ML20009B255
| ML20009B255 | |
| Person / Time | |
|---|---|
| Issue date: | 07/09/1981 |
| From: | Wiedeman D NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML20009B252 | List: |
| References | |
| NUDOCS 8107150176 | |
| Download: ML20009B255 (2) | |
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Appendix A NOTICE OF VIOLATION Franklin Hospital License No. 12-04689-02 As a result of the inspection conducted on June 26, 1981, and in accordance with the Interim Enforcement Policy, 45 FR 66754 (October 7, 1980), the following violations were identified:
1.
License Condition 15, requires that licensed material be possessed and used in accordance with statements, representations, and pro-cedures contained in application dated November 5, 1979; and letters dated June 11, 1980, and April 30, 1980.
License application dated November 5,1979, states that the pro-cedures described in Appendix D, Section 2, of the NRC medical licensing guide shall be followed for calibration of the dose calibrator. Appendix D, Section 2 states that the dose calibrator shall be checked for geometrical variation at installation.
Contrary to this requirement, the dose calibrator has not been checked for geometrical variation since the date of license issuance.
This is a Severity Level V violation (Supplement VII).
2.
License Condition 15 requires that licensed material be possessed and used in accordance with statements, representations, and pro-cedures contained in application dated November 5,1979; and letters dated June 11, 1980, and April 30, 1980.
License application dated November 5,1979, states that the pro-cedures described in Appendix I of the NRC medical licensing guide shall be followed for surveys. Appendix I states that the method used for perfor ning wipe tests will be sufEiciently sensitive to detect 100 dpm.
Contrary to this requirement, your wipe tests have been analyzed using a portable G-M counter which is incapable of detecting con-tamination levels as low as 100 dpm.
This is a Severity Level V violation (Supplement VII).
3.
License Condition 14.C. states that written procedures shall be established describing the steps to be taken if activities of molybdenum-99 are in excess of the allowable limits.
8107150176 810710 NMS LIC30 12-04689-02 PDR
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rs Appendix A Contrary to this requirement,, written procedures were not esta11ished of the steps to be taken in the event that molybdenum-99 conts.nination is in excess of the allowable limits.
This is a Severity Level V violation (Supplement VII).
4.
License Condition 13 states that a visiting physicianfis authorized to use licensed material provided the physician has written permission from the hospital's Administrator and the Medical Isotope Committee.
Records of the hospital's approval shall be maintained for five years.
Contrary to this requirement, you failej to maintain records of the approval granted to George Murphy, M.D. to use licensed material from June 17, 1981, to June 26, 1981.
This is a Severity Level VI violation (Supplement VII).
l Pursuant to the provisions of 10 CFR 2.201, you are required to submit to this office within thirty days of the date of this Notice a written state-ment or explanation in reply, including for each item of noncompliance:
(1) corrective action taken and the results achieved; (2) corrective action to be taken to avoid further noncompliance; and (3) the date when full compliance 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.
Consideration may be given to extending your response time for good cause shown.
7/9 lo L3am 1. 0' Dated (
D. G. Wiedeman, #2 ting Chief i
Materials Radiation Protection Section 1 l
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