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Sanctions for Non-Compliance

Following the 1993 U.S. Nuclear Regulatory Commission inspection of MSU, the University was directed to design and implement a plan for categorizing and responding to instances of noncompliance with NRC regulations that are identified in the inspections conducted by the ORCBS. This consisted of assigning "severity levels" to violations, and levying sanctions for laboratories found in noncompliance.

During inspections, noncompliance with requirements may be identified. A report is sent to the principal investigator following the survey, detailing the results of the inspection, and explaining what corrective actions are required within the radioisotope use area. If the problems are corrected, no further actions will be required. If the problems are not corrected, a Notice of Violation may be sent to the principal investigator, and may require further corrective actions and/or documentation.

Violations are classified in five severity levels based on NRC definitions. The most severe is a level I violation, which could result in a researcher losing the privilege to use radioactive material, and the least severe is a level V. If violations are found, actions that may be taken are geared to these severity levels. A given instance of noncompliance may result in multiple actions, depending on specific circumstances, whether the incident is an isolated occurrence or is part of a repetitive pattern, etc.

The severity levels for violations are derived from NRC regulations and from MSU's recent safety history. For example, proper labeling of radioisotope work and storage areas, stock solutions and waste containers, has been a long-running concern at the University, hence appears as a relatively severe level III violation.

The Notice of Violation is also intended to identify severity levels, assign sanctions and document that instructions were given concerning violations found. It is to be reviewed by the principal investigator, signed and placed with the radiation safety records for the laboratory.

The sanction system was activated during the last survey period of 1993. Due to feed-back from researchers, changing regulatory issues and experience gained in practice, the system may change to better reflect the degree of severity for violations. This means that additional flexibility may be added to some areas, while others may become more restrictive.

SEVERITY LEVEL CATEGORIES FOR RADIATION SAFETY VIOLATIONS

Implemented November, 1993

Severity Level I: This is the highest severity level, and results from violations which cause immediate risk or danger to safety, health, release to the environment of reportable quantities, doses of substantial amounts to humans, or place the NRC license in jeopardy (i.e., an incident reportable to NRC).

Severity Level II: Not as serious as Level I, but also presents any of the above risks or threats to health, safety, the environment or licenses.

Severity Level III: A serious violation, but does not present immediate risk to health, safety, the environment or the license.

Severity Level IV: A violation, but not serious. Poses little risk to health, safety, environment or license.

Severity Level V: A minor violation; typically something in lesser technical matters, such as record keeping errors of minor impact. Poses no immediate risk to health, safety, environment or license, but is a compliance issue which may lead to increased concerns or is a minor technical violation.

Note: Any violation, when seen repeatedly, may be escalated to a higher severity level. Repeat violations can be interpreted as a disregard for safety regulations and must be dealt with quickly and effectively to avoid undue risks of exposure or jeopardization of the NRC broad license.

SANCTION ACTIONS FOR NONCOMPLIANCES IN RADIATION SAFETY

Implemented November, 1993

Severity Level Possible Resulting Action
I - V Violations noted on ORCBS surveys and sent to PI. All violations handled this way.
I - V Written corrections required of PI and maintained in laboratory record books for review.
IV, V Health physicist contacts principal investigator and discusses problem(s) and correction.
I - V Require that involved personnel attend safety class again.
I - V Increase ORCBS surveillance.
I - V Increased surveillance required of laboratory staff.
I - V Letter to principal investigator from health physicist.
I, II Letter to principal investigator from Radiation Safety Officer; response is required in writing.
I-III Place restrictions on individual(s) causing non-compliances.
I-III Suspend shipments of radioactive materials to principal investigator.
I, II Require principal investigator to appear before committee.
I, II Decrease scope or limits of radioactive materials approval.
I, II Require principal investigator to reapply for radioisotope use.
I, II Confiscate radioactive materials in possession of principal investigator.
I Permanently terminate approval to use radioactive materials.

SEVERITY LEVELS FOR VIOLATIONS FOUND IN
RADIATION SAFETY INSPECTIONS

November, 1993

Severity Level No. Compliance Requirement
V 1. NRC "Notice To Employees" and "Licensing and Regulation Information" are posted.
I - III 2. Radioactive materials are under the constant surveillance and immediate control of licensee, or otherwise secured to prevent tampering or unauthorized removal.
I - III 3. Radiation users are adequately trained for the functions performed.
I - III 4. Surveyed areas are free of contamination.
I - IV 5. Laboratory equipment is functional and is used correctly.
III - V 6. Laboratory radiation surveys are accurate and frequency is appropriate.
I - IV 7. Food and other consumable items are not present in the radioisotope and chemical use/storage areas.
I - V 8. Radioisotope work and storage areas and equipment are labeled adequately.
I - IV 9. Radioisotope sources/stock solutions are labeled adequately.
I - III 10. Radioactive waste is manifested on both sides of the tag, secondary containment for liquids.
I - V 11. Shielding is adequate (material, thickness, positioning).
I - V 12. Dosimeters, if assigned, and appropriate protective equipment are used during radioisotope handling.
I - V 13. Fume hoods are used properly (sash setting, uncluttered, rated for radioisotope use).

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