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.