ML20133B675

Discusses Insp of License 50-17686-01 on 850822 & Forwards Notice of Violation

ML20133B675
Person / Time
Site:	03013158
Issue date:	10/01/1985
From:	Scarano R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:	Burns J BARTLETT MEMORIAL HOSP., JUNEAU, AK
Shared Package
ML20133B679	List: ML20133B675
References
NUDOCS 8510070061
Download: ML20133B675 (2)

See also: IR 05000176/1986001

Text

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- OCT 011985

License No. 50-17686-01

Bartlett Memorial Hospital

3260 Hospital Drive

Juneau, Alaska 99801 D. D

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Attention: Mr. James Burns

-Hospital Administrator

Gentlemen:

,

Subject: NRC Inspection

.

This refers to the routine safety inspection conducted by Mr. David D. Skov of

this office on August 22, 1985, of activities authorized by NRC License

No. 50-17686-01 and to the discussion of our findings held by Mr. Skov with

you and other members of your staff at the conclusion of the inspection and

also'by Messrs. James L. Montgomery and Robert D. Thomas of the Region V

office during the management meeting held on September 19, 1985.

The inspection was an examination of.the activities conducted under your

license as they relate to radiation safety and to compliance with the

Commission's rules and regulations and the conditions of your license. The

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inspection consisted of selective examinations of procedures and

representative records, interviews with personnel, and observations by the

inspector.

Based on the results of this inspection,.it appears that certain of your

activities were not conducted in full compliance with NRC requirements, as set

forth in the Notice of Violation' enclosed as Appendix A to this letter. These

items have been categorized into severity. levels as described in the NRC

Enforcement Policy, 10 CFR Part 2, Appendix C.

In addition t'o the need for corrective action regarding the specific

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violations included in Appendix A,-we,are concerned about the effectiveness of

your management control system that permitted the violations to occur. Four

apparent violations of regulatory requirements were identified which indicate

a need for improvement of management control and administration of the

radiation safety; program in preventing violations of NRC regulations. *

Consequently, in your' reply you-should describe in particular those actions

.taken or planned to improve the effectiveness of your overall management

control system.

Your response to this Notice is to be submitted in accordance with the

provisions'of 10 CFR 2.201 as stated in Appendix A, Notice of Violation.

The responses directed by this letter and the accompanying Notice are not

subject to the clearance procedures of the Office of Management and Budget as

required by the Paperwork Reduction Act of 1980, PL 96-511.

8510070061 851001

REG 5 LIC30

50-17686-01 PDR

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Bartlett Memorial Hospital -2-

If you have any questions on this matter or concerning this inspection, we

.will be glad to discuss them with you.

Sincerely,

Ross A. Scarano, Director

Division of Radiological Safety

and Safeguards

! Enclosure:

Notice of Violation

cc:

State of Alaska

bec:

RSB/ Document Control Desk (RIDS)

Mr. J. Martin

Mr. B. Faulkenberry

G. Cook

LFMB

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JMo gomery AJo son RScarano

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