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#REDIRECT [[IR 05000037/2019001]]
{{Adams
| number = ML19024A384
| issue date = 01/10/2019
| title = Jefferson University Radiology, NRC Form 591M Part 1, Inspection Report 15000037/2019001
| author name = Elliott R
| author affiliation = NRC/RGN-I
| addressee name =
| addressee affiliation = Jefferson Outpatient Imaging, Jefferson Univ Radiology
| docket = 15000037
| license number = PA-1416
| contact person =
| document report number = IR 2019001
| document type = Inspection Report, Safety and Compliance Inspection Record, NRC Form 591
| page count = 1
}}
See also: [[see also::IR 015000037/2019001]]
 
=Text=
{{#Wiki_filter:NRC FORM 591M PART 1                                                                                        U.S. NUCLEAR REGULATORY COMMISSION
(07-2012)'
10 CFR 2.201
                                  SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION
1. LICENSEE/LOCATION INSPECTED:                                                2. NRG/REGIONAL OFFICE
    Jefferson University Radiology
    d/b/a Jefferson Outpatient Imaging
    850 Walnut Street
                                                                                    U.S. Nuclear Regulatory Commission
    Walnut Towers, Ground Floor                                                    Region I, 2100 Renaissance Blvd, Suite 100
    Philadelphia, PA 19107                                                          King of Prussia, Pennsylvania 19406-2713
    REPORT NUMBER(S)                            2019001
3. DOCKET NUMBER(S)                                    4. LICENSE NUMBER(S)                                  5. DATE(S) OF INSPECTION
    150-00037                                      1 PA-1416                                              1January 10, 2019
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:
    '    I
    1
      x,    1. Based on the inspection findings, no violations were identified.
        '  2. Previous violation(s) closed.
        :  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 NRC Enforcement Policy, to
                exercise discretion, were satisfied.
                          Non-cited violation(s) were discussed involving the following 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 in accordance with the NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in
              accordance with 10 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 NRC will be required, unless specifically requested.
                  Title                                    Printed Name                                      Signature                          Date
  LICENSEE'S REPRESENTATIVE
          NRCINSPECTOR                    Robin Elliott
                                                                                                                                                1/10/19
            BRANCH CHIEF
                                                                                                                      {/
*NRC FORM 591M PART 1 (07-2012) (RI Rev. 09/12/2013)                    G:\WBL Documents\WBL Inspection Records\RPA-1416.2019001.591 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
}}

Latest revision as of 14:05, 2 February 2020

Jefferson University Radiology, NRC Form 591M Part 1, Inspection Report 15000037/2019001
ML19024A384
Person / Time
Site: 15000037
Issue date: 01/10/2019
From: Robert Elliott
NRC Region 1
To:
Jefferson Outpatient Imaging, Jefferson Univ Radiology
References
IR 2019001
Download: ML19024A384 (1)


See also: IR 015000037/2019001

Text

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

(07-2012)'

10 CFR 2.201

SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION

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

Jefferson University Radiology

d/b/a Jefferson Outpatient Imaging

850 Walnut Street

U.S. Nuclear Regulatory Commission

Walnut Towers, Ground Floor Region I, 2100 Renaissance Blvd, Suite 100

Philadelphia, PA 19107 King of Prussia, Pennsylvania 19406-2713

REPORT NUMBER(S) 2019001

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

150-00037 1 PA-1416 1January 10, 2019

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:

' I

1

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

' 2. Previous violation(s) closed.

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 NRC Enforcement Policy, to

exercise discretion, were satisfied.

Non-cited violation(s) were discussed involving the following 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 in accordance with the NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in

accordance with 10 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 NRC will be required, unless specifically requested.

Title Printed Name Signature Date

LICENSEE'S REPRESENTATIVE

NRCINSPECTOR Robin Elliott

1/10/19

BRANCH CHIEF

{/

  • NRC FORM 591M PART 1 (07-2012) (RI Rev. 09/12/2013) G:\WBL Documents\WBL Inspection Records\RPA-1416.2019001.591 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