ࡱ> g  bjbjVV r<r<] t$S$^(]']']'SSSSSSS$UX8Si]'=% ]']']'8SS...]' S.]'S..2ORpi+&Q.RS0SHQY-ZY\RYR ]']'.]']']']']'8S8S.]']']'S]']']']'Y]']']']']']']']']' :  RADIATION SAFETY MANUAL Ƶof Chicago, Lake Shore Campus This manual has been prepared for Ƶstaff working with radioactive material, radiation producing machines or other potentially hazardous sources of ionizing radiation. All uses of radioactive material and/or radiation machines are subject to the rules and regulations contained or referred to in this manual and have been subjected to prior review and approval by the Radiation Safety Committee. A COPY OF THIS MANUAL SHALL BE AVAILABLE IN EACH LABORATORY USING SOURCES OF RADIATION. IF YOU HAVE ANY QUESTIONS REGARDING THE CONTENTS OF THIS MANUAL OR ANY OTHER MATTER RELATED TO THE USE OF RADIOACTIVE MATERIAL OR OTHER SOURCES OF IONIZING RADIATION, PLEASE CALL THE RADIATION SAFETY OFFICER, HOWARD LATEN, AT 773-508-3640. IN CASE OF AN EMERGENCY INVOLVING RADIOACTIVE MATERIAL, IMMEDIATELY CALL THE RADIATION SAFETY OFFICER AT 773-508-3640 OR IF NO ANSWER OR AFTER HOURS, CALL RSSI AT 847-965-1999. Additional copies are available on-line on the Research Services site: TABLE OF CONTENTS RADIOACTIVE MATERIAL Definitions 2Reporting Emergencies Involving Radioactive Material 3Radiation Safety Program Organization 4Instrument Calibration and Operability Checks 6Personnel Training Program 7Procedures for Ordering and Receiving Radioactive Material 8General Rules For Safe Use of Radioactive Material 10Emergency Procedures11Area Survey Procedures 14Waste Disposal 16Bioassay Program 17Personnel Monitoring 20ALARA 20 DEFINITIONS Activity the rate of disintegration (transformation) or decay of radioactive material. The units of activity are the Becquerel (Bq) and the curie (Ci) ALARA As Low As Reasonably Achievable Bioassay determination of kinds, quantities or concentrations and, in some cases, the location of radioactive material in the human body, whether by direct measurement or by analysis and evaluation of materials excreted or removed from the human body. Exposure irradiation by ionizing radiation or radioactive material Exposure rate exposure per unit of time, such as roentgen per minute (R/min) and milliroentgen per hour (mR/hr) High Radiation Area any area, accessible to individuals, in which radiation levels from radiation sources external to the body could result in a dose equivalent in excess of 0.1 rem in 1 hour at 30 cm from source of radiation Ionizing Radiation gamma rays and X-rays, alpha and beta particles, high speed electrons, neutrons, protons, and other nuclear particles capable of producing ions directly or indirectly in their passage through matter Personnel Monitoring Devices devices designed to be worn by a single individual for the assessment of dose equivalent Radiation Safety Officer(RSO) an individual who has the knowledge and responsibility to apply appropriate radiation protection regulations and has been assigned such responsibilities by the licensee. Radioactive Material any solid, liquid, or gaseous substance which emits radiation spontaneously Radioactivity the disintegration (transformation) of unstable atomic nuclei by the emission of radiation Restricted Area any area access to which is limited by the licensee for purposes of protecting individuals against undue risks from exposure to sources of radiation REPORTING EMERGENCIES INVOLVING RADIOACTIVE MATERIAL ALL KNOWN OR SUSPECTED INCIDENTS INVOLVING RADIOACTIVE MATERIALS OR OTHER SOURCES OF IONIZING RADIATION MUST BE REPORTED IMMEDIATELY TO: Radiation Safety Officer 773-508-3640 On Campus Extension: 8-3640 If no response, call Radiation Safety Services, Inc. (RSSI) (24 hour hotline) 847-965-1999 IN CASE OF PERSONAL INJURY, FIRE AND/OR EXPLOSIONS IN A RADIATION LAB CONTACT: Campus Police 4-4911 Radiation Safety Officer 8-3640 RADIATION SAFETY PROGRAM ORGANIZATION Radiation Safety Committee The Radiation Safety Committee advises the University administration on specific needs and policies in all areas of radiation protection and usage, and has the responsibility and authority to approve, disapprove, modify, suspend, or terminate authorization for the use of radioactive material. The Radiation Safety Committee is composed of the RSO, a representative from University administration, and two or more faculty members from the Natural Science Division. Additional members of the University community may be appointed at the Committees discretion. The Radiation Safety Committee reviews, evaluates, and approves or rejects individual applications for the use of radioactive material. The completed application includes the applicants training and experience , a written description of the laboratory facilities and equipment, and an outline of experimental protocols that describe the type and quantity of radionuclide to be used, and the nature of its use and disposal. Because, the review of facilities includes an assessment of the adequacy of provisions for security, ease of decontamination, waste storage, contamination prevention, ventilation and shielding, applicants must address these issues. Requests for Authorization to use radionuclides should be submitted directly to the RSO. The RSO interviews new applicants, independently reviews each new application, and makes recommendations to the Committee. In cases where an existing Authorized User submits an application to use a new radionuclide, the RSO may give temporary approval if the new use does not represent a significant change in the level of hazard in the laboratory. Where an increase in possession limit is applied for, the RSO may grant approval without Radiation Committee action. Authorizations are valid for five calendar years. User authorizations are re-evaluated and re-issued upon approval by the Committee. To expedite review, requests for authorization may be circulated by the RSO to the Committee members using campus mail or electronically. Approval, whether by return mail, email, or at a regularly scheduled Committee meeting, will require an affirmative vote by 2/3 of the total Committee membership and must include the RSO and the Chairman of the Radiation Safety Committee. The committee is also responsible for the following: Monitoring of the ALARA program Review of personnel exposures Review of unusual events and remedial actions Review of changes to policies, rules or decisions by the RSO Audit of RSO and Radiation Safety Staff performance The committee will meet at least once in each calendar quarter. A quorum shall consist of the Chairman of the Committee, the RSO and at least two other members. Copies of the Committee minutes and records of Committee action are maintained by the RSO. Radiation Safety Officer (RSO) Per Ƶpolicy, the RSO must be a full-time employee of ƵChicago. The RSO for the activities authorized by this license is Howard Laten, Ph.D. The RSOs responsibilities include: Assuring that only material authorized by the license is possessed Assuring that only individuals authorized by the license use the licensed material Assuring that all personnel working in laboratories in which radionuclides are present receive training in proper radiation protection practices Assuring that regular, and, whenever necessary, unscheduled, radiation surveys are conducted and that records of all surveys are maintained, including summaries of any corrective measures recommended and/or instituted Assuring that dosimeters are used where required and are analyzed at required intervals, and that records are kept of dosimetry results Assuring that postings are properly located Investigating each known or suspected case of excessive or abnormal exposure to determine the cause and taking necessary corrective action to prevent recurrence. Restricting or suspending use and/or possession of radioactive materials whenever a significant deviation from established guidelines and procedures has occurred. Such deviation of use shall include any threat to health or property. Assuring that the proper authorities (e.g., IDNS, local police, or the U.S. Department of Transportation.) are notified promptly in case of accident, damage, theft, or loss of licensed material Maintaining all records and documents necessary and/or required for the licensed acquisition and use of radionuclides Assuring that the terms and conditions of the license are met and that the required records (such as personnel exposure, accountability, etc.) are maintained and reviewed for compliance with Department regulations and license conditions Assuring that all policies and rules governing the use of radionuclides on the ƵChicago Lakeshore Campus are followed and regularly reviewed and updated in accordance with the requirements in 32 IAC 340.110. Records of program audits shall be maintained on-site pursuant to 32 IAC 340.1120 If the RSO is not available for an extended period of time, the RSO, in consultation with the Radiation Safety Committee, will appoint in writing an Acting RSO who will temporarily assume all the duties of the RSO. Upon the RSO's return, the RSO shall review with the Acting RSO records generated during the RSOs absence. The RSO and the Radiation Safety Committee report to the Associate Provost for Research. Authorized Users of Radioactive Material Authorized Users are approved by the Radiation Safety Committee for the possession and prescribed use of specific quantities of radionuclides. Authorized Users shall meet the training and experience requirements listed in Section V: Personnel Training Program, subpart B. The sum of authorizations of individual users must be less than the institutional possession limit for that radionuclide. The institutional possession limit and the individual possession limits are contained in a data management system that is maintained by the Office of Research Services (ORS). Authorized Users are audited by the RSO during surveys, when the items and activities below are examined as a part of the survey. Audits are conducted either by the RSO or by a health physicist working on behalf of the RSO. Audits contain the following items: Adherence to Rules of Hot Lab Conduct Contamination control effects Completion of training for individuals who have been present Material control and security Items of deviation are recorded on the survey report. Major deficiencies are reported directly to the RSO as a separate document.  INSTRUMENT CALIBRATION AND OPERABILITY CHECKS Radiation survey instruments used for regulatory compliance measurements will be calibrated by a service company authorized to perform such services. A copy of the companys license authorizing such services will be maintained. Radiation survey instruments used for regulatory compliance measurements will be calibrated on an annual basis. Records of calibrations shall be maintained on-site pursuant to 32 IAC 340.1130. A measurement of the reading of portable survey meters used for regulatory compliance with a long-lived dedicated check source (i.e. greater than 5 years) shall be performed and recorded after calibration or repair. An operability check with the check source shall be performed before each day of use. If any reading taken with the same geometry is not within ( 20% of the reading taken after the most recent calibration, then the survey instrument will be taken out of service, repaired if necessary and recalibrated. A record of the operability check will be maintained each time the instrument is calibrated. Notwithstanding the operability check commitment, survey meters in storage shall not be checked. These shall have an operability check before being placed back in service. PERSONNEL TRAINING PROGRAM Housekeeping, Security, Shipping/Receiving personnel, students and employees that require access to restricted areas will be given a 30 minute training course in the operations in restricted areas and appropriate actions to be taken during normal operation and emergencies. Prospective Authorized Users shall receive a three hour training course covering the topics below. These topics may vary depending on applicability to the individuals duties. In addition to this training, all Authorized Users must receive or have documentation of having received one week of on-the-job training in the handling of radioactive materials similar in nature to the materials with which they will be working. This can be fulfilled under the supervision of a current Authorized User. Users of radioactive material working under the supervision of an Authorized User will receive a one hour training course covering the principal topics listed below. At the completion of training, users will sign the provided Acceptance of Responsibility form. Fundamentals of Radiation Safety Characteristics of radiation Units of radiation dose and quantity of radioactivity Math and calculations basic to the use and measurement of radioactivity. Significance of radiation dose Radiation protection standards The ALARA principle Biological effects of radiation Levels of radiation from sources of radiation Methods of controlling radiation dose Working time Working distance Shielding II Radiation Detection Instrumentation to be Used Use of radiation survey instruments Operation Calibration Limitations Survey Techniques Use of personnel monitoring equipment Optically stimulated luminescence (OSL) dosimeter Thermoluminescent dosimeter (TLD) ring III. Safety Equipment To Be Used Remote Handling Equipment Fume Hoods Storage Containers Personnel protective equipment (i.e., gloves, lab coats, respirators) IV. The Requirements of pertinent State Regulations V. Terms and Conditions of the License, Active Amendments, and any correspondence submitted in support of the license application. VI. The Licensees Written Operating and Emergency Procedures VII. Manufacturers Instruction Manuals for Sources/Devices (if applicable) . D. New users will be trained in the specific protocols which require handling radioactive materials by the Authorized User or by fully trained supervisory lab personnel (not undergraduates). A Radiation Training Record must be maintained for every new user. After 1 hour of supervised training, personnel are allowed to handle exempt quantities of isotope. This includes up to 1 mCi 3H, 0.1 mCi 14C or 35S, 0.01 mCi (10 (Ci) 32P, 1 (Ci 125I. For handling greater quantities, 5 hours of recorded, supervised training by the Authorized User or other fully trained supervisory lab personnel are required. Under no circumstances are undergraduate students or non-Loyola affiliated personnel allowed to handle in excess of 10X exempt quanitities of any radioactive isotope. The appropriate training course shall be provided prior to work with radioactive material or regular access to restricted areas. Training shall be provided by RSO or an appointed delegate. Training of Authorized Users with previous training and experience that meets or exceeds B above may be waived at the RSOs discretion. Successful completion of the training is documented on the RADIATION SAFETY TRAINING RECORD form.  PROCEDURES FOR ORDERING, RECEIVING, AND INVENTORYING RADIOACTIVE MATERIAL ORDERING The Authorized User contacts the Compliance Manager, Dana Vitullo, at (773)508-2689 and provides the following information to obtain a control number: The vendor name The expected date of arrival Whether or not the order includes a sealed source Whether or not the order is generally licensed The identity, quantity, activity and form of the isotope. 2. Once a control number is issued, the Authorized User may order the material. All shipments must be addressed to: Howard Laten, RSO, CN: ______ ƵChicago 1050 West Sheridan Rd. Room 346 Chicago, IL 60626 Phone Contact: 773-508-3633 Do not address the package to yourself or to your attention. If ordered with a Procard: Once the transaction posts to the credit card, go into PaymentNet to reconcile your statement and enter the control numbers in the Transactions Notes field. At the end of the month print the billing statement, staple the package invoice to the statement, and save it for your records. If ordered with a Purchase Requisition: Complete the Purchase Requisition form and indicate in the appropriate space that the order is for radioactive materials. In the Requisitioner Comments field, list the control number(s) and label them as such so that Purchasing knows what the numbers mean. Secure the initials of the RSO or the Compliance Manager on the form and make a copy of it for your records; forward it to Purchasing. When the order arrives staple the receipt to the requisition form, and save it for your records. 3. When the order is placed, the Authorized User must send an email with the control number, package tracking number, and the expected delivery date to RSSI ( HYPERLINK "mailto:nbijedic@rssinc.org" nbijedic@rssinc.org), the RSO ( HYPERLINK "mailto:hlaten@luc.edu" hlaten@luc.edu), and the receiving agent ( HYPERLINK "mailto:jquinn@luc.edu" jquinn@luc.edu). 4. The RSO and RSSI staff are the only persons authorized to check in packages. Neither Authorized Users nor their delegates are permitted to check in packages. When the package arrives, the RSO will be immediately notified and the package will be inspected and checked against an inventory by RSSI or the RSO. If the users inventory is not exceeded, a control form with the pre-assigned Control Number will be issued and the package, along with the pink and yellow copies of the Control Form, will be delivered to the Authorized Users laboratory. The Authorized User or a delegated laboratory staff member must physically be present in the laboratory when packages are delivered. If the new order plus the on-hand inventory exceeds the limit for the user, the package will be held by the RSO until inventories are adjusted. The control form is a three-part form: The white copy is permanently retained by the Radiation Safety Office as a record of inventory. The yellow and pink copies are delivered with the package. The Authorized User or delegated user(s) records the amounts of material used and/or disposed of on the two copies. Once the material has been fully utilized and/or disposed of, the pink copy is returned to the RSO and the inventory record is modified to reflect the depletion of the material.  GENERAL RULES FOR SAFE USE OF RADIOACTIVE MATERIAL BASIC RULES OF HOT LAB CONDUCT Plan in detail and make dummy runs before inaugurating new procedures. Neatness in the laboratory is of PRIME IMPORTANCE. Contamination can be reduced and controlled effectively by proper organization and workspace layout. Work areas should be covered with plastic-backed absorbent paper and kept free of materials not required for the work at hand. Equipment NOT in use should be decontaminated and stored elsewhere in the laboratory. Hands shall be washed before leaving the laboratory area. Gloves shall be worn when handling material which may contaminate the hands. NO eating, drinking, smoking, storing of food, or applying of cosmetics in the radionuclide laboratory. NO food preparation. Pipetting by mouth is NOT permitted. Transporting significant quantities of radioactive liquids shall be done in secondary containers containing enough absorbent material to completely contain the material if spilled. Keep radioactive work organized and separate--DO NOT spread contamination into unrestricted areas. Return radioactive materials to storage as soon as they are no longer needed. Significant amounts of radioactive waste should be immediately disposed of in the radioactive waste containers. Personnel should wear a protective coat or apron which should be changed if contaminated. Monitor hands and clothing for contamination after labeling procedures and before leaving the laboratory. When high-energy (-emitters, such as P-32, are used, low density or low atomic number material shall be used for shielding. Where practical, eye protection will be worn. Wear assigned dosimeters in the laboratory. In case of an emergency, contact the RSO at 83640. If no answer, contact RSSI at 847-965-1999. EMERGENCY PROCEDURES A. General Guidelines Even in a well-planned and executed program the possibility exists that incidents will occur. Recognition of this fact requires that suitable emergency procedures be prepared beforehand and be made known to all persons potentially involved. Each user should give consideration to the nature of possible accidents and be familiar with the following procedures. B. Missing Material When radioactive material is suspected of or confirmed to be missing, report to the RSO immediately. The RSO will determine what further action must be taken. C. Minor Radioactive Material Spills A spill is defined as the contamination of any article or surface outside a designated and/or shielded radiation use area or the unintended contamination of a permanent surface (hood, benchtop, shelf, apparatus, etc) within the shielded area. Minor contamination of absorbent paper within the use area is not considered a spill unless the activity exceeds 100 microcuries (see Major spills below). Contaminated absorbent paper should be disposed in the appropriate waste container as soon as possible. 1. Notify all other persons in the room at once. 2. Clear the immediate area of all other persons except those needed to deal with the spill area. 3. Confine the spill immediately. (Use gloves!) a) Liquid spills: Drop absorbent paper or a spill pad or pillow on spill. b) Dry spills: Dampen thoroughly, taking care not to spread contamination (use water unless a chemical reaction would release air contaminants, otherwise use oil). 4. Decontaminate. 5. Monitor all persons involved in the spill and subsequent cleanup, and any person who may have come in contact with the contaminated surface or instrument. 6. Do not resume work in the area until a survey shows the contamination is removed. 7. Report the spill to the RSO. If the contamination cannot be removed, work in the area cannot resume without approval of the RSO. D. Major Radioactive Material Spills Any spill or accident outside of a hood involving more than 100 microcuries should be treated as an emergency and activate implementation of this emergency procedure, whether the material spilled is in solid or liquid form. 1. The room must be vacated immediately and equipment that might spread the spill shut off. If the material is volatile or powdery, all lab personal present should hold their breath until they are clear of the room and the door is shut. A warning sign baring entry must be posted on the closed door. 2. The immediate responsibility of individuals involved in or witnessing a major spill is the personal safety of all those present, and only secondarily the possible loss of material and/or data. Only those measures that can be carried out during the time in which the breath can be held before vacating the room to prevent the spread of a hazard should be undertaken (dropping absorbent cellulose pads for liquids, righting an overturned container, etc.) . Thereafter, entrance to the room shall be only under the supervision of the RSO or a designate and with suitable precautions. 3. Any clothing suspected of having been contaminated shall be removed immediately and returned to the room in which the accident occurred, or to a closed radioactive waste container (do not transport through the building). 4. If any of the spilled material may have come into contact with the skin, or any part of the individual's body, a thorough washing and flushing should be done immediately and an emergency shower used, if necessary. The amount of activity on the person before and after washing should be determined, if possible. The amount of material involved in the spill should be ascertained so that this information may be given to the RSO. 5. As soon as the room is vacated contact: a) RSO, or if no answer, RSSI. b) The Authorized User c) A doctor or other medical assistance if necessary. E. Decontamination of Facilities Decontamination of facilities and equipment will be performed under the supervision of the RSO or his/her representative. Good detergents and water are usually suitable for cleaning most surfaces. As much as possible avoid spreading the contaminated region. during cleanup. More caustic or corrosive solutions may be used for severely contaminated surfaces. More detailed and specific agents and cleaning methods are available from the RSO. F. Decontamination of Personnel When an individual is seriously contaminated, the first consideration should be to seek medical attention. St. Francis Hospital in south Evanston is prepared to handle radiological emergencies from Loyola University-Lake Shore Campus on a 24-hour basis. The emergency room intake staff and the hospital Nuclear Medicine Department should be notified of any radioactive contamination on the individual or clothing or of the possibility of ingestion of radioisotopes. Decontamination of the skin and clothing should be performed immediately. The individual should remove contaminated clothing at once. Thorough washing with soap and water is the best general method for decontamination of the hands and other parts of the body regardless of the contaminant. Do not worry about spreading any skin contamination. Individuals who are cut by glassware or injured by hypodermic needles should wash the affected part under a strong stream of water immediately. Persons swallowing radioactive material should be treated as for poisoning. Vomiting should be induced or material should be removed by a stomach pump. In all cases of ingestion, bioassay samples will be required. AREA SURVEY PROCEDURE Surveys will be performed by the RSO or his/her delegate per the schedule below. Laboratories and storage areas for radioactive materials in unsealed form will be surveyed for surface contamination and, if appropriate, external exposure rates. Laboratories where sealed sources are used will be surveyed for external exposure rates when appropriate. In low background areas, except in those where H-3 is used, direct surface contamination surveys will be performed using portable survey equipment capable of detecting the radionuclides being used. For H-3, or where surface contamination is found to exceed the limits in the table for fixed contamination and in high background areas, a surface wipe will be made to determine if the activity is removable. Survey results are entered on the survey report form. Survey frequencies will be based on the quantities of radioisotope used per experiment. Survey frequencies are shown below. Activity (A) of Radionuclide Used per Experiment Survey FrequencyA < 1 mCi Quarterly1 mCi < A < 50 mCi Monthly50 mCi < AWeekly In addition, users shall perform daily wipe test surveys, and where possible, instrument surveys: During and at the end of labeling experiments involving millicurie quantities During experiments involving millicurie quantities of P-32 or radioiodine. Storage areas shall be surveyed by the RSO or a delegate on a quarterly basis. Contamination Action Levels: Maximum acceptable contamination limits are listed in the table below. If these limits are exceeded, corrected measures will be taken. Action levels in unrestricted areas are those listed in 32 IAC 340. Appendix A Decontamination Guidelines and are reproduced below. Alpha emitters Removable 555 mBq per 100 cm2 average 15 pCi per 100 cm2 over any 33 dpm per 100 cm2 one surface  1.67 Bq per 100 cm2  45 pCi per 100 cm2 maximum 100 dpm per 100 cm2 Total 16.7 Bq per 100 cm2 average (fixed) 450 pCi per 100 cm2 over any 1,000 dpm per 100 cm2 one surface  83.3 Bq per 100 cm2 = 2,250 pCi per 100 cm2 = maximum 5,000 dpm per 100 cm2 Beta-Gamma Emitters: Removable 3.7 Bq per 100 cm2 average over (all (,  emitters 100 pCi per 100 cm2 any one surface except 3H)  18.5 Bq per 100 cm2 maximum 500 pCi per 100 cm2 Removable (3H) 37 Bq per 100 cm2 average over 1,000 pCi per 100 cm2 any one surface  185 Bq per 100 cm2 maximum 5,000 pCi per 100 cm2 Action levels in restricted areas shall be 10 times the levels in unrestricted areas. WASTE DISPOSAL Radioactive waste will be disposed of by the following methods: 1. Disposal of 1.85 kBq (0.05 (Ci), or less, of H-3, C-14 or I-125 per gram of animal tissue, animal waste, plant tissue or soil and bedding waste averaged over the mass of the contents of a container may be disposed of as non-radioactive waste. Individual containers shall not exceed 7.5 cubic feet in volume. Containers with this waste will be surveyed with a Ludlum Model 3-survey meter equipped with a Model 44-9-pancake probe or equivalent. No material exhibiting detectable activity above background, when surveyed as described above, will be disposed of by this method. All material to be disposed of by this method will have been collected as radioactive waste and will have been documented as containing licensed material. The concentration in each container will be calculated from the documented activity. Where more than one radionuclide is present, the following calculation shall be performed. EMBED Unknown where: Qi =activity and Mi = mass and where: SA ((Ci/g) must be ( 0.05 (Ci/g The purpose of this disposal method is to greatly reduce radioactive waste volumes while maintaining doses to the public ALARA. 2. Disposal of H-3, C-14, and I-125 in liquids containing concentrations of licensed material less than 0.05 (Ci/g may be disposed of as non-radioactive waste. These liquids shall be disposed of in accordance with applicable US EPA regulations. Disposal of liquids by this method shall be limited to materials that cannot be disposed of to sewage. The concentration in each container will be calculated from the documented activity. Where more than one radionuclide is present, the following calculation shall be performed. EMBED Unknown where: SA ((Ci/g) must be ( 0.05 (Ci/g The purpose of this disposal method is to greatly reduce radioactive waste volumes while maintaining doses to the public ALARA. 3. Decay-in-Storage of radioactive material with a physical half-life of less than 120 days before disposal with the following provisions: Radioactive waste to be disposed of shall be held for a minimum of ten half-lives. Radiation surveys shall be performed prior to disposal of waste to ensure that the waste's radioactivity cannot be distinguished from background radiation levels. The waste package or container surface shall be surveyed with an appropriate radiation detection instrument set on its most sensitive scale, with no interposed shielding between the detector and the waste, in a low background radiation environment. Records of monitoring shall be maintained to include: date placed in storage; date of disposal; manufacturer, model and serial number of the survey instrument used; background radiation levels; measured radiation levels; and the identity of the individual performing the monitoring. All visible radiation labels shall be removed or obliterated. 4. Analyzed wipes, and swabs containing less than 0.005 Ci shall be disposed of without regard to radioactive content. Prior to disposal, packages containing wipes, swabs and leak tests will be surveyed with a Ludlum Model 3 survey meter equipped with a Model 44-9 pancake probe or equivalent. No samples exhibiting detectable activity above 2x background, when surveyed as described, will be disposed of by this method. This will enable reducing waste volumes by more than an order of magnitude while maintaining doses to the public ALARA. 5. Any method permitted by IDNS regulations.  BIOASSAY PROGRAM The following bioassay schedules apply to volatile forms of licensed material or forms that have a potential for ingestion, inhalation or skin absorption and are based upon investigation levels (A) for each radionuclide, the probability of an incorporation of an investigation level, the ease of detection and the type of procedures in which these radionuclides are used. Additional bioassays will be performed when indicated by findings of surface or airborne contamination. Bioassays shall be performed if an individual is likely to receive, in excess of, 10% of the applicable ALI. Nuclide Use Level Frequency Method ALI* H-3 10 mCi < A d" 100 mCi Quarterly Urinalysis 80 mCi 100 mCi < A Within 1 Urinalysis week following use. I-125 1 mCi d" A Weekly Direct 40 Ci** Thyroid 60 Ci*** Count I-131 1 mCi d" A Weekly Direct 30 Ci** Thyroid 50 Ci*** Count * Annual Limits on Intake from 10 CFR Part 20. Appendix B ** Non-stochastic dose limit to thyroid by ingestion *** Non-stochastic dose limit to thyroid by inhalation Routine pre-operational and post-operational bioassays will be performed on individuals using material from the above listed use levels. Additional diagnostic bioassays will be performed when action levels are exceeded. If bioassay results indicate that an ALI is exceeded, work shall immediately be suspended until the cause of the exposures has been identified and corrected. As is appropriate for some radioactive material, therapeutic procedures shall be followed to block specific organs or accelerate excretion of the material. Example Procedure and Calculation The following is an example procedure and calculation for performing a direct thyroid count bioassay. A. Instrumentation A Ludlum model 2200 scaler with adjustable threshold and window settings and a sodium iodide thin-window probe may be used to determine thyroid burden. This system has an approximate I-125 efficiency of 1.5% in a standard thyroid phantom geometry. Calibration of the system used will be performed annually. B. Set Window The window is set to detect emissions for the radionuclide of interest. For I-125 the window will include emitted photons between 27 kev to 35 keV. For I-131 the window will include the major 364 keV emitted photon. C. Establish Background Hold probe on thigh (ensure thigh and/or lab coat are not contaminated) and count for at least 1 minute. The count results are recorded. D. Count Standard A standard of known activity will be used to determine instrument efficiency. When assaying for I-131, a corrected for decay I-131 liquid or capsule standard (or a standard source of known activity that emits photons of approximately the same energy as I-131, e.g., Ba-133) will be used. For I-125 a liquid or a mock I-125 source (i.e. I-129) may be used. The standard is placed in a thyroid phantom. The probe is held against the phantom in an established geometry, similar to the geometry to be used when performing a bioassay on an individual, for a specified length of time such as 1 minute. The count results are recorded. E. Determine System Efficiency Standard CPM - Background CPM = Net Standard CPM Net Standard CPM x 100 = % Efficiency Standard Activity((Ci) 2.2 x 106 DPM/Ci F. Investigation Limits 1. The RSO shall be notified whenever the thyroid burden at the time of measurement exceeds 0.03 Ci of I-125 or 0.04 Ci of I-131. The RSO shall perform an investigation into the cause of the exposure and the potential for further exposure, and develop corrective actions to prevent recurrence. 2. The RSO shall be notified immediately whenever the thyroid burden at the time of measurement exceeds 0.09 Ci of I-125 or 0.14 Ci of I-131. The RSO must perform an investigation, as described above, and must perform weekly bioassays on the individual until the individual's thyroid burden is less than 0.04 Ci of I-131. G. Measure Thyroid Gland 1. Perform measurements in a low-background area. 2. Hold probe on thigh (ensure thigh and/or lab coat are not contaminated) for a count. Record results. 3. Hold probe in the center of neck near Adam's apple for required amount of time. Record results. 4. Subtract background from thyroid count to obtain net counts. Record results. 5. Calculate and record the amount of radioactivity in thyroid by using the equation: Net counts (CPM) x 100 = _______ Ci % Efficiency x 2.2 x 106 DPM/Ci 6. If results are less than the investigation limits established in E.I. above, record results. 7. If results are more than the investigation limits established in E. above, notify the RSO immediately. The RSO may restrict the employee's further handling of I-131 or I-125 until the thyroid burden is measured to be below the reporting limits established in E above. PERSONNEL MONITORING DOSIMETRY OSL or TLD whole body and/or TLD extremity dosimeters are provided to the following people: Individuals for whom personnel monitoring is required by 32 IAC 340.520. Individuals who work with millicurie quantities of hard beta, x-ray or gamma emitters. Individuals who request dosimeters because of personal preference. The personal monitoring devices shall be exchanged at least quarterly. ALARA PROGRAM FOR MAINTAINING OCCUPATIONAL RADIATION EXPOSURE ALARA Management Responsibilities We, the management of this facility, are committed to keeping individual and collective doses as low as reasonably achievable (ALARA). Modifications to operating and maintenance procedures and to equipment and facilities will be made if they will reduce exposures, unless the cost is considered to be unjustified. We will be able to demonstrate, if necessary, that improvements have been sought, that modifications have been considered, and that they have been implemented when reasonable. If modifications have been recommended but not implemented, we will provide the reasons for not implementing them. We will keep staff members apprised of our commitment to the ALARA concept. This will include efforts, through training and policy statements, to ensure that personnel understand this commitment and how we implement it. Additionally, we will ensure that an individual with qualifications commensurate with the scope of the program will be appointed as the RSO to coordinate the radiation safety program for the facility. RSO Responsibilities The RSO will perform an annual review of the radiation safety program, including ALARA considerations. This will include reviews of operating procedures and past dose records, and consultations with the radiation safety staff or outside consultants. The results of the annual review will be reported to the Radiation Safety Committee. Results of this review shall be documented and maintained. 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The RSO will also review the results of radiation surveys in unrestricted areas and restricted areas to determine that doses rates and amounts of contamination were at ALARA levels during the previous quarter. The RSO will investigate all known instances of deviation from good ALARA practices and, if possible, will determine the causes. When the cause is known, the RSO will implement changes in the program to maintain doses ALARA. Individuals Receiving Occupational Radiation Doses Workers will be instructed in the ALARA concept and their individual responsibility concerning the ALARA concept, its relationship to work procedures and work conditions, and in recourses available if they feel that the ALARA philosophy is not being promoted on the job.     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