RADIATION SAFETY MANUAL

 

FOR

 

RADIOACTIVE MATERIAL USERS

 

 

 

 

 

 

 

 

 

 

 

Office of Research Administration

 

Indiana University

 

 

 

 

 

 

 

 

 

Revision 9

 

June 2008


EMERGENCY INFORMATION

 

 

 

 

 

 

 

In the event of an accident involving radioactive material that occurs during regular office hours contact:

 

Radiation Safety Officer  …………………………………………………………  855-3230

 

Radiation Safety Office …………………………………………………………... 855-9928

 

IUCF Administrative Office   …………………………………………..………..  855-9365

 

 

If the accident occurs after hours, contact:

 

IU Police  ……………………………………………………………………………  855-4111

 

 

 

 

If the accident involves personal injury or fire, immediately call: ……………………...  911

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREFACE

 

 

The Radiation Safety Manual was prepared by the Radiation Safety Officer as the official guide to the safe use of radioactive materials at Indiana University - Bloomington.  The manual presents information and procedures that must be understood and practiced in order to ensure that all uses of radioactive materials at Indiana University - Bloomington are in compliance with existing regulatory requirements and that any resultant radiation exposures are "as low as is reasonably achievable."

 


TABLE OF CONTENTS

 

 

EMERGENCY INFORMATION  …………………………………………………………………………….. i

 

PREFACE  …………………………………………………………………………………………………….. ii

 

1.0   UNIVERSITY POLICY …………………………………………………………………………………. 1

 

2.0   REGULATORY REQUIREMENTS ……………………………………………………………………. 1

 

3.0   ADMINISTRATIVE ORGANIZATION ………………………………………………………………... 2

 

3.1       Radiation Safety Officer ……………………………………………………………………... 2

 

          3.2       Radiation Safety Committee …………………………………………………………………2

 

3.3       Office of Research Administration ………………………………….…..…………………..2

 

4.0  AUTHORIZATION PROCESS  ……………………………………………………………………….... 3

 

4.1       Application for Approval as a

Principal Investigator  ……………………………………………………………………….. 3

 

4.2       Review and Approval of Initial Application  ………………………………………………. 3

 

4.3       Application to Amend Use  …………………………………………………………………........ 3

 

4.4       Renewal of Project Authorizations  ………………………………………………………... 4

 

4.5       Application for Approval as an Individual User  …………………………………………........ 4

 

5.0   TRAINING REQUIREMENTS  ………………………………………………………………………... 5

 

5.1       General  ……………………………………………………………………………………….. 5

 

5.2       Principal Investigators  ……………………………………………………………………… 5

 

5.3       Individual Users  ……………………………………………………………………………... 5

 

5.4       Training Records  ……………………………………………………………………………. 5

 

6.0   PRINCIPAL INVESTIGATOR RESPONSIBILITIES  ……………………………………………… 6


7.0   EMPLOYEE RIGHTS  …………………………………………………………………………………. 6

 

8.0   PROCUREMENT OF RADIOACTIVE MATERIAL  ………………………………………………... 7

 

8.1       Ordering Radioactive Material  …………………………………………………………….. 7

 

8.2       Receipt of Radioactive Material  …………………………………………………………… 7

 

8.3       Opening Packages of Radioactive Material  ………………………………………………...... 8

 

8.4       Inventory and Use Records  ………………………………………………………………......... 8

 

9.0   TRANSFER OF RADIOACTIVE MATERIAL   ………………………………………………………. 9

 

9.1       On-Campus Transfers  ………………………………………………………………………. 9

 

9.2       Off-Campus Transfers  ………………………………………………………………………. 9

 

10.0  RADIOACTIVE WASTE HANDLING  ……………………………………………………………….. 10

 

10.1     Laboratory Waste Procedures  ……………………………………………………………......... 10

 

10.2     Waste Transfer Procedures  ……………………………………………………………….. 11

 

10.3     Disposal Through Sanitary Sewer  ………………………………………………………… 11

 

11.0  PERSONNEL EXPOSURES  ………………………………………………………………………… 12

 

11.1     Occupational Dose Limits  ………………………………………………………………….. 12

 

11.2     Dose Limits for an Embryo/Fetus  …………………………………………………………........ 14

 

11.3     Dose Limits for Members of the Public  ……………………………………………………...... 14

 

12.0  PERSONNEL MONITORING  ………………………………………………………………………... 15

 

12.1     Personnel Dosimeters  ……………………………………………………………………… 15

 

12.2     Bioassays……………………………………………………………………………………… 16

 

12.3     Personnel Exposure Records  ………………………………………………………………..... 16


13.0  LABORATORY SAFETY  ……………………………………………………………………………... 17

 

13.1     Facility Requirements  ………………………………………………………………………. 17

 

13.2     Equipment Requirements  ………………………………………………………………….. 18

 

13.3     General Rules for the Safe Use of

Radioactive Materials  ………………………………………………………………………........ 19

 

13.4     Contamination Survey Procedures ………………………………………………………... 20

 

13.5     Survey Records  …………………………………………………………………………….. 20

 

13.6     Notification of Contamination  ………………………………………………………………. 20

 

13.7     Decontamination Procedures  ……………………………………………………………… 21

 

13.8     Laboratory Posting  …………………………………………………………………........... 22

 

13.9     Security and Control of Radioactive Material  ……………………………………………. 22

 

13.10   Laboratory Audits  …………………………………………………………………………… 22

                                                                                

14.0  EMERGENCY PROCEDURES  ………………………………………………………………………. 23

 

14.1     Minor Spills  ………………………………………………………………………………….. 23

 

14.2     Major Spills or Releases……………………………………………………………………......... 23

 

14.3     Accidents Involving Personal Injury...........   ………………………………………………………. 23

 

TABLES

 

1.     Dose Equivalent Limits for Occupational

Exposures  ……………………………………………………………………………………… 13

 

2.     Annual Limits on Intake for Ingestion

of Selected Radionuclides  ……………………………………………………………………....... 13

 

3.     Limits of Radioactive Contamination

within Radionuclide Laboratories  ……………………………………………………………. 21


APPENDIX (STANDARD FORMS)  ……………………………………………………………………...... 24

 

(RS-1)       Application for Approval as a Principal

Investigator in the Use of Radioactive Material

 

(RS-2)       Application for Individual Use of

                        Radioactive Material

 

(RS-3)       Radioactive Material Authorization Form

 

(RS-4)       Radioactive Material Use Log

 

(RS-5)       Radioactive Contamination Survey


1.0       UNIVERSITY POLICY

 

It is the policy of Indiana University - Bloomington (IUB) to support the use of radioactive materials for purposes of research and teaching.  At the same time, the university is committed to ensuring the safety of its students and employees and to complying with all regulatory requirements that impact its facilities and operations.  For this reason, the administration encourages employees and students who work with radioactive materials to promote positive attitudes regarding safety, to incorporate safety into their work practices, and to cooperate fully in the implementation of the campus radiation safety program.

 

2.0       REGULATORY REQUIREMENTS

 

Concern over health risks associated with exposure to ionizing radiation led early in its use to recommended exposure limits and, ultimately, to mandatory limits and strict regulatory controls over the possession and use of all sources of ionizing radiation.

 

Regulatory jurisdiction over radioactive materials varies both with individual states and with the types of materials involved.  Most types of radioactive materials in use at IUB are controlled under Title 10 of the Code of Federal Regulations.  Compliance with these regulations is enforced through the licensing and inspection activities of the U.S. Nuclear Regulatory Commission (NRC). 

 

Activities involving federally controlled radioactive materials at IUB are conducted under the authority of the university's "broad scope" license with the NRC.  This type of license allows the university considerable flexibility in its use of radioactive materials in exchange for the establishment of an appropriate administrative structure for ensuring regulatory compliance.


3.0       ADMINISTRATIVE ORGANIZATION

 

In fulfillment of its commitment to personnel safety and regulatory compliance, Indiana University has established specific administrative entities with responsibilities for controlling the use of radioactive materials on the Bloomington campus.

 

3.1       Radiation Safety Officer (RSO)

 

The Radiation Safety Officer is a full‑time professional staff member who has the responsibility for the administration and operation of the university's radiation safety program.  The Radiation Safety Officer establishes and communicates the requirements for the safe use of radioactive materials on campus, reviews and approves all projects involving radioactive materials, and ensures that safety and regulatory requirements are met during the course of such projects.  Essential components of the radiation safety program include continuous accountability of radioactive material, radiation safety training, safety audits of laboratories and other facilities, personnel monitoring, and radioactive waste management.

 

3.2       Radiation Safety Committee (RSC)

 

A Radiation Safety Committee (RSC) has been established by the Vice President for Research Administration to advise and assist the Radiation Safety Officer in establishing policy and procedures related to radiation safety on the Bloomington campus.  The RSC consists of at least eight members of the faculty or staff who have particular knowledge or responsibilities related to the use of radioactive materials or radiation-producing devices. The RSC meets at least once during each academic semester.  On an annual basis, the RSC conducts a review of the radiation safety program and issues a written report to the Vice President for Research Administration regarding its findings on the program’s quality and needs.

 

3.3       Office of Research Administration

 

At IUB, the radiation safety program and its support staff are administratively contained within the Office of Research Administration, which reports to the Vice President for Research Administration. This office has the responsibility for administering various university regulatory programs that pertain to the research environment, including programs for the use of human subjects, animals, select agents, and recombinant DNA.  Other safety-related regulatory programs, such as hazardous waste management, environmental regulatory affairs, occupational safety, and general sanitation are administered by the University Office of Environmental Health and Safety Management, which reports to the Vice President for Administration.

 

 

 

 

 

 

 

 

4.0       AUTHORIZATION PROCESS

 

All uses of radioactive materials at Indiana University - Bloomington must be specifically authorized by the Radiation Safety Officer (RSO).

 

An individual who wishes to use radioactive material may seek approval as either a "Principal Investigator" or an "Individual User".  The Principal Investigator directs and supervises a project whereas an Individual User works under the supervision of a Principal Investigator.

 

4.1       Application for Approval as a Principal Investigator

 

The individual seeking approval as a Principal Investigator begins the authorization process by completing the appropriate application form (see Form RS‑1 in the Appendix).  This form requests information on the purpose and scope of the project, the facilities and equipment to be utilized, the safety procedures to be observed, the individuals who will work on the project, and the training and experience of the applicant (see Sections 5 and 13 of the Radiation Safety Manual for requirements in these areas).  Any supplemental information needed to adequately describe the project should be attached to the application form.  Completed copies of Form RS‑2 detailing the training and experience of each Individual User on the project must also be attached.

 

4.2       Review and Approval of Initial Application

 

The completed application must be submitted to the Radiation Safety Officer.  As part of the application review, the RSO meets at least once with the applicant to discuss various details of the project.  Based upon this review, the RSO determines whether authorization is to be granted.  If the application is approved, the RSO completes and signs the authorization form (Form RS-3) and forwards it to the Principal Investigator.  Any possible conditions under which authorization is granted are specified on the authorization form.

 

Should approval of a project not be granted, a written notification, which includes an explanation for this decision, is forwarded to the applicant.  This notification contains a description of the possible modifications to the project that would be necessary for it to be approved.

 

4.3       Application to Amend Use

 

Requests for changes in a Principal Investigator's use of radioactive material, as originally approved by the RSO, must be made in writing to the RSO.  Requested changes will be subject to the same review and approval process as was the original application.  The Principal Investigator is notified of the approval of a change through an amendment to his or her authorization form (Form RS‑3).


4.4       Renewal of Project Authorizations

 

Each authorization for use of radioactive materials is issued with a formal expiration date.  Prior to this date, the Principal Investigator will receive from the RSO a renewal request form that must be completed and submitted in order to reauthorize the project.  Most projects involving radioactive material must be renewed on an annual basis.

 

4.5       Application for Approval as an Individual User

 

Any person who wishes to be approved as an Individual User of radioactive material must indicate that he or she has completed the required training (see Section 5) by submitting a completed Form RS‑2 to the RSO.  Note that this application must be approved and signed by the Principal Investigator of the project on which the Individual User wishes to work. 

 

Form RS‑2 can be submitted for an Individual User at the time of the Principal Investigator's initial application for project approval or at any time thereafter.  The Principal Investigator will be notified of the approval of personnel additions to his or her project through an amended authorization form. 


5.0       TRAINING REQUIREMENTS

 

State and federal regulations require that individuals who work with radioactive material be provided with sufficient training to enable them to conduct their work safely.  This training must include information on the potential hazards associated with the use of radioactive material; the means by which these hazards can be minimized; emergency procedures; and institutional procedures for the procurement, use, and disposal of radioactive material.

 

5.1       General

 

In order to meet the current regulatory requirements for training, all individuals who wish to use radioactive material at Indiana University - Bloomington must accomplish the following:

 

1.       Attend a Radiation Safety Orientation by the Radiation Safety Officer (call 855-3230 for information on the next scheduled session).

 

2.       Complete the on-line training on Radiation Safety Procedures.

 

3.       Read the IU Radiation Safety Manual and other written material provided.

 

4.       Pass a written examination.

 

5.       Complete an “in-lab” performance review of laboratory safety procedures.

 

5.2       Principal Investigators

 

In addition to the general training requirements for radioactive material use, an individual who wishes to be authorized as the Principal Investigator (PI) of a project must give evidence that he or she has a total of 40 hours of training and experience with radioactive material, including appropriate experience with the specific types and quantities of radioactive material for which approval is requested.  When in the judgment of the RSO an applicant has insufficient experience to act as the PI of a project, the applicant may be requested to work under the supervision of an approved PI until sufficient experience is obtained.

 

5.3       Individual Users

 

In addition to the general training requirements for radioactive material use, personnel who wish to be authorized as Individual Users must be provided, by the Principal Investigator, safety training appropriate to the particular techniques and materials to be employed.

 

5.4       Training Records

 

All relevant training and experience an individual has received prior to his or her application for approval must be documented on the appropriate form (Form RS-1 for Principal Investigators, Form RS-2 for Individual Users).  Documentation of training received after approval has been granted is the responsibility of the Principal Investigator.


6.0       PRINCIPAL INVESTIGATOR RESPONSIBILITIES

 

The individual authorized by the Radiation Safety Officer as the Principal Investigator in the use of radioactive material is responsible for all activities conducted under the scope of that authorization.  This includes responsibility for ensuring that:

 

1.     All Individual Users are appropriately trained and supervised.

 

2.     All Individual Users have been formally approved by the RSO.

 

3.     All uses of radioactive materials are as represented in the Principal Investigator's application as approved by the RSO.

 

4.     All rules, regulations, and procedures for the safe use of radioactive materials are observed.

 

5.     Accurate records are maintained of the use, storage, and disposal of radioactive materials and of contamination surveys conducted.

 

6.     The RSO is notified, and has approved, any changes in the storage or use of radioactive material prior to the implementation of such changes.