Form Rhf - 1pg - Application For Radioactive Material License

Form Rhf - 1pg - Application For Radioactive Material License - Portable Gauge Page 6

ATTACHMENT C

EMERGENCY PROCEDURES

FOR PORTABLE GAUGE LICENSE

If an emergency occurs, such as loss, theft, fire, explosion, or vehicle accident in which the nuclear gauge may be

damaged or lost, the operator shall follow these procedures:

SECURE THE AREA AROUND THE ACCIDENT. KEEP UNAUTHORIZED PERSONS AWAY.

ALERT PEOPLE IN VICINITY OF THE PRESENCE OF RADIOACTIVITY AND A POSSIBLE

HAZARD.

DO NOT LEAVE THE SITE. Send a helper or on-looker to notify the following:

Radiation Safety Officer, whose phone numbers are:

Work ____________________________

Home ___________________________

Local Police _______________________________

Local Fire Department (where applicable) _________________________________

The Radiation Safety Officer in turn must immediately notify State of Washington Radiation

Emergency Response 206–682–5327, which is 206 N-U-C-L-E-A-R, and other local authorities

as indicated. Identify the call as a RADIATION EMERGENCY and give the following information:

Your name

Agency or firm

Location of incident

The telephone number where you can be reached

Upon contact with a State Radiation Emergency Response Officer, report the following information.

What happened

Date and time emergency began

Are there any injured people

Actions taken

Emergency agencies present on scene or notified

Present status

The operator should inform emergency workers of the radiation hazard possibly existing, and

should help them keep the area secure and explain to the emergency personnel of the

radioactive device, and the extent of the possible hazard. In no case should the operator leave

the site until qualified experts arrive, unless, of course, the operator is seriously injured or

incapacitated, and must be removed from the site by emergency personnel for necessary medical

treatment.

Optional Radiation Safety Officer / emergency contact at gauge manufacturer / distributor:

_____________________

______________________________________________________________________________________________________________

APPROVED BY: ___________________________________ DATE: ___________________________

(Applicant)

322-028 JAR 4/17/12 Page 6 of 8

Form Rhf - 1pg - Application For Radioactive Material License - Portable Gauge Page 6