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Machine-read from the scan, so expect some errors. Lines that couldn’t be read are left out.
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WORDEN VI RO ~ A LHEALTH FOUIVDATION This appraisal report updatea the summary appraisal report that was prepared i n October 1968 covering the fir at three years of the Hanford Environmental Health Foundation operation at Richland under Contract He. AT(45-1)-1837. This report c were the folloving funct ions within the HEMr operation: Ehvironmentdl Medicine, including Hursing Services and Mental Health Environmentdl Health Sciencca. This report l e based on day-to-day observation of the contractor ' s work, die cuss lons vith RL staff personnel, pcraonnel of other contractors a t RL, audit reports, and appraisal reports from RL e taff division. Environmental Medicine, (including administration) Nursing Gcrvicee and Mental Health Services The Foundation has continued to corr y out these functions in M excelManager, Occupational Medicine, and A. R. Adal he is Manager, Contract Administration and Finance. The summary appr a in al report for 1968 the Foundation had been exceptionally low", The problem of high turn - over for doctors ha8 apparently been resolved in that the prebent industrial medics1 doctor staff has remained intact since Decomber 29, P. A. Fuqua, M.D., has continued t o serve an Medical Two audit reports wre eu bit tad during the reporting periad. ware F7 1968 Fin an old, Accounting and Reporting and Auditor's Certlfibeen eat i of actor i ly resolved by the Foundation. from RL staff dir i rions have indicated that the Foundation's per for - mance under Contract Elo. AT(45-1)-1837 meets or exceed8 all AM: These report6 disclo8ed only minor disc rep anc ice which have
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The shut dam of the 100-C Reactor will result in the closure of the medical treatment station in 100-B Area. The nurfie has already been coverage during the reactor shutdown phase. medical treatment s tnt lons have been c6mbined under m e nurse and arc operated on day shift only. combining the other two will reduce the number of medical treatment stR t ions in the 100 Are Rs to three and the JEHF nur g in estR ff w l ll be reduced to a total of 20 nurses. The closure of the 100-I! station and Mental ii e al th Service sure provjded by a staff ~ ~ gc1i oloF is t .I!e h m continued R program of psycholoKica1 testing and counrelfnp, haped cn voluntary participation by RL cont m ctor personnel. the services of R psychiatrist who Is retained on R consultant bnsis Ile has available The Foundation ha5 continued p r i v a t e work under LJse Fermit KT( 45- 1.)-18371\. Since the last report, lIEI1F has entered into a contract with Boise CascRde Ptxrers, UxllulR, Wnshinqton fc r the performnnce of pre-employment physicnlfi. This depsrtment 1 s supervised by PrmkE. Adley. Turnover in this dep rt ment continued t o he extremely lo^. The PounARtion was successful In recruit in y ; an oc cups tion ~ l .hyyFrienist and an occ up atl on al hygiene ched gt. The occupntionR1 hpqjene chemist has riven notice and this position will again be vacant. It hRs heen a n extremely hard position Phase I of the Manciiso stud les will hr, completer1 I y June 30, 1969. These are Rtudiee t o determine the effects of low dose long-term rad ln tion to employees. for FY 1970 whereby the Foundation proposes t o incorporfltc into the existing files 6,500 J. A . Jones Constructlon CompRny personnel who were not included in F h ~ s eI. Fecauae of the nature of theS.A. Jones activity at Richland, the Foundation i s certaixi theta number of these people wlll be inthe upper end of the rad in tion exposure studies. JIEIIF hag submitted R request for fZ'g,@OO j n A Schedule 109 inthe Fmmount of $110,000 hRa been submitted The Vat ional Plutonium Reuistry operated hy the Foundntion has been very Rctjve. W. D. Norwood, M.D., former Medjcal Director of the
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Foundation, is acrving as temporary Director of the Registry. The Adviaory Board has been fully staffed and consists of the following Lloyd M. Joe hel, PhD, Oenerdl Manager, Dav Chemical Corporation, Rocky Flats, Colorado Jamce H. Sterner, M.D., University of TexRt!, School of Public I!. M. Parker, Bat tell c Memorinl Institute A plant-uide announcement concerning the cs tabl ish ment and functions of the Registry has been held up pending a review of the text of the release by AEC Headquarters. Work le continuing on promethium inhalation and in dect ion studies, moisture buildup in high efficiency filters, and filter seals. Appraisale and Audits A number of' appraisals were conducted by RL staff divisions during the reporting period, These were a s follows: Budget Division - Budget preparation and execution - FY 1969 No deficiencies were noted and the appraisal was closed out Contracts and Supply Division - Property Branch - Appr t tim l of Medic& Supplies and Equipment The report contained two rec mend at fon a : E . Schedule a physical inventory of all plant Rnd equipment as soon a~ pose ib lc and that the inventory be Oovermnent-vitneased. The Foundation replied favorably to these rtcommendntions on December 28, 1968 and the appraisal was c la aed out Janunry 3, 1969.
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Health and Safety Division - Appraisal Report of Environmental Health The report contained five recommendations: ehould be continued on a scheduled or assigned basis. b. A routine mask fitting rrogram should be initiated in FY 196P. c. An e f f o r t should be made to complete the asbestos study in EHSD ehould discontinue its routine analyflis proarm. , e. R L Contract Administration should strive to obtain neceasary fund8 to provide adequate sampling facilities at aelc'cted stacks in the 300, 200-E and 100-K Areas. The Foundation replied to these recommendations on Ilovembcr 4, 1968 m d the appraisal wa8 closed out December 5, 1968. Industrial 8afety and Fire Frotection Survey - No deficiences were noted and the appraied was closed out September 27, 1968. AEC-RL Appraisal of HEHF Operations - There vere six recammendations: n. HEHF should develop plan^ for new and improved facilities necssaitated by Kadlec Hospital long-tern plans (5 years). b. The inventory of narcotics should be standardized and procedure published In the HEHF Organization and Policy Ouide. C . D u e to the recent cutback In the number of ITT/FSS patrolmen, the opcrntions of the mbulmce function should be re-evaluated to inaure that adequate and prompt service is maintained at d. HEHF management should maintain training records on all personnel. and signs) on ambulancee t o lneure these can be readily seen vhen an mbulance is operating under emer&ency conditions. The present stretoher attachment for keeping the etretcher Wan moving when in the ambulance should be re-evaluated. f. HEHF should formulate written operating procedures for the Radioeurgery Facility and develop B positive program t o perform
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The Foundation replied to the ee recommendations on Auguat 13, 1968 and the appr air al vae closed out Auguet 30, 1968. Organizational and Personnel Division - The OrgRnizRtional and Personnel Diviaion conducted three appraia~ls. The Records Management appraisal contained eight rec mend Rtl on s as a. Immediate steps ehould be teen to brinE to current status the microfilming of medied files and eliminate t h e backlog with the extra film protection copy on reels being sent to the b. Reconsider the need for retaining current paper records for a full twv-year period for convenience of phyeician rather c.A study should be mRde of cost and method t o provide proper records and film jacket of past records) remaining inthe active file8in Room 41. The locRtion of recordn inn vault o r poesible use of fireproof file cabinet8 (questionable protection in intense fire for microfilm) should be considered further or other means developed for eafeguarding them records for reference purposes. an important con aide ration ln using heavy file equipment. The load weight on t h e floor 1s also d. Medical records should be deetroyed as soon ns the microfilm of these records has been inspected and film approved as acceptable copy. Records ahould not be stored inthe Records Center for an additional two years. e. The microfilm medicnl Jackets for terminated personnel ahould be retired to the Records Center as soon RS reference require - ments ere satisfied. f. It Is suRgested thatB records program will meet with more acceptance if the indivlduftl assigned the immediate responsibi lit y for the prop a mia formRlly introduced nnd hie mieslon explained toall employees. g. A company filing Ryatem for administrative papers should be h , Recorde which have heen loaned t o HEW by the General Electric Company ehould be returned and the loan cleared up by March 17, 1P69, while a work force ie still available i n GE t o handle the
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The Foundation h a ~replied t o these recommcndnt ion,. has not been closed out P-s of this dote. dat ions and was closed out November 11, 1968. Equal Opportunity Compliance Review Appraisal - No deficiencies ware noted in this appraisal and i t was closed out September 30, 1968. Security Division - The Security ApFrRisal containad three recommendations: a . Change the combination on the file cabinet in Room 121. as tothe catepory of documents the t they may request or accept from other on - site companies. The Foundation responded to there c me ed at ions on Fiovember 8, 1068 and the appr a is ~ lWRS closed out November 18, 1968. summary of find in u a WRS R S follows: A . We found that HEHF reduced the vacation accruttl in It and just - ment a t year end. The li nbl lit y has hcen understated ; our Accrual Account i s pot listed in the Chert of Accountb. We also noted that the Vacation b. Employee Benefits and TRxes Accrued account wa8 found t o contain payroll burden npplicnble to vacations accrued.; we adjusted this account inthe amount of $6,595, as shovn i n c. In addition to the above, Job descriptions hRve not ~ l lbeen made current to resolve the prior audit findings set forth in The Foundation responded tothe Rudit report Rnd ~ l lp oints have been satisfactorily reuolved and the audit is closed. SUMMARY AND RECOMMENDATIONS The Hanford Environmental Health Foundation hRs continued to operate in. FL superior manner and meets o r exceed8 all Commission requiremente in a13 RL contractors, and the divisions of Operational Srifety and Biolom and The contractor has mnlntained an excellent rapport with RL-AEC, There are no recommendations.