Radiation Safety Audit Checklist Date., Contact and No 1. Management and supervision Outline the management structure for radiation safety in your school/section Guidance 1 It is recommended that a lever arch file be used for the day to day management of radiation safety in schools. This file would contain a number of sections covering different aspects of radiation processes, for example, wipe testing, protocols, records of receipts, waste disposal, monitor calibration sheets. It would also contain relevant working rules and process instructions. There should be a clear picture of the management structure and it should look something like the diagram below, please fill in the names in the places shown. School Manager.. School Radiation Safety Officer School Safety Committee Chairperson Licensed users (Research group leaders) Users (students & personnel) Responsible person Monitor calibration: Waste disposal:... Wipe testing: Personal monitoring:... P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 1
Where is the radiation records file kept? Are your radiation registration records up to date? Are your license records up to date? Are they consistent with registration details? Are the relevant research group leaders and other personnel licensed? Are your risk assessments (Protocol) details up to date? Are they consistent with license details? 2. Supervision, training, instruction and working rules Do you have systems that ensure occupants of the laboratory are suitably supervised, trained, instructed and that radiation working rules are on display? Is there a system for induction of new personnel for radiation safety? Are there adequate systems for radiation safety training? Are appropriate radiation safety working rules available? Are records for radiation safety inductions and training up to date? Where are they located? Guidance 2 The induction process provides a beginning point for a personal record. It must include records of the points below. It provides a permanent record that the manager has managed their personnel, with regard to safety in an appropriate manner. It records Supervision, Instruction, Training and that Working procedures have been read and understood. An example of some points to be included in the radiation induction checklist is attached. Personnel must be aware of their line management. Supervisors must induct personnel into the laboratory, team and University. Instruction on radiation safety and any attendant hazards with materials, equipment or processes must be provided. Radiation working rules must be on display. For specific tasks, with significant risk, specific rules must be drawn up and be readily available. Records of training are required as part of your risk assessment programme. Details of radiation training course attendance are kept by the Safety and Health Office if you need to confirm details. Personnel using radioactive material must be listed on the specific radiation protocol for the project they are working on. P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 2
Radioactive Materials 1. Records of radioactive materials holding - receipt and disposal Is there a written work instruction available for the recording system? Are records of receipts and disposal up to date - what was the last entry date? Are materials booked in when received? Are materials booked out as they are used? Are radionuclides used consistent with Protocol, license and registration details? Are there unknown or unmarked packages in the fridge or waste storage area? 2. Laboratory design and services Do the radiation areas conform to the appropriate Acts, Regulations, Standards and Codes? Guidance 4: /radiation Unsealed Radioisotopes Course Notes, UWA Radiation Safety Act 1975 and Radiation Safety (General) Regulations 1983 AS/NZS 2243.4, AS/NZS 2982.1 Code of Practice for the Safe Transport of Radioactive Material (2001) National Standard for Limiting Occupational Exposure to Ionizing Radiation (Printed 1995 - Republished 2002) 3. Designated radiation areas and labelling Are specific areas for radiation procedures designated and suitably identified? Is there labelling on relevant entry doors? Is there labelling on refrigerators and storage location? Is there labelling on relevant equipment? Is there labelling on containers? 4. Radiation monitoring equipment Is appropriate monitoring equipment available? Is there a written work instruction available for monitor calibration? Are the records up to date? Do all the monitors have a current calibration? The following information will be available on the calibration certificate: Manufacturer, Model, S/N, Type, Location, Calibration due, Radionuclides that the monitor is suitable for. 5. Radiation surveys Are radiation surveys carried out (monthly for partially enclosed XRA units, 3 monthly for fully enclosed XRA units)? P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 3
Are radiation survey records up to date? 6. Personal monitoring procedures Are personal monitoring procedures in place and adhered to? Is there a written work instruction available for the personal monitoring system? Where are the records kept? Is the record system up to date - what was the last entry date? 7. Wipe testing Is there a written work instruction available for the wipe testing? Are wipe testing records system up to date - what was the last entry date? What is the frequency of wiping (recommended: 1 month for high level labs (iodination), 2 months for general radiation labs, 3 months for counting labs)? Diagram showing wipe locations? Radionuclides checked? Who does the wipe testing? 8. Equipment and shielding Do you have systems to ensure adequate and sufficient shielding and equipment is provided? Perspex or lead shielding Absorbent bench covering materials Trays Other equipment 9. Waste disposal Is there a written work instruction available for the radioactive waste disposal system? Are materials booked out of the register for radioactive materials? Is waste stored in appropriate containers? Is waste stored in appropriate locations? 10. Emergency procedures - radiation Is there a decontamination kit readily available in the area? Is it adequately stocked and in good condition? Are there adequate working rules in the area for emergencies? P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 4
Lasers 1. Records of laser holdings and designated laser areas Are the Class 3B and 4 lasers registered? Are the laser locations in accord with the registration? 2. Laboratory design Do the lasers conform to the appropriate Acts, Regulations, Standards and Codes? Guidance 1 /radiation Radiation Safety Act 1975 and Radiation Safety (General) Regulations 1983 AS/NZS 2211, AS/NZS 1337, AS/NZS ISO 13694, AS 2397, AS/NZS 3200, AS/NZS 4173, AS 4691, AS 4863 NH&MRC Code of practice on the safe use of lasers in secondary schools (1983) NH&MRC Guidelines for the safe use of lasers in the entertainment industry (1983) 3. Designated radiation areas and labelling Are specific areas for laser procedures designated and suitably identified? Is there labelling on relevant entry doors? Is there labelling on relevant equipment (aperture, laser, covers, inside area)? Is there labelling on eyewear? 4. Shielding, equipment, interlocks Key switch (class 3B and 4 lasers)? Door interlocks? Shutter interlocks? Laser power interlocks? Windows covered? Warning lights (laser power supply, entrance, area)? Eyewear (numbers, correct type)? Beam stops? 5. Emergency procedures Are there adequate working rules in the area for emergencies? Do personnel understand their role in an emergency? P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 5
X-ray Machines 1. Records of x-ray machine holdings and designated x-ray areas Are the x-ray machines registered? Are the x-ray machines locations in accord with the registration? 2. Laboratory design Do the x-ray machines conform to the appropriate Acts, Regulations, Standards and Codes? Guidance /radiation Radiation Safety Act 1975 and Radiation Safety (General) Regulations 1983 NH&MRC Code of practice for protection against ionizing radiation emitted from X-ray analysis equipment (1984) 3. Designated radiation areas and labelling Are specific areas for x-ray machines designated and suitably identified? Is there labelling on relevant entry doors? Is there labelling on relevant equipment? For diagnostic x-rays are lead aprons or mobile shields available and used? 4. Shielding, equipment, interlocks Key switch? Door interlocks? Shutter interlocks? Warning light interlocks? Windows covered? Warning lights (power supply, entrance, area)? Beam stops? Other equipment? 5. Radiation monitoring equipment Is appropriate monitoring equipment available? Is there a written work instruction available for monitor calibration? Are the records up to date? Do all the monitors have a current calibration? The following information will be available on the calibration certificate: Manufacturer, Model, S/N, Type, Location, Calibration due, Radionuclides that the monitor is suitable for. 6. Radiation surveys P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 6
Are radiation surveys carried out (monthly for partially enclosed XRA units, 3 monthly for fully enclosed XRA units)? Are radiation survey records up to date? 7. Personal monitoring procedures Are personal monitoring procedures in place and adhered to? Is there a written work instruction available for the personal monitoring system? Where are the records kept? Is the record system up to date - what was the last entry date? Personal monitoring is required for partially enclosed units? 8. Emergency procedures Are there adequate working rules in the area for emergencies? Do personnel understand their role in an emergency? P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 7
Transilluminators 1. Records of transilluminator holdings and designated areas Are the transilluminators registered? Are the transilluminators locations in accord with the registration? 2. Design and quality of equipment Do the transilluminators conform to the appropriate Acts, Regulations, Standards and Codes? Guidance 1 /radiation Radiation Safety Act 1975 and Radiation Safety (General) Regulations 1983 NH&MRC Occupational standard for exposure to ultraviolet radiation (1989) 3. Designated radiation areas and labelling Are specific areas for transilluminators designated and suitably identified? Is there labelling on relevant entry doors? Is the warning sign/warning rules displayed nearby? Is there labelling on relevant equipment? 4. Shielding, equipment, interlocks Is there a UV shield on the equipment and is it in good order? Is there a face shield? Goggles? Interlocks? Other equipment? 5. Emergency procedures Are there adequate working rules in the area for emergencies? Do personnel understand their role in an emergency? P:\osh\Manual\Radiation\Safety\frs030.doc Revised: 3/06/2005 jht 8