ML20154C563
| ML20154C563 | |
| Person / Time | |
|---|---|
| Site: | 07100652 |
| Issue date: | 01/31/1988 |
| From: | Hopkins J SAM-SON INSPECTION & TECHNICAL SERVICES, INC. |
| To: | |
| Shared Package | |
| ML20154C558 | List: |
| References | |
| PROC-880131, NUDOCS 8805180223 | |
| Download: ML20154C563 (112) | |
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SAMSON INSPECTION & TECHNICAL g'
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SERVICES, INC.
.x-P.O. BOX 80570 - STATION C CANTON, OHIO 44708 i
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INSPECTION & TECHNICAL SERVICES. INC.
"A SOUND PATH TO QUALITY" l
l 1401 Raff Road S. W.
Bldg. D Canton, Ohio 44708 (216) 47A-2700 (216) 478-5671 FAX RADIATION SAFETY MANUAL l
Issued to Date Issued:
Manual 130.
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SAMSON INSPECTION & TECHNICAL SERVICES, INC.
Sm vRSn P.O. BOX 80570 - STATION C Revision -
CANTON, OHIO 44708 January, 1988 INTRODUCTION Industria] Radiography, one of the most reliable and widely used methods of nondestructive testing, is of prime import-ance in industry.
One of the most important phases of Radiography is the safe handling of sources of radiation and protection of personnel against radiation.
When making application for a license, the Company must submit written operating procedures which it intends to follow in addition to those regulations imposed by licensing coamissions.
When these tentative procedures are approved, a license is issued.
Although in some instances, the procedures may seem unduly restrictive or intended only to make the job more difficult, they have come about, in most cases, because unsafe handling or operations have resulted in overexposure of individuals to radiation.
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In order to protect ourselves and others, and to safeguard our license, operations MUST be conducted cautiously, dili-gently, and with a respectful regard for radiation.
Each radiographer is issued a copy of this Radiation Safety Manual and is required to keep it up-to-date by making necessary changes as they are issued.
It is mandatory that radiographers be thoroughly familiar with and strictly comply with the contents of this Radiation Safety Manual.
Audits and re-evaluations will be conducted to assure that this is being done.
SidSON INSPECTION & TECFNICAL SERVICES, INC.
. Ytyb V
J. A. Hopkins, Corporate Vice President & Secretary l
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SERVIC ES, INC.
SMn/RSM O-P.O. BOX 80570 STATION C Revision CANTON, OHIO 44708 January, 1988 "TABLE OF CONTENTS" Page No.
INTRODUCTION.......................................
i POLICY STATEMENT...................................i1 DEFINITIONS........................................ 1 thru 15 PART I - Administrative Procedures 1 thru 13 I
1.0 Radiation Safety Personnel...........
1 2.0 Radiographer.........................
2 thru 4 3.0 Assistant Radiogrcpher...............
4 and 5 4.0 Periodic Training....................
5 5.0 Facilities...........................
5 6.0 Source Use...........................
5
?.0 Personnel Monitoring Equipment....... 6 8.0 Film Badges.....................
6 9.0 Radiation Survey Instruments........ 6 and 7 10.0 Internal Inspection Program..........
8 l
11.0 Internal Inspection Checklist........ 8 12.0 Identifying and Reporting Defects and Non-Compliancea......................
8 and 9 13.0 Source Leak Testing..................
9 14.0 Radioactive Source Changers..........
9 and 10 15.0 Source Disposals....................
10 16.0 Quarterly Inspection and Maintenance of Radiographic Equipment...........
10 17.0 Organizational Structure............
10 thru 13 PART II - Operating and Emergency Procedures 14 thru 52 l
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1.1 Film Badges.........................
14 1.2 Pocket Dosimeters....................lt.
l.3 Checkout of Equipment...............
15 thru 18 1.4 Radiation Survey Meters.............
18 1.5 Caution Signs and Warning Ropes.....
19 1.6 Miscellaneous.......................
19 i
1.7 Required Documents and Forms........
19 1.8 Equipment Required for 120 curies to 250 curies of IR-192 and CO-60......
19 and 20 1.9 Equipment Manufacturers Standard Operating Procedures for Projectors and/or Source Changers..............
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SAMSON INSPECTIOli & TECHNICAL SERVICES, INC.
SMH/RSM P.O. GOX 80570. STATION C Revision Ih CANTON, OHIO 44708 January, 1988 i
"TABLE OF CONTENTS" (continued)
Page No.
PART II - Operating and Emergency Procedures (continued) l 1.10 Source Transporta tion............. 20 thru 23 1.11 Establishing Radiography Control Area......................
23 thru 25 i
1.12 Making An Exposure................
25 thru 29 1.13 On-Site Records...................
29 and 30 l.14 Check-in Equipment................
30 1.15 Receiving and Opening Packages Containing Radioactive Material..
30 and 31 1
1.16 Source Exchange Procedures........ 31 thru 33 1.17 EMERGENCY PROCEDURES..............
33 r
1.18 Instructions for use of Restricted Area, Radiation Area, and High i
I Radiation Area TABLES.............
34 thru 36 l
1.19 Radiation Safety Related Incident Data Report.......................
36 and 37 ggg "Notice" In Case of Accident Form. 39 l
EXAMPLE #1 - Caution Radiation Area..............................
40 EXAMPLE #2 - Caution High Radiation Area....................
41 EXAMPLE #3 - Caution Radicactive Materials.........................
42 TABLE #1 - Restricted Area -
Iridium 192............
43 TABLE #2 - Restricted Area Cobalt 60..............
44 TABLE #3 - Radiation Area -
Iridium 192...........
45 TABLE #4 - Radiation Area -
Cobalt 60..............
46 TABLE # 5 - High Radiation Area -
Iridium 192...........
47 TABLE #6 - High Radiation Area -
i Cobalt 60..............
48 TABLE $7 - Distance in Feet Iridium 192...........
49 i
TABLE #8 - Distance in Feet -
l Cobalt 60..............
50 TABLE #9 - Unrestricted, Radiation
& High Radiation Area X-Ray Unit.............
51 TABLE #10- Calculations for Bound-l aries exceeding 2mr/hr. 52 (II)
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TABLE OF FORMS:
Form No.
Radiographer's Periodic Refresher Training......... SITS-1001-RS l
Field Radiography - Internal Inspection Audit...... SITS-1002-RS 4
Radioactive Leak Test Procedure Qualifications..... SITS-1003-RS Radioactive Source Change Qualification............ SITS-1004-RS Dosimeter Radiation Record......................... SITS-1005-RS Film Badge Transmittal / Receipt Form................ SITS-1006-RS Storage Facility Utilization Form (Check-out Record)... SITS-1007-RS l
Radiographic Operations Report..................... SITS-1008-RS (Parts A, B,
C, D,
E, F, G) l l
Notice Form - In Case Of Accident.................. SITS-1009-RS Department of Transportation Shipping Cert......... SITS-1010-RS Radiation Safety Related Incident Data Report...... SITS-10ll-RS Radiographic Equipment and Maintenance Record j
Quarterly Inspection Checklist - Page 1 &
2..... SITS-1012-RS Radiographic Equipment and Maintenance Record j
Quarterly Inspection Checklist - Model 616...... SITS-1013-RS l
Radioactive Source Record.......................... SITS-1014-RS I
Radioactive Material Receiving Report.............. SITS-1015-RS Manual Receipt Form................................ SITS-1016-RS l
Radiographer Radiation Safety Training Cert........ SITS-1017-RS Manual Transmittal and Revision Receipt Form....... SITS-1018-RS l
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SAMSON INSPECTION & TECHNICAL SERVICES, INC.
SmuRSM
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Page No.
PART III - Qualit'[ Assurance, Program............
1 thru 4 for Type "B" Quality Shipments of Radioactive Materiai l
PART IV -
(1)
U.S.N.R.C. License and U.S.N.R.C. Form 3 (2)
U.S.N.R.C. Regulations a.
10-CFR Part 19 b.
10-CFR Part 20 c.
10-CFR Part 21 d.
10-CFR Part 34 (3) Agreement States l
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Ij INSPECTION & TECHNICAL SERVICES. INC "A SOUNO PATH TO QUAlliY" "POLICY STATEMENT" RADIATION SAFETY PROGRAM l
"0PERATING AND EMERGENCY PROCEDURES" l
i The procedures and regulations contained herein, are i
required to provide a uniform and adegaate RADIATIOri I
SAFETY PROGRMi for use of radiation emitting devices l
used and licensed by SMiSON INSPECTIO:; & CECHNICAL SERVICES, INC. (SITS)
O The Radiation Safety Of ficer has the complete authority in ir.plementing the requirements and procedures contained
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in this program.
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Failure of any employee to comply with the procedures i
and/or regulations set forth herein, shall be just cause i
for termination f rom SM! SON INSPECTION & TECHNICAL j
SERVICES, INC.
1 SM! SON INSPECTION & TECHNICAL SERVICES, INC.
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l J. A. Hopkins, j
Corporate Vice President &
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PO Box 60570e Station C
- Canton Onro 44708 e (216) 47S 2700eFAX (216) 478 5671
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CANTON OHIO 44708 "LJFINITIONS" l
ACTIVATION............................The process by which neutrons bombard stable atoms to make them radioactive.
AGREEMENT STATE.......................A State which has accepted regulatory authority over byproduct material from the U.S.N.R.C.
ALPHA PARTICLE........................A positively charged particle emitted by certain radio-active materials.
It is made up of two (2) neutrons and two (2) protons, hence it is identical to the nucleus of a helium atom.
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ATOM..................................A particle of matter indivi,
sible by chemical means. It is the fundamental building block of chemical elements.
i ATOMIC NUMBER......................... Denotes the number of protens i
in the nucleus, the number l
of positive charges in the j
nucleus, and the number of orbiting electrons.
AUTHORIZED PERSONNEL.................. As used in this part - means I
personnel qualified as Radio-graphers and Radiographer Assistants in accordance with USNRC CFR - Part 34 or applicable licensed state regulations.
l BACKSCATTER........................... Radiation scattered from the floor, walls, equipment, and other items in the area of a radiation source.
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DEFINITIONS:
(continued) f BETA PARTICLE (BETA RAY).............. An elementary particle emitted from a nucleus during radio-active decay.
It has a single electrical charge and a mass equal to 1/1840 that of a proton.
Beta particles are easily stopped by a thin sheet of metal.
A negatively charged beta particle is physically identical to the electron.
If the beta part-icle is positively charged, it is called a positron.
Beta l
radiation may cause skin barns and beta emitters are harmful i
if inhaled or ingested.
j BY-PRODUCT MATERIAL...................In atomic energy law, any radioactive material (except i
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source or fissionable materiaV obtained in the process of producing or using source or j
fissionable material.
Incl-i udes fission products and many other radioisotopes produced I
in nuclear reactors.
C ALI B RAT I ON........................... A s u s e d i n th i s p a r t - me a n s to check the accuracy of radiation measuring instru-ments against a known standard and correct as required.
CESIUM-137............................A radioisotope of the element
- Cesium, i
COBALT-60.............................A radioisotope of the element Cobalt.
COLLIMATOR............................A beam shaping device which utilizes shielding material to restrict the direction in which radiation is emitted.
COMPTON SCATTERING.................... A proce ss in which a photon lh transfers c portion of its energy to an orbital electron is matter and a lower energy
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aCPINITIONS:
(continued)
COMPTON SCATTERING (continued)........ photon is scattered at an angle to the original photon path.
CONTAMINATION.........................The presence of unwanted radioactive matter, or the "soiling" of objects or materials with "radioactive dirt".
CURIE.................................The basic unit used to des-cribe the intensity of radio-activity in a sample of material.
One (1) curie equals 37 billion disinte-grations per second, or approximately the radio-l activity of one (1) gram of
- Radium, gl i
DECAY.................................The spontaneous radioactive I
transformation of one (1) nuclide into a different energy state of the same nuclide.
Every decay process i
has a definite half-life.
(see half-life)
DECONT AMIN ATION....................... The removal o f radioac tive contaminants from surface, f
l as by cleaning and washing with chemicals.
DO S E.................................. Th e a mo un t o f i o n i z i n g r a d i a -
tion energy absorbed per unit i
mass of irradiated material l
at a specific location; such as, a part of the human body.
Measured in rems and rads.
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l DOSE RATE.............................Th3 radiation dose delivered per unit time and measured,
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for instance, in rems per 1
hotr. (see dose) ll DOSIMETER.............................A device that measures radi-l l
i ation dose.
It contains an i
ionization chamber, 1
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0f y5 CANTON. OHIO 44708 DEFINITIONS:
(continued) i DOSIMETER CHARGER.....................A device used to charge a dosimeter.
ELECTRO >tAGNETIC RADI ATION............. Radiation consisting of electric and magnetic waves that travel at the speed of light.
e.g. light, radio waves, gamma-rays, x-rays.
All can be transmitted through a vacuum.
GEIGER COUNTER........................A radiation detection and measuring instrament.
It contains a gas-filled tube which discharges electri-l l
cally when ionizing radiation i
passes through it.
Dis-charges are counted to mea-sure the radiations intensity.q g
GENETIC EFFECTS OF RADIATION..........Ef f ects that produce changes i
j in those cells of organisms i
which give rise to egg or l
j sperm cells and therefore L
affect offspring of the 1
I exposed individuals.
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GOVERNMENT AGENCY.....................Means any executive depart-ment, commission, independent establishment, corporation, i
wholly or partly owned by the United States of America, which is an instrumentality I
of the United States, or any l
board, bureau, division, i
l service, office, officer, authority, administration, l
or other establishment in l
the executive branch of the Government.
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HALF-LIFE.............................The time in which half the I
atoms in a radioactive subs-l tance disintegrate.
Half-I lifes vary from millionths ofl
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I a second to billions of years.
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CANTON, OHIO 44708 DEFINITIONS:
(continued)
HALF-LIFE - BIOLOGICAL..................The time required for a bio-logical system, such as a man or an animal, to elimin-ate by natural processes, half the amount of a sub-stance which has entered it.
HALF-VALUE LAYER........................Is that thickness of material required to absorb one-half of the impinging radiation.
1 HIGH RADIATION AREA.....................Means any area, accessible to personnel, in which there exists radiation originating in whole or in part within licensed material at such l
levels that a major portion f
of the body could receive in any one (1) hour a dose in l g excess of 100 millirem.
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ELECTRON................................ An elementary pa rticle with a unit negative electrical charge and a mass 1/1840 that of the proton.
Electrons surround the atoms positively charged nucleus and determine the atoms chemical properties.
ELEMENT.................................One of the 104 known chemical substances that cannot be divided into simpler subs-tances by chemical means.
EMERGENCY PROCEDURE..................... Procedure to be followed by radiographers and radio-grapher assistants in the l
event of an accident, equip-ment malfunction or uncon-l trolled conditions existing while engaging in radio-i graphic activities.
, lll ENCAPSULATION...........................The process of sealing radio-t active materials to prevent I
contamination.
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(continued) i EXPOSU RE................................ Radiation inten sity multiplied by tine.
FILM BADGE..............................A package of photographic film worn like a badge by workers in the nuclear indu-stry to measure exposure to ionizing radiation.
The absorbed dose can be calcu-lated by the degree of film darkening caused by the irradiation.
GAMMA-RAYS..............................High energy short wavelength electromagnetic radiation emitted by a nucleus.
Ener-gies of gamma-rays are usu-ally between 0.010 and 10 MEV x-rays also occur in this
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energy range, but are not of nuclear origin.
Gamma-radiation usually accompanies alpha and beta emissions and always accompanies fission l Gamma-rays are very pene-trating and are best atten-uated by dense materials like lead and depleted uranium HOT CELLS...............................A heavily shielded enclosure in which radioactive materials can be handled remotely thro-ugh the use of roanipulators and viewed through shielded windows so that there is no danger to personnel.
INDUCED RADIOACTIVITY................... Radioactivity that is created by bombarding a substance with neutrons in a reactor or with charged particles pro-duced by particle accelerators I NVE RS E S QU ARE LAW...........
..........(at a distance from a point source)
The intensity of Bk radiation received varies as the inverse square of the distance of the source.
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l DEFINITIONS:
(continued)
ION.....................................An atom or molecule that has lost or gained one or more electrons.
By such "ioni-zation" it becomes electri-cally charged.
IONIZATION..............................The process of adding elec-trons to, or knocking elec-trons from, atoms or molecules thereby creating ions.
High temperatures, electrical discharges, and nuclear radia-tion can cause ionization.
IONIZATION CH AMBER...................... An instrument that detects and measures ionizing radia-tion by observing the electrical current created when radiation ionizes gas G
in the chamber, making it a conductor of electricity.
IONIZING RADIATION......................Any radiation that directly or indirectly displaces electrons from the orbital shell of atoms. e.g. alpha, beta, gamma-radiation.
IRIDIUM 192.............................A radioisotope of the element Iridium.
ISOTOPE................................. Atoms with the same atomic number (same chemical element) but different atomic weights.
An equivalent statement is that the nuclei have the same number of protons but differ-ent numbers of neutrons.
Thus 6c12, 6c13, and 6c14 are iso-topes of the element carbon, the Lubscripts denoting their common atomic numbers, the superscripts denoting the varying atomic weights.
O LEAK TEST...............................A test on sealed sources to assure that radioactive material is not being releasec e
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(continued)
LICENSED MATERIAL....................... Source material, special nuc-lec-material, or byproduct ma.mrial received, possessed, used, or transferred under a general or special license issued by the Nuclear Regula-tory Commission.
MASS NUMBER.............................The sum of the neutrons and protons in a nucleus.
The mass number of Uranium 235 is 235.
It is the nearest whole number to the atoms actual atomic weight.
MAXIMUM PERMISSIBLE DOSE (MPD)..........That dose of ionizing radia-tion which competent auth-orities have established as the maximum that can be h
absorbed without undue risk y
to human health. 5 (N-18)
MEV.....................................Million electron volts.
MILLI...................................A prefix that divides a basic unit by one thousand.
NEUTRON.................................An uncharged elementary particle with a mass nearly equal to that of the proton.
The isolated neutron is unstable and decays with a half-life of about 13 minutes into an electron, proton, and neutrino.
Neutrons sustain the fission chain reaction in a nuclear reactor.
NONDESTRUCTIVE TESTING.................. Testing to detect internal and concealed defects in materials using techniques that do not damage or destroy the items being tested.
NUCLEAR REACTOR.........................A device by means of which a g
fission chain reaction can be initiated, maintained, and controlled.
Its essential r-cy,
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CANTON, OHIO 44708 DEFINITIONS:
(continued) j NUCLEAR REACTOR (continued)............. component is a core with a fissionalbe fuel. It usually has a moderator, a reflector, shielding, and control mechan-isms.
NUCLEUS.................................The small, positively charged core of an atom.
It is only about 1/10,000 the diameter of the atom but contains nearly all the mass.
Except for ordinary hydrogen, all nuclei contain both protons and neutrons.
OCCUPATIONAL DOSE....................... Includes exposure of an individual to radiation (1) in a Restricted Area; or 9
(2) in the course of employ-ment in which the individuals duties involved exposure to radiation; provided that "Occupational Dose" shall not be deemed to include any exposure of an individual to radiation for the purpose of medical diagnosis or medical therapy of such individual.
OPERATING PROCEDURE (S).................. As used in this part -
instructions to be "STRICTLY" followed for radiographic activities.
PERSON..................................Means (1) any individual, corporation, partnership, firm, association, trust, estate, government agency othar than the commission, and state, any foreign government or nation or any political subdivision of any such government or nations, or other entity; and (2) any e
legal successor, representa-tive, agent, or agency of the foregoing.
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CANTON. OHIO 44708 DEFINITIONS:
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PERSONNEL MONITORING EQUIPMENT..........Means device designed to be worn or carried by an indiv-idual for the purpose of measuring the dose received.
e-g.
film badges, pocket chambers, pocket dosimeters, film rings, etc.
PHOTOELECTRIC EFFECT....................A process by which electro-magnetic radiation imparts energy to matter.
l PHOTON..................................A discrete quantity of electro-magnetic energy.
Photrons have momentum but no mass or electrical charge.
l PROJECTOR...............................As used in this part - a radiographic exposure device l
I containing a licensed radio-active isotope for industrial radiography applications.
l PROTON..................................An elementary particle with a single positive electrical charge and a mass approxi-mataly 1840 times that of the electron.
The atomic number of an atom is equal to the number of protons in its nucleus.
RAD..................................... Radiation absorbed dose.
The basic unit of absorbed dose of ionizing radiation.
One rad is equal to the absorp-tion of 100 ergs of radiation energy per gram of matter.
RADIATION...............................The propagation of energy through matter of space in the form of waves.
In atomic physics the term has been extended to include fast-g moving particles.(alpha and y
beta rays, free neutrons, etc)
Gamma-rays and X-rays, of particular interest in atomic I
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(continued)
RADIATION
( continue d).................. phy sic s, are electromagnetic radiation in which energy is propagated in packets called photons.
RADIATION AREA..........................Means any area, accessible to personnel, in which there exists radiation, originating
)
in whole or in part within licensed material, at such levels that a major portion of the body could receive in any one (1) hour a dose in excess of five (5) millirem, or in ar.y five (5) consecutive days, a dose in excess of one hundred (100) millirems.
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RADIATION SAFETY OFFICER (R.S.O.)....... An individual engaged in the practices of providing radia-tion protection.
He is the representative appointed by the licensee for liaison with the Nuclear Regulatory Com-mission.
RADIATION SAFETY........................The process of using an instr-ument (survey meter) to mea-sure the presence of ionizing radiation.
RADI ATION SURVEY METER.................. An instrument that instantly measures radiation rate or intensity.
Used for moni-toring Radiation Area.
RADIOACTIVE............................. Atoms which are energetically unstable and decay to a stable condition by emitting radiation are said to be radioactive.
RADIOGRAPHER............................Means any individual who per-forms or who, in attendance ll at the site where the sealed source or sources are being used, personally supervises radiographic operations and
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(continued)
RADIOGRAPHER (continued)................who is responsible to the licensee for assuring compli-ance with the requirements of these regulations and the conditions of the license.
RADIOGRAPHER'S ASSISTANT................Means any individual who, under the personal supervision l
of a radiographer, uses radio-graphic exposure devices, l
sealed sources or related l
handling tools, or survey instruments in radiography.
l RADIOGRAPHIC EXPOSURE DEVICE............Means any instrument contain-l ing a sealed source fastened or contained therein, in which the sealed source or shielding thereof may be I h l
moved, or otherwise changed, from a shielded to unshielded position for purposes of making a radiograghic exposura This may also refer to mach-ines which produce ionizing radiation.
l RADIOG RAPH Y.............................Me an s the e xamina tion o f the structure of materials by nondestructive methods util-izing sealed sources of by-product material and other sources of ionizing radiation.
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RADIOISOTOPE............................An unstable isotope of an element that decays or disin-tegrates spontaneously, emitting radiation.
More l
than 1300 natural and arti-ficial radioisotopes have been identified.
REDUCTION FACTOR........................ Dose rate without a shield divided by the dose rate with g
a shield interposed between a source and a point at which radiation is measured.
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DEFINIT l_ONS i (continued)
REGIST PATION STATES..................... State s that "do not" have jurisdictional licensing control of radioactive mat-erial but are governed by the U.S.N.R.C.
regulatory require-ments.
However, these states require that radiation pro-ducing devices used within their state be registered.
RELATIVE BIOLOGICAL EFFECTIVENESS -
(RBE)...................................The relative effectiveness of a given kind of ionizing radiation in producing a biological response as com-pared with 250,000 electron volt gamma-rays.
lll REM..................................... Roentgen equivalent man.
A unit of absorbed radiation dose in biological matter.
It is equal to the absorbed dose in rads multiplied by the relative biological effectiveness of the radiation RESTRICTED AREA.........................Means any area to which access is controlled by the licensee.
ROENTGEN................................A unit of exposure dose of ionizing radiation.
It is that amount of gamma or x-rays required to produce ions carrying one (1) electro-static unit of electrical charge in one (1) cubic centimeter of dry air under standard conditions.
SCATTEle ING.............................. A proces s that change s a particles or photons tra-jectorv.
Scattering is 1
caused by collisions with atoms, nuclei, and other particles.
If the scattered I
particles energy is unchanged by the collision, elastic scattering prevails; if there
[... g)
SAMSON INSPECTION & TECHNICAL PAGE NO.
y, SERVICES, INC.
P.O. BOX 80570 - STATION C 14 15 I
s gi CANTON, OHIO 44708 e
DEFINITIONS:
(continued)
SCATTERING (continued).................is a change in energy, the process.is called inelastic scattering.
SEALED SOURCE...........................Means any by-product material that is encased in a capsule designed to prevent leakage or escape of the by-product material.
SHIELD..................-...............A layer or mass of material used to reduce the passage of ionizing radiation.
SOURCE..................................A radioactive materia) mack-aged so as to produce dia-tion for experimental or industrial use.
In this manual, the term "source" also refers to the "target" lh of an x-ray tube.
SOURCE PIPE POSITIONER..................A source positioning device for making single wall expo-sures on piping by means of a radiographic access hole or opening.
l STABLE ISOTOPE..........................A nuclide that does not under-go radioactive decay, f
l STORAGE CONTAINER.......................Means a device in which sealed sources are transported or stored.
i SURVEY..................................Means an evaluation of the I
radiation hazards incident to the production, use, release, disposal, or presence of radioactive materials or i
other sources of radiation l
under a specific set of i
conditions.
When appropriate, such evaluation includes a I
I physical survey of the loca-tion of materials and equip-ment, and measurements of levels of radiation.
[.,,)
SAMSON INSPECTION & TECHNICAL SERVICES, INC.
PAGE NO.
15 15 O'
P.O. BOX 80570 - STATION C OI m
CANTON, OHIO 44708 DEFINITIONS:
(continued)
S U RVEY METER............................ A pc r table in s trume n t which measures dose rate of expo-sure or radiation intensity.
UNRESTRICTED AREA.......................Means any area into which entry is not controlled by the licensee, and any area used for residential quarters.
U.S.N.R.C............................... United States Nuclear Regula-tory Commission.
- WASTE, RADIOACTIVE...................... Equipment and materials (from nuclear operations) which are radioactive and for which there is no further use.
X-RAY................................... Penetrating electromagnetic llh radiation emitted when the inner orbital electrons of an atom are excited and release energy.
Thus, the radiation is not nuclear in origin and is generated in practice by bombarding a metallic target with high-speed electrons.
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SAMSON INSPECTION & TECHNICAL i
SERVICES, INC.
P.O. BOX 80570 - STATION C CANTON, OHIO 44708 l
PART I l
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SAMSON INSPECTION & TECHNICAL SERVICES, INC.
SnH/RSn P.O. BOX 80570 - STATION C Revision O' CANTON, OHIO 44708 January, 1988 l
)
PART I - ADMINISTRATIVE PROCEDURES 1.0 RADIATION SAFETY PERSONNEL:
1.1 Radiation Safety Officer:
1.1.1 The individual who has the understanding and quali-fications to implement the Company's Radiation Safety Program contained herein and has been dele-gated by management the responsibility for the over-all Company Radiation Safety Program.
1.2 Assistant Radiation Safety Officer:
1.2.1 The individual who has the understanding and quali-fications to assist in the implementation of the Company's Radiation Safety Program.
1.3 Radiographer
1.3.1 The individual with the proper background, experience and training certified for administering the Companys Radiation Safety Program at various sites where radiography is being performed by SAMSON INSPECTION
& TECHNICAL SERVICES, INC.
1.4 Assistant Radiographer:
1.4.1 The individual under the personal supervision of a radiographer authorized to use exposure devices, related handling tools, and radiation survey instru-ments in the use of radiography.
8
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.SAMSON INSPECTION & TECHNICAL
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SERVICES, INC.
SsH /RSn g;
P.O. BOX B0570 - STATION O Revision CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 2.0 RADIOGRAPHER, 2.1 For an individual to be designated as a radiographer for SAMSON INSPECTION & TECHNICAL SERVICES, INC., the individ-ual shall have the following training and experience.
Individuals with no previous training:
a.
Shall be subjected to forty (40) hours of formal class-room instructions in the topics identified in Appendix A of 10CFR Part 34. (For the formal portion of training r
identified in the foregoing, SAMSON INSPECTION & TECH-NICAL SERVICES, INC. has designated Tech / Ops as their training agency for the forty (40) hour course.)
b.
Shall be subjected to a minimum of three (3) months, (five-hundred and twenty (520) hours) of on-the-job training as an assistant radiographer.
c.
Shall pass a comprehensive written examination consist-ing of approximately fifty (50) questions to determine the individuals understanding of the topics covered in the radiographers formal training course.
This examin-ation shall deal with the subjects identified in Appendix A of 10CFR, Part 34.
Subsequent to the written examination, the individual shall be subjected to a procedural examination covering the operation and use of projectors and related safety equipment used in Part II of this manual.
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SAMSON INSPECTION & TECHNICAL
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SnH/RSM x
P.O. COX 80570 - STATION C Revision O CANTON, OHIO 44708 January, 1988 1
PART I - ADMINISTRATIVE PROCEDURES
2.0 RADIOGRAPHER
(continued)
Individuals previously certified as radiographers under other USNRC and/or state radioactive material licensent a.
The radiographer shall prove previous certifications as a radiographer as defined in 10CFR Part 34, para-graph 34.2.
b.
Sumbit with his certifications evidence of previous accumulated exposures.
c.
The radiographer shall be subjected to eight (8) hours orientation of SAMSON INSPECTION & TECHNICAL SERVICES, INC.'s exposure devices and related safety equipment.
q The radiographer must also demonstrate the under-standing of the operating procedures associated with exposure devices and safety equipment, and operating and emergency procedures.
d.
The radiographer shall be subjected to a written examin-ation of approximately fifty (50) questions to determine the individuals understanding of the topics identified in Appendix A of 10CFR Part 34.
The radiographer shall also be subjected to a radiography procedural examina-tion consisting of approximately twenty-five (25) questions.
(Note:
When a radiographer fails a written examination required to qualify, the individual as a
(
radiographer, for SAMSON INSPECTION & TECHNICAL SERVICES INC., shall be subjected to an additional eight (8)
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SAMSON INSPECTION & TECHNICAL SERVICES, INC.
SMH/RSM g
P.O. BOX 80570 - STATION C Revision CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES
2.0 RADIOGRAPHER
(continued) d.
hours training conducted by the Radiation Safety Officer, or his designee, and a different examination administer-ed for qualification. (See Radiographers Radiation Safety Train-ing Certification, Form (* SITS-1017-RS) 3.0 ASSISTANT RADIOGRAPHER:
3.1 For an individual to be designated as an assistant radio-grapher for SAMSON INSPECTION & TECHNICAL SERVICES, INC.,
the individual shall have the following training and experience.
Individuals with no previous training:
a.
A minimum of eight (8) hours in-house orientation shall be administered by the Radiatdon Safety Officer, or his I
designee, to the individual in the operating and emer-gency procedures and the use of exposure devices, related handling tools, and radiation safety instru-ments used by SAMSON INSPECTION & TECHNICAL !,ERVICES, INC.
i b.
The individual must demonstrate the proper use of i
I radiation exposure devices, related handling tools, and radiation survey instruments to the satisfaction l
of the Radiation Safety Officer or his designee.
l l
c.
The assistant radiographer shall be subjected to a written examination consisting of approximately twenty-g five ( 2 5) questions to support his understanding of l
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Som/RSM P.Oi. BOX 80570 - STATION C Revision CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 3.0 ASSISTANT RADIOGRAPHER:
(continued) c.
the duties and requirements of an assistant radiographer..
4.0 PERIODIC TRAINING:
4.1 Periodic training shall be conducted annually. (Form No.
SITS-1001-RS)
The periodic training shall provide a re-view of radiation safety principles, regulations, Company procedm;es, and Company policies with regard to radiation safety practices, and finally, a discussion of any new regulations and/or requirements.
5.0 FACILITIES
5.1 The radiographic projectors and source changers will be stored in the designated area of Building D located in the Canton Industrial Park, Raff Complex, 1401 Raff Road, S.W.
Canton, Ohio.
(See exhibit 1, lA, and 1B) 6.0 SOURCE USE_:
i 6.1 The radioactive sources licensed by SAMSON INSPECTION &
TECHNICAL SERVICES, INC. are intended for use at temporary job sites wl.ere the U.S.N.R.C. has jurisdiction.
Use in agreement states must be authorized by the Radiation Safety Officer prior to performing radiography.
Source storage at temporary facilities will be housed in a metal, locked container inside the ;nobile laboratory.
l
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SAMSON INSPECTION & TECHNICAL
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P.O. BOX 80570 - STATION C Revision '
CANTON, OHIO 44/08 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 7.0 PERSONNEL MONITORING EQUIPMENT:
7.1 Dosimeters
7.1.1 The direct-reading pocket dosimeters having a read-ing from 0-200 milliroentgens shall be used for each radiographer and shall be calibrated annually for accuracy.
This calibration will be performed by an outside agency approved by the U.S.N.R.C.
8.0 FILM BADGES:
8.1 All personnel working in or around radiation emmitting equipment will be issued a film badge.
The maximum time period for use of each film badge shall not exceed one (1)
I month.
Film badges will be supplied by R.S. Launder, Jr.
& Company.
9.0 RADIATION SURVEY INSTRUMENTS:
9.1 The following are manufacturing and model numbers of radia-tion survey instruments approved for use in SAMSON INSPECT-ION & TECHNICAL SERVICES, INC.'s radiation safety program.
MANUFACTU RER MODEL NO.
RADIATION RANGE DETECTED a.
Eberline E-120-G X or Gamma 0-1000 mr/hr b.
Eberline E-130-G X or Gamma 0-1000 cr/hr c.
Victorcen 497 X or Gamma 0-1000 mr/hr d.
Victoreen 492 X or Gacna 0-1000 mr/hr e.
Victoreen 492-B X or Gamma 0-1000 cr/hr f.
Victoreen 400 X or Gamma 0-1000 mr/hr g.
Victoreen 410 X or Gamma 0-1000 mr/hr h.
Cat =a Industries 252-B X or Gama 0-1000 mr/hr g
1.
Gamma Industries 250-B X or Gamma 0 1.000 mr/hr W
- j. Ludlum 6
X or Gamma 0 1000 mr/hr
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P.O. BOX 80570 - STATION C Revision O_
CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 9.0 RADIATION SURVEY INSTRUMENTS:
(continued) 9.1.1 These instruments have a range of 2 milliroentgens per hour thru 1 roentgen per hour.
9.1.2 Calibration is required for each instrument in use and shall not be used if the calibration date exceeds three (3) months from the date calibrated.
The l
calibration shall be provided by the following companies and the readings at the time of calibra-tion shall not exceed + twenty percent (20%) of the actual values of the range of the instrument.
l Each survey instrument shall have affixed to it a calibration sticker indicating the date of the last calibration and the required due date.
A,'ditionally,
- l the companies providing the calibration shall furnish, with the returned instrument, a celtificate of instrument calibration.
Instrument calib ation records shall be retained by SAMSON INSPECTION a TECHNICAL SERVICES, INC. for a period of two (2) years from date of calibration.
Companies approved
[
for instrument calibration are as follows:
COMPANY NAME ADDRESS NRC LICENSE NO.
Amersham T/0 40 North Avenue 20-11836-01 Burlington, MA.
l Health Physics 3304 commercial Ave. 12-9160-01 l
Assoc., Ltd.
Northbrook, IL.
q Applied Health Bethal Park, PA.
37-09135-01 Physics, Inc.
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SAMSON INSPECTION & TECHNICAL ri SERVICES, INC.
SnH/RSn P.O. BOX 80570 STATION C, Revision '
CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 10.0 INTERNAL INSPECTION PROGRAM:
10.1 The U.S.N.R.C.
requires that the licensee implement an internal inspection system adequate to insure that N.R.C.
regulations, license provisions, and our operating and emergency procedures are followed by radiographers and assistant radiographers working within the radiography program of SAMSON INSPECTION & TECHNICAL SERVICES, INC.
and will be audited for conformance of the foregoing,
~
not to exceed three (3) month intervals.
These inspec-tions may or may not be announced.
If a radiographer g
or assistant radiographer is assigned to duties other than radiography for a period of three (3) months, they shall be subjected to the internal inspection program prior to being reinstated in rad!ography.
11.0 INTERNAL INSPECTION CHECKLIST:
11.1 See Internal Inspection Audit Form No. SITS-1002-RS which identifies the minimum checklist points required I
for this inspection.
The Radiation Safety Officer has the authority to amplify this checklist as he deems necessary.
12.0 IDENTIFYING AND REPORTING DEFECTS AND NON-COMPLIANCES:
12.1 10CFR Part 21 charges radiography personnel with the duty of reporting to management their discovery of any ggg i
malfunction or defective radiography equipment. Radio-
- Page 8 -
SAMSON INSPECTION & TECHNICAL SERVICES, INC.
SMH/RSM P.O. COX 80570 - STATION C Revision -
~
CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 12.0 IDENTIFYING AND REPORTING DEFECTS AND NON-COMPLIANCE:
12.1 graphy personnel should note on maintenance check forms any defective equipment and identify who in management was notified.
13.0 SOURCE LEAK TESTING:
13.1 The U.S.N.R.C.
requires that sealed sources be leak tested on a six (6) month basis.
SAMSON INSPECTION &
TECHNICAL SERVICES, INC. has elected to engage the services of the following companies to process the re-sults of cmears taken by SAMSON INSPECTION & TECHNICAL SERVICES, INC.'s approved personnel using the suppliers kit.
Approved companies to provide and analysis leak tests.
1.
Tech / Ops - Kit # 518 j
2.
Gamma Industries Kit - Kit #KOWIPE 3.
Health Physics Assoc. Ltd. - Kit #HPC-2 l
4.
Applied Health Physics Inc. - Kit # bmRK V 13.2 Personnel qualified to take these smears in accordance with instructions provided with the kit will have demonstrated the proper use of the kit and be certified I
accordingly by the Radiation Safety Officer.
See Form No. SITS-1003-RS.
14.0 RADIOACTIVE SOURCE CHANGERS:
14.1 Radiographers may be assigned the responsibility of I
performing source changes in accordance with source change procedures, but first must demonstrate accuracy
- Page 9 -
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.. SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMH/RSM a P.O. BOX 80570 - STATION C Revision T C ANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 14.0 RADIOACTIVE SOURCE CHANGERS: (continued) 14.1 in following the source change procedure. Radiographers qualified to perform source changes will be certified in accordance with Radioactive Source Change Qualification Form No. SITS-1004-RS. 15.0 SOURCE DISPOSALS: 15.1 The disposal of sources from SAMSON INSPECTION & TECHNI- ~ CAL SERVICES, INC. will be returned to the source supplier in source changers supplied by source suppliers. 16.0 QUARTERLY INSPECTION AND MAltgENANCE OF RADIOGRAPHIC EQUIPMENT: 16.1 At least once each ninety (90) days, the Radiation Safety Officer, or his designee, will perform a detailed inspection of all radiographic equipment and complete the proper Quarterly Inspection Checklist Form No. l SITS-1012-RS or Form No. SITS-1013-RS. Any unsatis-f actory items noted during either the daily maintenance l cr quarterly maintenance inspections will be cause to have the unsatisfactory item repaired or removed from service. 17.0 ORGANIZATIONAL STRUCTURE : 17.1 President, John W. Samson a. Final responsiblity for operation of SAMSON INSPECTION & TECHNICAL SERVICES, INC. including the g radiation safety program. - Page 10 - (
SAMSON INSPECTION & TECHNICAL g)/ SERVICES, INC. SMH/RsM O- .05. BOX 80570 - STATION C Revision - CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 17.0 ORGANIZATIONAL STRUCTURE: (continued) 17.1 Vice President and Corporate Secretary, J. A. Hopkins a. Has overall responsibility for record retention, personnel certification, and manual revisions. Radiation Safety Officer, S. M.
- Hopkins, P.E.
a. May assign or delegate any duties specified herein to appropriate individuals. Final overall responsibility for use of radiographic devices. His duties encompass the following: 1. Source Procurement - The Radiation Safety Officer { i. has direct responsibility for all source orders. Each order will be checked against the radio-active material license to verify that it is authorized. Upon receipt of the source, the following action will be taken. a. File the original decay curve for re-ference and leak test records, b. Record serial number of device and source (show transfer of old source, if appli-cable), c. Survey camera and record results. 2. Assignment of Personnel - The Radiation Safety l l Officer has direct responsibility for assigning radiographer, radiographer's assistants and - Page 11 -
SAMSON INSPECTION & TECHNICAL / SERVICES, INC. SMa/RSM gi P.O. BOX 80570 STATION C Revision CANTON, OH!O 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 17.0 ORGANIZATIONAL STRUCTURE: (continued) 17.1 Radiation Safety Officer, S. M. Hopkins, P.E. 2. helpers so there will be an authorized radio-grapher on each job. 1 3. Inspection and maintenance program for radio-graphy equipment. 4. Internal inspections. 5. Maintenance of Records: 1. Personal Monitoring: a. Daily dosimeter readings lg b. Monthly quarterly and annual badge readings c. Radiation exposure histories d. Annual dosimeter calibrations 2. Radiation Area Surveys: a. Quarterly surveys of storage area b. Daily surveys of radiographic sites c. Camera security surveys d. Quarterly inventory including receipt l and disposal of camera and sources. dl. Identification of source l (serial number) and activity d2. Identification of camera con-taining source and its location d3. Date of inventory Assistant Radiation Safety Officer, David M. Hopkins a. Will perform any of the duties of the Radiation Safety Officer as directed by corporate management and/or the Radiation Safety Officer. O - Page 12 -
/ \\ . i} SAMSON INSPECTION & TECHNICAL f i SERVICES, INC. Sun /Ran \\'- P.O. BOX 80570 - STATION C Revision CANTON, OHIO 44708 January, 1988 PART I - ADMINISTRATIVE PROCEDURES 17.0 ORGANIZATIONAL STRUCTURE: (continued) 17.2 Organizational Chart: l PRESIDENT i V. PRESIDENT i { l RADIATION I SAFETY OFFICER i i ASST. RADIATION SAFETY OFFICER 1 RADIOGRAPHERS 1 ASSISTANT RADIOGRAPHER f I - Page 13 - v-v --,_--g ,ep,-_ ,---.-nw -__.,,_._,,,n_,__ ---.---w-
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1 SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMH/RSM () P.O. BOX 80570 STATION C Revision ' CANTON OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES : 1.1 Film Badges - each employee at a job site must wear a i l current TLD or film badge. Badges will be worn until replacement badges are received. 1.2 Pocket Dosimeters - each employee at a job site must wear an operable, calibrated dosimeter. The pocket dosimeter l must be charged before each shift and the reading at the beginning and end of each shift shall be recorded. i l Employees should frequently read their dosimeters during radiographic operations. Employees must first record their pocket dosimeter readings on Form No. SITS-1005-RS prior to recharging their dosimeter at anytime throughout the work shift. When radiographers are assigned at field locations and when receipt of film badges are due, a Film Badge and Dosimeter Report Form No. SITS-1005-RS will be transmitted with a Film Badge Transmittal Receipt Form No. SITS-1006-RS. 1.2.1 Location Worn: Badges and dosimeters may be worn at any convenient location between the shirt collar and front trouser pockets; such as, shirt pockets or at the waist on the belt or belt loops. 1.2.2 Discharge Of Pocket Dosimeter: Should the pocket dosimeter be found discharged at anytime when in ggg the vicinity of radioactive material, the employee - Page 14
. h) SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMH/RSM a P.O. BOX 80570 STATION C Revision W CANTON. OHIO 44708 January, 1988 OPERATING AND EMERGENCY PROCEDURES PART II 1.0 RADIOGRAPHY OPERATING PROCEDURES : (continued) 1.2.2 must immediately stop work in the vicinity of radio-active material, notify the Radiation Safety Officer, and submit his badge for processing. He CANNOT return to work with radioactive material until a I determination of his radiction exposure has been made. l 1.2.3 Storage Of Badge: When not engaged in radiographic l operations and not wearing your assigned badge, keep the film badge away from sources of radiation; g such as, in darkrooms where cameras are stored, and in a cool and relatively dry area. 1.3 Checkout Of Eauipment: 1.3.1 RADIOGRAPHY CAMERA: 1.3.1.1 Utilization Log Entry - the radiographer must enter the following information in the Utilization Log Form No. SITS-1007-RS at the home office storage area. 1. Date checkout 2. Radiographer 3. Camera identification by manu-l l facturer, model number and serial number i 4. Radioisotpe, activity, manufacturer, model number, and serial number of l source 5. Plant location of radiography site g or destination (location of jobsitd [ Page 15 - v -w y w--- -s-,--m-~-mw -y-~-w_,9 --ww _-wn-y ,w._ yy,- py,,- -w,---
,j ..43 SAMSON INSPECTION & TECHNICAL 1 P SERVICES, INC. SnH/RSn O_ P.O'. BOX 80570 STATION C Revision - CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY O?ERATING PROCEDURES: (continued) 1.3.1 RADIOGRAPHY CAMERA: 1.3.1.2 Source Decay Curve - The radiographer shall check the following information provided on the Source Decay Curve. 1. Activity of source on given date 2. Serial number of source 3. Date of leak test (if the source is approaching six (6) months since it was leak tested, then the Radia-tion Safety Officer shall be 2.oti-fied 4. A copy of the Source Decay Curve form will be re tained in the Source l Log Book for the source contained in the respective camera. In addition to the Source Decay Curve, a Radioactive Source Record Form No. SITS-1014-RS shall be pro-gressively completed and retained in the Source Log Book until trens-fer or disposal of the source represented by the applicable Decay Curve. 1.3.1.3 Camera and Device Insoection - The radio-grapher shall perform the following inspec-tion daily prior to commencing operations - l See Form No. SITS-1008-RS - PART D. 1. Lock operates properly and keys available 2. Pig-tail connector not worn or bent 3. Protective pig-tail safety plug and lock box cap available 4. CAUTION - RADIOACTIVE MATERIAL q label and symbol legible 5. Verify source and camera identi-fication - Page 16 - x
/ f T SAMSON INSPECTION & TECHNICAL SERVICES, INC. S"H/RSM g P.O. 80X 80570 - STATION C Revision, CANTON, OHIO 44708 January, 1988 a PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES : (continued) l 1.3.1 RADIOGRAPHY CAMERA: 6. Maximum radiation levels for Irid-ium 192 cameras do not exceed 50 mr/hr at six (6) inches from the surface, and Cobalt 60 cameras do not exceed 200 mr/hr at the surface and 10 mr/hr at three (3) feet from the surface 7. Tech Ops 616 - clean vacuum plug and port and check safety wiring and fastners 1.3.1.4 Source Tube and Controls - The radiographer shall perform these inspections prior to O j leaving the shop and daily prior to commen-cing operations. 1. SOURCE TUBE INSPECTION: a. Source tube is free of kinks and crimps and the disconnect coupling operates properly b. Source tube end or cellimator attaches easily to sour'ce tube ( and is not clogged 2. CONTROLS INSPECTION: a. Pig-tail (source) connector matches with source in camera and is not worn or bent b. Drive cable is flexible, lub-ricated and not bent or crimp-ed c. Drive cable conduit is flex-ible, not crimped and conn-ects easily to camera j d. Control assembly is not loose or worn and will drive the lll cable without slipping I - Page 17 - l ,L
- l. -. -
j SAMSON INSPECTION & TECHNICAL I SERVICES, INC. SMa/RSM O P.O. BOX 80570 STATION C Revision CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES : (continued) 1.3.1 RADIOGRAPHY CAMERA: e. Tech Ops 616 - Check vacuum with control valve OFF; and check vacuum with camera LOCKED. 1.4 Radiation Survey Meters: 1.4.1 Operation Verification - Check out one (1) and if possible, two (2) radiation survey meters and check operation by surveying the camera with each radiation survey meter. Record the reading at the source out-let nipple for your future reference. 1.4.2 Calibration - Check the calibration date on the sticker on the radiation survey meter. Do NOT use any radiation survey meter if the date is more than three (3) months old. If it is approaching three (3) months since it was calibrated, notify the Radiation l Safety Officer. 1.4.3 Malfunction - On any job when the first radiation survey meter fails to operate, notify the Radiation Satety Officer "IMMEDIATELY" for a replacement. If both radiation survey meters do not operate at any time, IMMEDIATELY CEASE OPERATIONS, and notify the Radiation Safety Officer. l I - Page 18 -
/ 3.4j SAMSON INSPECTION & TECHNICAL I SERVICES, INC. SMH/RsM a P.O. BOX 80570 - STATION C Revision T CANTON OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES : (continued) 1.5 Caution Signs and Warning Rope,: 1.5.1 CAUTION - RADIATION AREA - See Example #1 1.5.2 CAUTION - HIGH RADIATION AREA - See Example #2 1.5.3 CAUTION - RADIOACTIVE MATERIAL - See Example #3 1.5.4 YELLOW WARNING ROPE OR TAPE (Banner Guard)
1.6 Miscellaneous
(some items may not be required) ~ a. Film b. Developing Chemicals c. Penetrameters d. Lead Numbers and/or Letters h 1.7 Required Documents and Forms: 1.7.1 Operating and Emergency Procedures l 1.7.2 U.S.N.R.C. Rules and Regulations, Parts 19, 20, 21 l and 34) (See Radiation Safety Manual Part IV) 1.7.3 Radioactive Material License - a. Nuclear Regulatory Commission (See Radiation Safety Manual Part IV) b. Copy of Agreement States Notification (See Radiation Safety Manual Part IV) 1.7.4 Dosimeter Forms (See Form No. SITS-1005-RS) 1.7.5 Radiation Survey Forms (See Form No. SITS-1008-RS) 1.7.6 Nuclear Regulatory Commission Form #3 - NOTICE TO EMPLOYEES (See Radiation Saf ety Manual Part IV) 1.8 Equipment required for 120 curies to 250 curies of Iridium 19 2 and Cobalt 60: 1.8.1 Crank-out devicer - Minimum forty (40) foot crank-outs and approximately 6 HVL collimators or thicker. -Page 19 -
l ') SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMH/RSM O_- P.O. BOX 80570 STATION C Revision CANTON OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES : (continued) 1.8.2 Pipeline Devices - Minimum fif teen (15) foot control assemblies. Note: Use of high activity sources must be specifically authorized by the Radiation Safety Officer. 1.9 Equipment Manufacturers Standard Operating Procedures For Projectors and/or Source Changers - used by SAMSON INSPECTIO. & TECHNICAL SERVICES, INC. will be issued by the Radiation Safety Officer for respective sources, projectors, and/or source changers used by radiographers. I 1.10 Source Transportation: 1.10.1 Placards and Signs: 1 a. RADIOACTIVE - Vehicle and/or darkrooms in which radioactive material is transported will be identified with "RADIOACTIVE" placards as required pursuant to 49-CFR 172.504, b. Prior to transporting a radioactive source and/or source changer, a Department of Trans-portation Shipping Certificate, see Form No. r SITS-1010-RS, must be completed and retained in the vehicle during transportation. This radioactive material end vehicle covered in this certificate is considered "Sole Use For SAMSON INSPECTION & TECHNICAL SERVICES, INC." l - Page 20 - a e.,--,,,n,,,wna-w,--- ,.--n,,___,,_c ,-----n -.,,--------,----n.-,,-
. )) SAMSON INSPECTION & TECHNICAL F' SERVICES, INC. SMH/RSM P.O. BOX 80570 - STATION C Revision A CANTON, OHIO 44708 January, 1988 W PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES : (continued) J 1.10.1 Placards and signs: c. CAUTION - RADIOACTIVE MATERIAL sign with radiation symbol must be placed on darkroom whenever radioactive material is stored in-side (although this is not required during transportation, it is best to place these signs on the darkroom whenever it contains radioactive material). Storage facilities at the home office will denote Caution - Radioactive Material on the storage access door. (See example #3) 1.10.2 Radiation Survey: l a. Survey the outside of the vehicle to be cer-l tain that radiation levels do NOT exceed 2 mr/hr at any exterior surface, b. Survey the cab of the truck, or driver and passenger positions in the vehicle and attempt to store the camera to achieve 2 mr/hr or less. (See Form No. SITS-1008-RS Part C) 1.10.3 Source Security: Always keep the locked camera in a locked darkroom or a locked vehicle. Keys to the darkroom and vehicle must remain with the driver at all times. Cameras shall be stored in- - Page 21 - -*-a-
.. 's SAMSON INSPECTION & TECHNICAL SERVICES, INC. san /RSM O, P.O. BOX 80570 STATION C Revision CANTON, OHIO 44708 January, 1988 i ~ l PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.10.3 side the mobile darkroom or laboratory in a steel safe attached to the floor of the vehicle to pre-vent moving. The source security safes will have affixed to them ownership and the proper shipping index indicating the source and strength. When private vehicles are used to transport projectors and/or source changers, the driver will have in his possession at all times an operable radiation survey meter and the vehicle will be placarded I as required by 49-CFR-172.504. 1.10,4 Radiation Survey Meters - Keep at least one (1) radiation survey meter with you in the cab or front seat at all times when transporting a projector containing a source and/or source
- changer, 1.10.5 Accidents -
If you are involved in a traffic accident and you are able; survey the camera. If the radiation levels in the vicinity of the camera are higher than normal or it it is likely the camera is damaged; 1. Do NOT allow anyone in the area; except to rescue an individual. l ) 2. Inform the police that the vehicle must NO"r be moved. - Pace 22 -
SAMSON INSPECTION & TECHNICAL SERVICES, INC. Sim/RSn h P.O. BOX 80570 STATION C Revision CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES: (continued) 1.10.5 3. Notify I!O1EDIATELY the Radiation Safety Officer who will notify the appropriate radiation regulatory authorities. (See Form No. SITS-1009-RS) 1.11 Establishing Radiography Control Area: 1.11.1 Define general area in which radiographic exposures are to be taken. l.21.2 Estimate the maximum exposure time that should occur in any one (1) hour. 1.11.3 Using the above estimated exposure time in any ~ one (1) hour, the activity of the source and type of camera, read the estimated distance from the f Restricted Area Table. (See Table #1 and Table #2) 1.11.4 Using the above distance or knowledge of a similar prior setup, establish, if possible, a yellow warning rope (or banner guard), and post along this barricade: CAUTION - RADIATION AREA signs. 1.11.5 If not possible to establish barrica. des at this distance, establish all barricades possible and at such points where you cannot see people entering this area. 1.11.6 If you have not been able to establish a continu-g ous barricade above around the restricted area, - Page 23 -
t -. }) SAMSON INSPECTION & TECHNICAL F/ SERVICES, INC. SMH/RSM O Revision P.O'. BOX 80570 - STATION C CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES : (continued) l 1.11 Establishing Radiography Control Areas: l.11.6 then read from the Radiation Area Table (see Table 3 or Table 4) the estimated distance and post CAUTION - RADIATION AREA signs at this dis-tance. Establish all barricades possible at approximately this diatance from the source. 1.11.7 If you have not been able to establish a contin-uous barricade above, then read from the High Radiation Area Table (see Table 5 or Table 6) l the estimated distance and post CAUTION - HIGH RADIATION AREA signs at this distance. Establish all barricades possible at this dis-tance from the source. 1.11.8 During the exposures you should adjust any barri-cades and posted signs. Except, do NOT check the HIGH RADIATION AREA signs or barricade. 1.11.9 Note: Whenever it is possible to establish a l continuous barricade around t radiographic site which is appropriately posted, no additional I 1 signs or barricades will be established within tha t perimeter. 1.11.10 Direct Surveillance - Radiographers must maintain direct surveillance over the radiographic area f at all times during an exposure. Instruct Page 24 -
I gi SAMSON INSPECTION & TECHNICAL f SERVICES, INC. sMn/RsM a j P.O. BOX 60570 STATION C Revision w CANTON, OHIO 44708 January, 1988 i PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURES: (continued) 1.11 Establishing Radiography Control Areas: 1.11.10 unauthorized individuals entering the restricted area to leave. If they do not leave promptly, terminate the exposure. If any individual does NOT promptly leave the radiation area upon notice, immediately terminate the exposure and start again when the area is clear. 1.11.11 When performing radiography, where audible and/or visual communication is restricted, ALL radio-graphic personnel who have need to enter the immediate exposure area, will have in their possession an operable, calibrated radiation survey meter. 1.11.12 When using Iridium 192 sources exceeding 120 curies, up to and including 250 curies, use l Table 7 for the distance to achieve for the i 2 MR, 5 MR and 100 MR boundary levels. 1.11.13 When using Cobalt 60 sources exceeding 120 curies, up to and including 200 curies, use Table 8 for the distance to achieve the 2 MR, 5 MR and 100 MR boundary levels. 1.12 Making An Exposure: 1.12.1 Authorized Individuals - only a radiographer - Page 25 -
n 3 SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMH/RSM () P.O. BOX 80570 STATION C Revision - CANTON. OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.12 Making An Exposure: 1.12.1 or assistant radiographer, under the personal supervision of a radiographer, may operate the controls. 1.12.2 Establish radiography control areas as above. 1.12.3 Crank-Out Device - 1. Survey camera at source outlet nipple. Note reading for comparison at end of exposure, 2. Remove safety plug and connect source tube to gg camera. Position source tube end or colli-mator in desired location, and whenever pos-sible, direct open beam down and away from possible occupied areas. Locate the camera such that source tube is in an approximate straight line without kinks. Place film. 3. Crank out approximately six (6) inches on control drive cable and remove protector cap from lock camera. Inspect control drive cable and pig-tail connectors to be certain they are not worn, bent or broken. Connect control drive cable to pig-tail and screw 4 conduit male connecting thread into lock lll camera. - Page 26 -
2 M* }} SAMSON INSPECTION & TECHNICAL F SERVICES, INC. Som/RSM h' P.O. BOX 80570 STATION C Revision ~ CANTON, OHIO 44708 January, 1988 I r PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.12 Making An Exoosure: 1.12.3 Crank-Out Device - 4. Hold hand crank back (counter-clockwise) to prevent source from moving and to enable lock to operate on some units. Unlock the pig-j tail and continue to hold the crank back. ~ 5. Stretch control drive cable away from camera ~ in as straight a line as possible continuing to hold crank back, g 6. Crank source out as smoothly and rapidly as I possible, but do NOT hit end of source tube l hard. j 1.12.4 Vacuum Operated Self-Contained Camera - Greater than 120 curies: 1. Survey camera near top. Note reading for comparison at end of exposure. 2. Connect vacuum hose to control unit and layout hose to prevent kinking. 3. Position film and camera. 4. Unlock camera. 5. Pump handle to obtain fifteen (15) inch vacuum. Turn control valve to ON position. 6. Move as far away as exposure time permits and where you can maintain direct surveillance. - Page 27 - 1
,hs SAMSON INSPECTION & TECHNICAL SERVIC ES, INC. sMH/RsM O P.O. BOX 80570 STATION C Revision,- CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.12 Making An Exposure: 1.12.5 X-Ray Machine Exposures - 1. Authorized Operators - Radiographers using x-ray units must be trained and qualified as required for radiographers using isotope equipment. Only a radiographer or an assistant radiographer, under the personal supervision of a radiographer, may operate the x-ray unit. 2. Establish RESTRICTED AREA, RADI ATION AREA, and/or HIGH RADIATION AREA as outlined above using Table 9 for potential and current not less than the KV and MA employed. 3. Exposure Procedure - a. Position x-ray tube and collimator, when it can be usti, in desired locatior. Whenever possible direct open beam down and away from occupied areas. Place film. b. Position control as far as possible from the x-ray tube and out of the direct beam. q - Page 28 - 1 J
..k; SAMSON INSPECTION & TECHNICAL I SERVICES, INC. SnH/RSn a. P.O. BOX 80570 STATION C Revision W l CANTON, OHIO 44708 January, 1988 i PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.12 Makinc An Exposure: 1.12.5 c. Activate the tube from the control panel for the desired time and observe the indicator lamp, t d. When exposure is terminated, observe that the x-ray indicator lamp is out and approach the x-ray tube with an operable radiation survey meter. Survey the closest accessible point ggg i to the tube head, e. If the survey does not read over back-i ground, the x-ray tube may be handled I and/or moved. l 1.13 During An Exposure: l 1.13.1 Direct surveillance - Maintain direct surveil-lance and allow only necessary radiographic personnel to enter the Restricted Area. If a person accidentally enters the Restricted Area and does NOT leave immedit.tely upon notice, terminate the exposure and ststt over again l af ter the person leaves. 1.13.2 Radiation Area Surveys - During each exposure, lge check the radiation level at the operator - Page 29 -
. k SAMSON INSPECTION & TECHNICAL i SERVICES, INC. snn/Rsn () P.O. BOX 80570 STATION C Revision CANTON. OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.13 Durina An Exposure: 1.13.2 position by observing the radiation survey meter near you and time permitting survey the radia-tion levels at the perimeter of the Restricted Area and/or Radiation Area. Make adjustments in the barricade or location of signs. The radiation level may be determined from the appropriate table using the maximum estimated exposure time in one (1) hour. I 1.14 At The End Of Exoosure: 1.14.1 Crank-Out Device: I 1.14.1.1 Crank the source back into the camera l as smoothly and rapidly as possible. Continue to hold the crank firmly to I prevent the source from moving. j f 1.14.1.2 Approach the camera from the lock box side with a radiation survey meter. Staying behind the camera, reach around and survey the camera at the l outlet nicple and then survey the entire length of source tube. The reading at the outlet nipple should l be the same noted just prior to making l the exposure. Lock the pig-tail in - Pace 30 -
's ....]' ) SAMSON INSPECTION & TECHNICAL SERVICES, INC. sna/Rsn g P.O. BOX 80570 STATION C Revision ' CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES I 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) i 1.14 At The End Of Exposure: 1.14.1 Crank-Out Device: I 1.14.1.2 the camera. If at any time while approaching the camera; higher than normal readings are encountered, only attempt to crank in the source as above, If this fails to decrease the high reading, follow the emergency procedures in this manual, h, 1.14.1.3 If you are going to make another l exposure in the same general area or nearby pipe joint, then it is not i necessary to disconnect the control i i cable and source tube. If the camera must be transported to another loca-l tion or returned to storage, then l disconnect control cable and source l tube, and replace the lock box pro-l l tector cap and safety plug, l i 1.15 Self-Contained Camera: i l 1.15.1 Vacuum Operated - Turn control valve to the I "OFF" position and approach the camera with a O. radiation survey meter. I 1.15.2 Immediately survey the camera at the same spot t pano 31 I
. 3 '; SAMSON INSPECTION & TECHNICAL P SERVICES, INC. SyauRSM P.O. BOX 80570 STATION C Revision p (> CANTON, OHIO 44708 January, 1988 4 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.15 Self-contained Camera: 1.15.2 prior to the exposure. If you get the same reading, lock the camera. If you cannot immediately obtain the original reading by rotating the knob a few degrees, then follow the emergency procedures in this manual. 1.16 At End Of The Exposure: 1.16.1 If the camera is to be left unattended, then it MUST be returned to the locked storage area, I secured by placing it in a locked darkroom, locked storage vault or other locked room or area which is appropriately marked with Caution - Radioactive Material signs. Before storing the camera, measure the radiation level as above, and record the reading on the Radiographic Operations Report - Part E - Form No. SITS-1008-RS. 1.17 On-Site Records: 1.17.1 Dosimeter Readings - Enter readings at begin-ning of shift and end of shift. Use Form No. SITS-1005-RS. 1.17.2 Radiation Surveys - l Daily at beginning of each shift. a. - Page 32 -
_ - - - = -. SAMSON INSPECTION & TECHNICAL SERVICES, INC. S.w RSM h, P.O. BOX 80570 - STATION C Revision - l CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY :)ROCEDURES l.0 RADIOGRAPHY OPERATING PROCEDURE: (continited) 1.17 On-Site Records: 1.17.2 b. Each time operations commence in a new location. c. Each time there is a major change in an l l l existing Radiation Area perimeter. 1.17.3 Camera Surveys - Each time the camera is returned to locked storage preceding the absence of radio-i graphic personnel, the radiation level, as t measured above, will be recorded on the last survey form. (See Form No. SITS-1008-E. Part E) 1.18 Check-In Equipment: 1.18.1 Radiography Camera - a. Utilization Log Entry - the radiographer i must enter the following information in the Utilization Log (See Form No. SITS-1008-RS 1 Part B & E) 1. Date checked in. 2. Camera survey. 3. Radiographer. b. Camera Maintenance - inform Radiation Safety i i Officer of any maintenance required and any malfunction or defects noted. This informa-l tion is required by 10-CFR - Part 21. O c. Controls and Radiation Survey Meters - Inform the Radiation Safety Officer of any i r>,no 11
..k; SAMSON INSPECTION & TECHNICAL i SERVICES, INC. S:is/RSn P.O. BOX 80570 STATION C Revision. CANTON, OHlO 44708 January, 1988 PART II - OJERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.18 Check-In Equipment: 1.18.1 Radiography Camera - c. malfunction or defects noted on equipment being returned after use. This information is required by 10-CFR - Part 21. 1.19 Receiving and Opening Packages Containing Radioactive Material: 1.19.1 Packages containing radioactive material are to be received in accordance with U.S.N.R.C. Title 10 CFR Part 20,205, paragraph (a) and (c). g l.19.2 Only qualified radiographers approved for source changes are permitted to survey and open pack- [ ages containing radioactive material. I 1.19.3 If a radiation survey is conducted in accordance with U.S.N.R.C. Title 10-CFR Part 20.205 (c) and it reveals a radiation level in excess of allow-able limits, the package shall be secured, l roped off, barricaded, or otherwise stored so as to preclude unnecessary exposures above 2 MR/HR and then I!O!EDIATELY contact the Radia-t tion Safety Officer. 1.19.4 Examine the shipment for proper labeling, index classification, evidence of activity and leak { l test. - Page 34 - t
SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMH/RsM llh i P.O. BOX 80570 STATION C Revision - CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) i 1.19 Receiving and Open'no Packaces Containina Radioactive j Materiali 1.19.5 A Radioactive Material Receiving Report (See Form No. SITS-1015-RS) shall be completed and a copy of this report shall be forwarded i l 1 to the Radiation Safety Officer within three (3) l days from receipt of shipment. l 1.20 Source Exchange Procedures: 1.20.1 Authorized Personnel - Only radiographers may perform source exchanges as certified in accor-lll dance with Form No. SITS-1004-RS. 1.20.2 Outline of Procedures - The following is a l generalized outline. The manufacturer's attached instructions for each model changer must be followed EXPLICITLY during the exchange. a. Check for proper operation of radiation survey meter and survey the changer in its shipping configuration for any radia-tion levels in excess of 200 MR/HR at the surface and 10 MR/HR at one meter the sur-
- face, b.
Establish and post RESTRICTED AREA and RADIATION AREA as described above, assuming llh f a one (1) minute exposure time. 1 - Page 35 - l
/ . }4 SAMSON INSPECTION & TECHNICAL F' SERVICES, INC. SMH/RSM O P.O. BOX 80570 - STATION C Revision CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.20 Source Exchange Procedures: 1.20.2 Outline of Procedures - c. Set up the exchange tube and follow the EXPLICIT instruction of the manufacturer for the changer being used. d. After the exchange is completed, survey the camera to determine if radiation levels for Iridium cameras exceed 50 MR/HR at six (6) inches from the surface; or if radiation j lll levels for Cobalt cameras exceed 200 MR/HR on the surface or 10 MR/HR at one meter i from the surface. The changer, in its shipping configuration, should not exceed 200 MR/HR on the surface or 10 MR/HR at i one meter from the surface. e. Prepare the changer for shipment by applying i the security seal, correct shipping labels, transport index, and shipping papers; as i directed by the Radiation Safety Officer in I accordance with the manufacturers source changer procedure. I - Page 36 - l
1 @,b SAMSON INSPECTION & TECHNICAL / SERVICES, INC. SnH/RSn P.O. BOX 80570 STATION C Revision - CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERAT.TNG PROCEDURE: (continued) I 1.21 EMERGENCY PROCEDURES: 1.21.1 If at any time the source CANNOT be returned to its normal shielded position as specified in the Operating Procedures - CLEAR the defined Restricted Area; ESTABLISH barricades g 2_ MR/HR; MAINTAIN direct surveillance; and NOTIFY: l 1. S.M. HOPKINS, Radiation Safety Officer - (216) 478-2700 or i j (216) 478-2022 Or, (24 Hours) 2. DAVID HOPKINS, Asst. Radiation Safety Officer (216) 875-4881 (Nights, weekends and i Or, holidays) 3. NUCLEAR REGULATORY CO!1'!!SSION - REGION III 1 (U.S.N.R.C.) (312) 932-2500 (24 Hours) J ,I i j 1.22 Instructions For Use Of: Restricted Area, Radiation Ares, and Hich Radiation Area Tables: 1.22.1 Tables for Iridium 192 and Cobalt 60 are avail-1 able. Each set contains a Restricted Area 2ahle, Radiation Area Table, and High Radiation e I.rea Table. i j 1.22.2 The purpose of the tables are to provide the J radiographer with initial distances to establish and/or define boundaries for Restricted, Radiation, l and High Radiation Areas. l - Page 37 - i l
. ); SAMSON INSPECTION & TECHNICAL I SERVICES, INC. sna/Rsn P.O. BOX 80570 STATION C Revision ! O_ CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.22.3 since the tables are based on calculated radiation i levels for an unshielded source, they provide i safe and conservative distances. Attenuation and scatter or radiation by the specimen and other objects in the vicinity will produce i radiation levels different from given in the tables, but the actual radiation levels will generally be lower. 1.22.4 During the first exposure, the Restricted Area I boundary should be checked by performing an actual physical survey and adjusting the boundries out where required, and in where permissible and only if there is a need to do so. 1.22.5 To use the tables, select the desired Restricted l Area, Radiation Area, or High Radiation Area Table for the proper isotope being used. (Tables 1 - 9) l.22.6 Estimate the maximum number of radiography shots to be performed in the next hour and tue maximum exposure time for each shot. From this information, determine the maximum exposure time in minutes to be performed in the next hour. I 1.22.7 In the second line of the table labeled MIN /HR, l - Page 38 -
i l i SAMSON INSPECTION & TECHNICAL SERVICES, INC. sMH/RsM gl P.O. BOX 80570 STATION C Revision - 1 CANTON. OHIO 4470S January, 1988 ] PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.22.7 select the column with the lowest MIN /HR which is i I not below the estimated work load. (e.g. For an estimated maximum exposure time of 27 minutes in the next hour, select the 30 MIN /HR column). If desired, linear interpolation may be used. 1.22.8 From the Decay Chart supplied with the radiography source, determine the activity of the isotope. 1 Then opposite the activity of the isotope in the selected work load column above, read the g I distance in feet from the source to define the desired boundary (e.g. If the work load is 1 30 MIN /HR for an 80 curie Iridium 192 source, then the distance from the source to establish ,i f the Restricted Area is 344 feet.) l 1.22.9 If a collimator is used and the useful beam is t directed downward, then the activity may be i reduced by the attenuation of the collimator. 4 1 ) (e.g. If the collimator has three (3) half-value i layers for the isotope being used, then the 3 the 80 curie activity can be reduced by 2 or 1 source would be considered a 10 curie source l i j and the Restricted Area distance for a 30 MIN /HR work load would be 121 feet.) i i l - Page 39 - i L-
e x 7 .3i SAMSON INSPECTION & TECHNICAL t SERVICES, INC. SMH/RSM () P.O. BOX 80570 - STATION C Revision CANTON. OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.22.10 The first line labeled MR/HR gives the radiation level at the established boundary for each work load in the line below it. (e.g. For a 30 MIN /HR work load using an Iridium 192 source, a survey meter would read 4.0 MR/HR at the boundary to achieve the desired 2.0 MR/HR in I any one (1) hour required by the regulations.; 1.22.11 Cc
- ulations for boundries exceeding 2 MR/HR -
refer to Supplement Table 10. 1.22.12 ALWAYS perform a physical radiation survey with a radiation survey meter to determine if the estimates provided by the Tables are ade-quate. 1.23 Radiation Safety Related Incident Data Report: 1.23.1 If fcr some reason, you as a radiographer or assistant radiographer has a radiation incident, it shall be MANDATORY that you complete - within l 24 hours - the Radiation Safety Related Incident Data Report - Form No. SITS-10ll-RS and forward to the Company Radiation Safety Officer IMMEDIATELY! If the customer that you are working for has in their possession a FAX q Machine, FAX this report to: SAMSON INSPECTION & TECHNICAL SERVICES, INC. - FAX # ( 216) 4 7 8-56 71. - Pace 40 -
[N SAMSON INSPECTION & TECHNICAL f' SERVICES, INC. SnH/RSn g P.O. COX 80570 - STATION C Revision CAN ON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.23 Radiation Safety Related Incident Data Report: 1.23.1 Failure to comply with this requirement, shall be cause for termination of employment with SAMSON INSPECTION & TECHNICAL SERVICES, INC. 1.24 Source Disconnects and Retrievals: 1.24.1 In the event that a source becomes disconnected, for any reason, the area shall be restricted to a 2 MR/HR level and the Radiation Safety Officer must be immediately notified. O 1.,24.2 The Radiation Safety Officer will retrieve the source if within sound practices, and/or the Radiation Safety Officer will notify the equip-ment supplier for assistance, as he deems necessary. 1.24.3 DO NOT LEAVE THE AREA UNATTENDED until qualified radiation safety personnel are in attendance at the site. 1.24.4 It is the radiographers responsibility to complete the Incident Data Report (See Form No. SITS-10ll-RS) within 24 hours and forward to 1 the Company Radiation Safety Officer for his disposition. - Page 41 - w.
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s 43 SAMSON INSPECTION & TECHNICAL 7 f/ SERVICES, INC. SMH/RsM P.O. BOX 80570 - STATION C Revision ' O_ CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE : (continued) 1.25 SPECIAL OPERATING PROCEDURE FOR: 1.25.1 Tech / Ops Model 676 Exposure Device for 250 curies of Cobalt 60 1.25.2 Tech / Ops Model 920 Exposure Device for 200 curies of Iridium 192 1.25.3 Tech / Ops Mode] 616 Exposure Device for 200 curies of Iridium 192 1.25.4 USAGE: 1.25.4.1 Exposure devices listed above in paragraphs 1.25.1, 1.25.2 and 1.25.3 shall only be used in remote locations q where NO nonradiation workers are present. (e.g. Steel Mills, Foundries) 1.25.4.2 A minimum of two (2) qualified individ-uals (one (1) radiographer and one (1) assistant radiographer) shall be assigned to the use of these exposure devices. The radiographer shall determine his/her calculated exposure boundries from Tables 7 & 8 contained in Part II of the Operating and Emergency Procedures. When required, lead blankets will be used for extra ( ) shielding to accommodate required radiation boundry levels (2 MR/HR). - Page 42 -
x 4T SAMSON INSPECTION & TECHNICAL I' SERVICES, INC. SMH/RSM a< P.O. BOX 80570 - STATION C Revision T CANTON, OHIO 44708 January, 1988 PART II - OPERATING AND EMERGENCY PROCEDURES 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.25 SPECIAL OPERATING PROCEDURE FOR: (T/O 676, 920 and 616) 1.25.5 OPEN AIR EXPOSURES: 1.25.5.1 NO exposures are permitted using these exposure devices containing 200 curies plus in an open-air fashion. The source will be collimated by either an approved collimator as defined in paragraph 1.8 of Part II of this Manual and/or the work piece ggg and a minimum of a forty foot (40') crank-out control will be required for these exposure devices having activities of 200 curies plus. 1.25.6 CAUTION LIGHTS: 1.25.6.1 Portable red caution lights will be situated adjacent to the radiation signs constituting the 2 MR/HR boundry. 1.25.7 SPECIAL QUALIFICATIONS: 1.25.7.1 Only radiographers that have a mini-mum of two (2) years isotope radio-graphy experience will be permitted ggg to operate these above listed exposure devices. - Page 43 -
l .h ') SAMSON INSPECTION & TECHNICAL
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I/ SERVICES, INC. SMH/rsM O P.O. BOX 80570 - STATION C Revision U CANTON, OHIO 44708 January, 1988 l PART II - OPERATING AND EMERGENCY PROCEDURES l 1.0 RADIOGRAPHY OPERATING PROCEDURE: (continued) 1.25 SPECIAL OPERATING PROCEDURE FOR:(T/O 676, 920 and 616) 1.25.8 EMERGENCY PROCEDURES: 1.25.8.1 See paragraph 1.21 of Part II of this Manual captioned Emergency Procedures i that are applicable to this procedure. G l l l l 4 l - Page 44 l
x . ) '3 SAMSON INSPECTION & TECHNICAL ( F ! SERVICES, INC. Form No. SITS-1009-RS A P.O. BOX 80570 - STATION C W CANTON, OHIO 44708 "NOTICE" IN CASE OF ACCIDENT, WHEREIN THIS VEHICLE IS INVOLVED, EMERGENCY NOTIFICATION IS_ REQUIRED. PLEASE CALL COLLECT: O SAMSON INSPECTION & TECHNICAL SERVICES, INC. l "DAY" 216-478-2700.............. CANTON, OHIO 216-478-2022.............. CANTON, OHIO "NIGHT AND HOLIDAYS" 216-875-4881.............. LOUISVILLE, OHIO 216-478-2700.............. CANTON, OHIO 216-478-2022.............. CANTON, OHIO O - Page 45 - .I
s ( ,3'.. ), SAMSON INSPECTION & TECHNICAL snH/RsM Revision r SERVICES, INC. January, 1988 O P.O. BOX 80570 - STATION C Page 40 CANTON, OHIO 44708 EXAMPLE #1 USE 'IHIS SIGN IN ANY AREA WHICH HAS A RADIATION LEVEL OF 2 MR IN ANY ONE (1) HOUR. ? h_,fi&YN ,M 5:r w$ee,$: f7.i* 1 s;a.w!M w~ s. h g .&* -m$ a ?h. i -4 %f 7 bbh [ S$ hf Sk$, e. y ;., t p *gtm m. G ,m,/; "!:P h"k e e a:cfe . ~ ~m. sea a20.$TRR ($ w % e e w? ~d., . " Ww'.s,' g r*e-n n ?p %~.
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e G O I E-f IIIGil RADIATION AREA Number of feet from unshielded Cobalt 60 source for 100 MR in any one (1) hour as a function of total exposure time in ene (1) hour and activity of Cobalt. ( s.- \\ / 3... mA/hr. 100 107 120 1H Ign_ 171 200 lfO _ 169_ h00 M 1?" 6000 L p Mia/hr. 60 55 50 45 40 35 30 25 20 15 to 5 1 g i 12 11 11 10 to 9 8 8 7 6 5 3 2 5 27 26 24 23 22 20 19 17 15 13 11 8 3 O 10 38 36 35 33 31 29 27 24 22 19 15 11 5 Z IS 46 44 42 40 38 35 33 30 27 23 19 13 6 3 ~ - 20 54 51 49 46 44 41 38 35 31 27 22 15 7 9N g y25 60 57 55 51 49 46 42 39 35 30 24 17 8 > (D @ b zom U < [T1 30 66 63 60 57 54 50 46 42 38 33 27 19 8 1 O 35 71 68 65 61 58 54 50 46 41 35 29 20 9 tp zo-Q ~ 40 76 73 69 66 62 58 54 49 44 38 31 22 to { f U' O q l 5N-1 U 45 80 77 73 70 66 61 57 52 46 40 33 23 to e g * (f) Q g50 85 81 77 73 69 65 60 53 49 42 35 24 11 m ,y-w>g g 55 89 85 81 77 7' 68 63 57 51 44 36 26 11 yd2@ O Og 60 93 89 85 80 76 71 66 60 54 46 38 27 12 o) d 65 97 93 88 84 79 74 68 62 56 48 39 28 12 70 100 96 92 87 M2 77 71 65 58 50 41 29 13 O ITI O 75 104 99 95 90 85 79 73 67 60 52 42 30 13 y j 80 10) 103 98 93 88 82 76 69 62 54 44 31 14 st) 111 106 101 96 50 P4 78 71 64 55 45 32 14 O 90 I l f. 109 104 99 93 87 80 73 66 57 46 33 15 95 117 112 107 101 9% 89 83 75 63 58 48 34 15 l 100 120 115 110 104 93 '* ? 85 77 69 60 49 35 15 I l 105 123 118 112 106 100 94 87 79 71 61 50 35 16 'O C-4 *U M g$0h U 110 126 12? IIS 109 103 90 89 82 73 63 51 36 16 4 115 129 123 117 lit t05 98 91 63 74 64 53 37 17 o c p. N O Un,0 120 131 126 120 114 107 100 93 85 76 66 54 38 17 A M P-M co N O 3: - :3 l H I cO ( c0 1 m l l t
7 ...4) SAMSON INSPECTION & TECHNICAL F-SERVICES, INC. sungass ~ Wision _ P.O. BOX 80570 - STATION C M88 fana CANTON, OHIO 44708 + l TABLE #7 DISTANK o j IN q FEET DISTANCE IN FEET FROM AN UNSHIELDED 1 1 IR-192 SOURCE UP TO 250 CURIES 4 '"' NO. OF CURIES 1. at 2 MR Boundary Level 100 Mr/hr as. 2. at 5 MR Boundary Level p 3. at 100 MR Boundary Level ] Exple: C l 1 Approx 90ftj T*** l 1, l T '** i. N '~ l. h N ',' ~.,. i f !5 Mr/hr ~ ~ s ,c. s \\ ~~~ ~ 'N. Exple: 8 j 'N i Approx. 420 ft. I t '2 Mr/hr 1 \\ 'N. T see x i s. h se N se ~ N 6 7 x T.. Exple: A N 1 s Approx. 645 ft. s' USE: To determine the MR ratings for the 2.5 MR and 10 MR se distances, use a straight edge aligned with the number s of curies projected across the MR level desired, allowing the straight edge to produce a straight line to the distance in teet column. See Examples: A, B, and C above for a 150 curie source. -- e. o
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SAMSON INSPECTION & TECHNICAL DISTANCE SERVICES, INC. IN a.. NO. OF CORIES P.O. BOX 80570 STATION C FEET CANTON, OHIO 44708 (~') Exple: A ~~ ' ~ ' ~ TABLE #8 Approx. 150 ft. 100 Mr/hr ,so ~ - w. - \\\\ a.,. ~ \\ \\ g N N \\ ico N \\ \\ SMH/RSM -s. N N Revision - January, 1988 s s \\ N Page 50 \\ N \\ ~~ ~~ 5 Mr/hr so s \\ N. .N Exple: B Approx: 650 ft. 2 Mr/hr x \\ \\ ao \\ \\ N \\ N (j, \\ N N \\ \\ xple: A E Approx: 1,040 ft. O ~~ \\ - s.. N N
SUBJECT:
Distance in feet f rom an unshielded \\ Cobalt 60 source up to 200 curies. 1. at 2 MR boundary level 2. at 5 MR boundary level ~ 3. at 100 MR boundary level \\ \\ ~~ USE: To determine the MR ratings for the 2, 5, and 100 MR distances, use a straight edge aligned with the nur.ber of curies projected across the MR level desired, allowing the straight edge to produce a straight line to the distance in feet columns. -- os.. See e.g. A, B, and C above for 150 curie source. kO
s . (') SAMSON INSPECTION & TECHNICAL f' SERVICES, INC. sun /nsa h; P.O. BOX 80570 - STATION C Revision CANTON, OHIO 44708 January, 1988 i Page 51 TABLE *9 UNRESTRICTED, RADIATION AND HIGH RAJIATION AREAS 250 KV 5M __ _A X-RAY UNIT NUMBER OF FEET TO SPECIFIED BOUNDARY AS A FUNCTION OF TOTAL EXPOSURE TIME IN ONE HOUR. WORK LOAD UNRESTRICTED RADIATION-HIGH RADIATION MINUTES / HOUR DIRECT SCATTER DIRECT SCATI'ER DIRECT SCATTER 1 224 8 141 5 32 1 5 500 16 316 10 71 3 10 707 23 447 15 100 4 15 866 28 548 18 122 4 20 1,000 32 632 20 141 5 25 1,118 36 707 23 158 5 30 1,224 39 775 25 173 6 35 1,323 42 837 27 187 6 40 1,414 45 894 29 200 7 45 1,500 48 949 30 212 7 50 1,581 50 1,000 32 224 8 55 1,658 53 1,049 34 235 8 l 60 1,732 55 1,095 35 245 8 NOTE: FOR EVERY 0,25 INCH OF STEEL IN THE DIRECT BEAM THE DISTANCE TO THE SPECIFIED BOUNDARY IN THE DIRECT BEAM MAY BE CALCULATED BY REDUCING THE WORK LOAD BY ONE-HALF,
"SUPPLEMEt h TABLE-O l TABLE #10 CALCULATIONS FOR BOUNDARIES EXCEEDING 2 MR/HR 4 RADIOGRAPHER CAMERA 3/N LOCATION DATE i (A) (B) (C) (D) (E) l EXPOSURE EXPOSURE EXPOSURE EXPOSURE TIME FACMR TO FIND PERMISSIBLE 1 TIME TIME TIME W TAL IN 60 ISODOSE INTENSITY-ACTUAL SURVEY PER PER PER MINUTES 60 MIN. MR/IIR (E x METER READING EXPOSURE 0 EXPOSURES EXPOSURI ggg g g (A+B+C= TOTAL) D 2 MR/IIR = I) l i j i e 1 4 1 1 1 NOTE: When performing radiography under conditions that require exposure of short duration the following table may be I used to determine the radiation level at the perimeter boundary where ropirig and/or posting would be set up (instead of the 2 MR/IIR line). ] EXPOSURE TIME RADIATION LEVEL EXPOSURE TIME RADIATION LEVEL IN A?W IIOUR AT BOUNDARY [$[$ IN AtN IIOUR AT BOUNDARY f 60 Minutes 2 MR/IIR j y h,( 5 Minutes 24 MR/IIR 30 Minutes 4 MR/IIR D V8 *U 2 Minutes 60 MR/IIR ] 20 Minutes 6 MR/flR h h$ 1 Minute 120 MR/liR a I - :5 H l j WO cn 00
.. g) SAMSON INSPECTION & TECHNICAL ( F! SERVICES, INC. O, P.O. BOX 80570 - STATION C CANTON, OHIO 44708 1 ) i l 9 "TABLE OF FORMS" I f I l l i e-n , -. _ - -...,. _, ~.,.. -,, _.,., - _
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( ... )j SAMSON INSPECTION & TECHNICAL r/ SERVICES, INC. P.O. BOX 80570 - STATION C Form No. SITS-1001-RS CANTON. OHIO 44708 RAD 10GRAPHER'S PERIODIC REFRESHER TRAINING As required by CFR Part 34, paragraph 34.11, sub-paragraph (b) (2) and in SAMSON INSPECTION & TECHNICAL SERVICES, INC.'s N.R.C. license: I. RADIOGRAPHERS NAME S.S. NO. II. Date of original radiographer's certification by SITS III. SUBJECT (S) REVIEWED TYPE REVIEW: ORAL WRITTEN DDIO l 1. Review and critique of internal radiographer's experience. 2. Discussing of available radiographer's experience (previous and current). 3. Review and discuss personnel doses and reduction. 4 New procedures and regulations. 5. Review critical Operating and Emergency Procedures. 6. Review at least one (1) E undamental radiation topic. 7. Review radiographer's Performance Review. IV. Time allotted to subjects: 1. 2, 3. 4. 5._, 6. 7. (Hours) V. Radiation Safety Officer's review and comments: I VI. STATDENT OF UNDERSTANDING: 1, do hercielth exptess undetstanding and the pttpase of subjccts coststined in 111, Ltems 1 thtu 7. Signature of Radiographer VII. CERTIFICATION: I certify thLt.the foregoing revicie atts conducted by me. An intervicie tats f enterstined telth the radic9 raphe,t to fu.tthet Itis understanding of SA'.LSCH THSPECTION & TECHNICAL SERVICES, INC. 's Radhttion Saf eta Ptogram. Next Review Required: Radiation Safety Officer Date
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- ..4j SAMSON INSPECTION & TECHNICAL ie SERVICES, INC.
O_ P.O. BOX 80570 - STATION C Foru No. SITS-1002-RS CANTON, OHIO 4470d (Page #1) FIELD RADIOGRAPHY - INTERNAL INSPECTION AUDIT RADIOGRAPHIC LOCATION DATE TIME RADIOGRAPHER R.S.O. RADIOISOTOPE CURIES SERIAL NO. PROJECTOR SERIAL NO. PROJECTOR MODEL NO. SURVEY METER MODEL NO. SERIAL NO. CALIBRATION DUE DATE 1. Was the radiographer wearing a film badge and dosimeter? YES ( ) NO ( ) 2. Were other individuals working within the restricted area wearing film badges and dosimeters? YES ( ) NO ( ) 3. Was the Restricted Area properly controlled to prevent unautherized entry? YES ( ) NO ( ) 4. Was the Restricted Area posted with "CAUTION (or Danger) RADIATION AREA" signs? YES ( ) NO ( ) 5. Was the High Radiation Area posted with "CAUTION (or Danger) HIGH RADIATION AREA" sign'? YES ( ) NO ( ) 6. Did the radiographer have a calibrated and properly operating radiation survey meter? YES ( ) NO ( ) 7. Was the Utilization Log properly filled out? YES ( ) NO ( ) 8. Did the radiographer have sufficient knowledge of Safety Rules? Ascertained by oral questions. YES ( ) NO ( ) 9. Was the radiographer working with defective equipment? YES ( ) NO ( ) 10. Did the radiographer properly survey the source projector and source tube and take a radiation reading one (1) foot (0.3 m) in front of the source follow-ing the radiographic exposure? YES ( ) NO ( )
- 11. Were radioactive isotopes stored properly and kept locked to prevent unauthorized removal? YES ( )
NO ( )
- 12. Was the storage area posted with "CAUTION (or Danger) RADI0 ACTIVE MATERIAL" signs? YES ( )
NO ( ) e (continued on page #2)
T 7 ...4, SAMSON INSPECTION & TECHNICAL I' SERVICES, INC. Fom No. m S-1002-RS m. P.O. BOX 80570 - STATION C CANTON, OHIO 44708 ( "E" " } FIELD RADIOGRAPHY - INTdRNAL INSPECTION AUDIT 13. Did the radiographer Possess a copy of the Operating and Emergency Procedures and, as applicable, State or NRC Rules and Regulations for protection against radiation? YES ( ) NO ( ) 14 Were there any items of noncompliance other than those listed on this form? (If any, explain in remarks:) REMARKS: O W9 WA 6 I som l l g
e x . } '3 SAMSON INSPECTION & TECHNICAL I! SERVICES, INC. O_ P.O. BOX 80570 - STATION C Form No. SITS-1003-RS CANTON, OHIO 44708 RADIOACTIVE LEAK TEST PROCEDURE QUALIFICATIONS l l THIS IS TO CERTITY THAT: NAME: POSITION: S.S. NO. WAS GIVEN A DEMONSTRATION TO PERFORM A LEAK TEST USING: 1 ( ) HP-C2 LEAK TEST KIT, Health Physics Associates ( ) T/O 518 LEAK TEST KIT, Technical Operations ( ) KOWIPE LEAK TEST KIT, Gamma Industries j ( ) MARK V LEAK TEST KIT, Applied Health Physics, Inc. ( ) (other) THIS TEST IS TO BE PERFORMED USING THE INSTRUCTIONS SUPPLIED BY THE MANUFACTURER WITH THE LEAK TEST KIT AND SHALL COMPLY WITH THE PROVISIONS OF SAMSON INSPECTION & TECHNICAL SERVICES, INC.'S RADIOACTIVE MATERIAL LICENSE. THE ABOVE TEST HAS BEEN DEMONSTRATED TO THE SATISFACTION OF THE RADIATION SAFETY OFFICER. WITNESSED BY: Radiation Safety Officer DATE: COPY OF CERTIFICATION TO THE EMPLOYEES RADIATION SAFETY QUALIFICATION FILE. I I
l j SAMSON INSPECTION & TECHNICAL I SERVICES' INC ~ P.O. 90X 80570 - STATION C CANTON, OHIO 44708 RADIOACTIVE SOURCE CHANGE QUALIFICATION THIS IS TO CERTIFY THAT: NAME POSITION: S.S. NO. WAS GIVEN A DEMONSTRATION OF SOURCE CHANGES USING THE FOLLOWING AUTHORIZED SOURCE CHANGERS: ( ) T/O 414, CAPACITY 100 CURIES OF IRIDIUM 192 ( ) T/O 650, CAPACITY 100 CURIES OF IRIDIUM 192 ( ) T/O 850, CAPACITY 200 CURIES OF IRIDIUM 192 ( ) T/O 488, CAPACITY 50 CURIES OF COBALT 60 ( ) T/O 770, CAPACITY 250 CURIES OF COBALT 60 ( ) T/O 771, CAPACITY 250 CURIES OF COBALT 60 ( ) G/I C10, CAPACITY 100 CURIES OF IRIDIUM 192 ggl ( ) G/I C-8, CAPACITY 200 CURIES OF COBALT 60 Other THE ABOVE RADIOGRAPHER HAS DEMONSTRATED COMPETENCE IN CHANGING OF SOURCE (S) USING THE MANUFACTURERS SOURCE CHANGE PROCEDURE (S) NUMBER THIS CHANGE WAS DEMONSTRATED AND SUPERVISED BY THE COMPANY'S RADI ATION SAFETY OFFICER AND/OR MANUFACTURER' S QUALIFIED REP RES ENTATIVE. WITNESSED BY: Radiation Safety Officer DATE: COPY OF CERTIFICATION TO THE EMPLOYEES RADI ATION S AFETY QUALIFICATION FILE.
i SAMSON INSPECTION & TECHNICg J~1 SERVICES, INC. ,, DOSIMETER RADIATION RECORD" Period: to P.O. BOX 80570 - STATION C CANTON. OhlO 44708 Form No. SITS-1005-RS TOTAL ALL MR W1E: SOCIAL SECURITY No. TOTAL MR X-RAY MONTil: YEAR: JOB LOCATION:-Reading should be recorded to the "!!IGil" (5) side of the TOTAL MR GAMMA Reading must be taken and recorded at the end of each work day. scale indicator. Readings I through 4 mr will be recorded as 5 mr. DOSIMETERS MUST BE RECllARGED AT Tile BEGINNING OF EACH DAY /SIIIFT PRIOR TO WORK. Ploce N/A or draw a line in blanks when work was not performed 7 MOUNT OF RADIATION RECEIVED & you were not around(a source o) radiation. DOSIMETER S/N X-RAY GAMMA-RAY FILM BADGE NO. VERIFIED BY NAME SIGNATURE DATE: MP. MR 1 MR MR 2 MR MR 3 MR MR 4 MR MR S MR MR 6 MR MR 7 MR MR 3 MR MR 9 MR MR 10 MR MR 11 MR MR 12 MR MR 13 MR MR 14 MR MR 15 MR MR 16 MR MR 17 MR MR 18 MR MR 19 20 MR MR I1R MR 21 MR MR 22 MR MR 23 MR MR 24 MR MR 25 MR MR 26 MR MR 27 MR MR 28 MR MR 29 MR MR 30 MR MR 31
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SERVICES, INC. P.O. BOX 80570 - STATION C Form No. SITS-1006-RS O-CANTON, OHIO 44708 FILM BADGE TRANSMITTAL / RECEIPT FORM ATTACHED HEREWITH IS YOUR PERSONAL DOSIMETRY REPORT FOR: THE MONTH BEGINNING THE 1ST DAY OF TO AND INCLUDING THE 31ST DAY OF ATTACHED IS YOUR MONTHLY FILM BADGE NO. COINCIDING WITH THE ABOVE DATE. PLEASE ACKNOWLEDGE RECEIPT OF THIS TRANSMITTAL BY YOUR 9 SIGNATURE AND DATE OF RECEIPT. RETURN YOUR PREVIOUS DOSIMETER REPORT AND FILM BADGE ATTACHED TO THIS FORM WITHIN 1 DAYS AFTER YOU ARE IN RECEIPT OF THIS FORM. RECEIVED BY: I Signature l DATE RECEIVED DATE RETURNED CO!L'4ENTS : e P
T... SAMSON INSPECTION kCHNICAL "CHECK-0UT RECOR SERVICES INC N LOG P.O. BOX 80570 - STATION C CANTON, OHIO 44708 Form No. SITS-1007-RS 1his Check-Out Utilizat ion Log will be maintained for scaled sources and their exposure devices, x-ray machines, and survey meter calibration devices removed from the permanent storage facility at SAMSON INSPECTION & TECilNICAL SERVICES, INC., Canton, Ohio. This Log will remain at the storage vault and the following information must be maintained by the Radiation Safety Officer, or his designee. DAY, MONTil X-RAY TUBE (DESTINATION) QUARTERLY AND YEAR OR SOURCE (RAD 10CRAPilER) JOB / SITE LEAK TEST INSPECTION DATE REMOVED & CAMERA NO. REMOVED BY LOCATION CURIES DUE DATE DUE DATE RERIRNED RETURNED BY This Utilization Log must be kept up-to-date and available for reveiw by the Company R.S.O. "AT ALL TIMES".
[ S:msan Insp cti~:n & T:chnic:1 S:rvic s,Inc. I P o 80,80s70. Stai,on C. Canion, onto 4470e RADIOGRAPHIC OPERATIONS REPORT ~ l 4 w PART A: WARNING: Intential Fadure to Record information Accurately on this Form may Result in a Fine and/or Disciplinary Action Location of Source City State Date Custe mer Location Pari 8:"Source of Radiation" ' Pr0;ector' -Survey Instrument" It Co X.e a y Model No Serial No. Mooel No. Mool Serial No. In Storage Serial No. Actmty c w r,es Storage Dates Cal Due (1 a Manimumi Back.up S/N Part C: Transport to: Truck / Vehicle No. (Complete Applicable Column) 1.) Placing Projector in senicle. 21 Pro;ector rema ning in vehicle 3.) Not transported (v ) - mr/hr surface traasport contamer from previous transport Transport inden 10.1 10.0) Transport inden Labit Class I ll Ni Label. Class t II. 3H NRC Package Approval No. Aneched (Column 1 or 2) Venicie Placa'ded Yes No mr/hr @ Itt. from vehscle surface rnr/hr @ Driver "Resul'idiNhysicaiSO vey ~ Part D: Radiographic Operations: t Daily Equipment inspection Check List ' If physreal sketch is required, @ mr use reverse side. ft. (v):K (NA) Not Applicable (*) See Remarks A. Survey Projector for Excessive Radiation Levels B. Projector inspected for damage to fittings, locks, and l&bels mr mr C. Control Cable and Fittings checked for cuts, breaks, or looseness l D. Crank inspected for looseness 2 3 E. Control checked for freedom of cable movement 4 F. Guide tube inspected for cuts. crusning. and brokern or loose fittings G. Collimator (rf used) enecked for secure attachment H. Pipe positioner (if used) Checked for damage and secure attachment mr. Mantenance irspection performed or wrtnessed by Radiographer signed be!ow (Part G ) ft. Pers;nnelinformed for Needed Repairs; S'gns Rope Constant Surveillance Part E: Securing Radiographic Operations: l Banner Guard Record of Physical Survey made to determine source is in shielded postton when 99gg g securing exposure device (10CFR PART 34 43) mr/hr @ surface of exposure device or at 6"from device as reQuered by 10CFF PART 34 21 Total Exposure Time hr mm. Survey Performed or witnessed by Radiographer signed below (Part G.) Part F: Transport From/ Return: Truck / Vehicle No. ( ) f same as Part C (Compete the applicat:?e column) Destination: City State Location 1.) Returning Projector to vehicle 2) Prc;ector not removed 31 Not Transported ( or ) mr/hr surf ace transport container from vehoe ( ) Transport Index (0.1 10 0) Lcbef. Class I il lil NRC Package Approval No. Att6ched (Column 1 or 2) VEHICLE PLACARDED Yes No mr/hr @ from vehicle surface mr/hr @ Drrver Part O The below signed indiv4 cal (s) herein verify that the above listed information (Part A through Part F)is accurate and has been completed in accor. (3 dance witn L. ,,. 5spection & Technical Services. Inc. License Procedures and State and Federal Regulations. In addition.the above named materiais have been properly classified. described. pack aged. mark ed. and iabeled. and are in proper condi. tion for transport according to the applicable regulations of the Department of Transportat.on. Radiographer. Radiographer's Assistant Remark s: Form. SIT S.10CS.R S WHITE.Home ottoce YELLOW.Home othee PIWSource Log Sock
l \\ ( ] SAMSON INSPECTION & TECHNICAL SERVICES' INC O\\ ' ~ P.O. BOX 80570 STATION C ~ CANTON, OHIO 44708 "NOTICE" IN CASE OF ACCIDENT, WHEREIN THIS VEHICLE IS INVOLVED, EMERGENCY NOTIFICATION IS REQUIRED. PLEASE CALL COLLECT: SAMSON INSPECTION f. TECHNICAL SERVICES, INC. "DAY" 216-478-2700.............. CANTON, OHIO 216-478-2022.............. CANTON, OHIO "NIGHT AND HOLIDAYS" 216-875-4881.............. LOUISVILLE, OHIO 216-478-2700.............. CANTON, OHIO 216-478-2022.............. CANTON, OHIO
[gN.yg SAMSON INSPECTION & TECHNICAL / ~ ~ P. . B X 80 7 ST ON C CANTON, OHIO 44708 DEPARTMENT OF TRANSPORTATION D.O.T. SHIPPING CERTIFICATE White - Home Offico Yellow - Source Log Book Pink - Attach to Source Container 1. N.R.C. PACKAGE APPROVAL NO. 2. DRIVER 3. TRUCK / VEHICLE NUMBER 4. ( ) MOBILE LAB ( ) PRIVATE VEHICLE ( ) COMPANY CAR 5. RADIOACTIVE MATERIAL PACKAGES LABEL CRITERIA - DOSE RATE LIMITS: LABEL AT ANY POINT ON AT ONE METER FROM ACCESSIBLE SURFACE EXTERNAL SURFACE OF OF PACKAGE PACKAGE ( Transport Inde:. RADIOACTIVE-MIITE I 0.5 MR/HR 0 PADIOACTIVE-YELLOW II 50 MR/HR 1.0 MP/HR RADIOACTIVE-YELLOW III* 200 MR/HR 10 MR/HR
- Requires Vehicle Placarding.
Refer to Part 172.519 and 172.550 of 49 CFR v for current requirements. 6. a. RADIATION SURVEY READING AT SURFACE OF TRANSPORT CONTAINER MR b. TRANSPORT INDEX (0.1 to 10.0) MR c. LABEL: CLASS I ( ) CLASS II ( ) CLASS III ( ) 7. MR LEVEL AT DRIVER POSITION MR 8. MR LEVEL AT PASSENGER POSITION MR 9. TYPE OF RADIOACTIVE MATERIAL: Iridium 192 ( ); Cobalt 60 ( ) Other ( ) Type: 10. NO. OF CURIES TYPE PROJECTOR / SOURCE CHANGER: l Note A: The radioactive material and vehicle covered in this certificate is considered "SOLE USE" for SAMSON INSPECTION & TECHNICAL SERVICES, INC., Canton, Ohio. Note B: It is the responsibility of the Radiographer to complete this form for each shipment of radioactive naterial I used in "SOLE USE" vehicles for SAMSON INSPECTION & TECHNICAL SERVICES, INC., Canton, Ohio. 8 Signature of Radiographer Date 1
i () SAMSON INSPECTION & TECHNICAL I SERVICES, INC. t l O-e.o. 80x eos7o - s'^o" c rorm "o S rs-1ot1-8$ CANTON, OHIO 44708 "RADIATION SAFETY RELATED INCIDENT DATA REPORT" THIS REPORT IS TO BE COMPLETED WITHIN 24 HOURS IN THE EVENT THAT: a. YOUR DOSIMETER IS DISCHARGED BEYOND 200 MR DUE TO UNKNOWN CIRCUMSTANCES IN WHICH THE POSSIBILITY OF AN EXCESSIVE EXPOSURE TO RADIATION EXISTS. b. YOUR FILM BADGE BECOMES WET, MUTILATED, OR LOST. c. YOU HAVE REASON TO BELIEVE IEAT YOUR FILM BADGE MAY INDICATE AN EXCESSIVE EXPOSURE THAT YOU MAY NOT HAVE RECEIVED. d. OTHER: (Explain in detail on the reverse side of this form) FORWARD THIS REPORT TO YOUR R.S.O. IMMEDIATELY AFTER COMPLETION: SECTION 1: (Complete All Items) NA'4E (print) _ Signature g WORK LOCATION DID YOU STOP RADIOGRAPHIC OPERATIONS IMMEDIATELY? YES ( ) NO ( ) DID YOU NOTIFY YOUR RADIATION SAFETY OFFICER (RSO)?YES ( ) NO ( ) WHEN? DATE TIME M. WHICH OF THE ITEMS OCCURRED? A. Completa 'ac tion #2 C._ Complete Sec tion #3 B. Complete Section #4 D. _ Use Reverse Side SECTION 2: (T0 BE COMPLETED IN THE EVENT THAT "A" ABOVE OCCURRED) l. When were you aware that your dosimeter went off scale? DATE TIME M. 2. Did a possible over exposure occur? YES ( ) NO ( ) At what distance where l you from the source? Feet For what length of time? Minutes / Hours l 3. Projector device used: Make/Model Serial No. 4. Source Type: IR-192 ( ) Co-60 ( ) Source S/N No. Curies 5. Survey Meter: Model Serial No. Date Calibrated 6. Explain in detail exactly everything that occurred. (Use reverse side of f orm) SECTION 3: (TO BE COMPLETED IN THE EVENT THAT "B" ABOVE OCCURRED) 1. Explain in detail how your film badge became wet, lost, etc. (Use reverse side) SECTION 4: (TO BE COMPLETED IN THE EVENT THAT "C" AB0VE OCCURRED) 1. Where was your film badge located when you believe it was exposed to radiation? t 2. How much radiation do you calculate your film badge received? MR Unknown 3. Where you wearing your film badge? YES ( ) NO ( ), If NO, explain: 4 Explain exactly everything that occurred. (Use reverse side of form) i SECTION 5: (TO BE COMPLETED IN THE EVENT THAT "D" ABOVE OCCURRED) 1. Explain in detail exactly everything that occurred. (Use reverse side of form) i l
..$1 SAMSON INSPECTION & TECHNICAL SERVICES' INC 0 * " ~ ~ O P.O. BOX 80570 STATION C "9" CANTON, OHIO 44708 RADIOGRAPHIC EOUIPMENT AND MAINTENANCE RECORD OUARTERLY INSPECTION CHECKLIST Models 660, 676, 680, 920, Century SA and Gar: natron 100A SOURCE J ERI Ai, NUMBER LOCATION PROJECTUR MFG, MODEL SERIAL NO. SIGNATURE DATE 1. TNSPECT THE SOURCE CONNECTOR. The connector should not show any excessive signs of waar and should be straight. Check flexible cable at connector for straightness. SATISFACTORY ( ) UNSATISFACTORY ( ) l l 2. REPAIR - DO NOTHING TO THE SOURCE. If the source connector or flexible cable appears worn or faulty in any way, contact the manuiacturer. SATIS 1'ACTORY ( ) UNSATISFACTORY ( ) [ 3. INSPECT THE LOCK FOR EASE OF OPERATION. Foreign matter may foul the plunger and make it inoperative. SATISFACTORY ( ) UNSATISFACTORY ( ) 4. INSPECf THE SOURCE OUTLET PORT BY FIRST REMOVING THE SAFETY PLUG. The outlet port should be round and smooth so that it will match the I.D. of the source tube. SATISFACTORY ( ) UNSATISFACTORY ( ) 5. INSPECT THE SOURCE TUBES FOR CRIMPS, FOREIGN MATTER, EASE OF CONNECTING AND DISCONNECTING FROM EXPOSURE SOURCE. SATISFACTORY ( ) UNSATISFACTORY ( ) 6. P:tEVENTI'JC MAINTENANCE. Plush source tubes out with a solvent and blow through with compressed air, SATISFACTORY ( ) UNSATISFACTORY ( ) g (Continued on Page 2) l nun - -- l \\
Y s .. gi SAMSON INSPECTION & TECHNICAL I SERVICES, INC. SITS-1012-Rh P.O. BOX 80570 STATION C Form No. CANTON, OHIO 44708 Page 2 QUARTERLY INSPECTION CHECKLIST: (continued) 7. INSPECT THE CONTROL CONDUIT AND INNER CORE FOR WEAR, RUSTY SEC-TIONS, KINKS, ETC. SATISFACTORY ( ) UNSATISFACTORY ( ) 8. PREVENTIVE MAINTENANCE. Remove the inner core from the control conduit and clean by brushing with a solvent such as varsol, diesel fuel or some other solvent that will not dry out. This is done to remove foreign matter that will cause abrasions in the exposure device and hear box drive mechanism. Rusty inner core should be replaced. After the inner core is thoroughly clean, oil with a light oil such as 3-in-l. It is recommended that graphite NOT BE USED because it tends to build up, causing excessive wear and difficulty in movement. SATISFACTORY ( ) UNSATISFACTORY ( ) 9. INSPECT THE CONTROL IsSSEMBLY WHICH CONSISTS OF THE GEAR BOX ASSEMBLY AND THE CRANK HANDLE. The bushings in the gear housing g> and the plate are the most likely places to find wear. When the bushings are worn, they permit the gear to wobble and wear out quickly. SATISFACTORY ( ) UNSATISFACTORY ( ) i 10. PREVENTIVE MAINTENANCE. Apply a light oil on the bushings. SATISFACTORY ( ) UNSATISFACTORY ( ) 11. INSPECT TO ASSURE RADIATION WARNING AND SOURCE IDENTIFICATION LABEL IS AFFIXED AND LEGIBLE. SATISFACTORY ( ) UNSATISFACTORY ( ) f 12. REPLACE IF NECESSARY. SATISFACTORY ( ) UNSATISFACTORY ( ) 13. INSPECT EASE OF OPERATION OF DEVICE. SATISFACTORY ( ) UNSATISFACTORY ( ) 14. REPAIR. As necessary, determined by cause. SATISFACTORY ( ) UNSATISFACTORY ( ) O' L--.-
g1 SAMSON INSPECTION & TECHNICAL I SERVICES, INC. O P.O. BOX 80570 STATION C Form No. SITS-1013-RS CANTON, OHIO 44708 RADIOGRAPHIC EQUIPMENT AND MAINTENANCE RECORD QUARTERLY INSPECTION CHECKLIST Model 616 Exposure Device SOURCE SERIAL NI;MBER LOCATION PROJECTOR MFG. MODEL SERIAL NO. SIGNATURE DATE 1. INSPECT CONTROL TUBING FOR CUTS OR BREAKS. Repair - Replace as necessary. SATISFACTORY ( ) UNSATISFACTORY ( ) 2. INSPECT CONTROL FOR LOOSE OR MISSING HARDh'ARE. Repair - Replace as necessary. SATISFACTORY ( ) UNSATISFACTORY ( ) 3. INSPECT PROJECTOR FOR VISIBLE DAMAGE OR LOOSE HARDh'ARE. Repair - Tighten - Replace as necessary. SATISFACTORY ( ) UNSATISFACTORY ( ) 4. INSPECT LOCK FOR EASE OF OPERATION. Repair - wash in solvent. Recommend h'D-4 0 Cleaner Lubricant. SATISFACTORY ( ) UNSATISFACTORY ( ) 5. INSPECT TO ASSURE ALL RADIATION WARNING AND SOURCE IDENTIFICATION LABELS ARE AFFIXED AND LEGIBLE. Repair - Replace as necessary. SATISFACTORY ( ) UNSATISFACTORY ( ) 6. INSPECT EASE OF OPERATION OF DEVICE. Repair as necessary, as determined by cause. SATISFACTORY ( UNSATISFACTORY ( ) ( l
,e ,.43 SAMSON INSPECTION & TECHNICAL f' SERVICES, INC. O_ P.O. BOX 80570 - STATION C Form No. SITS-1014-RS CANTON OHIO 44708 RADIOACTIVE SOURCE RECORD FACILITY LOCATION: DATE SERIAL NO. ACTIVITY _ ISOTOPE "RECEIPT DATA" DATE RECEIPT TIME MODEL & S/N CONTAINER RADIATION SURVEY TIME CONTACT MR/HR IM MR/HR SIGNATURE: "STORAGE AREA" DATE MODEL & S/N OF DEVICE OR CONTAINER RADIATION SURVEY CONTACT MR/HR; 6 INCH MR/HR; 1M MR/HR i l DATE MODEL & S/N OF DEVICE OR CONTAINER RADIATION SURVEY CONTACT MR/HR: 6 INCH MR/HR; 1M MR/HR DATE MODEL & S/N OF DEVICE OR CONTAINER RADIATION SURVEY CONTACT MR/HR; 6 INCH MR/HR; 1M MR/HR "LEAK TEST RESULTS" DATE RESULTS MICROCURIES BY DATE RESULTS MICROCURIES BY DATE RESULTS MICROCURIES BY "TRANSFER / DISPOSAL DATA" I SHIPMENT DATE TO CARRIER RADIATION SURVEY TIME CONTACT MR/HR; 1M MR/HR TYPE SHIPPING LABEL AFFIXED: (I) (II) (III) TRANSPORT INDEX PLACARDING REQUIRED? YES ( ) NO ( ) SHIPPING PAPERS INCLUDED? ( Signature Date (Source return receipt from vendor)
i , ~~ ... ); SAMSON INSPECTION & TECHNICAL F-SERVICES, INC. O, P.O. BOX 80570 STATION C Form No. SITS-1015-RS CANTON, OHIO 44708 "RADIOACTIVE MATERIAL. RECEIVING REPORT" RECEIVING DATE TIME RECEIVED M. LOCATION (Project Location) MATERIAL RECEIVED FROM CARRIER RADIOACTIVE MATERIAL TYPE: IR-192 ( ); CO-60 ( ); OTHER l SOURCE SERIAL NUMBER ACTIVITY CURIES REMARXS: CONTAINER TYPE: SOURCE CHANGER ( ) MODEL NO. SERIAL NO. EXPOSURE DEVICE ( ) MODEL NO. SERIAL NO. I I PHYSICAL RADIATION SURVEY OF CONTAINER
- i 1.
RADIATION LEVEL AT EXTERNAL SURFACE: MR/HR 2. RADIATION LEVEL AT THREE (3) FEET FROM EXTERNAL SURFACE: MR/HR 3. RADIOACTIVE YELLOW LABEL TRANSPORT INDEX IS SOURCE ACCOMPANIED BY: Decay Curve: YES ( ) NO ( ) EVIDENCE OF LEAK TEST: YES ( ) NO ( ) IF SOURCE IS RECEIVED IN SOURCE CHANGER, WHAT DEVICE IS SOURCE TO BE INSTALLED IN? 1. EXPOSURE DEVICE: MODEL NO. SERIAL NO. l
- Notes:
1. The container shall be surveyed within three (3) hours ) after receipt during regular working hours, or within eighteen (18) hours if received after regular working hours. l 2. Radiation levels should not exceed the following: a. 200 MR at the surface of the container. 1 b. 10 MR at three (3) feet from the surface of the container. c. Immediately notify the Radiation Safety Officer if the I radiation level exceeds the levels specified in note 2(a) or 2 (b). Signed: Date: Radiation Safety Officer or Radiographer
); SAMSON INSPECTION & TECHNICAL f-SERVICES, INC. O P.O. BOX 80570 STATION C Form No. SITS-1016-RS CANTON, OHIO 44708 "MANUAL RECEIPT FORM" ISSUED TO: EMPLOYEE NUMBER: DATE: TYPE OF MANUAL: This statement is to acknowledge that I have received a copy of SAMSON INSPECTION & TECHNICAL SERVICES, INC.'s - manual, which becomes { the conditions of my employment with the Company. I understand that it is my responsibilty to familiarize myself with the manual contents and accordingly abide by the Company rules established therein. Upon termination from SAMSON INSPECTION & TECHNICAL SERVICES, INC., this manual shall be returned to the Company. l Employee Signature Date Accepted i f l l k l l
J ...g.43 SAMSON INSPECTION & TECHNICAL 1> SERVICES, INC. P.O. BOX 80570 - STATION C Form No. SITS-1017-RS l CANTON, OHIO 44708 I l l l RADIOGRAPHER RADIATION SAFETY TRAINING CERTIFICATION INSTRUCTIONS: If the individual has completed Tech Ops Radiographers Training Program, complete Sections I, II, IV & V below. If the individual has been previously trained and certified as a Radiographer, complete Sections I, III, IV & V. l 1. PERSONAL RADIOGRAPHERS NAME: l DATE OF BIRTH: SOCIAL SECURITY NO. DATE EMPLOYED: Month - Day - Year II. DOCUMENTATION OF TRAINING: The above named individual has satisfactorily completed Tech Ops Radiographers Training Program and has received Radiation Safety Training & testing as speci-fied below: 1. Completed hours of classroom instruction on the topics outlined in 10-CFR Part 34, Appendix A on . The classroom instructor was 2. Received on-the-job training as a Radiographer's Assistant under the direct supervision of qualified Radiographers from to using radioactive materials. ITPE: Cobalt 60 ( ) IRIDIUM 192 ( ) III. DOCUMENTATION OF PREVIOUS TRAINING AND EXPERIENCE: The above named individual was employed as a fully trained and certified Radio-grapher by the following companies: (Use reverse side if more space is needed) Company Name & City Date Date From to From to From to From to IV. DEMONSTRATION OF UNDERSTANDING: 1. The above named individual has received a copy of SAMSON INSPECTION & TECHNI-CAL SERVICES, INC.'s Radioactive Material License, approved Operating and Emergency Procedures, Part 19, 20, 21 & 34 of Tital 10-CFR, Chapter 1, and has demonstrated & signed a statement of understanding, and has passed a written test of approximately 50 questions on these documents. (80% accuracy required for passing crade) / Test Score Date test was taken t 2. Demonstrated how to use SAMSON INSPECTION & TECHNICAL SERVICES, INC.'s radiographic equipment on (date) V. CER] FICATION: I hereby certif y the above information is correct. dignature or Kadiographer bignature 01 Kadiation datety ulticer <TTS Iicence if or Recistration Number:
f .. )} SAMSON INSPECTION & TECHNICAL r SERVICES, INC. Form No. SITS-1018-RS O-P.O. BOX 80570 STATION C CANTON, OHIO 44708 i MANUAL TRANSMITTAL AND REVISION RECEIPT FORM 4 MANUAL NO. DATE fiANUAL TYPE MANUAL HOLDER "MANUAL CHANGES" 1. REMOVE AND DISPOSE OF THE FOLLOWING: l l l 2. INSERT THE FOLLOWING REVISIONS: l i i I "RECE!PT OF MANUAL TRANSMITTAL OR REVIS:0N STATEMENT" THE REVISIONS LISTED IN ITEM "2" HAVE BEEN INSERTED IN MANUAL NO. ASSIGNED TO ME, AND THE SUPERSEDED REVISIONS LISTED IN ITDi "1" HAVE BEEN REMOVED AND DIS-TROYED. Signed by SITS Radiographer or Assistant: Company Title Date SIGN AND RETURN TO SAMSON INSPECTION & TECHNICAL SERVICES, INC. j (SITS) RADIATION SAFETY OFFICER. I _m-.
[ ] SAMSON INSPECTION & TECHNICAL / SERVICES, INC. O P.O. BOX 80570 - STATION C CANTON, OHIO 44708 l ' e PART Ill i 1
ku, l SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMu/RSM/QAP P.O. BOX 80570 STATION C Revision () CANTON, OHlO 44708 January, 1988 1 r PART III - OUALITY ASSURAMOE PROGRAM
1.0 DESCRIPTION
OF QUALITY ASSURANCE PROGRAM FOR TYPE "B" QUALITY SHIPMENTS OF RADIOACTIVE MATERIAL:
1.1 ORGANIZATION
1.1.1 SAMSON INSPECTION & TECHNICAL SERVICES, INC. pursuant to 10-CFR 71.12 and 10-CFR 71.51, sub-paragraph (a) is responsible for a Quality Assurance Program for Type "B" quality shipments and transportation of radioactive material. Fab-rication and design of Type "B" packages are not included. 1.1.2 The organization structure in Part I of the Radia-tion Safety Manual is applicable, a. The Radiation Safety Officer (RSO), is respon-sible for administration of the program, training of personnel, procurement of manu-facturer's certifications, maintaining pack-l aging and shipping documents, retention of records and program audits, b. Radiographers are responsible for handling, storage, shipping and transporting radioactive packages in accordance with the procedures in Part II of the Radiation Safety Manual; and they are responsible for inspecting, surveying, and maintenance reports in accordance with the procedures in Part II of the Radiation Safety Manual. 1.2 QUALITY ASSUPASCE PROGRA'4 : 1.2.1 Radiographers are trained in their responsibilities above according to Part I of the Radiation Safety Manual. 1.2.2 The Quality Assurance Program will be viable, re-quiring management approval, and the program encompasses specific requirements stated in the package approval for use, and general radiation safety and shipping requirements, 1.2.3 Manufacturer's certifications will be requested l - Page 1 - numm _ _ - -
+4 .+ a A- .M SAMSON INSPECTION & TECHNICAL f! SERVICES, INC. SMu/RSM/oAP a P.O. BOX 80570 STATION C Revision T CANTON, OHIO 44708 January, 1988 PART III - OUALITY ASSURANCE PROGRAM
1.0 DESCRIPTION
OF QUALITY ASSURANCE PROGRAM FOR TYPE "B" QUALITY SHIPMENTS OF' RADIOACTIVE MATERIAL: 1.2 QUALITY ASSURANCE PROGRAM: 1.2.3 and maintained on all N.R.C. Type "B" packages manufactured and procured after January 1, 1979. 1.3 DOCUMENT CONTROL: 1.3.1 Packaging, shipping, inspection and handling instruc-tions from the manufacturers shall be maintained for each model Type "B" package. 1.3.2 The Radiation Safety Officer shall insure that the shipment and transportation of Type "B" packages is conducted in accordance with the above documents. i 1.4 HANDLING, SHIPPING, TRANSPORTATION AND STORAGE: O, 1.4.1 Radiography personnel will handle, ship, transport and store radioactive packages in accordance with the procedures in Part II of the Radiation Safety Manual. 1.4.2 Radiography personnel will determine the completeness of package inspections and presence of manufacturer's certificates before shipment. 1.5 INSPECTION, SURVEYS AND MAINTENANCE REPORTS: 1.5.1 Inspection, surveys and maintenance reports on Type "B" packages will be made in accordance with Part II of the Radiation Safety Manual. i l 1.5.2 Quarterly inspection and maintenance of Type "B" l packages will be performed by the Radiation Safety Officer as outlined in Part I of the Radiation Safety Manual. 1.6 OUALITY ASSURANCE RECORDS: l 1.6.1 Utilization logs, shipment records, package surveys, l l and quarterly inspection records will be maintained j as specified in Part I of the Radiation Safety Manual l ( - Page 2 -
s SAMSON INSPECTION & TECHNICAL SERVICES, INC. SMH/RSM/QAP P.O. BOX 80570 STATION C Revision _ CANTON, OHIO 44708 January, 1988 ) PART III - QUALITY ASSURANCE PROGRAM
1.0 DESCRIPTION
OF QUALITY ASSURANCE PROGRAM FOR TYPE "B" QUALITY SHIPMENTS OF RADIOACTI\\'E MATERIAL: 1.6 QUALITY ASSURANCE RECORDS: 1.6.2 Training records are maintained in accordance with Part I of the Radiation Safety Manual. 1.6.3 Equipment and package procedures and instructions are maintained by the Radiation Safety Officer.
1.7 AUDITS
1.7.1 Quarterly audits of the entire Radiation Safety Program are performed in accordance with Part I of the Radiation Safety Manual. 1.7.2 The quarterly audits include the necessary checks on the Quality Assarance Program as outlined in l l Part I of the Radiation Safety Manual. 1.7.3 Any deficiencies revealed by the audits are corrected in accordance with Part I of the Radiation Safety Manual. 1.8 AUDIT RECORDS: 1.8.1 Records of quarterly audit results will be main-tained by SAMSON INSPECTION & TECHNICAL SERVICES, INC. for a period of two (2) years from date of audit. l - Page 3 -
.l I SAMSON INSPECTION & TECHNICAL h( b') SERVICES, INC. Snit /RSwoAP P.O. BOX 80570 STATION C Revision h" CANTON, OHIO 44708 January, 1988 PART III - OUALITY ASSURANCE PROGRAM ORGANIZATIONAL STRUCTURE: Organizational Chart: PRESIDENT I V. PRESIDENT O RADIATION SAFETY OFFICER ASST. RADIATION SAFETY OFFICER I RADIOGRAPilERS f ASSISTANT RADIOGRAPilER O I - Page 4 -}}