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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER DGENERAL
RULE §289.202Standards for Protection Against Radiation from Radioactive Materials

      (iii) a shallow dose equivalent to the skin or extremities or a total organ dose equivalent exceeding 50 rems (0.5 Sv); or

    (B) the release of radioactive material, inside or outside of a restricted area, so that, had an individual been present for 24 hours, the individual could have received an intake in excess of one occupational ALI. This provision does not apply to locations where personnel are not normally stationed during routine operations, such as hot-cells or process enclosures.

  (3) Licensees shall make the initial notification reports required by paragraphs (1) and (2) of this subsection by telephone to the agency and shall confirm the initial notification report within 24 hours by facsimile or other electronic media transmission to the agency.

  (4) The licensee shall prepare each report filed with the agency in accordance with this section so that names of individuals who have received exposure to sources of radiation are stated in a separate and detachable portion of the report.

  (5) The provisions of this section do not apply to doses that result from planned special exposures, provided such doses are within the limits for planned special exposures and are reported in accordance with subsection (zz) of this section.

  (6) Each licensee shall notify the agency as soon as possible but not later than four hours after the discovery of an event that prevents immediate protective actions necessary to avoid exposures to radioactive materials that could exceed regulatory limits or releases of radioactive materials that could exceed regulatory limits (events may include fires, explosions, toxic gas releases, etc.).

  (7) Each licensee shall notify the agency within 24 hours after the discovery of any of the following events involving radioactive material:

    (A) an unplanned contamination event that:

      (i) requires access to the contaminated area, by workers or the public, to be restricted for more than 24 hours by imposing additional radiological controls or by prohibiting entry into the area;

      (ii) involves a quantity of material greater than five times the lowest annual limit on intake specified in subsection (ggg)(2) of this section for the material; and

      (iii) has access to the area restricted for a reason other than to allow isotopes with a half-life of less than 24 hours to decay prior to decontamination;

    (B) an event in which equipment is disabled or fails to function as designed when:

      (i) the equipment is required by rule or license condition to prevent releases exceeding regulatory limits, to prevent exposures to radioactive materials exceeding regulatory limits, or to mitigate the consequences of an accident;

      (ii) the equipment is required to be available and operable when it is disabled or fails to function; and

      (iii) no redundant equipment is available and operable to perform the required safety function;

    (C) an event that requires unplanned medical treatment at a medical facility of an individual with spreadable radioactive contamination on the individual's clothing or body; or

    (D) an unplanned fire or explosion damaging any radioactive material or any device, container, or equipment containing radioactive material when:

      (i) the quantity of material involved is greater than five times the lowest annual limit on intake specified in subsection (ggg)(2) of this section for the material; and

      (ii) the damage affects the integrity of the radioactive material or its container.

  (8) Preparation and submission of reports. Reports made by licensees in response to the requirements of paragraphs (6) and (7) of this subsection shall be made as follows.

    (A) Licensees shall make reports required by paragraphs (6) and (7) of this subsection by telephone to the agency. To the extent that the information is available at the time of notification, the information provided in these reports shall include:

      (i) the caller's name and call back telephone number;

      (ii) a description of the event, including date and time;

      (iii) the exact location of the event;

      (iv) the isotopes, quantities, and chemical and physical form of the radioactive material involved;

      (v) any personnel radiation exposure data available; and

      (vi) the source and/or device manufacturer, model, and serial number.

    (B) Each licensee who makes a report required by paragraphs (6) and (7) of this subsection shall submit to the agency a written follow-up report within 30 days of the initial report. Written reports prepared in accordance with other requirements of this chapter may be submitted to fulfill this requirement if the reports contain all of the necessary information and the appropriate distribution is made. The reports must include the following:

      (i) a description of the event, including the probable cause and the manufacturer and model number (if applicable) of any equipment that failed or malfunctioned;

      (ii) the exact location of the event;

      (iii) the isotopes, quantities, chemical and physical form of the radioactive material involved, and the source and/or device manufacturer, model number, and serial number;

      (iv) date and time of the event;

      (v) corrective actions taken or planned and the results of any evaluations or assessments; and

      (vi) the extent of exposure of individuals to radioactive materials without identification of individuals by name.

(yy) Reports of exposures, radiation levels, and concentrations of radioactive material exceeding the limits.

  (1) In addition to the notification required by subsection (xx) of this section, each licensee shall submit a written report within 30 days after learning of any of the following occurrences:

    (A) incidents for which notification is required by subsection (xx) of this section;

    (B) doses in excess of any of the following:

      (i) the occupational dose limits for adults in subsection (f) of this section;

      (ii) the occupational dose limits for a minor in subsection (l) of this section;

      (iii) the limits for an embryo/fetus of a declared pregnant woman in subsection (m) of this section;

      (iv) the limits for an individual member of the public in subsection (n) of this section;

      (v) any applicable limit in the license; or

      (vi) the ALARA constraints for air emissions as required by subsection (e)(4) of this section;

    (C) levels of radiation or concentrations of radioactive material in:

      (i) a restricted area in excess of applicable limits in the license; or

      (ii) an unrestricted area in excess of 10 times the applicable limit set forth in this section or in the license, whether or not involving exposure of any individual in excess of the limits in subsection (n) of this section; or

    (D) for licensees subject to the provisions of the EPA's generally applicable environmental radiation standards in Title 40, CFR, §190, levels of radiation or releases of radioactive material in excess of those standards, or of license conditions related to those requirements.

  (2) Each report required by paragraph (1) of this subsection shall describe the extent of exposure of individuals to radiation and radioactive material, including, as appropriate:

    (A) estimates of each individual's dose;

    (B) the levels of radiation, dose limit exceeded, concentrations of radioactive material involved, and the source and/or device manufacturer, model number, and serial number;

    (C) the cause of the elevated exposures, dose rates, or concentrations; and

    (D) corrective steps taken or planned to ensure against a recurrence, including the schedule for achieving conformance with applicable limits, ALARA constraints, generally applicable environmental standards, and associated license conditions.

  (3) Each report filed in accordance with paragraph (1) of this subsection shall include for each individual exposed: the name, identification number, and date of birth. With respect to the limit for the embryo/fetus in subsection (m) of this section, the identifiers should be those of the declared pregnant woman. The report shall be prepared so that this information is stated in a separate and detachable portion of the report.

Cont'd...

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