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Application for Renewal of QA Program Approval for Radioactive Matl package:0387.WC Nickle Replaced Mj Stewart as Radiation Safety Officer on 840720.Fee Paid
	ML20135H968
Person / Time
Site:	07100387
Issue date:	08/30/1985
From:	Nickle W; MASSACHUSETTS MATERIALS RESEARCH, INC.
To:	Macdonald C; NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS)
References
	25778, NUDOCS 8509250079
	Download: ML20135H968 (1)
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Ppl v MASSACHUSETTS MATERIALS RESEARCH, INC.

P.O. SOM 810 e 241 WEST BOYLSTON STREET

WEST SOYLSTON. MA 01543

TEL. 41F-835 4242 August 30, 1985 MTujpg y 39g,b8 Mr. Charles E.

MacDonald, Chief Transportation Certification Branch Division of Fuel Cycle and Material Safety, NMSS Nuclear Regulatory Commission Washington, DC 20555

Dear Mr. MacDonald:

Enclosed.is a check for 5150.00 to renew our Quality Assurance Program Approval which expires'on September 30, 1985.

Included is a more up-to-date copy of our Quality Assurance Program.

Please note that Michael J.

Stewart is no longer with Massachusetts Materials Research, Inc.

Wesley C. Nickle has assumed the position as Radiation Safety Officer as of July 20, 1984.

,q Should you have any questions,. please feel free to y

contact me at your convenience.

Sincerely yours, C f/

Wesley

. Nickle Radiation Safety Officer WCN/msc enclosures

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FCTC:LLG 71-0387 ARE15 585 Massachusetts Materials Research Inc.

ATTN: Mr. M. J. Stewart 241 W. Boylston Street W. Boylston, MA 01583 Gentlemen:

Your Quality Assurance Program Approval for Radioactive Material Packages No. 0387 expires on September 30, 1985.

If you are an NRC licensee and conduct activities under the General Licenses of Subpart C of 10 CFR Part 71 or an Agreement State licensee subject to the requirements of 10 CFR Part 71, as required by 10 CFR Part 150.20, a quality assurance program approved by the Commission as satisfying the provisions of Subpart H of 10 CFR Part 71 is required.

You should request renewal of your Quality Assurance (QA) program at least 30 days prior to the expiration date. This will provide for r

continuation of your QA program to satisfy part of the provisions of Subpart C of 10 CFR Part 71 until a final detennination has been taken on your application.

Unless an exemption is provided by 10 CFR Part 170.11, an application fee of $150.00, as required by 10 CFR Part 170.31, should be included with your request for renewal. This notice of expiration should not be construed that such notice will be provided in the future. If you do not desire to renew your QA program, please let me know.

Sincerely,

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. MacDonald, Chief Transportation Certification Branch Division of Fuel Cycle and Material Safety, fMSS S

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RADIATION SAFETY MANUAL DATE: November 30, 1983 SECTION 3-ADMINISTRATIVE INFORMATION REGARDING RADIATION SAFETY 3.

1.0 DESCRIPTION

OF TRAINING PROGRAM FOR RADIOGRAPHY PERSONNEL MMR's training program in radiation safety, as required hv 10 CPR 34, is described in this section.

Personnel encaaed in radiography at MMR shall be. designated cither as a Traince, as an Assistant Radiographer, or as a Radiogranhor.

3.1.1 Training of Individuals to be Assistant Radicaranhers A. Initial Classroom Instruction for Traineos Traineos will be given a minimum of four hours of forreal class-room instruction by the RSO, covering each of the followina topics:

1. Responsibilitics, dutics and limit'ations of an Assistant Radiographer;

2. Basic principles of radiation safety-the characteristics, offects, measurement and methods of controlling radiation:

3. The use of personnel monitoring devices and related equin-ment:

4. Operation of MMR's expecuro devices and related equipment; O

5. Controls used in radiographic operations: Emcrgency nrocedurc i; i

6. MMR's Radiation Safety Manual and applicable Federal Regulati ons)

Trainees will also roccive at.lcast two hours of additional field demonstrations in the proper use of the MMR's Radiaoraphic equipment.

B. Written Examination of Trainees Upon completion of the above classroon instruction, the Trainee shall be given a written examination by the Radiation Safety Officer to assure that be understands the content of the class-room instruction, and that he appreciates and importance of stric adherence to the provisions in'the Radiation Safety Manual.

t Thi ;

written examination shall consist of a minimum of twentv-five questions,-and the minimum percentage of acceptable resnonses shall bc 75%.

Any incorrect responso shall be revicued with the Trainec to assure his thorough understandina of the subicct material.

C. On-The-Job Training for Traineen After successfully passing the examination described above, the Trainee shall then be permitted to accomnany a Radicarapher to a radiography worksite to witness the Radionrapher's use of exposu r devices and associated equionont.

e The Radiogranhor shall nrovido on-the-job training in the proper use of survey noters, postina and restricting access to the Radiation Area, and recordhoenino proceduros. 'During this initial on-the-job training period, how-O the Trainee will not be permiited to norsonally handic or

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DATC* Movember 30, 1983 manipulate the exposure d U ce, the crank, The traince's initial on-the-job training period shallor any storace containers minimum of one week.

last a D. Trainee's Certification as an Assistant Radiographer When the Trainee has completed the minimum on-the-job training period, the RSO will document the dates and jobs at which the Trainee was present, and shall then issue to him a certificate as an Assistant Radiographer.

3.1.2 Training of Assistant Radiographers to be Radiogranhors Upon successful completion of the requirements for Assistant Radio-grapher, and certification thereof by the RSO, t

the individual shall immediately begin his shall ccnsist of the following: training to be a Radicarapher.

This training A.

rducational Prospective RadiographersInstruction for Prospective Radiographers shall be given a minimum 32 additional hours of instruction by the RSO covering the following tonics.

Some of the general topics may be taught via programmed instruetional texts and media presentations instead of clannroom sonnionn.

1. Basic principles of radiation safety: atomic theory, characteristics and biological effects of ganma radiation;isotopen; 77 i

l measurement of radiation activity, dose rate, active decay.

exposure; radio

2. Control of radiation exnosure - time, dintance, and shielding factors;

3. Correlating film badge report data with daily pocket dosimeter records;

4. Responsibilitics and lines of authority for all radicaranhy personnel; 5.

6. Radiation surveys--equipment, Regulatory standards for protection ag "ALARA" Proper posting, calibrations, nandatory surveys;

'~7.

8. Operating procedures for e::posure devices:and surveillance of radio

9. Procedures for changing sources;

10. Transportation, ll. Daily and quarterly maintenancestorage and security procedures; procedures requirements; leak testing

12. Recordkeeping requirements;

13. -Emergency procedures :

case histories of actual emergency situations: general, specific procedures, study of damaced exnosure device or meter; exposure to unmonitored nersonnel; loss or theft of source.

14. Conditions of NRC License.

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14:, T 3.1.2 Training of Assistant It a d i o g r a ph e r s to bc Radiogray!nr s (B) On-the-Job Training for Prospective Radienraphers Prospcet ive Radiographers shall witness the use of radiographic exposure devices and associatcJ equipment by a quali fied 7.a d i og r a p h e r and shall personally use such devices and equipaent unde thr direct supervi? ion of the Radiographer.

Specifically, the As;intant nadion apher shall 1c ni en on-the-job traininn in each of the following r a d i oc. r a ph i c operation 1.

Conducting radiation surveys and proper postinp of radiographic ites; 2.

Proper use of radiographic exposure devices, including proper accerbis

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and disassembly procedures, and proper h a n d l i n :- of the control unit, cables, use of pluns, locking device, and col 1imators, 3.

Transportation procedurcs; 4.

Recordkceping requirements for Rad i on ra ph e r s,

Inspection and maintenance procedures for r a d i on, r.i ph y equirment During this supervised on-the-job training, the prospective I:a d i og ra p h e r shall practice performing the varicus operations c a r e f u l l ;. and deliberately, but without undue delay.

The minimum period of on-the-jab training time as an Assistant Radiographer shall be three mon...

(C) Written and Practical Exaninations for prospective

'.a d i on r a phe r :

After ccapleting the classroom training and satisfying the req u. i - ient-for on the job training described in the previous paragraphs, the I

prospective Radiographer will be given a two part ex ninatioa:

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1.

Practical exanination - the prospective Radioprapher will be requested I

to demonstrate his radiographic competency by perforning selected radiographic operations.

!!e shall perforn such operations without assistance, but under constant supervision and scrutin, of the d'U.

Grading of the Practical Examination shall be based on a aininnn of 20 " checkpoints" of correct procedure, and a 100% score is requirra 2.

k'ritten exa:aina t ion - the written test for quali ficat ion of cadio,-

raphers shall consist of fifty questions, cove: ing each topic in par 3.1.2(A), and the mininum acceptable score i: n o ';

Any aco: reu-responses shall be reviewed by the !:pa) with the individual to a.. s o r,

that he understand; what the correct answers domld ha ;i been ani! why Note - Incorcact responses to certain question, on critica!,arrty aspects may be cause for failure of this examination, r e p,a r d l e s s of the ove ralI gradt.

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RADIATION SAFETY ftANUAL l i >a w November 30, 1983 3.1.2 Training of Assistant Radiographers to be Radiographern D. Certifica tion of - Radiographers Upon successful completion of the educational instruction, the on-the-job Liaining, the Practical Examination, and the written examination, the individual will be issued his Certifica tion as a Radiographer by the RSO.

3.1.3 Training Requirements for Personnal having Prior Radiooraphy_

Experience For an individual having prior experience as a Radiographer or Assistant Radiographer with another company, and prior to the individual's being assigned to perform any radiographic opera-tions at fe!R, the Radiation Safety Officer shall:

A. Verify and obtain documentation of any prior trainino and 1'

experience with the individual's previous employer (n).

B. Provide classroom instruction as required to the individual covering those portions of MMR's Radiation Safety Manual which may be unique.

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L C. Provide training as required with the specific equipment used at MMR (exposure devices, survey meters, collimators, alarm systems, etc.).

D. If the individual is a propesctive Assistant Radiographer, administer the written examination specified in Section 3.1.1 (D)

E. If the individual is a prospective Radiographer, administer the written and practical examinations specified in Section 3.1.2 (C) to the individual.

F. The time frame in which these steps are accomplished shall be determined by the RSO as applicable to the individual.

3.1.4 Periodic (" Refresher") Training Periodic training shall be provided to update radiographic per-sonnel every twelve months or when any of the changes listed belop are.made:

i Revisions to the Radiation Safety Manual; A.

B. Revisions to URC or agreement state regulations; C. Substantial changes or additions to survey instruments:

radiographic equipment or D. Any other change, i safety hazards to any individual.gnorance of which might result in unnecessa ry ghe aeh - em e as a1memme h,-

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DATE: November 30, 1983 In addition to the above refresher training subjects, hazardous incidents shall be discussed among all radiography personnel, with an emphasis on provention of similar incidents.

3.1.5 In'structors and Examiners The instructors and examiners for the personnel training program shall be selec'ted by ethe General Manager.

They shall have sufficient personal education, training and first-hand experiencc to qualify them as Radiographers.

Certain portioni of the classroom instruction may be performed by commerc.ial organization or Consultants, s

but the ultimate responsibility for examinations, on-the-job training, with the Radiation Safety Officer.and instructions specific to MMR, nhall rest 3.1.6 Documentation of Personnel Training and Qualifications Qualification records for all radiogranhy personnel shall be maintained by the RSO.

These records shall include the name, date of birth, social security no., and radiography start date, thorough documentation of the nature and extent of 411 education instruction, and on-the-joh training; copico of current c:-:amina-tions with test scores; individual has achieved and a copy ot the cortification that the (ancistant nadiographer or Radiographer).

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The following forms have been developed soccifically for personnel training and. ccrtification program:

this Form 209

" Statements and Acknowledgenents Required from each New Employce'ir Radiographer; Part 2:

of Initial Classification as a TrainecAcknowledoenent Form.210 - " Personnel Qualification and Certifica tion - Ass ' t Radiographer" Form 211

" Personnel Qualificatio.n and Certification - Radio-grapher" Form-212 - "LTL Radiation Safety Training - Personnel Reco rd "

All qualificatio'n records shall be maintained by the minimum of three years.

RSO for a n

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_. _ _ _ _. _ _..... _ _ _ _ _ _ _ _. _. _... i 3.2.0 INTERNAL MANAGEMENT CONTROLS FOR RADIATION SAFETY 3.2.1 General This section describes the internal system by which Mann.

Materials Research will control the receipt, possession, and une of licensed radioactive material in accordance with the provision s

of tihe licence, the applicable NRC regulations, and specifically with the requirements of this Manual.

Ultimate renponsibility for this internal inspection system rests with the General Manager, the Radiation Safety Officer, and the Assistant Radiation Safety Officer, as specified below.

Note:

the responsibilities for maintaining internal control or radiation safety are excerpted from the overall responsibilition in section 1.3.

3.2.2 Duties of Responsible Personnel i

A.

General Manager 1.

The General Manager shall develop and establish the various policies, systems, and general procedures which comprine the Radiation Safety program a t MMR.

Ito shall be assisted as required C'

by the Radiation Safety Officer and by part-time Consultant in I

the field of Radiation Safety and Health Phynien.

l 2.

He shall be the direct supervisor of the Radia tion Safety Officer and responsible for insuring that the RSO performa his assigned duties.

3.

He shall personnally conduct unannounced audits of radiograpFy 3

operations and personnel similar to those normally performed by the except that the RSO shall be included in the General Manager' s evaluation of personnel.

The personal audits by the General Manager shall be conducted at least once every six months, and document the results.

i B.

Radiation Safety Officer The Radiation 9afety Officer (RSO) shall be a qualified Radio-I grapher with training in the use of equipment doncribed in thin Manual.

Other prerequisiten for the RSO are a thorough knowledocj of-management policica, company administrative and operating procedures, and safety procedures related to protection anainst l radiation exposuren an not forth in thin Manual.

The RSn chall j

report directly to the General Manager, and shall be the ai. rect j supervisor of the Assistant RSO, all Radiographers, a nd a.1 l Assistant Radiographers.

The RSO han the following spec i f i.c 1

authority, duties and renponnibilities with regard t.o MMR',

I inter,nal inspec ti.on _nys tem :

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DATE: November 30, 1983 1.

Maintain action mana program for. the company.gement control of the radiation safety 2.

Assist the General Manager in the establishment, development

-and revision of procedures or systems concerning radia tion safety 3.

Serve as MMR'.s liaison' officer to the Nuclear Regulatory Commission and., to _ Agreement Stato Agencies on licence matters.

4.

Maintain pcrsonel.and direct control over the procurement and disposal of licensed material.

5.

Conduct the training program for Radiographers and Assistant Radiographors, and examinc and certify their competency.

6.

Assure that all radiographic' operations comply with the requirements of this manual by conducting unannounced monthly audits of such' operations, including an actual ~ performance evaluation of the Assistant-RSO, each Radiographer, and each Assistant Radiographer at least oncc_cach quarter.

. Th e results of those audits shall be recorded on Form 208,-and shall bc filed in the " Management Audits" file.

7.

Personally assumo control and initiato corrective action in

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omergency situations.

8.

Personally investigate the causes of incidents, and determine and initiato appropriato preventive measures.

9.

Maintain system for. evaluating and-reporting defects and noncompliances for_section 3.3.0 of.this manual.

10.

Insure that any duties specifically delegated to the Assistant RSO are performed completely, ~ promptly, required by the provisions of this manual.and accurately, as C.. Assistant Radiation-Safety Offiber

~The Assistant RSO at MMR shall bc.a qualified Radiographer with training-in the use' of equipment described in this Manual..

Other prorcquisites for the Assistant RSO arc a thorough knowledqc of' the operating and emergency procedures regarding protection againr radiation exposures t

set forth in this Manual.

He shall-report as directly to the RSO, shall be responsible for performing.all RSO duties of an emergency nature during the temporary absence of the delegated to him by the RSO:RSO,'and shall perform any of the following d t

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i 3.2.2 Dutics of Responsible Personnel g

(C) Assistant Radiation Safety Officer (cont'd) 5 1.

Maintain the personnel monitoring system, inclin!ing in.<uing ba d ge r, and l

dosimeters, calibrating the pocket dosimeters, and reviewing the reporta I

of personnel exposurcs.

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Perform or personally supervise the l e a h t e n t i n ;- progran for ti c a l e d source containers.

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Perform or personally supervine the perfornance of ource c h a a r.e s.

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Perform or personally supervise quarterly raaintenance o f ex ;>o::ur e j

devices and associated equirnent.

5.

Perform quarterly inventorics of all s ou r c.'s of radiation.

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6.

Maintain radiation r.urvey instrunents and the calibration pr ogram for such instrunents.

7.

Assist the RSO in assuring that the required documentation for daily h

radiographic operations in~ennplete, accurate, an! up :n date.

(D) Radiation Safety Consultant The Cencral Manager shall appoint one or more Conr.ultants in the ficids of 3

Health Physics, Safe Radiography Practice, Regulatory Requirenent., etc.

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'to assist himscif and the Radiation Safety Officer in providing direct and I

indirect training to radiography personnel; to assist in developing, l

implementing, reviewing or revising the company's nadiatinn Safet) j Program; and to provide independent audits of the en,pany's c o n f o r:na n c e to j

the requirements of this Manual and all applicable laun, as requented.

i 3.2.3 Qualifications of Responsible Perncnnel

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t The nancs and qualifications of each of the r e r. p o n s i b l e por.onnel described above are documented in the Appendix.

I 3.2.4 Nature and Frequency of Internal I n c.p~ c c t i o n,

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The RSO will make mon:.hly audits of radi ogra;, hic operation. and quarterly inspections of all radionraphic personnel, an r. p o c i f i e d in the above para-3 graphs.

The Cencral Manager will personally conduct two or more such and-

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its annually to supplement the RSO's evaluationn.

Also, the p.-fnt,ance of the RSO shall be evaluated in the Genera! ::an.'-or'. a u d i t r..

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The Cencral Manager will also audit the RSO's performance at least once every twelve months.

The inspections and evaluations by the Cencral Manager will not only be be concerned with the ability of the individuals to follow these procedures, but will include an assessment of individual attitudes regarding radiation safety.

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3.2.5 Procedures for Reporting Deficiencies l

l See section 3.3.0.

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RADIATION. SAFETY MANUAL _

REVISION:

1 3.3.0 EVALUATION ' AND REPORTING OF DEFECTS AND NONCOMPLIANCES As appl'icable' to MMR's radiograph'y activitics,10 CFR 21 requires that, if the General Manager obt ia ns information reasonably' indicating that a substantial safety hazard exists due to either equipment defects or to a failure to comply with any regulation license provision, he shall immediately notify the Commission, cn:

unless he has actual knowledge that the Commission has been adequately informed of. the defect or noncompliance.

3.3.1 Posting Requirements Por 10 CFR 21.6, MMR is required to post current copics of the following documents: (A) Section 206 of the Energy Reorganiza-tion Act of 1974; and (D) a notico describing the regulations in 10 CFR 21 and MMR's procedures for evaluating defects and noncompliance.

The responsible' officer to whom reports shall be made at MMR is the General' Manager.

' 3.3.2 Method of Evaluation of Defects and Noncompliances The existence of equipment defects or. procedural noncompliances may como to thc. attention of-the General Manager in various ways.

Any radiography worker is urged to report O

RSO and to the General Manager as they arise.

Inv,cstiga tions such matters to the and analysos of radiographic incidents or accidents may disclose either equipment defects or' procedural noncompliances as their The General-Manager shall be given copics of all cause.

such investigations or analysos made by the RSO.

Finally, the results of the monthly. audits of radiography operations and of the quarterly inspections of ~ radiography. personnel, regardless of whether they.are performed by the RSO. (sec 3.2.2 B),

independent Consultant (3.2.2 D) or by the. General Manager an himself (3.3.2 A), shall'be. documented and forwarded to the General Manager for immediato review.

Any defects or noncompliances identified, regardicas of their i

shall immediately be evaluated in terms of their potentia [

source, to rcsult in.a substantial safety.. hazard.

If required, the L

General Manager will personnally notify the NRC in accordance wit the-first paragraph above.

h 3.3.3 Corrective Actions for Noncompliances A mooting shall be held between the General Manager and the individual (s) determined to be responsible for any noncompliance.

Enforcement actions may range.from additional training to sus pension.or dismissal, depending on the seriousness of the noncompliance.

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RADIATION SAFETY MANUAL DATE: November 30, 1983 3.4.0 CALIBRATIONS OF SURVEY METERS AND POCKET DOSIMETERS e

3.4.1 Calibration of Survey Meters Calibration of a radiation survey meter must be performed at intervals not exceeding three months and af ter each repair or adjustment of the meter.

Calibrations may be performed internall /,

by the Assistant RSO, or may be performed at one of the following facilities:

Technical Operations, Inc.

Burlington, MA 01803 Radiation Management Corporation Philadelphia, PA 19101 The manufacturer o.f the survey meter, or any other facility having adequate capabilities for survey meter calibrations.

If survey meters are calibrated at MMR by the Assistant RSO, the following procedure shall be used.

TIIIS PROCEDURE REQUIRES T!!E USE OF' RADIOACTIVE MATERIAL.

ALL SAFETY REQUIREMENTS OF TIIIS MANUAL SIIALL DE FOLLOWED WITI!OUT DEVIATION.

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Equipment - Survey meter shall be calibrated with the Tech /

A.

Ops Model 773 Calibration Unit.

This unit is a self-contained Cesium-137 storage container, and is designed to emit radiation in the range from 2.5 to 750 mR/hr, depending on the distance between the meter and the unit.

The unit is constructed of a steel housing with int.ernal lead shielding, and.contains a source of Cesium-137 having an' activity of approximately 165 millicuries (new).

B. The calibrator exposes the survey meter to a precisely deter-mined radiation dose, with which the actual reading on the _ meter is compared.

In accordance with the inverse square law, the unit is positioned at varying distances from the motor, depending on the, specific dose level to be calibrated.

The unit has built-in calculating aids which enable the. user to determine the correct distance for each selected dose level.

C. Meters shall be calibrated at a miniraum of two points in each the highest and lowest points should be separated by at range; least 50% of the scale.

For example, if the range is from 0-10 mR/hr, two points selected might be 2.5 and 7.5 mR/hr.

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liASSACllUSI:TTS

cerion:

3.4 MATERIALS RESEARCH, IMC.

g,3g y, 7

gp.-_7 P r.V I S I ON :

2 RADIATION SAFF.TY MANUAL l

)

DATC November 30, l '1:1.1 3.4.1 Calibration of Survey Meters (cont'd)

(D) Once t5c meter has been placed at the proper distance from the' unit the operator exposcs the source by pulling the source control rod up.

The resultant beam of radiation, which shall be aimed directly at the meter in a horizontal plat t, is collinated by a 60 degree conical port at the side of the unit.

The operator should stand far enough from the meter so that unnecessary personnel exposures are avoided.

(E) After waiting fiftcen seconds, read the position of the neeale on the tw e t e r.

Immediately return the source to the storage position by pu.h-ing the source control rod doun to its original position.

(F) If necessary, adjust the meter to the known value and repeat the test.

Then set the acter at the next calibrating distance / dose level.

(G) The meter is considered to be satisfactorily occurate i f, after adjustment and retest, it indicates within1107. of the actual dosc Icvel at a minimum of two points in cach range.

The calibration and maintenance of radiation survey ncters at MMR is the responsibility of the Assistant RSO.

Records of meter calibrations shall include the dacc, the make, model and scrial no. of the meter, and 9

all data points checked.

If calibrations arc performed internally, Form 207 shall be used to record the results.

Meter calibration records. hall be maintained f or at least two years in the Calibration file.

Meters which are awaiting repairs or calibration or which are otherwise not to be used must be tagged or labeled "O s t of Service".

3.4.2 Calibration of Pocket Dosimeters Each pocket dosimeter shall be calibrated by exposure to a radiation source of known intensity at intervals not to exceed twelve nonths.

All calibrations shall be performed by the Assistant RSO using the Dmimeter Calibrator designed for that purpose.

This. unit contains a scaled s o u r e.:

of Ce'sium-137 (less than 10 millicurien).

The Cesium-137 cmits radiation such that, if a dosimeter is placed in one of the eight holes in the ont er ring, it should read 50 nH a f ter 24.3 hours3.472222e-5 days 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months .

If placed in one of the too holcs in the inner ring, it should read 50 mR after 6. 2 h nu r '

(5o:.

these are 1978 values; they should be adjusted according to the deca.

curve for this source; Cc-137 has a half-life nr 33 years).

Results of these calibrations shall be recorded on Forn 206 and maintained in the Calibration file.

Dosimeters found to he 30% or more inaccurare shall be removed fron service and replaced.

Should a do::iru:ter be dropped, it must be removed from service and recalibrated before bri:

used again.

m

)

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y llASSACllUSl:TTS

a:c r t on

.l. l,

!!ATERI ALS RESEARCll, IUC.

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1 CV1 SI C':

1 RADI ATION SAFETY ttANUAI.

g DATf:

t:ovmbe r 3n, 1933 3.5.0 FORMS AND RECORDKEEPINC REQUIREMI:NTS--ADMINISTRATIV!:

(A) Form 206: Certificate of Calibration - Pocket Do:incters This shall bc completed by the Assistant RSO for all calibrationn of pocket dosimeters, which arc rceuired on an annual basis.

These record; shall be reviewed by the RSO and filed in the Calibracione. file.

( ii) Form 207: Certificate of Survey Meter Calibration Records of survey meter calibrations p e r f o rme d by an outside agency nay be documented on that agency's form, provided that the a n c n c y ' *, form provide substantially the same details as those shown on Torn 204 khen nctors are calibrated internally by the Assistant RSO, Fotn 2 0 /. shall be oscJ.

The Assistant RSO shall insure that the calibration ntickeri are c u p ;m r t ot by such appropriate documentation, and that all recotas are filed in the

" Calibrations" tile.

(C) FORM 2OH Manancment A n d i _t of Radionraphic Operating At least once during each calendar month, the RSO shall conduct an audit of radiographic operations and shall record the results on this forn.

Also, at 1 cast once durina cach ca lenda r quar ter, each radiography worker 9

shall be included in these audits, including the A.sistant RSO (Note the Cencral Manager and independent Consultants will also rcrfntn such audits, and nay use this same forn.)

(D) FORMS 209 thru 212:

Personnel Oualificationn Per section 3.1, the following forms have been developed npecifica-lly for the personnel training and certification program:

Form 209

" Statements and Acknowledgementa Paquired from F.ach New Employee in Radiography; Part 2: Acknowledcoment of Initial Classification an a Trainee" Form 210

" Personnel Qualification and Certification - Annintant Radiographer" Form 211

" Personnel Qualifica tion and Cortifica tion - Rad io-grapher" Form 212 - "LTL Radia t ion !;afe ty Training - Pornonnel Itocorcl" c

,f x

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1 of 3

' RADIATION SAFETY !!ANUAL RlWISIO:!:

1 DATE: November 30, 1983 j

QUALIFICATIONS - DR. DAVID KRAS!!!jj,,,

- President and ownce of Mann.

Materialn nasca rch, Inc.

- President of Lehigh Testing Labs., a wholly owed nubsidiary of MMR, Inc.

Lehigh Testing Labs. holdn NnC I.iconno (l07-01*.73-3

- nonsselaer Polytechnical Ins ti tu to graduato

- Licensed Professional Engineer

- Development engineer in the nucicar l'nduntry in the mid.19so'n

- Profesnor at Worecctor Polytechnic Inn hi tu to from 1957 to 19(;2

- National Treasurer and Trustco of

!!c tals the American Society fo:.

O 9

9 9

O s

' ~ '

!A:;sAtliin.crT.

MM IIATERIAI.S nES!;A:tc:!, 1::C.

,;i.:eTIo!I:

3.6 PAGM.

2 of 3

RADIATION SAFETY MANUAL DATH+ Movember 30, 1983

-E X PER I E NC R.-- R ECO R.D._. O!_'..W._..M..I_C_ K._I.

G/84 to 'recent

)

- ?!auunchuuc tts Ma terialn nc<inart:h,

Inc.

l

)

Ilead Radiographer - Dutic

.Inc ' ude :

I I

Pornonnel Monitoring (por Co:c.monweal t-of

'ar,' ac!nino t tu I

Industrial nulletin #5) for " P.r/ 1:m i r.n io n." ' de'ra : tion

~l

.i equipment, scanning clec tron nicror. cope, i

and Induntrial X-ray machino: nalen, -film reviewinc;,. pror:odu re 'er i. t. i.ng,

prepara qualifica tion requiremener and co"tici. cation policy for NOT pornonnel.

1/02 - 1/84 - Lehigh Touting Laboratories, Inc.

I Radiographer - Dutics includo:

9 Operation of 300 KV Induntrial X-ray Machino; l

n 1

i

(

Operation of~ Tech /Opn i*odel I

660 IL:po r.u re d-ice in house and at field locations; l

Operation of Tech /Opn model 750 cource changer; Uco of Vic torcen undel. 4 9 :'

and Eberlinc model n-130C Survey Inn trume ntm ;

leah tes t sampling 1;ceping donimotor and 'utili: a tion rocordn.

Graduated Tech /Opa 40 hour4.62963e-4 days 0.0111 hours 6.613757e-5 weeks 1.522e-5 months cource "Radia tion :Ta fe t-A w<e:'

iif Isotopo Radiography" l

Cradua ted Sperry School for ::onDen truc ti'/i Tiz : u:

i Radiography I.cvel I"

" Ha:, '

l r

i 9/77 - 7/31 Univernity of Delentac-f i

\\

Graduated with a d prou in l'hysical D uca t ion 1

i 1

6 m

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I T

-i.m:i Ac!a::i,.. c.,

~

---..j_ [. k tuTERI AL:, n: ::!:f.:a:!!, n:c; z

SMCTION.

3.6 PAGM:

3 of 3 l

RADIATION SAFETY MANUAI, RF. VISION: 1

~

j D A T P..

Movember 30, 1983 l

h I

[

)

2 EXPERIENCF.I'F. CORD OF M.

STEMA?"'

i I

l i

RADIATION SAFETY CONSULTANT 9

i i

1/79 to Procent - Massachuse tta tia tcrial:.

l 1

Ite n ca rc h, Inc.

l t

i Head nadiographor - Dution included:

i i

Personnel monitoring (per Commonweal th of tiannachune ttn i

i l

Indus trial Dulle tian # 5 ) for ::-ray eminnion and /.i.f f rac-r i

tion equipment, : canning clec tron nicroucope, and i n:1.m t-i rial >:-ray machine: upgrado c::pocure room

.'ith addition i

of lead nhiciding material; nalen, film rev i c'eing,

procedure writing, preparc QualiCication !:cqu i remo n t: <.

L i

r and Cortifica tion Policy for MDT Personnel.

L 9

Gradua ted Tech /Opn 4 0 hr.

I cource "Radia tion Sn ::e tv -

t l

Aspects of Isotope Radiography" i

(

L 4

1

{

8/72 to 1/79 - Arnold Greeno Tanting I,abn.,

Inc.

Radiographcr - Dution included:

1 I

Opera tion of 1. 0 and 2. 5 t'nv clor tron ta tic accelera torn ;

i

)

operation of Tech /Opa modeln 446 and 3 3 3

>ono :*e devices in houac and a t flold J oca ti.o n ;; u :n or i

t e

Vic torcen model 4 9? and Eberlim model i:~'a 0 n.arver I

(

j instruments; 'lcak tent compl.t nr. hoopina dor.ime ' ar L

j and utilization recordn. ACC I.ic.

an ulo74-q?

l

'g 6/70 to 6/72 - University of Mannacimnetto civil nngtnacriny. y o :. : ntnacnt repreneni a uvo m k.

'G.'

I

u:

!!ASSACI1USETTS SECTION: APPENDIX A Vd

-MATERIALS RES!:/.RC11, n:C.

PAGE.

1 of 1

REVISION:

1

/

l RADIATION SAFETY MANUAL

'w)

DATM November.30, 1983 EMERGENCY TELEPIIONE NUMBERS OF RESPONSIBLE MANAGE.'!ENT PERSONNEL WESLEY C.

NICKEL, RADIATION SAFETY OFFICER (Bus):

(617) 835-6262 (Ros) :

(617) 792-5468 WESLEY C. NICKLE, ASS'T RADIATION SAFETY OFFICER (Bus):

(617) 835-6262 (Res) :

(617) 792-5468 IF THE ABOVE INDIVIDUAL CANNOT BE REACIIED, CALL DAVID KRASilES, GENERAL MANAGER (Bus) :

(617) -835-6262

/O (Res):

(617)

~

464-2476

%_,/

MICIIAEL STEWART, CONSULTANT (Res):

(617) 987-2472 U.S. NUCLEAR REGULATORY COMMISSION INSPECTION AND ENFORCEMENT OFpICE-REGION 1 631 PARK AVENUE KING OF PRUSSIA, PA 19406 TELEPilONE ( 24 IIrs. ) :

(215) 337-5000

(

,/.

a

e MASSAC11US E'rrS SECTION: -APPENDIX D MATERIALS RESl;ARCll, It!C.

PAGE:

1 of 1

RADIATION SAFETY. MANUAL DAT!!: November 30, 1983 ADMINISTRATIVE INFORMATION REGARDING RADIATION SAFETY CORPORATE INFORMATION Ownership and Officers Massachusetts Matcrials Research is located at'241 West'Boylston Street, West Boylston, MA 01583.

The President of, the Corporation is:

.Dr. David Krashes_

Dr. Krashes in~the only Rhodes Road

' individual who owns at least Princeton, MA 01541 10% of the issued and outstanding (President & Treasurcr) stock of the parent company).

Other officers-of the corporation are:

Bennett.C. Wilson James K. Gardener, Jr.

49 Sunnyside Avenuo 81 Whitchall Drive IIolden, MA 01520' Tallmadge, 0 11 44278

-(Director.& Secretary)

(Director)

/.

Preston W. 11all, Jr'.

' Loonard A. Weston Townsend Drive 3 Tally-Ilo Circic West Boylston, MA 01583 Newark, DE 19711 (Director)

(Vice-President & G.fl. - Lehigh) 1 F

=.

+

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4

+y p

gk MM;nAcnusirrrs snCTIOM: APPENDIX C MATERIAI.S RESI: ARC 1!, IMO.

PAGE:

1 of 1 REVISION:

1 h'w/

RADIATION SAFETY MANUAL DATn November 30, 1983 SUPPLIERS OF' FILM DOSIMETER BADGES A.

R.S. LANDAUER, JR. & CO.

Div. of Tech / Ops, Inc.

Glenwood Science Park Glenwood, IL 60425 Tel: (312) 755-7000 B.

EBERLINE INSTRUMENT CORPORATION P.O.

Box 2108 Santa Fe, NM 87501 Tel: ( 5'05 ) 471-3232 MANUFACTURERS OF POCKET DOSIMETERS IN USE AT MMR The pocket dosimeters in current use are all 0-200 mR, and are used in all of MMR's radiogrnphic operations, whether the radiation source isa radioactive isotope or an x-ray generating machino.

Pocket dosimeters are one of the following models, or equivalent:

(A) Victorcen 541 (Victorcon Instrument Co., Cleveland, O!! 44104)

(B) DCA Model 862 (Dosimeter Corp. of America, Cincinnati, O!! 45242).

DOSIMETER CALIBRATOR:

The unit used to calibrato MMR's pocket dosimeters is a source of Cosium-137, less than 10 microcuries, purchased from the Con Corp.,

Brooklyn, NY (S/N 311).

DOSIMETER CilARGERS:

All charging units for MMR's pocket dosimoters are victorcen !!adel 2000A, or equivalent.

h V

ee > = w we e w = +

e-*

+4g-% eser,we +

L*. * * - - -

g -

p 4g,

_q,,,

+

g'VM MAS 1ACH N. :i 7c,;.m 3 :

app;;gnyx n I

nxn:nIAI.:. ;u:s1:/ ::!, 1:,

PAGI,.

y 7

o, REVISIOM:

1 (O

RItDIATION 3AFETY MANUAL V

OATE November 30, 1983 NOTICE TO EMPLOYEES CONCERNING MMR RADIATION SAFCTY PROGRAM In accordance with Title 10 CFR, Sections 19.11 and 21.6, the llowing documents are available in the Radiography Pilm nvalua tio n Room for examination by employcen:

1. 10 CFR, part 19 - Requirements for noticon, instructionn a nd r e po r t i, by MMR to individuals participating in licensed activition, and optionn available to such individualn in connection with Nuclear Regulatory Commission inspections of MMR to accertain comoliance with the pro-visions of the Atomic Energy Act of 1954, an a me nd ed, Titel II of the Energy Reorganization Act of 1974, and regula tions, ordern, and 1icennen thereunder'regarding radiological working conditions.

2. 10 CFR, Part 20 - Standards for protection against radia tion hanarda arising out of activitica licensed by the Nuclear Pogulatory Comminnion and issued purnuant to the Atomic Energy Act of 1954, an amended, and the Energy Reorgani::ation Act of 1974.

3. 10 CPR, Part 21 - Proceduren and requirements for implementa tion of Section 206 of the Energy Reorganization Act of 1974, which readn an follows:

(m)

(a) any individual director or responnible of ficer of a firn constructing, owning, operating, or nupplying the componentn of a facility or activity which in licenned or otherwine regulated pursuant to the Atomic Energy Act of 1954, an amended, or purnuant to thiu Act, who obtains information reasonably ir.dicating that nuch facility or activity or basic components supplied to nuch facility or activity:

(i) fails to comply with the Atomic Energy Act of 1954, an amended, or any applicable rule, regulation, order or licenne of the Conminnion relating to nubntantial nafety hanardn, or (ii) containn a defect which could create a nubstantial nafety hanard, an defined by regulationn which the Comminnion nhall promulgate.

shall immediately notify the Comminnion of such failure to comply or of any nuch defect., unions nuch pornon han actual knowledge that the Cor ninnion han been adequately informed of nuch defect or f a ilure to comply.

(b) Any pornon who knowingly and connciounly failu to provide the notico required by nubnection (2) of thin nection shall be nubject to the civil penalty in the amount provided by G

noction 234 of the Atonic Unnroy Act of 19 M, an amen &d.

e-

!!ASSACHUG UTTS S F.CTION : APPPNDIX D

!!ATERI AI.S R ESI AR C11, I!!C.

PACI::

2 of 2

REVISIOM:

1 O

RADIATION SAFETY MANUAL DATE November 30, 1983 (c) the requirements of this section shall be prominently posted on the premises of any facility licensed or other-wise regulated pursuant to the Atomic Energy Act of 1954, as amended.

(d) The Commission is authorized to conduct such reasonable inspections and other enforcement activitics as needed to insure compliance with the provisions of this section.

4. 10 CFR, Part 34 - Requirements for the issuances of licensos for the use of scaled radioactive sources and radiation safety requirements for persons using such scaled cources for industrial radiography.

5. NRC LICENSE NO. 07-01173 This document authorizes MMR to possess and use specified byproduct materials for purposes of industrial radiography.

6. RADIATION SAFETY MANUAL, Sections 1 and 2 - This document describes the operating and emergency procedures to be followed by Radiographers and Assistant Radiographers in parforming industrial radiography.

Included are sections on the operation and maintenance of radiographic equipment, radiation safety emergency procedures,- perconnel monitoring, related recordkcoping requirements, and portinent responsibilitics to assure complianco ylth the above referenced regulations.

O Reports by employees concerning radiation safety related matters should be made to the Radiation Safety Officer, Wesley C.

Nickle.

The responsi-ble management official, to whom information concerning defects and noncompliances should be directed, is David Krashes, Pres. & GM.

November 30, 1983 9

C e

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AppnNn1x n h..T!: RIALS ng ;1;fac g, yp;;;

n PAGE.

1 OF 3

RADIATION SAFETY MANUAL 3

l j

- - -.. ~. - -.-.... _ __ ___.

DATE: Novembot 30, 1983 I

t 1

l QUALIFICATIONS - DR. D/tVID M nan n !..:,c; i

l Prcnident and Ots'nor o ~r

.r.;a n -

na-to rial, ne ':ca r c h, ' :.:.

- Presiden t of Lehi4h TcCling Lab.',.,

a sholly o.*cd h 14 O

MMR, Inc.

Leha.gh Tecting Labs. holdn MitC Licen::e f dib. oi., -.,.,

j

- nonacclacr Poly technical I n n t i. h u t.c evt.ulua to i

Licenced Profennional Engincar Development engineer in the nuclear i n. lu :: t r /

'n the mja 19 w < n

- Profconor at Worcen ter p('ly tec h t i.c 7:.4.....,

.,.O.

,,) r.,' tc 1 () (; ;3

- National Treasurer and I'

T' u "- '~ U U O 'c 00 Mctals

'03CCMan Society for O

o C

4 l

l O

p.

,. -. ~

a-1 1

-w-

_L\\ t

'A:iSACP.UW6 f:;

'3 EC TION :

APPENDIX E MIQ UxrF.RI.M.S IC;i..RC1!, 1::G i

7

' pAGE:

2 of 3

i 4

f RADIATION-SAFETY MANUAL REVISION 1

DATP..

November 30, 1983 4

i i

EXPERIENCC RECOnD OF M.

i

TCI:1. E G/84 to Present - Massacnunc ttn f' t to::.r.al.

i Rencarch, Inc.

Head Radiogr pher - Du tic: Include:

i i

}

Personnel Monitorine; (per Co:tmon'. cal t-o f ':annachune t tu i

Industrial nulletin fl 5 ) for ':-nay F.minnion and de f ra c tion i

i equipment, scanning elec tron. nicroncopo, and I ndu:, tr ia l X-ray machinc; sales, film rovic'.iing, procedure wra. Ling, t

prepare qualifica tion requit:cments and cer tifica tion j

policy for NDT personnel.

I' 1/82 - 1/84 --Lehigh Testing Labo r.. ' orien, Inc.

Radiographer - Du tics Inclusin t 5

Operation of 300 KV Induntrial ':-ray ': chi-r a

(

Opera tion of Tech /Opn '40 del 660 !d n

ic-in house and a t ficld loca tion:,,

Opera i o:. <si Toch/np.

model 750 nource changer; Ucc o f Vic tornen md e l.

<9?

i i

and

{

Eberline model E-130G Surve.

I n '; ! " e.o...

1. :a '

test sampling kcoping donime ter and u t. i l, a :.iva rer:ordt..

i Graduated Tech /Opu 40 hour4.62963e-4 days 0.0111 hours 6.613757e-5 weeks 1.522e-5 months courno "nad ia t.i on sa f e t-nr. '

i Isotopo Rad iog ra ph y "

of I

l';

Graduated Sperry School fot * :o nre. : "u r t

,i Radiography Level 1"

5 i

i 9/77 - 7/81 - Univernity of n.-

P Cradua ted blith a (I'

. p r:

}, g t ph gical Md g y:a t b

t O

t r

1 9

i

_~, - -

t i-g'

fASSACl!U: sRIT:.

NM liATEP.IAI.s lin:n:. acn,' li:,

SECTION: APPnNDTX n 1

PAGn:

3 of 3

4 1

1 l'

RADIATION-SAFETY MANUAL REVISION: 1 i,

DATE : November 30, 1983 l

i i

i 4

EXPERIENCE RECORD OF M.

STEMART RA6fAYf0N SAYSYY CONSULTTNY

~~~

1/79 to Present - Massachusettu natorial:, Roncarch, 4

Inc.

i i

8

!! cad Radiographer - Du tion included:

i Personnel monitoring (per Commonucalth of fiansachusetts

(

i j

Industrial Bulletin 5 5 ) for -:- r a 3 cainnian and diffrac-t i

t tion equipment, acanning electron microscopc, i

and i n d.t s t-1 rial x-ray machine; upgrade c:.:posure room wi th add i t' ion i

of lead shiciding material:

union, film r e v i <n.*i n g,

procedure writing, preparc Qualifica tion nequirenentn I

t I

and Cortification Policy for MDT Pernonnel.

Gradua ted Tech /Opn 40 hr. courne " Radia tion 'afat" Aspects of Isotope nadiogranhy" I'

8/72 to 1/79 - Arnold Greenc Tonting I,ab:..,

Inc.

Radiographer - Dutico included:

i Operation of 1.O and

2. 5 Mnv elec tron ta t i e accelera tort.:

i 3

operation of Tech /Opq models 446 ami 5 3 ~1 e po:mro t

devices in houna and a t field.i nca tim uen o f:

l Vic torcen :nodel 492 a nd l'.bor line :: ale ] !:- 510 - G u u r v e ".-

inGhrumentu; leak test sanp]..

1. e, :, nn do.:.i oo t".

i and utili::a tion record:

i AnC Lic. p 2n aln7.; r:'

i k

4 I g 6/70 to 6/72 - Univm::ity of Ma n naci:u rmtiu.

civu nna i nacr3 n.,

we, u.0,0. rep r...;,, n u the Camoist r *< n ', -

7.

'4

i 1

m ' r*

. : Ass Acnu:,. < >

l \\

y..

,. Q

,, }_\\/1 MATERTALS n. c1:., ::!, n,

1:r: cl.iu Appendix i.

i

, PAGi:

1 of 6 j -

...._...._....._]

i?JN T ': T C:

1 RADIATION SAFETY ?! ant!AI.

I v

i 1)M'E November 30 I983 I

.-m_.._-._..

..I

{

d

}

I 1

i

,i l

QUA!.ITY AS::lli:A :C!: 1 n0cR,.!!

l i

4 4

5 FOR TRANSPORTI!G PACKACMS OF RADIOACTI VE

!A.T,E R J.A1..

i j

6 l

t (as required by 10 CPR I'a r t 71.51) f i.

'l I

1

~

i f

Incorporated into.MMR Radiation Safety !!.i nu a l an Appendi j

t 4

I I

i 4

t l

t

._o.r.--. r.-

c The management of

assacliuoct tn Mat; ecto,tr.: nenvarch,.

e. a '-

-N - and rp'c-ments this Quality Assurance Program far Trannportin" Pa c r:a.y of 'ad i c a t-tive Material.

Training for all QA Progran function:, prio :o nna:

-iP in these functions, is required.

QA Pro,,ran r evi r, ion.. hall be adr

:: ri r d -

ing to written procedurcs with mananencat app-aval.

De inn.i m!

.d.r

' a. :. o n i

I of packages for shipping ra d i on.; t ive nate: lain nhall not br part of tb Q.i

{

Program.

t

)

O The organizational responsibilitica I

at.Uaunachusetts h t e r. a !.. R..;ea r c h, for o

administration of this program are prese:

cd :n the cha-t helc.:

s t

President & General Manare, i

i 1

{ --

i t

i i

jtadiation Sa f ety Of f i c.e.r.__

_..L_.....

l

.C o n s n '. a ::......

I t

l' Ass't I

Radia tion Sa fety Of fi.c._cr i

.P.a d i a r. : a ph.._e r._:,.

}

I I

I ansintant nad i on ra p.,

1:

.n,..

e=we.-e.=.

6 -e.me==..ow.a gs.,

6 O

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.g.,a.

m g[dQ o...,.... c :i.

. a.1 "nCTION : Appendix F UATEP.1/LS n.,

e ::!, 1::s p;g7. :

3M 6 RADIATION SAFETY ?!ANUAL p p'p^ "c 7 "~',.

g DATn November 30, 19fD

?

QUALITY ASSURANCE PROGRMi FOR TRANSPORTING P.ADI0 ACTIVE MAT!. :! A:..

'u

'd) 4 IV. HANDLING, STORAGE AND SHIPPIUC (A) The handling, storanc and shipping of packanen for certain r.pecial form ridi-onctive material shall be. accomplished by qualified radicpraphy personnel, who have been instructed in handlinn, storanc and nhipping operations by the Radiation Safety Officer, in accordance with catabliched safety procedurca.

(B) Shipments of special form radioactive material shall be made only in conttin-crs acceptable per DOT Regulationn 49 CFR Parts 173-179.

1.

Only shippinn containe-a authorined by URC Licence Uo. 07-n1173-02 an 1

4 issued t o !!ascachusetts Materials Research, shal t he o ca.

I L

2.

The step-by-step instructionn innued by the t:ar. :act ur -

,s vntain l

cr shall be followed in detail and in the r.cq ue n ce pr.

en: od.

I 3.

The source shall br: accurely locked in the fully nhicidra p.uition t

confirmed by carefully performed and recorded radiation 1

.o r ve y n.

4.

No 'p *ckage with radiation levcis in c: cosn of 200 millirocatnens O

hour

.t the packanc surface, or 10 milliroentgen, po h,"

at nw autec, per shall be released for shipment, an specified in DM nenni a t ion::

g

+

5.

Package labeling and accompanying shippinp, pape., shalI be properly completed.

i I

(C)

Packages having. Yellow III labeln (those with donc rates exceeding 200 an/hr the surface, or exceeding 10 raR/hr at one meter f ree I

at the surface) which

]

contain special form radioactive material transported undat the supelv.nica l

of ~ FDIRa ',; personnel shall be transported in vehiclen posted with fet reading " Radioactive".

igan t

These signs shall be af fixed to the vehicle at the front, rear and both siden.

The signs shall be black let ters inches high on a ycIlow background.

(Note that !!:!R ' n Radiation safety 1

at least four Manual, Section 2.3, currently prohibitn sh ipne n t n of packagen requi-ing Yellow III labels by FD R. no thin paragraph in not appticable un.n-ID!R 's s URC license is anended to permit such ship tat...)

i 1

1.

Packages shall be placed in the rear of the vehicle au far away r m p,.:

?

'b 5

sonnel as possibic.

Packagen shall be accured by ticing and bl. din; prevent shifting or movement ~

to canning damage to the vehicle-or pa ^ari' 2.

The exterior surface and pancenter co.partment of the cle chall be surveyed to'incurc that sadiction ley:!:, dotransportin:; w n!-

c:illirocntgena por hour.

not,:::ccm t ua a

t i

o

..-e.=*++.

..w.>....._

. +,,...... _.,, ~......,,,,,...,,,,,...........

4

'l s

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l'AGi : 2 of 6 r

' R1:V! S 10" I

e RADIATION SAFETY MANUAh

(

1mTn-r:ovembe r 30, 1983 QUALITY ASSURANCE PROGR A!! FOR TR At?".PORTT! 0 P ADIOACTivt !* ATrn T /.L'. (rnot 'd)

I.

PURPOSE This Quality Asserance Program is established pursuant to. ctioa 11.51 of 10 CFR Part 71, " Packaging o f Radiact ive Ma t eri al for Tran<por:. and 'Irann-portation of Radioactive taterial Under Certain Condition

%crion "3of Lehigh's Radiation Safety Manual, " Transportation l' r oc e d o r.

for '.uled Sources", is incorporated an an casential part of thin QA " ov n.

f II.

RESPONSIBILITY j

(A) Radiation Safety Officer, !!DT Depa r tment The Radiation : a fety Of:icer in responsible for everall adminintration of the progran, trainion a" t certification, document control, and auditing. The Radia t inn ::.i f e t y Officer shall assure that all radioactivo mnterial nhippinn packann, uned by

!!Mit are desiCned and nanufactured under a quality Ancuranen Prorran for all packages designed or fabricated after July 1, 1973.

This r m; o i r cu e n t can he g

y satisfied by receiving a certification to thin effect fro, :ho nanorm:turer.

I The Assistant Radiation Safety Officer t. hall ascume the teaponnihility of f

the Radiation Safetv Officer in hin absenec, t

(B) Radiographers - !!DT Dept. - The !!adionraphera are re.ponnibi-fr ha.o!! ion i

storing, shipping, innpcetion, tentn, operatinn status and S. c pi an.

l

. in (C) Final Responsibility - The final renponsibility for ecmpliance o' the Quali-ty Assurance Progr

t. wi t h S e c t i on 71. 51, o f 10 CFM l'a r t 71 rect-eith

h. -

achusetts Materials Research, Inc.

1i

{

III. ')OCthtENT CONTROL f

I

)

Certificates assuring that all radioactive uaterial shippion pachar,n I

are designed and manufactured under a Quality Annurance Prem - : p p ' m: r ! 5;. th-Nuclear Regulatory Connisnien for all p.xh.c' d, nin: si or fi., ' :. d. a ;',.

July 1, 1978 chall be obtained an.: Fep: on file b.

th PMia; a!.*-

Officer.

All documentn rolated to a -:; c c i f i c.hippin pn;w. <i:i S.

t kept on file by the Itadiation safety office,.

All & c.

.,a c L n.

reviewed and approved by the Dadintion ".ifet y Of ficer prie to

(

montatinn in thin Q.A. P r e ; '.-

The 1:a d i a t. i ';a f e ! - u fi,

'al;

, i

l Chat all Q.A. functionn aro co:ph. : t c J i n.1 f,:. : dan e. ; ; j, *S

},,.

,',,3 i

i hic changcc to thc1C document 3.

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!!ATI:in AL.S nRntucunt, 1::i:.

I PAGn:

4 of 6

i RADIATION SAPI:TY MANUAL 1)ATr.: Movenbar 30, 1983

_- a QUA1.ITY ASSURANCE PROCRA?! FOR TRANS1'OP.TINC RAD 10ACTI,2 It ATM'i!.'M/;

'..)

s<

I 1

(D). Pa c k.k ge s ' c on t a ini n r: apacial form r a d i oa c t. i ve itaterial Secci t

rier shall be monitorod as 4,

..i a ir.

soon an p r a c t i c.t h t - after v..c c i p t.

5..

1.

.i than 3 hours3.472222e-5 days 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months after the package in received or 13 hoorn i t' r.c..

o.1 a:t-ror-

.l n.

mal working hours.

If radiatica levcic arc found on the e na!

n- ',cc in exeoss of 200 nillirectnans por. hour or in c u cetui o f 10 m t i roc t n an, hour at one mater from the aurface, Lho final delivu rina ca. r t et the inc!r-i pr-ar Regulatory Commission and the l&tunachuncttn 11c pa r t.mo n t o l' !.ahor.ind in-dustries 'shall, be not.ified Arnediately by tolephone and tolerya.,dt.

j (E) Any time a package containing npccial forn r o l i o.u. t i v i satt. i.c l ir not in j

t j

use, being transported, etc., the packar." Shall h"

~ # ^ u r *' I ' 1 1 A

.i.d I

g placed in a storano room nr container, which nhall al a 5.

.. i.'.

f The storage ar':a or containce' chall be f

1.

wrveyed to ensm e

1. h a r.

no i

radiation area existing on the catcrior n o r f.ic e is in exen s-o f t h.t requirements f or an un te r.t ri c t ed a r ca, that in, in excr of two i

millirnentgens per hour.

2.

The storage area or container e. hall be po.ited with n i,n, - a in:

i "CAtJT10:1 (oft DA!!CCit) - !! A D I C ACT t y r; M AT ", r.I,*.1."

V.

INSPECTION, TEST At0 OPrRATINO STATtm (A)

The Radiation Safety Officer chall be reapoatible ing in his files all records or inspection for d a:nian od,.,i n t a i n-i I

t e n t,

c. n d o 7:. : t ; n, w., :. e f

packages for certain special forn radicactive uctetial, (D) The Radiation Safety Offlect r.h a l l ena.nre that all in e nti.w.u.ou t i.

i i

have been performed in accordanco with "rit. ten I

procedutre. N r ;ii-.

1 radi-ocraphy personnel, that the statun ir indicated by ta;;, labr!,

log ent ry and the status of noe. conf orming par t.:

in n.

4 ly viaintained by written procedur-ca.

ne pa c a r,c :, v i i i ',

itive-t VI. QUA!.ITY ASSURANCr. RECORhS r

(A) Records of package approvalr.,

t.n g e t i a;,.., :, t. :

results, personnel training an1: q na t i fi c.t. i m

.n J n o

- ti

,, 9

[

be maintained.

Deccriptina. of *;oi;nem

c. d i : u.

be maintained.

a (D) Thest; records vill bc naintaincd: a c ccer,:.m.,

The rcCords t.'i} } bc iderttiliaMc

..,:he, 9..',

.nl ra r! vaM.

/

vich their ntarago locatinns, mit h-u..ai,.

f

o.'

officer,

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R!:VIf; TON : 1 l

RADIATION SAPT:TY ?!ANUAL j

D ATl! ' Movember 30, 1983 j

'-i e

i

{

i

_ QUAI.ITY ASSURA!;CE PitOCRAM FOR TPA1 SP017.TT!

0 ft ADIOAc: ! *.

!!ATr.!: T A!.r. ( c.uu '.!)

i i

1 VII.

AUDITS f'

f Established schedules of auditn of the Qualit Asnurano P r o n r a ri vilI ho r e formed using writ ten checklist:: ( Append i:s I).

Ite su l t r. of an.!i t : will be maintained and reported to mananc;nent.

Audit repart will Sc. "a l o.i t ed a r. d

{

deficient nrcas corrected.

The audits will be dependent I

en t h.: nar"ty l

significance of the activity being audited, but l

cach activi?" will h rudit-(

ed at 1 cast once per year.

Audit reporta will be maintained aa i

part of tic

\\

Quality Annuranco records. Menborn of the audit t o.im nhn11 b.w.

no i y.1 p a r t i - l

{

bility in the activity beinn audited.

1

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pAGl;.

6 of 6

REVISION-1

,/^

RADIATION SAFETY MANUAL LJ DA'r!. November 30, 1983 QUALITY ASSURANCE PROGRAM FOR TRANSPORTING RADI0 ACTIVE MATrRIALS (cont'd) l PROGRAM AUDIT CHECKLIST:

1 No items of noncompliance or unsafe conditions were 4

found The following items of noncomplinnce or u n s a f e c o n d i t i. e n e.

veti f outu!:

1.

A current copy of the Quality Assurance Progran wa t nat available.

2.

Records of rcccipt, transf er or dinnonal of radioactive matr -i al were not properly maintained.

g 3.

Cortificates from manufacturers of radioactive material r.h ip pi n n containers, showing that all containcts deninned or f abricat. d a f ter July 1, 1978 were donc co under a Quality Anaurance Prorran approved by the NRC, were not maintained, l

4.

Containers were not properly labeled to indicate the pre..nce of l

radioactive material.

l fq 5.

Personnel did not follow establinhed nafety p roc

'ur, for h.Aling, (w,/

storage and shipping of containers containing radicactive n.ncrial, 6.

Personnel training records werc not properly naintained.

l 7.

Other (describc) -

+

{

Remarks - describe any items of noncompliance or unsafe conditican che :L, d a!.ove

{

---N6>"M

-a*emhe..eesi-s.

.e.

t I

Auditor:

I have been informed of and understand !a finding, c:

hi;,';*.

/, ;,

, ; c, noncompliance noted above will bc corrected within

t. h.

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j RADIATION SAPETY MANUAL s.w v

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SOURCE UTILIZATION REPORT Date/ Time:

Location Used:

1 Job No:

Customer Name

O EQUIPMENT ID:

Isotope Type:

IRIDIUM 192; Source S/N:

Activity

Curles; Exposure Device - TECll/0PS Model

S/N

Crank Model No:

Crank S/N:

Survey Meter (A) - Model

S/N

Survey Meter (B) - Model:

S/N

Collimator

DAILY EQUIPMENT INSPECTION CllECKLIST: Device:

Lock

End Fittings

Safety Caps. Screws:

Control Cable

Warning Labels

Selector Ring

Control Crank:

Guide Tubes

Survey Meter (A):

Cal.Duc Date

Survey Meter (B):

Cal.Duc Date

Operational Check of System

REQUIRED DOCUMENTATION CilECKLIST:

Oper. & Emerg. Proc.:

MZ1 License & Amend.

Personal Dosimetry Record:

Record of Personni Qualifications (Pocket Card)

tGE & STORAGE OF SOURCE:

Total Number of Exposures Made:

Total Time for all ex

(

Exposures:

min; Maximum Exposure Time in any One llour:

ain Date/ Time Source Stored:

Storage Location

MANDATORY RADIATION SURVEYS:

Initial Survey at Surface of Exposure Device:

mR/hr; Vehicle Used (if any)

Vehicic Surveys - At Surface

mR/hr; Inside Passenger Compartment: ___

mR/hr; Final Survey Readings - At Surface of Device:

mR/hr; At Surface of' Vault:

mR/hr; At Boundary of Unrestricted Area Surrounding Temporary Field Storage Location, if'not in Lab Storage Vault:

mR/hr; REMARKS (Describe any unusual-occurrences, malfunctions, etc):

SKETCH OF RAD 10GRAPilIC SETUP: Show sketch on reverse side of this sheet.

Note that a separate sketch is required for cach different radiographic set-up.

Show the position and orientation of source; show perimeter and approximate dimensions of restricted area with actual survey 1ues; and show position of crank, walls, shicids, barrier ropes, etc.

--natures:

(Radiographer in charge)

(Assistant Radiographer)

(SUR approved by) l 1

N

?-

g{VR MA::SACl!USiriT!,

S F.C TI O N :

PORM 202 ttAT :nIAis lu :n A:a:n, ] Nc PAGI:-

1 of 1

REVISION:

1 RADIATION SAFETY MItNUAIi D A T I:-

November 30, 1983 TRANSPORT RECORD FOR RADIOACTIVE MATERIALS Proper Shipping Name:

RADIOACTIVE MATERIAL, SPECIAL FORM, N.O.S.

UN 2974.

Type of Source:

IRIDIUM-192 Activity of Source:

Curies Label Type:

RADIOACTIVE Transport Index:

Source' Serial No.:

Container Model No.:

Container Serial No.:

Container Specification No.: NRC ID# USA / __

/B Type B Date of Shipment:

Shipper:

Massachusetts Materials Research, Inc.

'~

241 West Boylston Street 3

)

s West Boylston, MA 0,1583 Destination:

ALL SIIIPPING PROCEDURE REQUIREMENTS IIAVE BEEN SATISFIED.

Shippers Certification:

TIIIS IS TO CI RTIFY TIIAT Tl!E ABOVE NAMED MATERIALS ARE PROPERLT CLASSIFIED, DESCRIBED PACKAGED, MARKED, AND LABELED, AND ARE'IN PROPER CONDITION FOR TRANSPORTATION, ACCORD-INC TO TIIE APPLICABLE REGULATIONS OF TIIE U.S.

DEPARTMENT OF TRANSPORTATION.

Signed for Shipper:

Date:

(

x i

Form 202 at eme.ee eenge es..e=em 8.'

-W

/*

!!ASSACl!USETTS

!.t.t:t tt m :

n c::t /tu MATERIALS R1:SI: ARC 11, II:C.

p,y;p,

)

op 1

HEVISION:

1 RADIATION SAFETY tlANUA!.

QUARTERLY INSPECTION AND itAINTENANCE REPORT Exposurc Device: TECil/0PS MODEL 660 S/N Crank S/"

Source Type: I RI DI Ut!- 19 2 Model: TECil/0PS A 424-9 S/N Activie.

Ci Date Inspceted:

Innpected By:

INSPECTION CllECKLIST CO't P LI:T E D

1. Perform a source change as specified in scetion ?.4.0

2. Clean the drive cables as specified in the procedure.

3. Inspect connector on control cable with Tech / Ops 550 nanc.

7 4.

Clean the drive cable housings as specified.

5. Dissassembic and clean crank mechanism; examine for wear or dananc.

6.

Lightly grease and reassembic the crank mechanism.

7.

Lightly necase and install the drive cabic.

8. Set the odometer to zero.

9. Clean the exposure device as specified (do not dinassemble).

10. Examine exposure device for: shicidi.nn placement; proper operation of lockin; ring; proper tabeling.

g gl. Inspcet the connector on the exposure device with the 550 ganc.

.2. 1.ubricate the locking mechanism.

13. Remove source from the changer and replace it in exposure device; cxami.nc operatinr, characteristics for:

looseness of crank handic, proper number of turns; proper odometer operation; firm stopping of crank handle when the source reaches stored position.

14. Clean the source guide tubes as s pec i fi ed.

15. Repairs made, repairs recommended, o r o t h e r c c:,me n t s :

M

_..=m e+m m eh-L Om 203

?

~~

- MASSACllUSETTS SECTION: FORM 204 MATERIALS RESEARC11, IMC.

PAGE:

1 of 1

.l' REVISION:

1 N

[d '

RADIATION SAFETY MANUAL DATE: November 30, 1983

-QUARTERLY INVENTORY OF RADIOACTIVE MATERIALS DATE INVENTORY PERFORMED:

ISOTOPE SERIAL DATE REC'D DEVICE DEVICE TYPE NO.

REC

'FROM' MODEL S/N ACTIVITY

_'D C

ALL RADIOACTIVE MATERIALS ARE STORED IN TIIE S!!IELDED - STORAGF. VAULT LOCATED AT 241' WEST BOYLSTON STREET, WEST BOYLSTON, MA UNLESS OTHERWISE'NOTED'BELOW.

REMARKS:

PREPARED BY:

(signaturc)

. (title)

(dato)

NEXT INVENTORY DUE:

I Form 204 g

9",

p gg 9'H W R' Y

l

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MASSACHUSETTS

'.!:C r t ur.

FO::': 2 0 ',

Y MATERIALS RESEARCH, IUC.

7,3 g g gy

)

REVISION:

1 l

h RADIATION SAFETY MANUAL DAT!:

No v era b e r 30, 19:13 QUARTERLY POCEET DOSIMETER RECORD Employec:

S/SJ MONTH /YR MONTif/YR MONf t!/YR DAY S/N INIT FINAL DOSE S/N IN!T FINAL COSE S/:

I:;I T F ' '; A L DOSE 1

l l

l

_2 i

-3 i

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6 l

l l

l 7

I i

1 ti i

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l

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i 10 t

i

~11 I

I i

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( _._,_

12

)

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13 I

I l

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l 1

l l14 15 I

l 1

I

~16 i

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I I

17 l

1 l

I i

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[I S_

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i

~19 I

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~20 I

i 21 i

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~22 I

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-23 l

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24 l

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~27 I

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i 28 I

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1 I

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i 30 I

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i 31 l

I j

l MONTilLY TOTAL:

':0:. rf t!.Y TOTAL in::T H L' TOTAL QUARTERLY TOTALS:

FILM E A DC: OR TLD 11 A DGh l'U o

!: 0 S 1 ' '. ! F. R. _ _ _

CD:! MENT S :

Forn 205

a gf 1:A';S AcnUS;.n:,

SECTION: POR?1 206 Md MATERIAI.S RESU/ ac!!, II C.

PAGP:

1 o f _1_

REVISIOM:

I b)

RADIATION SAFETY MANUAL U

DATE.

November 30, 1983 CERTIFICATE OF CALIBRATION - POCKET DOSIMETERS DOSIMETER MAKE, MODEL, SERIAL NO.

STANDARD DOSE MEASURED DOSE 01 V

Calibration Source Standard: Cesium-137 Device:

Approximate Activity this Date:

All readings are in mR.

All pocket dosimeters read from 0 to 200 mR unless otherwise noted.

TIIIS CERTIFIES THAT TIIE POCKET DOSIMETERS LISTED ABOVE HAVE EACl! BEEN CALIBRATED ON ACCORDING TO MMR's WRITTEN PROCEDURE AND ARE CAPABLE OF MEASURING RADIATION' DOSAGES TO WITIIIN A 30% ACCURACY TOLERANCE.

TIIESE POCKET DOSIMETERS MUST BE RECALIBRATED ON OR BEFORE Calibration. performed by:

(signature)

(title)

(da te )

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i Form 206

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-mee.*weem me.me egum

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MAS S AC!!USETT5 SECTION rote: non R\\TERIALS RESEARCll, IMC.

PACE 1

O F _1_

IEV1S!ON:

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RADIATION SAFETY ?!ANUAL DATE:

November 30 l'133 MANAGEMENT AUDIT OF RADIOGRAPilIC OPE"ATIONS Date & time Location:

RT personnel audited:

Type of audit:

Announced:

Unannounced:

Operations observed during audit:

Audit Checklist:

SAT UNSAT N/A

a. Pocket dosimeter initial reading logged

b. Survey made after each expor.urc !. before storanc

c. Survey made of transporting vehicle

d. Exposure device handling techniques

c. Transportation c ontt u c t e d/ d o c um e n :.at properly

f. Daily inspcction o f equi pment performed / recorded

g. Dosimeters checked periodically during shift j

) h. Proper source security and storage

i. Utilization Report completed properly at this time

j. All required equipment on hand

k. Survey meter properly calibrated

1. Proper film badge or TLD badge

m. Restricted arca properly established, posted and monitored liigh radiation area properly posted n.

o. Misc. records audit

p. Other Description of unsatisfactory findings:

Corrective actions:

c udit performed by:

(sinnatore)

(tttle)

(date)

Form 208

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4' Wl4.$ TECHNICAL OPERKfI'ONS g,,

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lx DURUNOT3N MASSACllUSF.TTS. m. triton 2r2 20o0 nAct ATIOta rinODUCTS O tVISIO t4

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METF.R CALIBRATIOt: CURTIFICATE

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SCRIAL NO.

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~~ 7 k CALIBRATION DATE b

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Tnen Freto Respo::sc, s r.nnon p'-

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2e 7 4I 2.5 mr/hr rat;GC X1

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7.5 mr/hr

[ 2. _ __

W/ 4) f

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f RANGE X 10 25 mr/hr

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JP i:

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g.

l 75 mr/hr b 2.-

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RANGE X100

- 250 rar/h r -

hDA.

b

'O f t.

. 750 s.tr/hr

,/[1Q_

e I

60 The above instrument van calibrated with a Cobalt cource.

Atomic EnercJy j'

Commission re;21ations require th a t it be recalibrated within. _threc (3) months.

'I T1:Cill!ICAL OPCitATIOt:S, I t:C.

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Form 207

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i MANACEME!!T AlfDIT OP lt.A DI OC R A PilY PF R';O:l!:!:!. l. OPI:R ATIO::.

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NOTE. ATTACl! COPY OF ~ APPLICABLE SOURCC UTil.IZATIO !EPohT,(Fo m 201) To T!!IU AUD; i.

Date & time Location:

4 1

l-RT personnel audited:

4 Operations observed during audit:

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AUDIT C11ECKLIST I

I 3

SAT U!! SAT - !!/ A

n. Pocket dosimeter - init. reading Icgged, checked periodically j

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b. Proper film badge or TLD badge; worn properly i

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Survey meter - valid calibration, operating properly c.

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d. Dail'y ' inspect ion of equipment perfor::cd and recorded proper 1;.

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All required equipment and documentation on hand c.

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f. Survey of transporting vehicle performed and documented j

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g. Transportation conducted properly; Form 202 com;)leted i

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h. Restricted area properly established, postcd and monitored

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i. !!igh radiation area properly posted 4

j. Device surveyed after cach exposurc & before storage v

)

k. Exposure device handling techniques - radiation doses ALARA l

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1. For Mass.TMaterials,4Inc.all special restrictions in effcet

m. Proper source security and storage

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n. Source Utilir.ation Report, incl. sketch, ccmpletc & accurate i

o. Other t

i Description of unsatisf actory findings:

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l Corrective actions:

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Audit performed by:

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(signaturc)

(kitle)

(date) i Form 208 (Rev 8-13-84) i I

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QUARTERLY INSPECTION AND MAINTENANC!: R!; PORT NOTE: A separate report sheet is required for each Devien/ Crank /Smirce s e t - n j..

(

lxposure Device: TECll/ OPS MODEL 660 S/N Crank S/N Source Type: IRIDIUM-192 Model: TECH / OPS A 424-9 S/N Activity:

Ci INSPECTION CllECKLIST CC"PLETED

1. Clean the drive cabics as specified in the procedure.

2. Inspect connector on control cable with Tech / Ops 550 gage.

3. Clean the drive cable housings as specified.

4. Dissassemble and cican crank mechanim; exaninc for wear or dan a;;c

5. Lightly grease and reassembic the cranh mechanism.

6. Lightly grease and install the drive cable.

7. Set the odometer to r.cro.

8. Clean the exposure device as specified (do not disassenhle).

9. Examine exposure device for: proper operation of locking ring; lah:In

10. Inspect the connector on the exposure device with the 550 ganc.

11. Lubricate the locking mechanism.

12. Crank: examine operating characteristics for:

(a) free but firm turning of crank handle;

)

(b) proper number of turns; proper odometer operation; v

(c) firm stopping of crank handle when source reaches stored pontion

13. Clean the sc,urce guide tubes as specified.

14. Repairs made, repairs recommended, or othe: com,cnts:

15. Defective equipment removed from service:

Date of Maintenance:

_ Inspected F,y:

e Form 203 (Rev 8-10-84)

O

IVEASSACHUSETTS M ATERI A L.S RESEARCH _: N C.

P.o. cox aio 711 wrst nortsf ora nintr.T. wrsi novtsf ore. Mr otm. Ttt r,ir.omus STATE

TENTS A!!D ACK? OWLEM:':CNTS.:!:qtu:':D P n o:t EACM E::Pic a Uo DiPLOYEE:

U/b M'

DATE OF BIRTil:

PATE M I W D. _...- - --

As a newly-hired employce of

'!a n o. !!ateriale Rencarch

h.:

.n.

s -

field of Industrial Radiography, I hereb-a c k n ow l e d ;-c tad er ti:

the

'o

(

.the statement in cach group that does not apply):

1. STATDfENT AND ACK::OWLEDC':ENT Or :tY cccuPAT!O::AL no"

i:":i;;c c:r::n-

~

EITIIER: (A) I have not rcccived any occupa tiona 1 <!onc ' ' * :.l i ion

i cu nt calendar quarter; OR: (D) I have received an occupational donc during the c o r e n :: ca:<

!a r quar f r eu s sources of radiation posscaned or controlled by cinparie o

The nature and amount of thin occupational danc as f oli, (signature of Indi,

l)

(d.it i i

2. STATEMENT AND ACD CWLEDCMENT C7 MY I:;ITI/.L CLAS,11:CATICS

.S A 4:

i EITHER: (A) I have had no previous training or c::perience it. the fieldr o f.nd;

! cadi-ography or radiation safety.

I inderstand that my employ e

at i:

c, ditional,., n d that I must succ';nfully complet<. a mini::e 0:

of f ormal clas sroom training, and I munt also pass a writ:.cn c::a a i '. m <

or,

?

may attend any radiographic operations of any hind.

lipo:'

i t i :. '.c or

c pi c-tion of the instruction and written c:-:an, I unde. ': a n i! that signed to attend and vitness, but not p.trticipate 1,,

an-crations to op-fulfill my initial field r eainin;- rceiui'.

at least one week of this field trainin., i vili Lo c:

51, as an Assistant dadiographer 7 Jul '.

,'o f or:nal certifica tion f rom the O.

i

c" and I am not perrtittcJ to pn...ie

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operations using lice,ned

.mn of

i nci,

OR: (B) I do have a certain m.ount r

i n.

n.' i,

pc i.

i t.:

co raphy and/or radiatica sa fet, ; :. m p. n r c: y: o

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s derstand that I will ini tiall, he cip;c a lic.'.- '"-

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ParticijiltC Or annist in arf, i ; ;, ;..

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struction in (at Icast) N:I:. ' - '.

l conditicos, MiD until I pa ;

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e Icationn have been ap y nfc.

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MMR RADIATION SAFETY TRAINING - PERSONSi;!. R F.CO RD Mame of Individual:

S/S 1hn r'y tc of P.irth:

Start Date in Radi ograpity:

~

U The above individual has completed the following element s of Radiati.on Safety Training i

Date Approvals Comp 1.

CM RSO

1. Received a personal copy of MMR's : Operati.ng and &crgency Procedurcs, FDIR 's.

Byproduct Materials License, and 10 CFR, Parts 19, 20, and 34, (including latest revisions of each)

2. Rcccived a minimum of 2 hours2.314815e-5 days 5.555556e-4 hours 3.306878e-6 weeks 7.61e-7 months instruction on the proper use of FBIR 's personnel monitoring equipment, survey tac t ers, and radiographic equipment, plus a minimum of 4 hours4.62963e-5 days 0.00111 hours 6.613757e-6 weeks 1.522e-6 months of initial classroom instruction covering an introduction to federal regu-lations applicable to radiography; basic principles of radiation 7,

safety; and the essential requirements of- }DH1',s

, Radiation Safety Manual, including the dutics/ limitations of an Assistant Radiographer, performing. radiation surveys, controls used at rad-iographic workoites, cmcrg. proceduren, and liccuse con'ditions.

I '

Instructor (s):

Total hrs:

3. Written Exam: Successfully passed, with a score of 75% or better, a written, closed-book cxamination of at least 25 questions Score:

/

a

4. On he Job Training - witncsced the proper use of exposure de-5^

vices, survey meters, related equipment and operations for a minimum period of onc veck.

Received ccrtification as an Assistant Radiographer 1

6. Received additional training and instructi.on.(excluding on-the-job training) covering all subjects specified in 3.1.2(A) of >D;R's Radiation Safety Manual. Total instructional hours.(excluding

~

those received for par #2 above) must be a minimum of 34.

Instructor (s)

Total hrs:

7. On-the-Job Training - completed a minimum of three months of on-the-job training in radiographic operations under direct super-Vision of qualified Radiographer. These operations included: the O

proper maintenance, use, and storage of exposure devices and related equipment; conducting radiation surveys; portis.g and sur-veillance of worksites; use of personnel monitoring devices; trans-portation and security procedures; leak testing; source changes;.

and the evaluation and reporting of defecta and noncompliancen.

8. Written exam: Successfully passed, with a score of 80% ur bet ter, a written, closed-book exam of at 1 cast 50 questicas covering tho above instruction and on-the-job training.

Score:

/

u

9. Practical exam: Demonstrated competence in performing nciccted radiography operations; minimum of 20 checkpoints were cv.iluated.

Received certtfication as a Radiogra mer p>\\

' ' \\rIrm 212 (Rev S-13-84) i l

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PERSONNEL 00A1.T FTCAT10:: A::1) CE!:T! FI CAT ION STATE:lE:

i EMPLOYEE:

._.____.._____-.-_..._______.1/S DATF. OF BIRTil:

DATI: !!I ti'n :

The above-named individual, an employce in good utanding at : tan ;achtua L L:.

'.t. rial:

Rcscarch, Inc. has natisfied all the a;)plicabl e reclu i r eme n t : rer :rd i:

educ ' son, training, exper.f ence, and demonstrated practical ability a: specif in :. i tat.,

r i ials Research's Radiation Safety !!anual, and i t.

horchy c.rtified r.,

o, t !-.

sponsibilitics of ASSISTANT RADIOGRArilER (signature of Radiationi;afety di7IcurT

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~ ~ ~ ~

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(signature of President)

(da :.. j I

This certification in effective _

and c::p i re.

up.m t.bc t e r:: ination of this individual'n employment a: Mu Material: Renearch in indum rial n.id i or.r iph-Documentation of neccs:;ar; <[ualificationn of thir position are c on t a i.n e.!

in the e r:-

ployce'n personnel f11c.

4

* * * * * * *

A t

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e. e: * * - nee DUTIES AND RESPONSIBILITIF.S OF A: AS:;ISTA::T RAD 10GRAPilER.

At Mass. Materials Research, an /iilstant R:oli or.ra p he r is an'iniissdua,

m-Tile DIRECT PERSONAL SUPERVISION OF A Qtt.i!.lFI ED R AD I.OGR APl!Elt, u/

u.

rmdioc

=,5 i.

cxposurc devices, scaled sources, radiation.orcey, i n s t r um. :n U.

.un u i p:,

I to perform industrial radiography i

- - - - nn***cnc***nAnnnen* con:

, n.,

un e

Acknowledgement:

I heichy acknowledgr. that I have completed all o f t b4

.4p.

d edu--

cation, training and experience re qui r e men t:, for the position of Ju

. tant olion :pht r at Mass. Materials Research, and fully undcrat.md f dutie. md r. p :

n i

this position, as specified in the ab rce pa ragraph and in :a.

a:. r a:

' arch' Radiation Safety Manual.

(signature of individua.1) ue!

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9

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pERSONMEL QUALIFICATION AND E!:RT Ipl CAT 10:: ' JAT. ':17 F.MPLOYEE.

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DATE OF BIRTil:

D i r!: U: :!:3 5 :

The above-named individual, an employen in nned :tand i:

ar 2

a.E m nc i i :. ' 'a r er at Rcncarch, Inc. han ;atinfied all the a p p l.i ca b.l e requir nent ri, i

diar.nlucation, training, experience, and demonstrated p reic t. i ca l

.t h i l i t

c.

..p.

-d in ':a '

a i r-Lain Research',* nadiation Safety :tanual. and i; he r..

cert i:

d t.

nn th ir-sponsibilities of RADIOGRAPHER 1

t (signature of RadiatJon Safety Officer)

(.!a i r i l

(signature of Presider.t)

(darel i

This certification in effective and e::p i r e: upon the t ei n iua t i.m of this individual's craployment at Mar M.i te r la l e ne rarch Ind aria! n..! in;. rap;r Documentation of necenaary qualificatioon of t.h i : ponition nr.

.ontained

.n t h.:

c+

l ployec's personnel file.

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l DUTIES AND RESpO::SIBILITIES OF A RADIOC::ArnE::

i At Mass. Materiala Research, a Radioniapher i t, an individual.ch o perfo or per-sonally supervises the perforrcance of industrial radionraphi. ope r.u-i on:

!b i:

personally responsible to the company for innuring compliance of.nch opera:..uu with NRC recuJationn and the conditionn of Man,. Ma te ria l : nc-;ea r..

n c 1..

n...

j as specified in Mass. Materials Rencarch'n Radiation Safet; :anual.

Hi: re: con: i-bilitics include providing on-the-job tra.ininn and pernonal so;,er-h:n to fe:. i : tant Radiographers who ray be assigned to work with him.

Such pe: son. ' nup. ra ion :-ita l t i

?

include (1) the Radiographer's personal presence at the work .. (."- t ::e al. i a : to give immediate assistance if required; and (3) the nadiorcapi.'

.u n i:, : 4 A:.

I tant's performance of all radiographic operat ions ocn**a*******eccatanonnoon %nocr.

. e..

Acknowledgement:

I herchy acknowled,"e '. h a L I ha fa cemp!et"<! aii of t h.

.n;o: red education, training and c::perience require en t:. fo-the posi'im o'

.:ad w sher Mass. Materials Rencarch, and f ully unde r Land t:-

.lu t !.. ind re. po:. ;B i ',

ir thi:

position, as specified in the above par /, rap!- in 1 n ia: s

!. He et:

Radiation Safety Manual.

(signature of individual)

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MASSACntlSETTS liATERIAI.S RESEARCll. 1511 S Ahtp!.E EX A>tINATION QUESTIOM*; FOR ASS I:;TA;;T E Alll Ot:R A l'!!E '".

NOTE: The q'uestions presented here are examplen nf the Invcl of difficolty and variety of topics covered in actual exams.

These particular queu inan, G

howcVer, may not 'necessarily be used.

Examinationn f or q ua li. fy in, individu-

~

als to be Assistant Radiographers shall consist of at leant 25 of t he se i

i questions.

These questions (and any other quest i<ms selecteI b; t h.

c:.nnin~

cr) are intended to determine the candidate's knavledne of.in Acr mt tad-iographer's responsibilitics, of IDIR 's' operating and emergency p mcc-dures, and of the equipment he would normally use.

This in a closed-hook 1

cxamination, but a calculator.i s permitted.

1.

A radiation survey meter reads 10 mR/hr.

!!ce lcng vill it t ai:

b. C. " -

l a dose of 2 mrcm is delivered?

m i nu t e r..

2.

If you have 3 sources of 5,10 and 15 curies activity and you place them togethce, what is the activity of the combined snurec7 i

. __ c o : i n.

3.

Does a namma radiography source make the ra:!ingraphed obj ec t :

radioactive?

4.

How of ten must M>nl's survey meters be calibrated? -

..- ~

5.

What two types of dosimetry mont be worn by a radionrapher on the.ub" j

d According to

}DIR 's Radiation Sa fety Manual, what are the "Four P..i s i c

]

Rules" you must follow in an cacrncncy situation?

6.

j 7.

8.

~

9.

~~~

What are the three basic methods used by radiographerr to keep radiation dosages "as low as reasonably achievable"?

f 10.' decrease the

11. increase the

12. increase the

'~

13.

Af ter each radiography exposurc, you mitst make a radia t i ca ntr.f e-What is the major reason for doing thin survey?

14.

What is the reason for using a sel f-reading rocket dosimeter en.the job?

u__.__.,

15.

I!cu f requently mu:;t your dosi::Wer rein!!ng.be r.:. or.P..'... p..; r ?

E I

i 3

SAMPLE EXAMINATION QUESTIONS FOR ASSISTANT RAD 10G!tAptlEIG (cont'd) 16.

The Tech / Ops Model 660 has a scicctor ring which-may be rotated to any of three positions. Name them.

)

17. The pocket dosimetcr has the advantage of (a) being more accurate than the TLD or the film badge (b) providing a pennanent record of radiation exposure (c) providing an immediate indication of radiation exposurc (d) all of the above 18.

The type of distinctive warning label that must be applied to the surface of a package containing radioactive untcrial is determined by:

(a) The dose rates at the surface and at I meter from the surface.

(b) The weight of the material.

(c) The transport index.

(d) The type of vchicle in which :he package will be shipped.

19.

While perfonning radiography, you note that your pocket donimater reads off scale. What should you do?

(Scicct the BEST answer)

(a) recharge your dosimeter and continue working (b) first document the malfunctioning dosimeter in the donimater 1

logbook, then obtain another dosimeter b' fore resuming e

radiographic operations.

(c) stop work, notify the RSO, and turn in your film badge or TLD so that it may be sent out for immediate procer-sing.

(d) perform a radiation survey to insure that radiation levels are as expected.

If so, get another dosimeter and finish the job.

20.

What is the MOST important thing you can do to avoid an overexposure to radiation?

(a) Always wear the personnel' dosimetry provided (b) Always make proper radiation surveys.

(c) Request that an alarming dosincter be provided to you (d)- Keep a daily log of pocket dosimeter readings.

21.

When properly stored, a 100 curic source of Iridium 192 should give a dose rate at the surface of a Model 660 exposure device of no more than:

(a) 2 mr/hr (b) 50 mr/hr.

(c) 100 mr/hr (d) 200 cr/hr 22.

When' properly stored, 'a 100 curic source of Iridium 192 should give a dose rate at a distance 6" frca the surface of a Model 660 of no more than:

(a) 2 mr/hr (b) 50-mr/hr (c) 100 mr/hr (d) 200 mr/hr 23.

Who may perform daily inspections of gamma radiography equipacnt ?

(a) A radiographer, alone (b) An assistant radiographer, alone (c) A traindC, alone (d) None of the above (c) Either (a) or (b) m l

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(..m: ' 1) i I

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24.

The normal operating ranne of a pochet donimeter#uned b/ Oril ir (a) 0 to 200 mn I

(b) 0 to 200 mR/hr i

{

(c) O to 200 R

[

(d) O to 200 R/hr r

[

j

25. T F

Anyonc who is not a Radiographer or an Aa;iatant

{

l Radiographer may not enter a restricted area I

l

26. T F

The maximum allevabic donc rato in an area :. h a. h.u:

j unrestricted access is 5 mR in any one hour.

27. T F

Restricted arcan nunt alwaya be encioned by mpo or other-barricrn 28.

T F

You must survey the hoondary of the hir.h radiation area during cvery exposure of the source.

29.

T F

You must survey the boundary of the ra di a t i c:..u en during every exposure of the source.

30.

T F

You must survey the boundary of t he re trii:c! a: a during every exposure of the sourec.

31.

T F

If the restricred arca doen not inn er l oc k e d...!o o r an alarm, or an automatic source retraction-device,' you.nust maintain surveillance of the entire restricted area to make nure no one ento: 6

.32.

T F

You munt survey t he caiacra with a nto: ey ne t er a f t et every' exposure of the sourec.

O 33.

T F

If you have a reliabic pochet ddnimetcr, foa de i st also have to have a filn or TLD hadge.

34.

T F

You must read your pocket do n ir-c r e r a f t e r s' ic h exposure.

35.

T F

You must recharge your pocket dosimeter voch ".

36.

T F

You can leave a camera untended in the back at' a rich-I truck if the source is locked and the key in triaoved.

37.

T_

F You must check to be sure your camera it

r. nod working order each day before starting work.

38.

T F.

~ An audible and vinible alar:a nycten required at n!!

permanent radiographic worksi ter..

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ANSWERS TO SAttPI.E 13 A!!T tJATI O!1 QtiHSTIOt!S FO! AMST STAffT i: Ati! O ;!:Al'!!ER:.

1.

12 2.

30 3.

no.

4.

90 days 5.

pocket dosimeter plus film badne or TLD 6-9.

Move away from the source and keep other reopic away; Uclax, don't panic, and calmly assess the situation; Establish a restricted area, and make sure no one enters it; and !!oti.fy the RSO without leaving the restricted area unattended.

10. time

11. distance

12. shielding 13._to as'sure that the source has fully returned to its original storanc position within the exposure device

14. to permit immediate measurement of radiation dose received

15. at the end of each shift when radiography operations are p e r f o rracil

16. Operate, Lock, Connect

17. c

18. a

19. c

20. b

21. d

22. b

23. a.

24. a

25. T i

26. F

27. F

28. F G

29. F

30. F

31. T

32. T

33. F

34. F

35. F

36. F -

37. T

38. T l

i i

e i

l l

1 4

O l

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MASSAC1tl1SFTTS MATERIA 1.S RESEARCll, INC.

SA?1pLE EX A!!1 NATION QUESTIONS FOR R A D I OG R A Pill:ta.

s.

NOTE:

The questions prcsonted here are exampics of the 1cvel of dif ficulty and variety of topics covered in actual exams.

These pa r t i cul a r q ue.t i nn s,

l h however, may not necessarily be used.

Examinati.ons for qualifyinn :ndivido-l als to bc Radiographers shall consist of at least 'io que s t i on s, and a e-tj o r-icy of the questions shall deal with practical problemn and wi:h the opira -

ing and emergency procedures. Any of the cample qucntions for Ansistant RadioCraphers may also be used in enamining prospective Radiographes These questions (and any other questions selectc ! by the examinct) are intended to determine the candidate's knowledgo of a Radiographer's responsibilitics, of DIR 's operating and emeinency procedures, and of the equipment he would normally unc.

This is a cloned-book exam' nation, but a calculator is permitted.

1.

If the IlvL of Icad shiciding for IR-192 in 0.2",

how thich noct a lead collimator be to reduce the dose from an IR-192 soiece by a factor of C?

I The Tech / Ops Model 660 exposure device abould never be used with enre than 2.

guide tube sections (having a total length of app a.:iuat ul:

3.

feet), because with more sections the naur-c would be unable to reach the source stop.

4.

If a sourec ~ of IR-192 has an activity of 100 Curien on Januar 1, wh t:

uould be the activity of the source on Auguht 15?

5.

You plan to make six cxposures at a field location.

Each cxposure will take 5 minutes.

nased on your pant expericace, you know that i t vill tano you a minimum of 15 minutes for setup time between exposures. Your fircr exposure is at 3:30 p.m.

From past measuremen::s you know that at 100 feut from the source the dose rate will be 20 mR/hr during there exponuren.

2 k' hat would be -the maximum dose received by a persen standing 100 feet frea the source in any one hour?

6.

Ycu vill be using a 100-curic iridium-192 sourec.

1 hat will the de rate be at a distance of 100 fce: f re:a the nource? (:ote For i ridium-19?

the dose rate at I foot f ro:a a 1 curie r.ource i: 5.2 P/hr).

~ ~. -. -.. - ~.

i 7.

Repeat the previous except c a l c u l a *. c the donc r a :. o at No fro

i:

r<..d of 100 feet.

.e.-_.

8.

For the same 100-curi c iridiu:n-19. nource, at what d ; n :. a n c.

ei:

th dose rate be 100 mR/hr?

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whw..%w.,.p.e esw*i.-i..weee.*.'>wi'a m

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..-.m-.hNg.6-s>miwe.

ee ne.w A.43.W'-ehM m ee

.h 4W.u'>

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3

.i

e 9

SAMpl.E EX AMi t!AT101; oliRSTIon". Fou nAnt ocitAl'lttun (c ont 'it)

MULTIPLE CllOICE QUESTIONS

9. Whole-body radiation dose must normally he limited to p, I (a) 1.25 rems per calendar quarter

'g

.(b) 18.75 rems per calendar quarter (c) 7.5 rems per calendar quarter (d) 5.0 rems per calendar quarter accumulated dose i:

10. The fomula for calculating permissible (a) 12 (N - 18)

(b) 18 (5 + N)

(c) 5 (N -18)

(d) 12 D(N + 18) 11.

Radiography sourcen are:

(a) Special form radioactive material

-(b) Normal form radioactive material (c) Safe radioactive material 12.

The " transport index" refern to:

(a) The surface dose rate of a package containing radioactive

)

material.

(b) The highest dose rate at 1 meter from the sur f ace of a package containing radioactive material.

the surf ace of a truck carrying packages

~

(c) The dose rate at containing radioactive material.

of a truck' carrying (d) The dose rate in the driver's compatment packages containing radioactive material.

/"N -

13.

A Radioactive Yellow II warning label is applied to packages with a (s,)

transport index of:

(a) 0 (b) Between 0 and 1 (c) Between 1 and 10 (d) Between 10 and 100 14.

A' package contains radioactive material. The highest dose rate at the surface is 25 mR/hr and the highest dose rate'at 1 meter frem the surface is 2.5 mR/hr. The proper radioactive warning. label to apply on two opposite sides of the package would be:

(a) A Radioactive Yellow III label (b) 'A Radioactive Yellow II label.

(c) A Radioactive White I label.

(d) No label is required; the dose rate is too low.

15 What age restrictions are imposed on radiographers?

(a) must be over 21 (b) must be over 18 (c) must be over 18 for males, over 21 for femalen (d) must be between 18 and 65 i

l l

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W nxv----w-

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4 SAMp!.E EX AMI NATION 011F.STI ON!,__Fa_n___E A,li!.PCHA_P111 :.S.._ (.m.

:)

f 1

16.

If you arrive at a job and find that your s u r*.:y me.

1 t

operating properly, what should you do?

i (a) Complete the job quickly -while keepinn a clor.c check on voor j

pocket dosimeter.

{

}

(b) U r. c pant experience to judne where t h.:

r< nt ric t d a r.

l.. u i o. t a r :.

{

s h o u l c'.

bc and complete the j ob.

l (c) Send an assistant to obtain a new i nn t ru:m:nt whiio you r mple t,

the first exposure.

t (d) Cet a properly opera ting survey veter to fore

rti:

cadiography 17.

The following states are antcenent sot.

(a) Massachusetta (b) New llampshire

]

(c) Connecticut

(

(d) Rhode Island (c) None of the above k

1 18.

According to FDIR ' S "RC license, the maximo:a activin individual I

source of Iridium 192 that we may purchase or use i<

I (a) 50 curies (b) 100 curies'

(

(c) 200 curies (d) unlimited l

19.

The-Tech / Ops Model 660 in designed an' storage, trannport. d e ysur device for (a) Cobalt 60 only (b)

Iridium 192 only (c) Either Cobalt 60 or Iridiun 192 (d) any radioactive isotope having up tn 120 curic.:

20. At FDIR who may be assigned by the RSO to perform a 'i c.

(a) A radiographer, alone (b) An assistant radiographer, alonc j

(c) A traince, alonc (d).tionc of the above

21. Ilow often must leak tests be performed?

(a) at intervals not to exceed 3 nonths (b) at intervals not to exceed 6 months (c) at least once during each calendar.. quarter (d) at least twice during each calendar year

22. At

}D R who may be assigned by the rS3 to ;mrfom n:c.

maintenance?

(a) A radiographer, alene (b) An assistant radiographer, alond (c) A traince, alone (d) !!one of the above El O

l h~

p

., _. _ _ ~

T A?tp!.F. I:X Af ti!!AT10:2 QtH:', rI O::. FOR li.W ! G 37.Plil:lM.

(.

o

'!1

)

23. Ilow often must equipment maintenance be p e t f o rme d ? '-

l (a) at intervals not to ex c e c ri 3 months (b) at intervaln not to execed 6 months

{V}

(c) at least once during each calendar cluarter (d) at 1 cast twice during cach calendar year

24. At e:GR..who may be assigned by the RSO to perform invente

~

(a) A radiographer, alone (b) An assistant r'adiographer, alone (c) A traince, alone (d) !!one of the above l

25. Itou ofe.cn must inventories be performed?

(a) at intervals.not to exceed 3 months (b) at intervals not to exceed 6 months (c) at least once during cach calendar quarte-(d) at 1 cast trice during cach calendar year e

TRUE OR FALSE QUESTIO!!O I

5

26. T F

Any vehicic carrying a pachage containing radioactt

c material that has a Radioactive Yellow III wa ni ng I c.bcl alway

d :; tob' o

placarded on all four sides.

27. T F

The use of x-rays to perform induntrial adiogr.ph; i t, regulated by the !!uclear Regulatory Commission.

i

28. T F

If your company has an ::*1C licenne and the rib tte ir i

in on Agreement State, you must notify the state beforc starting work -here t

.s

29. T F.

If you have been overexposed to radiation, your compa.,

must tell you that you have been overexposed.

d

30. T F

You can request that the tiRC conduc.t an innpcetion of your company if you think there are safety problems.

31. T F

You may talk privately to liRC innpcetorn during inspections.

l

32. T F

Lost or stolen sources munt be promptly r.:per t ed to th.

NRC or to Agreement State officials, whichever in applicable, 33.

T F

A person who rcccives an ovet exponure to aa:: m radiation poses a biological har.ard to others.

34.

T F

A 10 year old person would probabiv bc.aore nortou.;1.

affected by a given radiation donc than would a 27 year ol? pei :n :

n

~

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k G

-.~. -.. _ - -. _ _ -...

SAMPLE EXM11 NATION QUESTIONS FOR RADIOGRAPilERS (cont'd) i MATCllING - Select the LEST answet from the right-hand colum for each of the items in the Icft-haad column 35.

Attenuation factor for T/0 714 lead mini-collimator (a) 2 r

l 36.

Attenuation factor for T/0 654 lead collimator (b) 100 i

i i

37.

Attenuation factor for T/0 799 tungsten mini-collim.

(c) 50 I

38.

Half-life of Ir-192 (no. of days)

(d) 1000 I

39.

Max, mR/hr 0 surface of package for Yellow III label (c) 1/160 l

40.

Max. mR/hr 0 surface of package for Yellow II label (f) 75 41.

Max. allowable mR/hr at any surface of storage valut (n) 1.70 l

c j

42.

Max. mR/hr at I noter from Yellow III package (h) 1/200 43.

Max mR in any 7 days for an unrestricted area (i) 52 1

44.

No. of millirems in one Rem (J) 1 i

45.

Max acceptable mR/hr at surface of 660'with 100 ci (k) 1.9 g

46.

Max mR/hr at I meter from a Yellow Il package (1) 100 47.

R/hr for 10 curies of Ir-192 at I foot (m) 10 t

48.

Approx. IlVL of solid concrete (inches) for Ir-192 (n) 90 l

49.

Dosimeters must be recalibrated every day (o) 7 i

50.

Approximate length of each guide tube section (ft.)

(p) 200 l

l l

l V

a 9

TJ

. ~ - - - -

ANSb'ERS TO SA!!Pl.E EXAttit:ATIO! QtlESTIO M FOR R A D I OG R A Pile !!!.

1.

0.6" 2.

3 3.

21 4.

12.5 curies 5.

5 m2 6.

52 mR/hr 7.

13 mR/hr 8.

about 72 feet 9.

a

10. c

11. a

12. b

13. b

14. a

15. b

16. d

17. b

18. b

19. b

20. a

21. b

22. a

23. a

24. a

25. a

26. T

27. F

28. T

29. T

30. T

31. T

32. T

33. F

34. T

35. g s

36. h

37. e

38. f

39. P

40. c 41, a

42. m 43.1 or b 44, d

45. p

46.,i 47, i-

48. k

49. n

50. o k

s O

P

'fr.

=

i PRACTICAL EXAMINATION FOR RADIOGRAPittits - RADI AT!td SAETY FMnhuff1

\\

NAME:

D^

A" I

I

.-tDW s Radiation Sa f ety llanual requires t ha t. before an individual uay bo I

('

certified as a Radiographer, he must hc given.a " Practical E: amination" by j

N' the RSO to assure that he is abic to properly apply his or her aining in radiation safety to actual. radiographic operationn.

The p ren ecc t ix.

ta d i e n-rapher shall perform these operations without pronpting or ans at o ar :i -

tance, but under constant supervision.

I CilECKl.IST: The individual taking thin practical c>..nn i na r i on nhat' L radioCraphy assignment,by the RSO.

The RSO shall evaluate the c a ni! t.'a t. ' -

4 a

compliance with

)DIRis radiation safety procedurcs, union at leas: 20 ci e c' -

i f

points taken from the following list.

Each applicahic chce!: point 6all S.:

i rated either "S" (satisfactory), "U" (unsati.sCactory), or "MA" ( mt a p p l i c.i --

ble). A 100% score is required to pass the enamination.

Copir att orm used or tilled in by the candidate shall be attacheit to thin ch

o

l. Pocket dosimeter - valid calibration; fully charr.cd at -' art of shift; initial reading entered in log; worn properly

2. pocket dosimeter - reading checked,criodically

3. Proper film badge (or TLD); worn properly 4 Survey meter - valid calibration

5. 5 m :/ :seter - operational check conducted

6. All ec.uired paperwork on hand 7.hStorage vault surveyed before source is removed

8. Daily equipment inspections performed and documcored p:"perl'/

9. Source properly secured for transport

10. Transport *f sourec.- vehicic surveys perforned and doenucatm'

_ 11. Transport record properly completed l

~ 12. Boundary of restricted area estahlinhed accurately, conf i t

~ by actual survey, and docuncated on Source Utili::at inn vd w rd 13.' Proper posting of warning signs at boundary of radiation.trea

14. Proper posting of warning signs at boundary of high % u: on

'a

_ 13. Proper assembly of crank, guide tubes, control cabic, colli:atnr

16. Proper surveillance maintained during e:posurc

17. Survey of exposure device performed a f ter cach c:.:pn:;u e

18. Followed special restrictions applical.le to per:r.a u at a : i t i

limation, source position, o r ie n t a t i r;n, ti=c limit nh r ! '

19. Source properly secured in storage location at end o f o p.

a t i w..

20. Surveyed and documentec' on litili: ation accord t ho j

in the unrestricted levels so roundir,, the -terare adi.n i<

(

21. Utilinal.jon Record, incl. :hetch, ce :p!r' o i

c:v!

22. Dosincter reading logged..t end of

.i f t SCORE:_

,4 N

w

ML20135H968

Text

Dear Mr. MacDonald:

1.0 DESCRIPTION

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