WECC Process for Risk-Based Compliance Oversight Inherent Risk Assessment and Compliance Oversight Plan

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1 WECC Process for Risk-Based Compliance Oversight Inherent Risk Assessment and Compliance Oversight Plan WECC Entity Oversight Effective Date: April 1, North 400 West, Suite 200 Salt Lake City, Utah

2 WECC Process for Risk-Based Compliance Oversight 2 Table of Contents Introduction Purpose Document Owner Scope... 3 Risk Based Compliance Oversight Framework Overview WECC s Risk-Based Compliance Oversight Team... 4 IRA Process Overview Entity Participation in the IRA Process IRA Frequency and Revisions IRA Process Workflow Gather and Review Entity Information Perform Risk Factor Assessment Perform Data Analysis and Assess Additional Considerations Identify a List of Standards for Compliance Monitoring Document IRA Results Share IRA Results... 7 Compliance Oversight Plan COP Frequency and Revisions COP Inputs Document COP Results... 8 Data Retention... 9 Process Feedback to NERC... 9 Revision History References Attachment A: Risk Factor Criteria Attachment B: Additional IRA Considerations... 16

3 WECC Process for Risk-Based Compliance Oversight 3 Introduction This document describes the process used by WECC to conduct Risk-Based Compliance Oversight based on the ERO Enterprise Guide for Compliance Monitoring. 1 Specifically, this document describes how the Inherent Risk Assessment (IRA) and other performance considerations are used to develop an entity-specific Compliance Oversight Plan (COP). 1.1 Purpose The purpose of this document is to provide guidance to registered entities and WECC staff on the framework WECC uses during the IRA and COP processes. 1.2 Document Owner WECC s Director of Risk Assessment and Mitigation (RAM) is the owner of this document. The document owner may delegate coordination but is responsible for: 1.3 Scope Reviewing, editing, and updating; Coordinating revisions across the Entity Oversight department management; and Posting. This document applies to WECC and all United States registered entities in the Western Interconnection. WECC s international partners are not implementing the Risk-Based Compliance Oversight Framework. Risk-Based Compliance Oversight Framework Overview As described in the Electric Reliability Organization (ERO) Enterprise Guide for Compliance Monitoring, WECC follows the Risk-Based Compliance Oversight Framework (Framework) which focuses on identifying, prioritizing, and addressing risks to the Bulk Power System (BPS), enabling WECC to focus its compliance monitoring approach based on risk for each registered entity. The Framework consists of multiple, interdependent components including Risk Elements, IRAs, Internal Controls Evaluation (ICE), Compliance Monitoring and Enforcement Program (CMEP) Tools, and COPs. 1 ERO Enterprise Guide for Compliance Monitoring, October 2016:

4 WECC Process for Risk-Based Compliance Oversight 4 The IRA and COP processes are key to developing an entity-specific risk profile and oversight plan for each NERC registered entity in the Western Interconnection. 2.1 WECC s Risk-Based Compliance Oversight Team WECC s Risk-Based Compliance Oversight processes, including IRA and COP, are shared efforts by the WECC Oversight staff including the RAM team, Compliance Audit Teams, and Compliance Program Coordinators (CPC). WECC relies on the collective experience and professional judgment of the Oversight staff during these processes. IRA Process Overview IRA is a process within the Framework in which WECC identifies inherent risks for the registered entity to determine areas of focus for the entity s future compliance monitoring activities. Inherent risks are attributes specific to a registered entity that could impact the reliability of the BPS. In coordination with other components of the Framework, WECC uses the results of the IRA to develop an entity-specific COP for each registered entity. 3.1 Entity Participation in the IRA Process WECC collaborates with the entity throughout the IRA process to ensure WECC has current, appropriate, and sufficient information necessary to conduct the IRA and reach accurate conclusions. This collaboration may include phone calls and requests for information. Entities participate in the IRA process by completing the IRA and COP Survey. WECC typically requires entities to complete an IRA and COP Survey before it starts the IRA process. WECC follows the documentation protocols listed in the NERC Rules of Procedure and relies on the professional judgment of WECC staff when gathering information from the entity during the IRA process. Entities are encouraged to respond promptly and accurately to the IRA and COP Survey and any other requests for information. Throughout the process, the entity can submit questions about the IRA or COP to the WECC RAM team at RAM@wecc.biz. 3.2 IRA Frequency and Revisions WECC may review and revise an entity s IRA at any time. A review or revision is more likely to occur if an entity experiences significant changes or if new reliability risks emerge. Significant changes may include, but are not limited to, registration changes, asset ownership changes, system events, changes in compliance history or activity, organization changes, or changes in the overall risk elements in the Western Interconnection.

5 WECC Process for Risk-Based Compliance Oversight IRA Process Workflow WECC follows six steps during the IRA process: 1. Gather and review entity-specific data. 2. Assess the entity s inherent risk in context of pre-determined ERO Enterprise Risk Factor criteria and the professional judgement of the IRA team. 3. Perform data analysis and review additional performance considerations to further understand the entity and refine the risk associated with the entity. 4. Identify and prioritize a list of Regional and NERC Reliability Standards that are associated with the entity s risks for consideration in the COP. 5. Document the decisions made during the risk assessment process and provide supporting justification. 6. Share results of the IRA with the registered entity Gather and Review Entity Information In this step, WECC gathers and reviews information about the registered entity. This allows WECC to determine which Risk Factors and other considerations apply to the entity based on the entity s registered functions, assets, system, geography, interconnectivity, compliance history, corporate structure, delegation agreements, etc. Initially, WECC reviews entity information that is already available to WECC. Next, it determines whether additional information is needed to complete the IRA process. To facilitate the collection of accurate background information and get a more complete understanding of the entity, WECC usually requests that the entity complete an IRA and COP Survey. WECC will direct the entity when to complete the IRA and COP Survey. The IRA and COP Survey contains questions related to an entity s Operations and Planning and Critical Infrastructure Protection information and practices. WECC may also gather entity background information through phone calls and targeted requests for information as needed. At the end of this step, WECC has gathered and reviewed entity background information. With this information, WECC determines which Risk Factors and additional performance considerations are applicable to the entity Perform Risk Factor Assessment In this step, WECC uses entity-specific information and data to identify the risks associated with the entity based on pre-determined Risk Factor criteria and the professional judgement of WECC staff.

6 WECC Process for Risk-Based Compliance Oversight 6 The ERO Enterprise Guide for Compliance Monitoring identifies a common set of predetermined Risk Factor criteria for use across the ERO Enterprise. As permitted under the ERO IRA Process, WECC has implemented technical variances to certain Risk Factor Criteria based on the Western Interconnection s unique risk profile. WECC s region-specific Risk Factor Criteria are documented in Appendix A. WECC reviews entity information to determine the risks associated with the entity based on the Risk Factor criteria. The Risk Factor criteria serve as a guideline and helps WECC follow a consistent and repeatable process for assessing quantitative areas of risk. In addition to using the established criteria, WECC uses professional judgement to determine the risk rating based on each entity s specific circumstances. Based on the Risk Factor criteria and professional judgement of the IRA team, WECC identifies a risk rating of high, medium, or low and associated justification for each applicable Risk Factor. Later in the IRA process, the Risk Factor ratings will be used to identify an initial list of Regional and NERC Reliability Standards and requirements associated with the entity s inherent risks to the BPS. This list will be used as an input to the COP. At the end of this step, WECC has assessed information about the entity to identify a high, medium, or low rating for each Risk Factor and documented justifications that support the risk ratings Perform Data Analysis and Assess Additional Considerations Throughout the IRA process, WECC analyzes entity information to gain a better understanding of the entity s unique characteristics and understand the entity s inherent risk to the BPS. In addition to the Risk Factor Analysis, WECC considers additional factors such as compliance history, performance trends, recently completed or planned system changes, or any other circumstances that might affect WECC s decision to monitor a specific risk area or Standard. A list of performance considerations that WECC may use to understand and evaluate the entity is included as Attachment B. At the end of this step, WECC has assessed and documented information about the entity to develop a more refined understanding of the entity s risk to the BPS Identify a List of Standards for Compliance Monitoring In this step, WECC reviews the Risk Factor ratings to identify areas of focus for future compliance monitoring. Based on the risk assessment results and an understanding of the registered entity s unique characteristics, WECC identifies and prioritizes a list of Standards and requirements associated

7 WECC Process for Risk-Based Compliance Oversight 7 with the registered entity s risks to select appropriate CMEP tools for compliance monitoring. This prioritized list of Standards and requirements and compliance monitoring recommendation is a key input into the COP Document IRA Results The results of the IRA are documented in an IRA Summary Report. The IRA Summary Report identifies the inherent risks applicable to the entity based on the Risk Factors and a list of associated Reliability Standards and requirements for COP consideration Share IRA Results Prior to finalizing the IRA process, WECC shares a draft of the IRA Summary Report with the registered entity. Entities have the opportunity to share feedback with WECC on the IRA process and are encouraged to share ideas that WECC may consider to further improve and refine the IRA process. Entities are encouraged to notify WECC if the IRA Summary Report contains outdated information or factual inaccuracies so that WECC may determine whether updates to the IRA are needed. Entities are invited to submit feedback to WECC using the Entity Inherent Risk Assessment and Compliance Oversight Plan Draft Report Comment Form. For Reliability Coordinator (RC), Balancing Authority (BA), and Transmission Operator (TOP) registered entities, WECC schedules a follow-up call with the compliance contact to review the entity s feedback. WECC may coordinate a follow-up conference call with other non-ba/tops in instances where the entity has submitted feedback to WECC Finalize IRA Summary Report WECC adheres to a formal approval process prior to the completion of the IRA Summary Report. During the approval process, the Director of RAM reviews, verifies, and approves the results of the IRA and the IRA Summary Report. After the IRA is approved, WECC shares a final version of the document with the entity and NERC. Compliance Oversight Plan The COP is the final output of the ERO Enterprise Risk-Based Compliance Oversight Framework. WECC uses the COP process to tailor its compliance monitoring activities for NERC Reliability Standards based on an entity s specific risks and performance considerations. For each registered entity, the COP identifies NERC Reliability Standards selected for monitoring, the interval of monitoring activities, and

8 WECC Process for Risk-Based Compliance Oversight 8 the possible type of CMEP tool (such as Compliance Audit, Spot Check, or Self-Certification) that WECC may use for compliance monitoring. 4.1 COP Frequency and Revisions WECC completes the COP process concurrently with the IRA. WECC may review and revise an entity s COP at any time. Periodic COP revisions may be based on factors such as updates to the IRA, the identification and assessment of internal controls, changes to NERC Reliability Standards, WECC s quarterly Compliance Monitoring Strategy (CMS) meeting, Reportable Events, System Outage(s), changes in compliance history or activity, or other changes to the entity s characteristics and risks. WECC may choose not to revise the COP for the sole purpose of updating minor Standards changes such as Errata changes or Interpretations 2. The version of the Standard subject to enforcement will be identified in WECC s official notification for the selected CMEP monitoring tool. 4.2 COP Inputs As described in the ERO Enterprise Guide for Compliance Monitoring, WECC uses the following inputs during the development of the COP: 1. IRA Results, including a list of entity-specific risks and a prioritized list of applicable Standards and requirements that were identified for future compliance monitoring. 2. ERO-wide Risk Elements 3. Regional Risk Assessment results 4. Internal Controls and mitigating activities such as those identified during an ICE or reviewed during compliance monitoring activities, such as during an audit. 5. The results of WECC s previous CMEP activities, such as audit findings. 4.3 Document COP Results The results of the COP process are incorporated into an entity-specific COP report. 2 Reference NERC Standards Numbering System:

9 WECC Process for Risk-Based Compliance Oversight Develop COP Report The COP includes the following items: a list of NERC Standards and requirements identified for monitoring, possible CMEP Tools used for monitoring the identified Standards, and the interval in which the monitoring is to be performed Share the COP Prior to finalizing the COP process, WECC shares a draft of the COP report with the registered entity. Entities have the opportunity to share feedback with WECC on their COP. Entities are encouraged to notify WECC if the COP contains outdated information or factual inaccuracies so that WECC may determine whether updates to the COP are needed. Entities are invited to submit feedback to WECC using the Entity Inherent Risk Assessment and Compliance Oversight Plan Draft Report Comment Form. For RC, BA, and TOP registered entities, WECC schedules a follow-up call with the compliance contact to review the entity s feedback. WECC may coordinate a follow-up conference call with other non-ba/tops in instances where the entity has submitted feedback to WECC Finalize COP Report WECC adheres to a formal approval process prior to the completion of the Compliance Oversight Plan and COP report. During the approval process, the Director of RAM reviews, verifies, and approves the results of the Compliance Oversight Plan. After the COP is approved, WECC shares a final version of the document with the entity and NERC. Data Retention WECC s Compliance Oversight staff complies with WECC s Records Retention Policy during and after the IRA and COP processes. After completing an IRA or COP, WECC retains relevant documentation that supports the analysis performed and conclusions drawn during each process. The retained documentation may be used to evaluate the entity s controls during the ICE process or used during subsequent reviews or revisions of the entity s IRA and COP. Process Feedback to NERC WECC will continue to give feedback to NERC and industry on lessons learned during the Risk-Based Compliance Monitoring processes such as IRA and COP. WECC s feedback to NERC may include information about an entity s IRA and COP results, regional trends identified through the IRA process, metrics such as IRA and COP completion status or the average time taken by WECC to complete each process, and information about WECC s planned CMEP activities.

10 WECC Process for Risk-Based Compliance Oversight 10 Revision History Revision Update Date Modified By 1 3/26/2015 Ruchi Ankleshwaria DJ McCarty Approval Approved By Date 6/30/2015 Michael Moon Comments Initial draft for posting and registered entity input. Enhancements include: - internal process improvement - consideration of ICE and audit scheduling processes 2 4/1/2017 Jennifer Hart 7/9/2018 Ruchi Shah Updated to align with the October 2016 ERO Enterprise Guide for Compliance Monitoring. Major changes include: - updates to the IRA process workflow - addition of the COP processes - clarification on inputs to the IRA and COP process Approved with an effective date of 4/1/2017

11 WECC Process for Risk-Based Compliance Oversight 11 References NERC Rules of Procedure NERC ERO Enterprise Guide for Compliance Monitoring NERC Overview of the ERO Enterprise s Risk-Based Compliance Monitoring and Enforcement Program NERC Annual ERO CMEP Implementation Plan NERC Risk Elements Guide NERC ERO Enterprise Internal Control Evaluation Guide Generally Accepted Government Auditing Standards WECC IRA and COP Survey WECC COP Template WECC CMEP Implementation Plan WECC Records Retention Policy

12 WECC Process for Risk-Based Compliance Oversight 12 Attachment A: Risk Factor Criteria The ERO Enterprise Guide for Compliance Monitoring identifies a common set of pre-determined Risk Factor criteria for use across the ERO Enterprise. As permitted under the ERO IRA process, WECC has requested technical variances to the Risk Factor Criteria based on the Western Interconnection s unique risk profile. WECC uses the following Risk Factor Criteria, effective April 1, 2017, to conduct IRAs. Risk Factor Criteria for Assessment Risk Factor N/A Low Risk Medium Risk High Risk CIP - Impact Rating Criteria Critical Transmission ICCP Connectivity Entity has no BES Cyber Systems (BCS) own, operate, coordinate, plan, design, or monitor the status of transmission facilities Entity has no BES Cyber Systems (BCS) Entity has one or more low-impact BCS(s) Entity s system is not critical to adjacent entities as it is not being used as a flow-through system for power flow Entity has lowimpact BCS(s) without ICCP connections or external routable connectivity Entity has one or more medium-impact BCS(s) Entity s system is critical to adjacent entities as it is being used as a flowthrough system for power flow Entity has low-impact BCS(s) with at least one ICCP connection Entity has low impact BCS(s) with external routable connectivity (LERC) Entity has medium-impact BCSs Entity has one or more high-impact BCS(s) Entity's system includes elements (owned or operated) of an IROL / Flowgate / Major Transmission Path (WECC) / Generic Transmission Limit (Texas RE) / Cranking Path Entity has mediumimpact BCS(s) with at least one ICCP connection Entity has high-impact BCS(s) Largest Generator Facility own any generation facilities Entity s largest single generation facility is less than 500 MVA Entity s largest single generation facility is between 500-1,000 MVA Entity s largest single generation facility is greater than 1,000 MVA Load have any system load Entity s system load is less than 300 MW Entity s system load is between 300-2,000 MW Entity s system load is greater than 2,000 MW

13 WECC Process for Risk-Based Compliance Oversight 13 Monitoring and Situational Awareness Tools Planned Facilities RAS/SPS System Restoration meet any of the identified criteria meet any of the identified criteria own, operate, coordinate, plan, design, or monitor the status of a RAS/SPS Entity has no responsibilities during system restoration have monitoring and situational awareness tools and operates 10 or more lines over 100 kv Entity is planning on or currently building transmission facilities less than 200 kv in the next three years Entity is planning on or currently building generation facilities that are less than 500 MVA in the next three years Entity has regional or company system restoration responsibilities limited to load restoration have monitoring and situational awareness tools and operates 10 or more lines over 200 kv Entity is planning on or currently building transmission facilities between kv in the next three years Entity is planning on or currently building generation facilities that are between 500 and 1,000 MVA in the next three years Entity owns or designed a RAS/SPS that is not needed to meet TPL requirements Entity owns or operates equipment that is part of a RAS/SPS that is not needed to meet TPL requirements Entity has Blackstart Resource(s) Entity provides switching or other logistics based on the direction from a different entity responsible for the restoration plan have monitoring and situational awareness tools and operates 20 or more lines over 200kV Entity is planning on or currently building transmission facilities greater than 300 kv in the next three years Entity is planning on or currently building generation facilities greater than 1,000 MVA in the next three years Entity owns or designed a RAS/SPS that is needed to meet TPL requirements Entity owns or operates equipment that is part of a RAS/SPS that is needed to meet TPL requirements Entity is an RC Entity is responsible for independent actions coordinated with an RC

14 WECC Process for Risk-Based Compliance Oversight 14 Total Generation Capacity own or operate any generation facilities Entity s total generation nameplate capacity is less than 1,000 MVA Entity s total generation nameplate capacity is between 1,000-5,000 MVA Entity s total generation nameplate capacity is greater than 5,000 MVA Transmission Portfolio own, operate, coordinate, plan, design, or monitor the status of transmission facilities Entity has transmission facilities less than 200kV Entity has transmission facilities between kv Entity has over 1,000 miles of transmission lines 100 kv or greater Entity has transmission facilities greater than 300 kv Entity has over 4,000 miles of transmission lines 200 kv or greater UFLS Development and Coordination Entity is not responsible for developing or coordinating a UFLS program Entity is responsible for developing and/or coordinating a UFLS program for less than 500 MW of load Entity is responsible for developing and/or coordinating a UFLS program for 500 MW to 900 MW of load Entity is responsible for developing and/or coordinating a UFLS program for 900 MW of load UFLS Equipment own or operate UFLS equipment Entity is responsible for 0% up to 0.3% of the entire regionally identified UFLS program Entity is responsible for 0.3% to 1.3% of the entire regionally identified UFLS program Entity is responsible for more than 1.3% of the entire regionally identified UFLS program UVLS have any UVLS responsibilities The Registered Entity owns or operates UVLS that is less than 10% of its peak load The Registered Entity owns or operates UVLS that is greater than or equal to 10%, but less than 25%, of its peak load The Registered Entity owns or operates UVLS that is greater than or equal to 25% of its peak load Variable Generation meet any of the identified criteria Less than 10% of the entity s BA Area total generation nameplate MVA is comprised of non- 10% - 25% of the entity s BA Area total generation nameplate MVA is comprised of nondispatchable generation Over 25% of the entity s BA Area total generation nameplate MVA is comprised of non-dispatchable generation

15 WECC Process for Risk-Based Compliance Oversight 15 dispatchable generation Voltage Control Workforce Capability own or operate any voltage control equipment meet any of the identified criteria Less than 25% of the entity s System Operators have less than 5 years of System Operator experience Entity owns and/or operates reactive resources to provide voltage control Between 25-50% of the entity s System Operators have less than 5 years of System Operator experience Entity owns and/or operates reactive resources other than generators to provide voltage control Greater than 50% of the entity s System Operators have less than 5 years of System Operator experience

16 WECC Process for Risk-Based Compliance Oversight 16 Attachment B: Performance Considerations During the IRA process, WECC considers a variety of factors such as an entity s compliance history, performance trends, recently completed or planned system changes, and other qualitative information to better understand the entity s inherent risks and inform the Compliance Oversight Plan. The following list is an example of the types of information WECC uses to understand and evaluate the registered entity. WECC reviews the current status of the Performance Considerations as well as significant past changes and any changes planned for the future. Organizational Characteristics Compliance History (non-compliances, monitoring, audit feedback) JRO/CFR/Agreements Organizational Structure Registered Functions Critical Infrastructure Protection Networks and Electronic Security Perimeters Physical Security and Physical Security Perimeters Cyber Systems (including EMS/SCADA) Cyber Security Incidents User management (Governance and Personnel) Asset Management Change Management Transmission Facilities BESnet inclusions/exclusions Changes in footprint Coordination with other Registered Entities Transmission Availability Data System Vegetation management Generating Facilities BESnet inclusions/exclusions Blackstart operability Changes in footprint Coordination with other Registered Entities Generation Availability Data System Reserve capability/rsg participation Resource mixture

17 WECC Process for Risk-Based Compliance Oversight 17 Vegetation management Load Management Composition (Industrial/Residential/Commercial) Profile Events Event Analysis practices NERC Reportable Events OE-417 Electric Emergency Incident and Disturbance Report Operating capacity/energy emergency SOL/IROL/Path exceedances Protections Systems Coordination Facility maintenance Misoperations UVLS/UFLS/RAS operations

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