Page 1 of 6 School of Life Sciences Operational Practise for Use of Radioactive material Administrative organisation University Radiation Protection Officer (URPO) Radiation Protection Supervisor (JMS -RPS) Deputy Radiation Protection Supervisor (JMS) Radiation Protection Supervisor (GDSC -RPS) Deputy Radiation Protection Supervisor (GDSC) TBC Teresa Knapp (ext 8053) Steve Pearce (ext 8872) Graham Frost (ext 8065) Jonathan Wing (ext 3118/2677) Operational Practise Before any work with radioactive materials can take place 1. the RPS and URPO must be informed to ensure that appropriate training can be provided. 2. all new work needs a project approval – please discuss this with your RPS in first instance 3. a risk assessment plus standard operating procedure must be prepared, submitted and approved 4. all workers must have a valid radiation licence issued by Sussex University that has been endorsed to show they are familiar with the local rules for the laboratory, the project risk assessment and the experimental practises to be used 5. a specific risk assessment must be carried out for female staff who are pregnant or breast feeding and those working with colleagues of child bearing age must be aware of the additional risk posed to the foetus or developing child. 6. training in the use of the School’s radiolabel management system - Isostock - will be required Ordering Radiochemicals Only School RPS’s or their Deputy can order radioactive materials or receive them from other users either within this University or from other establishments. All requests to order material must be sent for processing to your RPS or their Deputy, through the Isostock management system. The request process will produce a stock number which will accompany the material and all of its subsamples from cradle to grave. Radioactive materials cannot be transferred from other Institutes without registration through the relevant School RPS, and approval from the URPO. Collection of Radiochemicals from Science Stores All radioactive material orders must be delivered to the Life Science stores. On goods arrival, stores staff will sign the courier records and log entry of the material into their records. Radioactive material deliveries will be locked in the dedicated cabinet within the store and the person who has requested the material immediately contacted. Radioactive materials deliveries must be collected on the day of delivery. Any radioactive materials remaining in stores at the end of the day will be transferred to the radiation decay store until the following Teresa Knapp and Paul Mac Court Revised Teresa Knapp 31 May 2014 07 May 2015 Page 2 of 6 day. Only radiation license holders can collect radioactive materials from the stores and they must provide the following to the storekeeper: Radiation licence number Isostock radiochemical stock number details Laboratory number where the material is to be held On collection the stock must be labelled with the Isostock number. These details are entered into the stores record against the stock delivery and are cross referenced when we are audited by the Environment Agency or other external agencies. Storage of Radiochemical stocks and sub samples 1. Radiochemical stocks must be securely stored in a designated radiation laboratory to prevent access by unauthorised persons, e.g. locked fridge/freezer 2. Volatile radiochemical stocks must be stored in a lockable fume cabinet 3. If the storage area contains materials other than radioactive material the stocks must be kept in a separate storage box which is clearly labelled as containing radioactive material. 4. All radiochemical stocks must be in secondary containers to prevent contamination of the fridge/freezer/fume cupboard in the event of leakage. 5. Sub samples such as probes etc must be stored in such a way so as to contain any leakage should this occur 6. Storage areas that contain both radioactive and non-radioactive materials must ensure that these are suitably separated ie separate designated shelves. 7. Fridges/freezers used to store radiochemicals must be defrosted regularly to prevent the accumulation of ice that could become contaminated in the event of leakage or spillage within the fridge/freezer. 8. All stocks and any subsamples must display the Isostock number, where there are multiple micro tubes it is sufficient to label the larger storage container with tape. These must be clearly labelled with the word radioactive and a warning trefoil. 9. Empty stock pots and unwanted samples must be disposed of as soon as possible and the details of this transaction entered into Isostock Maintenance of Stock records It is the responsibility of each worker to ensure that they maintain accurate records of use and disposal of all radioactive material in their possession. After collecting your compound and taking it to the laboratory store, you must update IsoStock with the location and storage details An entry must be made in the Isostock for every use of the material, If the aliquot is relocated to another storage area this must also be recorded in the Isostock. Only RPS’s can transfer to stock from one licence holder to another When a disposal is made the date, activity and disposal route must be entered into the Isostock. Disposal of radioactive waste All disposal must be entered against the correct waste stream within IsoStock Solid waste into floor bin or bench bin Teresa Knapp and Paul Mac Court Revised Teresa Knapp 31 May 2014 07 May 2015 Page 3 of 6 Aqueous waste down the designated sink within radiation laboratory/area Vials containing scintillation waste into scint floor bin 1. Aqueous waste must not be accumulated can only be disposed of via the designated sink and must be recorded in Isostock. 2. Liquid scintillation fluid (organic liquid waste) Mini vials should be treated as organic liquid waste and placed in a 50l yellow plastic disposal bin. This waste must be recorded in IsoStock 3. Solid waste Solid waste should be placed in a waste bag contained within a Perspex bin (no bin needed for tritium). Details of the activity and the date it is placed in the bin must be entered in Isostock. Bags or bins must be labelled with an Isostock bin number and the date that material is first placed in the bag must be added to the label. Radioactive waste should not be stored in the laboratory for longer than a week. Contents of small waste boxes should be transferred directly to the appropriate large (0.5m3) waste boxes within the radioactive waste decay store. Large waste boxes (0.5m3) should be transferred directly to the radioactive waste decay store. Waste collection boxes must always be lined with a strong clear polythene bag Do not overfill a box If you discover a box is full, please ask the RPS to provide a new box Good laboratory practice when working with radiochemicals 1. Always plan your experiment and ensure that you understand the methodology and have everything you need before starting work. 2. Always wear a laboratory coat, hand and eye protection when working with radiochemicals. Eye protection for work with radiochemicals must conform to the requirements of EN166, optical class 1, mechanical strength F and both frame and lens must be resistant to chemicals. Disposable nitrile or neoprene gloves meeting the requirements of EN374 (chemical and/or micro-organism protection) must be worn. Both eye and hand protection must be CE marked. 3. If the project risk assessment has identified a requirement for dosimetry, this must be worn whenever working with radiochemicals. 4. Ensure any radiation monitor(s) is operational before work and monitor the work area for any contamination (including the floor and monitor) and record the results on the check sheet. Do not proceed with experiment if the area is contaminated. Clean/decontaminate area first. 5. If fingertip dosimeters are required these should be worn underneath the gloves. Change gloves on a regular basis and if contaminated 6. Wherever possible do not remove the source from its shipping pot, if there is a need for this then unshielded stock solutions should only be handled with the use of forceps. Teresa Knapp and Paul Mac Court Revised Teresa Knapp 31 May 2014 07 May 2015 Page 4 of 6 7. Monitor hands and the work area on a regular basis and after concluding each specific period of work. Ensure that the correct monitor is used to detect the label being used. Mini monitor models with probe type EP15/EL are suitable for 14C, 32/33P, 35S Mini monitor model with probe type BP4 is suitable for 14C Mini monitor models with probe type E is suitable for 32P Tritium contamination must be monitored using a wipe test followed by liquid scintillation counting 8. Clean up any contamination of the work area or equipment immediately or as soon as possible. Damp tissues are best for doing this, but use of dilute Decon 90 may be required. 9. Work in a tray large enough to contain any liquid spillage. Line trays with absorbent material, which should be replaced if contaminated or at the end of the work. 10. For significant liquid spills, tissues or spill pads to be found in spill kits should be used to contain the spillage (see local rules for further guidance) 11. All packages containing radiochemicals must be monitored for contamination during each stage of the opening procedure. Both external and internal packaging should be wipe tested. In the case of high energy β or βγ emitting radionuclides and for dispensing operations place the vial inside a perspex or lead vial/shield. Some shielded perspex vial containers are equipped with lids which can be used to remove the vial or microcentrifuge tube which contains the radioactive solution. 12. Use a suitable screen to shield yourself from radiation; 10mm perspex if working with high energy β emitters such as 32P 3mm (minimum) Perspex for 14C, 33P, 35S not necessary for tritium 13. On completion of work or if temporarily leaving the work area, monitor and decontaminate work areas and enter results on the contamination monitoring sheet, entering real figures not ditto marks, before leaving the work area: Monitor gloves, remove and dispose of as radioactive waste. Monitor lab coat and remove if working in a dedicated radiation laboratory Wash hands using the “handwash only” sink. Dosimeters Where required by risk assessment, dosimetry will be provided to monitor dose levels. If a dose constraint is exceeded work will be halted while an investigation is carried out by the University to determine the possible cause. Measured dose records will be recorded by the RPS and any individual receiving a dose in excess of either a dose constraint or a statutory limit will be informed in writing. Dose records must be kept for 50 years. Action in case of spillage The response will depend on the nature and activity of the radionuclide and will be determined by risk assessment. A yellow bucket containing a spill kit is provided in each radiation work area, this contains the following: Teresa Knapp and Paul Mac Court Revised Teresa Knapp 31 May 2014 07 May 2015 Page 5 of 6 Latex/nitrile gloves Cordon tape Decon 90 Poly waste bags Absorbent pad Large disposable overshoes Tissues Rad hazard labels or tape Nail brush Soap Poly Apron Long Forceps Marker pen Tie on tags Safety glasses The following model procedures can be used where appropriate: Minor spillage; <3.7MBq 1. If the spillage is not contained within the working tray, warn all individuals working nearby that there has been a contamination incident 2. Restrict access to contaminated area to limit spread of contamination 3. Collect the spill kit 4. Identify (use contamination monitor) the extent of the spill 5. Mop spill with absorbent paper; work from the outside in; use tongs if dealing with 32P 6. Monitor for residual contamination 7. Repeat, mopping the area using a dilute solution of Decon if contamination remains 8. If you need to leave the laboratory before fully decontaminating the area a warning sign annotated with details of the radiochemical and an estimation of the activity must be displayed 9. Before leaving the laboratory area fully monitor yourself including the soles of your shoes Major spillage > 3.7MBq, 1. Follow 1 and 2 above then, 2. Dial 3333 and inform security with details 3. Notify RPS 4. Collect the spill kit 5. Render first aid if necessary 6. If personnel are contaminated start decontamination procedure (see local rules) Remove contaminated clothing and bag Flush contaminated skin with water taking care not to spread contamination 7. Cover spill with absorbent paper 8. If you need to leave the laboratory before fully decontaminating the area the warning sign annotated with details of the radiochemical and an estimation of the activity must be displayed 9. RPS will initiate further decontamination. 10. Before leaving the laboratory area fully monitor yourself including the soles of your shoes Teresa Knapp and Paul Mac Court Revised Teresa Knapp 31 May 2014 07 May 2015 Page 6 of 6 Infringements and sanctions Failure to comply with university policy, local rules or project risk assessments may cause harmful exposure to radiation or radioactive contamination, and jeopardise the university’s permit to work with radioactive sources. Serious regulatory breaches can lead to prosecution and penalties such as fines. Any radiation worker that fails to adhere to university policy, local rules or project risk assessments will be subject to the sanctions in the following table: Infringement Compliance failure with potential for contamination, an avoidable personal dose increase or other breach of a statutory duty Compliance failure leading to contamination, an avoidable personal dose increase or other breach of a statutory duty Repeated compliance failures leading to contamination, an avoidable personal dose increase or other breach of a statutory duty Compliance failure causing a reportable breach of a statutory duty Teresa Knapp and Paul Mac Court Revised Teresa Knapp Action Verbal warning from RPS with advice on how to improve laboratory practice to avoid a repeat incident Follow-Up Written warning from RPS with advice on how to improve laboratory practice to avoid a repeat incident Period of supervision by the project supervise to confirm that laboratory practice has improved to a satisfactory standard Period of supervision by project supervisor following reinstatement of license, to ensure a satisfactory standard of performance has been achieved. Extended period of supervision by project supervisor following reinstatement of license, to ensure a satisfactory standard of performance has been achieved and maintained. Serious breaches of safety regulations or the University’s safety policy maybe subject to formal disciplinary procedures. Temporary suspension of University of Sussex radiation license pending investigation and decision on actions to be taken before licence can be reinstated Immediate suspension of University of Sussex radiation license pending investigation and decision on actions to be taken before license can be reinstated. License may be permanently suspended. 31 May 2014 07 May 2015