ML21118A067
| ML21118A067 | |
| Person / Time | |
|---|---|
| Site: | 03010772 |
| Issue date: | 03/04/2021 |
| From: | Robert Elliott NRC Region 1 |
| To: | Princeton Community Hosp |
| References | |
| IR 2021001 | |
| Download: ML21118A067 (1) | |
See also: IR 07200202/2010001
Text
SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION
NRC FORM 591M PART 1
U.S. NUCLEAR REGULATORY COMMISSION
(07-2012)
1. LICENSEE/LOCATION INSPECTED
2. NRC/REGIONAL OFFICE
REPORT NUMBER(s)
Princeton Community Hospital
12th Street Extension
Princeton, WV 24740
Region 1
2100 Renaissance Blvd
Suite 100
King of Prussia, PA 19406-2713
2021001
4.
LICENSE NUMBER(S)
3.
DOCKET NUMBER(S)
47-16307-01
030-10772
5. DATE(S) OF INSPECTION
03/04/2021 though
4/6/21
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:
1. Based on the inspection findings, no violations were identified.
o
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 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.
Non-cited violation(s) were discussed involving the following requirement(s):
o
o
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 NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance
with 10 CFR 19.11. (Violations and 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 NRC will be required, unless specifically requested.
TITLE
PRINTED NAME
SIGNATURE
DATE
Statement of Corrective Actions
Sherri Snead, Director of Imaging
LICENSEE'S
REPRESENTATIVE
NRC INSPECTOR
BRANCH CHIEF
NRC FORM 591M PART 1 (07/2012)
Page 1 of 1
4/7/21
Donna M. Janda
Digitally signed by Donna M.
Janda
Date: 2021.04.27 16:06:42 -04'00'