Sunshine Federal Register Notice, 11525-11526 [2011-4758]
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Federal Register / Vol. 76, No. 41 / Wednesday, March 2, 2011 / Notices
rescheduling would result in a major
inconvenience.
Dated: February 23, 2011.
Yoira Diaz-Sanabria,
Acting Chief, Reactor Safety Branch B,
Advisory Committee on Reactor Safeguards.
[FR Doc. 2011–4661 Filed 3–1–11; 8:45 am]
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Advisory Committee on Reactor
Safeguards (ACRS) Meeting of the
ACRS Subcommittee on Reliability and
Probabilistic Risk Assessment (PRA);
Notice of Meeting
The ACRS Subcommittee on
Reliability and Probabilistic Risk
Assessment (PRA), Room T–2B1, 11545
Rockville Pike, Rockville, Maryland.
The entire meeting will be open to
public attendance.
The agenda for the subject meeting
shall be as follows:
Thursday, March 24, 2011—8:30 a.m.
until 12:30 p.m.
The Subcommittee will review the
plan and schedule for developing a level
3 PRA. The Subcommittee will hear
presentations by and hold discussions
with the NRC staff and other interested
persons regarding this matter. The
Subcommittee will gather information,
analyze relevant issues and facts, and
formulate proposed positions and
actions, as appropriate, for deliberation
by the Full Committee.
Members of the public desiring to
provide oral statements and/or written
comments should notify the Designated
Federal Official (DFO), John Lai
(Telephone 301–415–5197 or E-mail:
John.Lai@nrc.gov) five days prior to the
meeting, if possible, so that appropriate
arrangements can be made. Thirty-five
hard copies of each presentation or
handout should be provided to the DFO
thirty minutes before the meeting. In
addition, one electronic copy of each
presentation should be emailed to the
DFO one day before the meeting. If an
electronic copy cannot be provided
within this timeframe, presenters
should provide the DFO with a CD
containing each presentation at least
thirty minutes before the meeting.
Electronic recordings will be permitted
only during those portions of the
meeting that are open to the public.
Detailed procedures for the conduct of
and participation in ACRS meetings
were published in the Federal Register
on October 21, 2010, (75 FR 65038–
65039).
Detailed meeting agendas and meeting
transcripts are available on the NRC
VerDate Mar<15>2010
16:34 Mar 01, 2011
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Web site at https://www.nrc.gov/readingrm/doc-collections/acrs. Information
regarding topics to be discussed,
changes to the agenda, whether the
meeting has been canceled or
rescheduled, and the time allotted to
present oral statements can be obtained
from the Web site cited above or by
contacting the identified DFO.
Moreover, in view of the possibility that
the schedule for ACRS meetings may be
adjusted by the Chairman as necessary
to facilitate the conduct of the meeting,
persons planning to attend should check
with these references if such
rescheduling would result in a major
inconvenience.
Dated: February 23, 2011.
Yoira Diaz-Sanabria,
Acting Chief, Reactor Safety Branch B,
Advisory Committee on Reactor Safeguards.
[FR Doc. 2011–4659 Filed 3–1–11; 8:45 am]
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Advisory Committee on Reactor
Safeguards (ACRS) Meeting of the
ACRS Subcommittee on U.S.
Evolutionary Power Reactor (U.S.
EPR); Notice of Meeting
The ACRS Subcommittee on U.S. EPR
will hold a meeting on March 23, 2011,
Room T–2B1, 11545 Rockville Pike,
Rockville, Maryland.
The entire meeting will be open to
public attendance.
The agenda for the subject meeting
shall be as follows: Wednesday, March
23, 2011—8:30 a.m. until 5 p.m.
The Subcommittee will continue its
review of Chapter 15 of the U.S. EPR
Document Control Design (DCD) Safety
Evaluation Report (SER) with Open
Items. The Subcommittee will hear
presentations by and hold discussions
with representatives of AREVA Inc., the
NRC staff, and other interested persons
regarding this matter. The
Subcommittee will gather information,
analyze relevant issues and facts, and
formulate proposed positions and
actions, as appropriate, for deliberation
by the Full Committee.
Members of the public desiring to
provide oral statements and/or written
comments should notify the Designated
Federal Official (DFO), Derek Widmayer
(Telephone 301–415–7366 or E-mail:
Derek.Widmayer@nrc.gov) five days
prior to the meeting, if possible, so that
appropriate arrangements can be made.
Thirty-five hard copies of each
presentation or handout should be
provided to the DFO thirty minutes
before the meeting. In addition, one
PO 00000
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Fmt 4703
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11525
electronic copy of each presentation
should be emailed to the DFO one day
before the meeting. If an electronic copy
cannot be provided within this
timeframe, presenters should provide
the DFO with a CD containing each
presentation at least thirty minutes
before the meeting. Electronic
recordings will be permitted only
during those portions of the meeting
that are open to the public. Detailed
procedures for the conduct of and
participation in ACRS meetings were
published in the Federal Register on
October 21, 2010, (75 FR 65038–65039).
Detailed meeting agendas and meeting
transcripts are available on the NRC
Web site at https://www.nrc.gov/readingrm/doc-collections/acrs. Information
regarding topics to be discussed,
changes to the agenda, whether the
meeting has been canceled or
rescheduled, and the time allotted to
present oral statements can be obtained
from the website cited above or by
contacting the identified DFO.
Moreover, in view of the possibility that
the schedule for ACRS meetings may be
adjusted by the Chairman as necessary
to facilitate the conduct of the meeting,
persons planning to attend should check
with these references if such
rescheduling would result in a major
inconvenience.
Dated: February 24, 2011.
Yoira Diaz-Sanabria,
Acting Chief, Reactor Safety Branch B,
Advisory Committee on Reactor Safeguards.
[FR Doc. 2011–4676 Filed 3–1–11; 8:45 am]
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[NRC–2011–0006]
Sunshine Federal Register Notice
Nuclear
Regulatory Commission.
DATES: Week of February 28, 2011.
PLACE: Commissioners’ Conference
Room, 11555 Rockville Pike, Rockville,
Maryland.
STATUS: Public and Closed.
AGENCY HOLDING THE MEETINGS:
ADDITIONAL ITEMS TO BE CONSIDERED
Week of February 28, 2011
Monday, February 28, 2011
2:30 p.m. Discussion of Management
Issues (Closed—Ex. 2).
*
*
*
*
*
* The schedule for Commission
meetings is subject to change on short
notice. To verify the status of meetings,
call (recording)—(301) 415–1292.
E:\FR\FM\02MRN1.SGM
02MRN1
11526
Federal Register / Vol. 76, No. 41 / Wednesday, March 2, 2011 / Notices
Contact person for more information:
Rochelle Bavol, (301) 415–1651.
*
*
*
*
*
Additional Information
By a vote of 5–0 on February 23 and
24, 2011, the Commission determined
pursuant to U.S.C. 552b(e) and
§ 9.107(a) of the Commission’s rules that
the above referenced Discussion of
Management Issues be held on February
28, 2011, with less than one week notice
to the public.
*
*
*
*
*
The NRC Commission Meeting
Schedule can be found on the Internet
at: https://www.nrc.gov/public-involve/
public-meetings/schedule.html.
*
*
*
*
*
The NRC provides reasonable
accommodation to individuals with
disabilities, where appropriate. If you
need a reasonable accommodation to
participate in these public meetings, or
need this meeting notice or the
transcript or other information from the
public meetings in another format (e.g.,
braille, large print), please notify Bill
Dosch, Chief, Work Life and Benefits
Branch, at 301–415–6200, TDD: 301–
415–2100, or by e-mail at
william.dosch@nrc.gov. Determinations
on requests for reasonable
accommodation will be made on a caseby-case basis.
*
*
*
*
*
This notice is distributed
electronically to subscribers. If you no
longer wish to receive it, or would like
to be added to the distribution, please
contact the Office of the Secretary,
Washington, DC 20555 (301–415–1969),
or send an e-mail to
darlene.wright@nrc.gov.
Dated: February 25, 2011.
Richard J. Laufer,
Technical Coordinator, Office of the
Secretary.
[FR Doc. 2011–4758 Filed 2–28–11; 4:15 pm]
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[IA–09–035; NRC–2011–0048]
In the Matter of Dr. Gary Kao; Order
Prohibiting Involvement In NRC–
Licensed Activities
I
Dr. Gary Kao has performed duties as
an authorized user at the Philadelphia
Veterans Affairs Medical Center in
Philadelphia, Pennsylvania (PVAMC).
The Department of Veterans Affairs
(VA) holds a Master Materials License
VerDate Mar<15>2010
16:34 Mar 01, 2011
Jkt 223001
(MML) Number 03–23853–01VA issued
by the U.S. Nuclear Regulatory
Commission (NRC or Commission)
pursuant to Title 10 of the Code of
Federal Regulations (10 CFR) part 30.
The PVAMC is a medical broad scope
permittee authorized by the MML to use
a variety of byproduct materials for
diagnostic and therapeutic purposes.
The therapeutic treatments include
brachytherapy iodine-125 used for
permanent prostate implants. Dr. Kao
was an approved authorized user for
brachytherapy iodine-125 used for
permanent prostate implants under the
permit.
II
On May 16, 2008, the NRC received
information that on May 5, 2008, a
potential medical event (as defined in
10 CFR 35.3045) occurred at the
PVAMC; this event report was followed
by numerous others. By October 2009,
the VA had reported to the NRC that 97
medical events involving prostate
brachytherapy occurred at the PVAMC
from February 2002 through June 2008.
The NRC determined that Dr. Kao was
the authorized physician during 91 of
the 97 reported medical events.
In addition, during the period from
December 2006 through November
2007, post-treatment dose verification,
required pursuant to 10 CFR 35.41(b)(2),
was not performed for at least 16
patients under Dr. Kao’s purview due to
computer system interface problems.
Even after the computer interface
problems were resolved, post-treatment
plans were not completed for seven
patients until December 2007.
In response to the reported medical
events, the VA National Health Physics
Program (NHPP) conducted onsite
inspections at the PVAMC on May 28
and 29, 2008, and June 24 and 25, 2008.
The VA NHPP issued an inspection
report on October 16, 2008,
documenting violations of NRC
requirements. The NHPP concluded
that, for medical events occurring
between February 25, 2002, and May 5,
2008, Dr. Kao was aware of the D90
(dose to 90 percent of the prostate
volume) doses and, in some cases, of the
seeds being implanted outside the
prostate. The NHPP determined that Dr.
Kao had adequate clinical and technical
knowledge of the patient circumstances
surrounding the medical events.
However, the NHPP concluded that Dr.
Kao did not report these circumstances
to the Radiation Safety Officer to
evaluate as possible medical events. The
NRC considered this a missed
opportunity to correct the issue,
allowing further medical events to
occur.
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On July 17, 2008, the PVAMC Director
convened an Administrative Board of
Investigation (ABI) to review the
brachytherapy program. The ABI
submitted the results of its investigation
in a memorandum to the PVAMC
Director on September 4, 2008. The ABI
report concluded that Dr. Kao was
aware of the poor and inconsistent
results from the brachytherapy
treatments, but chose not to alert senior
management or the Radiation Safety
Committee. Additionally, the ABI report
stated that Dr. Kao chose not to stop the
program when problems were identified
relating to post-treatment monitoring
and evaluation because of data
transmission issues from the radiology
department. The ABI report also noted
that Dr. Kao failed to take corrective
action for those cases found to have low
D90s or when the computerized
tomography to treatment planning
system network problem made post
implant evaluations impossible.
The NRC also responded to the
medical events being reported by
conducting onsite inspections at the
PVAMC on various dates from July 23,
2008, to October 16, 2009. The results
of the NRC inspections were
documented in NRC Special Inspection
Report 030–34325/2008–029(DNMS),
dated March 30, 2009, and NRC
Reactive Inspection Report 030–34325/
2009–001(DNMS), dated November 17,
2009. While the NRC inspection reports
did not focus on the roles of individuals
and their contributions to the issues at
the PVAMC, the NRC recognized that
Dr. Kao was the authorized user for
almost all the reported medical events.
The NRC identified that contributing
factors to the medical events included a
lack of a safety culture where safety
concerns went unreported, and a nonrigorous and informal assessment of
patient doses existed which did not
demonstrate a commitment to improve
performance. The NRC identified eight
apparent violations of NRC
requirements.
The NRC discussed these violations
with the VA at a Predecisional
Enforcement Conference conducted on
December 17, 2009. In a letter dated
January 14, 2010, the VA accepted the
violations, including the root or basic
causes identified by the VA and the
NRC.
On March 17, 2010, the NRC issued
a Notice of Violation with a $227,500
proposed civil penalty to the VA. The
Notice of Violation included two
Severity Level II violations and three
Severity Level III violations assessed a
civil penalty; and one Severity Level II
violation and two Severity Level IV
violations not assessed a civil penalty.
E:\FR\FM\02MRN1.SGM
02MRN1
Agencies
[Federal Register Volume 76, Number 41 (Wednesday, March 2, 2011)]
[Notices]
[Pages 11525-11526]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-4758]
-----------------------------------------------------------------------
NUCLEAR REGULATORTY COMMISSION
[NRC-2011-0006]
Sunshine Federal Register Notice
AGENCY HOLDING THE MEETINGS: Nuclear Regulatory Commission.
DATES: Week of February 28, 2011.
PLACE: Commissioners' Conference Room, 11555 Rockville Pike, Rockville,
Maryland.
STATUS: Public and Closed.
ADDITIONAL ITEMS TO BE CONSIDERED
Week of February 28, 2011
Monday, February 28, 2011
2:30 p.m. Discussion of Management Issues (Closed--Ex. 2).
* * * * *
* The schedule for Commission meetings is subject to change on
short notice. To verify the status of meetings, call (recording)--(301)
415-1292.
[[Page 11526]]
Contact person for more information: Rochelle Bavol, (301) 415-1651.
* * * * *
Additional Information
By a vote of 5-0 on February 23 and 24, 2011, the Commission
determined pursuant to U.S.C. 552b(e) and Sec. 9.107(a) of the
Commission's rules that the above referenced Discussion of Management
Issues be held on February 28, 2011, with less than one week notice to
the public.
* * * * *
The NRC Commission Meeting Schedule can be found on the Internet
at: https://www.nrc.gov/public-involve/public-meetings/schedule.html.
* * * * *
The NRC provides reasonable accommodation to individuals with
disabilities, where appropriate. If you need a reasonable accommodation
to participate in these public meetings, or need this meeting notice or
the transcript or other information from the public meetings in another
format (e.g., braille, large print), please notify Bill Dosch, Chief,
Work Life and Benefits Branch, at 301-415-6200, TDD: 301-415-2100, or
by e-mail at william.dosch@nrc.gov. Determinations on requests for
reasonable accommodation will be made on a case-by-case basis.
* * * * *
This notice is distributed electronically to subscribers. If you no
longer wish to receive it, or would like to be added to the
distribution, please contact the Office of the Secretary, Washington,
DC 20555 (301-415-1969), or send an e-mail to darlene.wright@nrc.gov.
Dated: February 25, 2011.
Richard J. Laufer,
Technical Coordinator, Office of the Secretary.
[FR Doc. 2011-4758 Filed 2-28-11; 4:15 pm]
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