ML19098A957

Appendix J, Rad Health and Safety, Rad, RWPs - RWP_10-1007.00-1 2017 Source, Sample, Smears Work

ML19098A957
Person / Time
Site:	07000371
Issue date:	03/01/2018
From:	Cabrera Services
To:	NRC Region 1
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Download: ML19098A957 (2)

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Radiation Work Permits Revision 3.0 AP-012-01 CABRERA SERVICES, INC.

Page 10 of 14 Print copies are not controlled AP-012 Radiation Work Permit RADIATION WORK PERMIT Job Supervisor: Al Craig/Mike Plonski Date: 2/23/2017 RWP #: 10-1007.00-1 Location of Work: Former UNC Manufacturing Facility, New Haven, CT Description of Work: Handling of radioactive sources for instrument quality/daily checks, smear counting, and soil/soil-like material sample processing/packaging. Use of Cabrera radioactive sources will only be by or under direct supervision of Cabrera HP personnel.

SUMMARY

OF RADIOLOGICAL CONDITIONS LOCATION CONTAMINATION LEVELS RADIATION LEVELS AIRBORNE CONCENTRATIONS Project Instrument Laboratory

< 1,000 / 1,000 -/ Removable

< 5,000 / 5,000 -/ Total

< 10 Rem/hr Area above background

< 500 Rem/hr contact N/A REQUIRED RADIOLOGICAL CONTROLS Coveralls Glove Liners BZ/Lapel Air Sampler Hood Plastic Shoe Covers Lab Coat Surgeons Cap Rubber Shoe Covers Pre-Job Meeting Surgeons Gloves Tape Gloves to Sleeves X Continuous HP Coverage Rubber Gloves Plastic Suit TLD/OSL X Trained Radiation Worker(s)

Other Special Instructions: Level D PPE also requires work boots, hard hats, and safety glasses w/side shields.

YOUR SIGNATURE INDICATES THAT YOU HAVE READ AND UNDERSTAND THE RADIOLOGICAL CONDITIONS AND CONTROLS.

NAME SIGNATURE NAME SIGNATURE Approved by (print name)

Signature Date Re-approved by (print name)

Signature Date RWP Terminated by (print name)

Signature Date

Radiation Work Permits Revision 3.0 AP-012-03 CABRERA SERVICES, INC.

Page 12 of 14 Print copies are not controlled AP-012 Radiation Work Permit Addition Sheet RADIATION WORK PERMIT ADDITION SHEET RWP # 10-1007.00-1 NAME SIGNATURE NAME SIGNATURE Reviewed by (print name)

Signature Date