State Nuclear Regulatory Inspectorate of Ukraine SSTC NRS National Academy of Sciences of Ukraine State Scientific and Technical Center for Nuclear and Radiation Safety Technical Meeting on Regulatory Oversight of Human and Organizational Factors IAEA Headquarters, Vienna, Austria 14-18 December, 2015 Supporting of the regulatory activities in the area of human and organizational factors Oleksandr Pecherytsia Overview Key facts about SSTC NRS II. SSTC NRS activities to support national regulatory oversight of human and organizational factors (HOF): identification and assessment of HOF-related issues under analysis of Ukrainian NPPs operational events; application of safety indicators developed and used to supervise the HOF. III. Description of SNRIU actions to oversee HOF supported by relevant SSTC NRS activities: maintaining of the quality and effectiveness of investigation of NPP operational events; targeted inspections focused on HOF-related issues; SNRIU Boards. IV. Conclusions and further steps I. Vienna, Austria 14-18 December, 2015 2 Legal Framework SSTC NRS started its activity on 19 March 1992 within the State Committee on Nuclear and Radiation Safety of Ukraine (Derzhatomnahliad). In August 2001, SSTC NRS was subordinated to the State Nuclear Regulatory Committee of Ukraine (currently the State Nuclear Regulatory Inspectorate of Ukraine - SNRIU). In November 2008, SSTC NRS acquired the status of dual subordination to establish efficient scientific cooperation between institutions of the National Academy of Sciences (NAS) of Ukraine and the State Nuclear Regulatory Inspectorate of Ukraine. Vienna, Austria 14-18 December, 2015 3 SSTC NRS Status • SSTC NRS mission is to provide comprehensive scientific and technical support in state nuclear safety regulation in Ukraine. • SSTC NRS is a state-owned enterprise and has no shareholders. • SSTC NRS has over 230 employees (as of the end of 2015). Vienna, Austria 14-18 December, 2015 4 Identification and assessment of HOF-related issues under analysis of operational events (1) Two-tiered approach to identification and assessment of HOF-related issues Assessment of the reports on operational events • Compliance of the report structure and content with regulatory requirements • Correctness and completeness of the event investigation Analysis of NPP operational experience • Statistical assessment • In-deep evaluation of the selected safety-significant events • Effectiveness of corrective actions • Topical studies and analytical overviews Vienna, Austria 14-18 December, 2015 5 Identification and assessment of HOF-related issues under analysis of operational events (2) Assessment of the reports on operational events HOF-related issues usually addressed under assessment of the following aspects of event investigation (examples): • assessment of identified direct and route causes of abnormal events for correctness (including human errors, organizational and technical drawbacks, drawbacks of management system); • assessment of identified corrective actions intended to prevent similar events in future; • assessment of the need for in-depth analysis of event(s) (including that in case of violated safety culture attributes and low-efficient administrative barriers). Vienna, Austria 14-18 December, 2015 6 Identification and assessment of HOF-related issues under analysis of operational events (3) Assessment of the reports on operational events Particular examples of HOF-related issues revealed under assessment of investigation findings for recent events: • 16.05.2015, Zaporizhzhya unit 4. No modifications were proposed to the procedure for revision and updating of operating documentation after modernizations and audits of quality system; • 26.05.2015 р. Zaporizhzhya unit 5. Actions of operational staff during the transient progression were not sufficiently analyzed; • 21.06.2015 р. South Ukraine unit 1. Procedures for control of subcontractors’ actions were not sufficiently analyzed nor associated corrections were proposed to them. Vienna, Austria 14-18 December, 2015 7 Identification and assessment of HOF-related issues under analysis of operational events (4) Analysis of NPP operational experience HOF-related issues usually considered in the following areas of NPP operating experience analysis: • analysis of implemented corrective actions for effectiveness and reoccurrence of abnormal events. • in-depth analysis of events (including that in case of human errors and/or organizational factors) applying different RCA and quantitative methods. • topical analysis of NPPs worldwide operating experience, with identification of lessons to be extended to operating practices at Ukrainian NPPs (based on IAEA Incident Reporting System, JRC European Clearinghouse, etc.). Vienna, Austria 14-18 December, 2015 8 Identification and assessment of HOF-related issues under analysis of operational events (5) Analysis of NPP operational experience Examples of recommendations drawn from results of operational experience analysis (SSTC NRS report on 1st half of 2015) and relevant to HOF: • verification of plant procedures that identify equipment switchovers and communication between personnel of different departments and shifts during such actions; • verify (at each site) compliance with existed requirements of organizational and performance principles for functioning of departments in charge of operating experience analysis; • verify whether existing programs for personnel training on safety culture principles contain adequate examples of good practices and lessons learnt from operating experience. Vienna, Austria 14-18 December, 2015 9 Application of safety indicators developed and used to supervise the HOF (1) Background With support of the European Commission provided in the framework of INSC Project U3.03/08 Component B UK/TS/42, the development of the Integrated NPP Safety Oversight System is in its final stage. The system integrates monitoring of NPP safety with application of plant safety performance indicators and regulatory oversight focusing on inspections in the aspects that have the greatest impact on safety. The main attributes of “Provision on NPP Safety Oversight” are: Oversight matrix; Guideline for inspections planning, including subjects and tasks of inspections; Description of safety indicators, being applied within the integrated safety oversight System Vienna, Austria 14-18 December, 2015 10 Application of safety indicators developed and used to supervise the HOF (2) Oversight areas and directions Organization • Safety Priority • Safety Culture • Qualification and Training • Quality Assurance • Conditions of licenses and permits Operational Safety • Status of systems and components • Operational events • Operating experience Vienna, Austria 14-18 December, 2015 Radiation safety and RAW management • Protection of personnel • Protection of the environment • RAW management 11 Application of safety indicators developed and used to supervise the HOF (3) Generic approach to application of the indicators List of indicators (examples) …. • Safety Culture deficiencies • QA noncompliances • HRM deficiencies …. Evaluation • Trend(s) analysis • Issue(s) identification • Assessment of the issue(s) importance in terms of impact on safety Vienna, Austria 14-18 December, 2015 Actions Directions of inspections in accordance with the “Order of state oversight over compliance with NRS, 2013” and “Guideline for inspections planning...” 12 SNRIU actions to oversee HOF supported by relevant SSTC NRS activities (1) Quality and effectiveness of investigation of NPP operational events Regulatory actions (examples) • request for re-development of an operational event report (revision of a plant operating event report is required when its structure and contents do not comply with regulatory requirements); • request for re-investigation of an operational event (reinvestigation of an operational event is required when there are comments on the investigation commission’s findings regarding the identified event category, route cause or proposed corrective actions). Vienna, Austria 14-18 December, 2015 13 SNRIU actions to oversee HOF supported by relevant SSTC NRS activities (2) Quality and effectiveness of investigation of NPP operational events Regulatory actions (examples) Request for organization (since 2010) and functioning of Standing Committee on NPP events analysis. Composition: SNRIU, Ministry of Energy and Coil Industry of Ukraine, Utility headquarters, all NPP sites, SSTC NRS. Main functions: • Analyze NPP operational events (including LLE) and respective corrective measures; • Consider the directives, position papers, decisions, etc. developed/enforced by the regulator, the Ministry, Utility, NPP Chief Engineers Board, which deal with functioning of national operating experience analysis system. Vienna, Austria 14-18 December, 2015 14 SNRIU actions to oversee HOF supported by relevant SSTC NRS activities (3) HOF-related directions of inspections (examples) • implementation of quality assurance programs and management systems; • compliance with requirements of operational documentation; • compliance with procedures for maintenance, repair, periodicity and scope of tests on systems (components); • system for staffing, training and professional development of personnel; • system for personnel qualification with respect to knowledge of NRS standards and rules • other areas. Vienna, Austria 14-18 December, 2015 15 SNRIU actions to oversee HOF supported by relevant SSTC NRS activities (4) SNRIU Board: background and key functions. The Board is a permanent advisory body established to ensure concerted solution of issues under the SNRIU competence. The Board main tasks, among others, are to: • determine areas for development of the regulatory and legal framework; • analyze results and identify the policy and priorities of licensing and oversight activities; • consider findings of reviews and inspections at nuclear installations (in making decisions on issue of licenses for activities at individual life stages). Vienna, Austria 14-18 December, 2015 16 SNRIU actions to oversee HOF supported by relevant SSTC NRS activities (5) Composition of the SNRIU Board. Recent event. The Board is headed by SNRIU Chairperson. The Board includes heads of SNRIU and SSTS NRS departments, as well as leading independent experts and representatives of public organizations. The Board meeting on 8 October 2015 “On Effectiveness of Operating Experience Feedback (Investigation of NPP Operational Events)” was focused on: • reports of SSTC NRS and Utility Headquarters on the subject in question; • assessment of the Utility’s activities on operating experience feedback and lessons learnt; • identification of items for the action plan (SNRIU, Utility, TSOs) for the next Board meeting on this subject. Vienna, Austria 14-18 December, 2015 17 Conclusions and further steps • • • SNRIU has clearly defined the approaches and methods to verify that the HOF issues are properly addressed in all respective areas of licensee activities. SSTC NRS performs analysis of operating experience and safety indicators to provide continuous support in HOF regulatory oversight by means of identification, collection and processing of relevant inputs. The following main activities have been planned for the near future (20162017) in the area of HOF oversight: Development/review of the regulations and guidelines where HOF issues are/should be addressed. Organization/participation in Safety Culture and HOF training courses, specifically designed for senior management; Promotion/application of multiple analysis tools to ensure validity of data to support review of HOF issues. Vienna, Austria 14-18 December, 2015 18 Thank you for your attention! Vienna, Austria 14-18 December, 2015 19