Radiation Risk Assessment form

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Faculty of Science
IONISING RADIATION
RISK ASSESSMENT
Version:
0.1
Next review:
Nov 2009
This form is to be filled in by the subject coordinator in consultation with the laboratory manager. Please refer to: CSU
Radiation Safety Committee (RSC) Manual and AS/NZS 2243 Safety in Laboratories Part 4 and Part 5.
All work must have approval from the CSU Radiation Safety Committee (RSC) prior to commencement.
For radiation work that ONLY involves solar ultraviolet exposure then complete the solar ultraviolet radiation form
Name of School:
Project Title:
Project Type: (please tick)
Honours
Fieldwork
Undergraduate
Consultancy
Postgraduate
Staff Research
Other:
Outline of Proposed Project (include methods and techniques - brief details only)
Type of radiation: (eg. P-32, I-125, X-ray)
Location of Task or Project:
Expected Duration of Task or Project:
From:
To:
Does the project involve: (please tick appropriate)
A radioactive substance that requires a licence to possess, use or sell
yes
no
Radioactivity below the scheduled limit for licensing
yes
no
Premises that requires registration for work with radioactive materials
yes
no
Irradiating equipment that requires registration
yes
no
Is there an external radiation hazard?
yes
no
If yes, what is the type of emission? (γ, β, α, x-ray, etc.)
Is there an internal radiation hazard?
If yes, what are the routes of exposure?
Ionising Radiation Risk Assessment form V1
inhalation
yes
no
ingestion
absorption
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Unsealed Source details
Radionuclide
Physical form
Chemical form
Total activity held Bq
Activity used per procedure Bq
Half Life
Energy MeV
Sealed Source details
Radionuclide
Total activity held Bq
Sealed source activity, date
Half Life
Energy MeV
Irradiating Apparatus details
Type of equipment
Make & model
Date of Manufacture
Maximum kV / keV
Processes
Typical processes involving sources
(eg. radio-labelling)
Typical processes
Involving X-rays
(eg. imaging, analysis etc.)
Waste production
What radioactive waste will be generated from this process? Please provide a brief description of waste (eg. absorbent
paper, gloves, scintillation liquid & vials, contaminated biological waste)
Liquid
Solid
Gaseous / airborne
Ionising Radiation Risk Assessment form V1
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What is the estimated activity & amount of waste?
Activity of waste generated per experiment
<100Bq/gm
>100Bq/gm
Volume of waste generated (L or kg / experiment)
Estimated total volume of waste per month
Waste disposal
If waste is >100Bq/gm where will the waste be stored? (Waste store, in lab, freezer etc.)
If waste will decay to <100 Bq/gm, what storage time is required?
If waste is <100Bq/gm how will it be disposed of?
Work Environment
Is the work area in a registered radiation laboratory?
yes
no
Does the laboratory have restricted access?
yes
no
If No, please describe the suitability of the environment for the proposed work.
Describe the area provided: (isolated bench area, fume cupboard?)
Describe the type and condition of the bench & floor surfaces:
Can the area be easily decontaminated? (smooth continuous surfaces, coved to walls?)
Risk Controls
Facility
Secure facility with only authorized access
yes
no
Designated work area within facility
yes
no
Designated and secure storage for radioisotopes
yes
no
Spill tray and/or absorbent bench coat for bench work
yes
no
Effective shielding of sources in storage and awaiting disposal
yes
no
Effective shielding of operator and facility perimeter
yes
no
Fume cupboard or glove box used (indicate room no.)
Other:
yes
no
Safe, standard operating procedures
yes
no
Work surfaces cleaned and decontaminated after use
yes
no
Emergency procedures
yes
no
Spill clean-up kit
yes
no
Separation of “hot” waste
yes
no
Radioactive waste properly collected & disposed
yes
no
Work benches, under benches and passageways clear of clutter
Other:
yes
no
Procedures
Ionising Radiation Risk Assessment form V1
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Administration
Restricted access
yes
no
List of authorized personnel
yes
no
Radiation safety training for project personnel
yes
no
Local induction training and orientation
yes
no
Records kept of project team training
yes
no
Hazard signposting at entry to facility (Uni standard)
yes
no
Proper labelling of containers, including decanted
yes
no
Radiation used only during normal business hours
yes
no
Records kept of radiation usage
yes
no
Staff issued personal dosimeters
Other:
yes
no
Risk Summary & Conclusion (please tick appropriate)
The risk posed is insignificant and unlikely to increase during the course of the project.
The risk is significant, but will be effectively controlled.
There is uncertainty about the level of risk.
The risk is significant and cannot be effectively controlled.
Risk Evaluation
The project is to be reviewed annually, or whenever there is an incident or any significant change eg. new equipment,
personnel etc. This is to check that risk controls are still in place and working effectively.
Review dates:
Name of reviewer:
REFERENCES
1. NSW Radiation Control Act 1990, Amended August 2002
http://www.legislation.nsw.gov.au/viewtop/inforce/act+13+1990+first+0+N
3. NSW Radiation Control Regulation 2003
http://www.legislation.nsw.gov.au/viewtop/inforce/subordleg+615+2003+first+0+N
6. Australian Standard AS 2243.4 -1998 Safety in Laboratories Part 4 - Ionizing Radiation
Ionising Radiation Risk Assessment form V1
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Actions / Comments:
Remaining Risks:
List of Attachments:
1
2
3
4
5
6
Risk assessment completed by:
Name:
Signature:
Date:
Name:
Signature:
Date:
Name:
Signature:
Date:
Name:
Signature:
Date:
Name:
Signature:
Date:
Consultation
Signed (ALL persons involved in the project)
Approvals and Comments:
Name
Signature
Approval
y/n
Facility Manager
-select-
Head of School
-select-
Ionising Radiation Risk Assessment form V1
Comments
Page 5
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