03.02 Root Cause, Extent of Conditi on, and Extent of Cause Evaluation. a. The licensee

=s evaluation should generally make use of systematic methods to identify root and contributing causes. The root cause evaluation methods that are commonly used in nuclear facilities include:

1. Events and causal factors analysis - to identify the events and conditions that led up to an event;
2. Fault tree analysis - to identify relationships among events and the probability of event occurrence;
3. Barrier analysis - to identify the barriers that if present or strengthened would have prevented the event from occurring;
4. Change analysis - to identify changes in the work environment since the activity was last performed successfully that may have caused or contributed to the event;
5. Management Oversight and Risk Tree (MORT) analysis - to systematically check that all possible causes of problems have been considered;
6. Critical incident techni ques - to identify critical actions that if performed correctly would have prevented the event from occurring or would have significantly reduced its consequences;
7. Why Staircase - to produce a linear se t of causal relationships and use the experience of the problem owner to determine the root cause and

corresponding solutions; and

8. Pareto Analysis - a st atistical approach to probl em solving to determine where to start an analysis.

The licensee may use other methods to perform root cause evaluations. A systematic evaluation of a problem using one of the above methods should

normally include:

1. A clear identification of the problem and the assumptions made as a part of the root cause evaluation.

For example, the evaluation should describe the initial operating conditions of the system or component ident ified, staffing levels, and training requirements as applicable.

2. A timely collection of data, verification of data, and preservation of evidence to ensure that the information and circumstances surrounding the problem Issue Date: 11/09/09 8 95001 are fully understood. Th e analysis should be documented such that the progression of the problem is clearly understood, any missing information or inconsistencies are identified, and the problem can be easily explained and/or understood by others.
3. A determination of cause and effect relationships resulting in an identification of root and contributing causes that consider pot ential hardware, process, and human performance iss ues. For example:

(a) Hardware issues could include de sign, materials, systems aging, and environmental conditions; (b) Process issues could include proc edures, work practices, operational policies, supervision and oversight, preventive and corrective maintenance programs, and qual ity control methods; and (c) Human performance issues could include training, communications, human-system interface, and fitness for duty (which includes managing fatigue). See IP 93002, "Managing Fatigue," for guidance on the requirements of 10 CFR Part 26, Subpart I - Managing Fatigue.

b. The root cause evaluation should be conducted to a level of detail that is adequate for the significance of the problem. Di fferent root cause evaluation methods provide different perspectives of the pr oblem. In some instances, using a combination of methods helps ensure the analysis is thorough. Therefore, the root cause evaluation should consider evaluating complex problems, which could result in significant consequences, using multi-disciplinary teams and/

or different and complimentary methods appropriate to the circumstances. For example, problems that involve hardware issues may be ev aluated using barrier analysis, change analysis, or fault trees.

The depth of a root cause evaluation is normally achieved by completely and systematically applying the methods of analysis described in Section 03.02.a and by repeatedly asking the question "Why?" about the occurrences and

circumstances that caused or contributed to the problem. Once the analysis has developed all of the causes for the problem (i.e., root, contributing, and programmatic), the evaluation should also look for any relationships among the

different causes. The depth of the root cause evaluation may be assessed by:

1. Determining that the questioning process appeared to have been conducted until the causes were beyond the licensee

=s control.

For example, problems that were initia ted by an act of nature, such as a lightning strike or tornado, could have the act of nature as one of the causes of the problem. The act of nature w ould not be a candidate root cause, in part, because the licensee could not prevent it from happening again. However, a licensee

=s failure to plan for or respond properly to acts of nature would be under management c ontrol and could be root causes for the problem.

Issue Date: 11/09/09 9 95001 2. Determining that the problem was evaluated to ensure that other root and contributing causes were not inappropriately ruled out due to assumptions made as a part of the analysis.

For example, a root cause evaluation may not consider the adequacy of the design or process controls for a system if the proble m appears to be primarily human performance focused. Consideration of the technical adequacy of the assumptions used in the root cause evaluation and their impact on the root causes would also be appropriate.

3. Determining that the evaluation collectively reviewed all root and contributing causes for indications of more fundamental problems with a process or system. For example, a problem that involved a number of procedural inadequacies or errors may indicate a more fundament al or higher leve l problem in the processes for procedural development, cont rol, review, and approval. Issues associated with personnel failing to follow procedures may also be indicative of a problem with supervisory oversi ght and communication of standards.
4. Determining that the root cause ev aluation properly ensu red that correcting the causes would prevent recurrence of the same and similar problems. Complex problems may have more than on e root cause as well as several contributing causes. The evaluation shou ld include a process to verify that corrective actions for the identified root causes do not rely on unstated assumptions or conditions that are not controlled or ensured.

For example, root causes evaluations that are based on normal modes of operation may not be valid fo r accident modes or other A off normal

@ modes of operation.

5. Determining that the evaluation appropr iately considered other possible root causes. Providing a rationale for ruling out alternative possible root causes helps to ensure the validity of the specific root caus es that are identified.
c. The root cause evaluation should incl ude a proper consi deration of prior occurrences of the same or similar probl ems at the facility and knowledge of prior operating experience. This review is necessary to help develop the specific root and contributing causes and also to provide indication as to whether the issue is due to a more fundamental concern involving weaknesses in the licensee

=s corrective action program.

The licensee's root cause evaluation should:

1. Broadly question the applicability of other similar events or issues with related root or contributing causes.

Issue Date: 11/09/09 10 95001 For example, root cause evaluations associated with outage activities and safety-related systems could include a review of prior operating experience involving off-normal operation of s ystems, unusual system alignments, and infrequently performed evolutions.

2. Determine if previous root caus e evaluations and/or corrective actions missed or inappropriately characterized the issues. Determine those aspects of the corrective actions that did no t prevent recurrence of the problem.

For example, the evaluation should review the implementation of the previously specified corrective actions and a reassessment of the identified root causes to determine process or performance errors that may have contributed to the repeat occurrence.

3. Determine if the root c ause evaluation for the current problem specifically addresses those aspects of the prior root cause evaluation or corrective actions that were not successfully addressed.

For example, if dur ing the review of a tagging error that resulted in a mis-positioned valve the licensee determines that a previous similar problem occurred, and the corrective actions only focused on individual training, then the root cause evaluation for the r epeat occurrence should document why the previous corrective actions were inadequate.

4. Include a review of prior documenta tion of problems and their associated corrective actions to determine if similar incidents have occurred in the past.

For example, the licensee staff should consider the following during their review of prior operating experi ence: internal self-assessments; maintenance history; adverse problem reports; and external databases developed to identify and track operating experience issues. Examples of external databases may include Informa tion Notices, Generic Letters, and vendor/industry generic communications.

The inspectors should discuss the problem and associated root causes with other resident, regional, or headquar ters personnel to assess whether previous similar problem s or root causes s hould have been considered.

d. The root cause evaluation should include a proper consi deration of t he extent of condition and the extent of cause of t he problem and of w hether other systems, equipment, programs, or condi tions could be affected.
1. The extent of condition review s hould assess the degree that the actual condition (failed valve, inadequate pr ocedure, improper human action, etc.)

may exist in other plant equipment, processes, or human performance.

2. The extent of cause review should assess the applicability of the root causes across disciplines or departments for different programmatic activities, human performance, or different types of equipment.

Issue Date: 11/09/09 11 95001 For example, the licensee's fire protec tion staff consider ed that the root causes identified for the misalignment associated with the safety injection system could potentially affect fire suppression systems since the systems shared a common tagging and alignment method. As a result, feedback was provided to the incident review committee to include modifica tion of the fire suppression system control procedure and provide formal training to all fire protection personnel.

The extent of condition review differs from the extent of cause review in that the extent of condition review focuses on the actual condition and its existence in other

places. The extent of cause review should focus more on the actual root causes of the condition and on the degree th at these root causes have resulted in additional weaknesses.

e. The root cause evaluation should include a proper consideration of whether a weakness in any safety culture component was a root cause or significant contributing cause of the performance issue (PI or inspection finding), and if so, that weakness should be addressed through adequat e corrective actions. Therefore, for each performance issue that prompted this inspection, consider whether the performance issue, the licensee

=s evaluation methodology, results obtained using that methodology, or any related circumstance indicates that a weakness in any safety culture component could reasonably have been a root cause or significant contributing cause of the performance issue. If so, then for each such weakness, determine if the licensee considered in their evaluation if the weakness was a root cause or significant contributing caus e of the deficiency and documented that consideration in their evaluation.

[C1]

03.03 Corrective Actions

The licensee's proposed corrective actions to the root and contributing causes should:

a. Address each of the root and contributing causes and any weakness associated with the extent of condition and extent of cause of th e performance issue. The corrective actions should be clearly defined. Examples of corrective actions may include but are not limited to modifications, inspections, testing, process or procedure changes, and training. The proposed corrective actions should not create new or different problems as a result of the corrective actions. If the licensee determines that no corrective actions are necessary, then the basis for this decision should be document ed in the evaluation.
b. Include consideration of the licensee

=s risk assessment results of the issue in prioritizing the type of corrective actions chosen. Attention should be given to solutions that involve only changing procedures or providing training because they are sometimes overused. In such cases, consideration should be given to more comprehensive corrective actions such as design modifications. The corrective action plan should also include a review of the regulations to ensure that it achieves compliance if compliance issues exist.

Issue Date: 11/09/09 12 95001 c. Be assigned to the appropriate individuals or organiza tions to ensure that the actions are planned or taken in a time ly manner. The licensee should also establish a formal tracking mechanism for ea ch of the specific corrective actions.

d. Establish a method to validate the effectiveness of the overall corrective action plan. Specifically, a method should be established to quantitatively or qualitatively measure the effectiveness of the correct ive actions. Effective methods would include but are not limited to assessments, audits, inspections, tests, trending of plant data, or follow-up discussions with plant staff.

The licensee's response to an NOV that directly corresponds with the performance issue

that was the basis for the supplemental inspection should address the reason for the violation, corrective actions that have been taken and the achieved results, corrective actions that will be taken, and the date when full compliance was or will be achieved. The adequacy of the corrective actions should be reviewed in accordance with the guidance above to determine if they address the violation.

03.04 Evaluation against IMC 0305 Criteria for Treatment of Old Design Issues

When this part of the IP is implemented, the inspection r eport should contain a discussion of why or why not the performance issue is or is not being considered as an old design issue. For those cases where the issue is not being considered, the discussion can be brief. For those cases where the performance issue is being considered as an old design issue, a more detailed discussion should be documented in the inspection report that explains how each of the four criteria contained in IMC 0305 were met. A synopsis of this discussion should also be contai ned in the summary of findings and cover letter of the inspection report. Additional guidance pertaini ng to the treatment of old design issues is contained in IMC 0305.

95001-04 RESOURCE ESTIMATE

It is estimated that this procedure will take between 16 and 40 hours4.62963e-4 days <br />0.0111 hours <br />6.613757e-5 weeks <br />1.522e-5 months <br /> to complete for each white issue. The inspector(s) assigned should be familiar with the discipline associated with the subject of the licensee

=s evaluation. For planning purposes, a resource estimate near the lower end of the scale should be used for licensees with corrective action programs that have been determined to be thor ough during the annual PI&R inspection. A resource estimate near the higher end of the scale should be used for licensees with corrective action programs that have been previous ly determined to be ineffective or for the expansion of this procedure to independently acquire the information necessary to satisfy

the inspection requirements.

END Issue Date: 11/09/09 Att1-1 95001 - Revision History for IP 95001 Commitment Tracking Number Issue Date Description of Change Training Needed Training Completion Date Comment Resolution Accession Number C1 06/22/06 CN-06-015 Incorporate safety culture initiatives

described in, Staff Requirements -

SECY-04-0111 -

A Recommended Staff Actions Regarding Agency Guidance in the Areas of Safety Conscious Work

Environment and Safety Culture" dated

August 30, 2004 Yes July 1, 2006 ML061570117 N/A 10/16/06 CN-06-027

This IMC has been revised to

incorporate comments from the Commission in which the term public

confidence has been change to

openness None N/A N/A N/A 04/09/09 CN 09-011 This IP has been revised to address the

following ROP feedback forms: 95001-

1121, 95001-1122, 95001-1123, 95001-

1126, 95001-1127, 95001-1133, and

95001-1243. This revision: clarifies that

all safety culture components should be

considered; removes discussion pertaining to PI fault hours and NEI 99-

02; updates the NRC's goals to reflect

the Strategic Plan for FY 2008-2013;

references IMC 0612 for documentation guidance; updates old design issue

guidance; clarifies expansion of the IP;

adds guidance to follow-up on NOVs;

and expands the list of root cause

evaluation methods.

None N/A ML083220122 Issue Date: 11/09/09 Att1-2 95001 Commitment Tracking Number Issue Date Description of Change Training Needed Training Completion Date Comment Resolution Accession Number N/A 11/09/09 CN 09-026 Added reference to IP 93002, "Managing Fatigue" No N/A N/A