ML18033A110

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

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

See also: IR 07200201/1980001

Text

NRC FORM 591M PART 1 (07-2012)*

U.S. NUCLEAR REGULATORY

COMMISSION

10 CFR 2.201 SAFETY INSPECTION

REPORT AND COMPLIANCE

INSPECTION

1. LICENSEE/LOCATION

INSPECTED:

Princeton

Community

Hospital

P.O. Box 1369 Princeton,

West Virginia

24740 REPORT NUMBER(S)

3. DOCKET NUMBER(S)

030-10772

LICENSEE:

2. NRG/REGIONAL

OFFICE 2018001 14. LICENSE NUMBER(S)

47-16307-01

U.S. Nuclear Regulatory

Commission

Region I, 2100 Renaissance

Blvd, Suite 100 King of Prussia,

Pennsylvania

19406-2713

, 5. DATE(S) OF INSPECTION

J-2-5'"-1%

J 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: D D D 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 NRG Enforcement

Policy, to exercise

discretion,

were satisfied.

Non-cited

violation(s)

were discussed

involving

the following

requ_irement(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 NRG Enforcement

Policy. This form is a NOTICE OF VIOLATION,

which may be subject to posting in accordance

with 1 O 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