ML20215J890

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Discusses Insp of License 50-21021-01 on 860814-15 & Forwards Notice of Violation
ML20215J890
Person / Time
Site: 03019671
Issue date: 10/21/1986
From: Scarano R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To: Gingerich J
KODIAK ISLAND HOSP., KODIAK, AK
Shared Package
ML20215J893 List:
References
NUDOCS 8610270233
Download: ML20215J890 (2)


See also: IR 05000210/2021001

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OCT 211986

License No. 50-21021-01

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Kodiak Island Hospital

P.'O. Box 1187

Rezanoff Drive

Kodiak, Alaska 99615

Attention: James H. Gingerich

Administrator-

Gentlemen:

Subj ect: NRC Inspection

This refers to the routine safety inspection conducted by Mr. D. Skov of this

office on August 14-15, 1986 of activities authorized by NRC License No.

50-21021-01 and to the discussion of our findings held by Mr. Skov with you

and other members of your staff at the conclusion of the inspection.

The results of this inspection were also discussed with you during the

September 30, 1986 Enforcement Conference held by Messrs. J. Martin and

.

R. Thomas of the Region V office.

The inspection was an examination of the activities conducted under your

license as they relate to radiation safety and to compliance with the

Commission's rules and regulations and the conditions of your license. The

inspection consisted of selective examinations of procedures and

representative records, interviews with personnel, and observations by the

inspector.

Based on the results of this inspection, it appears that certain of your

activities were not conducted in full compliance with NRC requirements, as set

forth in the Notice of Violation enclosed as Appendix A to this letter. These

items have been categorized into severity levels as described in the NRC

Enforcement Policy, 10 CFR Part 2, Appendix C.

The findings from this inspection, indicate three repetitive violations'(see

Appendix A, Items C.2.(1), C.3.(1), and C.4) from the inspection conducted on

July 29, 1983.

We are concerned about the repetitive nature of the violations observed during

our inspections.

In addition to the need for corrective action regarding the

specific violations included in Appendix A, we are concerned about the

implementation of your management control system that allowed these repetitive

violations to recur. Consequently, in your reply you should describe in

particular those actions taken or planned to improve the effectiveness of your

overall management control system.

8610270233 861021

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Your response to this Notice is to be submitted in accordance with the

provisions of 10 CFR 2.201 as stated in Appendix A, Notice of Violation.

The responses directed by this letter and the accompanying Notice.are not

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subject to the clearance procedures of the Office of Management and Budget as-

required by the Paperwork Reduction Act of 1980, PL 96-511.

If you have any questions on this matter or concerning this inspection, please

telephone Mr. D. Skov on 415-943-3700.

Sincerely,

,

0,dg>udArgeL

Ross A.l Scarano, Director

Division of Radiation Safety and

Safeguards

Enclosure:

Notice of Violation - Appendix A

bec w/ enclosure:

RSB/ Document Control Desk (RIDS)

G. Cook

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B. Faulkenberry

J. Martin

State of Alaska

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