ML20198R318
| ML20198R318 | |
| Person / Time | |
|---|---|
| Site: | 03032210 |
| Issue date: | 01/21/1998 |
| From: | Scarano R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
| To: | John Moses WOOD RIVER MEDICAL CENTER, SUN VALLEY & HAILEY, ID |
| Shared Package | |
| ML20198R321 | List: |
| References | |
| 30-32210-97-01, 30-32210-97-1, EA-97-613, NUDOCS 9801230281 | |
| Download: ML20198R318 (5) | |
See also: IR 07100104/2012030
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611 RYAN PL AZA DRIVE, SUITE 400 ';
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EA 97-611 ~
Jon Moses, CEO -
Wood River Medical Center -
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P.O. Box 86
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Sun Valley Location
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. Sun Valley, Idaho 83353
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- SUBJECT:- - NRC INSPECTION REPORT 030 32210\\97-01 (NRC INVESTIGATION
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CASE 4-97-060) .
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Dear Mr Moses:
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On November 5,1997, the NRC completed the onsite portion of an inspection at your facility
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. In Sun Valley, Idaho. The purpose of the inspection was to determine whether licensed
activities conducted at your facility were being performed in accordance with NRC -
requirements and the conditions of your license. At the conclusion of the on-site portion of -
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this inspection, a preliminary exit briefing was conducted with members of your staff to
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discuss the inspection findings. On December 30,1997, a telephonic exit bricfing was-
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conducted with you. The enclosed report presents the scope and results of that inspection.'
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Based on the results of this inspection,22 apparent violations were identified and are being
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. considered for escalated enforcement action in accordance with the " General Statement of
Policy and Procedure for NRC Enforcement Actions" (Enforcement Policy), NUREG-1600.
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The'more significant apparent violations included failures to: (1) ensure that an authorized
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' user properly supervised an individual working under his supervision, (2) maintain
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- management oversight and control of the radiation safety program, (3) ensure that the
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radiation safety committee met quarterly, (4) conduct quarterly ALARA reviews, (5) review -
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annually the radiation safety programi (6) provide radiation safety refresher training,' (7) notify'
= the NRC of the' discontinuation of an authorized user's duties, (8) seek amendment to the
license prior to relocating an area of use, (9) obtain the NRC's written consent prior to
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- implementing a change of control of licensed activities, and (10) maintain complete and
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accurate informatbn with respect to records of required surveys. The circumstances -
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associated with the' apparent violations noted above, as well as the remaining 12 apparent
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violations, are described in detail in the enclosed report.
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- 'As noted in the enclosed report, several of these apparent violations were identified by your
- consultant prior to the NRC inspection. In' addition, we understand that corisctlve actions
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had been initiated at the time of the inspection for some of the apparent violations.
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The apparent violation involving a failure to maintain complete and accurate information in
survey records is of particular concem because the NRC expects information required by
regulations to be complete and accurate in all material respects as required by 10 CFR 30.9.
This apparent violation was reviewed during an investigation conducted by the NRC Office of
Investigations. Our investigation verified that a former employee admitted to having falsified
information in survey records maintained to demonstrate compliance with 10 CFR Part 35.
Based on the information developed during the investigation, the Office of Investigations has
concluded that the employee deliberately falsified the survey records so as to make it appear
that required surveys had been performed on a number of occasions when, in fact, they had
not.
Based upon the nature and number of apparent violations described above, we are
concerned about the management oversight and control of your radiation safety program. A
closed, transcribed predecisional enforcement conference to discuss these apparent
violations has been scheduled for February 6,1998, at 9:00 a.m. (CST). The decision to
hold a predecisional enforcement conference does not mean that the NRC has determined
that violations have occurred or that enforcement action will be taken. Accordingly, no Notice
of Violation is presently being issued for these inspection findings. In addition, please be
advised that the number and characterization of apparent violations described in the enclosed
inspection report may change as a result of further NRC review.
The conference is being held to obtain information to enable the NRC to make an
enforcement decision, such as a common understanding of the facts, root causes, missed
opportunities to identify the apparent violations sooner, corrective actions, significance of the
issues and the need for lasting and effective corrective action, in particular, we expect you
to address actions taken or planned to improve management oversight and control of your
program in order to ensure future compliance with NRC requirements. In addition, this is an
opportunity for you to point out any errors in our inspection report and for you to provide any
information conceming your perspectives on (1) the severity of the violations, (2) the
application of the factors that the NRC considers when it determines the amount of a civil
penalty that may be assessed in accordance with Section VI.B.2 of the Enforcement Policy,
and (3) any other application of the Enforcement Policy to this case, including the exercise of
discretion in accordance with Section Vll. In presenting your corrective actions, you should
be aware that the promptness and comprehensiveness of your actions will be considered in
assessing any civil penalty for the apparent violations. The guidance in the enclosed NRC
Information Notice 96-28, " SUGGESTED GUIDANCE RELATING TO DEVELOPMENT AND
IMPLEMENTATION OF CORRECTIVE ACTION," may be helpful (Enclosure 3).
You will be advised by separate correspondence of the results of our deliberations on this
matter, No response regarding these apparent violations is required at this time.
In accordance with 10 CFR 2.790 of the NRC's " Rules of Practice," a copy of this letter and
its enclosures will be placed in the NRC Public Document Room.
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Wood River Medical Center
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-Should you have any questions concerning this letter or the enclosed report, please contact
Richard Leonardi at (817) 860-8187 or D. Blair Spitzberg, Ph.D., at (817) 860-8191.
Since ly,
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Ross A. Scarano, Director
Division of Nuclear Materials Safety
Docket No. 030-32210
License No. 11-27355-01
Enclosures:
1. NRC Inspection Report 030-32210/97-01
2; NRC Enforcement Policy, NUREG 1600
3. NRC Information Notice 96-28
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cc w/ Enclosure 1:
Idaho Radiation Control Program Director
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