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See also: [[see also::IR 05000037/2019001]]
See also: [[see also::IR 015000037/2019001]]


=Text=
=Text=
{{#Wiki_filter:NRC FORM 591M PART 1 (07-2012)'
{{#Wiki_filter:NRC FORM 591M PART 1                                                                                       U.S. NUCLEAR REGULATORY COMMISSION
U.S. NUCLEAR REGULATORY  
(07-2012)'
COMMISSION
10 CFR 2.201
10 CFR 2.201 SAFETY INSPECTION  
                                  SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION
REPORT AND COMPLIANCE  
1. LICENSEE/LOCATION INSPECTED:                                                 2. NRG/REGIONAL OFFICE
INSPECTION  
    Jefferson University Radiology
1. LICENSEE/LOCATION  
    d/b/a Jefferson Outpatient Imaging
INSPECTED:  
    850 Walnut Street
Jefferson  
                                                                                    U.S. Nuclear Regulatory Commission
University  
    Walnut Towers, Ground Floor                                                     Region I, 2100 Renaissance Blvd, Suite 100
Radiology  
    Philadelphia, PA 19107                                                         King of Prussia, Pennsylvania 19406-2713
d/b/a Jefferson  
    REPORT NUMBER(S)                             2019001
Outpatient  
3. DOCKET NUMBER(S)                                   4. LICENSE NUMBER(S)                                   5. DATE(S) OF INSPECTION
Imaging 850 Walnut Street  
    150-00037                                      1 PA-1416                                              1January 10, 2019
Walnut Towers, Ground Floor Philadelphia, PA 19107 REPORT NUMBER(S)  
LICENSEE:
3. DOCKET NUMBER(S)  
The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear
150-00037
Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of
LICENSEE:
procedures and representative records, interviews with personnel, and observations by the inspector. The inspection findings are as follows:
2. NRG/REGIONAL
    '   I
OFFICE 2019001 1 4. LICENSE NUMBER(S)  
    1
PA-1416 U.S. Nuclear Regulatory
      x,   1. Based on the inspection findings, no violations were identified.
Commission
        ' 2. Previous violation(s) closed.
Region I, 2100 Renaissance
        : 3. The violation(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self-
Blvd, Suite 100 King of Prussia, Pennsylvania
                identified, non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy, to
19406-2713
                exercise discretion, were satisfied.
1 5. DATE(S) OF INSPECTION  
                          Non-cited violation(s) were discussed involving the following requirement(s) and corrective action(s):
January 10, 2019 The inspection  
        : 4. During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being
was an examination  
              cited in accordance with the NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in
of the activities  
              accordance with 10 CFR 19.11. (Violations and Corrective Actions)
conducted  
                                                          Statement of Corrective Actions
under your license as they relate to radiation  
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
safety and to compliance  
corrective actions is made in accordance with the requirements of 10 CFR 2.201 (corrective steps already taken, corrective steps which will be taken,
with the Nuclear Regulatory  
date when full compliance will be achieved). I understand that no further written response to NRC will be required, unless specifically requested.
Commission (NRC) rules and regulations  
                  Title                                     Printed Name                                     Signature                           Date
and the conditions  
  LICENSEE'S REPRESENTATIVE
of your license. The inspection  
          NRCINSPECTOR                     Robin Elliott
consisted  
                                                                                                                                                1/10/19
of selective  
            BRANCH CHIEF
examinations  
                                                                                                                      {/
of procedures  
*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
and representative  
SUNSI Review Completed By:                   IRA/           RElliott                                             Q       Public   Q     Non-Sensitive
records, interviews  
                                This document becomes an NRC Official Agency Record once it is signed by the Branch Chief
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 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)
v • d • e


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

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