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{{#Wiki_filter:NRC FORM 591M PART 1 (4-2008) U.S. NUCLEAR REGULATORY  
{{#Wiki_filter:NRC FORM 591M PART 1                                                                                         U.S. NUCLEAR REGULATORY COMMISSION
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
OFFICE Diagnostic  
    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
Services U.S. Nuclear Regulatory  
                        030-20372                                            50-23214-01                                      October 25, 2018
Commission  
LICENSEE:
Region IV, 1600 East Lamar Blvd Arlington, Texas 76011-4511
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 030-20372
Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of
4. LICENSE NUMBER 50-23214-01
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
of procedures  
          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 D D 1. Based on the inspection  
                                                                                    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,=-&deg;'< ::~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 1 O 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 1 ve Actions for Item 4, above. 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 1 O 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-'$------------kkassei@ahcsusa. ;.~~t:~~;s~~:~om. . I / / REPRESENTATIVE  
Kay Kassel, M.S., CNMT, RSO DN:cn=kkassel@ahcsusa.com  
11 12 18 *,'~~\., ~l,=-&deg;'<::~n110112o,!:{'  
NRC INSPECTOR
J. vonEhr BRANCH CHIEF James Thompson NRG FORM 591 M PART 1 ., D Non-Public  
D Sensitive  
-Security-Related  
0 Non-Sensitive
}}
}}

Latest revision as of 10:09, 20 October 2019

Diagnostic Health Center of Anchorage, LLC, - NRC Form 591M Part 1, NRC Inspection 03020372/2018001
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)
v • d • e


See also: IR 07200201/1980001

Text

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

(4-2008)

10 CFR2.201

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

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