ML20005A548
| ML20005A548 | |
| Person / Time | |
|---|---|
| Issue date: | 06/18/1981 |
| From: | Sreniawksi D NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML20005A534 | List: |
| References | |
| NUDOCS 8106300445 | |
| Download: ML20005A548 (3) | |
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Appendix A NOTICE OF VIOLATION Pontiac General Hospital License No. 21-06217-02 License No. 21-06217-03 As a result of the inspection conducted on June 2 and 3, 1981, and in accordance with the Interim Enforcement Policy, 45 FR 66754 (October 7, 1980), the following violations were identified:
License No. 21-06217-02 1.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures contained in the application dated April 1, 1978.
Item No. 9 of the above referenced application states the dose calibrator will be checked quarterly for linearity of response.
Contrary to the above requirement, it was determined througn statements by licensee representatives and the NRC inspector's review of records that this condition is not being met.
Specifically, as of the date of this inspection, the dose calibrator was last checked for linearity on November 24, and 25, 1980, a period in excess of a quarter.
This is a Severity Level V violation (Supplement VII).
2.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures contained in application dated April'1, 1978.
Item No. 7 of the above referenced application states the Medical Isotopes Committee shall meet not less than once in each calendar quarter.
Contrary to the above requirement, it was determined through review of records that this condition is not being met.
Specifically, as of the date of this inspection, the Medical Isotopes Committee last met on August 18, 1980, a period in excess of a quarter.
This is a Severity Level V violation (Supplement VII).
3.
10 CFR 35.14(e)(2) states records of leak test results shall be main-tained for inspection by the Commission.
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Appendix'A Contrary to the above requirement, it was determined through statements by licensee representatives and the NRC inspector's review of leak test
. records that this condition is not being met..Specifically, the cesium-137 and barium-133 reference sources were tested for leakage in -
April, 1981, however, records of the leak test were not available for
. inspection.
This is a Severity Level VI violation (Supplement VII).
License No. 21-06217-03 4,
10'CFR 35.21(a) requires the full calibration of teletherapy units at intervals not exceeding _one year.
Contrary to the above requirement, it was determined through review of full calibration records that this condition is not being met.
Speci-fically, as of the date of this inspection, the last full calibration on the Picker Model 6150-D teletherapy unit was performed on May 22, 1980, a period in excess of one year.
This is a Severity Level V 5iolation (Supplement VII).
5.
10 CFR 35.25 requires the licensee to maintain, for inspection by the Commission, records of instrument calibrations used to make spot checks and full calibrations of teletherapy units.
Contrary to the above requirement, it was determined through statements by licensee representatives and the NRC inspector's review of teletherapy records that this condition is not being met.
Specifically, as of the day of this inspection, records showing the results of recent instrument calibrations used to make' spot checks and full calibrations on the Picker Model 6150-D teletherapy unit were not being maintained by the licensee.
This is a Severity Level VI violation (Supplement VII).
6, 10 CFR 35.25 requires the licensee to maintain, for inspection by the Commission, records of the licensee's evaluation of the qualified experts training and experience in performing full calibrations and spot checks on teletherapy units.
Contrary to the above requirement, it was determined through statements by licensee representatives that this condition is not being met.
Specifically, as of the day of this inspection, records showing the evaluation of the qualified experts training and experience wete not being maintained by the licensee.
This is a Severity Level VI violation (Supplement VII).
-e Appendix A 3-Pursuant to the provisions of 10 CFR 2.201, you are required to submit to this office within. twenty-five days of the date of this Notice a wri'. ten statement or explanation in reply, including for each item of noncompliante:
(1). corrective actidn taken and the results achieved; (2) corrective action to be taken to avoid further noncompliance; and (3) the date when full com-
' pliance will be achieved. ' Under the authority of Section 182 of the Atomic Energy Act of-1954, as amended, this response shall be submitted under oath or affirmation.
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Dated m
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D. J, $reniawski, Chief Materials Radiation Protection Sect'fon 2
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