ML20009F043
| ML20009F043 | |
| Person / Time | |
|---|---|
| Issue date: | 07/23/1981 |
| From: | Wiedeman D NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML20009F039 | List: |
| References | |
| NUDOCS 8107280627 | |
| Download: ML20009F043 (3) | |
Text
7 Appendix A NOTICE OF VIOLATION Dexter Memorial Hospital License No. 24-18627-01 As a result of the inspection conducted on July 9,1981, and in accordance with the Interim Enfctcement Policy, 45 FR 66754 (October 7, 1980), the follawing violations were identified:
1.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures contained in application dated November 9,1978.
Item No. 10 of that application states that daily constancy, quarterly linearity and annual accuracy checks of the dose calibrator will be performed.
Contrary to the above requirement, daily constancy, quarterly linearity and annual accuracy checks of the dose calibrator were not performed from January 8, 1979, to the date of this inspection.
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 November 9,1978.
Item No. 10 of that application states that survey meters will be calibrated at least annually and following repair.
Contrary to the above requirement, the survey meters were not calf-brated from January 8,1979, to the date of this inspection.
This is a Severity Level V violation (Supplement VII).
3.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures contained in application dated November 9,1978.
Item No. 17 of that application states that specific areas of the laboratory will be surveyed daily for contamination and other specific areas wipe tested monthly for contamination.
Contrcry to the above requirement, daily area surveys and monthly area wipe tests were not performed from January 8, 1979, to the date of this inspection.
This is a Severity Level V violation (Supplement VII).
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0 Appendix A 4.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures contained in application dated November 9, 1979.
Item No. 12 of that application states that the licensed user shall provide retraining at least annually in subjects applicable to the duties of technicians and other paramedical personnel and to maintain proficiency and keep abreast of developments in the field of nuclear medicine technology.
Contrary to the above requirement, technicians and other paramedical personnel have not received any retraining from January 8,1979, to the date of this inspection.
This is a Severity Level V violation (Supplement VII).
5.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures contained in application dated November 9, 1978.
Item No. 7 of that application states that the Medical Isotopes Committee shall meet as often as necessary to conduct its business, but not less than once in each calendar quarter.
Contrary to the above requirement, the Medical Isotopes Committee has not met from October 21, 1980, to the date of this inspection.
This is a Severity Level V violation (Supplement VII).
6.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures contained in application dated November 9, 1978.
Item No. 13 of that application states that records of receipt and transfer will be maintained on all packages containing radicactive material.
Contrary to the above requirement, radioactive package receipt records have not been maintained from January 9, 1979, to the date of this inspection.
This is a Severity Level VI violation (Supplement VII).
7.
License Condition No. 15 requires that licensed material be possessed and used in accordance with statements, representations, and procedures r.ontained in application dated November 9, 1978.
Item No. 14 of that application states that incoming packages contain-ing radioactive materials will be surveyed prior to opening and records of the surveys will be maintained.
X Appendix A' Contrary to the above requirement, records of the surveys of incoming packages were not maintained fram January 8, 1979, to the date of this inspection.
This is a severity Level VI violation (Supplement VII).
8.
10 CFR 30.51 requires that records showing the receipt, transfer, and disposal of byproduct material be maintained.
Contrary to the above requirement, records of byproduct material dis-posals were not maintained from January 8,1979, to the date of this inspection.
This is a Severity Level VI violation (Supplement VII).
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 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. Consideration may be given to extending your response time for good cause shown.
9 7 2.P 7/
d Dated D. G. Wiedeman, Acting Chief Materials Radiation Protection Section 1