All domestic commercial nuclear power plants use paper procedures. We use procedures for administrative, operating and maintenance, basically whenever we need a step-by-step method to get from point A to point B. There are probably nearly one thousand of them at every station.

While we have a structured system of creating and modifying paper procedures, there are several inefficient and ineffective downsides. Over time these procedures have mutated to have many steps that the craft have to migrate through like lawyers.