Human Factors Information System (HFIS)

U.S. Nuclear Regulatory Commission

From 01/01/2008 to 12/31/2008Page 122 of 22605/29/2009 10:01:12

2x N

Total 

N

Document Types: IR, LER IR/LER Category Analysis by Docket Report

N

Average for Se

Details Department Work Type 

Facility Name: Palo Verde 1 Docket (050- 00528)

Communication / IR160 - No communication / information not communicated B - Management X - Site-wide 

160 - No communication / information not communicated B - Management X - Site-wide 160 - No communication / information not communicated M - Mechanical M - Maintenance / Repair 161 - Communication LTA B - Management X - Site-wide 161 - Communication LTA B - Management X - Site-wide 

53

Number of Items for this Docket: 

Percent of Total for this Docket: 

Fitness for Duty / IR125 - Work hour control O - Operations O - Control Room Ops 

11

Number of Items for this Docket: 

Percent of Total for this Docket: 

Human-System Interface & Environmnt / IR170 - HSI or information availability / quality LTA H - Health Physics H - Health Physics 

11

Number of Items for this Docket: 

Percent of Total for this Docket: 

Oversight / IR130 - Inadequate suprevision / command and control B - Management X - Site-wide 

131 - Management expectations or directions LTA B - Management G - Design 131 - Management expectations or directions LTA B - Management M - Maintenance / Repair 131 - Management expectations or directions LTA B - Management O - Control Room Ops 131 - Management expectations or directions LTA B - Management O - Control Room Ops 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 131 - Management expectations or directions LTA B - Management X - Site-wide 

149

Number of Items for this Docket: 

Percent of Total for this Docket: 
Human Factors Information System (HFIS)

U.S. Nuclear Regulatory Commission

From 01/01/2008 to 12/31/2008Page 123 of 22605/29/2009 10:01:12

2x N

Total 

N

Document Types: IR, LER IR/LER Category Analysis by Docket Report

N

Average for Se

Details Department Work Type 

Facility Name: Palo Verde 1 Docket (050- 00528)

Procedures & Reference Document / IR111 - Procedure / reference document technical content G - Engineering G - Design 

111 - Procedure / reference document technical content M - Mechanical M - Maintenance / Repair 111 - Procedure / reference document technical content O - Operations O - Control Room Ops 113 - Procedure / reference document development and maintenance LT A - Administrative Support A - Administrative 

113 - Procedure / reference document development and maintenance LT G - Engineering G - Design 

53

Number of Items for this Docket: 

Percent of Total for this Docket: 

Problem Identification & Resolution / IR140 - Problem not completely or accurately identified G - Engineering G - Design 

140 - Problem not completely or accurately identified G - Engineering G - Design 141 - Problem not properly classified or prioritized M - Mechanical M - Maintenance / Repair 141 - Problem not properly classified or prioritized O - Operations O - Control Room Ops 142 - Operating experience (OE) review LTA G - Engineering G - Design 142 - Operating experience (OE) review LTA G - Engineering G - Design 142 - Operating experience (OE) review LTA M - Mechanical M - Maintenance / Repair 142 - Operating experience (OE) review LTA O - Operations O - Control Room Ops 144 - Audit / self-assessment / effectiveness review LTA B - Management X - Site-wide 144 - Audit / self-assessment / effectiveness review LTA X - Site-wide X - Site-wide 146 - Evaluation LTA G - Engineering G - Design 146 - Evaluation LTA G - Engineering G - Design 146 - Evaluation LTA G - Engineering G - Design 146 - Evaluation LTA H - Health Physics H - Health Physics 146 - Evaluation LTA M - Mechanical M - Maintenance / Repair 146 - Evaluation LTA O - Operations G - Design 146 - Evaluation LTA O - Operations O - Control Room Ops 146 - Evaluation LTA O - Operations O - Control Room Ops 146 - Evaluation LTA O - Operations O - Control Room Ops 146 - Evaluation LTA O - Operations O - Control Room Ops 146 - Evaluation LTA X - Site-wide X - Site-wide 147 - Individual corrective action LTA G - Engineering G - Design 147 - Individual corrective action LTA O - Operations O - Control Room Ops 147 - Individual corrective action LTA O - Operations O - Control Room Ops 
Human Factors Information System (HFIS)

U.S. Nuclear Regulatory Commission

From 01/01/2008 to 12/31/2008Page 124 of 22605/29/2009 10:01:12

2x N

Total 

N

Document Types: IR, LER IR/LER Category Analysis by Docket Report

N

Average for Se

Details Department Work Type 

Facility Name: Palo Verde 1 Docket (050- 00528)

Problem Identification & Resolution / IR148 - Action not yet started or untimely B - Management X - Site-wide 

148 - Action not yet started or untimely G - Engineering G - Design 148 - Action not yet started or untimely X - Site-wide X - Site-wide 150 - Programmatic deficiency B - Management X - Site-wide 150 - Programmatic deficiency B - Management X - Site-wide 150 - Programmatic deficiency B - Management X - Site-wide 150 - Programmatic deficiency B - Management X - Site-wide 150 - Programmatic deficiency B - Management X - Site-wide 150 - Programmatic deficiency B - Management X - Site-wide 150 - Programmatic deficiency G - Engineering G - Design 150 - Programmatic deficiency G - Engineering G - Design 150 - Programmatic deficiency M - Mechanical M - Maintenance / Repair 150 - Programmatic deficiency S - Specialized task force W - Assessment 150 - Programmatic deficiency X - Site-wide X - Site-wide 150 - Programmatic deficiency X - Site-wide X - Site-wide 151 - Willingness to raise concerns LTA B - Management X - Site-wide 

4027

Number of Items for this Docket: 

Percent of Total for this Docket: 

Training / IR100 - Training LTA C - Chemistry X - Site-wide 

100 - Training LTA T - Training N - Training 101 - Training process problem Q - Quality assurance / oversight G - Design 102 - Individual knowledge LTA G - Engineering G - Design 102 - Individual knowledge LTA G - Engineering G - Design 102 - Individual knowledge LTA O - Operations O - Control Room Ops 

64

Number of Items for this Docket: 

Percent of Total for this Docket: 

Work Planning & Practices / IR180 - Scheduling and planning LTA G - Engineering G - Design 

180 - Scheduling and planning LTA O - Operations O - Control Room Ops 180 - Scheduling and planning LTA X - Site-wide X - Site-wide 181 - Inadequate staffing / task allocation G - Engineering G - Design 
Human Factors Information System (HFIS)

U.S. Nuclear Regulatory Commission

From 01/01/2008 to 12/31/2008Page 125 of 22605/29/2009 10:01:12

2x N

Total 

N

Document Types: IR, LER IR/LER Category Analysis by Docket Report

N

Average for Se

Details Department Work Type 

Facility Name: Palo Verde 1 Docket (050- 00528)

Work Planning & Practices / IR181 - Inadequate staffing / task allocation O - Operations O - Control Room Ops 

181 - Inadequate staffing / task allocation X - Site-wide X - Site-wide 182 - Work package quality LTA G - Engineering V - Troubleshooting 182 - Work package quality LTA G - Engineering V - Troubleshooting 182 - Work package quality LTA H - Health Physics H - Health Physics 182 - Work package quality LTA M - Mechanical V - Troubleshooting 182 - Work package quality LTA M - Mechanical V - Troubleshooting 182 - Work package quality LTA O - Operations V - Troubleshooting 182 - Work package quality LTA O - Operations V - Troubleshooting 183 - Pre-job activities LTA H - Health Physics H - Health Physics 183 - Pre-job activities LTA H - Health Physics H - Health Physics 183 - Pre-job activities LTA H - Health Physics H - Health Physics 183 - Pre-job activities LTA M - Mechanical M - Maintenance / Repair 185 - Procedural adherence LTA G - Engineering G - Design 185 - Procedural adherence LTA G - Engineering G - Design 185 - Procedural adherence LTA G - Engineering G - Design 185 - Procedural adherence LTA H - Health Physics H - Health Physics 185 - Procedural adherence LTA I - Instrumentation & Control T - Testing 185 - Procedural adherence LTA M - Mechanical M - Maintenance / Repair 185 - Procedural adherence LTA M - Mechanical M - Maintenance / Repair 185 - Procedural adherence LTA M - Mechanical M - Maintenance / Repair 185 - Procedural adherence LTA M - Mechanical M - Maintenance / Repair 185 - Procedural adherence LTA M - Mechanical M - Maintenance / Repair 185 - Procedural adherence LTA M - Mechanical O - Control Room Ops 185 - Procedural adherence LTA O - Operations O - Control Room Ops 185 - Procedural adherence LTA O - Operations O - Control Room Ops 185 - Procedural adherence LTA O - Operations O - Control Room Ops 185 - Procedural adherence LTA O - Operations O - Control Room Ops 185 - Procedural adherence LTA X - Site-wide X - Site-wide 186 - Failure to take action / meet requirements G - Engineering G - Design 186 - Failure to take action / meet requirements G - Engineering G - Design 186 - Failure to take action / meet requirements H - Health Physics H - Health Physics 
Human Factors Information System (HFIS)

U.S. Nuclear Regulatory Commission

From 01/01/2008 to 12/31/2008Page 126 of 22605/29/2009 10:01:12

2x N

Total 

N

Document Types: IR, LER IR/LER Category Analysis by Docket Report

N

Average for Se

Details Department Work Type 

Facility Name: Palo Verde 1 Docket (050- 00528)

Work Planning & Practices / IR186 - Failure to take action / meet requirements I - Instrumentation & Control T - Testing 

186 - Failure to take action / meet requirements M - Mechanical M - Maintenance / Repair 186 - Failure to take action / meet requirements M - Mechanical M - Maintenance / Repair 186 - Failure to take action / meet requirements M - Mechanical M - Maintenance / Repair 186 - Failure to take action / meet requirements Q - Quality assurance / oversight F - Modification 186 - Failure to take action / meet requirements Q - Quality assurance / oversight G - Design 186 - Failure to take action / meet requirements Q - Quality assurance / oversight Z - Other / Unknown 186 - Failure to take action / meet requirements T - Training N - Training 186 - Failure to take action / meet requirements X - Site-wide X - Site-wide 187 - Action implementation LTA G - Engineering G - Design 188 - Work practice or craft skill LTA H - Health Physics H - Health Physics 188 - Work practice or craft skill LTA H - Health Physics H - Health Physics 190 - Failure to stop work / non-conservative decision making G - Design 

G - Engineering

190 - Failure to stop work / non-conservative decision making G - Design 

G - Engineering

190 - Failure to stop work / non-conservative decision making G - Design 

G - Engineering

190 - Failure to stop work / non-conservative decision making G - Design 

G - Engineering

190 - Failure to stop work / non-conservative decision making G - Design 

G - Engineering

190 - Failure to stop work / non-conservative decision making M - Maintenance / Repair 

M - Mechanical

190 - Failure to stop work / non-conservative decision making M - Maintenance / Repair 

M - Mechanical

190 - Failure to stop work / non-conservative decision making M - Maintenance / Repair 

M - Mechanical

190 - Failure to stop work / non-conservative decision making O - Control Room Ops 

O - Operations

190 - Failure to stop work / non-conservative decision making O - Control Room Ops 

O - Operations

190 - Failure to stop work / non-conservative decision making O - Control Room Ops 

O - Operations

190 - Failure to stop work / non-conservative decision making O - Control Room Ops 

O - Operations

190 - Failure to stop work / non-conservative decision making O - Control Room Ops 

O - Operations

190 - Failure to stop work / non-conservative decision making O - Control Room Ops 

O - Operations

190 - Failure to stop work / non-conservative decision making O - Control Room Ops 

O - Operations

191 - Team interactions LTA G - Engineering G - Design 191 - Team interactions LTA G - Engineering G - Design 191 - Team interactions LTA M - Mechanical M - Maintenance / Repair 191 - Team interactions LTA M - Mechanical M - Maintenance / Repair 191 - Team interactions LTA O - Operations O - Control Room Ops 
Human Factors Information System (HFIS)

U.S. Nuclear Regulatory Commission

From 01/01/2008 to 12/31/2008Page 127 of 22605/29/2009 10:01:12

2x N

Total 

N

Document Types: IR, LER IR/LER Category Analysis by Docket Report

N

Average for Se

Details Department Work Type 

Facility Name: Palo Verde 1 Docket (050- 00528)

Work Planning & Practices / IR191 - Team interactions LTA O - Operations O - Control Room Ops 

194 - Housekeeping LTA M - Mechanical M - Maintenance / Repair 194 - Housekeeping LTA M - Mechanical M - Maintenance / Repair 197 - Self-check LTA X - Site-wide X - Site-wide 

7248

Number of Items for this Docket: 

Percent of Total for this Docket: 

Communication / LER161 - Communication LTA O - Operations O - Control Room Ops 

11

Number of Items for this Docket: 

Percent of Total for this Docket: 

Oversight / LER131 - Management expectations or directions LTA O - Operations O - Control Room Ops 

11

Number of Items for this Docket: 

Percent of Total for this Docket: 

Problem Identification & Resolution / LER141 - Problem not properly classified or prioritized O - Operations O - Control Room Ops 

11

Number of Items for this Docket: 

Percent of Total for this Docket: 

Work Planning & Practices / LER183 - Pre-job activities LTA O - Operations O - Control Room Ops 

189 - Recognition of adverse condition / questioning attitude LTA O - Control Room Ops 

O - Operations

21

Number of Items for this Docket: 

Percent of Total for this Docket: 

Total Items for this Docket: 149