ML20050C324
| ML20050C324 | |
| Person / Time | |
|---|---|
| Issue date: | 03/31/1982 |
| From: | Roy G NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML20050C321 | List: |
| References | |
| NUDOCS 8204080402 | |
| Download: ML20050C324 (2) | |
Text
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Appendix NOTICE OF VIOLATION Kettering Medical Center License No. 34-13857-01 As a result of the inspection conducted on March 8-9, 1982, and in accord-ance with the Interim Enforcement Policy, 45 FR 66754 (October 7, 1980),
the following violations were identified:
1.
10 CFR 20.105(b) requires that no licensee shall use licensed material in such a manner as to create in any unrestricted area radiation levels which, if an individual were continuously present in the area, could result in his receiving a dose in excess of two millirems in any one hour or, in excess of 100 millirems in any seven consecutive days.
Contrary to this requirement, a radiation level measurement in an unrestricted area adjacent to a room containing a patient with cesium-137 implants on March 5, 1982, showed the level was five milliress in one hour.
This is a Severity Level IV violation (Supplement IV).
2.
10 CFR 20.201(b) requires each licensee to make or cause to be made such surveys (evaluations) as may be necessary for him to comply with the regulations in Part 20.
Contrary to this requirement, the licensee seldom surveys unrestricted areas adjacent to rooms containing implant patients to determine compliance with 10 CFR 20.105(b). Prior to March 5, 1982, no surveys have been conducted recently Ln unrestricted areas next to implant patient rooms according to a licensee representative.
This is a Severity Level IV violation (Supplement IV).
3.
License Condition No. 19 requires that the licensee possess and use licensed material in accordance with statements, representations, and procedures contained in their application dated November 13, 1979, and letter dated January 22, 1980.
In a supplementary sheet entitled " Procedures for Utilization of Sealed Radioactive Sources at Kettering Medical Center," which was submitted with the referenced letter, it states in Item 7, "Any person handling sealed sources must wear an additional radiation monitor on a finger to measure the average radiation dose to the hands."
B2040e0402 820331 NMS LIC30
,34-13857-01 pop
a Appendix 2
Contrary to this requirement, three individuals who handle sealed sources do not wear a finger monitor to measure the average radiation dose to the hands.
This is a Severity Level V violation (Supplement VII).
4.
License Condition No. 19 requires that the licensee possess and use licensed material in accordance with statements, representations, and procedures contained in their application dated November 13, 1979, and letter dated January 22, 1980.
In the referenced application, the licensee stated that the procedures in Appendix D, " Methods for Calibration of Dose Calibrator," which was submitted with the applica-tion, would be followed. These procedures require a dose calibrator linearity test at installation and quarterly thereafter.
Contrary to this requirement, the licensee failed to do a linearity test on their Capintec CRC 16 dose calibrator from November 19, 1979 to December 1, 1980 and from June 9, 1981 to October 12, 1981, periods in excess of a calendar quarter.
This is a Severity Level V violation (Supplement VII).
5.
License Condition No. 14 requires patients containing cesium-137 implants, or other implants, to remain hospitalized until surveys made with a radiation detection instrument indicate that all implants have been removed. The results of these surveys shall be recorded and maintained for inspection by the Commission.
Contrary to this requirement, as of March 8, 1982, the licensee failed to record the results of radiation surveys made after the removal of cesium-137 implants from patient..
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.
%riginal signed by Con U. Roy" gg31 1982 Dated G. W. Roy, Acting Chief Technical Inspection Branch