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TABLE OF CONTENTS - Environmental Health & Safety

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1. ey teet t sed pet be tiu tese rete ope eto 37 j 38 POLICY EE 38 Who is required to wear a badge esses eene nennen rene emen eerte nnne 38 Who is not required to wear a badge esses enne nennen eene rennen 38 Do I need a special badge if I m working with a neutron source essere 38 Do I need a badge if I m working with X ray diffraction units or electron microscopes 38 What if I m pregnant or think I might be essere een eene 39 Where can I get d b udge etaed eet retenti riget Ho eere ke ten iren eio 39 How often are badges exchanged and what is the procedure for exchanging a badge 39 What if my badge is lost or damaged sese eene eene 40 How should I properly use and care for my dosimeters esee eene 40 When do I need a pocket dosimeter essen nennen een rennen 40 Can I request my dose 41 Yes you can request your dose record at any time by contacting EH amp S Radiation Safety 41 DECOMMISSIONING EQUIPMENT OR 42 42 How do I dispose equipment that was used for radioactive material e
2. 18 What if the meter requires dose rate calibration essent 18 When do I need to bring the meter for calibration eese 18 What if the meter is not working eese nennen eene tenen 19 If the meter has been calibrated by an outside vendor does it still need to be brought in to be calibrated ood bite e eed rie i 19 If a new meter is purchased what needs to be done serene 19 What precautions should be taken for the survey meter essent 19 INO LEE WIDPSELNJUBN CR H 21 jn EE 21 Where do I obtain needed labels and Forms esee eene een eene 21 How what and where do T label estt tte tete ERE tata vance eee eee 21 22 What is considered special labeling esses eene eene nennen 22 What are the exemptions from posting and labeling esee nenne 23 INACTIVE AU STATUS ABSENCE FROM LAB e eeeeee eese enses tn seen tn seta sns tasto senses enses sone ta sn 24 POUN EE E 24 What do I need to do to become inactive essen 24 What if I want to become active again 24 What if I do not have isotopes in my laboratory but still want to retain active AU sta
3. Confirmation by EH amp S You are considered to be on active status when an e mail is received by EH amp S Lg Page 24 What if do not have isotopes in my laboratory but still want to retain active AU status a The PI or individuals in their lab will have to audit their laboratory twice per year and send the results to EH amp S The audit would also include a self audit of the laboratory and a contamination survey EH amp S will provide the forms for the surveys and set the due dates The PI and workers will also have to be up to date on radiation refresher training and have access to a calibrated meter b If Pls do not wish to perform self audits EH amp S will audit their labs at the PI s expense The recharge cost for the audits is 160 What if am going on sabbatical If you are going on sabbatical an individual must be designated to assume responsibility for all radiation safety issues if you will be away from UCR This individual must be another PI not a technician preferably within the same department Please contact the Radiation Safety Officer indicating the dates you are going on sabbatical when you will be returning as well as the PI that will be assuming responsibility for all radiation safety issues in your absence Page 25 RADIOACTIVE MATERIAL INCIDENT 000 RESPONSE REPORTING 0000 00000 Policy 0000 0000 All laboratories should have an emergency response plan appropriate for 56 their laboratory
4. Also the meter should have properly charged batteries The lab will be contacted when the meter has been calibrated and is ready to be picked up It is the responsibility of the lab to pick up the meter as well as to ensure that the batteries are fully charged What if the meter requires dose rate calibration Meters requiring dose rate calibration need to be sent by the PI to an outside vendor f there are any doubts about where to have the meter calibrated contact Radiation Safety prior to sending the meter to a vendor When do I need to bring the meter for calibration Before the expiration date for calibration of the meter is reached Make sure that the survey meter s batteries are in good working order and that the meter and probe are free from contamination If the probe is protected with paraffin or plastic caps these must be removed prior to bringing the meter in for calibration Page 18 What if the meter is not working If the meter is not functioning properly bring the meter to the Senior Electronics Technician to be checked Minor repairs such as loose connections or dirty battery connections can be fixed quickly However any meter that needs major repairs must be sent to an outside vendor The PI is responsible for all charges incurred for repair by a commercial vendor and for commercial calibration of meters The Pl is also responsible for having a meter available in their laboratory for survey purposes if their meter i
5. ISOTOPE AND SHIELDING REQUIREMENTS eere esee eene entes nttn tasse tata sns tan neta tasas ta tasas 58 Page 5 POLICY It is the policy of UCR to implement a Radiation Safety program that maintains the level of exposure to students faculty staff and the public As Low As 606 Reasonably Achievable ALARA The purpose of the radiation safety 0000 program is to protect health and minimize the risk to life property and the environment in the use of ionizing radiation 00000 0000 0000 INTRODUCTION 006 00 This Manual assists University personnel in using ionizing radiation in accordance with current standards of good practice the provisions of the UCR radioactive materials license and the relevant state and federal regulations A copy of the manual can be found on the UCR EH amp S web site www ehs ucr edu for use as a reference by persons involved with the project s that contain radiation The Radiation Safety Committee and the Radiation Safety Officer are authorized by the Chancellor to limit suspend or revoke an individual s authority to use radioactive material s or sources that produce radiation if such use is immediately dangerous to the life and health of individuals or violates health and safety codes Who is regulated All personnel under University auspices who use supervise or control radioactive materials Users of Generally Licensed Materials Exempt Quantities which might be acquired with
6. listed in the Pl s application to use isotopes The instructions to obtain status are provided the Application for Use of Radioactive Materials for Non Human Use available on the EH amp S website Laboratory Personnel List contained in the application designates individuals who are approved to sign for isotope deliveries All radioactive material purchases are approved by Radiation Safety after the order is entered by the purchasing agent The must be approved to possess the isotope and activity ordered The activity when added to the current isotope inventory may not exceed the Pls approved possession limit for that isotope All acquisitions of radioactive material from a vendor must follow the same procedures as if they were purchased This includes replacement shipments trial kits and free samples How do I place an order for radioactive materials The purchasing agent for your department will enter your isotope order in the HP Assist database The order is then reviewed by EH amp S Radiation Safety to ensure that the possession limits for the university as well as the possession limit for the user is not exceeded prior to approving the order What if cancel an order If an order is cancelled have the Purchasing Agent call EH amp S Radiation Safety Page 10 What if need to order an isotope but the activity of the isotope puts the AU over their possession limit for that isotope Perhaps som
7. to sweat out contamination Monitor the area each day until the contamination is gone Survey the bandage and dispose of it as RAM waste if necessary Page 50 RECORD KEEPING AND AUDITS 0000 00000 Policy 0000 0000 Record retention must conform to all applicable Federal and state 88 regulations Records must be kept up to date and be readily available e for inspection by University Administration Federal and state regulatory authorities It must be possible from the documentation to establish that all conditions for the safe use of radioactive material has been met What is a laboratory notebook and what should I put in it Laboratory Notebook Each user must maintain records in a notebook 3 ring binder The notebook is a necessary part of the records required by State regulations It must be available for review by EH amp S Radiation Safety and State Inspectors It must contain the following information Copies of the original application and authorization Radioisotope Authorization Update forms Monthly Reports Radioisotope use logs Room Surveys Documentation of training provided in the laboratory to lab personnel Dosimetry Records Radioactive waste disposals Why do I need to keep these records Records must be kept up to date and be readily available for inspection by the University Administration Federal and state regulatory authorities as well as EH amp S Radiation Safety Page 51 How long d
8. Notify others in the area of a major radiological spill During business hours weekdays 8 00 a m 5 00 p m call Radiation safety at 827 5528 Page 28 4 After hours weekdays 5 00 p m 8 30 a m weekends and holidays call UCR Police 911 and indicate there is A Radiation Spill 5 Give Safety or Security your name the Pls name location and telephone number 6 Establish a secure boundary to prevent spreading of contamination 7 Do not leave the area unless in immediate danger until initial investigations by Safety have been completed What if there is a Multiple Emergency When a radiation emergency is accompanied by other hazards fire explosion chemical exposure or other event that endangers life or property it is important to deal first with those hazards that have the greatest potential impact In an educational setting the quantities and types of radiation used are such that in general response personnel fire and medical can deal with severe threats to life health and property without concern for the radiation present if 1 They respond with their usual personal protective equipment and 2 Are monitored for radiation contamination and decontaminated as necessary before leaving the site of the emergency Page 29 000 0009 000900 Policy 0000 0000 Radioactive material shall be secured against unauthorized access 88 removal unless you or someone from the laboratory authorized to use et the m
9. of radioactive materials are stored or used along with a Placard containing emergency contact information A Notice to Employees information sheet should be posted in an area in the main lab that is readily visible to all employees It does not need to be posted on every room Refrigerators and Freezers Refrigerators and freezers that are used to store radioactive material stock solutions and sample preparations should be prominently labeled with a Caution Radioactive Material sign Refrigerators and freezers used for radioactive material storage not in a lockable lab need to be posted with an Emergency Contact Information Sheet containing a rad label along with the name of the AU and an alternate to contact in the event of an emergency It also should be locked unless a secured lock box is contained within If a secured internal lock box is used a radiation label should be placed on the outside of the lock box If Page 21 any sample preparations are stored inside the isotope total activity and the date should be posted somewhere on the outside of the lock box Waste Containers All radioactive waste containers must be labeled with a Caution Radioactive Material label The trefoil labels must be large enough and clearly visible from all sides of the waste container A radioactive waste accumulation log indicating the isotope activity and the disposal date should be posted on or near the container If the log sheet is not dire
10. radioactive material between laboratories must be arranged through EH amp S Radiation Safety Before initiating an internal transfer of radioactive materials verify that the receiving AU is authorized to possess the isotope An Internal Transfer Form must be signed by both the sending and receiving Pls as well as by Radiation Safety before the transfer may proceed A copy of the form will be returned to both Pls Page 14 What if want to transfer radioactive material to someone at another institution within or outside of the United States Before initiating an external transfer of radioactive material an External Transfer Form must be completed and sent to the Radiation Safety Information provided must include the isotope activity and chemical form A contact telephone and fax number of the receiving institution will help expedite the process for obtaining approval for the shipment The shipping address of the receiving institution must also be written on the form A copy of the form signed by the Radiation Safety will be returned to both Pls Do not proceed with the transfer until this form approved by Radiation Safety is returned to the Pl The External Transfer Form can be found on the EH amp S website http ehs ucr edu under Radiation Safety What if transferring an LSC to another PI at UCR or a PI outside of UCR Call Radiation Safety 827 5528 Radiation Safety will ask you where the counter is going to be loca
11. standing orders need to be approved only prior to the initial order The package is delivered to the user who signs the package receipt log The individual delivering the package will write the time the package was delivered Radiation Safety will send packing slips to Purchasing at the end of the week What the Lab needs to do once the package arrives e Inspect package for damage e If damage is noted call EH amp S Radiation Safety Page 13 TRANSFER OF RADIOACTIVE MATERIALS LSCs 000 AND SEALED SOURCES 0000 00000 0000 Policy 0090 Radiation Safety reviews and approves all procedures for transfer of radioactive materials LSCs and sealed sources to or from an AU either 00 on campus internal transfer or off campus external transfer Radioactive materials stock solutions samples gels LSCs and sealed sources may not be transferred to another PI or location until this review process has been completed Transport of radioactive material between Pls at UCR approved for the isotope transfer shall proceed in a manner that minimizes exposures and risks from accidental release of radioactive material Transport of radioactive material off campus must conform to all applicable state and Federal regulations Contact EH amp S Radiation Safety if you plan on shipping or transporting radioactive materials off campus What if I want to transfer radioactive material to another PI at UCR On Campus Transfers All transfers of
12. the samples Should perform a meter survey a wipe test or both The following chart was created to assist you in selecting the best method and instrument for performing contamination surveys Contamination Nuclide Radiation Emitter Energy keV Survey Technique beta 156 WL SG T p 714 WG SG Cr y gamma 320 WL SN 3H 18 6 WL 1 y 35 WL SN Na B y y 545 1275 511 WG SG F p 1710 WG SG 55 248 WL SG Rb 1780 1078 WG SG 2S p 167 WL SG W WIPE to check for removable contamination See key below S SURVEY with meter Geiger Mueller GM or Sodium lodide Nal for fixed contamination L run on LSC G use GM or sandwich probe N use Nal or sandwich probe Example WL SG means to perform a smear to wipe the surface and count the smear with a liquid scintillation counter plus perform a meter survey for fixed contamination using a GM probe Page 45 When checking for removable contamination you always perform a wipe When checking for fixed contamination you measure the total radiation from the surface with a hand held instrument then subtract the removable component from this if appropriate The sandwich probe beta gamma sandwich detector combines a plastic scintillator to detect beta with a Sodium lodide crystal to detect gamma The Ludlum Model 44 21 is the common model used at the University How d
13. the 00000 RSOF 368 2906 or consult the information sheet that comes with the 0000 isotope should you require further information on the specific thickness 099 of the shielding that is required Ca 0 257 Mev beta None Or 0 320 Mev gamma Lead GC 0 156 MeV beta None 9901 0 710 MeV beta Lucite 125 0 035 MeV Lead 32p 1 71 MeV beta Lucite 0 249 MeV beta None Na 1 275 MeV gamma Lead 0 546 MeV position Tc 99m 0 141 MeV gamma Lead 3H 0 019 MeV beta None 0 167 MeV beta None 9Rp 1 77 MeV beta Lucite first then lead 1 077 MeV gamma Page 58
14. the use log Date time of day name and destination Date and time will be logged upon return of the MDG to radiation safety Training requirements All users must complete radiation safety initial training Do need to wear a badge Yes Contact Radiation Safety to obtain a badge What if have to transport it off campus Contact Radiation Safety regarding the specific requirements IRRADIATORS What if want to use an irradiator After completing Radiation Safety Initial Training individuals that wish to use the irradiator have to complete a background check as well as a fingerprint check which is sent to the FBI Once cleared by the FBI additional training is given by EH amp S Radiation Safety Please contact EH amp S Radiation Safety at 827 5528 if you wish to use the irradiator Page 17 SURVEY METER MAINTENANCE AND 0009 CALIBRATION 00000 0000 Policy 0000 000 Pls are responsible for ensuring that their survey meters are calibrated 6 annually What type of calibration can the Radiation Safety Office do and how long does it take Meters are calibrated for count rate by the Senior Electronics Technician in Botany and Plant Sciences 827 5631 There is a 50 charge for this service When a meter is brought in for calibration the electronic linearity of the meter is checked and meter efficiencies are determined based on the isotopes used in the laboratory This procedure generally takes five working days
15. units or electron microscopes For users of X ray equipment electron microscopes and X ray diffraction units see the RPE Manual for badge requirements The RPE Manual is available on the DOES website http ehs ucr edu under Forms Manuals Page 38 What if I m pregnant or think I might be Any radiation worker who is pregnant or thinks she might be pregnant may declare herself a Pregnant Worker by completing a Declaration of Pregnancy Form and sending it to Radiation Safety Declaration of pregnancy is voluntary Counseling will be provided and an additional dosimeter will be issued which is read every month This additional fetal badge is worn such that any dose to the developing baby is conservatively measured The Declaration of Pregnancy Form can be found on the EH amp website http ehs ucr edu under Forms Where can I get a badge Badges can be obtained through EH amp S Radiation Safety You can request one on line by accessing E amp S website http ehs ucr edu under Radiation Safety Forms How often are badges exchanged and what is the procedure for exchanging a badge Badges exchanged monthly include e Fetal badges e Individuals using moisture density gauges Badges exchanged quarterly include e Any individual issued a badge that is not included in the monthly category Badges are received at EH amp S Radiation Safety and are mailed to the laboratory contact for each laboratory Old badges can
16. with tape Clean from the outer edge of the contamination and work inward Use a spray solution and wipe up with paper towels or other absorbent material to remove as much removable contamination as possible Low activity spills not containing hazardous materials can be cleaned up by using soap and water Take a 1ml sample of the waste water If it is radioactive it must be disposed as liquid radioactive waste While cleaning towards the center area check newly cleaned areas for loose contamination before walking or kneeling in these areas Bench paper may be placed over these areas to prevent recontamination Tape off and shield any areas where the contamination cannot be easily removed for further decontamination efforts Re survey area Wash until removable contamination is gone When wipe tests confirm only fixed contamination remains appropriately shield the contaminated area and label with isotope activity and date Document that the area has been decontaminated and place in the lab notebook along with the initial survey Equipment Decontamination gt VVVV Use a spray solution and wipe up with paper towels other absorbent material to remove as much removable contamination as possible Be cautious not to flood the area with cleanser since it will wash the contamination into cracks which will be difficult to decontaminate Low activity spills not containing hazardous materials can be cleaned up by using soap an
17. Each PI is responsible for making certain that EH amp S e Radiation Safety 827 5528 during office hours 8 00 a m 5 00 p m or UCR Police 911 after hours weekends and holidays is called immediately in the event of A major spill theft or loss of radioactive material Personnel contamination Contamination outside a restricted area Accidental ingestion of radioactive material or Accidental disposal of radioactive material to the normal trash VVVVV Are incident response procedures included in the AU application Yes The Pl is required to implement incident response procedures as part of the radioactive material use application process These procedures are included in the application packet that is given to an individual who is applying to use radioactive material These procedures are divided into three parts Spill Decontamination and Emergency Procedures All three are included together since they are all used in responding to incidents involving radioactive material that are most likely to occur in a laboratory Response procedures for other laboratory hazards that may be present i e chemical hazards and biological pathogens are not listed When do I need to call Radiation Safety Each PI is responsible for making certain that Radiation Safety 827 5528 during office hours 8 00 a m 5 00 p m or UCR Police 911 after hours weekends and holidays is called immediately in the event of gt A majo
18. UCR EH amp S Radiation Safety Radiation Safety Procedures for Laboratory Personnel University of HT California gees Riverside UCR Radiation Safety Lab User Manual rev 11 5 2014 Contents err X M 6 INTRODUCTION EE 6 WhO tS TO GULALCE MER 6 WhO tS NOE regulated iuit ntt ted p ONE AE RE ue tu eo PUE eed vetu dedere ede v HEC 6 ORGANIZATION AND RESPONSIBILITY eere esee ee eese 7 Chancellor m 7 Radiation Safety Committee RSC e ie eter tt tom ener ed pe o nre e tg 7 Office of Environmental Health and Safety EH amp amp S sse eene 7 Ei Vg Les 8 PONCY cest Re POEM Corte 8 Worker Categories and Training Requirements eese nennen nennen eene 8 What if a worker leaves T 9 Procedure for Radiation Safety Initial Training eese nennen 9 Procedure for Radiation Refresher Training eese eee eterne nennen nenne 9 When and where are the classes scheduled and how do I register essere 9 What training is needed if I m only using RPE and or irradiators eese 9 PURCHASE OF RADIOACTIVE MATERIAL eren ense eene tnnt tn statu seta tuse ta
19. adioactive material it must be moved to an authorized area prior to opening the package Wear proper protective clothing Examples include a buttoned lab coat latex vinyl butyl or nitrile gloves and a body and ring badge as needed Check for evidence of potential contamination such as packages that are crushed wet or damaged If there is any evidence of leakage or contamination contact the RSOF immediately Open all packages containing volatile radioactive material S and radioiodine in a hood approved for radioactive material use If there is no evidence of isotope contamination remove and or completely deface the trefoil warning labels before disposing of the items as non radioactive trash MOISTURE DENSITY GAUGES Policy It is the responsibility of the PI to contact EH amp S Radiation Safety regarding the requirements for use of a moisture density gauge All moisture density gauges are leak tested semi annually by Radiation Safety What are moisture density gauges MDG and what are they used for Moisture density gauges use the thermalization of neutrons to measure water contents of porous materials or gamma rays for density measurement of specific materials Where are they located They are currently stored at the Radiation Safety Office Page 16 What if want to use it Contact Radiation Safety at 827 5528 It is the responsibility of the PI to ensure that the following items are entered into
20. at if I m transferring an LSC to another PI at UCR or PI outside of UCR sss 15 What if I m transferring a sealed source to another PI at UCR or a PI outside of UCR 15 How do I prepare radioactive material for shipment eee eene 15 What are the safety precautions when checking in packages sese 16 MOISTURE DENSITY GAUGES eere eee senta aine tatu sins tata sins tata sins tasas insta tasse tasas ene sata sens tatu an 16 16 What are moisture density gauges MDG and what are they used for ses 16 Where re they located cett eed ter IEEE EI EE 16 Whatif 1 want to use 1t HE Ire Rane 17 Page 2 Lr inine TEQUITEMENES m 17 Do I need to wear badge eterni ee bei ree rp E pi di 17 What if I have to transport it Off campus esses nennen nennen eene trennen tne 17 IRRADIA TORS E soie 17 What if I want to use an irradiator neen eene rennen tne 17 SURVEY METER MAINTENANCE AND CALIBRATION eeeeee essen en nentes ento neta sen stas tns tn stnae 18 Policy er I IM n M uM 18 What type of calibration can the Radiation Safety Office do and how long does it take
21. at the beginning of the month to each PI It lists all of the individuals in the laboratory their training dates and current isotope inventory and room survey status The PI or his designee should update the form and return it to EH amp S Radiation Safety by the end of the month Page 54 URANYL ACETATE 0000 00000 Policy 0000 0000 Uranyl acetate is not regulated as radioactive material but must be 88 disposed as waste by EH amp S T Description of Uranyl Acetate Uranyl acetate is a naturally occurring radioactive material that emits alpha a beta B and gamma y radiation It is used as a stain for electron microscopy viewing enhancement Although the radiation associated with the material is far less hazardous than its chemical toxicity it should be treated as a radioactive hazard What about external dose One hundred grams of uranyl acetate powder has a maximum unshielded dose rate of 0 6 mrem hr Assume you are at 10 cm from this source and working with 25 grams The maximum dose would be 150urem hr At 1 meter the dose rate would be 1 5urem hr Background radiation is about 1000 or 42urem hr Therefore distance exposure at 1 meter from 25 grams gives about 4 of natural background What about skin dose Uranyl acetate will give a skin dose rate of 6 7 mrem hr per uCi cm The activity of 1 gram of uranyl acetate is 2 uCi g If one gram were spread over 100 square centimeters the contact
22. aterial is present SECURITY OF RADIOACTIVE MATERIALS When does radioactive material need to be secured If you or someone from your laboratory authorized to use radioactive material is not present What type of radioactive material needs to be secured Stock vials or stock solutions Does radioactive waste need to be secured No Common and accepted practice is not to secure waste to the same degree as other radioactive material However waste is to be kept in the waste area of the laboratory and its activity sensibly minimized What equipment needs to be secured Equipment containing radioactive material i e cabinets refrigerators freezers that are located in hallways must be locked or contain a secured lock box within A refrigerator containing a secured lock box should also have a special label posting on the outside of the refrigerator see section on Posting and Labeling in this manual Page 30 What if the equipment doesn t contain radioactive material If the labeled equipment i e cabinets refrigerators freezers is not being used for radioactive material then the equipment should be decommissioned For equipment that is used occasionally for radioactive material storage the equipment shall be locked even if no radioactive material is currently present PERSONAL PROTECTIVE EQUIPMENT PERSONAL SAFETY i 00000 Policy 0000 0000 To ensure the health and safety of all members of the UCR research 56 com
23. be returned either in person or by campus mail The badges are then sent to Mirion Technologies PO BOX 20889 Fountain Valley Ca 92728 for analysis All dosimetry reports are reviewed by the RSO and kept in a secure file in EH amp S Radiation safety Page 39 What if my badge is lost or damaged Report lost or damaged badges crushed broken melted washed accidentally exposed contaminated heated in any way etc to Radiation Safety as soon as you are aware of the situation so that a new badge can be issued How should properly use and care for my dosimeters gt The whole body badge shall be worn between the neck and waist If however one area of the body is more likely to be exposed than the rest the badge should be worn in that area The front of the badge must be exposed toward the source of radiation with no obstruction such that it correctly samples the actual exposure of the radiation worker The badge shall be worn outside of any PPE Extremity badges ring badges should be worn under any protective gloves on the hand most likely to receive the greatest exposure The front of the ring badge should face toward the radiation source Badges are issued to a single user and shall not be shared Store the badge in a radiation free area such as a desk drawer when not in use Do not take the dosimeter home When do I need a pocket dosimeter e Whenever a person attempts a new procedure where the radiatio
24. ctly on the waste container the isotope waste type and maximum activity in the waste container should be written somewhere on the container Small Laboratory Equipment All trays containers racks tools etc that are used for radioactive material experiments must be labeled with Radioactive Material tape Hallway Equipment Equipment in hallways used with radioactive material other than refrigerators or freezers mentioned above must be labeled Caution Radioactive Materials In addition these items must be posted with an Emergency Contact Information Sheet listing the AUs name and emergency contact after hours telephone number Stock Solutions and Sample Preparations All trays containers and racks that contain stock solutions of radioactive material must be labeled with Radioactive Material tape indicating isotope estimated activity and reference date if it is stored in a refrigerator or freezer While it is not reasonable to expect that each tube or vial is labeled each tray or rack that holds radioactive material must be labeled What is considered special labeling Radiation Area refers to any area accessible to personnel in which the radiation levels are such that a major portion of the body could receive a dose of 5 mrem or more in one hour at 30 cm or 100 mrem in any five consecutive days High Radiation Area refers to any area accessible to personnel in which the radiation levels are such that a majo
25. d dry solid waste and uranyl acetate nitrate in powder form Fill out the Radioactive Waste Disposal Form on line Sealed Sources If you want to dispose of a sealed source contact EH amp S at 827 5518 Radioactive Animal Waste Radioactive animal waste can include carcasses bedding and excreta animal blood animal SHARPS as well as animal waste containing etiologic agents Contact the EH amp S at 827 5518 for instructions on how to package this type of waste Animal SHARPS All contaminated radiological SHARPS must be placed in a red rigid SHARPS container and held for pickup by EH amp S Page 35 Radioactive Waste Containing Infectious Material Infectious material is defined as any materials containing animal or human bacteria viruses and parasites Please contact EH amp S at 827 5518 if you plan on generating this type of waste Page 36 BIOASSAYS 0000 00000 Policy 0000 0000 Bioassays are required for employees who are likely to receive an internal measurable radiation dose Bioassay procedures include but e are not limited to thyroid screening and urinalysis When is a bioassay required A bioassay is required any time more than 1 mCi of radioactive iodine in volatile form is used or if you are using more than 10 mCi of 9H This includes opening a Stock vial containing more than 1mCi of volatile radioactive iodine or 10 mCi of H Radioactive iodine bioassay what do I need to do Call Radiation Safe
26. d water Take a 1ml sample of the waste water If it is radioactive it must be disposed as liquid radioactive waste Wash until removable contamination is gone Re survey the equipment Wash until removable contamination is gone When wipe tests confirm only fixed contamination remains appropriately shield the contaminated area and label with isotope activity and date Document that the area has been decontaminated and place in the lab notebook along with the initial survey Chemical Hood Decontamination Ensure that the chemical hood is running Page 48 Remove items from the hood and place them on clean bench paper outside of the hood segregating contaminated items Volatile isotopes should be placed into bags and sealed before removing them from the hood Cut out and remove contaminated bench paper from the hood and remove the remaining bench paper Place contaminated paper with dry rad waste Check floor area for contamination from transporting contaminated items Low activity spills not containing hazardous materials can be cleaned up by using soap and water Take a 1ml sample of the waste water If it is radioactive it must be disposed as liquid radioactive waste Re survey the chemical hood Check the backside of the hood sash as well as the walls of the hood for additional contamination Wash until removable contamination is gone When wipe tests confirm only fixed contamination remains appropriately shield the co
27. decontaminate that area re wipe and attach the results to the original survey Can I use my survey meter to run my wipes instead of an LSC If your lab uses only Na Cl or Rb a survey meter can be used to count your wipes However if you use P Na Cl Rb in addition to other isotopes you must use the LSC If you use a portable survey meter record the Make Model Serial Number and its calibration date on the survey sheet Record the count rates in cpm for all locations on the survey data sheet Convert cpm to dpm The cpm to dpm calculation as well as the isotope efficiencies can be found on the tag that is attached to your meter Identify those areas which show count rates gt 220 after background subtraction Also record next to the count rate the isotope that caused the contamination decontaminate that area re wipe and attach the results to the original survey What is fixed contamination and how do I know Fixed or non removable contamination is when radioactive material has been absorbed into a material and can only be detected by a survey meter A wipe test will not pick up this type of contamination Page 47 Decontamination Procedures How do I do it Floor Decontamination VVV WV Vv Put on appropriate PPE double gloves booties lab coat goggles before entering areas where there may be contamination Define the outer boundary of the contaminated area and mark off
28. diately If necessary outside consultants experienced in radiation hazards should be called in by the RSO and their advice followed Page 27 How do know if it is a major or minor spill and how do I make this determination Spill assessment considerations VVVVVV Isotope emission characteristics Radioactive material volatility Quantity of radioactive material involved Size of contaminated area Potential for spreading contamination Potential dose external and internal Definition of Minor Spill A spill that remains contained that can easily and effectively be cleaned up without assistance from Radiation Safety and that does not involve personnel contamination Definition of Major Spill A spill that involves contamination of personnel or results in contamination outside of the intended work area and that cannot be promptly cleaned up What if determine that it is a minor spill 1 2 3 Survey clothing hands and shoes for potential personnel contamination Notify others in the area of a minor radiological spill Remove contaminated bench paper and or gloves and dispose of as radioactive waste Decontaminate the work area and survey to verify all contamination has been removed Document incident attach decontamination results and place report in the lab s recordkeeping binder What if determine that it is a major spill Survey clothing hands and shoes for potential personnel contamination
29. dose rate would be 134 urem hr This is a very low dose rate Wearing laboratory gloves will provide adequate protection Page 55 What is the external radiological hazard from uranyl acetate The gamma dose at 10 cm from 25 grams is 150 urem hr So you would have to stay in this radiation field for 667 hours before reaching the public exposure limit of 100 mrem in a year Skin finger dose is also low Assume 1 50 of the allowed extremity occupational exposure value of 50 000 mrem You would have to have your fingers touching the material for 75 hours to obtain this 1000 mrem dose limit What is the internal radiological hazard from uranyl acetate The stochastic annual limit of intake is 10 Ci Don t inhale or injest it Use itin a chemical hood Chemical safety procedures will suffice Follow the safety procedures from the Material Safety Data Sheet MSDS for uranyl acetate Page 56 Regulatory References for this manual 17CCR Division 1 Subchapter 4 10CFR Part 19 and Part 20 NRC Regulatory Guide 8 32 Criteria for Establishing a Tritium Bioassay NRC Regulatory Guide 8 23 Radiation Safety at Medical Institutions NRC Regulatory Guide 8 20 Applications of bioassay for 1 125 and 1 131 UCR Broadscope License Multi Agency Radiation Survey and Site Investigation Manual MARSSIM via NRC NUREG 1575 EPA 402 R 97 016 Page 57 ISOTOPE AND SHIELDING REQUIREMENTS The following chart is meant as a general guide only Please call
30. e equipment resurvey and fax the results to Radiation Safety What if want to decommission my laboratory areas Contact Radiation Safety at 825 5528 or by e mail indicating that you wish to decommission your laboratory A survey should be completed by the laboratory and faxed to Radiation Safety at 827 5122 A representative from Radiation safety will conduct a final decommissioning survey If your laboratory is relocating to another area radiation safety will not decommission the area until all of the items in the room have been removed Do not remove any postings until you receive a call from Radiation Safety Page 43 LABORATORY CONTAMINATION SURVEYS DECONTAMINATION GUIDELINES iiia 00000 Policy 0000 0000 Pls shall perform contamination surveys and document the results in appropriate units for all areas where radioactive material is used or e stored under their supervision Radiation Safety will conduct periodic surveys and compliance reviews to assure proper use of all radioactive material as well as assist laboratory personnel on how to perform decontamination procedures When do I need to perform laboratory surveys Any laboratory containing radioactive material is required to perform and document a contamination survey monthly What if have isotopes in storage but do not actively use them A number of laboratories contain radioactive material but do not actively use it They are still required to perform a
31. e meter functions properly Page 19 To prevent damage from corrosion remove the batteries from the meter if it will not be used for an extended period Protect the meter from bumps and drops The crystals in a gamma detector shatter on impact and GM probe windows can easily become damaged releasing the gas necessary for the meter to function Also the electronics in the meter box can develop loose connections Page 20 000 0000 00000 Policy 0000 0000 All rooms and areas where regulated quantities of radioactive material 856 are used or stored must be posted with appropriate signs and labels to inform personnel and visitors to use caution upon entering the area Notice to Employees Form RH2364 sheet must be posted so that all employees can observe and have the opportunity to read the notice on their way to or from their work area as well as a Placard containing emergency contact information POSTING AND LABELING Where do obtain needed labels and Forms All radiation labels and tape and Notice to Employees forms can be obtained from Radiation Safety The placard can be generated by accessing the Laboratory Safety section and clicking on E Contact It is the responsibility of the laboratory to keep this information current How what and where do label Laboratory Areas A Caution Radioactive Materials label should be posted at the entrance or on the door for each area or room where licensed quantities
32. e of the inventory is waste and a waste pick up can be scheduled to reduce the inventory If this is not the case and the PI needs approval to increase their possession limit for that isotope call Radiation Safety for further information What if want to purchase an isotope but it s not on my RUA The PI must complete an Application Form for Use of Radioactive Materials for Non Human Use available on the DOES website http ehs ucr edu under Forms Manuals and send it to Radiation Safety where it will be reviewed and placed on the agenda for the next scheduled Radiation Safety Committee meeting Please be certain that you have the forms in to the Radiation Safety Office two weeks prior to the next scheduled Committee meeting lt is also possible to order the isotope under a PI that is authorized for that isotope and work under that AU until the committee approves the application What if want to purchase a Sealed Source If you plan to purchase a sealed source follow the same procedure used for ordering radioactive materials Sealed sources include disc sources used for meter calibration rod sources used as external standards for gamma counters as well as sources contained in anti static devices What if want to purchase a Liquid Scintillation Counter LSC Fax the Purchase Requisition to Radiation safety as well as the following information when the LSC arrives Make Model and Serial Number as well as the isotope refere
33. g of a liquid scintillation counter LSC the manufacturer should be contacted to arrange for removal of the sealed source Please contact Radiation Safety prior to disposing of an LSC What do I do if equipment that is used for radioactive material breaks and need to have it repaired or have it serviced in the lab Contact EH amp S at 827 5528 The lab will be given specific instructions on cleaning of the equipment for radiological as well as biological chemical contamination Any radiation label on the equipment will be removed by Radiation Safety once it has been surveyed and the survey verifies the equipment is free of contamination If the equipment is found to be contaminated the lab will be responsible for decontaminating it Fixed contamination will be dealt with as deemed appropriate by the Radiation Safety Office as well as the manufacturer s requirements What if a piece of equipment or a lab is no longer used for radioactive material or want to move a piece of equipment labeled as radioactive into a lab not used for radioactive material use The Radiation Safety Office will ask the lab to perform a contamination survey on the equipment and to fax them the results 827 5122 Upon review of the results which verify there is no contamination Radiation Safety will notify the lab that they are permitted to remove the radiation label on the equipment If there is Page 42 contamination the lab is required to decontaminate th
34. gulations governing radiation safety in the laboratory Pls must attend the New Radiation Laboratory Worker training class prior to applying for using radioactive materials and radiation generating machines and are subject to the same retraining requirements as radiation workers Radiation Workers RW Personnel who work directly with radioactive material and who are listed as radiation workers under a PI These personnel must initially train by attending the New Radiation Laboratory Worker training class before starting work in the laboratory The annual retraining requirement can be fulfilled on the EH amp S website http ehs ucr edu under Training Ancillary Workers AW Personnel who have only minor contact with radioactive material such as housekeeping maintenance and police Page 8 What if a worker leaves It is the responsibility of the PI to inform Radiation Safety on the Radiation Safety Monthly Report if the worker has departed the lab as well as if they have left UCR Procedure for Radiation Safety Initial Training All new radiation workers should review this manual Radiation Safety Lab User Manual the Training Manual for Users of Radioactive Material and the Pl s RAM use protocols before attending the Radiation Safety Initial Training class Copies of these manuals are available on the EH amp S website http ehs ucr edu The Radiation Safety initial training class consists of sections on the fundamentals
35. include monitoring of exposure levels investigation of incidents safety consultation training in radiation safety radiation safety services and management of radioactive wastes The Director of Environmental Health and Safety Responsible for the review of UCR policies on radiation and radiation safety The EH amp S Director is an ex officio member of the RSC The Radiation Safety Officer RSO Responsible for developing and operating the radiation safety program and for assuring that radiation uses are in conformance with UCR policies and applicable government regulations The RSO is also responsible for referring to the RSC matters requiring its review and approval The RSO is a full voting member of the RSC Page 7 TRAINING 0000 00000 0000 Policy 0000 000 EH amp S Radiation Safety provides radiation safety training for individuals who work with or around radioactive materials RAM radiation producing equipment RPE and moisture density gauges Principal Investigators Pls and workers using RAM must have initial training before using radioactive materials Retraining is required every 3 years for the worker categories mentioned above Ancillary workers are trained annually Worker Categories and Training Requirements Principal Investigators PI A principal investigator who wishes to use radioactive materials must have a faculty appointment They are directly responsible for compliance with all re
36. monthly radiation survey What if do not have isotopes in my laboratory but still want to keep the room as a RAM active room The PI should decommission the laboratory for radioactive material use If the decides to use radioactive materials contact Radiation Safety so the room can be posted with the appropriate signage and labels What documentation do I need Survey documentation shall include meter efficiencies and confirm that limits for removable contamination or restricted area exposure rates are not exceeded see the Posting and Labeling section of this manual for definitions of restricted areas All records require both count rate measurements with an appropriate calibrated survey meter and wipe tests performed to identify removable contamination If your laboratory uses only H only a wipe test needs to be performed Attach the wipe test results to the room survey map Page 44 What items do I need before perform a contamination survey These procedures are intended as a guideline for performing a standard lab survey and may vary from lab to lab Gather all necessary items including A map of the survey area for marking locations of probe readings and wipe locations An appropriate calibrated meter Material for performing the wipe test such as cotton swabs tissue or filter paper gt Vials in which to place the wipes Tweezers to allow handling of the wipes without cross contaminating
37. munity et What is PPE and why is it so important In general the use of Personal Protective Equipment PPE is meant to prevent direct skin contamination and minimize the risk of internal contamination Laboratory coats gloves and eye protection are the primary form of PPE against contamination PPE When Where and How Eye Protection Eye protection is required if there is risk of splash or splatter in the laboratory and where radioactive material is stored and handled Contact lenses shall not be worn when working with volatile chemicals in the laboratory Where there is danger of splashing or flying particles safety goggles are mandatory Laboratory Coats Laboratory coats and other PPE shall be worn at all times while handling radioactive material Laboratory coats should be fastened completely to provide complete protection Page 31 Gloves Selection of proper glove materials is important Disposable gloves should be worn while handling unsealed radioactive material Contaminated gloves must not be reused and must be disposed of as radioactive waste Potentially contaminated gloves should not be worn when handling uncontaminated materials DO NOT wear gloves outside the laboratory All laboratory materials must be transported in a double container The material to be transported must be in a leak proof container that is then placed into an outer container The surface of the secondary container must be sufficiently free
38. n exposure to personnel has not been established to establish a procedure that will minimize personnel exposure e Whenever a person engages in a procedure involving radiation exposure levels that could potentially cause an over exposure Except for visitors any person required to wear a pocket dosimeter must also wear a film badge If use of a pocket dosimeter is required as a condition of the approval it must be calibrated appropriately contact EH amp S Radiation Safety for details and it s reading must be recorded along with the date of the readings and the specific use of the dosimeter Page 40 Can request my dose record Yes you can request your dose record at any time by contacting EH amp S Radiation Safety Page 41 DECOMMISSIONING EQUIPMENT OR ROOMS Policy 0000 Pls or laboratory personnel needing to have equipment or laboratory 8656 areas cleared for maintenance or disposal must contact EH amp S prior to et the equipment leaving the lab or if any maintenance work needs to be done in laboratory areas EH amp S will respond to this request to ensure no potential radiological or biological pathogenic contamination exists to the equipment or specified lab area How do dispose equipment that was used for radioactive material Contact EH amp S at 827 5528 The lab will be given specific instructions on cleaning of the equipment for radiological as well as biological chemical contamination If you are disposin
39. nce activity and reference date of the source contained within the counter Also list the PI responsible for the counter as well as where the counter is located This information is needed for inventory purposes as well as to track the sealed sources on campus What if want to purchase a Gamma Counter Fax the purchase requisition to Radiation Safety as well as the following information when the gamma counter arrives Make Model and Serial Number Also list the responsible for the counter as well as where the counter is Page 11 located This information is needed for auditing purposes as well as to track the gamma counters on campus Page 12 RECEIPT OF RADIOACTIVE MATERIAL 0000 00000 0000 Policy 0090 000 The shall ensure that all radioactive material packages are inspected upon receipt for evidence of damage or breakage 00 Package Receipt Check In and Delivery All off site shipments of radioactive materials arrive at EH amp S Radiation Safety and are checked for radiation exposure and possible contamination Damaged or contaminated packages will be held at EH amp S Radiation Safety until the matter is resolved with the vendor shipper Information on the packing slip is checked against that recorded in the HP Assist database to verify that the items received are the same as those approved ordered The inventory number generated by HP assist is written on the packing slip Items that are
40. ntaminated area and label with isotope activity and date Short lived isotopes may be left for decay long lived isotopes may require destructive removal and replacement by the RSOF Document that the area has been decontaminated and place in the lab notebook along with the initial survey Clothing Decontamination Remove the contaminated clothing carefully to avoid or minimize contaminating your skin Check your skin for possible contamination _Decontaminate the skin as indicated below before continuing with clothing decontamination Determine approximate activity on the clothing If clothing contamination is less than the daily sewer disposal limit wash the clothing with soap and water in the sink recording the sewer disposal activity Re survey the clothing If the clothing contamination is more than the daily sewer disposal limit and cannot be easily cleaned the clothing will have to be held for decay or disposed as radioactive waste Skin Decontamination VNN Have someone in the lab contact Radiation Safety Wash contaminated area with mild soap and rinse with running tepid water or wetted towels Do not abrade or scrub the skin Survey after each washing and drying for cleaning efficiency When washing with soap and water no longer reduces the contamination record the remaining activity on the skin and apply lotion to keep the skin moist and help loosen the contamination Apply a bandage over the area Page 49
41. o I need to keep these records Records of the above items must be maintained until the appropriate Federal and state regulatory agencies terminate the University s radioactive material license What is a Radiation Safety Audit An audit is performed for each PI three times per year and consists of two parts A survey of all rooms that are surveyed by that AU as well as an audit of all laboratory records This includes contamination surveys package receipts waste disposal records isotope inventories survey meter calibration personnel status and training and inventory of sealed sources A copy of the compliance review is then mailed to the PI What is checked during an audit The audit form is divided into 3 areas Contamination Related Findings Laboratory Practice Related Findings and Labeling Record related findings What if the auditor finds a problem and what happens next A problem deficiency will generally be identified by a member of Radiation Safety during a routine laboratory audit A point system was developed based on the deficiency as well as three action levels based on the number of points that are accumulated during a calendar year The point values for the individual deficiencies as well as the action levels and associated corrective actions are listed below for the radiation safety program Deficiencies assigned a point value of 1 e General Rules for the Safe Use of Radioactive Material not posted e Eme
42. o I perform a meter survey When surveying a lab with a survey meter concentrate on regions where radioactive material has been used Do not overlook areas where radiation users may have inadvertently walked or items that they may have touched Hold the meter as close to the surface as possible without touching it to avoid contaminating the meter Move the meter slowly and deliberately along lab benches near selected floor regions radioactive material work areas all small equipment sinks refrigerators and freezers telephones light switches and doorknobs Also pay close attention to laboratory coats waste areas and containers for both radioactive and normal trash All meter surveys should be performed with an unshielded probe Meter surveys performed with a probe covered with parafilm saran wrap or a meter cap will not be valid Probe efficiencies are calculated by the RSOF using an unshielded probe What do I need to write down Record the Make Model Serial Number and calibration date of the survey meter on your survey sheet Record the count rates in counts per minute cpm for all locations on the survey data sheet Convert all count rates from cpm to disintegrations per minute dpm The cpm to dpm calculation as well as the isotope efficiencies can be found on the tag that is attached to your meter Identify those areas which show count rates gt 220 dpm after background subtraction Also record next to the count rate the isot
43. of materials to be handled without the use of PPE General safety tips that you need to follow Food beverages cosmetics medications Federal and state laws prohibit storing as well as eating drinking chewing gum smoking applying cosmetics and taking medications in all laboratory areas This includes standard laboratory areas cold rooms warm rooms equipment rooms common use and other laboratory related areas Any food drink and their containers found in laboratory areas will be confiscated and disposed All food or drink used for research purposes must be labeled NOT FOR HUMAN CONSUMPTION Certain hand lotions are however permitted However after this rule went into effect it was brought to the attention of OSHA that petroleum based hand lotions affect the integrity of latex gloves A list of five recommended hand lotions that are non petroleum based are recommended if you are using latex gloves in the laboratory These five lotions are Johnson and Johnson Baby Lotion gt Cetaphil Jason Natural Cosmetics gt Nexcare gt Keri Lotion Clothing Dresses shorts ties or other dangling clothing should not be worn while conducting experiments in the laboratory Open toed shoes or sandals are not permitted in the lab Page 32 RADIOACTIVE WASTE DISPOSAL 0000 Policy 0000 0000 The PI shall implement an effective radioactive waste management 56 program that includes proper labeling shielding minimiza
44. of closure and AU name All other SHARPS such as broken glassware which are not biologically contaminated may be discarded in red SHARPS containers OR in puncture proof containers labeled SHARPS and marked with the isotope activity date of closure and PI name Liquid Scintillation Vials Vials containing or having contained scintillation fluids as well as background vials The scintillation vials should be placed in a box provided by EH amp S Page 34 Liquid Waste Liquid radioactive waste other than those containing iodine must be maintained at a pH between 5 and 9 Liquids containing iodine must be maintained at a pH between 7 and 9 Use only waste containers approved by EH amp S that are compatable with the liquid being collected Fill containers only to 80 of capacity Limit sewer disposals to washings but in no case exceed 50uCi per month Lead Pigs and Bricks Lead is a regulated material and cannot be disposed of as normal trash It must be surveyed and free of contamination before it can be picked up by EH amp S The inner lead lining of a lead pig must first be removed from the plastic container and surveyed prior to pickup Any radiation label must be completely defaced before the plastic container is disposed as regular trash If your laboratory has lead to pick up indicate such on the Radioactive Waste Disposal Form Uranyl Compounds Uranyl compounds are picked up and disposed of by EH amp S This includes liqui
45. of radiation and on laboratory and control procedures specific to UCR Each PI is responsible for training workers under his her supervision on radiation safety procedures and practices specific to their particular laboratory Procedure for Radiation Refresher Training Laboratory Workers and Pls whose training is about to expire will be highlighted in bold 3 months prior to the expiration date on the Radiation Safety Monthly Report that is sent to the labs at the end of each month The retraining course provides updates in Radiation Safety policies as well as general topics of interest that are relevant to those working around radioactive materials When and where are the classes scheduled and how do register Training schedules can be found on the EH amp S website http ehs ucr edu under Training Special classes for large groups may be given as needed if prior arrangements are made You can register for the above classes by going to the EH amp S website under Training What training is needed if I m only using RPE and or irradiators Individuals that are only using RPE X ray diffraction units luminoscopes particle accelerators fluorescene spectrometers industrial radiography equipment and electron microscopes as well as irradiators should sign up for the Initial Radiation Safety Training Page 9 PURCHASE OF RADIOACTIVE MATERIAL baer 0000 Radioactive material may be purchased only by a Pl a designee 88
46. ope that caused the contamination decontaminate that area re wipe and attach the results to the original survey How do I perform a wipe test Perform a wipe test of the laboratory including the areas indicated previously Also take wipes of regions where high counts were found with the survey meter Page 46 Wipes may be wetted with alcohol or distilled water to increase the lifting ability Typical wipe tests should be performed over a 100 cm area What do I need to write down Record on the room map the locations of the wipe tests and the area wiped Take wipes of broader areas initially but remember that for determination of contamination smaller wipes should be taken as well Load wipes in the appropriate radioactivity counter liquid scintillation counter for beta emitters and a gamma counter for gamma emitters All results must be converted to units of dpm per 100 cm or in uCi 100 cm It is understood that this represents net dpm i e that background has been subtracted If your radioactivity counter is not programmed to convert cpm to dpm refer to the manual that is provided with the counter for the isotope efficiencies and record them on your survey sheet A blank consisting of a clean wipe along with the same volume of scintillation fluid used for your sample wipes should be run along with your wipe samples If the results verify there is contamination 2220 dpm record the isotope that caused the contamination
47. out a Nuclear Regulatory Commission NRC or State of California specific license are not exempt from the requirements of this manual Who is not regulated Individuals using generally licensed consumer products containing radioactive material balances static eliminators smoke detectors and chemical reagents containing uranium and thorium Page 6 ORGANIZATION AND RESPONSIBILITY Chancellor 00000 According to the UCR Policy on Environmental Health and Safety the 0000 Chancellor is responsible for the existence of a radiation safety program that will maintain compliance with relevant local state and 000 federal regulations related to the use of ionizing radiation The 99 Chancellor has delegated responsibility for development operation of the radiation safety program to the committees departments and individuals as stated below Radiation Safety Committee RSC The RSC is a body of faculty and other experts appointed by the Chancellor to establish policies and procedures governing the use of ionizing radiation at UCR to maintain surveillance over activities involving them and to report on the status of these activities to the chancellor Office of Environmental Health and Safety EH amp S The Office of Environmental Health and Safety EH amp S implements the radiation safety program This program includes surveillance of all users of radioisotopes and or radiation producing machines and equipment Specific functions
48. r portion of the body could receive a dose of 100 mrem or more in one hour at 30 cm Ropes or fences should be used in Page 22 addition to the warning signs to clearly mark restricted areas A locked door must be used to control access when unattended Please contact Radiation Safety if you feel you have any lab areas that fall under these categories What are the exemptions from posting and labeling Areas or rooms containing radioactive material for periods of less than eight hours are exempt from posting requirements if one of the following conditions is met gt Containers are attended by an individual who takes the precautions necessary to prevent the exposure of other people less than 2 mrem in an hour at a distance of one foot and does not involve the manipulation of open radioactive material or gt Containers are in transport and are packaged and labeled in accordance with the U S Department of Transportation USDOT regulations Page 23 000 0000 00000 Policy 0000 0000 Radiation safety has a classification of Inactive for laboratories that do 88 not need to possess or use radioactive material for the foreseeable e future An inactive PI is relieved of the requirements to complete laboratory contamination surveys and adhere to the annual retraining policy INACTIVE AU STATUS ABSENCE FROM LAB What do I need to do to become inactive Send an e mail to the Radiation Safety Officer 2 f
49. r spill theft or loss of radioactive material Personnel contamination Page 26 gt Contamination outside a restricted area gt Accidental ingestion of radioactive material or Accidental disposal of radioactive material to the normal trash The incidents listed MUST be reported to Radiation Safety What if you have a release Involving a Gas Volatile Liquid Dust or a Sealed Source Rupture No immediate attempt should be made to clean the spill e All windows should be closed fans and air conditioners should be shut off or vents sealed and everyone should leave the room e All doors should be closed locked and a warning sign placed at each access door e f powdered or gaseous sources are involved the door and all other openings leading into the room should be sealed with wide tape masking tape duct tape adhesive tape and plastic sheeting or heavy wrapping paper e Minimize the spread of radioactive contamination by restricting the movements of potentially contaminated persons to a local zone just outside the spill area until the extent of personnel shoe and clothing contamination is determined e Every person who might have been contaminated should be monitored for activity and if contaminated should remove his her clothing and be decontaminated If no means are available for monitoring it should be assumed that the person is contaminated e The Radiation Safety Officer RSO must be called imme
50. red essen nennen nennen eene enne 30 What if the equipment doesn t contain radioactive material essen 31 PERSONAL PROTECTIVE EQUIPMENT PERSONAL SAFETY ereeeeee entente enne tn notant 31 Dolly nat dM Menon LM tee eee 3l What is PPE and why is it so 31 PPE When Where and How nennen nn nsns nsns nsus ssa nsns assess asas esas asas asas a 31 General safety tips that you need to follow esee 32 RADIOACTIVE WASTE DISPOSAL e eeeeee eese e etes nens tn ta sees ense esso notan 33 xu 33 What does the PI ne d to 02 trt e a D tob cU 33 General waste handling proc dures eee it hu ether eta 33 How do I schedule a waste pickup eese eene nennen emen nre tren teen nennen rennen 33 TIypescof Radioucttve Waste udo tepore Pte o eu EXHI e guest ees dnt pb ree E EEEN 34 BIOASSAYS 37 PONCY a R 37 When is a bioassay required si sss eniti Gee Eod te de ke UHR Dad 37 Radioactive iodine bioassay what do I need to do eese enne 37 Tritium bioassay What do I need to do sees enne enne nene nnne 37
51. rgency Response Plan for Spill or Release of Radioactive Material not posted e Caution Radioactive Material sign not posted e Copy of Authorization Radiation Safety Manual and Radiation Workers guide e Waste disposal records not maintained Page 52 e Dosimetry reports not available Deficiencies assigned a point value of 2 Meter Calibration not current Failure to return dosimetry badges within 1 week Radioactive label found in ordinary trash Unlabelled waste use or storage area Deficiencies assigned a point value of 3 Monthly contamination surveys not performed with a calibrated meter Monthly surveys not performed or recorded Radioactive Use logs not maintained Radioactive waste incorrectly labeled or stored Personal Protective Equipment PPE not used while working with radioactive material e Radioactive waste incorrectly labeled or stored Deficiencies assigned a point value of 4 Excessive or unidentified contamination in controlled areas High exposure rate gt 2mR hr in an uncontrolled area Individuals working with radioactive materials not trained Individuals working with radioactive materials that are more than 30 days overdue for training Please note that any individual that is more than 60 days overdue for training will have to repeat the new lab worker training class Deficiencies assigned a point value of 5 e Excessive or unidentified contamination in controlled areas e Evidence of food cosmetic
52. s 42 What do I do if equipment that is used for radioactive material breaks and I need to have it repaired or have it serviced in the e ttt ete EVER ERA Ne cde S 42 What if a piece of equipment or a lab is no longer used for radioactive material or I want to move a piece of equipment labeled as radioactive into a lab not used for radioactive material use 42 What if I want to decommission my laboratory areas eese eene nene eene 43 LABORATORY CONTAMINATION SURVEYS DECONTAMINATION GUIDELINES 44 POLICY 44 When do I need to perform laboratory 2 44 What if I have isotopes in storage but do not actively use them essere 44 What if I do not have isotopes in my laboratory but still want to keep the room as a RAM active Ur Et 44 What documentation do I need iracion iao EE nennen teretes nenne 44 What items do I need before I perform a contamination survey eese 45 Should I perform a meter survey a wipe test or 1 45 How do I perform a meter survey eene nnne rennen enne tren tentent nein enne 46 HOW dO perform a Wipe ee e IL a iei eee etel ep CoU A 46 Can I use my survey meter to run my wipes instead of AN LSC eese nennen 47 What is fixed contamination and how do I kno
53. s being repaired or calibrated EH amp S Radiation Safety does not loan meters to individual laboratories If the meter has been calibrated by an outside vendor does it still need to be brought in to be calibrated After the meter has been calibrated by an outside vendor bring the meter AND a copy of its calibration certificates to the Senior Electronics Technician for determination of isotope efficiencies since the vendor only checks the electronic linearity of the meter If a new meter is purchased what needs to be done If a new meter is purchased bring it to the Senior Electronics Technician for determination of isotope efficiencies along with a copy of the calibration certificate from the vendor What precautions should be taken for the survey meter Many labs protect the probe of the survey meter with paraffin or plastic caps This practice is appropriate when using the meter to detect possible contamination occurring during the experiment However when carrying out contamination surveys an UNSHIELDED probe shall be used Protect the probe from contamination by avoiding contact with surfaces that may be contaminated Batteries in the survey meter should be checked every time the meter is used This is generally done by turning a switch to the BATT position or by pressing the button labeled Battery Check If the needle does not reach the Battery OK range the batteries must be replaced immediately to ensure that th
54. s or smoking in a laboratory e Radioactive material used or stored in unauthorized areas e Radioactive material found in ordinary trash e Radioactive material not secured Action Level I Less than or equal to 10 points during 12 months e written notice is sent to the PI Page 53 e Receipt of a written notice to the RSOF from the PI within 30 days indicating that the deficiencies have been corrected Action Level Il Eleven points Twenty points during 12 months e Written notice to PI Department Chair and Chair of RSC that Radiation Use Authorization will be suspended unless the deficiencies are corrected within 30 days of receipt of the written notice Action Level Ill Greater than Twenty points during 12 months e Written notice to PI Department Chair and Chair of the RSC that authorization to use radioactive materials has been suspended e PI must correct deficiencies and submit a written request to the RSC What if the auditor finds the same problem at the next audit If the same deficiency is found during a subsequent audit the point value for that deficiency is doubled Also if the deficiency is not corrected within 30 days of the written notice to the Pl the points that are accumulated are doubled We provide each PI with a copy of the compliance review sheet following each audit inspection even if deficiencies are not identified What is the Monthly Report The monthly report is a document that is sent out
55. sons tn sesto seen 10 POLICY 10 How do I place an order for radioactive materials eee eene renes 10 What if I cancel anorder ee eee Hee E HR eine died Gate EUR ee HANDY IRL dn 10 What if I need to order an isotope but the activity of the isotope puts the AU over their possession limitfor that Asotope ee RU tas HO SR otis e EIE caste ER LEES E POE EA 11 What if I want to purchase an isotope but it s not on my 22 11 What if I want to purchase a Sealed Source eese eene nennen enne 11 What if I want to purchase a Liquid Scintillation Counter LSC sse 11 What if I want to purchase a Gamma Counter eese eene tenen eene rennen 11 RECEIPT OF RADIOACTIVE MATERIAL eee e eese tasso senses sns 13 13 Package Receipt Check In and Delivery eese eene nennen nennen ens 13 TRANSFER OF RADIOACTIVE MATERIALS LSCS AND SEALED SOURCES 14 Pa e bs EE 14 What if I want to transfer radioactive material to another PI at UCR sss 14 What if I want to transfer radioactive material to someone at another institution within or outside of the United Stat 15 Wh
56. ste Disposal Form with decay corrected activities must be Page 33 completed Contact EH amp S at 827 5518 if you have any questions regarding how to fill out the form Disposal activity in mCi should be expressed in decimals and not exponents i e if you have a 001 mCi it should be written as 001 mCi and not 1x10 mCi Types of Radioactive Waste Dry Waste This category of waste consists of anything that has come into contact with radioactive material such as disposable labware gloves bench paper and polyacrylamide gels The waste should be placed in a box which contains a liner SHARPS SHARPS include discarded hypodermic needles syringes scalpel blades cannulas coverslips microscope slides all pipettes glass or plastic and pipette tips test tubes glass Petri dishes and other materials designed for use in biological etiological bacteriological or tissue culture work capable of causing puncture wounds or cuts broken glass or any other item capable of causing puncture wounds or cuts Radioactive waste classified as SHARPS MUST NOT be mixed with dry solid materials but must be contained in puncture proof rigid containers contaminated SHARPS needles syringes and scalpel blades and all materials designed for use in biological etiological bacteriological or tissue culture work capable of causing puncture wounds or cuts must be placed in red rigid SHARPS containers and marked with the isotope activity date
57. ted as well as the name of the PI to whom the counter is being transferred If the LSC is being transferred to a PI outside UCR see the section on Safety Clearances for the paperwork that is required Also further documentation may be necessary from the receiving institution What if I m transferring a sealed source to another PI at UCR or a Pl outside of UCR Call Radiation Safety 827 5528 Radiation Safety will ask you where the sealed source is going to be located as well as the name of the AU to whom the sealed source is being transferred If the sealed source is being transferred to an AU outside CASE further documentation may be necessary from the receiving institution How I prepare radioactive material for shipment Perform radiation and contamination surveys of the package prior to shipment Radiation and contamination levels shall not exceed the following 220 dpm 100 cm 40 100 cm removable contamination 0 5 mrem hr 0 005 mSv hr at any point on the external surface of the package Although these limits apply procedures consistent with ALARA As Low As Reasonably Achievable which advocate that no removable contamination exists on package exteriors should be followed If the dose rate of the package exceeds 0 5 mrem hr call the RSOF for additional labeling information Page 15 What are the safety precautions when checking in packages If a package is delivered to a room that is NOT authorized to use r
58. tion and e assurances that disposals go into the correct radioactive waste stream What does the PI need to do The is responsible for obtaining any shielding required for his her waste management program as well as for maintaining written inventory records of the activity of all waste in storage and those wastes removed from the laboratory Boxes and liners are provided by EH amp S General waste handling procedures Radioactive waste should be separated by type dry solids vials SHARPS liquids and animals and by isotope Dual label experiments are the only exception DO NOT under any circumstances place radioactive waste in the hallways where housekeeping personnel might pick it up Liquid radioactive waste should be double contained so that leakage from a breach in the primary container is fully contained by the secondary vessel Also the container should not be left open and should be capped when not in use An Ecofunnel could be used as a substitute for a cap Dose rates from any radioactive waste container should not significantly exceed background radiation levels Any container used to store radioactive waste should be prominently labeled with a radiation trefoil sign This will alert housekeeping personnel that it is a radioactive waste container and not an ordinary trash container How do I schedule a waste pickup Before waste can be picked up from the laboratory an on line form as well as a Radioactive Wa
59. tus 23 What if I am going on sabbatical eese eene rennen 25 RADIOACTIVE MATERIAL INCIDENT RESPONSE REPORTING eere eren enean 26 Pu D 26 Are incident response procedures included in the AU application esee 26 When do I need to call Radiation Safety seen ene rene eene 26 What if you have a release Involving a Gas Volatile Liquid Dust or a Sealed Source Rupture 27 How do I know if it is a major or minor spill and how do I make this determination 28 Definition Of Miror Spill 28 Dejf tion of Major Spill ettet Ier bu xev EEA 28 What if I determine that it is a minor spill eese eene teen 28 What if I determine that it is a major spill esee eene nennen eene 28 What if there is a Multiple 29 SECURITY OF RADIOACTIVE MATERIALS eeeee essen 30 30 When does radioactive material need to be secured esee 30 What type of radioactive material needs to be 30 Does radioactive waste need to be secured essen nennen rennen 30 What equipment needs to be secu
60. ty before handling more than 1 mCi of volatile radioactive iodine If bioassays are to be performed a baseline bioassay must be done for anyone involved in the procedure that does not have a baseline bioassay on file Tritium bioassay What do I need to do Call Radiation Safety before handling more than 10 mCi of H If bioassays are to be performed a baseline bioassay must be done for anyone involved in the procedure that does not have a baseline bioassay on file Are there any exceptions Yes f you use tritium sources in metallic foils you are exempt from bioassay requirements Page 37 DOSIMETRY 006 0006 00000 Policy 0000 0000 Each individual likely to receive a measurable radiation dose shall wear eee a personal radiation dosimeter T Who is required to wear a badge e Individuals using high energy beta or gamma emitters in quantities greater than 1mCi This includes irradiator users e Individuals using moisture density gauges Who is not required to wear a badge e Individuals working with sealed sources e Individuals working with low energy beta emitters which include C 14 S 35 H 3 and Ca 45 Do need a special badge if l m working with a neutron source Yes For experiments and procedures involving the use of neutron sources personnel monitors sensitive to neutron radiation must be worn These can be obtained by contacting Radiation Safety Do I need a badge if l m working with X ray diffraction
61. w essent eren 47 Decontamination Procedures How do I do it essere eene nennen rennen 48 Page 4 due 51 What is a laboratory notebook and what should I put in it seen 51 Why do I need to keep these records essent nnne 51 How long do I need to keep these records sese nennen ens 52 What is a Radiation Safety Audit 22 What is checked during an audit eene nennen trennen eene nete tnter D2 What if the auditor finds a problem and what happens NeXt eese 52 What if the auditor finds the same problem at the next audit seen 54 What isthe Monthly Report iiti ber PR EE E ER He D RUE ER 54 URANYL X 04 04 V V ORI 55 POMC sors 55 Description of Ur nyl Acetate vk Y EL eee so E enu etn 55 What about external dose s t HERE SEX eese EEA ENE dein ubere Le ene 55 Wh t about skin dose Duk ete tUe eee bed EA EEEE NES EE reete 55 What is the external radiological hazard from uranyl acetate eee 56 What is the internal radiological hazard from uranyl acetate eee 56 REGULATORY REFERENCES FOR THIS MANUAL eee ee eene 57
62. you do not wish to dispose of your isotope you will be asked to relocate your material to another laboratory that is authorized for that isotope 3 Any radioactive waste present in your lab must be picked up Submit a pickup request on line at http ehs ucr edu waste index html 4 Return all personnel dosimetry to EH amp S Radiation Safety 5 The laboratory space will be decommissioned by Radiation Safety All signage will be removed by Radiation safety after the final decommissioning survey 6 Confirmation by EH amp S You are considered to be on inactive status when an e mail is received by EH amp S What if want to become active again 1 Send an e mail to the Radiation Safety Officer requesting reactivation Send updated room maps with survey locations as well as an updated protocol to Radiation Safety If there have been no changes to your room maps or protocols send an e mail indicating there have been no changes to the Radiation Safety Officer 2 Verify that survey meter instruments are within annual calibration or that you have access to a calibrated survey meter 3 Verify that radiation workers and the PI have satisfied the training requirements You can retrain on line by accessing our website at http ehs ucr edu training Obtain required personnel dosimetry for radiation workers and the PI Radiation safety will post the room with the proper labels The anticipated time for the re activation process is 2 working days

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