Looking for a U.s. Department Of Health And Human Services Forms And Templates? Download it for free!

FLORIDA DOH BUREAU OF RADIATION CONTROL (BRC)

ADIOACTIVE

ATERIAL

ICENSE

PPLICATION

HECKLIST

CHECK OFF IF

APPLICATION ITEM

NOTES

ADDRESSED

(contd.)

13.E.

Operating Procedures

Procedures describe safety precautions for routine RAM use, applicable to requested

(2)

General Safety Rules

–

(unsealed RAM)

authorizations; 64E-5.208(2), .1316

Procedures address storage & control of volatile & gaseous RAM per 64E-5.1317

–

(3)

Posting Procedures

Procedures address posting requirements specified in 64E-5 Parts III, IX & XIII;

–

64E-5.208(2), .323, .901, .1302

Procedures address RAM security, including security at temporary job sites &

(4)

Security Procedures

–

overnight storage (as applicable); 64E-5.320, .321, .1311

(5)

Contamination Control

Procedures address 64E-5.1319 requirements; establish action levels & wipe/ survey

–

procedures (instruments/locations/frequency/records), including 4 meter checks prior

& Survey Procedures

(unsealed RAM)

to use: inspection, cal., battery and rad. response; 64E-5.208(2), .314(1) & (2), .1319

Procedures address RP requirements in 64E-5.319 to limit RAM intake; .208(2)

(6)

Respiratory Prot. Pro.

–

Instructions for preparation/handling of incoming & outgoing RAM shipments; 64E-

(7) RAM Ordering, Receiving,

–

Opening & Shipping Pro.

5.208(2), .327, .1501, .1502, 49 CFR

Emergency Procedures

Instructions for response to RAM loss, theft or damage; include emergency

–

notification numbers (RSO, BRC); 64E-5.208(2), .1302

Instructions for collecting LT samples; performed only by AUs; state interval tests

Leak Testing (LT)

–

Procedures (sealed sources)

will be performed (6/12/36 months); list manufacturer name & model no. of LT kit

used; list vendor contracted to analyze LT samples (may include option of using

other licensed vendors); if LT analysis conducted in-house, detailed procedures

required; 64E-5.208(2), .1303

Procedures address performance of physical inventories, describe inv. frequency

Inventory Procedures

–

(6/12 months) & record-keeping; include sample inventory form (model form

available from the BRC); 64E-5.208(2), .1304

Record Retention

Procedures address record-keeping requirements; 64E-5.208(2), .1302

–

Procedures

If applicable, include a commitment to maintain on file, for at least 1 year after the

–

last shipment, copies of the testing methods & results for each Type A package in

use (contact manufacturers for documentation); 64E-5.1502(2), 49 CFR 173.415(a)

14.

Waste Disposal

Procedures address RAM disposal, with commitment that RAM will be transferred

–

only to licensed recipients; 64E-5.208(2), .328

For unsealed RAM, address decay-in-storage, sewer disposal & LLRW shipments as

–

applicable; 64E-5 Part III, .1302

For LLRW, include commitment to notify BRC no less than 48 hrs. before shipment

–

to treatment/storage/disposal facility per 64E-5.1508

15.

Certificate

Application signed & dated by a certifying official (person authorized to make

–

legally binding statements on behalf of the applicant)

Page 3 of 3

Rad. Material.doc Ver. 15 11/29/01

Radioactive Material License Application Checklist - Florida Doh Bureau Of Radiation Control (Brc) Page 3

Related Articles

Related forms

Related Categories