Framatome’s resources have been engaged in the global development of civil nuclear power, and in supporting the French fleet in resolving their difficulties. In this context, nuclear safety, industrial safety and quality are the core values underpinning all actions taken by Framatome’s employees and contractors.
Standardisation of products and manufacturing, equipment conformity and the roll-out of human performance tools have all helped to strengthen these three core values.
Skills management, organisation of independent oversight, and analysis of weak signals (particularly in industrial safety) are areas that require specific attention.
Framatome supplies equipment and services to many sectors, both in France and abroad, i.e. nuclear fuel, engineering, major projects, reactor components, nuclear instrumentation, reactor safety C&I systems, and nuclear facility maintenance. Most of these activities have a significant impact on nuclear safety.
The role of the General Inspectorate (IG) is to provide the Framatome CEO with an assessment of the health of nuclear safety in its operational entities, in France and overseas. The IG is headed by an Inspector General who is assisted by four inspectors.
The IG also performs independent oversight of the organisation in nuclear safety, radiation protection, process safety, industrial safety, and environment. Its activities are defined in a yearly programme, which is submitted to the Framatome executive committee.
During its inspections, the IG issues recommendations for the relevant business units to incorporate into their action plans. Progress is regularly checked by follow-up inspections.
The IG also conducts site visits to assess how nuclear safety and industrial safety are perceived by employees at all levels and across all disciplines, through informal interviews conducted without the presence of line managers.
The training programme launched in 2021 to train all Framatome employees over a four-year period is progressing well. The target for 2022 (to have 50% of all employees trained) has been exceeded. From my field observations, I note that there is now a far greater understanding of nuclear safety culture principles at all levels.
The IG assessed the nuclear safety culture at Framatome’s Le Creusot plant, as well as at the Montbard plant, which was acquired in 2021. At each site, an assessment team of a dozen members, including two managers from other business units (BU), appointed by the executive committee, completed approximately sixty interviews and field visits. These assessments demonstrated effective communication at all levels of the organisation and a readiness to involve employees in making changes to their working environment. At Le Creusot, human performance tools are being implemented, and at Montbard, I was pleased to see how committed employees are to the company values and their awareness of the importance of product quality.
I reiterate the need to improve the presence of managers in the field and the rigorous application of standards. Delivery of these actions needs to be improved. Critical skills must also be managed more effectively to predict future requirements and provide the necessary training to ensure qualifications are up to date.
The nuclear safety policy at Framatome clearly states the primary responsibility of line management in relation to nuclear safety. The independent nuclear safety oversight organisation verifies that firstlevel oversight is carried out at every level of the organisation. The IG constitutes the second level of oversight.
The first-level independent nuclear safety oversight team is gradually taking shape. Representatives have now been identified in all the BUs and other operating units (plants or projects) and they perform this role in tandem with their other duties. They have all received specific training on their oversight role. However, I note that this team is not actively pursuing this role. I believe an analysis needs to be performed, to understand exactly what is hampering independent nuclear safety oversight. At the very least, as stipulated in the independent oversight mission statement, all entities should have a surveillance programme in place.
The quest for operational excellence in the BUs, as laid out in the ‘Excell in Quality’ plan, led to a commitment from Framatome in 2020 to standardise all mechanical components in the nuclear steam supply system (NSSS). Significant improvements are expected; structured manufacturing processes achieved through system engineering; more effective management of materials and equipment conformity; reproducible manufacturing processes; reducing equipment changes that are sources of non-compliance; operating experience (OPEX) that offers a greater benefit to series production; and greater compliance with regulatory milestones.
In my view, this approach enhances nuclear safety in the construction of new reactors.
Introduced in 2020, the objectives of this approach are two-fold; firstly, to “do it right first time”, by integrating the manufacturing conditions of mechanical components at the design stage, and secondly, to simplify by proposing a design standard that will be used for all future projects from 2023, including those intended for export. The initiative relies on two programmes.
The first investigates the standardisation of EPR2 equipment and is considered as the benchmark. Using previous manufacturing OPEX, the manufacturability of this equipment has been analysed, and the standardisation processes have been consolidated by integrating them into system engineering practices.
The second involves defining a design standard with two configurations: “EPR1”, corresponding to EPRs already built or under construction, and “EPR2”, corresponding to future projects.
This standardisation approach has also been extended to reactor safety C&I systems.
Since the announcement of the discovery of this issue, Framatome has mobilised teams and resources to support EDF. The objectives of this task force are as follows:
Given the radiological conditions and the heavy workload associated with these activities, with EDF’s agreement, Framatome has drafted in support from their American and Canadian partners. Some 140 welders, machine tool operators, pipe fitters and worksite coordinators arrived in France in the summer of 2022 and have been trained by Framatome at their Chalon facility.
The analysis appraisal committee reviewed 8 reports from significant events in the areas of nuclear safety, industrial safety and the environment. These appraisals lack depth and do not identify all the root causes. They also fail to consistently take account of the organisational and human factors, with very few field operators being involved in the preparation of these event reports.
No INES Level 2 event or higher was declared in 2022. The number of Level 1 events (4) fell this year with the reduction in the number of criticality events.
This reflects the positive impact of the action plan launched in 2021 at the Romans-sur-Isère facility. The IG will continue to monitor this ongoing improvement closely throughout 2023.
There has been an increase (8 in 2022, 3 in 2021 and 2 in 2020) in the number of radiation protection events involving Framatome employees working at EDF facilities (in the BU Installed Base (IB)). Action with staff must be taken.
One of these INES Level 0 events involved a printer fire that broke out on 21 September 2022 in a workshop at the CERCA facility at Romans-sur-Isère. The site triggered its emergency response plan for the very first time and the fire was extinguished by the on-site fire safety teams. No radioactive material was affected by the fire. This emergency was handled extremely well, with no impact on operators or the environment.
There was little change in the mean occupational dose figures for Framatome employees (0.8 milli-Sievert) and contract partners (0.1 mSv) in 2022. The same applies to the number of employees having received a dose below the minimum recordable level (zero dose), with the figures standing at 30% for Framatome employees (compared with 28% in 2021) and 34% for contract partners (compared with 36% in 2021).
The sites with the highest recorded annual doses (13.9 mSv) and for contractors (8.9 mSv) were Lynchburg in the US, and Chalon, Intercontrôle and Maubeuge in France. These sites are involved in maintenance and inspection operations at nuclear power plants. For Chalon and Intercontrôle, I recommend that a rigorous assessment of OPEX from the stress corrosion maintenance operations be conducted to help improve occupational dose estimation and reduction.
The ageing of the existing nuclear fleet has caused an increase in radiological activity of primary system pumps maintained at Maubeuge. As this plant already has an effective policy for monitoring individual exposure levels, my advice is to investigate new solutions to reduce the doses received.
The industrial safety performance objectives were consolidated in 2022. They are now consistent for Framatome staff and subcontractors alike, with a global lost-time injury rate (LTIR) of less than 1 and a global total recordable injury rate (TRIR) of less than 2. At the end of the year, these indicators stood at 0.8 and 2.25 respectively, close to the target values.
The 2023 targets will be even more demanding, with a global LTIR of less than 0.5 and a global TRIR of less than 1.8.
Managers from the relevant BUs must present analyses of the most significant events to the CEO, demonstrating that the importance of industrial safety is exhibited at the highest level of Framatome.
I note, however, that the results for the BU Installed Base have deteriorated throughout the year. This is attributable to two factors: the integration of a new subsidiary (Framatome ARC, ex EFINOR) with far worse industrial safety results than the high standards demanded by Framatome (initial LTIR greater than 20); and an increase in the LTIR relating predominantly to on-site teams. This is a worrying trend given the high demands placed on BU Installed Base services and the causes need to be identified.
On the subject of integrating new subsidiaries, the support offered by 3SEP and the respective BU, through in-field visits in particular, is helping to raise awareness of the importance of nuclear safety and industrial safety among newly integrated staff. The IG will be inspecting Framatome ARC on the subject of industrial safety in 2023.
In 2022, the IG carried out 19 subject-specific inspections and 14 follow-up inspections to review progress against the uptake of its recommendations.
As agreed with the US Nuclear Regulatory Commission (NRC), the IG carries out two inspections every year at the Richland fuel fabrication facility, with a focus on one of six specific subjects: emergency preparedness, radiation protection and the environment, fire safety, criticality management, chemical hazards, and staff education and training. In 2022, the inspections focused on emergency preparedness and fire safety.
The emergency preparedness plan is sound: responsibilities are clearly defined, all staff are well trained and drilled, and emergency response equipment is well maintained. I am pleased to note the effectiveness of the new headcount system for emergency evacuation procedures. I ask the site to update the agreement with the Richland Fire & Emergency Services Department to include the need for fire-fighters to be trained to fight fires in a radiological environment.
Fire risk management relies on standards strictly complying with the applicable regulations, appropriate training, robust drills and exercises, inspections and regular internal audits. Improvements are still needed in terms of preventing exothermic reactions, and paying attention to detail when preparing documents authorising hazardous work.
The organisation and documentation at both these sites meet expectations. Periodic equipment testing is performed. The management of competences and training is consistent with their needs, and qualifications are monitored rigorously.
I advise Lingen to consolidate its exercise drills programme and to take better advantage of OPEX from Framatome’s two other nuclear plants.
At Romans-sur-Isère, monitoring non-conformities and incorporating regulatory requirements in the documentation for the different facilities could both be improved. The programme launched to clarify operating rules in the aftermath of events that occurred in 2021 is ongoing. I recommend that operators play a greater role in drafting operationsrelated documentation, as per IAEA standards.
In 2020, the compliance with the operational standards and the traceability of activities were inspected at: the CEDOS equipment maintenance and decontamination facility in Sully-sur-Loire, the CEMO equipment servicing and repair facility in Chalon-sur-Saône, the Karlstein and Erlangen facilities under the Engineering & Technical Directorate (DTI) in Germany, and the Erlangen facility under the BU IB. The nuclear safety, industrial safety and quality policies are all clearly set out in the standards inspected at these facilities. The different operational responsibilities and delegation of activities are also clearly defined.
However, coordination of improvement actions, monitoring of authorisations and qualifications, and operational management of chemical products at both the CEDOS and CEMO facilities could be more efficient.
Human performance tools are rarely used at the two DTI-run facilities. An action plan must be implemented swiftly to remove the accumulated waste at Erlangen.
The 5S continuous improvement strategy relating to the working environment and conditions remains to be implemented at the IB site.
Finally, independent nuclear safety oversight must be implemented at the German sites.
Following several equipment-related events, Framatome launched a plan to validate and improve equipment conformity at the end of 2021. The IG inspected four sites on this subject.
I note that all four sites had the correct arrangements to monitor this issue. Responsibilities were clearly defined, regulatory training requirements were met, emergency evacuation procedures exist for staff working on machinery, and the necessary physical and organisational arrangements are in place.
The main areas for improvement relate to: the lack of operational safety instructions at workstations and equipment conformity documentation; overdue periodic checks; consideration of regulatory requirements when investing in new machinery.
Framatome introduced a programme to assess and restore equipment compliance after non-conformities were confirmed on several machines. This assessment defined the corrective actions to be implemented by the BUs and identified the required compensatory operational measures. Framatome has also started to assess the remaining service life of bridge cranes in the wake of a fatal accident that occurred at a Ugitech plant in January 2022. This assessment began in 2022 and will continue through 2023. It is based on OPEX from port facilities and covers all bridge cranes that have been in service for more than 19 years. Their remaining service life and any additional operating checks required will be defined.
The Rugles plant was inspected on its ability to manage and predict the competences and qualifications needed for its operations. I have seen evidence of close collaboration between managers and HR in this area. The needs are being predicted by appropriate systems and critical skills are being monitored very closely.
I advise Rugles to ensure that the roles, qualifications, authorisations and training that represent the greatest challenges to nuclear safety, industrial safety and quality are more clearly identified. Selfassessments of the nuclear safety culture must also be performed.
This American site, which comes under the BU IB, has satisfactory industrial safety and radiation protection results. Risk analyses are conducted for production and maintenance activities. Non-conformities are recorded, and improvement actions are monitored closely.
I note, however, that the independent oversight arrangements required by Framatome have not been implemented, and that chemical hazard management could be improved. Sub-contractors must be systematically informed of the risks involved with the operations assigned to them.
In 2022, IG issued 64 recommendations, 42 of which were implemented, including 18 that were more than two years old. A total of 97 recommendations are currently in the process of being implemented, with 2 of these being more than two years old. The same objective of keeping the number of recommendations of more than two years old below 10 will be reapplied in 2023.
Operational rigour (mainly the quality of operational documentation and compliance with processes) was the main subject of recommendations (60%), followed by regulatory compliance (30%), and management of non-conformities (10%).
The effectiveness of independent nuclear safety oversight depends on being able to assess the practices of operational chains of command on a regular basis.
I recommend that the surveillance programmes for first-level independent nuclear safety oversight be formalised and implemented systematically, and that their effectiveness be evaluated regularly.
RECOMMENDATION |
The effectiveness of independent nuclear safety oversight depends on being able to assess the practices of operational chains of command on a regular basis.
I recommend that the surveillance programmes for first-level independent nuclear safety oversight be formalised and implemented systematically, and that their effectiveness be evaluated regularly.