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FLORIDA DOH BUREAU OF RADIATION CONTROL (BRC)

ADIOACTIVE

ATERIAL

ICENSE

PPLICATION

HECKLIST

CHECK OFF IF

APPLICATION ITEM

NOTES

ADDRESSED

11.

Personnel Monitoring

External PM required unless able to demonstrate that workers are unlikely to exceed

–

500 mrem/yr TEDE; if applicable, list PM badge type (FB/OSLD/TLD), supplier &

(PM) Devices

exchange frequency (monthly/bimonthly/quarterly); 64E-5.208(2), .314, .315(1)

Internal PM required for users of I-125, I-131, H-3, U-234, U-235 or U-238 per

–

64E-5.1310(3); also required for users of unsealed sources of RAM unless able to

demonstrate workers are unlikely to exceed 10% of applicable ALIs; if applicable,

describe internal PM method (e.g., bioassays); 64E-5.208(2), .307, .315(2), .1310(3)

12.

Facilities & Equipment

Annotated facility diagram shows RAM use/storage locations, access pts., adjacent

–

areas, proximity to occupied work stations, no. of stories to bldg.; 64E-5.208(2)

Description of storage container; 64E-5.208(2)

–

Description of security measures in place to prevent access; 64E-5.320, .321

–

Description of safety equipment; 64E-5.208(2)

–

Description of posting; 64E-5.323, .901

–

Description of program addressing below items; 64E-5.303

13.

Rad. Protection Program

–

New applicant: procedures for demonstrating compliance w/ MOP dose limits

Member of Public (MOP)

–

Dose Study

License renewal: submit MOP study; 64E-5.208(2), .313

–

ALARA Policy

Policy describes a) management's commitment to ALARA philosophy, &

–

b) commitment to perform an annual ALARA/rad. protection program review;

model ALARA policy available from BRC; 64E-5.208(2), .303

Radiation Safety Officer

Description of RSO duties equivalent to the duties listed in 64E-5.1305

(1)

RSO Duties

–

Statement confirming that written notification will be given to BRC within 30 days of

(2) Change of RSO Notification

–

a change of RSO or other safety positions; 64E-5.213(7)

Radiation Safety

Training program addresses:

–

Training Program

A. Instructions to workers/radiation awareness training per 64E-5.902

B. AU training per 64E-5.1307, .1312 & .1313 (as applicable)

C. Hazmat employee training per 49 CFR 172 Subpart H & driver training per 49

CFR 177.816 (as applicable)

If requesting authorization to conduct an in-house training program, submit a detailed

–

description per 64E-5.1307(2); .208(2), .1307, .1312, .1313

Operating Procedures

Procedures address all applicable components listed below; 64E-5.208(2), .1302

–

Procedures include commitment that users are instructed in/have access to all

–

procedures/manuals for each type of RAM; 64E-5.208(2), .1302

If applicable, procedures for transporting RAM to temporary job sites; .208(2)

–

External PM: Instructions on proper use: only use assigned PM badge, always wear

(1)

Personnel Monitoring

–

badge when handling RAM, do not expose badge to excessive heat/light/chemicals/

(PM) Procedures

moisture, promptly return for exchange when due; use of spare badges; dealing w/

lost/damaged badges; PM records (DH-1622 & DH-1623 or equivalent forms;

annual/termination reports); 64E-5.208(2), Part III, .1302(4), .1310(1)

Internal PM: procedures address 64E-5.307 requirements; .208(2), .307, .1310(3)

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Radioactive Material License Application Checklist - Florida Doh Bureau Of Radiation Control (Brc) Page 2

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