Escalated Enforcement Actions Issued to Materials Licensees - P

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This table includes a collection of significant enforcement actions (referred to as "escalated") that the NRC has issued to materials licensees.

The types of actions and their abbreviations are as follows:

  • Notice of Violation for Severity Level I, II, or III violations (NOV)
  • Notice of Violation and Proposed Imposition of Civil Penalty (NOVCP)
  • Order Imposing Civil Penalty (CPORDER)
  • Order Modifying, Suspending, or Revoking License (ORDER)

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Licensee Name and
NRC Action Number
Action Type
(Severity) &
Civil Penalty
(if any
Date Description
P4 Production, LLC, ID
EA-16-267
NOV
(SL III)
06/13/2017 On June 13, 2017, the NRC issued a Notice of Violation to P4 Production, LLC, for a Severity Level III problem for violations of three license requirements addressing fixed nuclear gauge activities that resulted in unnecessary radiation exposure to two members of the public. Specifically, on November 18, 2015, June 15, 2016, and September 27, 2016, the licensee permitted contract workers to perform fixed nuclear gauge installation and dismantling without the required training. Additionally, the source was not shielded as required and resulted in a contractor's extremity coming into contact with the radiation beam. The licensee failed to ensure that any employee or contractor who was working on or near a nuclear source complete required coordination with the plant RSO, who did not review the circumstances of the work to be performed, evaluate any exposure-related safety or health concern, or take preventative measures when dosimetry readings exceeded 2 millirem per hour.
P & W Excavating, Inc., PA
EA-97-227
NOV
(SL III)
06/17/1997 Failed to secure licensed material.
PK Associates, Inc.
dba Briggs Eng. & Testing
EA-07-166
NOV
(SL III)
08/02/2007 On August 2, 2007, a Notice of Violation was issued for a Severity Level III violation of 10 CFR 30.34(i). The violation involved the failure to maintain a minimum of two independent physical controls that formed a tangible barrier to secure a portable gauge from unauthorized removal during a period when the gauge was not under direct control or surveillance. Specifically, a Troxler portable gauge was found unattended on top of a two foot wall, adjacent to a new road construction project. The authorized user was out of the direct line of sight to the gauge, leaving the gauge unattended for approximately ten minutes.
PMK Group, Inc.
EA-04-117
NOV
(SL III)

$7,500
08/23/2004 On August 23, 2004, a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $7,500 was issued for a Severity Level III violation involving the failure to secure from unauthorized removal or access a portable moisture density gauge (containing approximately 11 millicuries of cesium-137 and 44 millicuries of americium-241) in a unrestricted area and failure to control and maintain constant surveillance of this licensed material.
Pacific Gas and Electric Company (Humboldt Bay Power Plant, Unit 3)
EA-05-166
NOV
(SL II)

$96,000
12/20/2005 On December 20, 2005, a Severity Level II Notice of Violation, with a proposed $96,000 Civil Penalty, was issued to the Pacific Gas and Electric Company as a result of the licensee's failure to: (1) keep adequate records of special nuclear material (SNM) inventory, transfer or disposal, (2) establish adequate procedures for control and accounting of SNM, and (3) conduct adequate physical inventories of SNM at the Humboldt Bay Power Plant (HBPP). PG&E's records failed to account for the whereabouts of three 18-inch fuel rod segments after they were cut from a single fuel rod in 1968. Likewise, PG&E's records failed to account for incore detectors after some were cut in 1973.
Pacific Radiopharmacy, Ltd.
EA-02-172
EA-02-246
NOVCP
(SL I)
$6,000

NOVCP
(SL III)
$3,000
03/27/2003 On March 27, 2003, a Notice of Violation and Proposed Imposition of Civil Penalties in the amount of $9,000 was issued for a Severity Level I problem and a Severity Level III violation. The Severity Level I problem (assessed a $6,000 civil penalty) involved the failure to limit the occupational dose to an individual adult to the shallow-dose equivalent of 50 rem to any extremity, and the failure to make surveys that are necessary to comply with regulations. The Severity Level III violation (assessed a $3,000 civil penalty) involved multiple examples (some that were willful) of failures to comply with the terms and conditions of the license.
Pacific Soils Engineering & Testing, Guam
EA-15-188
NOV
(SL III)
03/10/2016

On March 10, 2016, the NRC issued a Notice of Violation to Pacific Soils Engineering and Testing for a Severity Level III violation involving failure to use a minimum of two independent physical controls that form tangible barriers to secure a portable gauge from unauthorized removal, when not under the control and constant surveillance of the licensee. Specifically, on June 24, 2015, the licensee stored a portable gauge without the two independent physical controls present, when the gauge was not under its direct control and constant surveillance.

Palmerton & Parrish, Inc., MO
EA-01-218
NOVCP
(SL III)

$ 3,000
11/01/2001  On November 1, 2001, a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $3000 was issued for a Severity Level III problem involving (1) failure to maintain control of radioactive material that is in an unrestricted area and that is not in storage, (2) failure to transport a portable moisture density gauge in the required container, (3) failure to block and brace the gauge during transportation, and (4) failure to lock the gauge during transportation. Although the civil penalty would have been fully mitigated based on the normal civil penalty assessment process, a base civil penalty was assessed in accordance with Section VII.A.1.g of the Enforcement Policy to reflect the significance of maintaining the control of licensed material.
Patriot Engineering and Environmental, Inc.
EA-16-075
NOVCP
(SL III)

$ 3,500
07/12/2016 On July 12, 2016, the NRC issued a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $3,500 to Patriot Engineering and Environmental, Inc., for a Severity Level III violation of 10 CFR 20.1802 and 10 CFR 30.34(i). The violation involved the failure to secure licensed material from unauthorized removal or access, with a minimum of two independent physical controls that form tangible barriers, while the portable gauge was not in storage and not under the control and constant surveillance of the licensee. Specifically, an authorized user left a gauge unattended and unsecured, and the gauge was run over.
Patterson Wireline
EA-03-084
NOVCP
(SL III)

$ 3,000
09/09/2001 On September 9, 2003, a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $3,000 was issued for a Severity Level III problem involving the willful failures to: (1) wear personnel monitoring devices while handling licensed material and (2) placard the transport vehicle used to transport licensed material.
Patriot Engineering and Environmental, IA
EA-14-162
NOV
(SL III)

$3,500
02/04/2015 On February 4, 2015, the NRC issued a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $3,500 to Patriot Engineering and Environmental for a Severity Level III violation. Specifically, on September 4, 2014, the licensee failed to maintain control and constant surveillance or use a minimum of two independent physical controls to secure a portable gauge from unauthorized removal as required by 10 CFR 20.1802 and 30.34(i). An authorized user failed to maintain control and constant surveillance over a gauge containing licensed material and that gauge was driven over by construction equipment.
Pechiney Rolled Products, LLC, WV
EA-00-232
NOV
(SL III)
12/01/2000 A Notice of Violation for a Severity Level III problem was issued on December 1, 2000 involving: (1) failure to properly control access to licensed material contained in an Accuray Model U-6 fixed gauge, (2) failure to ensure workers were properly trained on the operation and maintenance of the gauging system, and (3) the removal and relocation of the gauge by individuals not authorized to do so.
Pennoni Associates, Inc., PA
EA-06-252
NOVCP
(SL III)
$3,250
12/21/2006 On December 21, 2006, a Notice of Violation (NOV) and Proposed Imposition of Civil Penalty in the amount of $3,250 was issued for a Severity Level III problem composed of three violations. The violations involved (1) the failure to use a minimum of two independent physical controls to secure a portable gauge from unauthorized removal when the gauge was not under the control and constant surveillance of the licensee, (2) the failure to control and maintain constant surveillance of licensed material in an unrestricted area, and (3) the failure to immediately report the loss of licensed material. Specifically, an authorized user loaned a vehicle containing NRC licensed material in a portable gauge to an unauthorized individual. Although the gauge was secured to the vehicle in its locked transport container in the rear seat of the vehicle (one barrier), the second barrier (locked door) was compromised when the authorized user gave the vehicle keys to the unauthorized individual who drove off with the vehicle. As a result, only one independent physical barrier to secure the portable gauge and prevent its unauthorized removal remained. The gauge was then left unsupervised in the public domain for approximately four days. Additionally, the NRC was not notified of the missing gauge as required.
Pennsylvania State University (The), PA
EA-96-499
NOV
(SL III)
12/30/1996 Security violations.
Pennsylvania Testing Laboratories, PA
EA-97-126
NOV
(SL III)
06/13/1997 Storage of licensed material at unauthorized location, failure to provide complete and accurate information, and various health physics violations.
Pensacola Testing Laboratories, Inc., FL
EA-96-315
NOV
(SL III)
10/23/1996 Failure to file for reciprocity for work in exclusive federal jurisdiction.
Pepperidge Farm, Inc., CT
EA-04-074
NOVCP
(SL III)

$7,500
06/21/2004 On June 21, 2004, a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $7,500 was issued for a Severity Level III violation involving the inappropriate transfer of a generally-licensed device containing approximately 36 millicuries of cesium-137 to a person (a salvage yard and then to a metal recycling center) not authorized to receive the device. Although the civil penalty would have been fully mitigated based on the normal civil penalty assessment process, a base civil penalty was assessed in accordance with Section VII.A.1.g of the Enforcement Policy to reflect the significance of maintaining control of licensed material.
Perf-O-Log, Inc., LA
EA-01-060
NOV
(SL III)
04/10/2001 On April 10, 2001, a Notice of Violation was issued for a Severity Level III violation based on Perf-O-Log, Inc., a State of Louisiana Licensee, conducting well logging operations using americium-241/beryllium sealed sources in offshore waters without filing a Form 241, "Report of Proposed Activities in Non-Agreement State," with the NRC.
Philadelphia Health and Education Corp., PA
EA-99-096
NOV
(SL III)
05/11/1999 Unauthorized use of licensed material.
Phoenix Federal No. 2 Mining, LLC
EA-23-068
 
NOVCP (SL III) $9,000 03/14/2024 On March 14, 2024, the NRC issued a notice of violation and proposed imposition of a civil penalty in the amount of $9,000 to Phoenix Federal No. 2 Mining, LLC (Phoenix) for a Severity Level (SL) III violation. Specifically, Phoenix acquired, owned, and possessed byproduct material that was not authorized in a specific or general license as required by Title 10 of the Code of Federal Regulations (10 CFR) 30.3.
PK Associates, Inc.
dba Briggs Engineering & Testing
EA-07-166
NOV
(SL III)
08/02/2007 On August 2, 2007, a Notice of Violation was issued for a Severity Level III violation of 10 CFR 30.34(i). The violation involved the failure to maintain a minimum of two independent physical controls that formed a tangible barrier to secure a portable gauge from unauthorized removal during a period when the gauge was not under direct control or surveillance. Specifically, a Troxler portable gauge was found unattended on top of a two foot wall, adjacent to a new road construction project. The authorized user was out of the direct line of sight to the gauge, leaving the gauge unattended for approximately ten minutes.
Plaza Nuclear Imaging
EA-02-131
NOVCP
(SL III)

$3,000
09/11/2002 On September 11, 2002, a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $3,000 was issued for a Severity Level III problem involving the willful failure to detect radioactive contamination, the failure to survey for removable contamination, the failure to test sealed sources for leakage, and the failure to monitor the external surfaces of incoming labeled packages for radioactive contamination.
Plus, LLC
EA-13-190
NOVCP
(SL III)

$21,000
08/08/2016 On August 8, 2016, the NRC issued an Order Imposing Civil Monetary Penalty to Plus, LLC (Plus) in the amount of $21,000. On May 3, 2016, a Notice of Violation and Proposed Imposition of Civil Penalty (Notice) in the amount of $42,000 was issued to Plus, LLC, for three willful Severity Level III violations. The violations involved Plus's failure to have NRC licenses to distribute, possess, and import byproduct materials. Plus requested mitigation of significance of the violations, and the proposed civil penalty amount because of its small entity classification status. After considering Plus's response, the NRC decided to retain the significance of the violations as stated in the Notice and to reduce the civil penalty amount to $21,000.
Plus, LLC
EA-13-190
NOVCP
(SL III)

$42,000
05/03/2016 On May 3, 2016, the NRC issued a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $42,000 to Plus, LLC for three willful Severity Level III violations. The violations involved: (1) distribution of material to unlicensed persons without an NRC license to distribute in accordance with 10 CFR 32.14; (2) possession of material prior to obtaining an NRC license pursuant to 10 CFR 30.3; and (3) importing byproduct material into the United States without first obtaining a general or specific license in accordance with 10 CFR Part 110. Specifically, between February 23, 2013 and February 2015, Plus, LLC initially transferred for sale or distribution, approximately 1827 tritium watches containing byproduct material to unlicensed persons without obtaining a specific license pursuant to 10 CFR 32.14 authorizing such transfers. Between February 23, 2013 and September 7, 2014, and from January 26, 2015 to April 23, 2015, Plus, LLC possessed approximately 1717 watches containing tritium, without having the required NRC license. Between February 23, 2013 and September 7, 2014, Plus, LLC imported approximately 1942 watches into the United States manufactured in Switzerland, without having a possession license or without having a specific import license from the NRC.
Pocatello Regional Medical Center, ID
EA-99-332
NOV
(SL III)
03/03/2000 On March 3, 2000, a Notice of Violation was issued for a Severity Level III problem involving (1) failure to secure a generator from unauthorized removal as it was stored in an unrestricted area, (2) failure to limit the external dose from a generator temporarily stored in an unrestricted area to 2 millirem in any one hour, (3) failure to provide the NRC with a written report within 30 days of an incident involving radiation levels in an unrestricted areas exceeding 10 times the limit contained in 10 CFR 20.1301 in the hallway, and (4) failure to conduct adequate surveys to monitor for personnel exposures and to evaluate potential contamination on facilities and equipment and any associated radiological hazards caused by the incident.
Portland General Electric Company, OR
(Trojan Nuclear Plant)
EA-01-278
NOV
(SL III)
08/06/2002 On August 6, 2002, a Notice of Violation was issued for a Severity Level III problem involving the submittal of inaccurate information to the NRC in support of an application for a specific license under 10 CFR 72 and the failure to establish measures to control a multi-assembly sealed basket that did not conform to the licensee's design basis.
Power Inspection, Inc., PA
EA-95-025
NOVCP
(SL III)

$40,000
02/18/1997 The Severity Level I violation, which involves vendor-related issues, is being issued for four examples of a deliberate failure to provide to two NRC licensees complete and accurate information. The Severity Level I problem, which involves radiography-related issues, is being issued for deliberate failures to provide the NRC complete and accurate information and for numerous safety violations.
CPORDER
$40,000
02/03/1998
Power Inspection, Inc., WY
EA-97-218
NOV
(SL III)
07/29/1997 Multiple violations involving engineering controls, surveys, license condition regarding operating procedures, information accuracy and reports.
Power Resources, Inc., WY
EA-16-051
ORDER 09/30/2016 On September 30, 2016, the NRC issued a Confirmatory Order to Power Resources, Inc., confirming commitments reached as a result of an alternative dispute resolution mediation session agreement addressing apparent violations identified through an investigation. The investigation identified (1) a failure to comply with 10 CFR 20.1501 requirements when the licensee did not ensure that a member of the health physics department performed a free-release contamination survey of equipment, and (2) a deliberate failure by the operations supervisor to maintain complete and accurate records of contamination exit surveys, contrary to the requirements in 10 CFR 40.9, "Completeness and accuracy of information." Specifically, the operations supervisor filled out monitoring logs to indicate that personnel contamination surveys were performed on two contractors when the surveys were not performed. The licensee has agreed to complete the following actions: (1) conduct an annual meeting with licensee management and the licensee's radiation safety office representatives, to discuss performance and compliance indicators, health physics issues, and operational safety; and (2) revise its initial and annual employee refresher training for employees involved in NRC-regulated activities to emphasize the importance of providing complete and accurate information to the NRC, individual accountability, and the possibility of individual enforcement actions for willful failure to comply with NRC requirements. In consideration of these and other commitments from the licensee, the NRC agreed to not to pursue further enforcement action based on the apparent violations identified.
Precision Testing and Inspection, VA
EA-03-220
NOVCP
(SL III)

$3,000
02/25/2004 On February 25, 2004, a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $3,000 was issued for a Severity Level III willful problem involving the failure to post radiation areas during radiography operations and failure to provide accurate information to the NRC.
Prein & Newhof
EA-17-201
NOV
(SL III)
03/16/2018 On March 16, 2018, the NRC issued a Notice of Violation to Prein & Newhof Inc., for a Severity Level III violation. The violation involved a failure to use two independent physical controls that form tangible barriers to secure a portable gauge from unauthorized removal as required by 10 CFR 30.34(i). Specifically, on multiple occasions between November 9, 2017, and November 17, 2017, the licensee left portable gauges in two different vehicles, each with only one physical control to prevent unauthorized removal when the gauges were not under the control and constant surveillance of the licensee.
Premier Technology, Inc., ID
EA-16-191
NOVCP
(SL III)
03/31/2017 On March 31, 2017, the NRC issued a Notice of Violation to Premier Technology, Inc. for a Severity Level III violation for failure to implement 10 CFR 34.47(a) and 34.47(g)(2). Specifically, 10 CFR 34.47(a) requires, in part, that a licensee may not permit any individual to act as a radiographer or radiographer's assistant, unless at all times during the radiographic operations, each individual wears, on the trunk of his body, a direct reading dosimeter, an operating alarm ratemeter, and a personnel dosimeter. On May 18, 2015, licensee personnel performing radiographic operations removed the alarm ratemeter from the trunk of their body because they assumed they could use the ratemeter to fulfil the radiation survey requirements of 10 CFR 34.49. The licensee also failed to implement the requirements of 10 CFR 34.47(g)(2) in part, when one of the same alarm ratemeters was set to give an alarm at a present dose rate of 100 millisieverts/hour instead of the required setting at 5 millisieverts/hour.
Prime NDT Services, Inc., MI
EA-23-089
      
NOV
(SL III)
11/15/2023 On November 15, 2023, the NRC issued a Notice of Violation (Notice) for a severity level (SL) III violation to Prime NDT Services, Inc. (licensee). The violation occurred between February 9, 2022, and February 16, 2023, when the licensee did not complete and submit a National Source Tracking Transaction Report for three sources received under its NRC Radioactive Materials License from its State of Ohio Radioactive Materials License, as required by Title 10 of the Code of Federal Regulations (10 CFR) 20.2207(c). Specifically, the licensee received nationally tracked sources under its NRC license for extended interim storage at a facility in Mount Pleasant, Michigan on February 9, 2022, October 9, 2022, and December 21, 2022, and did not complete a Transaction Report for these transfers. The Notice also included one SL-IV violation.
Prime NDT Services, Inc., OH
EA-18-131
ORDER 04/01/2019 On April 1, 2019, the NRC issued a Confirmatory Order (CO) to Prime NDT Services, Inc. (Prime NDT), memorializing commitments reached during an ADR mediation session held on January 10, 2019. The ADR mediation session was associated with apparent violation(s) of NRC requirements for one or more security-related violations associated with theft of a vehicle transporting licensed material. Prime NDT agreed to pay the civil penalty of $3,500 for the apparent violation(s) and take several actions that will be incorporated into its license and address items to prevent recurrence of the violation(s) as well as actions to enhance management oversight, initial and continued training, and external communications. In consideration of these commitments, the NRC agreed to describe the violations as being neither escalated or nonescalated in the CO.
Professional Service Industries, Inc., MI
EA-96-490
NOV
(SL III)
02/28/1997 The action was based on a violation where the licensee did not secure from unauthorized removal or limit access to a Campbell Pacific Nuclear moisture/density gauge containing NRC-licensed material (nominally 10 millicuries (370 Mbq) of cesium-137 and nominally 50 millicuries (1850 Mbq) of americium-241 in sealed sources) at a construction site in Detroit, Michigan, an unrestricted area, nor did the licensee control and maintain constant surveillance of this licensed material.
Professional Service Industries, Inc., VA
EA-97-093
NOV
(SL III)
05/22/1997 Allowed technicians to use moisture density gauges without proper training.
Professional Service Industries, Inc., IL
EA-10-161
ORDER 08/18/2011 On August 18, 2011, the NRC issued an Immediately Effective Confirmatory Order to Professional Service Industries, Inc., confirming commitments reached as part of an alternative dispute resolution (ADR) mediation settlement agreement. The NRC identified eight apparent safety violations as well as apparent security-related violations involving the performance of industrial radiography in the Rock Springs, Wyoming, area. In addition, the NRC indicated that willfulness on the part of an office manager and a radiographer appeared to have been a factor in two of the apparent violations. PSI made no admission that they deliberately violated any NRC requirement. As part of the agreement, PSI agreed to take several corrective actions involving increased management oversight and individual accountability including, but not limited to: (1) developing and implementing a disciplinary program managed by the corporate staff that provides a graded approach for radiation safety and security infractions; (2) enhanced routine and refresher training for staff; (3) annual safety culture training for Radiation Safety Officers; (4) enhanced annual audits of the Radiation Safety Program; and (5) advance notification if PSI will be working in NRC jurisdiction under reciprocity. PSI also agreed that a Confirmatory Order with a Notice of Violation and $15,000 civil penalty would be issued in order to avoid further action by the NRC. Prior to any enforcement action by the NRC, the licensee voluntarily terminated its NRC license for radiography but maintains Agreement State licenses for radiography and an NRC license for other non-radiographic, regulated activities.
Professional Service Industries, Inc., IL
EA-99-194
NOVCP
(SL II)

$ 8,800
10/22/1999 Violations involving failures to 1) conduct radiography with at least two qualified individuals to observe operations; 2) supervise a radiographic assistant while performing radiographic operations; and 3) maintain control and constant surveillance of licensed material that was in an unrestricted area.
Professional Service Industries, Inc., IL
EA-97-373
NOV
(SL III)
11/05/1997 Numerous radiography violations.
Professional Testing & Inspection,
EA-18-060
NOV
(SL III)
10/25/2018 On October 25, 2018, the NRC issued an SLIII problem to Professional Testing& Inspection for (1) a failure to provide complete and accurate information to the NRC; and (2) the possession of byproduct material prior to applying for and receiving an NRC-specific license to possess the material. Specifically, from April 10 through November 24, 2015, information provided to the Commission by an applicant for a license was not complete and accurate in all material respects. The statements provided in the application for an NRC-specific license and during an on-site pre-licensing visit did not disclose that Professional Testing & Inspection, the license applicant, was in possession of byproduct material without a current or valid license. Professional Testing & Inspection possessed and used radium-226 gauges and failed to obtain the required license within 12 months of August 7, 2009.
ProTechnics Division of Core Laboratories, LP, TX
EA-23-039
ORDER 11/28/2023 On November 28, 2023, the NRC issued a Confirmatory Order (Order) to ProTechnics Division of Core Laboratories, LP (ProTechnics, licensee) memorializing commitments reached as part of an alternative dispute resolution (ADR) mediation session held on October 11, 2023, between the licensee and the Nuclear Regulatory Commission (NRC). The ADR mediation and subsequent Order were based on the results of an inspection during which six apparent violations were identified and that were being considered for escalated enforcement action in accordance with the NRC Enforcement Policy. In consideration of the corrective actions taken by the licensee and the commitments outlined in the Order, the NRC is satisfied that its concerns will be adequately addressed based on the legally binding commitments that ProTechnics will implement consistent with Order requirements. Accordingly, the NRC agrees not to issue a notice of violation and not impose a civil penalty for the apparent violations.

Providence Alaska Medical Center
AL
EA-18-133

NOVCP
(SL III)

$14,500
02/21/2019 On February 21, 2019, the NRC issued a Notice of Violation and Proposed Imposition Civil Penalty in the amount of $14,500 to Providence Alaska Medical Center (PAMC) for a Severity Level III problem associated with two related occupational radiation monitoring and dose assessment violations. The violations involved the licensee’s failure to (1) monitor occupational exposure of workers from licensed and unlicensed sources of radiation and account for external employment for purposes of occupation dose in accordance with Title 10 of the Code of Federal Regulations (10 CFR) 20.1502(a)(1) and 10 CFR 20.1201(f); and (2) implement a radiation protection program commensurate with the scope and extent of licensed activities in accordance with 10 CFR 20.1101(a). Specifically, prior to August 2018, the PAMC failed to properly monitor personnel exposures, resulting in three contract occupational workers potentially exceeding the 10 CFR 20.1201(a) annual limit. PAMC also failed to implement elements of its radiation protection program to review and evaluate abnormal radiation exposure reports, investigate exposure reports with results over licensee-set administrative limits, develop recommendations to management for corrective action, and implement effective corrective actions to restore compliance.

Providence Alaska Medical Center
AL
EA-17-182

NOVCP
(SL II)

$11,600
04/24/2018 On April 24, 2018, the NRC issued a Notice of Violation and Proposed Imposition of Civil Penalty in the amount of $11,600 to Providence Alaska Medical Center for three violations:  failure to have a written directive dated and signed by an authorized user before administering therapeutic doses of radiation (10 CFR 35.40 (a)), failure to develop, implement, and maintain written procedures to provide high confidence that each administration is in accordance with the written directive (10 CFR 35.41(a)), and failure to follow procedures specified on the license, including training (License Condition 18 of NRC License Number 50-17838-01).  These violations are cited as a combined Severity Level II problem.  Specifically, from January 1, 2015 to June 27, 2017, the licensee failed to have the written directives dated and signed for approximately 40 therapeutic doses of yttrium-90 microspheres.  During the same time period, the licensee also failed to develop its procedure to assure that the written directive was followed:  failure to verify that ordered and received doses matched those planned; and failure of the medical physicist to review the written directive, dose calculations, and to provide direction regarding doses ordered.  Additionally, from October 28, 2016 to June 27, 2017, the licensee failed to provide training on its yttrium-90 microspheres procedure to its staff, including staff that ordered and prepared doses of the yttrium-90 microspheres.  These failures are associated with the medical event (10 CFR 35.2) that occurred when the licensee administered yttrium-90 microspheres to a patient liver in the amount of 54,000 centigray (cGy; rad) instead of the prescribed dose of 11,000 centigray (cGy; rad).
Providence Hospital,
DC
EA-01-157
NOV
(SL III)
03/27/2002 On March 22, 2002, a Notice of Violation was issued for a Severity Level III problem based on multiple failures involving the licensee's quality management program for the strontium-90 eye applicator program that resulted in 14 misadministrations.
Providence Hospital,
MI
EA-11-037
NOV
(SL III)
05/17/2011 On May 17, 2011, the NRC issued a Notice of Violation to Providence Hospital for a Severity Level III violation involving the failure to develop written procedures to provide high confidence that each administration was in accordance with the written directive as required by 10 CFR 35.41(a). Specifically, as of August 30, 2010, the licensee's brachytherapy procedure did not provide high confidence that the needles would be inserted to the right depth as the licensee did not require the use of available means such as biological or needle markers.

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Page Last Reviewed/Updated Thursday, April 04, 2024