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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER EREGISTRATION REGULATIONS
RULE §289.229Radiation Safety Requirements for Accelerators, Therapeutic Radiation Machines, Simulators, and Electronic Brachytherapy Devices

    (B) A radiation survey shall be conducted when the accelerator is registered and is capable of producing radiation to determine compliance with §289.231(m) and (o) of this title.

    (C) Initial surveys shall be performed as follows.

      (i) All new and existing facilities not previously surveyed shall have a survey made by, or under the direction of, the registrant.

      (ii) A survey report shall be made and shall include, but not be limited to, the following:

        (I) a diagram of the facility that details building structures and the position of the accelerator, control panel, and associated equipment;

        (II) a description of the accelerator including the manufacturer, model and serial number, beam type, and beam energy;

        (III) a description of the instrumentation used to determine radiation measurements, including the date and source of the most recent calibration for each instrument used;

        (IV) conditions under which radiation measurements were taken; and

        (V) survey data including:

          (-a-) projected annual total effective dose equivalent (TEDE) in areas adjacent to the accelerator; and

          (-b-) a description of workload, use, and occupancy factors employed in determining the projected annual TEDE.

      (iii) The registrant shall maintain a copy of the initial survey report for inspection by the agency in accordance with subsection (l) of this section.

      (iv) The survey report shall include documentation of all instances where the facility is in violation of applicable requirements of this chapter. Any deficiencies detected during the survey shall be corrected prior to using the accelerator.

  (3) Safety requirements.

    (A) Interlock systems shall comply with the following requirements.

      (i) Instrumentation, readouts, and controls in the accelerator console shall be clearly identified.

      (ii) Each entrance into a target room or other high radiation area shall be provided with a safety interlock that shuts down the machine under conditions of barrier penetration.

      (iii) When the production of radiation has been interrupted, it shall only be possible to resume operation of the accelerator by manually resetting the console.

      (iv) Each safety interlock shall be on an electrical circuit that allows the interlock to operate independently of all other safety interlocks.

      (v) All safety interlocks shall be designed so that any defect or component failure in the interlock system prevents operation of the accelerator.

      (vi) A scram button or other emergency power cut-off switches shall be labeled. The scram button or cut-off switches shall include a manual reset so that the accelerator cannot be restarted from the accelerator console without resetting the cut-off switch.

      (vii) The safety interlock system shall have a visible or audible alarm that will indicate when any interlock has been activated.

      (viii) All interlocks and visible or audible alarms shall be tested for proper operation at intervals not to exceed three months.

      (ix) If an interlock or alarm is operating improperly, it shall be immediately labeled as defective and repaired within 7 calendar days.

      (x) Records of tests and repairs required by this paragraph shall be made and maintained in accordance with subsection (l) of this section for inspection by the agency.

    (B) Each registrant shall develop and implement written operating and safety procedures. The procedures may be documented in an electronic reporting system and shall include, but not be limited to, the following:

      (i) methods used to secure the accelerator from unauthorized use;

      (ii) methods of testing and training operators in accordance with paragraph (4) of this subsection;

      (iii) procedures for notifying the proper personnel in the event of an accident;

      (iv) posting requirements;

      (v) procedures for testing interlocks, entrance controls, and alarm systems;

      (vi) personnel monitoring;

      (vii) maintenance of records; and

      (viii) procedures for necessary area surveys and time intervals.

    (C) The registrant shall ensure that radiation measurements are performed with a calibrated dosimetry system. The dosimetry system calibration shall be traceable to a national standard. The calibration interval shall not exceed 24 months. There shall be available at each accelerator facility, appropriate portable monitoring equipment that is operable and has been calibrated for the appropriate radiations being produced at the facility.

    (D) A radiation protection survey shall be performed and the results recorded when changes have been made in shielding, operation, equipment, or occupancy of adjacent areas.

    (E) For portable or mobile accelerators, such as neutron generators that are used at temporary job sites where permanent shielding is not available, radiation protection shall be provided by temporary shielding or by providing an adequate exclusion area around the accelerator while it is in use.

    (F) Records of calibration and survey results made in accordance with subparagraphs (C) and (D) of this paragraph shall be maintained in accordance with subsection (l) of this section.

    (G) The registrant shall perform radiation surveys and contamination smears prior to the transfer or disposal of an accelerator operating at or above 10 MeV. Such survey(s) shall be documented and maintained by the registrant for inspection by the agency in accordance with subsection (l) of this section.

    (H) The registrant shall retain records of receipt, transfer, and disposal of all radiation machines specific to each authorized use location. The records shall include the date, manufacturer name, model and serial number from the control panel or console of the radiation machine and identification of the person making the record.

  (4) Training requirements for operators.

    (A) No person shall be permitted to operate an accelerator unless such person has received instruction in and demonstrated competence with the following:

      (i) operating and safety procedures in accordance with paragraph (3)(B) of this subsection;

      (ii) radiation warning and safety devices incorporated into the equipment and in the room;

      (iii) identification of radiation hazards associated with the use of the equipment; and

      (iv) procedures for reporting an actual or suspected exposure.

    (B) Records of the training specified in subparagraph (A) of this paragraph shall be made and maintained for agency inspection in accordance with subsection (l) of this section.

(g) Requirements for accelerator(s) used in industrial radiography. In addition to the requirements in subsections (f)(1), (2), and (3)(C) - (H) of this section, accelerators used for industrial radiography shall meet the applicable requirements of §289.255 of this title.

(h) Therapeutic radiation machines, simulators used in the healing arts, veterinary medicine, and electronic brachytherapy devices.

  (1) General requirements.

    (A) Each person possessing a therapeutic radiation machine capable of operating at or above 1 million electron volts (MeV) shall apply for and receive a certificate of registration from the agency before using the accelerator for human use. A person may energize the accelerator for purposes of installation and acceptance testing before receiving a certificate of registration from the agency.

    (B) Each person possessing a simulator, a therapeutic radiation machine capable of operating below 1 MeV, and/or an electronic brachytherapy device, shall apply for a certificate of registration within 30 days after energizing the equipment.

    (C) Individuals who operate radiation machines for human use shall meet the appropriate credentialing requirements issued in accordance with the Medical Radiologic Technologist Certification Act, Texas Occupations Code, Chapter 601. Copies of the credentialing document shall be maintained at the locations(s) where the individual is working.

    (D) The electronic brachytherapy registrant shall require the physician to be:

      (i) licensed by the Texas Medical Board; and

      (ii) certified in:

        (I) radiation oncology or therapeutic radiology by the American Board of Radiology; or

Cont'd...

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