ML20215K086

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Forwards Safety Insp Rept 70-1389/87-01 on 870224-0403 & Notice of Violation.Response to Subj Ltr Should Describe Actions Taken or Planned to Improve Effectiveness of Mgt Control Over Licensed Matl
ML20215K086
Person / Time
Site: 07001389
Issue date: 05/05/1987
From: Axelson W
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Gizzi J
ST. FRANCIS HOSP., EVANSTON, IL
Shared Package
ML19292H213 List:
References
NUDOCS 8705110066
Download: ML20215K086 (2)


Text

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O MAY 5 - 198'l k

St. Francis Hospital License No. SNM-1426 ATTN: Mr. James Gizzi Executive Vice President

-355 Ridge Avenue Evanston, IL 60202 Gentlemen:

This refers to the special safety inspection conducted by Ms. C. C. Casey of this office on February 24 through April 3, 1987, of activities authorized by NRC Special Nuclear Material License No. SNM-1426 and to the discussion of our findings with you and members of your staff on April 3, 1987.

The special inspection was conducted in response to your request to terminate the license dated January.16, 1987.

The enclosed copy of our inspection report identifies areas examined during the inspection. Within these areas, the inspection consisted of a selective examination of procedures and representative records, observations, facilities tour and interviews with personnel.

During this inspection, certain of your activities appeared to be in violation of NRC requirements as specified in the enclosed Appendix A.

A written response is required.

In addition to our concern for corrective action with respect to the specific violations noted, we are concerned about your management control system that has permitted these items to occur.

Consequently, in your reply to this letter please describe those actions taken or planned to improve the effectiveness of your management control over your licensed activities so as to preclude the recurrence of these or similar violations.

Enclosed is Appendix B, " Management Control" to provide you with some guidance for your response.

The responses directed by this letter and the accompanying Notice are not subjecttotheclearanceproceduresoftheOfficeofManagementandBudget as required by the Paperwork Reduction Act of 1980, PL 96-511.

G0 1

0705110066 870505 REG 3 LIC70

//

SNM-1426 PDR f

r St. Francis Hospital 2

t/AY 5 - 1987 We will gladly discuss'any questions you have concerning this inspection.

Sincerely, W. L.

xe s n, hief Nuclear Ma. rials Safety and Safeguards Branch

Enclosures:

1.

Notice of Violation, Appendix A 2.

Management Control, Appendix B 3.

Inspection Report No. 070-01389/87001(DRSS) cc w/ enclosures:

Ms. Frances Daniher, Vice President Mr. Eric Zick raf, Radiation Safety Officer DCS/RSB (RIDS RIIL RIT RII GKC Cayey/ims Sreng ki Ae on Q Yl y1 ll 3 fn