WTP Nuclear Safety And Quality Culture (NSQC) History Timeline

1. WTP Nuclear Safety And Quality Culture (NSQC) History Timeline November 2011 KEY: Assessments, reports, surveys (surveys on a scale 1-5) Actions/plans to improve NSQC Other CAR 05-331 issued: initiates NSQI. 69 corrective actions identified and implemented over 3 years.December 2005 CAR 05-331 Actions: NSQI initiated All hands meetings/stand downs NSQI training Corrective Action Program restructured (one-form PIER) PAAA PNOV: black cell piping quality issues. Fine mitigated based on comprehensive causal analysis, Common Cause Review, BBR and comprehensive corrective actions December 2008 Senior Management NSQC position created to improve focus September 2010 NIC Investigation Whistleblower allegations not substantiated September 2010 Pillsbury Report Results strong, in the upper range of nuclear facilities October 2010 Pillsbury Interviews 120 employees August 2010 DOE Assessment of potential common causes of quality issues notes that recent BNI root cause analyses identified nuclear quality culture issues October 2005 NSQC Communication Plan issued December 2010 All Employee Survey revised to include NSQC questions. Overall score 3.6. Action plans to address survey results June 2006 Broad Based Review evaluated quality of flowdown from requirements to design February - December 2008 M3 closure package signed (Final EFRT technical issue) August 2010 Consultant finds isolated examples of inappropriate behavior, but no systematic practice of discrimination, harassment or retaliationJune 2005 NSQC Plan Rev 1 issued January 2011 SCWE/Questioning Attitude Training mandated for managers/supervisors/leads. 800 personnel attended 4-hour training sessions June 2006 - March 2007. Cascaded NSQC Training completed 1600 employees January - May 2011 All-employee NSQC message June 2008 Commitment to Safety Allemployee video message August 2010 Outside consultant investigates allegationsMarch 2005 Independent SCWE Training mandated for managers and supervisors. 320 personnel attended 3-hour training sessions July - August 2011 NSQI External Advisory Board August 2006 DOE Investigation Report: Chilling effect/fear of retaliation for reporting safety, medical, labor relations issues; a few supervisors contributed to a hostile work environment through racial discrimination or sexual harassment; worker dissatisfaction with labor relations and employee concerns processes January 2005 Quality Stand-down May 2008 Whistleblower allegations filed with DNFSB July 2010 NSQI External Advisory Board October 2006 M3 tasks completed June 2010 All Employee Survey Overall score 3.98 (safety 4.35; quality 4.06) Action plans to address survey results June 2008 Independent Safety and Quality Culture Assessment Team review August - November 2011 NSQC Invigoration draft plan April 2010 DOE Investigation: interviewed 117 construction site employeesNovember 2004 NSQI External Advisory Board March 2007 DOE OE deems Consent Order NSQC actions satisfactorily addressed September2011 NSQC reinvigoration commitment made to DOE OE March 2010 NSQI External Advisory Board July 2007 BNI Corrective Action Plan to address employee concerns program issues October 2004 CCE Action Plan includes action to develop plan to reinvigorate NSQI February 2010 HSS Assessment September - December 2011 WTP Contract AwardedDecember 2000 NSQI External Advisory Board October 2007 2000 2004 2005 2006 2007 2008 2009 2010 2011 8 craft workers complain to DOE: safety, racial or sexual harassment/discrimination, and labor relations/ECP processes at WTP construction site October 2004 CAR 05-331 Actions: Communications plan/Ask Jim Engineering training program revisions DPO process established Systematic approach to quality affecting training Draft NSQC Plan issued September 2010 NSQI External Advisory Board September 2008 All Employee Survey Overall score 3.96 (safety 4.32; quality 4.01) Action plans to address survey results June 2009 All Employee NSQC Survey Report Overall score 4.04 (craft 3.56) November 2011 HSS interviews 200+ Employees September 2010 BNI Corrective Action Plan - 63 actions relating to Construction Workforce Safety, Labor Relations, Construction Site Management, Supervision and Leadership, Diversity Management, and Employee Concerns Programs February 2005 NSQI External Advisory Board December 2008 DOE OE Consent Order Requires NSQC reinvigoration September 2010 All Employee Survey Overall score 3.80 Action plans to address survey results May 2007 NSQC Monitoring Panel November2011 All Employee Survey conducted by independent party to provide baseline metrics to assess effectiveness of improvements being made in areas identified in DOE Report. Overall score 3.5 April 2005 NSQC Plan issued October 2010 NSQI External Advisory Board February 2008 NSQC Website created October 2011 CAR-05-331 Actions: HR process improvements/training Development and tracking of NSQI metrics Improvement to Corrective Action Program - root cause/apparent cause HSS Report “Although improvements are needed in some areas, BNI and its subcontractor have established the framework for a strong nuclear safety culture at WTP.” October 2010 VCGD Root Cause Analysis recommends reassessing NSQC effectiveness September 2009 BNI mediates craft worker complaints. August 2005 NSQC Monitoring Panel October2011 Curtailment ended:staffing increases to 3100 DOE Assessment Report: four significant weaknesses in WTP nuclear safety culture: weak discipline in procedure compliance, ineffective training processes, inadequate procedures in some areas, and inadequate “questioning attitude” December 2005 Senior Management Retreat NSQC case study exercise September 2011 PAAA PNOV: engineering and procurement quality deficiencies in 2004-2005. DOE recognized issues were contemporaneous with those in prior PNOV. Fine mitigated due to rigor of causal analysis and thoroughness of corrective actions October 2007 Project Director’s Assessment of NSQC December 2008 Process Improvement Project To identify improvements to PIER and other issue reporting processes October 2010 NSQC Procedure issued September 2011 Curtailment of project due to budget and technical issues. 30% reduction in staff (to 1800) by December 2005 VCGD Common Cause Evaluation: recommends reenergizing NSQI to address new personnel training due to turnover December 2009 All Employee NSQC Survey conductedAugust - September 2011 PAAA PNOV: engineering and procurement quality deficiencies occurring May 2002 to August 2005. BNI concluded underlying cause for weaknesses was a less than adequate nuclear safety and quality culture. Fine mitigated due to causal analysis and corrective actions. March 2006 Black Cell piping quality issues from 2004 identified by BNI. Mgmnt Suspension of Work and Root Cause Analysis initiated November 2007 NSQC Plan Rev 2 issued August 2011 HSS Report Corrective Action Plan Actions tracked in NSQC Plan November 2010 New employee orientation training revisions re NSQC June 2011 Project Director’s Assessment of NSQC January 2008 NSQC Policy issued December 2010 NSQC Gap Assessment 300+ employees January - April 2011