RADIATION CONTROL GUIDE UNIVERSITY OF FLORIDA Business Affairs Radiation Control Committee i
RADIATION CONTROL GUIDE UNIVERSITY OF FLORIDA Radiation Control Committee 212 Nuclear Sciences Center Box 118340 Gainesville FL 32611 (352) 392-7359 1999 ii
FORWARD By authority delegated from the University President, the Vice President for Business Affairs is responsible for the safety of all University facilities. Under this authority, policies are developed to provide a safe teaching, research, service, housing and recreational environment. The Environmental Health and Safety Division was established in 1974 and given the responsibility for the management of all safety practices and the effective administration of the program. The mission of the Environmental Health and Safety (EH&S) Division is to minimize injury to faculty, staff, students and visitors and to minimize damage to University property. Inherent in this mission is the charge to provide a safe and healthy environment in which the University s activities can be pursued. All applicable federal and state safety laws, rules and regulations are adopted by the University. In order to carry out its duties and responsibilities, the Environmental Health and Safety Division will reference standards or codes related to safety which have been adopted and promulgated by nationally recognized standards-setting organizations. The interpretation of safety codes and standards is the responsibility of the Environmental Health and Safety Division. EH&S is divided into six functional Departments. Facility and Fire Safety includes the Pest Control and Fire Equipment Service Units. Radiation Control and Radiological Services is responsible for University-wide radiation protection. Occupational and Research Safety is responsible for monitoring all biological and chemical research activities, clinic safety, accident prevention programs and also oversees safety issues at IFAS off-campus stations. Diving Science and Safety supports scientific diving for the University of Florida. Hazardous Materials Management coordinates the disposal of radioactive and chemical waste. Industrial Hygiene is responsible for asbestos, indoor air quality and other industrial hygiene programs. In order to assure an effective Environmental Health and Safety program for the University of Florida, it is imperative that all individuals associated with the University comply fully with the polices and procedures set forth in this manual. iii
RADIATION CONTROL COMMITTEE MEMBERS Member Mailing Address Phone Dr. James Baciak Chairman Material Science & Engineering Dr. Wesley Bolch Professor & Associate Dean for Academic Affairs Biomedical Engineering Dr. David E. Hintenlang (Chairman) Associate Professor & Medical Physics Program Director Biomedical Engineering Susan E. Stanford (Secretary) Radiation Control Officer Environmental Health & Safety Chief Linda Stump-Kurnick Assistant Vice-President of Public and Environmental Safety Suzanne L. DeKay, MSPH UF Health Shands Safety, Security And External Transportation Director Dr. Matthew Winter Assistant Professor Veterinary Medicine Dr. Charles E. Wood Professor and Chairman Physiology and Functional Genomics PO Box 116400 (352) 392-1401 PO Box 116131 (352) 392-1401 x 308 PO Box 116131 (352) 392-1401 x 311 PO Box 118340 (352) 392-7359 PO Box 112150 (352) 392-5445 PO Box 100307 (352) 265-0028 PO Box 100126 (352) 392-2235 x 5762 PO Box 100247 (352) 392-4488 iv
RADIATION CONTROL DEPARTMENT EMERGENCY CALL LIST (CALL IN ORDER UNTIL ONE PERSON IS NOTIFIED) DAYS (8:00 AM - 5:00 PM) PHONE WORK CELL Susan Stanford Radiation Control Officer Les Hines Health Physicist Sadije Redzovic Health Physicist (352) 392-7359 (352) 260-3133 (352) 392-1589 (352) 246-0019 (352) 392-1591 (352) 525-1987 NIGHTS - WEEKENDS HOLIDAYS Susan Stanford Radiation Control Officer Les Hines Health Physicist Sadije Redzovic Health Physicist PHONE (352) 260-3133 (352) 246-0019 (352) 525-1987 v
TABLE OF CONTENTS FORWARD... i RADIATION CONTROL COMMITTEE... ii RADIOLOGICAL EMERGENCY CALL LIST... iii CHAPTER 1 RADIATION PROTECTION PROGRAM I. INTRODUCTION... 1-1 A. Radiation Control Committee... 1-1 B. Radiation Control Officer (RCO)... 1-2 C. Responsibilities of Principal Investigator... 1-3 D. Termination Due to Serious or Continued Violations of Standards... 1-3 II. ALARA POLICY... 1-4 III. OCCUPATIONAL DOSE LIMITS... 1-4 A. Occupational Dose Limits for Adults... 1-4 B. Occupational Dose Limits to Minors... 1-5 C. Dose to an Embryo or Fetus for Women Who Have Declared Pregnancy... 1-5 D. Maximum Permissible Exposures to Concentrations of Radioactive Material in Restricted Areas... 1-7 E. Reporting Overexposures... 1-7 IV. RADIATION SAFETY CRITERIA VIOLATION ENFORCEMENT POLICY... 1-7 A. Introduction... 1-7 B. Enforcement Follow-up Procedures... 1-8 CHAPTER 2 RADIOACTIVE MATERIALS I. AUTHORIZATION TO USE RADIOACTIVE MATERIALS... 2-1 A. Initial Approval... 2-1 B. Renewal of Authorization to use Radioactive Material... 2-1 C. Amendment to Proposals... 2-2 D. Transfer of Responsibilities... 2-2 E. Procurement and Receipt of Radioactive Materials... 2-2 F. Facilities... 2-3 II. TRAINING IN THE USE OF RADIOACTIVE MATERIAL... 2-3 vi
A. Definitions... 2-3 B. Training and Experience Requirements for Radioactive Material Use... 2-3 C. Training and Experience Requirements for Use of Sealed Sources or Machines... 2-4 D. Formal or Informal Coursework... 2-4 III. PERSONNEL MONITORING PROGRAM... 2-5 A. Personnel Monitoring Requirements... 2-5 B. Exposure Reports... 2-6 IV. BIOASSAY PROGRAM... 2-6 A. Biological Samples... 2-6 B. Partial body/whole body counting... 2-6 C. Participation... 2-6 D. Exposure Reports... 2-6 V. SECURITY OF RADIOACTIVE MATERIAL... 2-7 VI. CAUTIONS SIGNS, NOTICES AND POSTERS... 2-7 VII. RADIATION DETECTION INSTRUMENTATION & SAFETY EQUIPMENT... 2-7 VIII. LABORATORY SURVEYING AND MONITORING... 2-7 IX. EMERGENCY PROCEDURES... 2-8 A. Minor Spills... 2-8 B. Major Spills... 2-8 X. RADIOACTIVE MATERIAL INVENTORY... 2-9 XI. TRANSFER OF RADIOACTIVE MATERIAL... 2-9 A. On Campus Transfers... 2-9 B. Off-Campus Transfers... 2-9 C. Disposal of Equipment Containing Radioactive Material... 2-9 XII. RADIOACTIVE WASTE DISPOSAL... 2-10 A. Procedures... 2-10 B. Waste Reduction Methods... 2-10 XIII. SEALED SOURCE LEAK TESTS... 2-10 XIV. SPECIAL PROCEDURES FOR ANIMAL USE IN RESEARCH... 2-11 vii
CHAPTER 3 RADIATION PRODUCING DEVICES I. AUTHORIZATION TO USE RADIATION PRODUCING DEVICES... 3-1 A. Initial Approval... 3-1 B. Renewal of Authorization to use Radiation Producing Devices... 3-2 C. Amendment to Proposals... 3-2 D. Transfer of Responsibilities... 3-2 E. Procurement and Registration of Devices... 3-2 F. Facilities... 3-3 II. TRAINING IN THE USE OF RADIATION PRODUCING DEVICES... 3-3 A. Definitions... 3-3 B. Training and Experience Requirements... 3-3 C. Formal or Informal Coursework... 3-4 III. PERSONNEL MONITORING PROGRAM... 3-4 A. Personnel Monitoring Requirements... 3-4 B. Exposure Reports... 3-5 IV. ANNUAL RADIATION SAFETY INSPECTION... 3-5 V. RADIATION PRODUCING DEVICE INVENTORY... 3-5 VI. TRANSFER OF RADIATION PRODUCING DEVICE... 3-6 A. On Campus Transfers... 3-6 B. Off-Campus Transfers... 3-6 C. Disposal of Radiation Producing Device... 3-6 APPENDICES APPENDIX A... A-1 Personnel Monitoring Device Application... A-2 Radioactive Material Package Receipt Log... A-4 Radioactive Material Package Receipt Form (Off-Campus Locations)... A-5 Radiation / Contamination Survey Form... A-6 viii
APPENDIX B... A-7 Suggested Format for New Proposal to Use Radioactive Material to the Radiation Control Committee... A-7 Statement of Training and Experience Form... A-8 Summary Sheet - Proposal to Use Radioactive Material... A-9 Documentation of Training Form... A-10 Renewal Form to Use Radioactive Material... A-11 APPENDIX C... A-12 Procedure for Opening Packages Containing Radionuclides... A-12 APPENDIX D... A-13 Maximum Permissible Occupational Exposures... A-13 APPENDIX E... A-14 Instructions Concerning Prenatal Radiation Exposure... A-14 APPENDIX F... A-27 Application of Bioassay for Tritium... A-27 APPENDIX G... A-30 Application of Bioassay for I-125 and I-131... A-30 APPENDIX H... A-34 Inventory Reporting Instructions... A-34 Utilization Form Instructions... A-34 APPENDIX I... A-37 As Low As Reasonably Achievable (ALARA) Policy... A-37 APPENDIX J... A-42 Suggested Format for Proposal for the Non-Human Use of Radiation Producing Devices to the Radiation Control Committee... A-42 Statement of Training and Experience Form... A-43 Documentation of Training Form... A-44 APPENDIX K... A-45 Suggested Format for Proposal for the Non-Human Use of Lasers to the Radiation Control Committee... A-45 Statement of Training and Experience Form... A-47 Documentation of Training Form... A-48 NRC / DOH INFORMATION NOTICES... NRC-1 ix