Progress in nuclear safety and plant availability is the reward for sound policies and background work.
Complexity continues and calls for a paradigm shift from an excess of procedures towards a more demanding and performance-orientated mindset.
Knowledge and management of risks, accountability and leadership, will be the driving forces behind this change.
In addition to difficult situations arising from plant (see Chapter 5) (see Chapter 9) the main safety risks include fire, natural hazards (see Chapter 6) and misinterpretation of plant status by the operator (see Three Mile Island).
While remaining humble and remembering that this indicator is far from reflecting the full picture, we can still be proud of the good results achieved for automatic reactor trips in France: with 15 unplanned automatic trips, as 2022, the second-best result in the history of the French fleet (14 in 2020), the top three results having been seen over the last four years. In the wake of the pandemic and the stress corrosion cracking (SCC) issue, this progressive return to normal availability is welcome news, for both electricity production and nuclear safety.
In the UK, 2023 was spent consolidating performance, with acceptable indicators, and for the second year running, generation was not impacted by any significant technical issues. The successful defuelling of the first unit at Hunterston B is worth highlighting.
The spirit of openness between the two fleets, towards the World Association of Nuclear Operators (WANO) and internationally, is also to be commended in both countries.
A major multi-year industrial-scale programme to resolve SCC in pressurised water reactors (PWR) has been initiated, with significant resources allocated for inspections, repairs and welding. The choice of replacing the safety injection system pipes in the 1300 MWe P’4 plants as a preventive measure is yielding results. Schedules and worksites are easier to manage this way, rather than carrying out ‘condition- based’ repairs, with radiation exposure levels being controlled. No SCC was found at Sizewell B during inspections in 2023.
SCC must be handled carefully because it is a complex, multi-factorial problem. This is illustrated by the deep cracks in some welds that were detected in early 2023. These welds had not been considered among the most at risk, but they had been repaired during the construction phase. Expert analysis to better understand and quantify the parameters involved is still ongoing. It is necessary to accelerate the installation of thermocouples on certain pipes, which has already been done at Sizewell B and is planned to take place in France.
This issue has been managed with an outstanding sense of accountability and commitment. However, this multifaceted organisation can be a source of complexity. In particular, EDF experts must be fully involved in the preparation of advice and strategies; they should not merely be seen as internal suppliers invited to answer individual questions to compile safety cases for the ASN, sometimes within overly demanding timescales. In keeping with the Group’s spirit of inclusion, Framatome’s experts could also have been better included in these studies.
When the time is right, an analysis of the practical experience gained will be useful. This issue is a reminder of the relevance of conducting wide- spectrum inspections which are conducive to detecting unforeseen defects (see Chapter 5), and to consider new methods of repair that have already been approved in other countries, e.g. overlay repairs, clamps, etc.
Throughout the year, I found the plants that we visited to be in a satisfactory condition, with an improving trend.
Progress was visible in the materiel condition of the pumping stations that we visited in both fleets. The action plans targeted to fight corrosion are producing positive results. Efforts must be continued as the ideal conditions have yet to be achieved, and the fight against corrosion for coastal plants is never-ending.
The attention given to on-site power supplies is even more crucial since the grids may prove to be more vulnerable in the future (see Chapter 9). For Nuclear Operations, the situation is good at Sizewell B, being equipped with four diesel generators. However, for certain AGR sites equipped with gas turbines, the WANO Safety System Performance (SPP5) indicator for emergency generation used to be sub-standard, and the initial positive effects of a fleet intervention are now visible. In France, diesel generators are not always operated in line with standard diesel industry practices (see report 2021), as a result of failing to give the issue the priority it deserves.
Difficulties in performing work remain, whether in terms of work permits, technical specifications, planning, spare parts, documentation, or technical capabilities. Bringing all these things together is an exhausting task, which affects efficiency and spanner time. The latter is considered to be one of the priority workstreams by the Group’s chairman.
Industrial asset maintenance is an area where sites are having difficulties, in particular with their plant defect backlogs (list of work requests). In France, although this figure has been falling for several years, it is still too high. While the backlogs appear to be decreasing in the UK, progress is slow as processes are not being effectively used, and equipment obsolescence remains problematic. Both fleets have ‘Cinderella’ equipment which, though not specifically safety-classified, contribute to nuclear safety. Budgetary constraints are a factor, and, in France, this is compounded by the burden of the fourth ten-yearly outage programmes (see Chapter 5).
Both fleets have difficulty in managing outage schedules. The START 2025 programme is beginning to produce some good results for the DPN, whilst the ‘Cornerstones’ initiative for Nuclear Operations has yet to fully demonstrate its effectiveness.
At the DPN, although the internalisation of some maintenance tasks remains inconsistent (see 2022 report), it is delivering real benefits: sites are now more capable of reacting rapidly to unforeseen events and ensuring technical supervision of contractors.
The technical and engineering departments on French sites are gaining momentum. Functional system reviews are satisfactory, being completed collaboratively with the maintenance engineers, even though they are perceived to be ‘done for Paris’. The current objective is to better use these reviews as part of the industrial asset management programme. The multi-year programme has been neglected over the past few years, but the sites have now started to focus again on this area. There is a concern about the work planners; monopolised by the nuclear technical information system, their role as a technical adviser is being eroded.
It is important to transition from a singular mindset of compliance (with company programmes, instructions and requirements) to that of ownership, which was not visible enough during my visits.
Even though the indicators are good, errors rooted in organisational and human factors call for greater focus on awareness, skills and behaviours. Incidents illustrate that rigour and control are not always at the required level, for instance:
Reflecting on past events also develops a strong collective memory and nuclear safety culture, and I commend the DPN’s publication of an aide-memoire of such events. Remarkable both in content and in form, I recommend that everyone consult it regularly.
Our history of nuclear events
EDF fleet and global experience feedback
In both fleets, too many sites remain in difficulty (see 2021 report). Acknowledging the reality, the means of assessment, and identification of such sites, have all improved substantially. Support from corporate services still lacks efficiency, even if some initiatives have been helpful, such as increased presence on sites, inter-site and function reviews, targeted support visits, and WANO member support missions (MSM).
Nuclear professionals must always demonstrate rigour and competence, and even more so for operations teams. In France, despite 40 years of experience in operating a standardised fleet, their operational practices are inconsistent. Standardisation of practices is even more necessary since I have seen some truly good examples. In the UK, control room practices are standardised and reflect international standards.
In France, the balance is yet to be established between what should be handled by management and what falls to real-time negotiations with trade unions: management must be able to define rules, schedules and practices. During strikes, I consider it abnormal to stop increasing the power just after reaching criticality, at 0.5% of nominal power: this decision should not be taken by operators. A cold-eye review of this situation is necessary.
Technical management of operations by the central services is progressively taking shape in the DPN; this is an essential function, and we are starting to see the initial benefits. It sets the practices by going back to basics and dealing with technical and organisational subjects. Pragmatic and very encouraging, this initiative calls for managerial alignment and collective participation on all sites. It cannot be dissociated from the work on operations skills (see Chapter 8).
The in-field work in partnership with WANO since 2020 to cover operator fundamentals and the role of lead operator has delivered improvements. The objective at the operations and engineering training department (UFPI) is now to bring this mentorship back in-house.
At Nuclear Operations, the initiatives targeted at operator fundamentals continue, including the line of sight to the core initiative. It is now becoming clear, here too, that we must work more on behaviours.
Fire is the number-one risk for the Group’s industrial facilities, which is why it must be prioritised by all site management teams and all staff. Collective and managerial commitment does not seem to be consistent enough to me.
I witnessed some very good examples, particularly where there are large numbers of volunteer fire-fighters, close relations with the local fire and rescue services, active preparation by the operations teams, and frequent realistic and managed drills using equipment in operational conditions. The local response centre at Paluel is an organisation that has attracted my attention, being well equipped and manned by its own staff. Yet I still come across risk prevention departments and fire safety coordinators that feel unsupported and isolated.
From a fire prevention and propagation perspective, I now rarely see fire doors open but I know the situation can vary depending on the period. Fire load management remains a general problem. Above all, I reiterate the importance of vigilance and field presence during the implementation of preparatory work for the fourth ten-yearly outage (VD4) with units in service, which presents significant risks: work in sensitive areas, fire loads, openings in fire barriers, inhibited fire detection sensors, etc.
I will be monitoring the implementation of operational fire-fighter units (professional fire-fighters based on sites too remote from the nearest fire station), while being conscious of the questions of recruitment and integration on site that this will pose.
In the UK, the oldest AGRs have weaknesses in fire compartmentation. Compensatory means have been implemented but have not been able to fully mitigate the shortfalls. This is why the fire detection and suppression systems must be maintained in perfect working order, which is not always the case.
One of the challenges, for generation and nuclear safety, is regaining the sense of performance. There are examples where priority on generation has severely impacted nuclear safety, e.g., Davis-Besse, but the opposite is not a gauge of nuclear safety either. The effective management of activities, plant and risks is beneficial to both generation and nuclear safety.
The DPN’s move towards reinforcing the technical disciplines rather than focusing on processes is very positive. It is now necessary to aim for quick improvements.
While the engineering functions have some remarkable experts and are extremely active, they are still overloaded to the point where their ability to step back and assume a questioning attitude is challenged. Their desire to do ‘just what is strictly necessary’ is positive (see Chapter 5).
Some engineering units have cut back on immersive site familiarisation training for budgetary reasons. Field visits should be systematic, but this is not the case. This regularly leads to overly theoretical systems or modifications, blindly applying requirements without being connected to the reality of operations and without sufficient engineering judgement. I have seen absurd engineered structures designed to protect against high winds, or have heard an idea to install cooling units on the roof of buildings swept by sea spray.
Improving efficiency means resolving certain issues closer to the field, giving managers greater flexibility, and making decisions at the right level. The focus on field presence by the DPN and Nuclear Operations is essential. It needs to be considered as a normal aspect of team and activity management, and not just used as another means of reporting. This is why I am pleased to hear that the formal tracking of manager field visits has been replaced with discussions on in-field observations, followed up by concrete actions.
The senior managements of the DPN, the French regulator (ASN) and, in an increasing measure, the Institute for radiological protection and nuclear safety (IRSN) all agree on the principle of simplification, but its application within their organisations is slow and the ‘complexification machine’ always seems to be in operation.
Too many quality issues have led to a practice of reassurance through the continuous addition of requirements, authorisations, risk assessments, lines to instructions, and equipment and criteria to the general operating rules (RGE). It must be shown that improvements made to technical practices are sufficient and effective, whereas ‘proceduralising’ activities often only provides an illusion of control. Those in the field have said, “they’re doing their best to ensure we make a mistake” or “we don’t work anymore, we reassure”.
I am pleased that the DPN has decided to review the application of Directive DI 100 governing the declaration of significant events, in line with my recommendation of 2022. It relies on a better method of choosing what should be the subject of a significant nuclear safety investigation report (CRESS), and to focus on what really matters, including issues with competence and behaviour. I also appreciate UNIE’s efforts to spend less time on prescribing requirements and more time on providing support to the sites.
Simplification requires being more rigorous.
The RGE in France have grown significantly in volume and complexity over the years. The DPN opened a debate in 2023 to discuss the reformation of these rules so they more closely resemble those used internationally. I commend this approach, which is key to achieving simplified and safer operation of the plants. Sharing experience with Nuclear Operations could prove to be beneficial.
Without waiting for this reform to be implemented, I recommend that the current RGE be simplified in consultation with the ASN, and that we stop making things more complex in the first place. Are 16,000 safety criteria really necessary for periodic tests at Flamanville 3, including 160 per diesel generator? Nor do I believe that the management of external hazards requires the RASA to be included in the RGE (see Chapter 6).
The technical specifications (STE, Chapter 3 of the RGE) must be concise, state the essentials, and avoid trying to cover everything. It is not because something has an impact on nuclear safety or figures in the safety case, that it must be included in the STE or RGE, nor does an item need to be classified as safety-important equipment (EIP) because it may prove useful to nuclear safety. There are many things to know, to do, and to check in a nuclear power plant that are not destined to be included in the RGE, except to render them unusable and to lose sight of the key criteria and parameters that must be visible.
It would be worth questioning the rules governing the accumulation of group 2 action conditions. Developed to make sure the general level of nuclear safety does not deteriorate, they often prevent maintenance or equipment repair, which goes against the original objective.
In 2023, many dozens of controlled shutdowns still occurred because of a criterion in the RGE. While some shutdowns are necessary and indisputable, not all of them are. Sometimes they are accumulations that have no impact on safety, or minor deviations from criteria. Shutdown is not a trivial activity, and while doubt should benefit nuclear safety, a shutdown does not automatically assure this.
The RGE will never be able to explain everything about equipment availability. Though some criteria are not open to discussion (those to be incorporated into the RGE), engineering judgement, discernment and accountability remain essential: they must be given their rightful place.
Though safety is inherently reliant on demonstrations, the essential goal must be safety rather than its demonstration.
There are several reasons to avoid overusing these terms:
The accident at Three Mile Island is a stark reminder of the fact that not everything can be foreseen, which explains the transition from event- based operating procedures to a state-orientated approach. Too many scenarios are now being incorporated into this state-orientated approach, at the risk of losing the original philosophy, and making it more complex and less effective for the most probable scenarios.
As a complex system, a nuclear power plant will give rise to the unexpected. Operating procedures cannot cover everything: we need to agree where they end, and emergency preparedness takes over. Preparing to deal with the unexpected requires training, understanding of physical phenomena, definition of scenarios, emergency drills, and familiarity of the operation and deployment of equipment in the field.
In France, I note that operations teams are not sufficiently included in the management and organisation of emergency drills. Yet field operators will be carrying out activities or interconnecting systems alongside the Nuclear Rapid Reaction Force (FARN), therefore practice is essential. I reiterate my call for everyone to regularly practise the operations for which they would be responsible during an emergency. All the more so as plant configurations will constantly evolve with the fourth ten-yearly outages (VD4).
Created after the Fukushima Daiichi accident to respond to unforeseen extreme events, the FARN maintains its equipment in good working order, develops its skills and trains. Drills with the plants tend to be too infrequent and deployed on a large scale. It would be advisable to carry out smaller-scale drills involving FARN and plant staff. The merging of the FARN and the national emergency response organisation (ONC), which is positive, should be exploited to this end.
In the UK, the emergency response equipment could benefit from better maintenance and inspection.
In France, the multiplication of processes, excessive proof-based management, and a co-management approach anxious to avoid industrial action have, over time, taken their toll on leadership. Being aware of the risks, understanding the countermeasures, developing skills, improving technical practices, instilling rigour and accountability, and demanding performance, are a question of leadership.
WANO has mirrored this observation by placing leadership at the centre of performance improvement strategies. The DPN and Nuclear Operations are also following suit. This is reflected through the more technical-orientated management of the disciplines, and the replacement of the nuclear safety management guide at the DPN with a nuclear leadership guide. The messages conveyed by the DPN management, underpinning the START 2025 programme, are clear and firm; I fully support this direction.
It is not a question of pitting the notion of ‘regulated safety’ against that of ‘managed safety’, but about getting back to the basics, i.e. managing risks and ensuring production. Risk management involves rules, procedures and traceability; they provide the means to an end, but they are not enough on their own.
Today, nuclear safety necessitates fewer requirements but higher standards. Drive and tenacity are needed to be able to move away from an excess of documentation, processes and reporting, towards heightened rigour, accountability, competence, focus on technical practices, staff and the plant. In a word: leadership.
Independent nuclear safety oversight (INSO) teams are listened to by management and the technical disciplines with whom relations are effortless.
In the UK, the advice of Independent Nuclear Assurance (INA) is wide ranging, with the ensemble of the INA, the Nuclear Safety Group (NSG) and the Technical Safety & Security Manager (TSSM) covering a broad scope. However, the scope of INSO in France remains narrow and is evolving slowly (see 2022 report). Additionally, the nuclear safety engineers (IS) tend to interpret the RGE too literally, reading more into them than is actually written, thus being at risk of losing the original meaning. Their own judgement must also play a part.
Both fleets need to make efforts in the advanced planning of jobs and skills, including the promotion of subsequent career paths.
I believe that the combined peer reviews, which merge the Nuclear Inspectorate’s (IN) evaluations with WANO peer reviews, could be optimised, while maintaining the volume of in-field observations. Follow-up reviews should focus more on performance diagnosis to avoid leaving sites without assessment for four years. The Nuclear Inspectorate could supplement peer reviews with subject-based inspections.
In the UK, the INA at Nuclear Operations is independent in expressing its opinions and has adopted a more challenging approach. I appreciate the efforts made to ensure that weather-based hazards and cybersecurity risks are dealt with robustly.
Whilst the INSO teams remain too focused on checking processes and non-conformities, they are more and more involved in giving their advice in meetings, which is a positive step.
They are gradually expanding their scope of responsibility, for instance: the challenge of modifications at the DIPDE (In-Service Fleet Engineering Division), or the ‘Compass’ themes at the DIPNN (Engineering & New-Build Projects Directorate), but this is sometimes insufficient. I expect them to challenge the technical decisions when necessary and voice their opinion more often on the management of nuclear safety, nuclear safety culture, competences, and standards.
At Framatome, INSO is integrated into every unit. I met the INSO team at the Romans-sur-Isère site whose actions were robust and whose role greatly resembles that of the INSO teams at the plants. I appreciate the invested interest in skills shown by the INSO team at the Engineering & Technical Directorate (DTI), as well as their practice of conducting open-discussion interviews.
In the UK and France alike, relations between the Executive Directorates are healthy and dialogue is effective. Relations between the sites and their safety authority are robust. Relations between the ONR (Office for Nuclear Regulation) and EDF Energy are mature: the distribution of roles and the operator’s prime responsibility are well defined. In France, even though there is good general agreement between the national directorates, the practical application of this and management of priorities often still need to be developed.
Technical exchange seminars between engineers are a good practice and are currently being used by the EPR2 project and in the field of nuclear fuel. They should be made common practice to avoid exchanging information, essentially through questionnaires, and to avoid technical assessments behind closed doors. I also believe that, in return, experts should be given more access to the field so they can fully appreciate the reality.
The Operator (DPN, engineering, projects) must develop a nuclear safety strategy, demonstrate its convictions and back them up. Dare to think and say what you think! Leadership in nuclear safety must come, above all, from the Operator, who by assuming its prime responsibility, will be listened to all the more by the ASN. The safety options document for the fifth ten-yearly outages on the 900 MWe series (see Chapter 5) seems to be a well-thought-out strategy to be implemented across the board.
Faced with the complexity of the general operating rules, and while initiating the project to reform them in the long-term, I recommend that, in association with the ASN, the Director of the DPNT gradually simplify the current set of operating rules, and that the Director of the DIPNN ensure that the general operating rules for the EPR2 are developed in the same manner.
RECOMMENDATIONS |
Faced with the complexity of the general operating rules, and while initiating the project to reform them in the long-term, I recommend that, in association with the ASN, the Director of the DPNT gradually simplify the current set of operating rules, and that the Director of the DIPNN ensure that the general operating rules for the EPR2 are developed in the same manner.