DEVELOPMENT OF A HEALTH AND SAFETY MANUAL FOR RADIOLOGICAL EMERGENCY RESPONSE FIELD OPERATIONS

Similar documents
Radiological Consequence Management

Worker Safety and Health Support Annex. Coordinating Agency: Mississippi State Department of Health (MSDH)

Department of Defense INSTRUCTION. Occupational Ionizing Radiation Protection Program

Health, Safety, Security and Environment

Mississippi Worker Safety and Health Support Annex

DOE Response to a Nuclear or Radiological Incident. Alan Remick Consequence Management Programs Manager

AUSTIN/MOWER COUNTY-WIDE

DOE/NNSA Radiological Assistance Program (RAP) Capabilities Overview. Hans Oldewage Training and Outreach Coordinator RAP Region 4 (505)

MEDICAL-TECHNICAL SPECIALIST: BIOLOGICAL/INFECTIOUS DISEASE

University of Maryland Baltimore. Radiation Safety Procedure

ANNEX Q HAZARDOUS MATERIALS EMERGENCY RESPONSE

Nuclear Plant Emergency Response

Nuclear Plant Emergency Response

University of Maryland Baltimore. Radiation Safety Procedure

Nuclear/Radiological Incident Annex

Department of Defense INSTRUCTION

CHABOT/LAS POSITAS COMMUNITY COLLEGE DISTRICT

RADIOLOGICAL DOCUMENTATION RCT STUDY GUIDE

EMERGENCY ARRANGEMENTS OF A NUCLEAR POWER PLANT

STATE EMERGENCY FUNCTION (SEF) 10 HAZARDOUS MATERIALS. I. Lead Agency: Colorado Department of Public Safety (CDPS), Colorado State Patrol (CSP).

NORTH CAROLINA A&T STATE UNIVERSITY Chemical Hygiene Plan

103rd WEAPONS OF MASS DESTRUCTION CIVIL SUPPORT TEAM- GENERAL FACT SHEET

RADIATION SAFETY COMMITTEE

Health and Safety in the lab. Seyed Hosseini SA Pathology Chemical Pathology

NRC INSPECTION MANUAL

ANNEX R SEARCH & RESCUE

Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) ANNEX 1 OF THE KNOX COUNTY EMERGENCY OPERATIONS PLAN

Certified Healthcare Safety Environmental Services (CHS-EVS) Examination Blueprint/Outline

EMERGENCY PREPAREDNESS AND RESPONSE TECHNICAL SERVICES CATALOGUE

Mandatory Licensure for Radiologic Personnel. Christopher Jason Tien

Radiation Licensure and Management (RS100) Course

Allied Health Department. Radiation Protection Program (RPP) Policies & Procedures

INCIDENT COMMANDER. Date: Start: End: Position Assigned to: Signature: Initial: Hospital Command Center (HCC) Location: Telephone:

LAKE VALLEY FIRE PROTECTION DISTRICT JOB DESCRIPTION Apprentice Firefighter/Paramedic

REGULATORY DOCUMENTS. The main classes of regulatory documents developed by the CNSC are:

(2) Ensure measures are established to control health and safety hazards from ionizing radiation sources and radioactive material.

THE EFFICACY OF THE TABLE-TOP OR 'WHITE PAPER' APPROACH TO EMERGENCY RESPONSE PLANNING OF DRILLS AND EXERCISES

TERR RISM INCIDENT ANNEX

Qualifications for University Radiation Safety Officer

NRT. Scientific Support Coordinator (SSC) during an Emergency Response: The Role of the SSC. Guidance Document. September 27, 2007

Certified Hazard Control Manager (CHCM) Certified Hazard Control Manager Security (CHCM-SEC) Examination Blueprint/Outline

Radiation Safety Initial Training Module 3 Policies and Procedures

Certified Healthcare Safety Long Term Care (CHS-LTC) Examination Blueprint/Outline

Incident Command System Awareness Participant Guide May 2016

Administrative Safety

DHS FY08 Standards Program Review Date: August 21, 2008

MODULE 3 HAZARDOUS MATERIAL OPERATIONS NFPA MISSION-SPECIFIC RESPONSIBILITIES

Enhancing students laboratory safety rule awareness: The case of biology students in Dilla College of Teachers Education, Dilla, Ethiopia.

THE UNIVERSITY OF AKRON

ESF 10 - Oil and Hazardous Materials

APPLICATION FOR RENEWAL OF A RADIOACTIVE MATERIAL LICENSE AUTHORIZING THE USE OFINDUSTRIAL RADIOGRAPHY

HAZARDOUS MATERIALS EMERGENCY. Awareness Level Response Plan 29 CFR (q) and 40 CFR 311

Walter L. Robinson & Associates Presents..

Mississippi Emergency Support Function #10 Oil and Hazardous Materials

CRITICAL INCIDENT MANAGEMENT

Decommissioning Licensing Process of Nuclear Installations in Spain Cristina CORREA SÁINZ.

NRC REGULATORY ISSUE SUMMARY CONTROL OF RADIATION DOSE TO VISITORS OF HOSPITAL PATIENTS

This policy lays out the basic University principles and general roles and responsibilities in promoting a culture of safety.

Environmental, Health & Safety Policy

Operation BUSTER-JANGLE

ADAMS COUNTY COMPREHENSIVE EMERGENCY MANAGEMENT PLAN HAZARDOUS MATERIALS

E S F 8 : Public Health and Medical Servi c e s

COURSE CATALOG. Safety Through Preparedness

DRAFT REGULATORY GUIDE

NRC INSPECTION MANUAL

Emergency Preparedness Near Nuclear Power Plants

Nuclear/Radiological Incident Annex

NUCLEAR POWER PLANT EMERGENCY PREPAREDNESS

FIRE TACTICS AND PROCEDURES HAZARDOUS MATERIALS 12 October 19, 2005 TECHNICAL DECONTAMINATION TASK FORCES 1. INTRODUCTION

Unit 7. Federal Assistance for Mass Fatalities Incidents. Visual 7.1 Mass Fatality Incident Response

University of Maryland Baltimore. Radiation Safety Procedure

Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) TERRORISM RESPONSE ANNEX

CHEMICAL STOCKPILE EMERGENCY PREPAREDNESS PROGRAM (CSEPP) Hazard Specific Annex X

EPA's Radiological Emergency Response Program

Nuclear & Radiological Field Training Center. Don Bowes National Security Complex Oak Ridge, Tennessee (865)

HARBEX METAL PROCESSING LTD. Health and Safety Policy and Procedures

FEMA s Role in Terrorism Preparedness and Response Plan

WM 04 Conference, February 29- March 4, 2004, Tucson, AZ THE DEPARTMENT OF ENERGY S HOMELAND DEFENSE EQUIPMENT REUSE PROGRAM

Radiation Protection Program Updates

Decommissioning Licensing Process of Nuclear Installations in Spain Cristina CORREA SÁINZ.

MONITORING HEALTH CARE INDUSTRY REPRESENTATIVES EXPOSED TO IONIZING RADIATION

REGULATORY GUIDE OFFICE OF NUCLEAR REGULATORY RESEARCH REGULATORY GUIDE 1.8 (Drafts were issued as DG-1084 and DG-1012)

MINNESOTA DEPARTMENT OF HEALTH

Mobile Positron Emission Tomography

SAFETY REQUIREMENTS UCLA DEPARTMENT OF CHEMISTRY AND BIOCHEMISTRY

NUCLEAR MEDICINE AND MOLECULAR IMAGING H. Lee Moffitt Cancer Center and Research Institute

Nuclear/Radiological Incident Annex

National Council on Radiation Protection and Measurements Homeland Security Recommendations Related to Nuclear and Radiological Terrorism

Kanawha Putnam Emergency Management Plan Functional Annex. (completed by plan authors) Local / County Office of Emergency Management

NYC Radiological Planning

OSHA s Roles and Activities in Protecting the Safety and Health of Workers during Disaster Response

Radiation Safety Code of Practice

Radiotherapy Licence Application Form

RADIATION SAFETY PROGRAM

Radiation Protection Adviser (RPA) Register

October 23, Attention: Mr. Amory Quinn, President Cotter Corporation 7800 East Dorado Place, Suite 210 Englewood, CO 80111

Terrorism Consequence Management

BURLINGTON COUNTY TECHNICAL RESCUE TASK FORCE OPERATING MANUAL

NRC UPDATE EP REGULATORY ACTIVITIES. Glenn M. Tracy / Kathy Halvey Gibson Office of Nuclear Reactor Regulation

VAMC Radiation Safety Refresher Training March 2011

Transcription:

DEVELOPMENT OF A HEALTH AND SAFETY MANUAL FOR RADIOLOGICAL EMERGENCY RESPONSE FIELD OPERATIONS Carson A Riland, Bechtel Nevada, P.O. Box 98521, M/S: RSL-24, Las Vegas, NV 89193-8521. Charlotte Carter, U.S. Department of Energy, Nevada Operations, P.O. Box 98518, M/S: 505 Las Vegas NV 89193-8518. ABSTRACT The development of the Radiological Emergency Response Health and Safety Manual is highlighted. This multi-agency document is nearing completion and publication. The manual applies to offsite monitoring during a radiological accident or incident. Though written for multiagency offsite monitoring activities, the manual is generic in nature and should be readily adaptable for other emergency response operations. Health and Safety issues for emergency response situations often differ from normal operations. Examples of the differences and methodologies to address these issues are addressed. Challenges in manual development, including lack of regulatory and guidance documentation, are also included. One overriding principle reviewed in the Radiological Emergency Response Health and Safety Manual development is the overall reduction of risk, not just dose. The manual is divided into the following chapters: Responsibilities, Health Physics, Industrial Hygiene, Safety, Environmental Compliance, Medical, and Record Maintenance. A set of generic forms is included in the appendix. I. INTRODUCTION The Radiological Emergency Response Health and Safety Manual (RER H&S Manual) was originally intended to serve as the Health and Safety Manual for Federal Radiological Monitoring and Assessment Center (FRMAC) operations. The manual has been under development for several years and has undergone much controversy and many revisions before evolving to its present form. Upon review of the FRMAC Health and Safety Manual s initial draft, the U.S. Department of Energy, Nevada Operations Office (DOE/NV) Emergency Management Division expressed a desire to develop a generic manual, which could be used for all DOE/NV emergency response deployments. Though this presented difficulties, the end product is a stand-alone RER H&S Manual that can be supplemented by additional specific documentation to customize the manual to more specifically apply to each organization s unique needs and requirements. It should be noted that the RER H&S Manual is designed for emergency response personnel, not the general public. Though much of the manual may be applicable to all types of radiological emergency response, there is a slant toward recovery operations (not first responders). The Federal Radiological Emergency Response Plan (FRERP) 1 describes the role of the FRMAC during a radiological emergency response. The FRMAC is responsible for offsite monitoring and assessment during a large-scale release of radioactive material. The FRMAC consists of a management cell, liaisons, assessment, monitoring, support, and health and safety divisions (Figure 1). The Assessment Division evaluates acquired data and presents the data in terms of Page 1 of 11 -- 11/15/2000, 12:52 PM

consequences for the general public. The Monitoring Division is responsible for field monitoring and sampling activities. The Support Division supplies all necessary supplies and resources needed (logistics, communications, mechanical, electrical, etc.). The Health and Safety Division is responsible for the health and safety of response personnel integrated into FRMAC 2. Director DOE/NV Operations Manager DOE/NV Liaison Manager Monitoring Manager Support Manager Assessment Manager Health & Safety Manager Figure 1. FRMAC Division Organizational Chart The FRMAC responders may include personnel from multiple organizations. There are 17 agencies included in the FRERP. There are multiple response organizations within each federal agency (e.g., the U.S. Department of Energy has FRMAC resources from DOE/NV, Radiological Assistance Program [RAP] resources, the Accident Response Group [ARG], etc.). In addition, the impacted states and adjacent states may also be integrated into the FRMAC. The Health and Safety Manual must be able to address the concerns of all the response organizations. Unfortunately, organizational procedures and policies may conflict and complicate the response. This problem is compounded by the lack of applicable guidance documentation. Existing regulations are primarily written for facilities, not offsite emergency response. Therefore, adapting existing regulations to apply to emergency response activities can lead to some rather unworkable implications. An example is 10 CFR 835, Subpart G, Posting and Labeling. It would be impractical to properly post a plume, which could extend many miles. However, it is appropriate to properly label and post areas under the control of the responding organization 3. Page 2 of 11 -- 11/15/2000, 12:52 PM

Another problem is the general lack of health and safety guidance documents for emergency response. There are a few including the American Nuclear Society (ANS) American National Standards Institute (ANSI) standards on emergency response activities, but these are for reactor scenarios. The U.S. Environmental Protection Agency s (EPA) Protection Action Guidelines for a Radiological Response address emergency worker radiation exposure limits, but its primary focus is protective action guidelines for the general public. The Federal Emergency Management Administration (FEMA) has the Radiological Emergency Plans (REP) series, but these are also designed to evaluate reactor emergency response activities. Guidance documentation from other organizations, such as the International Committee on Radiation Protection (ICRP), the National Council on Radiation Protection and Measurements (NCRP), and the International Atomic Energy Association (IAEA) is minimal and typically has limited applicability. II. DEVELOPMENT METHODS The RER H&S Manual has been in development for several years, with no published interim document. This deficiency has been a growing concern. As such, milestones and deadlines were established for development of the manual. These milestones and deadlines are critical in document development, otherwise, the refinement process could continue indefinitely. The FRMAC Health and Safety Working Group, developed this manual, recognized the document was needed as quickly as possible. Regular updates to the manual are planned over the next few years as use of the manual increases. Lessons learned, problem resolution, and the development of increasingly effective safety methods will be identified and included on an ongoing basis. As a result, this published version is only the first step toward the ultimate goal of developing an H&S Manual that can be confidently used by many organizations. The makeup of the FRMAC Health and Safety Working Group includes representatives from the EPA, Nuclear Regulatory Commission (NRC), Council of Radiation Control Program Directors (CRCPD), resources from DOE/NV, RAP, ARG, representatives from several national laboratories, and Bechtel Nevada (the DOE contractor currently operating the Nevada Test Site). This group presented a diverse set of concerns and varying methods to approach health and safety during a radiological emergency response. The various organizations also operate under different regulations (e.g., 10 CFR 20 and 10 CFR 835), which brought different compliance concerns to the table. The issue of regulatory applicability has been a major obstacle in manual development because it is multi-faceted. Radiological regulatory requirements will be used as an example of this complexity. First, does either 10 CFR 20 or 10 CFR 835 apply? Both are written for facilities, but do not address emergency response when the spread of radioactive material extends beyond a facility s boundary. Second, which of these apply during an offsite multi-agency radiological emergency response? Each agency (or agreement state) has different answers to these questions. The overriding problem is not which set of regulations applies, because they are not mutually exclusive. The real problem is that each set of regulations requires the facility or licensee to establish a radiation protection program describing how the site will comply with the applicable regulation. Each site interprets what must be done then establishes a Radiation Protection Program (RPP) that is most suited for that site. The methods, policies, and procedures for Page 3 of 11 -- 11/15/2000, 12:52 PM

implementing the RPP for each site may not be compatible with those from other sites and can cause implementation problems when resources are combined. The ideal solution to this dilemma might be the development of an ANSI standard or other multi-agency document for the health and safety of emergency responders during a radiological emergency response. Just as ANSI N323 has been helpful in standardizing how radiation detection instruments are calibrated, a similar document addressing health and safety during a radiological emergency response could do the same. 3,4 III. POTENTIAL HAZARDS Potential hazards for FRMAC or other emergency response activities include those encountered by field monitoring teams during any large-scale deployment of personnel and equipment. The primary focus during a radiological emergency response is typically radiological hazards. Unfortunately, the radiological hazards probably deserve the least amount of attention, with regard to actual risk. Radiological concerns are usually based on regulatory compliance concerns and are typically out of proportion to risks from other hazards. To quote the staff from the Radiological Emergency Assistance Center and Training Site (REAC/TS), We don t get any points for clean cadavers. This principle needs to be considered when prescribing work controls and attending to contaminated, injured people. Traffic safety is a health and safety concern in a field environment. Responders need to be aware that the same traffic hazards exist, regardless of location and precautions must be taken. For example, seatbelts must be worn by all passengers in the vehicle and field teams should pull off the road to take measurements rather than stopping on the road. Personal safety is paramount. Responders must be aware of the potential for crime and how to interact with homeowners and the public. Methods of reporting looting and other emergencies need to be established. This includes developing alternatives to the 911 system when the system becomes overloaded. Sampling efforts need to be coordinated with property owners. Responders need to beware of fauna, wild or domestic, such as snakes, alligators, and dogs or other pets, and any dangers they may introduce to the situation. Environmental conditions and their consequences need to be evaluated for the response. Response personnel need to be prepared to respond in a variety of weather conditions. Climatic conditions could include temperature extremes, rain, snow, high humidity, etc., and barometric pressure changes. Responders must be familiar with signs of heat and cold stress. Appropriate clothing items need to be available and work/rest routines may have to be instituted. Climatic effects on monitoring instruments and results also need to be considered. For example, if it is raining, how does that affect exposure rate measurements? How does that affect contamination surveys? Also, how effectively can the available instruments operate in extreme environments? Liquid Crystal Displays (LCDs) may freeze in extreme cold. Another example is barometric pressure and the severe effects it can have on air sampling activities. Not only does the volume sampled need to be corrected to Standard Temperature and Pressure (STP), but the generators used to power the air samplers may not perform consistently at differing atmospheric pressures or in different climates. Page 4 of 11 -- 11/15/2000, 12:52 PM

Fatigue can also be a major health and safety factor during the response. In the drive to acquire data, ensuring responders get sufficient rest may be overlooked. Work/rest schedules must be implemented from the start of a response, but that can be very challenging. There are limited personnel available, there is a desire to quickly assess the situation, and many responders will be arriving after already being awake for some time or being awakened after only a brief rest period. Extra consideration is required to make responders aware of signs of fatigue. Interaction with the local emergency responders is also a requirement and a number of issues may arise. How are contaminated patients evacuated? If someone is injured and contaminated, where are they to be taken and how are they to be transported? Can the local ambulance service and hospital facilities handle contaminated patients? What are procedures for fire and police responses to contaminated areas? For a terrorist event, special procedures may need to be implemented in support of the investigation or evacuation of a crime scene. Local and federal emergency responders or investigators may need radiological support during an evacuation or investigation. Upon arrival at the site, additional concerns will arise from the lack of knowledge of the situation. Initially, the public is going to be very aware of the situation and probably very panicky. There will be a strong possibility of media interactions with field teams, people in the operations center, or people traveling to the location. There will be a potential for traffic congestion if people are evacuating. Local resources may be depleted or there may be challenges in getting resources, such as vehicles, hotel rooms, meal service, portable toilets, etc. Expect that both personnel and supplies will be limited upon arrival. At first, knowledge of radiological conditions will be limited. For a large-scale response, a predictive plot will be available initially, but actual ground measurement data will be minimal. For smaller-scale responses, the amount of information available will depend on the capabilities of the initial responders and the availability of that data. Climatic conditions of the site may not be known, particularly if the responders are deployed from a site some distance away. Local orientation is an important requirement for non-local responders. Details on how to contact fire, medical, and police support are essential. Other local information requirements include road conditions (such as construction or impassable conditions), and communication dead zones (locations where cell phones, pagers, and radios do not work). The first priority is assessing possible hazards and developing a site-specific health and safety plan. The plan is initially very general. Some default planning can be performed based upon whether the incident requires a weapons response, a reactor response, a weapons of mass destruction (WMD) response, etc. The plan will develop as more information becomes available. The site-specific health and safety plan should be based on information found in the RER H&S Manual. 5 Other initial health and safety priorities include performing initial instrument Quality Control (QC) checks and performing initial surveys to ensure operations are not setup in a contaminated area. Dosimetery, (such as Thermoluminescent Dosimeters [TLDs] and Self-Reading Dosimeters [SRDs], and Personal Air Samplers [PAS] are issued [as required]), and baseline bioassay samples are collected, as applicable. Page 5 of 11 -- 11/15/2000, 12:52 PM

IV. MANUAL CONTENTS The RER H&S Manual begins with an Overview, which includes information regarding applicability and introduces regulatory issues. The following Responsibilities chapter describes health and safety concerns and duties. Primarily, Health and Safety personnel are responsible for hazard identification, assessment, communication, and mitigation. The hazard information is shared with responders during periodic health and safety briefings. A health and safety plan is developed to address and mitigate identified hazards. The RER H&S Manual is then separated into chapters to address specific areas, beginning with Health Physics. Though radiation hazards do not typically represent the highest risk to responders, they generally receive the most attention. The chapter begins by establishing radiation dose limits for responders. Radiation doses acquired during the response will typically be considered occupational dose and are subject to the 5 rem Total Effective Dose Equivalent (TEDE) limit. Emergency worker limits can be implemented, as needed. A default Administrative Level was established at 2.5 rem (TEDE) for the response, which is consistent with IAEA recommendations. An Investigation Level (the level at which an investigation is required to determine why this dose level was reached) was set at 1.5 rem (TEDE). It is understood that the diverse population of response organizations on site may use several various dose levels. Site-specific dose limits and levels may be agreed upon at the response, but the default limits and levels establish a starting point. All responders with the potential to exceed 100 mrem TEDE will require dose monitoring. Responders will be asked to provide an estimate of annual year-to-date TEDE when dosimetry is requested. Any responder with a TEDE estimate greater than 2.5 rem or without any knowledge of dose history will be limited to 100 mrem TEDE for response activities, until such time that an official dose report is obtained from their home organization. Thermoluminescent Dosimeters will be used as the Effective Dose Equivalent (EDE) dose of record. Direct Reading Dosimeters (DRDs), such as pocket ion chambers or electronic dosimeters, will be used for estimating EDE in the field. For a FRMAC response, a dosimeter (TLD) will be provided to all FRMAC participants and will be processed by a Department of Energy Laboratory Accreditation Program (DOELAP) accredited processor. The FRMAC will provide a dose report to each participant s home organization after the conclusion of the individual s activities. Each participant should wear their home organization s dosimeter in accordance with their home organization s policy. Committed Effective Dose Equivalent (CEDE) will be determined through bioassay samples. The type of bioassay used will be dependent upon the type of contaminant. Thyroid and wholebody counting may be used for reactor scenarios, while urine and/or fecal bioassays may be used for weapons scenarios. Field estimates of CEDE will be performed based upon ground measurements, assumed or measured resuspension factors, or any available air monitoring data. Personal Air Samplers will be used, when practical, to estimate airborne exposure. Area air sampling will also be performed in locations routinely occupied by responders (mobile laboratories, hotlines, etc.). Though Page 6 of 11 -- 11/15/2000, 12:52 PM

directed primarily toward monitoring of airborne radiological contaminants, much of the air monitoring section also applies to toxicological hazards. Material is included to assist in guiding H&S personnel to choose the appropriate method of air sampling, evaluating results, and estimating CEDE based upon air sampling results. A section on contamination control includes a discussion on performing surveys (area, equipment, personnel, etc.). The section also includes guidance on area access control, posting and labeling, administrative and engineering controls, hotline procedures, decontamination, and release limits. For an emergency response, contamination control refers to both an impacted area and support resources. Field teams will have a high probability of encountering radioactive contamination. Field teams would incorporate contamination control in performing their tasks to minimize their potential dose, prevent contamination of their equipment, and to reduce cross-contamination of samples. Contamination control is also an integral part of support resource operations. Operations conducted at the hotline (personnel, sample, equipment, etc.), decontamination activities, and laboratory activities can be impacted by the spread of radioactive contamination. Once the presence of radioactive material has been identified, the basic goal underlying any effective contamination control program is to minimize contaminated areas and maintain contamination levels as low as reasonably achievable (ALARA). In some situations, this is not always possible due to: economic conditions (where the cost of time and labor to decontaminate a location out-weighs the hazards of the contamination present), and/or hazardous conditions, (where radiation dose rates or other conditions present hazards far exceed the benefits of decontamination). Posting/control of the impacted area is the responsibility of the local authorities. Posting and labeling of hazards and hazardous material will be performed by the response team, when practical. It may be impractical to post all radiological areas due to mission or size restraints. However, those radiological areas and activities routinely controlled by participants should be posted, as practical, according to applicable regulations (e.g., 10 CFR 835, 10 CFR 20, etc.). These areas may include source storage areas, laboratory areas, sample-receiving areas, hotlines and decontamination areas. As resources increase, posting of access control points will be performed, as practical. The H&S Manager will identify areas of potential contamination. A hotline will be established at the most practical location adjacent to the contamination control area. The hotline should be located where field teams can process through the hotline without the possibility of tracking contamination into clean areas or areas of lower contamination. A secondary hotline may be set up adjacent to the incident area to assure that no contaminated personnel, equipment, or vehicles can enter a clean area. The H&S and Operations Managers will determine the hotline location. The hotline should be established at a location that can accommodate a field sample preparation area, decontamination equipment and facilities, and the entire hotline operation that includes personnel, vehicles, equipment, and frisking areas. The hotline will be stocked with appropriate Page 7 of 11 -- 11/15/2000, 12:52 PM

personal protective equipment (PPE), and equipment for counting swipes and performing contamination surveys. The H&S personnel will staff and control the hotline(s). Factors that determine the type and extent of protective clothing required include the type, form, and level of contamination present and the type of work being performed. Some additional factors to consider include the potential for increased levels of contamination, the area of the body at risk, and competing hazards, i.e., heat stress, asbestos, etc. Once the types of required protection are established, the most efficient protective clothing must be selected from the different articles of protective clothing available for use. All instrumentation used for the health and safety of response personnel will be calibrated and maintained according to appropriate standards and guidance documents (e.g., ANSI N323). Calibration must be current and appropriate for the types, levels, and energies of radiation encountered. In addition to standard calibration and maintenance procedures, instruments must be able to perform in the geographic area where they will be used. This concern is especially true for emergency response organizations that may be deployed in a variety of weather conditions. Methodology for decontamination of personnel, equipment, and vehicles is included. The methods in the decontamination section also apply to toxicological decontamination. The Contamination Control Chief has authority over the decontamination process. Decontamination will continue until contamination levels are below values established in the RER H&S Manual or alternate values that have been agreed upon by responsible parties. A Decontamination Plan should be developed for all applicable responses. Details of the plan will vary based on a variety of factors impacting the response (resources, location, type of contaminant, etc.). However, the general principles outlined above will form the basis for decontamination planning. A sample Decontamination Plan is included in the RER H&S Manual as well as sample turn-around (or turn-back) level calculations and sample bioassay plans. The Industrial Hygiene and Safety Chapters address hazards that are present because of the nature of the event site as well as a consequence of the work being performed. Several factors distinguish the environment of an emergency event site from other occupational situations involving hazardous materials. The major dynamic is the uncontrolled condition of the site. Hazardous substances that do not customarily endanger human health and safety, when contained and properly handled, may pose a severe threat to responders and the general public during emergencies. Responders are not only subject to the hazards of direct exposure to hazardous materials, but also to dangers posed by the disorderly physical environment of the emergency event site and the stress of working in protective clothing. This combination may result in a working environment that is characterized by numerous and varied hazards which may pose an immediate danger to life or health, may not be immediately obvious or identifiable, may vary according to location and the task being performed, and may change as emergency activities progress. A hazard analysis will be conducted during transit time, and updated upon arrival and throughout the duration of the response, as needed. Information about the event site will be obtained by responders, through direct contact with site personnel and relayed to the response team. Safety Page 8 of 11 -- 11/15/2000, 12:52 PM

hazards, such as confined spaces, unstable structures, traffic, extreme temperatures, water, fire, etc., need to be identified to the fullest extent possible, prior to arrival at the site. A general checklist to help identify these hazards is in the RER H&S Manual. This checklist is intended for use while in transit to the site. The Health and Safety Manager will have the responsibility to acquire the appropriate information to complete the checklist and to assist in developing a plan for the initial on-site investigation. Biological, chemical, physical, and confined space hazards may be encountered during deployment. Anticipated biological hazards may include viral, bacterial, fungal, and parasitic agents. Interaction with certain mammals, reptiles, insects, and poisonous plants is also a concern. Chemical hazards may include toxic metals (e.g., beryllium, lead), asbestos, solvents, corrosives, fuels, sealants, compressed gasses, and cryogenics. Anticipated physical hazards may include temperature extremes, non-ionizing radiation and elevated noise levels. Activities may present a broad range of safety hazards and concerns to all participants involved. Any participant may identify hazards and make appropriate recommendations to ensure participant safety at all times. Specific operations in which safety concerns are apparent include: Setup Operations, Helicopter Operations, Traffic Control/Operations, Field Team Operations, and Night Operations. All participants have a role to play in protecting themselves and their fellow employees by serving as safety observers during activities. If a safety problem is observed, any person is authorized to stop all activities immediately and contact a member of the H&S staff. If emergency medical, fire, and/or other emergency response support are needed for an incident, lights and sirens will be used to provide visual and audible signals to participants. In the event that lights or sirens are seen and/or heard, participants will clear the area for emergency crews. An Environmental Compliance chapter is included to outline how hazardous materials are stored at the response location. Hazardous waste generated as a part of the response is considered the responsibility of the custodial party. However, wastes must be appropriately documented and stored until disposal is arranged. A Medical chapter focuses on medical support needs. The need and availability of medical support will vary depending on the type, size, and location of the emergency response. In some cases, the response may be large enough to have a staff physician. In all cases, a procedure must be identified for attending to major and minor injuries or illnesses. Patient transport methods and neighboring medical facilities need to be identified when arriving at the location. All injuries will be promptly reported to the Medical Director and/or H&S Manager or their designee. Personnel who take medication on a routine basis should bring at least a seven-day (preferably 14 day) supply when deployed. Special needs will be identified to the Medical Director, H&S Manager or their designee. Personnel with pre-existing, potentially serious medical conditions (i.e., cardiac problems, recent surgery, etc.) should inform the Medical Director or H&S Manager. A detailed medical history is not required. If a serious doubt exists concerning the responder s condition, the individual s personal or company physician will be consulted. Page 9 of 11 -- 11/15/2000, 12:52 PM

The final chapter on Record Maintenance contains the prescribed practices for preparing and retaining H&S records. All H&S records will be maintained, as necessary, to document the H&S aspects of a deployment. Records will be maintained in accordance with applicable regulations (e.g., 10 CFR 835, 10 CFR 20, etc.). Records should be handled in a manner that protects personal privacy. The types of H&S records generated for an exercise or call-out should be clearly defined. An appropriate records management program will ensure that audit-defensible records and reports are controlled from creation, distribution, use, arrangement, storage, retrieval, media conversion (if applicable), through disposition. Where radiological and/or industrial hygiene services (i.e., dosimetry and laboratory analyses) are purchased, there should be a clear agreement regarding records responsibility during the performance of the services. Records of the results should reside in the custody of the organization. Information concerning an individual s exposure or medical information shall be made available to that individual, upon request, which is consistent with the Privacy Act of 1974. Samples of forms used for Health and Safety activities during a response are included in an appendix. Any organization adopting this manual can add separate supplements that are unique to their organization and operations. This provides responders with a general manual when multiple organizations are on site, while allowing some customization for unique activities. V. SUMMARY The Radiological Emergency Response Health and Safety Manual was developed as a generic manual, to be used by many different emergency response organizations. This is the first edition of the manual and it will be revised as needed. At the time this article was generated, the manual was undergoing final review by the DOE. The manual is expected to be available on the DOE/NV web site (www.nv.doe.gov/programs/frmac) in the fall of 2000. VI. REFERENCES 1. Federal Register, Volume 61, N. 90 pages 20944-20970 (Federal Radiological Emergency Response Plan), May 8, 1996. 2. U.S. Department of Energy, DOE/NV 11718-080 UC-707, Federal Radiological Monitoring and Assessment Center Operations Manual Emergency Phase, 1997. 3. Federal Register, Volume 63, N. 213 pages 59662-59689 (Revised 10 CFR 835), November 4, 1998. 4. Federal Register, Volume 56, N. 98 pages 23360-23474 (Revised 10 CFR 20), May 21, 1991. 5. U.S. Department of Energy, DOE/NV/11718 440, Radiological Emergency Response Health and Safety Manual, 2000. Page 10 of 11 -- 11/15/2000, 12:52 PM

Author Biographies: Carson Riland is a Science Specialist at the U.S. Department of Energy's (DOE) Remote Sensing Laboratory on Nellis Air Force Base, Las Vegas, Nevada. Riland is currently a participant in several of the DOE's Emergency Response Programs, including RAP, FRMAC, NEST, and ARG. He is a Certified Health Physicist and holds an A.S. in Electronics Technology (Williamsport Area Community College, PA), a B.S. and an M.S. in Health Physics (Bloomsburg University, PA and Texas A&M University, respectively), and a Ph.D. in Nuclear Engineering (Texas A&M University). Charlotte Carter is a Senior Health Physicist with the U.S. Department of Energy, Nevada Operations. Her responsibilities include program management for operational health physics, instrumentation, environmental restoration, environmental monitoring, and radioanalytical analysis. Carter is a Certified Health Physicist and holds a B.S. in Chemistry and Biology from Southeastern Oklahoma State University and an M.S. in Radiological Health Sciences from Colorado State University. This work was prepared for the U.S. Department of Energy, Nevada Operations Office. Work was performed under Contract DE-AC08-96NV11718. By acceptance of this article, the publisher and/or recipient acknowledge the right of the U. S. government to retain a nonexclusive, royalty-free, license (in and to) any copyright covering the article. Page 11 of 11 -- 11/15/2000, 12:52 PM