ML18347A724

Diagnostic Health Center of Anchorage, LLC, - NRC Form 591M Part 1, NRC Inspection 03020372/2018001

ML18347A724
Person / Time
Site:	03020372
Issue date:	10/25/2018
From:	Jason Vonehr NRC Region 4
To:	Kassel K Diagnostic Health Center of Anchorage
References
IR 2018001
Download: ML18347A724 (1)

See also: IR 07200201/1980001

Text

NRC FORM 591M PART 1 U.S. NUCLEAR REGULATORY COMMISSION

(4-2008)

10 CFR2.201

SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION

1. LICENSEE/LOCATION INSPECTED: 2. NRC/REGIONAL OFFICE

Diagnostic Health Center of Anchorage, LLC

A wholly owned subsidiary of Alliance HealthCare U.S. Nuclear Regulatory Commission

Services Region IV, 1600 East Lamar Blvd

4100 Lake Otis Parkway, Suite 102, Anchorage, ~K Arlington, Texas 76011-4511

REPORT NO.: 2018-001

3. * oocKET NUMBER 4. LICENSE NUMBER 5. OATE(S) OF INSPECTION

030-20372 50-23214-01 October 25, 2018

LICENSEE:

The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear

Regulatory Commission (NRC) 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. The inspection findings are as follows:

D 1. Based on the inspection findings, no violations were identified.

D 2. Previous violation(s) closed.

D 3. The violations(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self-

identified, non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy to exercise

discretion, were satisfied.

D Non-Cited Violation(s) was/were discussed involving the followinS requirement(s) and Corrective Action(s):

4. During this inspection certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being

cited. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance with 1O CFR 19.11.

License Condition 15.A of NRC Materials License 50-23214-01, Amendment No. 23, dated September 19, 2016,

requires, in part, that the licensee conduct its program in accordance with the statements, representations, and

procedures contained in the documents, including any enclosures, contained in the application dated October 20, 2014.

The application dated October 20, 2014, requires, in part, that the licensee conducts weekly wipes in select locations

where licensed material is used and stored.

Contrary to the above, from March 17, 2017, through October 12, 2018, the licensee failed to conduct weekly wipes in

select locations where licensed material is used and stored. Specifically, on at least 30 occasions between the above

dates, the licensee failed to conduct wipes of use and storage locations, and licensed material was used, including

weeks when therapeutic quantities of 1-131 were used.

To correct the above non-compliance, the licensee RSO reviewed the requirements with the on-site CNMT, committed to

future reviews via a third-party consultants, and editing the information system NMIS to change the way the automated

reminder is generated to eliminate an identified loophole in the current system.

Licensee's Statement of Correcti ve Actions for Item 4, above.

1

I .

I hereby state that, within 30 days, the actions described by me to the inspector will be taken to correct the violations identified. This statement of

corrective actions is made in accordance with the requirements of 1OCFR 2.201 (corrective steps already taken, corrective steps which will be taken,

date when full compliance will be achieved). I understand that no further written response to NRC will be required, unless specifically requested.

Title Printed Name Signature Date

LICENSEE-'$- - - - - -- - -- -- kkassei@ahcsusa.;.~~t:~~;s~~:~om. . I / /

REPRESENTATIVE Kay Kassel, M.S., CNMT, RSO DN:cn=kkassel@ahcsusa.com 11 12 18

NRC INSPECTOR J. vonEhr *,'~~\ .,~l,=-°'< ::~n110112o,!:{'

BRANCH CHIEF James Thompson

NRG FORM 591 M PART 1 .,

D Non-Public D Sensitive - Security-Related 0 Non-Sensitive