Type II Inspection Worksheet Use Type: 872 - therapeutic nuclear medicine

Posting of Signs

RP 21

A radiation warning symbol is posted:

• (a) at the boundary of and at every point of access where there is more than 100 times the Exemption Quantity (EQ) of nuclear substances; or
• (b) where the radiation dose rate could exceed 0.025 m μSv/h.

Contact details posted

NSRD 23

The name or job title and a 24 hr. telephone number are posted in a readily visible location where the nuclear substance is
stored or used (refer to RP 21).

Radiation Warning Sign

RP 22

When a radiation warning symbol is used, it is posted in accordance with regulations.

Frivolous posting of signs

RP 23

Radiation warning symbols are not posted where there is no radiation, nuclear substance or prescribed equipment.

Storage

LC 2575-2

1. (a) Access to storage areas containing nuclear substances or radiation devices is restricted to authorized personnel
2. (b) Dose rates at occupied areas outside storage areas do not exceed 2.5 μSv/hr.
3. (c) Dose limits are not exceeded as a result of nuclear substances or radiation devices in storage.

Security indicators

GN 12 (1) (c), (g), (h), (i), (j)

Provisions are in place to ensure the security of nuclear substances and radiation devices and the health and safety of
persons. This may be achieved through restricted access (for example use of locks, alarms, and security systems) and
reporting of incidents including loss, theft and sabotage.

Sealed Source Security

LC 2490-1

Licensees have in place security measures including:

• Inventory accounting
• Access control measures
• Up-to-date security plan
• Information security measures
• Intrusion detection with monitoring and testing
• Response protocol
• Secure storage of substances and devices
• Security awareness program
• Vehicle security measures

Post licence

GN 14

1. (1) A copy of the licence or an appropriate notice is posted in a conspicuous place at the site of the licensed activity.
2. (2) The complete licence is available at field locations.

Therapy patient instructions

RP 03

The licensee provides therapy patient with instructions for reducing exposure to others before leaving the treatment centre.

Patient Room Assignment

LC 2580-1

A private room with a washroom is assigned to each thyroid therapy inpatient.

Patient Room Reassignement

LC 2583-3

Prior to a therapy patient's room being released for a new patient or for non-radioactive use, the room has been surveyed for
contamination. Decontamination is done to ensure levels of non-fixed contamination and fixed contamination meet the
licence criteria.

Patient room area control

LC 2581-0

Dose rates in occupied areas outside of the treated patient's room do not exceed 2.5 μSv/hr. No other patient will receive a
dose greater than 500 μSv per hospital stay.

Patient room access control

LC 2582-1

Access to the therapy patient's room is limited to authorized persons and a clearly visible and legible radiation warning sign
and the emergency contact number are posted at the entrance.

Linen release criteria

LC 2584-2

Linens are released once the contact dose rate has reached 2.5 μSv/h.

Container/Device labelled

RP 20

Each container or device containing greater than one Exemption Quantity of nuclear substance(s) is labelled with the
radiation warning symbol and the required wording.

Use of equipment & procedures

GN 12 (1) (e)

Licensee ensures equipment, clothing and procedures are used appropriately at the site of the licensed activity.

Area classification

LC 2110-2

Each area of use is classified in accordance with the licence condition.

Laboratory Procedures

LC 2570-3

An approved radioisotope safety poster is displayed where nuclear substances are handled.

Contamination Criteria

LC 2642-5

The licensee can demonstrate that sampling and counting methods can meet licence criteria. No loose contamination is
detected in amounts exceeding the limits specified in the licence.

Disposal (Nuclear Medicine)

LC 2162-9

Records indicate that all disposals of unsealed nuclear substances are in accordance with the licence condition.
Non-radioactive waste containers do not contain radioactive waste (refer to GN 12 (1) (f)).

Inaccuracies Notification

LC 2920-6

Changes to documents listed in the licence appendix have been reported to the CNSC.

Operation Limitations - General

LC 2917-7

Activities and procedures, as listed in the licence appendix, are followed.

Contamination meter requirements

LC 2572-1

A functional portable contamination meter is available.

Survey Meter Requirements

LC 2058-1

A properly functioning survey meter is available at all times.

Extremity Dosimeters-Beta

LC 2578-1

Ring dosimeters provided by a licensed dosimetry service are worn by all workers handling a container which contains more
than 50 MBq of the specified nuclear substances (P-32, Sr-89, Y-90 and Sm-153) in the condition.

Worker's obligations

RG 17

Every worker:

• (a) uses equipment, devices, facilities and clothing in a responsible and reasonable manner in accordance with the Act,
  Regulations and Licence Conditions;
• (b) complies with procedures and measures established by the licensee;
• (c) informs the licensee or supervisor of any situation where there may be:
  • (i) an increase in the risk to the environment or the health and safety of persons;
  • (ii) a threat to security;
  • (iii) a failure to comply with regulatory requirements;
  • (iv) sabotage, theft, loss or illegal use or possession of prescribed equipment, or
  • (v) a release into the environment not authorized by the licence;
• (d) observes and obeys all notices and warning signs; and
• (e) takes all reasonable precautions to ensure the safety and security of individuals, the environment and the nuclear
  substances or facilities.

ALARA/RP program

RP 04 (a)

The licensee has implemented a radiation protection program that keeps doses ALARA and includes:

• (i) management control over work practices;
• (ii) personnel qualification and training;
• (iii) control of occupational and public exposure to radiation; and
• (iv) planning for unusual situations.

Radiation safety

NSRD 17

Referenced emergency procedures are available to workers at the site of licensed activity.

Device provided & maintained

GN 12 (1) (d)

Required devices have been provided and have been maintained according to manufacturer's instruction.

Type A package requirements

PTNS 28 (1)

A Type A package must be prepared and labelled in accordance of PTNS 28(1) and associated requirements from SSR-6.
Package requirements are as follows:

• contact dose rate below 2 mSv/h (non-exclusive use) - SSR-6 527;
• name of consignor or consignee package - SSR-6 531;
• shipping name - SSR-6 532 and TDG 4.11;
• activity within limits - PTNS 26(2) and SSR-6 428;
• UN number - SSR-6 532 and TDG 4.12;
• "Type A" marking - SSR-6 534(b);
• VRI code - SSR-6 534(c);
• two (I-white, II-Yellow or III-Yellow) labels - SSR-6 538, 539, and TDG 4.6, 4.7;
• identify the radionuclide on labels -SSR-6 540 (a);
• maximum activity on labels - SSR-6 540 (b)(c) and TDG 4.14;
• transport index on labels (II-Yellow and III-Yellow) - SSR-6 540(d) as determined by SSR-6 523-524;
• package integrity must not be compromised - PTNS 24(a) and SSR-6 306(b).

Excepted packages content/activity

PTNS 26 (1) (a)

Excepted

Excepted packages meet the following criteria:

• dose rate below 0.005 mSv/h – PTNS 25(4)(a) and SSR-6 516;
• activity within limits of PTNS 26(2) and SSR-6 422;
• consignor or consignee I.D. - PTNS 28(1)(i) and SSR-6 531;
• UN number on package - PTNS 28(1)(i) and SSR-6 532;
• package must be accompanied by a shipping document (a log kept by driver is acceptable for UN 2909, 2910, 2911) that
  identifies the shipping name and UN number - PTNS 29(2)(a) and TDG 1.43;
• "RADIOACTIVE" visible inside package(UN2910) upon opening - PTNS 26(1)(a)(i) and SSR-6 424(b)(i).

For UN 2908 (Empty Packages):

• contamination inside an empty package does not exceed 100 times the levels specified in SSR-6 427(c) and PTNS
  26(1)(a)(i);
• Labels removed PTNS 26(1)(a)(i) and SSR-6 427(d);
• package integrity must not be compromised – PTNS 26(1)(a) and SSR-6 306(b).

Surface contamination

PTNS 28(1)(c)/SSR-6
508

The package has been tested to confirm surface contamination is below 4 Bq/cm2 for beta and gamma emitters and low
toxicity alpha emitters, and 0.4 Bq/cm2 for all other alpha emitters - PTNS 28(1)(c) and SSR-6 508.

Transport document requirement

PTNS 29(1)

The consignor of radioactive material provides a shipping document that includes the following (refer to TDG 3.5 and SSR-6
546):

• consignor and consignee names and addresses;
• 24 hour contact number;
• number of packages;
• UN number*;
• shipping name*;
• Class # 7*;
• radionuclide identification*;
• form*;
• maximum activity*;
• category of package*;
• transport index*;
• competent authority certificate number(s)*.

For consignments of more than one package, the required information (*) must be given for each package.

• Consignor's certification with printed name of the consignor - PTNS 25(1), TDG 3.6.1.

Showing proof of TDG training

PTNS 25 (1)

A person handling dangerous goods must provide their training certificate or copy of it to an inspector immediately upon request.

TDG training certificate

TDG 6.1, 6.3, 6.5

The employer is responsible for:
6.1(2)(a) ensuring that only an adequately trained worker who holds a valid TDG certificate handle Class 7 dangerous goods
; or
6.1 (2)(b) performs those activities in the presence and under the direct supervision of a person who is adequately trained
and who holds a training certificate in accordance with this Part.
6.3 issuing training certificate that includes:

• the employer's business address;
• the employee's name;
• aspects of handling and transporting;
• employee and employer signatures; and
• the expiry date of the certificate (TDG 6.5).

Package secured in vehicle

PTNS 25 (4)

Consignments are segregated and securely stowed (refer to SSR-6 562, 564, 574 - PTNS 25(1) and TDG 5.4). Category
II-Yellow and III-Yellow packages are not carried in compartments occupied by passengers - SSR-6 563.