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Butler University - NRC license 13-01865-02 Renewal Application Attachment 1

RADIATION SAFETY PROGRAM

POLICIES AND PROCEDURES

Latest Review October 2011

BUTLER UNIVERSITY

OFFICE OF ENVIRONMENTAL PROGRAMS

4600 SUNSET AVENUE

INDIANAPOLIS IN 46208

PHONE (317) 940-6408

EMERGENCY 911

1

Submitted to NRC on 092612


TABLE OF CONTENTS

PAGE NO

Individual User S

Section V Procurement Procedures 2S

Section I Introduction 1

Purpose 1

Scope 1

Definitions 1

Section II Organization and Responsibilities 2

Radiation Safety Officer 2

Authorized Investigator 4

Section III Principles of Radiation Protection 9

General Principles 9

External Exposure 9

Internal Exposure 10

Personnel Monitoring 10

Radiation Exposure for Females 12

Section IV Authorization 14

Radioactive Materials 14

Radiation-Producing Equipment 14

Discontinued Use of Radioactive Materials 15

Sample Form Request for Authorization to Use Radioactive Materials 19

Sample Form Personnel Profile for radiation Safety 23

Sample Form Isotope Utilization Record 26

Sample Form Isotope Receipt and Inspection Log 27

2

Butler University NRC License 13-01865-02 Renewal Application Attachment 1

Section VI Waste Disposal 28

General Information 28

liquid Radioactive Waste 29

Solid Radioactive Waste 29

Liquid Scintillation Media 30

Sample IIRadioactive Waste Tag 31

Section VII Emergency Procedures 32

Definition of Emergency 32

Notification 32

Emergency Information 32

Fires and Explosions 33

General Principles for Decontamination 34

Personnel Decontamination Procedures 34

Minor Spills 35

Major Spills 36

Section VIII Safety Procedures 37

Radioactively labeled Compounds 37

SealedContained Sources 39

Radiation Producing Equipment 39

Section IX Laboratories and Facilities 41

Design 41

Safety Recommendations 41

Classification 42

Laboratory Monitoring 43

Caution Signs labels and Notices 45

3

Butler University - NRC License 13-01865-02 Renewal Application Attachment 1

Sample Form Monthly Survey Report 46

Section X Radiation-Produci ng Equipment 47

Registration 47

X-Ray Diffraction Units 47

Electron Microscopes 47

Guidelines for use 48

Operator Responsibilities 48

Section XI Compliance Report Requirements 49

Instructions 49

Sample Form Quarterly Compliance Report 54

4

------------------------- shy


SECTION I

INTRODUCTION

The use of radioactive materials and sources of ionizing radiation throughout Butler University is

regulated by numerous government agencies including US Nuclear Regulatory Commission Indiana

State Board of Health Department of Transportation and the Environmental Protection Agency At

Butler University the Radiation Safety Officer oversees the safe use of ionizing radiation The Radiation

Safety Officer is responsible for administering the radiation safety program and maintaining compliance

with all applicable regulations

A Purpose

This manual provides information for Butler University personnel regarding the policies and

procedures for the safe handling of radioactive materials and sources of ionizing radiation

B Scope

Procedures established in this manual apply to all Butler personnel who receive and use radioactive

materials and other sources of ionizing radiation

C Definitions

Radioactive material means any material which spontaneously emits ionizing radiation

Radiation means ionizing radiation such as x-rays gamma rays alpha and beta particles high speed

electrons neurons and protons Non-ionizing radiation such as sound or radio waves lasers

microwaves visible light infrared and ultra-violet light are not considered in this manual

Radiation Safety means the safe and responsible use of ionizing radiation

5


SECTION II

ORGANIZATION AND RESPONSIBILITIES

A Radiation Safety Officer

The Radiation Safety Officer (RSO) serves as the direct interface between the research being

performed and the Nuclear Regulatory Commission (NRC) The RSO coordinates the safe us of

radioactive materials and ensures compliance with the requirements of Title 10 Code of Federal

Regulations

Personnel

Radiation Safety Officer

Craig W Barnhart

Manager of Environmental Programs

Department of Campus Services

Office Holcomb Building Room 12 Phone 940-6408

Responsibilities

1 Provide overall coordination of the Radiation Safety Program

2 Serve as liaison with the Nuclear Regulatory Commission on license and inspection matters

3 Control procurement and disposal of licensed material maintain associated records and

ensure licensed materials that are possessed or used by an investigator are limited to those

specified in Butler Universitys license

4 Establish and conduct the training program

S Ensure that licensed material is used only by those individuals authorized by the Nuclear

regulatory Commission

6

Butler University- NRC license 13-01865-02 Renewal Application Attachment 1

6 Establish and maintain a personnel monitoring program and ensure that all users wear

personal monitoring equipment such as film badges

7 Ensure that licensed material is secured against unauthorized removal at all times

8 Establish and maintain a survey instrument calibration program

9 Procure and maintain radiation survey instruments


11 Develop and maintain up-to-date operating and emergency procedures

12 Ensure that the terms and conditions of the license are met

13 Establish and maintain an internal inspection program

14 Conduct periodic radiation safety inspections of licensed activities to ensure compliance

with the regulations and license conditions

15 Serve as the point of contact and give assistance in case of emergency and ensure that the

proper government agencies are notified in case of an accidental release of licensed

material

16 Investigate the cause of incidents and determine necessary preventative action

17 Act in an advisory capacity to the administration faculty and staff

7


18 Assure that the radiation exposure is as low as reasonably achievable (ALARA)

B Authorized Investigator

Investigators using radioactive materials must be authorized by the Nuclear Regulatory Commission

Refer to the section on authorization procedures for further details

Responsibilities

1 Pre-plan experiments consider the types and amount of radiation the radioactive materials

being used and appropriate protective measures such as shielding

2 Maintain total compliance with all waste disposal procedures

3 Familiarize all users involved with the project with this manual

4 Assure that prescribed safety procedures are followed

5 Inform the Radiation Safety Officer of any changes in personnel facilities or material being used

6 Inform Physical Plant and Housekeeping personnel of radiation areas within your laboratory Contact the RSO for assistance if these individuals must work in a potentially contaminated area a restricted radiation area or on a potentially contaminated piece of equipment

7 Comply with Butler Universitys policies and procedures for the safe use of ionizing radiation

8 Maintain minimum inventory and storage of radioactive materials

9 Immediately report any missing radioactive materials or missing shipments to the Radiation Safety Officer

8


10 Maintain complete records for receipt transfer and disposal of all radioactive materials

11 Complete and annual inventory of the radioactive materials on hand in the laboratory when requested by the Radiation Safety Officer

C Individual User

All users of radioactive materials must be issued a film badge before work may begin They must also complete a training session given by the Radiation Safety Officer Training will include an orientation and review of the Radiation Safety Manual as well as viewing the three videotapes on radiation safety

Each individual whohas contact with radioactive materials must follow the procedures below to ensure safe use

Responsibilities

1 Keep exposures to ionizing radiation to levels as los as reasonably achievable (ItALARA) by utilizing TIME DISTANCE and SHIELDING whenever possible

2 MOUTH PIPETTING is not permitted in any area posted for radioactive materials storage or use

3 EATING DRINKING and SMOKING are not permitted in rooms posted for radioactive materials are handled

4 DISPOSABLE GLOVES and LABORATORY COAT must be worn whenever radioactive materials are handled

5 Assigned FILM BADGE must be worn and be worn by no other persons other than the person named on the badge Badges must never be taken off campus and should be stored away from all sources of ionizing radiation

6 HANDS SHOES and ClOTHING should be frequently monitored for evidence of contamination

9


7 Work with VOLATILE RADIONUCLIDES or with radioactive materials that may otherwise become airborne must be performed in a fume hood

8 MONITORING of radionuclide work areas should be performed at least once each day in laboratories where radionuclide work is undertaken In addition monthly surveys must be performed recorded and sent to the Radiation Safety Officer A copy of the monthly survey must be retained in the laboratory

9 Surfaces in the immediate vicinity of work involving radioactive materials must be covered with plastic-backed ABSORBENT PAPER plastic side down Where pOSSible an impervious tray or pan should be used under the paper to contain spills

10 Dispose of LIQUID radioactive waste in the containers provided Never dispose of radioactive liquids in sinks ORGANIC and AQUEOUS LIQUIDS must be disposed of in separate containers

11 Do not remove LIQUID SCINTILLATION FLUIDS (LSF) from the vials when disposing of them Used LSF vials may be returned to the cupboard trays for disposal

12 Dispose of DRY (SOLID) RADIOACTIVE WASTE and dry materials suspected of being contaminated in the dry radioactive waste containers provided never in ordinary waste baskets

13 NEEDLES and other SHARPS must be placed in the plastic sharps containers provided

14 Never place radioactive waste containers in the hallways The rad waste collector Craig Barnhart may be reached by telephone to arrange pick-up940-6408

15 STORAGE OF FOOD OR DRINK is prohibited in refrigerators freezers and cold rooms used for radioactive materials

16 Thoroughly WASH HANDS after manipulating radionuclides- -before eating smoking or drinking and before using restroom facilities Hands must also be washed whenever skin contamination is suspected

10

----------------


17 MAINTAIN RECORDS of receipt use transfer and disposal of radioactive materials

18 REPORT ACCIDENTS RESULTING IN INHALATION INGESTION SKIN CONTAMINATION OR SPILLS of radioactive materials to the appropriate Authorized User and to the Radiation Safety Officer

19 If an accident occurs involving radioactive materials TREAT SERIOUS PHYSICAL INJURIES BEFORE ATTEMPTING DECONTAMINATION

20 CLEANUP OF CONTAMINATED EQUIPMENT OF AREAS is the responsibility of the persons creating the contamination and of the designated user It must not be assigned or delegated to staff outside the laboratory such as Building Services (Housekeeping) or Construction and Maintenance Services employees The Radiation Safety Officer will supervise decontamination efforts

21 STORE RADIOACTIVE MATERIALS REQUIRING REFRIGERATION only in refrigerators or freezers labeled for radioactive material storage

22 Maintain good personal hygiene

a Keep fingernails short and clean b Do not work with radioactive materials if there is a break in the skin below the wrist

or use double gloves c Wash hands and arms thoroughly before handling any object which goes to the

mouth nose or eyes

23 Persons with questions or in need of assistance should contact Craig Barnhart at ext 6408

11


SECTION III

PRINCIPLES OF RADIATION PROTECTION

A General Principles

1 Exposure to ionizing radiation is divided into two categories

a Occupational exposure of individuals aged 18 or older to ionizing radiation in the course of their work Such persons may be termed radiation workers This category has two sub-groups a) women of reproductive capacity (embryofetus exposure) and b) all other radiation workers

b General Exposure to medical and dental x-rays cosmic radiation and naturally occurring radioactive materials This exposure is delivered to the entire population regardless of age

2 Occupational exposure to ionizing radiation occurs from two sources

a Radiation from a source external to the body

b Radiation of the body internally from an external source or from ingested radioactive materials

B External Exposure

1 External radiation exposure is due to radiation originating from sources outside the body Usually there is no physical contact with the radiation source and exposure ceases when one leaves the radiation area or source is removed External radiation can be measured with relative ease and accuracy and possible hazards evaluated

2 External radiation can be reduced by three means decreased exposure time increased distance from the source and increased shielding

C Internal Exposure

1 Internal radiation exposure occurs from the deposition of radioactive materials within the body through inhalation ingestion immersion of part of the body skin absorption or entry through

12


cuts or wounds Relatively small amounts of radioactive materials may cause significant internal radiation exposure

2 Internal radiation exposure is minimized by preventing the deposition of radioactive substances on or in personnel and by keeping contamination of the working environment as los as possible

D Personnel Monitoring

Personnel monitoring is the assessment of ionizing radiation to which an individual has been or could be exposed

1 Whole-body exposures will be evaluated with film badges on a monthly exchange basis

2 Doses to the extremities will be evaluated with TLD ring badges when necessary (eg working with P-32 and P-33) These will also be exchanged monthly

3 Where to wear badge a Wear body badge on unshielded part of body-collar pocket or belt making sure

garments do not cover it

b Wear ring dosimeter with label facing palm of hand

4 The film badge service will be administered by the Radiation Safety Officer

a Film badges will be issued on the first working day of each month

b The film badge must be worn at all times when an individual is occupationally exposed to ionizing radiation and working with Ca-45 C-14 P-32 P-33 and 5-35 radioisotopes

c When not in use the film badge must be stored in a secure location away from radiation excessive heat and moisture Badges should not be taken off campus

d When a film badge is lost immediately notify the Radiation Safety Officer

e A film badge is to be worn only by the person to whom it is issued and whose name appears on the film packet

13


f Badges are available from the Radiation Safety Officer upon request to monitor visitors

S Internal exposure monitoring (bioassays) will be arranged by the Radiation Safety Officer when necessary Urine analysis is required from persons working with unsealed tritium (hydrogen-3) or carbon-14 in amounts greater than 10 millicurries

6 Records and reports a Monthly film badge records are available for inspection through the Radiation Safety

Officer

b In cases where a monthly film badge radiation dose exceeds 100 millirems of radiation the Radiation Safety Officer will notify the individual and their supervisor in writing of the exposure as a means of alerting the individual to the occurrence and consideration of corrective measures Persons will be notified of extremity doses above 500 millirems

c Persons with a history of over-exposure or non-compliance may be prohibited from working with radioactive materials or other sources of ionizing radiation

d The Radiation Safety Officer may request records of an individuals past radiation exposure history

e Permanent records of film badge and bioassay reports are maintained by the Radiation Safety Officer

f Annual radiation dosimetry reports are available to individuals upon request Exposure records will be forwarded to new employers upon written request by a former employee

E Radiation Exposure For Females (Prenatal Radiation Exposure) 1 It is recommended that all female employees whose work involves exposure to ionizing

radiation review the US Nuclear Regulatory Commission Regulatory Guides 813 and 829 these guides are available from the RSO

2 Scientific studies have shown that the unborn are more sensitive to radiation than adults particularly during the first three months after conception During a large part of this critical period of pregnancy a woman may not be aware that she is pregnant For this reason all radiation exposure must be kept as low as reasonably achievable

3 Responsibilities ofthe pregnant radiation worker

14


a Keep all radiation exposures as low as reasonably achievable (ALARA) b The pregnant woman should voluntarily inform the Radiation Safety Officer about

her pregnancy The notification should be in writing and should include the estimated date of conception This will allow the Radiation Safety Officer to evaluate any accumulated radiation exposure to the mother and baby

c The pregnant radiation worker should make an appointment with the Radiation Safety Officer to discuss her use of radioactive materials and implementation of appropriate safety measures

d For the duration of her pregnancy a woman may not receive more than a total of 05 Rem (500 milliRem) which includes both internal and external radiation exposure

4 Responsibilities of the Radiation Safety Officer a The RSO may periodically monitor the pregnant woman for internal exposure by

urinalysis after the use of radioactive materials b Discuss NRC Regulatory Guides 813 and 829 the womans use of ionizing radiation

appropriate safety measures and any other safety or regulatory concerns c The Radiation Safety Officer will maintain as much confidentiality as possible

concerning a notification of pregnancy The pregnancy will only be discussed with other personnel necessary to assure that all safety precautions are taken to protect both the pregnant woman and the unborn child

15


SECTION IV

AUTHORIZATION

A Radioactive Materials

Faculty and staff of Butler University wanting to use ANY quantity of radioactive material in the course of their work must notify the RSO

1 Obtain Request for Authorization and Personnel Profile forms from the Radiation Safety Officer Sample forms are shown at the end of this section

2 Submit completed forms to the Office of Environmental Programs for review by the Nuclear Regulatory Commission

3 After NRC approval the investigator is notified and issued an authorization number which allows himher to order radioactive material and enter into the monitoring program

4 Authorization must be amended for the following a Changes in the types of levels of radioactivity b New procedures c New facilities d Changes in personnel

5 All changes in the initial authorization must be submitted on a Request for Authorization form and must be approved by the Nuclear Regulatory Commission

B Radiation-producing Equipment 1 Individuals may use equipment that produces ionizing radiation if they have had training and

experience with the appropriate procedures and safety precautions needed for safe and responsible use of the equipment

2 These individuals must complete the personnel profile form and enter into the personnel monitoring (ie film badge) program

C Discontinued use of radioactive materials 1 The authorized individual must notify the Radiation Safety Officer and indicate that they will no

longer be handling radioactive materials 2 The following must be arranges with the Radiation Safety Officer

a Close out of radioactive materials inventory to zero b Disposal of all radioactive waste c Clouse out contamination survey ofthe laboratory

3 Individuals who may use radioactive materials at a future time must become authorized again

16


Request for Authorization to Use Radioactive Materials

Authorization forms are available from the Radiation Safety Officer It is MANDATORY that all sections of the form be completed for initial and renewal authorizations Amendments require that only the pertinent sections of the form be completed This form must be printed in ink or typed Personnel profiles must be included for all persons involved in the project Submit the completed form to

Radiation Safety Officer Office of environmental programs HB 12

Questions should be directed to the Radiation Safety Officer

17


INSTRUCTIONS FOR COMPLETING REQUEST FOR AUTHORIZATION TO USE RADIOACTIVE MATERIAL

When an authorization form is submitted to the Office of Environmental Programs all sections MUST be completed in their entirety Print in ink or type

Items 1-4 These are self-explanatory but must be completed by each investigator

Item 5 Indicate if this authorization is for an initial authorization for a new investigation renewal of an existing authorization amendment to change some aspect of a currently approved authorization

Item 6 List all individuals involved with your project who will be working with radioactive materials A Personnel Profile form must be completed by each person named The primary investigator responsible for the laboratory must also complete a personnel profile to document sufficient experience for supervision of the radioactive material use

Item 7 A brief but informative Title for your work with radioactive materials is required

Items 8-11 Your project should be preplanned well enough to enable these items to be completed thoroughly and accurately

Items 12-13 Although these items are estimated quantities they must be completed with your best approximation

Items 14-15 Exact locations of material usage and storage must be identified

Items 16-17 Do other investigators use or store radioactive materials in the areas you have indicated above If YES list those investigators

Item 18 Briefly describe storage conditions for your radioactive materials which assure adequate shielding prevention of breakage and spills etc This should include the following appropriate for the particular isotopes you plan to use

minimal shielding for low-energy beta emitters Plastic shielding for high-energy beta emitters Lead shielding for gamma emitters Storage in labeled specially deSignated areas such as a cabinet refrigerator or lab bench area with appropriate shielding Use of non-breakable storage containers

Item 19 A short statement is required indicating your security precautions against unauthorized removal of radioactive materials This should include

locked doors to laboratory locked storage area or refrigeratorfreezer campus security procedures restricted areas

18


Item 20 In summary form describe your research project(s) including details of the use(s) of radioactive materials You must provide sufficient detail and information enabling the RSO to have an overview of your work and to evaluate related safety concerns

If this is an amendment of a current authorization which will not change the research project indicate in this section this amendment does not change the research project described in the initial authorization

Item 21 Describe the hazards associated with the radionuclides for which you are requesting authorization Explain precautions that will be taken to prevent exposure or spread of contamination in your work areas These may include the following as appropriate for the isotopes you intend to use

minimal hazard from low-energy beta emitters use minimal shielding potential for radiation exposure from energetic beta emitters and gamma emitters use appropriate shielding use of time and distance to reduce radiation exposure use disposable gloves and plastic-backed absorbent paper follow the safe laboratory practices described in this Safety Manual use radioactive materials in trays in specially designed areas keep all radiation exposures AlARA

Items 22-23 Items volatile materials will be used you must describe additional precautions to be taken The precautions must include handling of the volatile radioactive materials in an appropriate manner to prevent contamination of your work environment or contamination of adjacent areas

Items 24-25 Describe your survey meter(s) including the manufacturer serial number and type of detector If you share the use of survey meter with another laboratory indicate whose meter you use

Item 26 Indicate the type of radioactive waste you will generate

Item 27 Radioactive material use and storage areas must be diagrammed If more than two areas are used this page may be copied and additional diagrams attached Indicate the areas where radioactive materials will be used AND stored If this is an amendment of a current authorization for a room change only complete a diagram for a new room

19


REQUEST FOR AUTHORIZATION TO USE RADIOACTIVE MATERIAL

BUTLER UNIVERSITY

Authorization is required for each different use of radioactive material Submit completed forms to the Radiation Safety Officer

1 Name___________________ 2 Date__________

3Department________________ 4 Telephone________

5Authorization for __ new investigator ___ renewal ___ amendment

reason for amendment __ new persons) __ new isotope(s) __new roomlab

6Name of all individuals involved with this use of radioactive materials

Each person named above must submit a Personnel Profile form describing their experience with radioactivity

7 Title of radioisotope project __________________________

8 Isotope 9 Chemical Form 10 Activity per experiment 11 Activity per

purchase order

12 Estimated total radioactivity in storage at one microcurries 13 Projected total radioactivity to be purchased in one year ________ microcurries 14 Radioactive material will be used at bldg(s) ______ room(s)_______ 15 Radioactive material will be stored at bldg(s) room(s)______ 16 Is use or storage areas shared with other investigators yes no 17 If yes list those investigators __________________---____

18 Describe storage conditions for radioactive material (Le containment shielding etc)

19 Describe security precautions taken to prevent unauthorized removal of radioactive material from your Use or Storage areas____________________________

20 Describe your research project and your uses of radioactive material

20


21 Describe the hazards and safety precautions to be taken during your use of radioactive materials to prevent exposure and contamination ofthe work area(s)

___ no22 Are any of your radioactive materials volatile __ yes

23 If yes list the radioactive materials and the safety precautions you will use

24 Does your laboratory have a radiation monitor ___ yes ____ no

25 If yes list the instrument(s) manufacturer model number and type of detector

26 Indicate the type of radioactive waste generated by your use of radioactive material(s) contaminated solid waste (paper glassware etc yes no scintillation vials yes no biohazardous material (needles etc) yes no bulk liquid - organic yes no bulk liquid - aqueous ~ yes no other (describe) ______________________--____

21


27 Describe a simple line diagram of your laboratory(s) and indicate the area where radioactive materials will be used andor stored You must indicate hoods sinks refrigerators lab benches and large equipment A diagram is required for EACH use and storage area of your radioactive materials

Building_____ Floor_____Room____

Building___- Floor_____ Room____

22


Personnel Profile

Personnel Profile forms are available from the Radiation Safety Officer It is MANDATORY that all sections of the form be printed in ink or typed A profile form must be completed and submitted to the Radiation Safety Officer by the following personnel who handle radioactive materials

a Authorized investigators b New personnel c Temporary personnel (Le student)

Profile forms must be updated when a Request for Authorization is renewed Profile forms must be submitted with all initial (new) Request for Authorization to Use Radioactive Materials Questions should be directed to the Radiation Safety Officer

23


PERSONNEL PROFILE FOR RADIATION SAFETY

BUTLER UNIVERSITY

Profile forms must be submitted with all initial (new) Requests for Authorization to Use Radioactive Materials It is MANDATORY that all sections of the form be completed Print in ink or type

Name --------------r--- Department ________ Date _____

Soc Sec Number___________ Birth date ______ Campus phone ____

Training and Experience

Type of Training Formal Course On the Job Date and Location of Training

Duration of Training

Principles amp practices of radiation protection

(circle one)

yes no

(circle one)

yes no

Radiation measurement monitoring

bull techniques amp bull instruments

Yes no Yes no

Mathematics amp calculations basic to the use and measurement of radioactivity

Yes no Yes no

Biological effects of radiation

Yes no Yes no

Remarks

24


Occupational Radiation Exposure History

In keeping with the provisions of the Code of Federal Regulations Standards for Protection Against Radiation the Environmental Programs Office must keep a record of the radiation exposure history of each individual radiation worker Please complete section below

a If you had no employment involving radiation exposure prior to your work at Butler University insert the word none in the first column

b If you have had employment involving radiation exposure prior to your work at Butler University provide the information requested The Environmental Programs Office may obtain your radiation records from previous employers

Occupational Exposure - Previous History

Employer Name amp Dates of Employment Were you issued a film Isotopes and radiation Address (from - to) badge or dosimeter equipment used

I

Remarks

Statement of Request and Agreement

I hereby request authorization to work with radioactive materials andor radiation producing equipment as specified in the Request for Authorization for my laboratory I have read the Radiation Safety Manual and am willing to comply with standards for radiation safety established by Butler University by the United States Nuclear Regulatory Commission as given in the Code of Federal Regulations Title 10 and by the Indiana State Board of Health I agree to comply with all such rules and regulations governing the use of radioisotopes and other sources of ionizing radiation

Signed_______________________ Date __________

25


SECTION V

PROCUREMENT PROCEDURES

1 The authorized user shall obtain prior approval from the Radiation Safety Officer (RSO) prior to ordering radioisotopes

2 The RSO shall ensure that the order will be within permissible limits before any order is placed via procurement card or purchase order (note RSOs signature shall accompany PO requests)

3 Incoming packages are accepted only during normal business hours and should be delivered directly to the designated department if possible An alternate delivery to Purchasing Department is acceptable provided RSO is immediately notified (x6408) and available to receive the package there is a three-hour time limit from the time of notification to delivery to the Authorized User

4 Inspecting monitoring and if applicable wipe testing of packages shall be undertaken either by the Authorized User or the RSO The inspection shall be documented on the Isotope Receipt and Inspection Log

5 The RSO will provide a partially completed Isotope Utilization record to the Authorized User regardless of whether a direct delivery or delivered by RSO via Purchasing In the event of the RSOs absence these forms will be available to the Authorized User for incoming packages expected during the absence

6 As radioactive material is used lab personnel will complete the lower portions of the Isotope Utilization Record form indicating appropriate disposition

7 When all radioactive materials have been used the utilization record will be completed and one copy forwarded to the RSO

26


ISOTOPE UTILIZATION RECORD

Forward one copy of completed form to the Radiation Safety Officer

Name of user Department Buildingroom Date

AURSO Initials Isotope Activity Chemical Form Supplier

Enter below when any material is used or placed in radioactive waste containers

Date of Use Activity Used Date of Activity Type of wasteVolume Used disposeddisposal

Comments

27


ISOTOPE RECEIPT AND INSPECTION LOG

I

i

Date Name Isotope Chemical Pkg Pkg External External Internal Name initials of User

i

I

Form Condo Condo survey survey survey of (out) (in) at 3 ft at supplier

surface

I

Record all survey readings in mRhr If external reading exceeds 200 mRhr at surface or 10 mRhr at 3 ft DO NOT OPEN PACKAGE and NOTIFY the RSO Perform internal survey after source has been removed

28


SECTION VI

WASTE DISPOSAL

A Generallnformation 1 Radioactive waste means any and all wastes that contain or are contaminated with any

radioactive material used in lab 2 Radioactive waste must not be thrown in the ordinary trash or poured down the drain 3 Waste and trash that are not radioactive must never be thrown in with radioactive wastes

The cost for disposing of radioactive waste is very high 4 Radioactive waste must never be stored or placed in hallways or other public areas 5 Each bag or container of radioactive waste must have a completely filled out radioactive

waste tag attached to it A copy of the tag is shown at the end of this section UNTAGGED WASTE WILL NOT BE ACCEPTED FOR DISPOSAL

6 Containers labels and tags for radioactive waste may be obtained by contacting the RSO HB12 ext 6408

27 Short half-life waste (T1 lt 30 days) must be kept separate from long half-life waste

8 Request radioactive waste pick-ups promptly do not store waste in the laboratory for decay Waste pick-ups may be requested by contacting the RSO ext 6408

9 All items that are free of contamination must have the radiation warning label and CautionshyRadioactive Materials marking completely defaced before disposing in ordinary trash

B Liquid Radioactive waste 1 Place liquid radioactive waste in plastic carboys labeled with CAUTION - RADIOACTIVE

MATERIALS 2 Organic and aqueous liquids must be placed in separate waste containers 3 Never over-fill containers Carboys should be filled to a height no greater than the maximum

diameter of the container 4 Solid or dry wastes must never be put in liquid waste containers 5 Always place a tray lined with absorbent paper under liquid waste carboys to prevent spills

or splashes C Solid Radioactive Waste

1 Place solid radioactive waste (paper plastic glass etc) in containers lined with a plastic bag labeled CAUTION - RADIOACTIVE MATERIALS These containers will be provided by the Radiation Safety Officer upon request

2 The radionuclides in each bag of waste may be mixed however short half-life waste must be kept separate from long half-life waste

3 The plastic bag of solid waste should be securely tied with tape or wire and have a radioactive waste tag attached before it is picked-up for disposal

4 Needles scalpels Pasteur pipettes and any other sharp object must be put in a red plastic sharps container This container will be labeled CAUTION- RADIOACTIVE MATERIALS and will be provided upon request

D Liquid Scintillation Media 1 liquid scintillation vials containing radioactive liquid must be tightly capped and placed in

the original shipping tray 2 Empty liquid scintillation vials which are contaminated with radioavtivity should also be

capped and placed in the shipping tray 3 A radioactive waste tag must be completed and attached to the tray for pick-up

29


4 Unused scintillation counting liquid (not radioactive) should be disposed as a hazardous chemical waste and not put with radioactive waste

CautionCaution

~ ~ Radioactive Waste [QJRadioactive Waste [QJ (see other side)

Name ________________________________

Date ___________ Dept _________ Isotope(s __________________________

Microcurrie quantity ___________________ _____ Solid waste

(paper plastic glass) ____ Biological waste ____ Scintillation Media

no oftrays ______ ____Bulk liquid- organic in case of emergency

Type _______ contact the Office of ____ Bulk liquid - aqueous Public Safety (9999) Type __________

____ Sharps Immediately ____ Other (please describe)

30


SECTION VII

EMERGENCY PROCEDURES

A What is an emergency

Radiation accidents in researchacademic institutions such as Butler University may range from minor spills to more serious incidents Emergencies involving radiation may include

fire and explosion in a laboratory or room using radioactive materials or having radioactive sources present ingestion of radioactive materials spills of radioactive materials unusually high exposure to radiation from radioactive materials or radiation-producing equipment Receipt of damaged packages of radioactive materials Loss or theft of radioactive material or radioactive-producing equipment

B Immediately notify Butler University Police Department (BUPD) at 911 to report any of the above emergency conditions Upon notification the BUPD dispatcher will immediately contact the RSO

C Emergency Information 1 Priorities

a First concern is assistance and treatment of injuries b Secondary concern is confinement of radioactive contamination Do not risk exposure

to radiation to save equipment or experiment c Notification of BUPD is MANDATORY Failure to do so could jeopardize Butlers NRC

license 2 BUPD officers

a In any emergency BUPD officers should consider whether radioactivity is a possible issue If there is ANY concern the RSO must be contacted immediately

b If a radiation emergency occurs BUPD will i Contact the RSO immediately ii Secure the area to prevent unauthorized entry

c Under no circumstances should BUPD officers enter a contaminated area or attempt to examine or clean up radioactive material

D Fires and explosions 1 Follow university emergency instructions inform everyone the presence of radioactive material 2 Notify all persons in the room turn on alarm and dial 911 3 Try to quickly contain the area by closing a laboratory hood or door Turn off ventilation

systems Evacuate to a safe distance 4 There are no radioactive materials within Butler University that will spontaneously generate

heat or explode

E General Principles for Decontamination

31

Butler University- NRC License 13-01865-02 Renewal Application Attachment 1

1 Clean up Wear protective clothing and use remote handling equipment as necessary or appropriate Absorb liquids with absorbent paper or other suitable absorbent

2 place contaminated materials into receptacles or bags designated for radioactive waste

3 the technique of concentrate and confine should be used to avoid the spread of contamination to other areas

4 decontamination procedures used as soon as possible after an accident usually give the best results

S large volumes of liquid should be avoided excess liquid can flush contamination into porous surfaces

6 liquid contaminants are often easiest removed by blotting

7 in proceeding with decontamination the least caustic or least abrasive procedures should be tried least

8 any procedure that produces dust or other airborne radioactivity should be avoided Dry powder contaminants can be picked up with masking tape

9 decay is an acceptable decontamination technique for short-lived radioactive material

10 the area of the spill must be surveyed by wipe testing removable contamination must be below 200 dpml00 cm 2bull

F Personnel Decontamination Procedures

1 contaminated personnel shall be treated before decontamination of facilities Thorough frisks shall be conducted by qualified staff prior to decontamination efforts

2 Report all radiation accidents to BUPD at 911 immediately 3 If radioactive materials are spilled on clothing discard outer layers at once and place in a plastic

bag 4 If radioactive material is ingested immediately spit out as much as possible then rinse

repeatedly with water spitting each rinse 5 If radioactive materials are spilled on the skin flush the area thoroughly with water

1 Wet hands and apply a mild soap or detergent work up a good lather with copious amounts of water for 3 minutes

2 Rinse thoroughly with lukewarm water 3 Repeat 3-4 times gently scrubbing residual contaminated areas

using a soft brush if necessary avoid scratching or eroding the skin

4 Apply lanolin or other hand cream to prevent chapping 6 wash minor wounds immediately under running water

G Classifications of minor and major spills specific to isotopes at BU

When a spill has occurred estimate the amount of radioactivity spilled) and initiate a major or minor spill response by the following table

32


Radionuclides Minor spill Minor spill Major spill I (ngt reportable) (reRortable) (reRortable)

C-14 H-3 P-33 S-35 lt1 mCi 1-45 mCi gt45 mC I Ca-45 P-32 lt01 mCi 01-10 mCi gt10 mCi J SU licensed to possess 4 mCi Ca-45 and 10 mCi P-33 maximum

REPORTABLE QUANTITIES Submit a written report to the RSO within 7 days describing incident and subsequent actions to prevent recurrence

H Minor Spills 1 Notify persons in the area that a spill has occurred Report the spill to SUPD (911) immediately 2 Prevent the spread of contamination by covering the spill with absorbent paper 3 Shut off fans ventilators or air conditioners operating in the area 4 Mark off contaminated areas and restrict traffic to that area 5 Do not allow anyone to leave contaminated area without first being monitored for

contamination 6 Clean up the spill using disposable gloves cleaning agents and absorbent paper Start at the

periphery of the spill and work inward reducing systematically the contaminated area 7 Carefully fold the absorbent paper with the clean side out and place in a plastic bag for transfer

to a radioactive waste container Also dispose of contaminated glovesmaterials in the container

8 Survey the spill area to monitor the effectiveness of the decontamination procedure Check hands shoes and clothing

9 If the spill is reportable submit a written report to the RSO within 7 days describing the incident and corrective action

I Major Spills

1 Clear the area Notify all persons NOT involved in the spill to vacate the room Notify BUPD (911) immediately Do not vacate rooms until steps are taken to limit the spread of contamination unless immediately warranted by radiological or other safety conditions

2 Prevent the spread of contamination

a cover the spill with absorbent paper

b switch off all fans and ventilation systems

c limit movement of potentially contaminated persons

3 Shield the source if possible to do so without increasing exposure or contamination

4 secure the area (close offlock room)

5 Begin personnel decontamination by removing contaminated clothing amp washing skin with soap amp water

6 submit a written report to the RSO within 7 days describing the incident and including actions to prevent recurrence

33


SECTION VIII

SAFETY PROCEDURES

All exposure to ionizing radiation will be maintained as low as reasonably achievable (ALARA)

Three major sources of ionizing radiation may be used at Butler University 1) radioactively labeled compounds 2) sealedcontained sources of radioactive material and 3) radiation-producing equipment Safety procedures for the use of each source of radiation are described in this Section

A Radioactively Labeled Compounds

1 eating drinking food preparation food storage and smoking are not permitted in the areas where radioactive materials are used or stored

2 NEVER pipet solutions by mouth Mechanical pipetting devices are mandatory

3 Handle radioactive materials on plastiC backed absorbent paper and be able to contain spills easily

4 radioactive materials should be kept in unbreakable containers Glass vessels should be placed in unbreakable secondary containers

5 Disposable gloves must be worn while handling radioactive material

a Surgical glove technique should be used for removing gloves

b remove gloves before leaving a radiation area

c open cuts or abrasions on the hands must be thoroughly bandaged and double gloves should be worn

6 Clothing worn in radioisotope labs should be monitored routinely for contamination Lab coats must be worn when working with radioactive materials The use of disposable lab coats and shoe covers is highly recommended

7 Do not apply cosmetics in areas where radioactive materials are used or stored

8 Radioactive gases or materials with radioactive gaseous decay products must be stored in gas-tight containers and kept in an area with adequate ventilation

9 Plan radioactive experiments Practice runs of radioactive experiments should be done with nonshyradioactive materials until procedures are safe and well organized

10 When airborne radioactivity may occur a hood with suitable face velocity must be used

11 Store radioactive materials in proper shielding in secure area

12 Observe proper personnel monitoring procedures

a NEVER wear another individuals film badge

34


b Avoid all unnecessary exposure keep all radiation exposure as low as reasonably achievable

13 Carefully use organic solvents containing radioactive materials

a Solvents may make the skin more permeable to absorption of radioactive material

b Solvents may also volatize radioactivity causing potential inhalation hazard

14 In case of a spill or accident of any kind involving any level of radioactivity immediately contact BUPD (911)

B Sealed Contained Sources of Radioactive Material

Sealed and contained sources have radioactive material that is used for the properties of the particular radiation emitted rather than the material itself

1 Leak testing of sealed and contained sources will be conducted at a minimum of every six months by the RSO

2 Never attempt to repair a ruptured or leaking source immediately report a damaged source to the BUPD

3 All devices containing radioactivity must be returned to the RSO for disposal 4 The RSO MUST be notified as follows

a Before a radioactive sealed source is transferred to another university location or outside the university

b When there is a change in the responsibility for any radioactive source c Before equipment containing a radioactive source is released to Construction and

Maintenance Services or Building Services for removal

CRadiation-producing Equipment

1 All nonessential personnel must leave the area before radiation-producing equipment is activated all essential personnel must be adequately shielded

2 Observe all safety restrictions outlined in this manual

3 NOTIFY the Radiation Safety Officer when new equipment is ordered when changes are made in existing equipment or when equipment is relocated

4 Notify the BUPD immediately of any accidental exposures to radiation

5 All personnel operating x-ray diffraction units must wear a film badge and a TLD ring badge Personnel operating electron microscopes do not require film badges

6 Radiation-producing equipment MUST be disconnected or locked when not in actual use such equipment must be in an area secure from tampering

7 A manually reset cumulative timing mechanism or similar device must be used which will automatically turn off the equipment when present time or exposure limit is reached

8 Shutter mechanisms interlock devices or warning lights MUST always be operational

9 The Radiation Safety Officer must be notified as follows

35


a Before any radiation-producing equipment is transferred to another location released to either Construction and Maintenance Services or Building Services or transferred outside of the University

b When the responsibility for any radiation-producing equipment changes

36


SECTION IX

LABORATORIES AND FACILITIES

A Design

1 The design of a facility should be commensurate with the hazard of the radiation or

radioactive materials to be used

2 Hoods in radioisotope laboratories should be singly ducted and vented to the roof

3 Hood vent outlets at roof level must be located to avoid recirculation into building air intakes or other openings

4 Isotope laboratory work surfaces sinks and fume hood deck slabs should be constructed of seamless impermeable material

5 Consideration should be given in departmental planning to isolating and confining the radioactive work to as few rooms or areas as possible Such facilities should be arranged so that access can be controlled

6 Film storage and developing rooms should be located away from isotope laboratories

7 The Nuclear Regulatory Commission may require special equipment or facilities to assure the safe use of radionucides in a given situation

B Safety Recommendations

1 Procedures involving aerosols dusts or volatile products or procedures which might produce airborne contamination in a suitable hood or closed system

2 Radioactive trash containers (available from the RSO) are required in every radioisotope laboratory

3 Equipment to be repaired by Construction and Maintenance personnel or by commercial service contractors

a Must be free of contamination prior to serving

b Emergency repairs on contaminated equipment must be supervised by the Radiation Safety Officer

4 All radioisotope work surfaces and storage areas should be covered with plastic-backed absorbent paper

5 Equipment-producing ionizing radiation must be located in a restricted secure area

6 Shielding should be considered for all radiation laboratory facilities this should be

commensurate with the type and quantity of radioactivity being used

C Classification

37

Butler University NRC license 13-01865-02 Renewal Application Attachment 1

1 laboratories and areas are classified according to the type of level of radioactivity and the nature of its use

2 Restricted areas

a At Butler University any area where ionizing radiation is used is considered to be a restricted area

b the entrance to all areas where radioactive materials are used must be posted with a sign Caution Radioactive Materials and the radiation warning symbol

3 Precautions for the safety of Construction and Maintenance and Housekeeping personnel

a All ancillary personnel must be warned by signs and verbally not to enterrestricted areas without permission of the Authorized User of the Radiation Safety Officer

b Authorized Users are responsible for instructing Construction and Maintenance and Housekeeping personnel not to handle radioactive containers not to clean radioactive sinks or not to enter radioactively contaminated areas

c Construction and Maintenance Services personnel may not work on any plumbing remove filters or repair fume hoods in any laboratory labeled with a radioactive materials sign without proper approval of the Authorized User or the Radiation Safety Officer

4 Unrestricted area

a Unrestricted areas do not have controlled access for protection from exposure to radiation or radioactive materials These areas may be occupied freely by the university community and general public

b Radioactive materials must NOT be stored in unrestricted areas

D Laboratory Monitoring

1 General safety procedures

a Removable contamination should not be allowed to remain on laboratory surfaces

b Handle radioactive materials on plastic-backed absorbent paper be able to contain any spills easily

c Contaminated equipment or equipment suspected of contamination must be isolated in the laboratory or in a suitable storage place

d If laboratory contamination is suspected work should be halted and the RSO contacted immediately

2 Radiation survey meters

38


a The Nuclear Regulatory Commission may recommend the use of survey instruments or area monitors These will be considered and specified on the basis of individual projects andor areas

b A survey meter for contamination monitoring is required for any laboratory in which radioisotopes detectable by the survey meter are used One meter may be used by a number of separate labs

c The radiation monitor should be used during and following work with radioactive materials to evaluate the presence of radioactive contamination

d Radiation monitors for laboratory use will be calibrated every twelve months

3 Surveys performed by Users

a Monitoring of radionuclide work areas should be performed at least once each day in which radioactive materials are used

b Monthly surveys must be performed and recorded on the Monthly Survey report form shown at the end of this section Completed forms should be sent to the Radiation Safety Officer retain a copy for your files

c A record of all area surveys should be maintained by the Authorized User

4 Surveys performed by the Radiation Safety Officer

a laboratory surveys will be conducted quarterly by the Radiation Safety Officer

b Routine leak testing of sealed sources will be performed by the Radiation Safety Officer at six month intervals if required

E Caution signs labels and notices

1 Appropriate notices signs and stickers are available from the Radiation Safety Officer Laboratory personnel are responsible for labeling containers and equipment

2 A label or sign reading caution - radioactive materials and displaying the radiation warning symbol must be used for the following

a entrance doors into all laboratories using radioactive materials

b doors to refrigeratorsfreezers used to store radioactive materials

c containers of radioactive materials and waste

d particular areas where radioactive materials are used within a laboratory

3 A sign reading Caution - This Equipment Produces X-rays When Energized (or equivalent wording) and displaying the radiation warning symbol must be placed on entrance doors into areas having radiation-producing equipment such as x-ray diffraction units or electron microscopes

39


4 A notice containing the folowing information must be posted in areas where radiation andor radioactive materials are used

a NRC-Form 3 Notice to employees

b Indiana State Board of Health Notice to Employees

c Butler University laboratory Safety Procedures

d Butler University Emergency Procedures

40


MONTHLY SURVEY REPORT

Name ________________ Date ________ Room No _____

__ Check here is radionuclides have not been used since the last survey

This form must be completed each month and sent to the Radiation Safety Officer retain a copy for your records

1 Draw a diagram of each laboratory or area indicating all permanent furniture hoods sinks and large equipment

2 Perform a minimum of ten wipe tests for removable contamination for EACH radioactive lab or work area

3 Each wipe must cover 100 spcm area and be indicated by number on the diagram Results must be recorded in DPM

Areas showing 200 DPM or greater require decontamination measures)

location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10

Sketch of survey area (indicate smear locations)

41


SECTION X

RADIATION - PRODUCING EQUIPMENT

A Registration

1 Radiation-producing equipment is regulated by the Indiana State Board of Health

2 Individuals or departments obtaining radiation-producing equipment or devices are required to notify the Radiation Safety Officer before it is brought onto campus Equipment in this category includes x-ray diffraction units and electron microscopes

B X-ray diffraction units

1 X-ray diffraction equipment can be particularly hazardous due to the high radiation emitted by the primary beam All units must have operational fail-safe mechanisms that prevent an operator from exposing hands or fingers to the primary beam

2 In any case where a safety interlock has been bypassed a readily discernable sign bearing the words Safety Device Not Working or words having similar intent must be placed on the radiation source housing

3 Special shielding is not usually required for areas or laboratories where x-ray diffraction units are installed Each unit must have adequate shielding as part of its construction The area must be secure to prevent tampering

C Electron Microscopes

Special shielding is not usually required for areas where electron microscopes are installed The area must be secured

D Guidelines for Use

1 Radiation-producing equipment will be disconnected or locked when not in actual use such equipment must be in an area secure from tampering

2 Department heads responsible for radiation-producing equipment must insure that all persons in the area are monitored in accordance with university requirements


4 Shutter mechanism interlock devices or warning lights should always be operational

5 The Radiation Safety Officer must be notified before any radiation-producing equipment is disposed or before such equipment is transferred to another location on or off campus

E Operator Responsibilities

42


1 Keep all radiation exposure as low as reasonably achievable

2 All nonessential personnel must leave the area before equipment is activated all essential personnel must be adequately shielded

3 notify the Radiation Safety Officer when new equipment is installed or changes are made to existing equipment

4 Wear film badges and TLD ring badges when using x-ray diffraction units Electron microscope operators do not require badges

5 Notify the BUPD immediately of any accidental or unusual exposures to radiation

43

Butler University - NRC License 13~01865-02 Renewal Application Attachment 1

SECTION XI

COMPLIANCE REPORT REQUIREMENTS

All persons authorized to use radioactive materials at Butler University must complete a checklist each quarter to insure they are in compliance with the provisions of this Manual The Quarterly Compliance Report is shown at the end of this section

Each of the compliance items listed (numbered 1-24) must be reviewed by the Authorized User and submitted to the Radiation Safety Officer Office of Environmental Programs for follow-up of noncompliance items Some professional judgment will have to be used in determining the degree of compliance or noncompliance Violations found which can easily be corrected by the Authorized User should be corrected at the time of inspection and the item marked YES (in compliance)

A place is provided on the Quarterlv Compliance Report for remarks by the Authorized User This should be used to indicate or clarify the violations noted or items marked YES which are only marginally in compliance and perhaps should have a follow-up Any conditions or situations which are noted by the Authorize User and are deemed to constitute an imminent danger to persons or property or are gross violation of radiation safety rules and procedures should be reported IMMEDIATELY to BUPD

Requirements for Compliance (by item number on forni)

Item 1 Rooms in which radioactive materials are used or stored shall be posted with the sign CautionshyRadiaoctive Materials and the radiation warning symbol The sign must be posted on or near all entrances to the room or area to warn persons entering the room that radioactive materials are present Posting of the sign designates that area as a Restricted Area for the purposes of controlling radiation exposure

Item 2 Source containers must be labeled with Caution-Radioactive Materials and the radiation warning symbol The radionuclide activity and date must also be displayed

Item 3 Refrigerators and freezers which are used to store radioactive materials must be posted or labeled with the sign Caution-Radioactive Materials and the radiation warning symbol

Item 4 Trays of liquid scintillation vials that contain radioactivity must be labeled with IICautionshyRadioactive Materials and the radiation warning symbol The radionuclide(s) contained in the vials and the activity must also be indicated Individual vials do not need to be labeled only the trays

Item 5 All radioactive waste containers must be labeled with Caution-Radioactive Materials and the radiation warning symbol If both short half-life (less than 30 days) and long half-life (greater than 30 days) radionuclides are being used in the laboratory separate waste containers must be used and labeled to indicate which isotopes should go to which container

Item 6 Any equipment that contains radioactive material or is contaminated with radioactivity must be labeled with Caution-Radioactive Materials and the radiation warning symbol This includes

44


centrifuges flasks traps filtering apparatus shielding etc Hoods in which radioactive materials are used or stored must be posted with the sign Caution-Radioactive Materials and the radiation warning symbol A stick-on label of appropriate size may be used on hoods and other storage locations Users are also encourages to indicate the isotope(s) and amount(s) of activity on the signs or labels where radioactive materials are stored

Item 7 Absorbent paper must be used on bench tops and other work areas where radioactive materials are being used Areas that are not used for radioactive materials or are not being used at the time for radioactive materials do not require absorbent paper

Item 8 Hoods with adequate air flow (at least 100 linear fpm) must be used when working with a volatile form or when volatiles may be generated with a radionuclide Operations that generate aerosols must also be performed in a hood

Item 9 The Radiation Safety Officer or authorized designate periodically conducts measurements of hood face velocities Before work with radionuclides that generate volatiles or aerosols may being the RSO must place a calibration sticker indicating a 100 fpm flow at the proper sash position

Item 10 A body film badge is required for all persons using radioactive materials In addition TLD ring badges are required for persons who use the P-32 isotope These monitoring devices must be properly worn and stored correctly to be in compliance with this item

Item 11 Radioactive waste must be properly placed in the appropriate radioactive waste containers If radioactive waste is being accumulated around the laboratory and not in waste containers or if the radioactive waste containers are full or overflowing or if there is evidence that the containers are being missed by the users when putting the waste into the containers-this is a violation

Item 12 Radionuclides must be adequately stored so as to prevent unnecessary radiation exposure to personnel and to control access to the materials They should not be stored on desks on the floor or other inappropriate places If required shielding must be used

Item 13 Gloves must be worn by all persons handling radioactive materials No procedures involving radioactive materials no matter what the level of activity shall be conducted bare-handed

Observation of such use without gloves must be marked as a violation Indicate names of persons under remarks

Item 14 Lab coats must be worn by all persons handling radioactive materials Observation of laboratory procedures with radioactive materials and the person(s) not wearing a lab coat or other protective clothing should be marked as a violation Indicate names of persons under remarks

Item 15 Proper shielding must be used when procedures involve gamma emitters or high energy beta emitters Observe the availability and use of appropriate shielding

Item 16 Eating drinking and smoking are strictly prohibited in laboratory areas which are used for work with radioactive materials Storage of food and beverages in refrigerators and freezers that are labeled and used for storage of radioactive materials in refrigerators or freezers that are not designed and labeled for radioactive material is prohibited

45


Item 17 Authorized Users are required to keep current inventory and disposal records for the radioactive materials they receive The form Isotope Utilization Record will be provided with each shipment delivered to the Authorized User This record must be kept current by the Authorized User and filed in the laboratory A copy of this form must be sent to the Radiation Safety Officer when completed Review your lab file to determine if these records are available and current

Item 18 A comprehensive contamination survey is required to be performed by the Authorized User on a monthly basis The results of the monthly survey shall be recorded on the monthly survey report form The Authorized User shall retain a copy of this survey for hisher file

Item 19 All personnel working with radioactive materials are required to be trained in radiation safety and the contents of this Manual Persons working with isotopes and who havent completed this required training mark this as a violation and note the names of the untrained persons under Remarks

Item 20 Pipetting by mouth of any material whether radioactive or not in any area where radioactive materials are used or stored is strictly prohibited

Item 21 All persons involved in the use of radioactive materials must be thoroughly familiar with the procedures to follow in the event of emergency Review routinely

Item 22 A survey meter for contamination monitoring is required for any laboratory in which radionuclides detectable by the survey meter are used One meter may be used by a number of separate laboratories or areas If a survey meter is not required (only H-3 5-35 or C-14 are used in the lab) leave the boxez blank

Item 23 If a survey meter is required and available check the meter to determine if it is operational If the survey meter does not work mark the NO box

Item 24 Survey meters must be calibrated every twelve months If the calibration id out of date or if no calibration sticker is on the survey meter mark the NO box

46


QUARTERLY COMPLIANCE REPORT

This form must be completed EACH QUARTER and sent to the Radiation Safety Officer Retain a copy for your files Mark Y if in compliance liN if in violation of the items listed below

Iv N 1 signs and labels Y N 9 hood air flow Y N 17 inventory labsstorage areas calibrated disposal records

current 2 signs and labels 10 proper film badge 18 monthly survey source containers use and storage records current 3 signs and labels 11 proper radioactive 19 personnel frained refrigeratorfreezer waste management 4 signs and labels 12 proper radioactive 20 prohibition on scintillation vials material storage mouth pipetting 5 signs and labels 13 routine use of 21 knowledgeable in waste containers gloves emergency

procedures 6 signs and labels 14 routine use of lab bull 22 survey meter other equipment coats available(jf meter

i required)

7 absorbent paper on 15 routine use of 23 survey meter radiation work areas shielding (if required) functional(if meter

required) 8 adequate hood flow 16 prohibition on 24 current

eating drinking and calibration (if meter smoking required) i

REMARKS

OFFICE USE ONLY

Date received ______ Date follow up completed _____ RSO signature_______

47


RADIATION SAFETY PROGRAM

POLICIES AND PROCEDURES

Latest Review October 2011

BUTLER UNIVERSITY

OFFICE OF ENVIRONMENTAL PROGRAMS

4600 SUNSET AVENUE

INDIANAPOLIS IN 46208

PHONE (317) 940-6408

EMERGENCY 911

1

Submitted to NRC on 092612


TABLE OF CONTENTS

PAGE NO

Individual User S



Purpose 1

Scope 1

Definitions 1






External Exposure 9












2










Notification 32





Minor Spills 35

Major Spills 36






Design 41


Classification 42



3




Registration 47






Instructions 49


4

------------------------- shy


SECTION I

INTRODUCTION







A Purpose



B Scope



C Definitions






5


SECTION II






Regulations

Personnel


Craig W Barnhart




Responsibilities









6















material



7






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


TABLE OF CONTENTS

PAGE NO

Individual User S



Purpose 1

Scope 1

Definitions 1






External Exposure 9












2










Notification 32





Minor Spills 35

Major Spills 36






Design 41


Classification 42



3




Registration 47






Instructions 49


4

------------------------- shy


SECTION I

INTRODUCTION







A Purpose



B Scope



C Definitions






5


SECTION II






Regulations

Personnel


Craig W Barnhart




Responsibilities









6















material



7






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47










Notification 32





Minor Spills 35

Major Spills 36






Design 41


Classification 42



3




Registration 47






Instructions 49


4

------------------------- shy


SECTION I

INTRODUCTION







A Purpose



B Scope



C Definitions






5


SECTION II






Regulations

Personnel


Craig W Barnhart




Responsibilities









6















material



7






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47




Registration 47






Instructions 49


4

------------------------- shy


SECTION I

INTRODUCTION







A Purpose



B Scope



C Definitions






5


SECTION II






Regulations

Personnel


Craig W Barnhart




Responsibilities









6















material



7






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47

------------------------- shy


SECTION I

INTRODUCTION







A Purpose



B Scope



C Definitions






5


SECTION II






Regulations

Personnel


Craig W Barnhart




Responsibilities









6















material



7






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION II






Regulations

Personnel


Craig W Barnhart




Responsibilities









6















material



7






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47















material



7






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47






Responsibilities











8




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47




C Individual User



Responsibilities







9












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47












10

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47

----------------










mouth nose or eyes


11


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION III









B External Exposure



C Internal Exposure


12

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47

















13





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47





Officer










14










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47










15


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION IV

AUTHORIZATION















16






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47






17
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47
















18










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47










19



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47



BUTLER UNIVERSITY


1 Name___________________ 2 Date__________








purchase order





20








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47








21





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47





22


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


Personnel Profile




23



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47



BUTLER UNIVERSITY








(circle one)

yes no

(circle one)

yes no



Yes no Yes no


Yes no Yes no


Yes no Yes no

Remarks

24








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47








I

Remarks



Signed_______________________ Date __________

25


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION V









26








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47








Comments

27



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47



I

i


i

I


surface

I


28


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION VI

WASTE DISPOSAL




















29



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47



CautionCaution


Name ________________________________







30


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION VII















heat or explode


31























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47























32











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47











I Major Spills










33


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION VIII

SAFETY PROCEDURES




















34

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47

























35




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47




36


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION IX


A Design



















C Classification

37



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47



2 Restricted areas







4 Unrestricted area










38





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47





















39







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47







40



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47



Name ________________ Date ________ Room No _____







location

I

I

I

Nuclide__

Nuclide__

Nuclide__

1 2 3 4 5 6 7 8 9 10


41


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION X


A Registration
















42







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47







43


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47


SECTION XI












44














45










46







i required)




REMARKS

OFFICE USE ONLY


47














45










46







i required)




REMARKS

OFFICE USE ONLY


47










46







i required)




REMARKS

OFFICE USE ONLY


47







i required)




REMARKS

OFFICE USE ONLY


47

additional information for butler university to license no ... · 7. ensure that licensed material...

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