OSART PROGRAMME

1. OSART PROGRAMME Fact finding EXERCISE

2. OSART PROGRAMME Plant tours • Material condition of NPP facilities • Effective application of programs and procedures by supervisors and workers • Attitudes, capabilities and performance of workers • Housekeeping and cleanliness

3. Housekeeping and cleanliness Examples of good standards • Cleanliness and order evident throughout the plant • Portable equipment such as ladders, scaffolding, slings, fire extinguishers are properly stored and authorized • Easy access to equipment and work areas • Trash containers available and not overflowing • Radiation control areas not cluttered • Minimisation of water, steam or oil leaks • Good control of combustible material

4. Material Conditions Examples of good material conditions • A vigilant operating staff that identifies deficiencies before they become large • A deficiency reporting system which is simple to use • A responsive work planning group with good maintenance implementation • A balanced preventive maintenance & corrective maintenance process • An effective deficiency tracking system • The establishment of a STANDARD example area

5. Behaviour and Leadership Examples of good standards • Use of HuP tools in evidence (or demonstrated) • Good set-to-work process observed • Where a job is taking place all necessary signs, permits, and equipment is in place and in date • You see that persons are able to raise a question , and they do. • Opportunities are made to engage the working teams in improvement ‘better way’ and ‘difficulties’ or ‘watch out for’ discussions

6. OSART PROGRAMME - Methodology Identifying Issues • Issues are primarily based on FACTS • An ISSUE can either be: • PROGRAMME based or • PERFORMANCE based or a combination of both • A FACT is an elementary deficiency of a programme or performance • An ISSUE is a generic deficiency of a programme or performance and is based on several facts of the same type

7. OSART PROGRAMME - Methodology Identifying Issues (cont.) • Performance based issues include: • Events, incidents, near misses • Sub-standard work activities/practices • Human errors, behaviours, attitudes • Unreliable equipment/equipment unavailability • Ineffective use of procedures • Inadequate material conditions • Programme based issues include missing, incomplete or deficient programmes when compared to the IAEA Safety Standards.

8. OSART Programme - Methodology Identifying, developing and reporting Issues: Performance based Collection of facts Field review, observations Review of performance information Issue produced Group facts and basic cause analysis Agreement of facts Programme based Interviews, programme reviews Collection of facts feedback from: • counterparts • team members

9. OSART PROGRAMME ISSUE DEVELOPMENT

10. What is an ISSUE? An ISSUE is the total package of the: • Fundamental Overall Problem (FOP) • Facts relating to the FOP • Safety consequence statement • Recommendation or Suggestion wording • IAEA bases

11. OSART PROGRAMME - Issue Development STARTwith facts which indicate a common problem and then propose a FOP that describes the problem So the issue format: • Begins with a one sentence statement of the fundamental overall problem (FOP) • This is followed by supporting information (facts gathered) • Then a statement of what the safety consequences would be if the problem was not addressed • Develop the wording of the recommendation or suggestion to remedy the problem • Quote the IAEA Safety Standards reference

12. FOP:The process for storage and quality control of operational chemicals and other substances is not at an appropriate standard. FACTS: • different and inconsistent procedures are used instead of having one combined procedure for purchase, quality control and use of operational chemicals and other substances, • quality requirements for the purchase and use of operational chemicals and other substances are not given in those procedures, • all operational chemicals and other substances are stored in warehouses and used at workplaces without easily visible quality control identification and approval labelling, • 2 drums (200 l each) were found in the temporary warehouse for flammables with inflated and heavily corroded lids, • 200 l drum of Fyrquel was stored outside the oil warehouse without any indication of danger, • two damaged sacks containing ion exchange resins were stored together with intact ones in the chemical warehouse, Safety consequences: Without a well-structured and comprehensive process for storage and quality control of operational chemicals and other substances the inappropriately stored and controlled chemicals and other substances could have the potential for improper use, personal injury and which could have detrimental effects on safety system components. Recommendation: The plant should establish and implement a well-structured and comprehensive process for the storage and quality control of operational chemicals and other substances. IAEA Basis:SSG-13. 9.1. A policy should be established to prevent the use of chemicals or other substances that could ….. 9.7. Procedures for the procurement, storage, replacement and ordering of chemicals and other substances, should be made available. 9.15. Chemicals should only be stored in an appropriate store that is fire protected and captures spillages and which is equipped with a safety shower, as required.

13. OSART PROGRAMME - Issue Development Recommendation wording: The fire protection system inspection process should be enhanced to identify and ensure operability of the fire protection equipment. Suggestionwording: Consideration should be givento enhance the fire protection system inspection process in order to identify and correct status of fire protection equipment.

14. Use the FOP, but invert the meaning OSART PROGRAMME – Issue structure Stand alone statement on a deficiency -FOP Fundamental overall problem - one sentence Facts: Amplification with evidence more than one bullet Multiple facts support- ing the FOP Safety concern - one sentence on how this issue affects safety Start with “Without..” and use the FOP Recommendation/Suggestion Fundamental statement of WHAT performance improvements should be achieved - not HOW Generally one sentence Use appropriate paragraph of the Safety guides IAEA basis: reference and short description of extract from IAEA standards

15. ISSUES OSART PROGRAMME Quality GP GP S S S IAEA SAFETY STANDARDS R R R Activities R: Recommendation S: Suggestion GP: Good Practice

16. Issue development exercise - Directions • Given your field review notes, group your facts and discuss the findings as a team and develop an OSART Issue Statement for each issue that includes the following: • the fundamental overall problem (FOP) • the safety consequences of the FOP • write a Recommendation/Suggestion, as appropriate, that would address the FOP

17. HTO in OSART Fitting the pieces to gether

18. OSART Programme - Methodology Writing and issuing the report Exit Speech Agreement with Counterparts Recommendation or Suggestion Good Practice Report Issued Report brought together Inclusion of encouragements, or good performance Writing of the Chapter Notes feedback from: • counterparts • team members