IR 07200202/2030001: Difference between revisions

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{{Adams
{{Adams
| number = ML23284A334
| number = ML23360A162
| issue date = 09/19/2023
| issue date = 12/22/2023
| title = Capital Cardiology, P.C. - NRC Forms 591M and 592M, Inspection Report 03037572/2023001 (Safety)
| title = Cadillac Castings, Inc., NRC Forms 591M and 592M, Inspection Report 03032072/2023001
| author name = Tindle-Engelmann E
| author name = Dykert J , Shirley E
| author affiliation = NRC/RGN-III/DRSS
| author affiliation = NRC/RGN-III
| addressee name = Kritzman M
| addressee name = Olson E
| addressee affiliation = Capital Cardiology, PC
| addressee affiliation = Cadillac Castings, Inc
| docket = 03037572
| docket = 03032072
| license number = 21-32677-01  
| license number = 21-26282-01
| contact person =  
| contact person =  
| document report number = IR 2023001
| document report number = IR 2023001
| document type = Inspection Report, Materials Inspection Record, NRC Form 592M
| document type = Inspection Report, Materials Inspection Record, NRC Form 592M, Safety and Compliance Inspection Record, NRC Form 591
| page count = 1
| page count = 1
}}
}}
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=Text=
=Text=
{{#Wiki_filter:NRC FORM 591M      U.S. NUCLEAR REGULATORY COMMISSION (04-2022)
{{#Wiki_filter:NRC FORM 591M      U.S. NUCLEAR REGULATORY COMMISSION (04-2022)
Materials Inspection Report 1. Licensee/Location Inspected:    2. NRC/Regional Office Capital Cardiology, P.C.
Materials Inspection Report 1. Licensee/Location Inspected:    2. NRC/Regional Office Cadillac Castings, In Region III 1500 Fourth Av U. S. Nuclear Regulatory Commission Cadillac, MI 49601    2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352 Report Number(s) 2023-001 3. Docket Number(s)  4. License Number(s)  5. Date(s) of Inspection 030-32072   21-26282-01    November 29, 2023 LICENSEE:
 
1200 E Michigan Ave.
 
Lansing, MI     Select location (Use keyboard arrows to select) . .
Report Number(s) 2023001 3. Docket Number(s)  4. License Number(s)  5. Date(s) of Inspection 03037572   21-32677-01    September 19, 2023 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:
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:
1. Based on the inspection findings, no violations were identifie . Previous violation(s) close . During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements, and were assessed at Severity Level IV, in accordance with the NRC Enforcement Polic A. 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, corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy were satisfie (Non-cited violation(s) was/were discussed involving the following requirement(s)
1. Based on the inspection findings, no violations were identifie . Previous violation(s) close . During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements, and were assessed at Severity Level IV, in accordance with the NRC Enforcement Polic A. 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, corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy were satisfie (Non-cited violation(s) was/were discussed involving the following requirement(s)
B. The following violation(s) is/are being cited in accordance with NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance with 10 CFR 19.1 (Violations and Corrective Actions)
B. The following violation(s) is/are being cited in accordance with NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance with 10 CFR 19.1 (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 NRC will be required, unless specifically requeste TITLE  PRINTED NAME    SIGNATURE AND DATE LICENSEE'S REPRESENTATIVE NRC INSPECTOR Elizabeth Tindle-Engelmann  Elizabeth D. Tindle-Engelmann Digitally signed by Elizabeth D. Tindle-Engelmann Date: 2023.09.25 10:42:53 -05'00'
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 NRC will be required, unless specifically requeste TITLE  PRINTED NAME    SIGNATURE AND DATE LICENSEE'S REPRESENTATIVE NRC INSPECTOR Jason Dykert; Earlon Shirley  Jason C. Dykert  Digitally signed by Jason C. Dykert Date: 2023.12.04 09:12:44 -07'00'
BRANCH CHIEF Rhex Edwards     Digitally signed by Rhex A. Edwards Date: 2023.10.09 08:41:59 -05'00'
BRANCH CHIEF 5KH[(GZDUGV     Digitally signed by Rhex A. Edwards Date: 2023.12.22 07:05:56 -06'00'
Add Continuation Page           Page 1 of 1
Add Continuation Page         Page 1 of 1


NRC FORM 592M      U.S. NUCLEAR REGULATORY COMMISSION (10-04-2022)
NRC FORM 592M      U.S. NUCLEAR REGULATORY COMMISSION (10-04-2022)
Materials Inspection Record 1. Licensee Name:  2. Docket Number(s):  3. License Number(s)
Materials Inspection Record 1. Licensee Name:  2. Docket Number(s):  3. License Number(s)
Capital Cardiology, . Report Number(s):    5. Date(s) of Inspection:
Cadillac Castings, In . Report Number(s):    5. Date(s) of Inspection:
2023001       September 19, 2023 6. Inspector(s):    7. Program Code(s): 8. Priority: 9. Inspection Guidance Used:
2023-001       11/29/2023 6. Inspector(s):    7. Program Code(s): 8. Priority: 9. Inspection Guidance Used:
Elizabeth Tindle-Engelmann   02201   5 87130 10. Licensee Contact Name(s):  11. Licensee E-mail Address:  12. Licensee Telephone Number(s):
Jason Dykert; Earlon Shirley   03120   5 IP 87124 10. Licensee Contact Name(s):  11. Licensee E-mail Address:  12. Licensee Telephone Number(s):
Michelle Kritzman, RSO  mkritzman@mpcphysics.com  734-662-3197 13. Inspection Type: Initial 14. Locations Inspected: Hybrid 15. Next Inspection Date (MM/DD/YYYY):
Erik Olson - RSO  eolson@cadillaccasting.com  231-779-9600 13. Inspection Type: Initial 14. Locations Inspected: Hybrid 15. Next Inspection Date (MM/DD/YYYY):
Routine Announced Main Office Field Office    Normal Extended 09/19/2028 Non-Routine Unannounced Temporary Job Site Remote    Reduced No change 16. Location(s) Inspected List:
Routine Announced Main Office Field Office    Normal Extended 11/29/2028 Non-Routine Unannounced Temporary Job Site Remote    Reduced No change 16. Location(s) Inspected List:
1200 E Michigan Ave., Lansing, MI 17. Scope and Observations:
1500 Fourth Avenue, Cadillac, MI 17. Scope and Observations:
The licensee was a medical facility with authorization for diagnostic uses of byproduct material pursuant to 10 CFR 35.200. The licensee utilized an external consultant to serve as the radiation safety officer and perform program oversight. The licensee had one full-time nuclear medicine technologist. The licensee administered approximately 10 SPECT doses per day. The department received unit doses of primarily technetium-99m from a licensed radiopharmacy.
This was an assist inspection for Region III. The last routine inspection in 2018 identified 2 SLIV violations, for failure to perform leak tests at least once every three years, and failing to perform annual audits each year. Corrective actions for these violations were reviewed during this inspection. Cadillac Castings possessed one fixed gauge, a Thermo Process Instruments 5201, for monitoring the level of raw material going into a melting furnace.
 
The inspectors interviewed the RSO and observed the installed gauge in use. Area postings were adequate, independent surveys indicated the gauge shielding was intact as area dose rates were minimal. The inspectors observed the RSO properly collect samples for leak test analysis and perform a shutter test. The inspectors reviewed records of previous leak test results, which had been completed as required since the last inspection. The RSO had a work order generated every six months to ensure physical inventory and shutter tests were performed as required. The RSO also performed audits of the program each time the work order was generated, and wrote notes on the work order form to document the audit. Both violations from 2018 are considered closed.
 
The inspectors noted that the licensee's fixed gauge had been exchanged by the manufacturer in 2011 with a generally licensed device (s/n B5414) that is still listed in GLTS under recipient code GL-60803. The licensee has kept this gauge under their specific license and covered the GL label as permitted under 10 CFR 31.5(c)(8)(iii)(B).


The inspector observed dose preparation and administration and package receipt. The licensees staff demonstrated decay in storage procedures and spill response. Interviews with licensee personnel indicated adequate knowledge of radiation safety and security concepts and procedures. The inspector reviewed the following records: area surveys, dose calibrator calibrations, dosimetry, package receipt, package return, program reviews, sealed source inventory and leak tests, spill reports, training, and waste logs.
However, the licensee is considering terminating the specific license and reverting to possessing the gauge under a general license as permitted by 10 CFR 31.5(c)(9), and would make the required report if such a transfer occurred.


Independent surveys were performed using a RadEye G (SN: 30653; calibration due: 5/9/2024). Results were consistent with the licensees survey records and postings.
The RSO stated that they would plan to coordinate any potential future efforts with Region III licensing staff.


No violations were identified as a result of this inspection.
No violations of NRC requirements were identified as a result of this inspection.


Signature and Date - Branch Chief Digitally signed by Rhex A. Edwards Date: 2023.10.09 08:41:41 -05'00'
Signature and Date - Branch Chief Digitally signed by Rhex A. Edwards Date: 2023.12.22 07:05:31 -06'00'
NRC Form 592M (10-04-2022)        Page 1 of 1
NRC Form 592M (10-04-2022)        Page 1 of 1
}}
}}

Revision as of 14:30, 5 January 2024

Cadillac Castings, Inc., NRC Forms 591M and 592M, Inspection Report 03032072/2023001
ML23360A162
Person / Time
Site: 07200202, 03010772
Issue date: 12/22/2023
From: Jason Dykert, Shirley E
NRC/RGN-III
To: Olson E
Cadillac Castings
References
IR 2023001
Download: ML23360A162 (1)


Text

NRC FORM 591M U.S. NUCLEAR REGULATORY COMMISSION (04-2022)

Materials Inspection Report 1. Licensee/Location Inspected: 2. NRC/Regional Office Cadillac Castings, In Region III 1500 Fourth Av U. S. Nuclear Regulatory Commission Cadillac, MI 49601 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352 Report Number(s) 2023-001 3. Docket Number(s) 4. License Number(s) 5. Date(s) of Inspection 030-32072 21-26282-01 November 29, 2023 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:

1. Based on the inspection findings, no violations were identifie . Previous violation(s) close . During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements, and were assessed at Severity Level IV, in accordance with the NRC Enforcement Polic A. 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, corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy were satisfie (Non-cited violation(s) was/were discussed involving the following requirement(s)

B. The following violation(s) is/are being cited in accordance with NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance with 10 CFR 19.1 (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 NRC will be required, unless specifically requeste TITLE PRINTED NAME SIGNATURE AND DATE LICENSEE'S REPRESENTATIVE NRC INSPECTOR Jason Dykert; Earlon Shirley Jason C. Dykert Digitally signed by Jason C. Dykert Date: 2023.12.04 09:12:44 -07'00'

BRANCH CHIEF 5KH[(GZDUGV Digitally signed by Rhex A. Edwards Date: 2023.12.22 07:05:56 -06'00'

Add Continuation Page Page 1 of 1

NRC FORM 592M U.S. NUCLEAR REGULATORY COMMISSION (10-04-2022)

Materials Inspection Record 1. Licensee Name: 2. Docket Number(s): 3. License Number(s)

Cadillac Castings, In . Report Number(s): 5. Date(s) of Inspection:

2023-001 11/29/2023 6. Inspector(s): 7. Program Code(s): 8. Priority: 9. Inspection Guidance Used:

Jason Dykert; Earlon Shirley 03120 5 IP 87124 10. Licensee Contact Name(s): 11. Licensee E-mail Address: 12. Licensee Telephone Number(s):

Erik Olson - RSO eolson@cadillaccasting.com 231-779-9600 13. Inspection Type: Initial 14. Locations Inspected: Hybrid 15. Next Inspection Date (MM/DD/YYYY):

Routine Announced Main Office Field Office Normal Extended 11/29/2028 Non-Routine Unannounced Temporary Job Site Remote Reduced No change 16. Location(s) Inspected List:

1500 Fourth Avenue, Cadillac, MI 17. Scope and Observations:

This was an assist inspection for Region III. The last routine inspection in 2018 identified 2 SLIV violations, for failure to perform leak tests at least once every three years, and failing to perform annual audits each year. Corrective actions for these violations were reviewed during this inspection. Cadillac Castings possessed one fixed gauge, a Thermo Process Instruments 5201, for monitoring the level of raw material going into a melting furnace.

The inspectors interviewed the RSO and observed the installed gauge in use. Area postings were adequate, independent surveys indicated the gauge shielding was intact as area dose rates were minimal. The inspectors observed the RSO properly collect samples for leak test analysis and perform a shutter test. The inspectors reviewed records of previous leak test results, which had been completed as required since the last inspection. The RSO had a work order generated every six months to ensure physical inventory and shutter tests were performed as required. The RSO also performed audits of the program each time the work order was generated, and wrote notes on the work order form to document the audit. Both violations from 2018 are considered closed.

The inspectors noted that the licensee's fixed gauge had been exchanged by the manufacturer in 2011 with a generally licensed device (s/n B5414) that is still listed in GLTS under recipient code GL-60803. The licensee has kept this gauge under their specific license and covered the GL label as permitted under 10 CFR 31.5(c)(8)(iii)(B).

However, the licensee is considering terminating the specific license and reverting to possessing the gauge under a general license as permitted by 10 CFR 31.5(c)(9), and would make the required report if such a transfer occurred.

The RSO stated that they would plan to coordinate any potential future efforts with Region III licensing staff.

No violations of NRC requirements were identified as a result of this inspection.

Signature and Date - Branch Chief Digitally signed by Rhex A. Edwards Date: 2023.12.22 07:05:31 -06'00'

NRC Form 592M (10-04-2022) Page 1 of 1