usnrc 2007 peach bottom augmented inspection team (ait ... · 2007 peach bottom augmented...

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I -:j~~ 5~~ / *i~J~E~ ~S~VIjII~~L ~ ~ ..~& 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader Division of Reactor Safety NRC Region I 49\r- Ov6cý -W6 ".. qVCOVP Z16 ,,!,=,,. 1 %1 4CkAb <-PA .AV4~i.AlfS AIT Exit Meeting Meeting Purpose )> Inform Exelon of the results of the AIT's review of events involving inattentive security officers , Provide opportunity for Exelon to respond to AIT results > Conduct a public question-and-answer -session 00%~4 2 VF

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Page 1: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

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2007 Peach BottomAugmented Inspection Team (AIT)

Exit Meeting

Marsha K. Gamberoni, DirectorJames M. Trapp, Team Leader

Division of Reactor SafetyNRC Region I

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AIT Exit Meeting

Meeting Purpose

)> Inform Exelon of the results of the AIT'sreview of events involving inattentivesecurity officers

, Provide opportunity for Exelon to respond toAIT results

> Conduct a public question-and-answer-session

00%~4 2

VF

Page 2: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

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.... ' "AAT Exit Meeting

Meeting ProtocolRichard Barkley, PE

Technical Communications Asst.

SThe NRC will answer questions from the publicfollowing the meeting with Exelon

>.Please silence all cell phones and pagers

> Please sign up for question-and-answer session.

AA - AIT Exit Meeting

Meeting Agenda

> Introduction

: Describe AIT Process and Objectives>.Describe AIT Inspection Results

> Provide Opportunity for Exelon to Respondto AIT Results

> Short Break> Public Question-and-Answer Session

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Page 3: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

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Introduction.

NRCSamuel CollinsiMarsha GamberoniJames Trapp

ExelonRonald DeGregorio

Joseph Grimes.iho oa~

AIT Exit Meeting

Region I Administrator

Director, Division of Reactor Safety - Region I

Team Leader - AIT

Sr. Vice President - Mid-Atlantic Operations

Site Vice President - Peach Bottom

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AIT Objectives

AIT Process

Conduct timely and, systematic inspection relatedto significant operational events

Assess health and safety significance of, theevent

Collect and analyze facts associated with theevent to determine causes and circumstances

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Page 4: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

c~j-, AiT Process

AIT Process Overview

> Formal investigation process conducted for the purpose ofgathering facts and determining findings and conclusions•or significant operational events.

> Implemented for significant operational events that posean actual or potential hazard to public health and safety,property, or the environment

> Inspection teams consist of technical experts from theRegions augmented by specialists from NRCHeadquarters

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2007 Peach BottomAugmented Inspection Team -Members

*'James Trapp*Dana Caron

Brice BickettGeorge SmithJoseph WillisJeffrey TeatorMark MullenAlbert Cabrelli

Team Leader (Region I)Assistant Team Leader (Region I)Senior Project Engineer (Region I)Physical Security Inspector (Region I)Security Specialist (NSIR)Senior Special Agent (Office of Investigations)Senior Special Agent (Office of Investigations)Special Agent (Office of Investigations)

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Page 5: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

9 ~ AIT Process

AIT Basis for Peach Bottom

Multiple occasions in which several securityofficers at Peach Bottom were observed to beinattentive between March and August 2007

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Event Background

NRC made aware of videos through WCBS-TV(New York City) reporter on September 10, 2007

> NRC began enhanced oversight of security onSeptember 10, 2007

> NRC viewed videos on September 19, 2007,which showed multiple occurrences of securityofficers inattentive to duty in the "ready room" ofthe plant between March and August 2007

> NRC commenced AIT on September 21, 2007

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Page 6: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

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Team Objectives

Independently review the facts surroundinginattentive security officers

>Assess security plan impact

>Identify probable causes>Assess corrective and compensatory actions>Review extent of security officers' inattentiveness>Assess effectiveness of management oversight

>Assess Behavioral Observation Program> Identify generic aspects of the event

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/- AIT Results

.Independent Review of Facts

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>:'The NRC interviewed 38 security personnel total from each of thefour security teams, including security supervisors, as well asmaintenance personnel and Exelon management

am•. U-, > Multiple security officers inattentive on four separate occasions - 10/1 security officers total (March 12; June 9; June 20; and August 10)

> Security officers identified in videos as inattentive had not exceededNRC work hour requirements

t Security officers in videos confirmed as inattentive to duty

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Page 7: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

AlT Results

Security Plan Impact

> Security at Peach Bottom was not significantlydegraded as a result of this event

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> Security at the plant provided high assurance thatthe health and safety of the public was adequatelyprotected at all times

> Inattentive security officers did have an adverseimpact on elements of the defense-in-depthsecurity strategy

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~ 7 ~ .1 U.S .SJI.itiAIT Results

Probable Causes

> Adverse behavior developed on Security Team No. 1

> Ready room not accessible for adequate supervisoryoversight

> Management failed to effectively communicate andreinforce station attentiveness expectations

> Security supervisors failed to address concernsinvolving inattentive security officers

> Management failed to address poor environmentalconditions in the ready room

> Management failed to provide adequate attentivenessstimuli

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Page 8: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

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AIT Results

Compensatory and Corrective Actions

> Prompt compensatory and corrective. actionsimplemented by Exelon were appropriate

> Enhanced oversight by Exelon and Wackenhutcontinues

> Corrective actions prior to September 2007 wereineffective -for addressing unacceptable securityofficer behavior

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AIT Results

Extent of Security Officers' Inattentiveness

> All security officers were interviewed at leastonce by either NRC or Exelon

> Based on videos and interviews conducted, allindividuals identified as inattentive were workingon Security Team No. 1

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Page 9: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

AiT Results

Management and Supervisory Oversight

> Ineffective security supervisory oversighthad a direct adverse impact on this event

> Security supervisor discouraged thebringing forward of safety concerns

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AIT Results

Behavioral Observation Program

> Multiple opportunities existed for securityofficers to report inattentive behavior

> Security organization was not effective inpromoting and supporting the BehavioralObservation Program

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Page 10: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

AIT Results

Generic Communications

> Exelon has shared lessons learned withthe Exelon fleet and the industry

SNRC has issued a security advisory to theindustry on inattentive security officerbehavior

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AM,)J AIT Conclusions

Security officers were inattentive on multipleoccasions

> The level of security was not significantly

degraded as a result of inattentive security officers

> Supervisors failed to correct inattentive behavior

> Peach Bottom's prompt corrective actions inSeptember 2007 were appropriate

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Page 11: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

> Issued a letter to Exelon on October 4, 2007,-NRC-Actions

SIssued a letter to Exelon on October 4, 2007,regarding inattentiveness concerns

> Issue an AIT inspection report

> Perform an AIT follow-up inspection

> Consider enforcement actions following completionof NRC review

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Exelon Response and Remarks

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Page 12: USNRC 2007 Peach Bottom Augmented Inspection Team (AIT ... · 2007 Peach Bottom Augmented Inspection Team (AIT) Exit Meeting Marsha K. Gamberoni, Director James M. Trapp, Team Leader

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END OF THE PRESENTATION.

U.S.NRCUNITED STATES NUCLEAR REGULATORY COMMISSION

Protecting People and the Environ-ment

Nuclear Regulatory Commission - Region IKing of Prussia, Pennsylvania

October 9, 200723

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