ML18347A724
| 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