ML18347A724
| ML18347A724 | |
| Person / Time | |
|---|---|
| Site: | 03020372 |
| Issue date: | 10/25/2018 |
| From: | VonEhr J E NRC Region 4 |
| To: | Kassel K Diagnostic Health Center of Anchorage |
| References | |
| IR 2018001 | |
| Download: ML18347A724 (1) | |
See also: see also:IR 07200201/1980001
Text
NRC FORM 591M PART 1 (4-2008) U.S. NUCLEAR REGULATORY
COMMISSION
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
Services U.S. Nuclear Regulatory
Commission
Region IV, 1600 East Lamar Blvd Arlington, Texas 76011-4511
4100 Lake Otis Parkway, Suite 102, Anchorage, ~K REPORT NO.: 2018-001 3. *oocKET NUMBER 030-20372
4. LICENSE NUMBER 50-23214-01
5. OATE(S) OF INSPECTION
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 D D 1. Based on the inspection
findings, no violations
were identified.
2. Previous violation(s)
closed. 3. The violations(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.
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,=-°'<::~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