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| issue date = 10/25/2018 | | issue date = 10/25/2018 | ||
| title = Diagnostic Health Center of Anchorage, LLC, - NRC Form 591M Part 1, NRC Inspection 03020372/2018001 | | title = Diagnostic Health Center of Anchorage, LLC, - NRC Form 591M Part 1, NRC Inspection 03020372/2018001 | ||
| author name = | | author name = Vonehr J | ||
| author affiliation = NRC/RGN-IV | | author affiliation = NRC/RGN-IV | ||
| addressee name = Kassel K | | addressee name = Kassel K | ||
| Line 14: | Line 14: | ||
| page count = 1 | | page count = 1 | ||
}} | }} | ||
See also: [[ | See also: [[see also::IR 07200201/1980001]] | ||
=Text= | =Text= | ||
{{#Wiki_filter:NRC FORM 591M PART 1 | {{#Wiki_filter:NRC FORM 591M PART 1 U.S. NUCLEAR REGULATORY COMMISSION | ||
(4-2008) | |||
10 CFR2.201 SAFETY INSPECTION | 10 CFR2.201 | ||
REPORT AND COMPLIANCE | SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION | ||
INSPECTION | 1. LICENSEE/LOCATION INSPECTED: 2. NRC/REGIONAL OFFICE | ||
1. LICENSEE/LOCATION | Diagnostic Health Center of Anchorage, LLC | ||
INSPECTED: | A wholly owned subsidiary of Alliance HealthCare U.S. Nuclear Regulatory Commission | ||
2. NRC/REGIONAL | Services Region IV, 1600 East Lamar Blvd | ||
4100 Lake Otis Parkway, Suite 102, Anchorage, ~K Arlington, Texas 76011-4511 | |||
Health Center of Anchorage, LLC A wholly owned subsidiary | REPORT NO.: 2018-001 | ||
of Alliance HealthCare | 3. * oocKET NUMBER 4. LICENSE NUMBER 5. OATE(S) OF INSPECTION | ||
030-20372 50-23214-01 October 25, 2018 | |||
Commission | LICENSEE: | ||
Region IV, 1600 East Lamar Blvd | The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear | ||
4100 Lake Otis Parkway, Suite 102, Anchorage, ~K REPORT NO.: 2018-001 3. *oocKET NUMBER | Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of | ||
4. LICENSE NUMBER | procedures and representative records, interviews with personnel, and observations by the inspector. The inspection findings are as follows: | ||
5. OATE(S) OF INSPECTION | D 1. Based on the inspection findings, no violations were identified. | ||
October 25, 2018 LICENSEE: | D 2. Previous violation(s) closed. | ||
The inspection | D 3. The violations(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self- | ||
was an examination | identified, non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy to exercise | ||
of the activities | discretion, were satisfied. | ||
conducted | D Non-Cited Violation(s) was/were discussed involving the followinS requirement(s) and Corrective Action(s): | ||
under your license as they relate to radiation | 4. During this inspection certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being | ||
safety and to compliance | cited. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance with 1O CFR 19.11. | ||
with the Nuclear Regulatory | License Condition 15.A of NRC Materials License 50-23214-01, Amendment No. 23, dated September 19, 2016, | ||
Commission (NRC) rules and regulations | requires, in part, that the licensee conduct its program in accordance with the statements, representations, and | ||
and the conditions | procedures contained in the documents, including any enclosures, contained in the application dated October 20, 2014. | ||
of your license. The inspection | The application dated October 20, 2014, requires, in part, that the licensee conducts weekly wipes in select locations | ||
consisted | where licensed material is used and stored. | ||
of selective | Contrary to the above, from March 17, 2017, through October 12, 2018, the licensee failed to conduct weekly wipes in | ||
examinations | 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 | |||
and representative | weeks when therapeutic quantities of 1-131 were used. | ||
records, interviews | To correct the above non-compliance, the licensee RSO reviewed the requirements with the on-site CNMT, committed to | ||
with personnel, and observations | future reviews via a third-party consultants, and editing the information system NMIS to change the way the automated | ||
by the inspector. | reminder is generated to eliminate an identified loophole in the current system. | ||
The inspection | Licensee's Statement of Correcti ve Actions for Item 4, above. | ||
findings are as follows: D | 1 | ||
findings, no violations | I . | ||
were identified. | 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 | ||
2. Previous violation(s) | corrective actions is made in accordance with the requirements of 1OCFR 2.201 (corrective steps already taken, corrective steps which will be taken, | ||
closed. 3. The violations(s), specifically | date when full compliance will be achieved). I understand that no further written response to NRC will be required, unless specifically requested. | ||
described | Title Printed Name Signature Date | ||
to you by the inspector | LICENSEE-'$- - - - - -- - -- -- kkassei@ahcsusa.;.~~t:~~;s~~:~om. . I / / | ||
as non-cited | REPRESENTATIVE Kay Kassel, M.S., CNMT, RSO DN:cn=kkassel@ahcsusa.com 11 12 18 | ||
violations, are not being cited because they were identified, non-repetitive, and corrective | NRC INSPECTOR J. vonEhr *,'~~\ .,~l,=-°'< ::~n110112o,!:{' | ||
action was or is being taken, and the remaining | BRANCH CHIEF James Thompson | ||
criteria in the NRC Enforcement | NRG FORM 591 M PART 1 ., | ||
Policy to exercise discretion, were satisfied. | D Non-Public D Sensitive - Security-Related 0 Non-Sensitive | ||
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 | |||
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 | |||
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 | |||
by me to the inspector | |||
will be taken to correct the violations | |||
identified. | |||
This statement | |||
actions is made in accordance | |||
with the requirements | |||
of | |||
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 | |||
Kay Kassel, M.S., CNMT, RSO DN:cn=kkassel@ahcsusa.com | |||
11 12 18 *,'~~\., ~l,=-°'<::~n110112o,!:{' | |||
D Sensitive | |||
-Security-Related | |||
0 Non-Sensitive | |||
}} | }} | ||
Latest revision as of 10:09, 20 October 2019
| 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)
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