fpl foundations of quality nuclear policy
TRANSCRIPT
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Purpose: This document sets forth the foundations for quality for the FPL Nuclear
Division.
Responsibilities:A. Safety
Safety is our number one priority. FPL is committed to the safe,
reliable and cost effective operations of our nuclear units.
B. Quality is everyone's responsibility
The term "Quality" includes all those actions that are necessary to
achieve safety, reliability, availability, and economy. Quality is
the responsibility of everyone working in the Nuclear Division. It is
not the exclusive responsibility of Nuclear Assurance or any other
particular work group or department. Management and every
employee must understand these basic premises and adhere to
them to achieve safety, reliability, availability, and economy. Quality
means acting in the long term best interests of the company by doing
the following:
1. Defining the right job
2. Doing it right the first time
3. Adhering to all valid requirements
4. Serving the needs of the customer
C. Management Accountability
Every member of supervision is responsible to have a general
understanding of regulatory requirements (i.e. 10CFR50 Appendix B)and industry or INPO guidelines pertaining to their area of
responsibility, and should continuously assess their organizations
compliance with those requirements to identify and correct their own
problems. The line organization should not rely on the Nuclear
Assurance Department to tell them what the requirements are.
However, Nuclear Assurance independently evaluates the
compliance of the line organization to those requirements. Our
quality system will not function properly unless line management is
accountable for applicable quality requirements.
D. Nuclear Assurance Department
The Nuclear Assurance (QA) Department assesses and reports onthe quality of programs, processes, and products through formal
audits, surveillance, independent technical reviews, and quality
control inspections. However, quality cannot be assessed or
inspected into a program, process, or product. Rather, the Nuclear
Assurance Department enhances quality through its influence on the
behavior of nuclear personnel and how they conduct business. The
Nuclear Assurance Department shall:
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1. Advise line management, including the Chief Nuclear Officer, on
the status of quality, significant quality trends, and the principal
threats to quality.
2. Consult line management as requested in areas where the
Nuclear Assurance organization can provide independent
insights.
3. Promote the principals of quality, safety, and self-assessment in
all of our communication opportunities.
4. Improve the way we do business by keeping abreast of the
technological advances in the industry.
5. Produce quality assessments that clearly identify performance
issues, using available information such as performance trending
results and probabilistic safety analyses to focus department
resources on activities important to safety.
Building Blocks
of Quality:A. Self-Assessment Philosophy
Individuals are expected to find and correct their own problems
through self-assessment. It is the policy of Nuclear Division
management to proactively pursue continuous improvements in
products and services through the performance of self-assessment
activities in each department. Self-assessment activities are a
proactive part of the corrective action process whereby the
responsible individuals and organizations assess their own products
and services, to identify and correct their own problems. The
expected results of high quality self-assessment activities are
measurable reductions in the frequency and severity of problems or
events, and a reduction in deviations from established requirements.
Modifications, new personnel, shifted responsibilities, new suppliers,
new contractors, new and revised procedures, and policies can be
the precursors of quality problems. Since change is such a
pervasive and necessary part of our work environment, we put
particular emphasis on monitoring the thoroughness of change
control measures through pre-emptive or periodic self-assessments.
Change must be effectively controlled so that all aspects of the
change are done with appropriate foresight and with skeptical
monitoring.
Independent assessments conducted by Nuclear Assurance are tobe primarily directed toward evaluating the effectiveness of the
audited organization's self-assessments. In order to do this, Nuclear
Assurance needs to check some of the specific attributes of their
activities, processes, programs, and services. The first two levels of
defense of quality should be fully capable of assessing their own
quality. When Nuclear Assurance finds a problem the organization
itself did not find, it is an indication of weakness within the
organization's self-assessment.
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B. Four levels of defense-in-depth:
1. Individuals and Work Groups: The first level of defense is
provided by individual and work group activities. This is the only
level of defense which provides real-time, 100% exposure to
conditions adverse to quality. Individuals and work groups
contribute by adhering to procedures, training, meticulous andsystematic self-checking, implementation of the Quality Program
and providing feedback to management. They also inform
management of potential and actual conditions adverse to quality
as well as opportunities for raising standards of excellence. This
requires maintaining a critical questioning perspective as part of
every task. Every individual owns the first level of defense.
Problems effectively surfaced at this first line of defense are
most economically addressed. Problems that are identified by
the third and fourth levels of defense or by a self-disclosing event
are typically more expensive to solve, may result in equipment
damage, and disrupt the organization.
2. Supervision and Management: The second level of defense ismade up of all levels of supervision and management from the
task leader to senior management. A condition adverse to
quality detected by the second level of defense is usually
indicative of at least two conditions adverse to quality - the
detected condition and a self-assessment weakness in the first
level of defense. The second level of defense is responsible for
first level performance by ensuring that the first level:
a. Understands the standards of performance
b. Is appropriately staffed and trained
c. Has up-to-date and approved procedures
d. Has required tools and equipment
e. Receives meaningful coaching and instruction at the job site
f. Performs self-assessment and supports a culture of self and
independent assessment
g. Implements the corrective action process
3. Independent Assessment: The third level of defense,
independent assessment, consists of Nuclear Assurance and the
site safety review committees: Plant Nuclear Safety Committee
(PNSC), Facility Review Group (FRG), and Station Operating
Review Committee (SORC). The contribution of the third level of
defense is to provide sampling checks of the processes,
programs, products, and services of the first and second level,
and assess the effectiveness of self-assessment efforts. Any
condition adverse to quality detected by the third level of defenseis usually indicative of at least three conditions adverse to
quality: the detected condition and self-assessment weaknesses
in the first two levels of defense.
4. External Observation: The fourth level of defense is made up of
non-company organizations such as NRC and INPO. They
assess the first three levels, especially with respect to the
effectiveness of self-assessment efforts, and provide feedback.
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Any condition adverse to quality detected by the fourth level of
defense is usually indicative of at least four conditions adverse to
quality; the detected condition and self-assessment weaknesses
in the first three levels of defense. The Company's Nuclear
Review Board (CNRB) members act as if they are part of the
fourth level of defense when performing their function of
objective assessment from an independent and externalperspective.
C. Assessing Quality
Nuclear Assurance does not directly measure quality. Instead, they
identify conditions adverse to quality, as well as practices which
enhance quality. Assessments should clearly state the effectiveness
of the audited organization in meeting applicable requirements and
management expectations, as well as the organizations success in
finding and correcting its own problems in a timely manner.
When serious performance problems are uncovered by Nuclear
Assurance, they will provide the factual basis for any conclusions,and share the process by which those conclusions were arrived at.
Additionally, Nuclear Assurance is to appropriately state whether the
organization is effectively implementing the Quality Assurance
Program.
D. Corrective Actions
1. Conditions adverse to quality: Truly isolated conditions adverse
to quality are rare. Seldom does anything go wrong due to a
single causal factor. We should be skeptical of event
investigations reporting only one causal factor. In rare cases in
which an event of interest can be attributed to a single causal
factor, we should ask whether the fact that there was only a
single barrier is another causal factor (inadequate defense-in-
depth). The causal factors of significant events are the same as
the causal factors of non-significant events. The greater the
significance of an event, the larger the number of independent
causal factors that could have contributed to it, and the larger the
number of precursors that should have alerted the accountable
personnel.
2. Management prerogative in accepting risk: Management has the
responsibility to expend or reduce the resources consistent with
the value added. It is a function of management to decide, within
the bounds of its regulatory commitments, which risks it willaccept and which it will address. When events have multiple
causes, it is frequently effective to correct some, but not
necessarily all of the casual factors. Management is expected to
justify the quality and risk rationale for their decisions.
3. Resources applied commensurate with significance: Problems
should be characterized as to their quality and risk impact so
resources can be applied prudently in a manner commensurate
with the potential impact on the mission of the Nuclear
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Division. It is important to determine the quality impact, the
pervasiveness, and the potential safety risk of conditions
adverse to quality.
4. Human performance: Nuclear Division personnel abide by high
standards and strive to complete every task without errors.
However, except for the results of sabotage, natural phenomena,and risk-based decisions, adverse events at nuclear power
stations are caused, in part, by personnel errors. Personnel
errors usually cannot be readily corrected, but their underlying
causes may be addressed, if known. The majority of personnel
errors are indicative of a breakdown in the plants defense-in-
depth. It is generally more productive to focus on how the
system failed the individual, rather than how the individual failed.
Management is expected to focus on failed barriers and
underlying causal factors, to find effective ways of addressing
the causes of personnel errors.
Management Commitment
to Quality:Quality is not achieved merely by the correction of identified conditions
adverse to quality and their causal factors. Rather, quality is achieved by
a solid understanding of quality, and a firm commitment to quality and the
corrective action program on the part of management and every member
of the nuclear organization. Corrective actions for conditions adverse to
quality must address the broader (generic) implications of the identified
symptoms and causal factors. Management is expected to understand
the self-assessment weakness that prevented timely detection of the
problem; correcting a self-assessment weakness has the potential for
future prevention or early detection of a host of similar conditions
adverse to quality.
Acknowledgment:
This document is based on "Nuclear Quality Assurance Operational
Philosophy," dated 05/30/95 by William R. Corcoran, PhD, PE, and
modified by Nuclear Assurance for application at FPL's Nuclear Division.
Approval: Signature on fileChief Nuclear Officer