[Federal Register Volume 74, Number 234 (Tuesday, December 8, 2009)]
[Pages 64755-64757]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-29201]

[[Page 64755]]




Cedric Fernando, M.D.; Confirmatory Order (Effective Immediately)


    Cedric Fernando, M.D., is a licensed physician who provides 
physician services to Nuclear Fuel Services, Inc. (NFS or Licensee) and 
is the Medical Review Officer for NFS. The Licensee is the holder of 
Special Nuclear Materials License No. SNM-124 issued by the Nuclear 
Regulatory Commission (NRC or Commission) pursuant to 10 CFR part 70 on 
July 2, 1999. The license authorizes the operation of the NFS facility 
in accordance with the conditions specified therein. The facility is 
located on the Licensee's site in Erwin, Tennessee.
    This Confirmatory Order is the result of an agreement reached 
during an Alternative Dispute Resolution (ADR) mediation session 
conducted on May 15, 2009.


    On October 21, 2008, the NRC's Office of Investigations (OI) 
initiated a review of an October 2007 incident that occurred at the 
Licensee's facility in which the hearing test portion of a medical 
examination was not administered to two security officers. Dr. Cedric 
Fernando was providing physician services for a contractor to NFS at 
the time, and was involved in certifying that security officers were 
medically qualified per medical standards.
    Based on the evidence developed during the investigation, the NRC 
staff identified two apparent violations of 10 CFR 70.10, as summarized 
    (1) On October 19, 2007, Dr. Fernando signed two Security Medical 
Examination forms certifying that the named security officers were 
medically qualified per medical standards when, in fact, the security 
officers had not been administered the hearing test portion of the 
medical examination.
    (2) Dr. Fernando submitted to the NFS security office the signed 
but incomplete Security Medical Examination forms indicating that the 
two security officers were medically qualified per medical standards 
when, in fact, the security officers had not been administered the 
hearing test portion of the medical examination.


    On May 15, 2009, the NRC and Dr. Fernando met in an ADR session 
mediated by a professional mediator, which was arranged through Cornell 
University's Institute on Conflict Resolution. ADR is a process in 
which a neutral mediator with no decision-making authority assists the 
parties in reaching an agreement or resolving any differences regarding 
their dispute. This confirmatory order is issued pursuant to the 
agreement reached during the ADR process. The elements of the agreement 
consist of the following:
    (1) Dr. Fernando admits that he signed the two incomplete Security 
Medical Examination forms and allowed them to be submitted to NFS's 
security office. He stated that he made a mistake in signing the forms, 
and denies that he engaged in any deliberate misconduct. On the day in 
question, the hearing test technician was unexpectedly absent and no 
backup was available. Dr. Fernando completed the remaining portions of 
the physical exams, including an examination of their ears. Dr. 
Fernando stated that, at the time of the physical exam, he had no 
reason to believe that either individual had any hearing problems. Dr. 
Fernando signed the forms and instructed his assistant to notify the 
NFS security office that the individuals needed to return to complete 
the tests. Dr. Fernando's assistant repeatedly attempted to reschedule 
the tests, but was unsuccessful. In February 2008, upon discovering 
that the hearing tests had not been performed, Dr. Fernando instructed 
his assistant to immediately schedule the hearing tests. The hearing 
tests were completed on or about the next day, and both individuals had 
impeccable hearing.
    (2) At the ADR session, Dr. Fernando expressed and re-emphasized 
his commitment and willingness to comply with all NRC regulations, 
including providing complete and accurate information. To this end, Dr. 
Fernando agrees and is committed to the actions set forth in Section V 
    (3) In consideration of Dr. Fernando's commitments as set forth in 
Section V, NRC agrees not to pursue action with respect to Dr. Fernando 
for those matters referred to in Section II above, with the exception 
of the NRC's confirmation of completion of the actions discussed in the 
Confirmatory Order.
    (4) Dr. Fernando agrees that the elements discussed in Section V 
will be incorporated into a Confirmatory Order, and agrees to waive the 
right to request a hearing regarding all or any part of this 
Confirmatory Order.


    Since Dr. Fernando agreed to take the actions as set forth in 
Section V, the NRC has concluded its concerns can be resolved through 
issuance of this Order.
    I find that Dr. Fernando's commitments as set forth in Section V 
are acceptable and necessary and conclude that with these commitments 
the public health and safety and common defense and security are 
reasonably assured. In view of the foregoing, I have determined that 
public health and safety require that Dr. Fernando's commitments be 
confirmed by this Order. Based on the above and Dr. Fernando's consent, 
this Order is immediately effective upon issuance.


    Accordingly, pursuant to Sections 51, 53, 161b, 161i, 161o, 182 and 
186 of the Atomic Energy Act of 1954, as amended, and the Commission's 
regulations in 10 CFR 2.202 and 10 CFR part 70, It is hereby ordered, 
effective immediately, that:
    (1) Dr. Fernando will ensure that an independent assessment (such 
as an NFS ``Tap Root'' investigation) is conducted into the 
circumstances that led to the incident, to identify root and 
contributing causes. The NRC acknowledges corrective actions and 
enhancements completed by Dr. Fernando regarding the training of staff 
and the development of a process to ensure that all medical-related 
testing and examinations would be completed prior to the authorizing 
signatures of a Certified Medical Assistant and the attending 
    (2) Based on the above assessment, Dr. Fernando will develop 
lessons learned, and if indicated, implement additional corrective 
actions from the assessment.
    (3) Dr. Fernando and a physician engaged in NRC-regulated 
activities will meet at least quarterly to review unique or noteworthy 
issues relevant to compliance with NRC regulations. In addition, Dr. 
Fernando will initiate a one time, mutual review of processes and 
procedures with his Babcock and Wilcox Nuclear Owners Group (B&W NOG) 
    (4) Dr. Fernando will take a course certified for continuing 
medical education credit that addresses best practices for 
administrative office procedures and record keeping.
    (5) Dr. Fernando will communicate lessons learned and experiences 
as a result of this incident to an appropriate audience (e.g., industry 
peers, NFS Safety Culture Oversight Group).
    (6) Dr. Fernando agrees that actions listed in Section V.1-5 above 
will begin

[[Page 64756]]

within 30 days of the NRC's issuance of the Confirmatory Order, and 
will be completed no later than one year from the NRC's issuance of a 
Confirmatory Order.
    (7) Upon completion of all of the actions identified in Section 
V.1-6 above, Dr. Fernando will submit a letter within 30 days to the 
NRC advising of their completion. The letter will include details so as 
to allow the NRC to confirm completion of such activities.
    The Regional Administrator, NRC Region II, may relax or rescind, in 
writing, any of the above conditions upon a showing by Dr. Fernando of 
good cause.


    Any person adversely affected by this Confirmatory Order, other 
than Dr. Fernando, may request a hearing within 20 days of its 
publication in the Federal Register. Where good cause is shown, 
consideration will be given to extending the time to request a hearing. 
A request for extension of time must be directed to the Director, 
Office of Enforcement, U.S. Nuclear Regulatory Commission, Washington, 
DC 20555-0001, and include a statement of good cause for the extension.
    If a person other than Dr. Fernando requests a hearing, that person 
shall set forth with particularity the manner in which his interest is 
adversely affected by this Order and shall address the criteria set 
forth in 10 CFR 2.309(d) and (f).
    If a hearing is requested by a person whose interest is adversely 
affected, the Commission will issue an Order designating the time and 
place of any hearing. If a hearing is held, the issue to be considered 
at such hearing shall be whether this Confirmatory Order should be 
    All documents filed in NRC adjudicatory proceedings, including a 
request for hearing, a petition for leave to intervene, any motion or 
other document filed in the proceeding prior to the submission of a 
request for hearing or petition to intervene, and documents filed by 
interested governmental entities participating under 10 CFR 2.315(c), 
must be filed in accordance with the NRC E-Filing rule, (72 FR 49139, 
Aug. 28, 2007). The E-Filing process requires participants to submit 
and serve all adjudicatory documents over the Internet, or in some 
cases to mail copies on electronic storage media. Participants may not 
submit paper copies of their filings unless they seek an exemption in 
accordance with the procedures described below.
    To comply with the procedural requirements of E-Filing, at least 
ten (10) days prior to the filing deadline, the participant should 
contact the Office of the Secretary by e-mail at 
[email protected], or by telephone at (301) 415-1677, to request 
(1) a digital ID certificate, which allows the participant (or its 
counsel or representative) to digitally sign documents and access the 
E-Submittal server for any proceeding in which it is participating; and 
(2) advise the Secretary that the participant will be submitting a 
request or petition for hearing (even in instances in which the 
participant, or its counsel or representative, already holds an NRC-
issued digital ID certificate). Based upon this information, the 
Secretary will establish an electronic docket for the hearing in this 
proceeding if the Secretary has not already established an electronic 
    Information about applying for a digital ID certificate is 
available on NRC's public Web site at http://www.nrc.gov/site-help/e-submittals/apply-certificates.html. System requirements for accessing 
the E-Submittal server are detailed in NRC's ``Guidance for Electronic 
Submission,'' which is available on the agency's public Web site at 
http://www.nrc.gov/site-help/e-submittals.html. Participants may 
attempt to use other software not listed on the Web site, but should 
note that the NRC's E-Filing system does not support unlisted software, 
and the NRC Help Desk will not be able to offer assistance in using 
unlisted software.
    If a participant is electronically submitting a document to the NRC 
in accordance with the E-Filing rule, the participant must file the 
document using the NRC's on-line, Web-based submission form. In order 
to serve documents through EIE, users will be required to install a Web 
browser plug-in from the NRC Web site. Further information on the Web-
based submission form, including the installation of the Web browser 
plug-in, is available on the NRC's public Web site at http://www.nrc.gov/site-help/e-submittals.html.
    Once a participant has obtained a digital ID certificate and a 
docket has been created, the participant can then submit a request for 
hearing or petition for leave to intervene. Submissions should be in 
Portable Document Format (PDF) in accordance with NRC guidance 
available on the NRC public Web site at http://www.nrc.gov/site-help/e-submittals.html. A filing is considered complete at the time the 
documents are submitted through the NRC's E-Filing system. To be 
timely, an electronic filing must be submitted to the E-Filing system 
no later than 11:59 p.m. Eastern Time on the due date. Upon receipt of 
a transmission, the E-Filing system time-stamps the document and sends 
the submitter an e-mail notice confirming receipt of the document. The 
E-Filing system also distributes an e-mail notice that provides access 
to the document to the NRC Office of the General Counsel and any others 
who have advised the Office of the Secretary that they wish to 
participate in the proceeding, so that the filer need not serve the 
documents on those participants separately. Therefore, applicants and 
other participants (or their counsel or representative) must apply for 
and receive a digital ID certificate before a hearing request/petition 
to intervene is filed so that they can obtain access to the document 
via the E-Filing system.
    A person filing electronically using the agency's adjudicatory E-
Filing system may seek assistance by contacting the NRC Meta-System 
Help Desk through the ``Contact Us'' link located on the NRC Web site 
at http://www.nrc.gov/site-help/e-submittals.html, by e-mail at 
[email protected], or by a toll-free call at (866) 672-7640. The 
NRC Meta-System Help Desk is available between 8 a.m. and 8 p.m., 
Eastern Time, Monday through Friday, excluding government holidays.
    Participants who believe that they have a good cause for not 
submitting documents electronically must file an exemption request, in 
accordance with 10 CFR 2.302(g), with their initial paper filing 
requesting authorization to continue to submit documents in paper 
format. Such filings must be submitted by: (1) First class mail 
addressed to the Office of the Secretary of the Commission, U.S. 
Nuclear Regulatory Commission, Washington, DC 20555-0001, Attention: 
Rulemaking and Adjudications Staff; or (2) courier, express mail, or 
expedited delivery service to the Office of the Secretary, Sixteenth 
Floor, One White Flint North, 11555 Rockville Pike, Rockville, Maryland 
20852, Attention: Rulemaking and Adjudications Staff. Participants 
filing a document in this manner are responsible for serving the 
document on all other participants. Filing is considered complete by 
first-class mail as of the time of deposit in the mail, or by courier, 
express mail, or expedited delivery service upon depositing the 
document with the provider of the service. A presiding officer, having 
granted an exemption request from using E-Filing, may require a 
participant or party to use E-Filing if the presiding

[[Page 64757]]

officer subsequently determines that the reason for granting the 
exemption from use of E-Filing no longer exists.
    Documents submitted in adjudicatory proceedings will appear in 
NRC's electronic hearing docket which is available to the public at 
http://ehd.nrc.gov/EHD_Proceeding/home.asp, unless excluded pursuant 
to an order of the Commission, or the presiding officer. Participants 
are requested not to include personal privacy information, such as 
social security numbers, home addresses, or home phone numbers in their 
filings, unless an NRC regulation or other law requires submission of 
such information. With respect to copyrighted works, except for limited 
excerpts that serve the purpose of the adjudicatory filings and would 
constitute a Fair Use application, participants are requested not to 
include copyrighted materials in their submission.


    In the absence of any request for hearing, or written approval of 
an extension of time in which to request a hearing, the provisions 
specified in Section V above shall be final 20 days from the date this 
Order is published in the Federal Register without further order or 
proceedings. If an extension of time for requesting a hearing has been 
approved, the provisions specified in Section V shall be final when the 
extension expires if a hearing request has not been received. A request 
for hearing shall not stay the immediate effectiveness of this order.

    Dated this 23rd day of November 2009.

    For the Nuclear Regulatory Commission.
Victor M. McCree,
Deputy Regional Administrator for Operations.
[FR Doc. E9-29201 Filed 12-7-09; 8:45 am]