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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER FLICENSE REGULATIONS
RULE §289.252Licensing of Radioactive Material

      (i) Each licensee that possesses an aggregated category 1 or category 2 quantity of radioactive material shall establish, implement, and maintain a security program in accordance with the requirements of this paragraph and paragraphs (10) - (17) of this subsection.

      (ii) An applicant for a new license and each licensee that would become newly subject to the requirements of this paragraph and paragraphs (10) - (17) of this subsection upon application for modification of its license shall implement the requirements of this paragraph and paragraphs (10) - (17) of this subsection, as appropriate, before taking possession of an aggregated category 1 or category 2 quantity of radioactive material.

      (iii) Any licensee that has not previously implemented the security orders or been subject to the provisions of this paragraph and paragraphs (10) - (17) of this subsection shall provide written notification to the department at least 90 days before aggregating radioactive material to a quantity that equals or exceeds the category 2 threshold.

    (B) General performance objective. Each licensee shall establish, implement, and maintain a security program that is designed to monitor and, without delay, detect, assess, and respond to an actual or attempted unauthorized access to category 1 or category 2 quantities of radioactive material.

    (C) Program features. Each licensee's security program must include the program features, as appropriate, described in paragraphs (10) - (16) of this subsection.

  (10) General security program requirements.

    (A) Security plan.

      (i) Each licensee identified in paragraph (9)(A) of this subsection shall develop a written security plan specific to its facilities and operations. The purpose of the security plan is to establish the licensee's overall security strategy to ensure the integrated and effective functioning of the security program required by paragraph (9), this paragraph, and paragraphs (11) - (17) of this subsection. The security plan must, at a minimum:

        (I) describe the measures and strategies used to implement the requirements of paragraph (9), this paragraph, and paragraphs (11) - (17) of this subsection; and

        (II) identify the security resources, equipment, and technology used to satisfy the requirements of paragraph (9), this paragraph, and paragraphs (11) - (17) of this subsection.

      (ii) The security plan must be reviewed and approved by the individual with overall responsibility for the security program.

      (iii) A licensee shall revise its security plan as necessary to ensure the effective implementation of department and NRC requirements. The licensee shall ensure that:

        (I) the revision has been reviewed and approved by the individual with overall responsibility for the security program; and

        (II) the affected individuals are instructed on the revised plan before the changes are implemented.

      (iv) The licensee shall maintain a copy of the current security plan as a record for inspection by the department in accordance with subsection (mm) of this section. If any portion of the plan is superseded, the licensee shall maintain the superseded material for inspection by the department in accordance with subsection (mm) of this section.

    (B) Implementing procedures.

      (i) The licensee shall develop and maintain written procedures that document how the requirements of paragraph (9), this paragraph, and paragraphs (11) - (17) of this subsection and the security plan will be met.

      (ii) The implementing procedures and revisions to these procedures must be approved in writing by the individual with overall responsibility for the security program.

      (iii) The licensee shall maintain a copy of the current procedure as a record for inspection by the department in accordance with subsection (mm) of this section. Superseded portions of the procedure shall be maintained for inspection by the department in accordance with subsection (mm) of this section.

    (C) Training.

      (i) Each licensee shall conduct training to ensure that those individuals implementing the security program possess and maintain the knowledge, skills, and abilities to carry out their assigned duties and responsibilities effectively. The training must include instruction in:

        (I) the licensee's security program and procedures to secure category 1 or category 2 quantities of radioactive material, and in the purposes and functions of the security measures employed;

        (II) the responsibility to report promptly to the licensee any condition that causes or may cause a violation of the requirements of the department;

        (III) the responsibility of the licensee to report promptly to the local law enforcement agency and licensee any actual or attempted theft, sabotage, or diversion of category 1 or category 2 quantities of radioactive material; and

        (IV) the appropriate response to security alarms.

      (ii) In determining those individuals who shall be trained on the security program, the licensee shall consider each individual's assigned activities during authorized use and response to potential situations involving actual or attempted theft, diversion, or sabotage of category 1 or category 2 quantities of radioactive material. The extent of the training must be commensurate with the individual's potential involvement in the security of category 1 or category 2 quantities of radioactive material.

      (iii) Refresher training must be provided at a frequency not to exceed 12 months and when significant changes have been made to the security program. This training must include:

        (I) review of the training requirements of this subparagraph of this paragraph and any changes made to the security program since the last training;

        (II) reports on any relevant security issues, problems, and lessons learned;

        (III) relevant results of inspections by the department; and

        (IV) relevant results of the licensee's program review and testing and maintenance.

      (iv) The licensee shall maintain records of the initial and refresher training for inspection by the department in accordance with subsection (mm) of this section. The training records shall include:

        (I) the dates of the training;

        (II) the topics covered;

        (III) a list of licensee personnel in attendance; and

        (IV) any related information.

    (D) Protection of information.

      (i) Licensees authorized to possess category 1 or category 2 quantities of radioactive material shall limit access to and unauthorized disclosure of their security plan, implementing procedures, and the list of individuals that have been approved for unescorted access.

      (ii) Efforts to limit access shall include the development, implementation, and maintenance of written policies and procedures for controlling access to, and for proper handling and protection against unauthorized disclosure of, the security plan, implementing procedures, and the list of individuals that have been approved for unescorted access.

      (iii) Before granting an individual access to the security plan, implementing procedures, or the list of individuals that have been approved for unescorted access, licensees shall:

        (I) evaluate an individual's need to know the security plan, implementing procedures, or the list of individuals that have been approved for unescorted access; and

        (II) if the individual has not been authorized for unescorted access to category 1 or category 2 quantities of radioactive material, safeguards information, or safeguards information-modified handling, the licensee must complete a background investigation to determine the individual's trustworthiness and reliability. A trustworthiness and reliability determination shall be conducted by the reviewing official and shall include the background investigation elements contained in paragraph (4)(A)(ii) - (vii) of this subsection.

      (iv) Licensees need not subject the following individuals to the background investigation elements for protection of information:

        (I) the categories of individuals listed in paragraph (6)(A)(i) - (xiii) of this subsection; or

        (II) security service provider employees, provided written verification that the employee has been determined to be trustworthy and reliable, by the required background investigation in paragraph (4)(A)(ii) - (vii) of this subsection, has been provided by the security service provider.

      (v) The licensee shall document the basis for concluding that an individual is trustworthy and reliable and should be granted access to the security plan, implementing procedures, or the list of individuals that have been approved for unescorted access.

Cont'd...

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