ML18033A110

Princeton Community Hospital, NRC Form 591M Part 1, Inspection Report 03010772/2018001

ML18033A110
Person / Time
Site:	03010772
Issue date:	01/25/2018
From:	Robert Elliott NRC Region 1
To:	Princeton Community Hosp
References
IR 2018001
Download: ML18033A110 (1)

See also: IR 07200201/1980001

Text

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

J

(07-2012)*

10 CFR 2.201

SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION

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

Princeton Community Hospital

P.O. Box 1369 U.S. Nuclear Regulatory Commission

Princeton, West Virginia 24740 Region I, 2100 Renaissance Blvd, Suite 100

King of Prussia, Pennsylvania 19406-2713

REPORT NUMBER(S) 2018001

3. DOCKET NUMBER(S) 4. LICENSE NUMBER(S) , 5. DATE(S) OF INSPECTION

030-10772 1 47-16307-01 J-2-5'"-1%

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 (NRG) 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:

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

D 2. Previous violation(s) closed.

D 3. The violation(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 NRG Enforcement Policy, to

exercise discretion, were satisfied.

Non-cited violation(s) were discussed involving the following requ_irement(s) and corrective action(s):

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

cited in accordance with the NRG Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in

accordance with 1O CFR 19.11. (Violations and Corrective Actions)

Statement of Corrective Actions

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 10 CFR 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 NRG will be required, unless specifically requested.

Title Printed Name Signature Date

LICENSEE'S REPRESENTATIVE

NRCINSPECTOR Robin Elliott

BRANCH CHIEF

V

• NRC FORM 591M PART 1 (07-2012) (RI Rev. 09/12/2013) G:\WordDocs\Current\lnsp Record\R47-16307-01.2018001.591 M-Part1 .doc

SUNSI Review Completed By: IRA/ RElliott Q Public Q Non-Sensitive

This document becomes an NRC Official Agency Record once it is signed by the Branch Chief