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HomeMy WebLinkAboutDRC-2018-004077 - 0901a06880801d5bDiv of Waste Management and Radlation Control CLIVE SITE APR 2 7 2018 LETTER OF TRANSMITTAL DRC-2D fa - 0 0+077 DATE: 04/26/2018 ATTN: Don Verbica — DWMRC CC; Treesa Parker Karen Kirkwood RE: Transmittal 18015 Description of Documents Transmitted QtY See attached for an update to Radiation Safety; CL-RS-PG-002 Rev 17, Radiation Protection Program Please replace your current procedure revisions with the documents with in this Transmittal. You are not required to sign any documents to verify receipt of this distribution. However, you should make every effort to ensure that your copy of the License is current. FROM: EnergySolutions Document Control Clive Facility C°Si8n Dave Squires, G.M on behalf of the Radiation Safety Committee Concurrence: Dave Squires Apr 26 2018 8:22 AM ENERGYSOLUTIONS CL-RS-PG-002 EnergySolutions' Clive Facility Radiation Protection Program Dale Thorne Apr 24 2018 4:06 PM Author: cos18n Dale Thorne, Lead, Health Physics / ARSO Thomas Brown ,i2Aeuf,‘..„ Apr 26 2018 8:15 AM Approved By: C°Sen Thomas A. Brown, Radiation Safety Officer (RSO) Date: 4/23/18 Revision: 17 Electronic documents, once printed, are uncontrolled and may become outdated. Refer to the Intranet or the Document Control authority for the correct revision. EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 Table of Contents 1 Radiation Safety Policy and Company Description 6 1.1 Clive Facility Radiation Protection Program 6 1.1.1 Purpose 6 1.1.2 Program Applicability and Control 6 1.1.3 Compliance 6 1.2 Clive Facility Summary 7 1.2.1 Site Description 7 1.2.2 Waste Licensing 7 1.3 Definitions 7 1.4 Responsibilities 9 1.4.1 General Manager of Clive 9 1.4.2 Radiation Safety Officer (RSO) 9 1.4.3 Lead, Health Physics / ARSO 9 1.4.4 Radiation Safety Technician(s) 9 1.4.5 Radiation Workers and Restricted Area Visitors 10 1.5 ALARA 11 2 Radiological Standards 11 2.1 Administrative Control and Dose Limits 11 2.1.1 Legal Dose Limits 11 2.1.2 Embryo/Fetus Dose Limits 11 2.1.3 Radiation Dose Limits for Individual Members of the Public 12 2.1.4 Planned Special Exposure 13 2.1.5 Administrative Control Limits 13 2.1.6 Minors 14 2.2 Contaminafion Control and Control Levels 14 2.2.1 Personnel Contamination Control 14 2.2.2 Contamination Control Levels 15 2.2.3 Unrestricted Release 16 2.2.4 Airborne Radioactivity Control 16 2.3 Posting 17 2.3.1 Posting Requirements 17 2.3.2 Exceptions to Posting Requirements 18 2.3.3 High Radiation Area Requirements 19 2.3.4 Very High Radiation Area Requirements 19 3 Conduct of Radiological Work 20 3.1 Planning Radiological Work 20 3.1.1 Requirements 20 3.1.2 Planning for Maintenance, Operations and Modifications 20 Page 2 of 67 t EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 3.2 Work Preparation 20 3.2.1. Radiation Work Permit 20 3.2.2 Use of Radiation Work Permits 21 3.2.3 Pre-Job Briefings 21 3.2.4 Personal Protective Clothing 21 3.3 Conduct of Radiological Work 23 3.3.1 Restricted Area Entry Requirements 23 3.3.2 Restricted Area Exit Requirements 23 3.3.3 Radiological Work Conduct and Practices 24 3.3.4 Stop Radiological Work Authority 25 3.3.5 Control of Bench Top Work, Laboratory Fume Hoods, and Sample Stations 25 3.4 Evaluation of Performance 25 4 Radioactive Materials 26 4.1 Radioactive Material Identification, Storage and Control 26 4.1.1 Radioactive Material Labeling 26 4.1.2 Radioactive Material Packaging 27 4.1.3 Radioactive Material Storage 27 4.1.4 Radioactive Material Disposal 28 4.2 Release, Receipt and Transportation of Radioactive Material 28 4.2.1 Release of Radioactive Material from Restricted Areas for Transport 28 4.2.2 Receiving and Opening Packages Containing Radioactive Material 30 4.2.3 U. S. Department of Transportation (DOT) Standards 31 4.3 Radioactive Source Control 31 4.3.1 Radioactive Source Controls 31 4.4 Support Activities 32 4.4.1 Personal Protective Equipment (PPE) 32 4.4.2 Equipment and Area Decontamination 32 4.4.3 Vacuum Cleaners and Portable Air-Handling Equipment 33 5 Radiation Safety Support Operations 33 5.1 External Dosimetry 33 5.1.1 Requirements 33 5.1.2 Dosimeter Loss 34 5.1.3 Electronic Dosimeters 35 5.1.4 Area Monitoring 35 5.1.5 Determination of Prior Occupational Dose 36 5.1.6 Visitors and Temporary Employees 37 5.2 Internal Dosimetry 37 5.2.1 Determination of Internal Dose 37 5.2.2 Committed Effective Dose Equivalent (CEDE) Calculation 39 5.2.3 Committed Dose Equivalent (CDE) Calculation 40 5.2.4 Calculation of Internal Dose from Intake through Wounds or Skin Absorption 41 5.3 Radiation Monitoring and Surveys 41 5.3.1 Requirements 41 5.3.2 Radiation Exposure Surveys 42 5.3.3 Contamination Surveys 43 Page 3 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 5.3.4 Airborne Radioactivity Monitoring 44 5.3.5 Bioassay Sampling 45 5.4 Respiratory Protection Program 46 5.4.1 Requirements 47 5.5 Handling Radiologically-Contaminated Personnel 48 5.5.1 Skin Contamination 48 5.5.2 Contaminated Wounds 49 5.5.3 Exposures to Airborne Radioactivity 49 5.6 Instrumentation and Calibration 50 5.6.1 Inspection, Calibration and Performance Tests 50 5.6.2 Maintenance 51 5.6.3 Calibration Facilities 51 6 Training and Qualifications 51 6.1 Visitor Orientation 51 6.1.1 Requirements 51 6.2 Radiation Worker Safety Training 52 6.2.1 Requirements 52 6.3 Radiation Safety Technician Training 53 6.3.1 Requirements 53 7 Radiological Records 53 7.1 Requirements 53 7.1.1 Purpose 54 7.1.2 Records Management Program 54 7.1.3 Record Keeping Standards 55 7.2 Employee Records 55 7.2.1 Personnel Radiation Safety Records 55 7.2.2 Planned Special Exposure Records 57 7.2.3 Medical Records 57 7.2.4 Radiation Safety Training and Qualification Records 58 7.2.5 Dosimetry Reports 59 7.3 Public Dose Records 59 7.3.1 Visitor Record Requirements 59 7.3.2 Member of the Public Dose Records 59 7.4 Radiation Safety Procedures 60 7.4.1 Policies, Procedures and Radiation Work Permits 60 7.4.2 ALARA Records 60 7.4.3 Quality Assurance Records 60 7.5 Radiation Surveys 60 7.5.1 Requirements 60 7.5.2 Radiation Surveys 60 7.5.3 Airborne Radioactivity 61 7.5.4 Contamination Surveys 61 7.6 Instrumentation and Calibration Records 61 7.6.1. Calibration and Operational Checks 61 Page 4 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 7.6.2 Special Calibration Records 62 7.7 Records Management 62 7.7.1 Form of Records 62 7.8 Reports 63 7.8.1 Reportable Events 63 8 References 65 Page 5 of 67 ,- EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 1 Radiation Safety Policy and Company Description 1.1 Clive Facility Radiation Protection Program 1.1.1 Purpose The Radiation Protection Program (hereinafter referred to as "RPP" or program) has been developed to establish Clive Facility requirements' to receive, possess, process, use, transfer or dispose of licensed radioactive material. The Clive Facility is committed to managing its operations involving exposure to ionizing radiation and radioactive materials by incorporating the philosophy that such doses should be "As Low As Reasonably Achievable" (ALARA). The RPP establishes the measures that Clive Facility management will use to ensure that appropriate regulatory requirements and Clive Facility policies, programs and procedures are met. 1.1.2 Program Applicability and Control 1.1.2.1 Clive Facility employees, escorted individuals, and contractors shall meet the requirements of this program. 1.1.2.2 This program shall be reviewed each calendar year to identify necessary changes as a result of changes in regulations, lessons learned, and suggestions for improvement. Changes shall be approved by the Clive Radiation Safety Officer (RSO) who will verify that this program remains consistent with the EnergySolutions ' Radiation Safety Program (ES-RS-PG-001), existing permits, statutory and regulatory requirements, and U.S. Nuclear Regulatory Commission (NRC) or State of Utah, Division of Waste Management and Radiation Control (DWMRC) directives. Deviation from this program requires the written approval of the RSO. 1.1.2.3 The RSO may delegate in writing any or all of the work to others. Responsibility, however, cannot be delegated. The RSO, as applicable, retains responsibility for conformance to radiation safety requirements for the delegated activity. 1.1.2.4 The RPP includes the Radiation Safety implementing procedures and the ALARA Program. 1.1.3 Compliance 1.1.3.1 The word "shall" identifies those elements and requirements that have been considered and found by Clive management to be mandatory unless prior approval of an alternative approach is obtained by the appropriate regulatory agency and/or management. Page 6 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 1.1.3.2 The use of "should" recognizes that there may be situational attributes that warrant special treatment and permits alterations to achieve the desired level of radiation control performance. 1.1.3.3 The word "may" means Clive management has identified an acceptable action but management is allowed to select alternative methods. 1.2 Clive Facility Summary 1.2.1 Site Description EnergySolutions is a nuclear services company with its corporate office located at 299 South Main Street, 17th Floor, in Salt Lake City, Utah. The Clive Facility is a radioactive/mixed waste treatment and disposal site at Clive, Utah that is approximately three miles south of interstate 1-80 at exit 49 in the western Utah desert. 1.2.2 Waste Licensing The Clive Facility has two radioactive materials licenses for the disposal of radioactive material. A license issued by the Utah Division of Waste Management and Radiation Control (DWMRC) for disposal of Class A Low Level Radioactive Waste (LLRW), Naturally Occurring Radioactive Material or Accelerator-Produced Radioactive Material (NARM), source material, special nuclear material, mixed waste (radioactive hazardous) and 11e.(1) byproduct material. The second license is issued by the DWMRC to permit the disposal of 1le.(2) byproduct material resulting from the extraction of uranium or thorium from ore. Permits from DWMRC as well as other regulatory agencies involved in site operations include: • DWMRC for hazardous waste treatment, storage, and disposal. • The Utah Division of Water Quality for protection of ground waters. • The Utah Division of Air Quality to ensure precautions are taken to minimize dust hazards. 1.3 Definitions 1.3.1 Access Control Points are designated areas established for normal personnel and personal item entrance and egress from the restricted area. 1.3.2 Airborne radioactivity area means a room, enclosure, or area in which airborne radioactive materials, composed wholly or partly of licensed material, exist in concentrations- • In excess of the derived air concentrations (DACs) specified in appendix B, to 10 CFR 20 .1001-20.2401 or derived from values in Page 7 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 ICRP 68. To such a degree that an individual present in the area without respiratory protective equipment could exceed, during the hours an individual is present in a week, an intake of 0.6 percent of the annual limit on intake (ALI) or 12 DAC-hours. 1.3.3 Controlled area means an area, outside of a restricted area but inside the site boundary. This is an area that Clive management can limit access for any reason. 1.3.4 Individual Monitoring Devices means devices designed to be worn by a single individual for the assessment of dose equivalent such as film badges, thennoluminescent dosimeters (TLD'S) or equivalent, electronic dosimeters and personal ("lapel") air sampling devices. 1.3.5 Personnel Contamination Event (PCE) means radioactive contamination, above specified limits, on skin, hair or personnel clothing. 1.3.6 Restricted area (RA) is an area within the controlled area, access to which is limited for the purpose of protecting individuals from undue risks from exposure to radiation and radioactive materials. The restricted area boundary is posted "Caution Radioactive Material" and is bordered by a 6- foot high fence (minimum height 5'9"). 1.3.7 Tissue weighting factor (WT), for an organ or tissue (T) is the proportion of the risk of stochastic effects resulting from irradiation of that organ or tissue to the total risk of stochastic effects when the whole body is irradiated uniformly. For calculating the effective dose equivalent, the values of wT. are from ICRP 68. Weinhtinn factors for Various Tissues Organs or tissues, T Weighting factor, WT. Gonads 0.20 Red bone marrow 0.12 Colon 0.12 Lungs 0.12 Stomach 0.12 Bladder 0.05 Breasts 0.05 Liver 0.05 Esophagus 0.05 Thyroid 0.05 Skin 0.01 Bones Surface 0.01 Remainder (a) 0.05 Whole body (b) 1.00 a. Remainder means the ten other organs or tissues with the highest dose (e.g., muscle, brain, small intestine, uterus, kidney, spleen, Page 8 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 thymus, adrenal, pancreas, extra thoracic airways). The weighting factor for each remaining organ or tissue is 0.05. b. For the case of uniform external irradiation of the whole body, a weighting factor (WT) equal to 1 may be used in determination of the effective dose equivalent. Note: In addition to the definitions above, the Clive Facility recognizes the regulatory definitions contained in reference 8.14 1.4 Responsibilities 1.4.1 General Manager of Clive The General Manager of Clive is responsible for ensuring that programs and activities are consistent with safe operating practices and regulatory requirements. This person has corporate authority to commit funds and resources for the resolution of real and potential radiation safety problems. 1.4.2 Radiation Safety Officer (RSO) The RSO or designee is responsible for: • ensuring site compliance with RPP, radioactive license(s) and other applicable regulatory requirements • supervising the Site Radiation Safety personnel • coordinating radiation protection related activities at the Site as directed by the General Manager of Clive with oversight by the Corporate Radiation Safety Officer • directing Radiation Safety training. • conducting site inspections at least weekly. • monitoring occupational radiation exposure 9 ensuring Clive operations are conducted in a manner as to keep radiation doses as low as reasonably achievable (ALARA). 1.4.3 Lead, Health Physics / ARSO The ARSO or designee is responsible for: • the implementation of the Radiation Protection Program. 1.4.4 Radiation Safety Technician(s) Radiation Safety Technician(s) (RSTs) or equivalent is responsible for: • ensuring personnel involved in activities in the restricted area understand the applicable radiological hazards and appropriate precautions needed to do their assigned task safely. Page 9 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 ' Radiation Protection Program Revision 17 • controlling the release of material/personnel from the Restricted Area. • Implementing and documenting compliance with requirements of this program as they apply directly to Site operations. • ensuring the routine application of ALARA practices. • conducting air monitoring, radiation, and contamination surveys as required by the radioactive material licenses and as needed to determine occupational exposure. 1.4.5 Radiation Workers and Restricted Area Visitors Radiation workers and restricted area visitors shall observe the following rules: FOLLOW • Posted, written, and oral radiological control instructions, permits, and procedures. • "Evacuate" and "stop work" orders from Radiation Safety personnel promptly. • Follow ALARA practices as identified in training or directed by Radiation Safety personnel. DO NOT • Loiter in radiation areas (Visitors are not allowed in radiation areas). • Smoke, eat, drink or chew in restricted areas, with the exception of drinking from an "approved" screw-top container. BE SURE TO • Wear personnel monitoring devices where required by signs, procedures or by Radiation Safety personnel. Report immediately the loss, damage or unexpected exposure of personnel monitoring devices to Radiation Safety. • Keep track of your radiation dose status and avoid exceeding Radiation Safety Administrative Control Levels. • Wear Personal Protective Equipment (PPE) and clothing properly when required by Radiation Work Permits or postings. • Minimize the spread of potential radioactive spills and promptly notify the appropriate personnel of all spills. • Avoid contact of skin, clothing and equipment with contaminated surfaces. • Minimize the spread of contamination in contaminated areas. Page 10 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Notify Radiation Safety personnel of alarming or faulty radiological control equipment. PRIOR TO ENTERING A RESTRICTED AREA • Properly document your restricted area entry • Assure that you are mentally alert and in physically sound condition. • Limit the amount of material taken into contaminated areas to minimize radioactive waste and future decontamination. UPON LEAVING THE RESTRICTED AREA • Properly remove PPE to minimize the spread of contamination. • Perform personal contamination survey. • Properly document your restricted area exit Site personnel having access to the restricted area are responsible for understanding the applicable radiation safety hazards associated with their work activities and to follow verbal, written, and posted radiation safety requirements while in the Restricted Area. 1.5 ALARA See CL-RS-PG-001, ALARA Program document 2 Radiological Standards 2.1 Administrative Control and Dose Limits 2.1.1 Legal Dose Limits The occupational dose limits shall be controlled so the annual limits listed in reference 8.14 are not exceeded. 2.1.2 Embryo/Fetus Dose Limits 2.1.2.1 The dose equivalent limit for the embryo/fetus from the period of conception to birth, as a result of occupational exposure of a declared pregnant worker, is 0.5 rem. 2.1.2.2 Substantial variation above a uniform dose rate that would satisfy the limits provided in section 2.1.2.1 shall be avoided. 2.1.2.3 The dose equivalent to the embryo/fetus shall be taken as the sum of the deep- dose equivalent to the declared pregnant woman and the dose to the embryo/fetus from radionuclides in the declared pregnant woman. Page 11 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 2.1.2.4 Females shall be informed of the regulations regarding protection of the embryo/fetus prior to entering the restricted area. 2.1.2.5 The woman who is pregnant or suspects she is pregnant is responsible for declaring the pregnancy to initiate the dose restrictions detailed in this section. The declaration with the estimated date of conception shall be made in writing to the RSO. Such a declaration shall not result in a change in job status. 2.1.2.6 The dose restrictions for a person who has declared pregnancy remains in effect until it is withdrawn in writing or until the woman is no longer pregnant. 2.1.2.7 If the dose equivalent to the embryo/fetus exceeds 0.5 rem, or is within 0.05 rem of this dose, by the time the woman declares a pregnancy, Clive management shall be in compliance with section 2.1.2.1 if the additional dose to the embryo/fetus does not exceed 0.05 rem during the remainder of the pregnancy. 2.1.2.8 Upon notification of pregnancy, the worker shall be informed of the risks of anticipated radiation dose to the embryo/fetus and efforts shall be made to avoid substantial variation above a uniform monthly dose rate for the remainder of the gestation period. 2.1.3 Radiation Dose Limits for Individual Members of the Public 2.1.3.1 The total effective dose equivalent (TEDE) to individual members of the public from Clive facility operations shall not exceed 0.1 rem in a year. 2.1.3.2 The dose in any unrestricted area from external sources shall not exceed 0.002 rem in one hour. 2.1.3.3 Utah Radiation Control Board Executive Secretary permission shall be obtained prior to exposing any member of the general public to greater than the limits of section 2.1.3.1. The Utah Radiation Control Board Executive Secretary may only grant permission to raise dose limits to the general public to 0.5 rem in a year. The application for permission shall include the following information: • Demonstration of the need for and the expected duration of operations in excess of the limit in section 2.1.3.1; • Clive Facilities' program to assess a control dose within the 0.5 rem annual limit. Page 12 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • The procedures to be followed to maintain dose ALARA. 2.1.3.4 Concentrations of radioactive material, which may be released to the general environment in ground water, surface water, air, soil, plants, or animals, must not result in an annual dose exceeding an equivalent of 25 millirems to the whole body, 75 millirems to the thyroid and 25 millirems to any other organ of any members of the public. Reasonable effort should be made to maintain releases of radioactivity to the environment as low as reasonably achievable. 2.1.3.5 A constraint on air emissions of radioactive material to the environment, excluding radon-222 and its daughters, shall be established by the Clive Facility; such that, the individual member of the public likely to receive the highest dose will not be expected to receive a TEDE of 10 mrem (0.1 mSv). 2.1.3.6 The Clive Facility is authorized to use ALI, DAC and Environmental Control Limit (ECL) values based on dose coefficients adopted by ICRP Publication 68 and 72. 2.1.4 Planned Special Exposure EnergySolutions does not anticipate authorizing planned special exposures at the Clive facility. However, in exceptional situations, EnergySolutions employees may receive doses (planned special exposures) separate from and in addition to the annual occupational dose limits. All Planned Special Exposures (PSE's) shall (1) receive prior written authorization from the Business Group President and the Corporate Radiation Safety Officer and (2) comply with all Federal or State regulations. Note: Prior to participating in a planned special exposure an individual's lifetime cumulative occupational dose record shall be obtained. 2.1.5 Administrative Control Limits • TEDE of 100 mrem per year if dose for the current year has not been determined • TEDE of 1,500 mrem per year • Total Organ Dose Equivalent (TODE) of 15,000 mrem per year • Eye (lens) dose equivalent (LDE) of 4,500 mrem per year • Shallow dose equivalent (SDE) (skin or extremity) of 15,000 mrem per year Page 13 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Declared Pregnant Worker (DPW) 150 mrem for entire gestational period 2.1.6 Minors Minors shall not be granted access to EnergySolutions Restricted Areas. 2.2 Contamination Control and Control Levels 2.2.1 Personnel Contamination Control 2.2.1.1 Personnel exiting Restricted or Contamination Areas shall monitor for personal radioactive contamination. 2.2.1.2 Monitoring for contamination should be performed using frisking equipment that, under laboratory conditions, can detect total contamination of at least the values specified in Table 2-1, Acceptable Surface Contamination Levels. Use of automatic monitoring units that meet the above requirements is encouraged. Table 2-1 Acce table Surface Contamination Levels Nuclide' Averagew MaximumbAf Removable 13,e'f U-nat, U-235, U-238, and associated decay products 5,000 dpm a1pha/100cm2 15,000 dpm a1pha/100cm2 1,000 dpm alpha /100cm2 Transuranics, Ra-226, Ra-228, Th-230, Th-228, Pa- 231, Ac-227, 1-125, I-129 100 dpm /100cm2 300 dpm /100cm2 20 dpm /100cm2 Th-nat, Th-232, Sr-90, Ra-223, Ra-224, U-232, 1-226, 1-131, 1-133 1,000 dpm /100cm2 3,000 dpm /100cm2 200 dpm /100cm2 Beta-gamma emitters (nuclides with decay modes other than alpha emission or spontaneous fission) except Sr-90 and others noted above. 5,000 dpm beta- gamma /100cm2 15,000 dpm beta- gamma /100cm2 1,000 dpm beta-gamma /100cm2 Notes: a. Where surface contamination by both alpha- and beta-gamma emitting nuclides exist, the limits established for alpha- and beta- gamma emitting nuclides should apply independently. b. As used in this table, dpm (disintegrations per minute) means the rate of emission by radioactive material as determined by correcting the counts per minute observed by an appropriate detector for background, efficiency and geometric factors associated with the instrumentation. Page 14 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 c. Measurements of average contaminant should not be averaged over more than one square meter. For objects of less surface area, the average should be derived for each such object. d. The maximum contamination level applies to an area of not more than 100 cm2. e. The amount of removable radioactive material per 100 cm2 of surface area should be determined by wiping the area with dry filter or soft absorbent paper, applying moderate pressure, and assessing the amount of radioactive material on the wipe with an appropriate instrument of know efficiency. When removable contamination on objects of less surface area is determined, the pertinent levels should be reduced proportionally and the entire surface should be wiped. f. The average and maximum radiation levels associated with surface contamination resulting from beta-gamma emitters shall not exceed 0.2 mrem/hr at 1 cm and 1.0 mrem/hr at 1 cm, respectively. 2.2.1.3 Personal items, materials and personnel exiting the Restricted Area are surveyed for both alpha and beta emitting nuclides. Alpha limits are less than 100 dpm/100 cm2 for skin, clothing, materials, and surfaces; and less than 300 dpm/100 cm2 for the soles of shoes. Beta limit is less than 1,000 dpm/100 cm2 skin, clothing, materials, surfaces and the soles of shoes. Other localized areas on personnel or items may be released to the maximum limits specified in Table 2-1 as approved by the RSO on a case by case basis and documented in accordance with CL-RS-PR-115, Radiological Surveys. 2.2.1.4 Skin or personal clothing shall promptly be decontaminated and/or removed if radioactive contamination, from other than noble gases or natural background radioactivity, is found to exceed these limits. 2.2.1.5 Personnel shall be advised that any measurable contamination on their person is excessive and the goal is to keep such contamination below detectable levels. 2.2.1.6 Personnel Contamination Events (PCEs) shall be documented and the CRSO shall be notified. 2.2.2 Contamination Control Levels 2.2.2.1 Areas having accessible surface contamination above the limits listed in Table 2-2, Acceptable Surface Page 15 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 Contamination Levels shall be posted as detailed in section 2.3.1. 2.2.2.2 Contamination in Restricted Areas shall be controlled to minimize the potential for personal contamination and elevated airborne radioactivity levels. 2.2.3 Unrestricted Release 2.2.3.1 Unrestricted release shall be used for all vehicles, materials and equipment leaving the Restricted Area except where release to Department of Transportation standards is permitted as described in section 4.2.1. 2.2.3.2 Items surveyed for radioactive contamination shall be sufficiently clean to allow an appropriate radiological survey of the item. There shall be no material that will mask or shield contamination. 2.2.3.3 The following requirements apply to equipment and material released from Restricted or Airborne Radioactivity Areas. Equipment or material from Restricted or Airborne Radioactivity Areas shall be treated as radioactive material and shall not be released for unrestricted use if either of the following conditions exist: • Measurements of accessible surfaces show that either the total or removable contamination levels exceed the values specified in Table 2-1, Acceptable Surface Contamination Levels or • Prior use indicates that the contamination levels on inaccessible surfaces are likely to exceed the values specified in Table 2-1, Acceptable Surface Contamination Levels. 2.2.3.4 The records for release of equipment and material shall include a description of the property, survey date, identity of the individual who performed the survey, type and identification number of the survey instrument used, date the instrument calibration is due, and survey results. 2.2.3.5 The appropriate regulatory authority shall approve methods used for the unrestricted release of contaminated soil, bulk material, permeable material, or material with surfaces which cannot be monitored. 2.2.4 Airborne Radioactivity Control 2.2.4.1 Engineering and administrative controls should be used to reduce the potential for internal dose prior to allowing Page 16 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 personnel with or without respiratory protection to enter Airborne Radioactivity Areas. 2.2.4.2 Airborne radioactivity areas shall be used to identify those areas requiring additional air monitoring and controls to verify dose to personnel from airborne radioactivity. 2.3 Posting 2.3.1 Posting Requirements 2.3.1.1 Radiation Safety postings shall be used along with procedures, Radiation Work Permits, training and job briefings to alert personnel to the presence of radiation and radioactive materials and to aid them in minimizing dose and preventing the spread of contamination. 2.3.1.2 The criteria and posting requirements Table 2-2, Area Posting Criteria shall be used to identify the specific radiological hazards. Table 2-2 Area Postin Criteria AREA CRITERIA POSTING Radiation Area An area where an individual may receive > 0.004 rem but <0.08 rem dose in 1 hour at 30 cm "CAUTION, RADIATION AREA" High Radiation Area An area where an individual may receive > 0.08 rem but < 500 rad in 1 hour at 30 cm "DANGER, HIGH RADIATION AREA" Very High Radiation Area An area where an individual may receive > 500 rad in 1 hour at 1 m "GRAVE DANGER, VERY HIGH RADIATION AREA" Airborne Radioactivity Area An area having airborne concenfrations > DAC value(s) or where a person could receive >0.006 x ALI (12 DAC-hours)(listed in appendix B to 10 CFR 20.1001-20.2401) during the hours a person could be present in a week. "CAUTION, AIRBORNE RADIOACTIVITY AREA" Areas or rooms storing or using license material An area with > 10 times quantities listed in appendix C to 10 CFR 20.1001-20.2401 "CAUTION, RADIOACTIVE MATERIAL(S) or "DANGER, RADIOACTIVE MATERIAL(S)" Contaminated Area An area where accessible loose surface contamination levels are greater than 100 dpm/100 cm2 alpha or 1,000 dpm/100 cm2 beta-gamma "CAUTION, CONTAMINATED AREA" Page 17 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 Notes: Radiation Safety postings should be used to mark area perimeter and access points, status current Radiation Safety requirements inside buildings or permanent work areas, and identify special situational requirements. Posting shall include a "Standard Radiation Symbol" colored magenta or black on a yellow background. Lettering shall be either magenta or black. Magenta is the preferred color. 2.3.1.3 Additional information may be included on or near signs and labels beyond what is specifically identified in this chapter to make individuals aware of potential radiation dose and to minimize the exposure. 2.3.1.4 Postings shall: • Be maintained in a legible condition and kept up to date. • Include all applicable wording if more than one radiological condition (such as a restricted and radiation area) exists. • Include entry requirements at access control points when access is not controlled by an Access Control or Radiation Safety Technicians. (Entry requirements may generally be referenced to using a Radiation Work Permit (RWP).) i.e., "RWP required for entry." • Identify intermittent radiological conditions and include a statement specifying when the conditions are applicable. • Remain visible when doors are open or closed. • Be displayed only to signify actual or potential radiological conditions. Signs used for training shall be clearly marked, such as "For Training Only." Note: Specific hazards inside the Restricted Area shall be controlled commensurate to the magnitude of the hazard with relation to the general area safety requirements. 2.3.2 Exceptions to Posting Requirements 2.3.2.1 The Clive Facility is not required to post caution signs in areas or rooms controlled by Clive management which contain radioactive materials for periods of less than 8 hours provided it is constantly attended by someone who takes the precautions to prevent exposure of individuals to Page 18 of 67 ' EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 radiation or radioactive materials above the limits listed in this manual; and 2.3.2.2 A room or area is not required to be posted with a caution sign because of the presence of a sealed source provided the radiation level at 30 cm from the surface of the source container or housing does not exceed 0.005 rem per hour. 2.3.3 High Radiation Area Requirements 2.3.3.1 Each entrance and access point to a high radiation area shall have one or more of the following features: • A control device that, upon entry into the area, causes the level of radiation to be reduced below that level at which an individual might receive a deep- dose equivalent of 0.08 rem in 1 hour at 30 centimeter from the radiation source or from any surface that the radiation penetrates; • A control device that energizes a conspicuous visible or audible alarm signal so that the individual entering the high radiation area and the supervisor of the activity are made aware of the entry; or • Entryways that are locked, except during periods when access to the areas is required, with positive control over each individual entry; • Continuous direct or electronic surveillance that is capable of preventing unauthorized entry; and • Alternative methods to those listed above shall require approval from the NRC or the DWMRC. 2.3.3.2 High Radiation Area controls shall be established in such a way that it does not prevent individuals from leaving the area. 2.3.3.3 Control is not required for each entrance or access point for a room or other area that is a high radiation area solely because of the presence of radioactive materials prepared for transport and packaged and labeled in accordance with the regulations of the Department of Transportation (DOT) provided that the packages do not remain in the area longer than 3 days and the dose rate at 1 meter from the surface of any package does not exceed 0.01 rem per hour. 2.3.4 Very High Radiation Area Requirements 2.3.4.1 In addition to the requirements of Step 2.3.3, measures shall be instituted to ensure that an individual is not able to Page 19 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 gain unauthorized or inadvertent access to areas in which radiation levels could be encountered at 5 Gy (500 rad) or more in one hour at one meter from a source of radiation or any surface through which the radiation penetrates. 3 Conduct of Radiological Work 3.1 Planning Radiological Work 3.1.1 Requirements Technical requirements for the conduct of work, including construction modifications, operations, and maintenance shall incorporate radiation safety criteria to ensure safety and maintain radiation doses ALARA. 3.1.2 Planning for Maintenance, Operations and Modifications 3.1.2.1 Maintenance and modification plans and procedures shall be reviewed to identify and incorporate radiation safety requirements, such as engineering controls and dose and contamination reduction considerations. Performance of this review is the responsibility of the RSO. 3.1.2.2 Routine tasks where radiation safety restrictions have the potential to change significantly or where ALARA requires increased controls as determined by the RSO shall be documented and controlled using Radiation Work Permits. 3.2 Work Preparation 3.2.1 Radiation Work Permit The Radiation Work Permit (RWP) is an administrative mechanism used to establish radiation safety controls for intended work activities. The RWP informs workers of area radiological conditions and entry requirements and provides a mechanism to relate worker exposure to specific work activities. The RWP shall include the following information where applicable: • Description of work • Work area radiation safety conditions • Dosimetry requirements • Pre-job briefing requirements • Protective clothing and respiratory protection requirements • Radiation Safety coverage requirements and stay time controls as applicable • Limiting radiological conditions that may void the RWP • Special dose or contamination reduction considerations Page 20 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Special personnel frisking considerations • Date of issue and expiration • Authorizing signatures 3.2.2 Use of Radiation Work Permits 3.2.2.1 A RWP shall be required for all work performed at the site in a Radiological Control Area (RCA). 3.2.3 Pre-Job Briefings 3.2.3.1 Pre-job briefings shall be held as required by the Radiation Work Permit. 3.2.3.2 At a minimum, pre-job briefings shall include current condition, radiation safety hazards and the required radiation safety controls. 3.2.4 Personal Protective Clothing 3.2.4.1 Protective clothing is not a substitute for engineering and administrative controls. Care shall be used to minimize the potential for personal contamination. Some of these practices include: • Avoid touching face or other areas of the body not protected by protective clothing with gloves or other objects which may be radioactively contaminated. • Replace protective clothing immediately if it tears or breaks down and no longer provides adequate protection. • Minimize contact with radioactive material. Avoid kneeling, sitting, or lying on contaminated surfaces or spreading contamination from gloves or shoes to other areas. 3.2.4.2 Personnel shall wear protective clothing while inside airborne radioactivity areas and areas with a reasonable potential of being exposed to contamination levels greater than the values listed in Table 2-1, Acceptable Surface Contamination Levels. Radiation Safety shall establish the type and amount of protective clothing required for a specific job or area. 3.2.4.3 Protective clothing dress-out areas shall be established in close proximity to the Restricted Area Access Control Points. Page 21 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 3.2.4.4 Protective clothing shall be compatible and constructed so that it maintains its integrity during its selected use. 3.2.4.5 Coverall openings shall be taped or have elastic embedded in the openings when there is a reasonable potential for radioactive contamination of the skin through these openings. Potential for radioactive contamination of the skin will be based on an evaluation by Radiation Safety management that will include a review of radionuclide concentration levels (isotopic distribution) as well as the physical form of the waste. Waste shipments that have the potential to generate high alpha or beta contamination will be flagged for special waste handling due to the potential for contamination of the skin during waste handling operations. When shipments are flagged, notifications will be made to the field Radiation Safety personal for special handling requirements when shipments create a reasonable potential for contamination of the skin. 3.2.4.6 Industrial Hygiene and Safety concerns shall be considered in addition to those of Radiation Safety when deciding on PPE requirements. 3.2.4.7 The following is only to be used as general guidance because of varying PPE requirements. Whatever method is used, PPE must be worn properly to provide the proper protection and removed in such a way as to minimize personal and area contamination. 3.2.4.8 PPE Donning Sequence (Don applicable items in the listed sequence.) • Boot liners • Glove liners • Anti-C coveralls • Exterior Gloves • Tape Openings (as required by situation) • Exterior boots • Respirator 3.2.4.9 PPE Doffing sequence (Remove applicable items in the listed sequence) • Exterior boots • Respirator • Tape Page 22 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Exterior Gloves • Anti-C Coveralls • Boot liners • Glove liners 3.3 Conduct of Radiological Work 3.3.1 Restricted Area Entry Requirements 3.3.1.1 Personnel entry control shall be maintained for the Restricted Area. A security guard or other qualified person shall be stationed whenever personnel are inside the Restricted Area. 3.3.1.2 The degree of control shall be commensurate with existing or potential radiation safety hazards within the area. 3.3.1.3 One or more of the following methods shall be used to ensure access control: • Signs and barricades; • Control devices on entrance; • Conspicuous visual or audible alarms; • Locked entrance ways; or • Administrative controls. 3.3.1.4 Access is limited to qualified persons on official business. 3.3.1.5 The access control gate must be locked or controlled by a designated person meeting required certification requirements. 3.3.1.6 Prior to entry, visitors shall receive Visitor Orientation (section 6.2.1) and be escorted by a certified Radiation Worker when in the Restricted Area. (Visitor training is restricted to Radiation Safety requirements and does not replace other training that may be required.) 3.3.2 Restricted Area Exit Requirements 3.3.2.1 Personnel shall remove PPE and protective equipment according to the requirements of Section 3.2.4 and the Safety & Health Manual. 3.3.2.2 Personnel shall be monitored and meet the release standards of Column 2 in Table 2-1, Acceptable Surface Contamination Levels. Page 23 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 3.3.2.3 Personal items, such as notebooks, papers and flashlights, shall be subject to the same Restricted Area and Airborne Radioactivity Area exit requirements. 3.3.2.4 RSTs shall determine if alarms of Personnel Contamination Monitors legitimately represent personnel contamination through evaluation of alarm level, frisking, and visual inspection. 3.3.2.5 Persons found to be radioactively contaminated above release limits shall be surveyed by qualified Radiation Safety personnel. The washing or otherwise decontamination of affected areas shall be done under the supervision of qualified Radiation Safety personnel. The RSO permission is required for the exit of personnel contaminated above the release limits. 3.3.2.6 Process out via HIS-20 or access control software and ensure dosimeter information is recorded into the computer system and the dosimeter is available for reuse. 3.3.3 Radiological Work Conduct and Practices 3.3.3.1 Radiological work practices shall be conducted as specified by the specific work procedure and Radiation Work Permit. 3.3.3.2 Radiation safety requirements shall be determined with concern for the use of sound engineering and safety practices. 3.3.3.3 Contamination levels caused by ongoing work shall be monitored and maintained ALARA. Work should be curtailed and decontamination performed at pre-established levels, taking into account worker dose. 3.3.3.4 Tools and equipment should be inspected to verify operability before being brought into the restricted area. 3.3.3.5 Where practical, parts and components should be removed to areas with low dose rates to perform work. 3.3.3.6 Upon identification of radiation safety concerns, such as inappropriate work controls or procedural deficiencies, workers should immediately report the concern to their supervisor or someone in the Radiation Safety organization. 3.3.3.7 To minimize intakes of radioactive material by personnel; smoking, eating, or chewing shall not be permitted in Restricted Areas. (Drinking fluids for purposes of hydrating is permitted when approved by the RSO and it is done from an approved (screw-topped container). Page 24 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 3.3.3.8 Time spent in the restricted area should be limited to necessary activities. 3.3.3.9 Required protective equipment will be worn correctly for the entire time it is required. 3.3.3.10 Access requirements during an emergency may be waived, as common sense directs, to perform emergency response actions. 3.3.3.11 Escorts shall accompany and ensure the safety of persons they are assigned to escort until they have exited the Restricted Area. 3.3.3.12 Radioactive contamination shall be controlled inside the Restricted Area to prevent the contamination of personnel. 3.3.4 Stop Radiological Work Authority Any Clive Facility employee or employee of a Clive Facility contractor has the authority and responsibility to stop radiological work activities if radiation safety controls are not being adequately applied to ensure safe operations (provided stopping work does not create an additional hazard). The RSO shall determine the correct course of action prior to resuming the activity. If the corrective actions are not satisfactory, the individuals involved may submit in writing to the General Manager of Clive, a detailed description of the situation with suggested corrective actions. 3.3.5 Control of Bench Top Work, Laboratory Fume Hoods, and Sample Stations 3.3.5.1 Work shall be controlled through the use of a procedure or RWP. 3.3.5.2 Protective clothing shall, at a minimum, include lab coats and gloves. Gloves shall be secured at the wrist, as necessary. 3.3.5.3 If there is a potential for splashing or airborne radioactivity, additional controls such as a rubber apron, face shield, full PPE, and/or respirator should be instituted, as appropriate. 3.3.5.4 Shoe covers should be considered based on the potential for floor contamination. 3.3.5.5 Upon completion of work or prior to leaving the area, workers shall monitor those areas of their body that are potentially contaminated. At a minimum, this includes hands and feet. 3.4 Evaluation of Performance During the conduct of radiological work and the handling of radioactive materials, abnormal events may occur which could indicate a weakness or area of Page 25 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 programmatic breakdown of radiation safety controls. Prompt, consistent gathering of facts related to such events is required to satisfy reporting and investigation requirements and to formulate corrective actions to prevent recurrence. This process shall be documented in a Condition Report (CR). In addition, successful performance or completion of unique activities should be evaluated to identify and incorporate appropriate lessons learned. Refer to the "EnergySolutions Quality Assurance Manual" for the requirements used to evaluate performance. 4 Radioactive Materials 4.1 Radioactive Material Identification, Storage and Control Radioactive material is any material, equipment, or system component determined to contain or be contaminated with radionuclides. Items located in a restricted or airborne radioactivity area or otherwise having reasonable potential to become contaminated are considered radioactive materials. Radioactive material also includes activated material, sealed and unsealed radioactive sources and materials that emit radiation. 4.1.1 Radioactive Material Labeling 4.1.1.1 Containers of licensed material (excluding waste shipments) shall have a durable clearly visible label bearing a radiation symbol and the appropriate wording as detailed in Table 4-1, Labeling Requirements for Radioactive Material (unless comply with special exemptions). The label shall also provide sufficient information (such as the radionuclide(s) present, the date for which the activity is estimated, radiation levels, kinds of materials, and mass enrichment) to permit individuals handling or using the containers or working in the vicinity of the containers to take precautions to avoid or minimize exposure. Table 4-1 Labeling Re uirements for Radioactive Material ITEM/MATERIAL REQUIRED LABELING Equipment, components and other items that are radioactive, potentially radioactive or have been exposed to radioactive contamination or activation sources "CAUTION, RADIOACTIVE MATERIAL" Sealed and unsealed radioactive sources or associated storage containers "CAUTION,RADIOACTIVE MATERIAL" or standard radiation symbol Equipment, components and other items with actual or potential internal contamination "CAUTION, INTERNAL CONTAMINATION" or "CAUTION, POTENTIAL INTERNAL CONTAMINATION" Page 26 of 67 Components, equipment or other items with fixed contamination "CAUTION, FIXED CONTAMINATION" EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 4.1.1.2 Prior to removal or disposal of empty uncontaminated containers from a restricted area the label shall be removed, defaced, or clearly indicated that the container no longer contains radioactive materials. 4.1.2 Radioactive Material Packaging 4.1.2.1 Radioactive material outside restricted or airborne radioactivity areas which is confirmed or suspected of having removable radioactive contamination levels greater than Table 2-1, Acceptable Surface Contamination Levels shall be securely wrapped in plastic (preferably yellow) or placed in a container. Note: Yellow plastic should not be used for non-radiological purposes. 4.1.2.2 Radioactive material with sharp edges or projections should be taped or additionally protected to ensure package integrity. 4.1.3 Radioactive Material Storage 4.1.3.1 Radioactive material that is outside restricted or airborne radioactivity areas shall be stored in a designated radioactive material storage area. 4.1.3.2 Licensed material stored in controlled areas shall be secured from unauthorized removal or access. 4.1.3.3 Licensed material inside a controlled area but not in a radioactive material storage area shall be maintained under constant surveillance and control. 4.1.3.4 Decontamination or disposal of radioactive material is the preferred alternative to long-term storage. 4.1.3.5 Each Radioactive Material Storage Area shall be approved by the RSO. 4.1.3.6 A custodian should be assigned responsibility for each Radioactive Material Storage Area. A custodian may have responsibility for more than one storage area. 4.1.3.7 The custodian shall conduct annual or more frequent reviews of each radioactive material storage area, with emphasis on contamination levels, area conditions, long- term storage, and disposal. 4.1.3.8 Storage of non-radioactive material in radioactive material storage areas is discouraged. Page 27 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 4.1.3.9 Radioactive material storage methods should be in a manner that reduces combustible loading, controls potential chemical incompatibilities and conforms with conventional safety requirements for storage. 4.1.4 Radioactive Material Disposal Refer to Energysolutions' operating permits/licenses for the requirements and methods used to dispose of radioactive material. 4.1.4.1 Each person involved in the transfer of waste for disposal or in the disposal of waste, including the generator, waste collector, waste processor and waste disposal facility operator, shall comply with the requirements specified in Appendix G, 10 CFR 20, as appropriate. 4.2 Release, Receipt and Transportation of Radioactive Material 4.2.1 Release of Radioactive Material from Restricted Areas for Transport Prior to each shipment of licensed material it shall be determined that: 4.2.1.1 The package is proper for the contents to be shipped; 4.2.1.2 The package is in unimpaired physical condition except for superficial defects such as marks or dents; 4.2.1.3 Each closure device of the packaging, including any required gasket, is properly installed and secured and free of defects; 4.2.1.4 Any system for containing liquid is adequately sealed and has adequate space or other specified provision for expansion of the liquid; 4.2.1.5 Any pressure relief device is portable and set in accordance with written procedures; 4.2.1.6 Any structural part of the package which could be used to lift or tie down the package during transport is rendered inoperable for that purpose unless it satisfies design requirements specified by the manufacturer; 4.2.1.7 Removable surface contamination does not exceed Table 4- 2, Removable External Contamination Wipe Limits; Table 4-2 Removable External Radioactive Contamination Wi e Limits Contaminant Maximum permissible µCi/cm2 limits dpm/cm2 Bq/cm2 1. Beta and gamma emitters and low toxicity alpha emitters 4 10-4 240 2. All other alpha emitting radionuclides 0.4 10-5 24 Page 28 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 4.2.1.8 External radiation levels do not exceed 200 millirem on any point on the exterior surface of the package and 10 millirem at 1 meter from the exterior of the package; or 4.2.1.9 For a package transported in exclusive use by rail, highway or water, radiation levels may not exceed any of the following: • 200 millirem on any point on the exterior surface of the package unless the following conditions are met, in which case the limit is 1,000 millirem per hour. o the shipment is made in a closed transport vehicle, o provisions are made to secure the packages so that its position within the vehicle remains fixed during transportation, and o there are no loading or unloading operations between the beginning and end of the transportation: • 200 millirem per hour at any point on the outer surface of the vehicle including the upper and lower surfaces, or in the case of a flat-bed style vehicle, with a personnel barrier at any point on the vertical planes projected from the outer edges of the vehicle on the upper surface of the load, or enclosure if used and on the lower external surface of the vehicle. A flatbed style vehicle with a personnel barrier shall have radiation levels determined at vertical planes. If there is no personnel barrier, the package cannot exceed 200 millirem per hour at the surface; • 10 millirem per hour at any point 2 meters from the vertical planes represented by the outer lateral surfaces of the vehicle, or in the case of a flat-bed style vehicle, at any point two meters from the vertical planes projected from the outer edges of the vehicle; and • 2 millirem per hour in any normally occupied space, except that this provision does not apply to carriers if they operate under the provisions of a State or federally-regulated radiation protection program and if personnel under their control who are in such an occupied space wear radiation dosimetry devices. Page 29 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 4.2.1.10 Records for the release of radioactive materials from the Restricted Area shall include, survey date, identity of the person who performed the survey, identification number and model number of the survey instrument, date the instrument calibration is due, and survey results. 4.2.2 Receiving and Opening Packages Containing Radioactive Material 4.2.2.1 Upon arrival, the external surface of each package shall be monitored for radioactive contamination and radiation levels if the package: • Is labeled as containing radioactive material; or • Has evidence of potential contamination, such as packages that are crushed, wet, or damaged. 4.2.2.2 Monitoring required in section 4.2.2.1 shall be required as soon as practical after arrival, but no more than 3 hours later if it arrives during normal working hours, or not later than 3 hours from the beginning of the next working day if it arrives after working hours. 4.2.2.3 As applicable, the fmal delivery carrier, the DWMRC and the NRC, shall be notified when removable contamination or external radiation levels exceed limits contained in sections 4.2.1.7, 4.2.1.8, and 4.2.1.9. Note: In the case of packages transported as exclusive use shipments by rail or highway only the removable radioactive contamination at any time during transport shall not exceed ten times the level prescribed in Table 4-2, Removable External Contamination Wipe Limits. The levels at the beginning of transport shall not exceed the levels in Table 4-2, Removable External Contamination Wipe Limits. Note: Special form sources being transferred in EnergySolutions-owned or operated vehicles to and from the work site are exempt from radioactive contamination requirements but not radiation measurement requirements to ensure the source is properly lodged in its shield. 4.2.2.4 Written procedures to safely open packages in which radioactive material is received shall be established, maintained, and retained. Clive management shall ensure Page 30 of 67 ' EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 these procedures are followed and provide special instructions for the type of package being opened. 4.2.2.5 When Clive management expects to receive a package containing quantities of radioactive material in excess of a Type A quantity, as defined in Section R313-19-100, Clive management shall make arrangements to receive: • The package when the carrier offers it for delivery; or • The notification of the arrival of the package at the carrier's terminal and to take possession of the package expeditiously. 4.2.3 U. S. Department of Transportation (DOT) Standards Radioactive material shipments shall meet DOT standards for marking, labeling, and placarding. Radioactive material shipments shall also meet the following radiological requirements: 4.2.3.1 Conveyances used for the transporting of radioactive materials shall meet the radiological requirements of 49 CFR 173.443(c) prior to being returned to Class 7 (radioactive) materials exclusive use transport service. 4.2.3.2 Vehicles used solely to transport radioactive material shall meet the requirements contained in 49 CFR 177.843(b) (49 CFR 174.715(b) for rail shipments) prior to shipping. 4.3 Radioactive Source Control 4.3.1 Radioactive Source Controls 4.3.1.1 The source, source container, or device components containing sources shall be labeled. The labels shall consist of a magenta or black "Standard Radiation Symbol" on a yellow background, the source serial number, the name of the radionuclide, radioactivity, and the date of assay. The source at a minimum shall be labeled with its serial number and the name of its radionuclide. 4.3.1.2 Radiation Safety shall maintain accountability records of all radioactive sources. 4.3.1.3 A source custodian shall be appointed to maintain radioactive source controls. 4.3.1.4 Radioactive sources shall only be stored in licensed radioactive material storage areas and transported in their containers or shall have an encumbering device attached to prevent inadvertent loss. Page 31 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 . Radiation Protection Program Revision 17 4.3.1.5 The RSO shall approve changes in use, storage, transfer, and disposal of radioactive sources. 4.3.1.6 The RSO shall ensure that the required actions are done in the case of the loss of a sealed source. 4.3.1.7 Leak test shall be done on sealed sources as required by EnergySolutions' radioactive material licenses. 4.3.1.8 The RSO shall be responsible for the procurement of all new radiological sources. 4.4 Support Activities 4.4.1 Personal Protective Equipment (PPE) 4.4.1.1 Personal Protective Equipment and laundered protective clothing shall be inspected prior to use. Clothing shall be free of tears, separated seams, deterioration and damage, or repaired in manner that provides the original level of protection. 4.4.1.2 PPE shall: • provide adequate protection against the particular radiological hazard for which they are designed. • shall fit properly and shall not unduly interfere with the movements of the wearer. • be durable enough to withstand anticipated use. • shall meet the requirements of the Safety & Health Manual 4.4.2 Equipment and Area Decontamination 4.4.2.1 Procedures shall include consideration of the handling, temporary storage and decontamination of material, tools and equipment. 4.4.2.2 Decontamination activities shall be controlled to prevent the spread of contamination. 4.4.2.3 If wet cleaning is necessary, water and steam are the preferred decontamination agents. Other cleaning agents should be selected based upon their effectiveness, hazardous properties, amount of waste generated and ease of disposal. 4.4.2.4 Decontamination methods should be used to reduce the number of contaminated areas. Page 32 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 4.4.2.5 Efforts should be made to reduce the level of contamination and the number and size of contaminated areas that cannot be eliminated. 4.4.2.6 The RSO shall be responsible for directing decontamination efforts. 4.4.3 Vacuum Cleaners and Portable Air-Handling Equipment 4.4.3.1 The RSO permission is required to use vacuum cleaners or portable air-handling equipment inside the Restricted Area or for the cleanup of radioactive debris. 4,4.3.2 High-Efficiency Particulate Air (HEPA) filter equipment shall be used when it is determined a reasonable potential exists for the use of non-HEPA equipment to result in airborne personnel dose to concentrations greater than 0.3 DAC. 4.4.3.3 If it is determined that HEPA air handling devices are required, these devices shall: • Be uniquely marked and labeled. • Designed to prevent accidental access to the inner surfaces of the vacuum. • Shall be used within the operating criteria established by the manufacturer. • Shall not be used to clean up water or wet debris. 5 Radiation Safety Support Operations 5.1 External Dosimetry 5.1.1 Requirements 5.1.1.1 Exposures to radiation and radioactive material shall be monitored at levels sufficient to demonstrate compliance with the dose limits listed in Section 2.1. As a minimum, personal monitoring devices shall be supplied and required for use by: • Adults likely to receive in one year from sources external to the body radiation dose exceeding 10% of the legal limit (section 2.1.1), • Declared pregnant women and minors likely to receive, in one year a dose in excess of 10 percent of the applicable limits listed in section 2.1.2 and 2.1.6. • Individuals entering high radiation areas. Page 33 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 5.1.1.2 Clive employees and contractor employees requiring routine access to the Restricted Area shall be issued a personal record dosimeter which must be worn while in the Restricted Area or while working around radioactive material outside the Restricted Area. 5.1.1.3 Record dosimeter used shall be capable of measuring the shallow dose equivalent (SDE), the lens dose equivalent (LDE), and the deep dose equivalent (DDE). 5.1.1.4 When determining the dose from airborne radioactive material, include the contribution to the deep dose equivalent, eye dose equivalent and shallow dose equivalent from external dose to the radioactive cloud. 5.1.1.5 Record dosimeter processing shall be done by a dosimetry processor holding accreditation from the National Voluntary Laboratory Accreditation Program (NVLAP) and approved in this accreditation process for the type of radiation or radiations for which the individual wearing the dosimeter is monitored. 5.1.1.6 Radiation Safety training is required prior to the issuance of record dosimeters. Record dosimeters shall only be worn by the person to whom they were issued. 5.1.1.7 The record dosimeter used to monitor whole body dose shall be worn in an area around the chest, or between the waist and the neck, in the manner prescribed by dosimetry personnel or Radiation Safety Technicians to correlate with the maximum area of dose. 5.1.1.8 Dosimeters shall not be worn or taken off-site unless specifically authorized by the RSO. 5.1.1.9 Personnel shall not be issued more than one record dosimeter at a time to measure whole body dose from Clive operations. 5.1.1.10 Personnel shall not expose their record dosimeter to security x-ray devices, excessive heat, medical sources of radiation, or other specific non-occupational sources of radiation. 5.1.1.11 The dosimeter exchange should be on the first of each quarter but may vary by 10 days as needed to coordinate with Site activities. 5.1.2 Dosimeter Loss Upon the loss of a record dosimeter: Page 34 of 67 EnergySolutions' Clive Facility Radiation Protection Program CL-RS-PG-002 Revision 17 • If in a restricted area, immediately leave the area. • Notify the supervisor and the RSO • Record the loss. • Attempt to locate the lost record dosimeter. • A dose estimate shall be made for the period covered by the lost record dosimeter using appropriate information e.g. past dose history, work history, survey information, and associated worker dose information. 5.1.3 Electronic Dosimeters Electronic Dosimeters may be used to provide a real-time indication of radiation dose and assist in maintaining personnel doses less than the Administrative Control Levels. Dosimeters may also be used to monitor visitors who do not require a record dosimeter (see section 5.1.1.1). 5.1.3.1 Electronic Dosimeters shall be issued to personnel prior to entry into the Restricted Area, according to ALARA Program requirements. 5.1.3.2 Electronic Dosimeters should be set at the dose limit of the RWP under which the Restricted Area entry is being made. 5.1.3.3 Electronic Dosimeters shall be read periodically and shall not be permitted to receive more than 75 percent of the allowable dose. 5.1.3.4 Routine work on a Radiation Work Permit shall be stopped when electronic dosimeter readings indicate total dose or rate of dose exceeding the RWP's limits. The RSO shall be consulted prior to continuation of work. 5.1.3.5 Electronic Dosimeters shall be processed into the dosimetry database prior to entry and upon exiting the Restricted Area. 5.1.4 Area Monitoring Area monitoring shall be adequate to show compliance with the dose limits detailed in section 2.1.3. Compliance with this requirement shall be shown by: 5.1.4.1 Demonstrating the total effective dose equivalent to the individual likely to receive the highest dose from Clive operations does not exceed the annual dose limit; and 5.1.4.2 Concentrations of radioactive which may be released to the general environment in ground water, surface water, air, soil, plants or animals shall not result in an annual dose exceeding an equivalent of 25 millirem (0.25 mSv) to the Page 35 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 whole body, 75 millirem (0.75 mSv) to the thyroid, and 25 millirem (0.25 mSV) to any organ of any member of the public. Reasonable efforts should be made to maintain releases of radioactivity in effluents to the general environment as low as reasonably achievable; and 5.1.4.3 The dose from external sources to an individual who if continually present in an unrestricted area, would not exceed 0.002 rem in one hour. 5.1.5 Determination of Prior Occupational Dose 5.1.5.1 Where it is determined that a person has the likely potential or where a person may have received occupational dose greater than those values listed in section 5.1.1, Clive management shall determine the occupational radiation dose received during the current year. To comply with these requirements Clive management may: • Accept, as a record of the occupational dose that the individual received during the current year, a written signed statement from the individual, or from the individual's most recent employer for work involving radiation dose, that discloses the nature and the amount of any occupational dose that the individual may have received during the current year; • Obtain reports of the individual's dose equivalent(s) from the most recent employer for work involving radiation dose or the individual's current employer (if the individual is not employed by EnergySolutions) by telephone, telegram, electronic media, or letter. A written verification of the dose data shall be required if the authenticity of the transmitted report cannot be established. 5.1.5.2 The record of dose history for the current year required by section 5.1.5.1 shall be recorded on NRC Form 4, or other clear and legible records containing all the information required by Form 4. The form or record must show each period during the year in which the individual received occupational dose to radiation or radioactive material and must be signed by the individual who received the dose. 5.1.5.3 If Clive management is unable to obtain an individual's current occupational dose, Clive management shall control occupational dose to a: • TEDE of 100 mrem (1.0 mSv) per year Page 36 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 5.1.6 Visitors 5.1.6.1 Visitors who have the potential to receive greater than 10 mrem TEDE during a quarter shall use an electronic dosimeter to verify dose. 5.1.6.2 All doses, including zero, shall be documented for entry in the person's dose record. 5.2 Internal Dosimetry 5.2.1 Determination of Internal Dose Note: The Clive Facility is authorized to use ALI, DAC and ECL values based on dose coefficients adopted by ICRP Publication 68 and 72. 5.2.1.1 Exposures to radiation and radioactive material shall be monitored at levels sufficient to demonstrate compliance with the dose limits listed in Section 2.1. As a minimum, the occupational intake of radioactive material shall be monitored and the CEDE assessed to: • Adults likely to receive in one year an intake in excess of 10 percent of the applicable ALI(s) found in table 1, Columns 1 and 2 of appendix B to 10 CFR 20.1001-20.2401; and • Minors or declared pregnant women when the CEDE is likely to exceed 0.1 rem. 5.2.1.2 If the only intake of radionuclides is by inhalation, the total effective dose equivalent limit is not exceeded if: EDE + D, =1 TE'DEL where: EDE = Effective dose equivalent. TEDEL = Total effective dose equivalent limit as listed in Section 2.1. DL = One of the following: • The sum of the fractions of the inhalation ALI for each radionuclide, or • The total number of derived air concentration-hours (DAC-hours) for all radionuclides divided by 2,000, or Page 37 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • The sum of the calculated committed effective dose equivalents to all significantly irradiated organs or tissues calculated from bioassay data using appropriate biological models and expressed as a fraction of the annual limit of 50 rem. 5.2.1.3 For the purpose of determining dose suitable and timely measurements shall be taken of: • Airborne radioactivity concentrations in work areas; Or • Quantities of radionuclides in the body; or • Quantities for radionuclides excreted from the body; or a • Combinations of these measurements, as needed to account for and determine compliance with occupational dose limits. 5.2.1.4 Unless respirators are properly used, it shall be assumed that an individual inhales airborne radioactive material at the airborne radioactivity concentration in which the individual is present. When a respirator is used inhalation dose shall be calculated pursuant to section 5.2.2.1. 5.2.1.5 The physical and chemical form of the radionuclides will be used to determine the appropriate lung clearance class (e.g. S, M, F). If this is not known, the most restrictive clearance class shall be used. When calculating internal dose due to Rn-222 and Rn-220, the "with daughters removed" DAC value should be used when determining outside dose (Rn-220 requires this assumption to be confirmed using environmental working level measurements). The "without daughters removed" DAC values shall be used when determining inside Rti-222 and Rn-220 values. 5.2.1.6 For a mixture of airborne radionuclides, the dose determination may disregard certain radionuclides in the mixture if: • the total activity of the mixture is compared with the most restrictive DAC concentration to demonstrate compliance with section 2.1.1 dose limits, • the concentration of any radionuclide disregarded is less than 10% of its DAC, and Page 38 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • the sum of these percentages for all of the radionuclides disregarded in the mixture does not exceed 30 percent. 5.2.1.7 The dose from oral ingestion shall be calculated and recorded for demonstrating compliance with regulatory limits where it is suspected and found that oral ingestion exceeded 10 percent of the applicable oral ALI in a calendar year. 5.2.1.8 Intake through wounds or absorption through skin shall be evaluated and accounted for to the extent that it is practical. 5.2.1.9 When specific information on the physical and biochemical properties of the radionuclides taken into the body or the behavior of the material in an individual is known, it is permissible: • To use that information to calculate the CEDE, this information shall be documented in the individuals record; and • Upon DWMRC approval, adjust the DAC or ALI values to reflect the actual physical and chemical characteristics of airborne radioactive material; and • To separately assess the contribution of fractional intakes of Class S, M, or F compounds of a given radionuclide to the CEDE. 5.2.1.10 If the identity of each radionuclide in a mixture is known, but the concentration of one or more of the radionuclide in the mixture is not known, the DAC for the mixture shall be the most restrictive DAC of any radionuclide in the mixture. 5.2.2 Committed Effective Dose Equivalent (CEDE) Calculation 5.2.2.1 DAC-hours calculation C 1 DAC —hours(mrem)= *t * DAC APF where: DAC-hours = ALI/2000 C = Airborne concentration of radionuclides in which the individual is present in uCi/m1 DAC = Derived Air Concentration (Stochastic) in uCilml from 10 CFR [20.1001-20.2401] Appendix B or equivalent. Page 39 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 CDE calculation will be required when the non-stochastic DAC is found more limiting. t = time of dose in hours APF = Assigned Protection Factors found in 10CFR20 Appendix A (APF is 1 when respirators were not used.) • C/DAC shall be determined using either of the following equations when airborne radioactivity comprises more than one radionuclide: C C DAC — ,:+4 DAC, where: Ci =Airborne concentration for each radionuclide in uCi/ml. DACi = Derived Air Concentration in uCi/m1 for the applicable radionuclide in uCi/ml. n = the total number of radionuclides making up the airborne radioactivity. or, C C DAC DAC R where: C = airborne concentration of radionuclides in uCi/m1 DACR = DAC of most restrictive clearance class for each radionuclide in the mixture. 5.2.2.2 The Committed Effective Dose Equivalent (CEDE) will be calculated using the following equation. 5000 mrem CEDE(mrem) = DAC — hours where: CEDE = Committed Effective Dose Equivalent (mrem) DAC-hours = Derived Air Concentration - hours 5.2.3 Committed Dose Equivalent (CDE) Calculation The CDE for the applicable organs shall be calculated as detailed in 10 CFR [20.1001-20.2401], Appendix B. Page 40 of 67 2000 DAC — hours EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 5.2.4 Calculation of Internal Dose from Intake through Wounds or Skin Absorption Protective clothing normally protects against radioactivity intake through wounds and skin absorption. Should an accident result in an open wound, the RSO will inform the attending physician of the fact and will supply guidance effecting the removal or reduction of the amount of radioactive material remaining in the wound. The RSO will perform an investigation and estimate the intake using data from wound monitoring or other available information. The CDE to any organ will be estimated using methods similar to those used in NCRP Report 111, Developing Radiation Emergency Plans for Academic, Medical or Industrial Facilities, August, 1991. Table 4.2 of that publication provides values of maximum committed dose equivalent to any organ for adults per unit intake. 5.3 Radiation Monitoring and Surveys 5.3.1 Requirements 5.3.1.1 Surveys shall be taken, as is reasonable, to evaluate radiation levels, the concentration or quantities of radioactive material, and the potential radiological hazards that may be present. 5.3.1.2 Instruments used to perform radiation surveys shall be constancy checked daily. When constancy checks are not within ±20 percent of the expected value, the instrument shall be taken out of service. When constancy checks are not feasible, such as with instruments used to measure neutrons or tritium, compensatory actions shall be established to ensure proper instrument performance. 5.3.1.3 Monitoring shall be performed only by trained and qualified personnel using properly calibrated instruments. 5.3.1.4 Assessment of radiological conditions shall include a sufficient number of survey points to characterize the radiation present and to verify boundaries. 5.3.1.5 Surveys shall be performed before, during, and at the completion of work that has the potential for causing changes in levels of radiation and radioactivity. 5.3.1.6 Survey frequencies shall be established based on potential radiological conditions, probability of change in conditions and area occupancy factors. 5.3.1.7 Monitoring results shall be reviewed by the RSO. The review shall ensure that all required surveys have been Page 41 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 performed and that the documentation is accurate and complete. 5.3.2 Radiation Exposure Surveys 5.3.2.1 In addition to the requirements of section 5.3.1, the minimum frequency for routine radiation surveys are listed in Table 5-2, Routine Monitoring and Surveys. EnergySolutions Radioactive Material License UT 2300249 Condition 22 stipulates that certain Weekly Routine Surveys shall be performed on a monthly basis when not in operation / use. These surveys shall continue to be performed on a weekly basis unless approval is given by the Radiation Safety Officer. The operational status of the specified areas shall be documented weekly. Table 5-2 Routine Monitorin and Surve s Type Location Frequency Gamma Radiation Levels Perimeter of Restricted Area(s) Weekly Office Area Weekly Eating / Change Area(s) Weekly Waste Transport Vehicles DOT required survey upon arrival and before departure from the Site. Mixed Waste Facilities Weekly Decontamination Facilities Weekly Continued on Next Page Page 42 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 Type Location Frequency Contamination Levels Eating Area Weekly Restricted Area Access/ Change Area Weekly Office Areas Weekly Equipment/Vehicles Once before release Decontamination Facilities Weekly Mixed Waste Facility Weekly Shredder Facility and Control Room Weekly Rotary Dump and Control Room Weekly Radioactive Material Shipments Upon acceptance or prior to shipment Radioactive Material Spill As needed Employee/ Personnel Skin & Personal Clothing Prior to exiting the Restricted area Gamma Dose Administrative Bldg Quarterly Radon Administrative Bldg Quarterly 5.3.2.2 Performance of radiation surveys should include dose rate measurements of the general area, dose rates at a distance of 30 centimeters from a source or surface of interest to evaluate potential whole body doses, and dose rates on contact with potential sources of radiation where there is a potential for hands-on work. 5.3.3 Contamination Surveys 5.3.3.1 In addition to the requirements of section 5.3.1, minimum contamination surveys are listed in Table 5-2, Routine Monitoring and Surveys. 5.3.3.2 Survey requirements for the release of radioactive materials shall be conducted in accordance with section 4.2.1 or section 2.2.3. 5.3.3.3 Contamination surveys should incorporate techniques to detect removable and fixed plus removable contamination levels. It is permissible to use direct frisk measurements to verify the maximum removable contamination on a surface. 5.3.3.4 Items with inaccessible surfaces, which were located in known or suspected contamination areas and had the potential to become contaminated at levels likely to exceed Table 2-1, Acceptable Surface Contamination Levels values, shall be treated as potentially contaminated and Page 43 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 subject to administrative controls unless the items are dismantled and monitored or special survey techniques are used to survey all surfaces. 5.3.3.5 Swipe surveys for removable contamination shall be reported in units of disintegrations per minute (dpm) per 100 cm2 (dpm/100 cm2). Swipes of areas less than 100 cm' shall be reported in dpm per area swiped. 5.3.3.6 Large area wipes are encouraged and should be used to supplement standard swipe techniques in areas generally assumed not to be contaminated. 5.3.4 Airborne Radioactivity Monitoring 5.3.4.1 Radon and thoron measurements shall be taken as specified in the radioactive material license(s) and the Environmental Monitoring Plan. Rad Trak radon and thoron results may be supplemented by grab samples. 5.3.4.2 Grab samples shall use the modified Kusnetz method or other approved method to measure Rn-222 WL concentrations with sample collection volumes and counting times sufficient to provide a lower limit of detection (sensitivity) of better than 0.03 WL (See NRC Regulatory Guide 8.30, "Health Physics Surveys in Uranium Mills" and the references cited therein). Corrections for the presence of Radon-220 daughters may be required using the procedure given in Radiation Monitoring, by R. L. Rock and Robert T. Beckman, Mine Safety and Health Administration, U. S. Department of Labor. Instant WL meters or continuous WL monitors may be used only if the equivalent sensitivity can be achieved. 5.3.4.3 Air sample program requirements used to measure occupational exposure should be capable of measuring airborne contamination concentrations for the most restrictive radionuclide at 10 percent of the DAC. The use of respirators may be necessary to meet this requirement. 5.3.4.4 After allowing for the decay of Rn-220 and Rn-222 daughters particulate air samples shall be analyzed for gross alpha and beta activities. 5.3.4.5 If after allowing for decay of Rn/Tn progeny, a particulate air sample used to measure occupational exposure that exceed a gross alpha concentration of 3.5 E-12 uCi/mL or a gross beta concentration of 2 E-10 uCi/mL in a sample of an unknown isotopic content; or greater than 1.0 DAC in a Page 44 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 sample of a known isotopic content, the following actions shall be taken:- • The RSO will evaluate site conditions to determine whether additional dust suppression methods or respiratory protection is needed, and whether posting for airborne radioactivity (UAC R313-15- 902) is required. • The sample will be analyzed by gamma spectrometry and, if necessary, by radiochemical separation and laboratory analysis to determine the activities of the radionuclides present. • If it is confirmed or suspected that any employee received or may have received 8 DAC-hours during a single day, attempts shall be made to determine the internal dose received using in vivo or in vitro monitoring methods for the most significantly exposed employee. The incident shall be investigated and corrective actions taken to prevent the event from reoccurring. 5.3.4.6 Care should be used to minimize errors in air sampling due to: • Excessive sample buildup resulting in loss of material/ or activity self-absorption during counting. • Excessive sample time which will effectively result in a sample dilution due to sampling during low exposure. • Incorrect air volume determinations. • Non-representative sampling area. 5.3.4.7 Air monitoring equipment shall be routinely calibrated and maintained at intervals not to exceed six months. 5.3.5 Bioassay Sampling 5.3.5.1 All radiation workers at the site shall participate in a bioassay program to assist in evaluating internal deposition of radionuclides unless an exemption is authorized by the RSO: • A baseline bioassay shall be collected upon employment and a termination bioassay shall be collected when access to the restricted area will no longer occur. Page 45 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Routine urine samples shall, at a minimum, be analyzed for gross beta minus K-40, Ra-226, and total uranium. • Action levels developed using NRC Regulatory Guide 8.9, Acceptable Concepts, Models, Equations, and Assumptions for a Bioassay program. • Routine bioassay action levels shall be calculated using the midpoint time of the sample frequency unless actual time of intake can be determined. • Bioassay results which exceed calculated action levels shall be investigated in a timely manner. The investigation should include an evaluation of work activities and a more detailed analysis to estimate the intake and resultant dose equivalent. 5.3.5.2 Bioassay samples shall also be used to determine dose to personnel involved in an incident having a potential for a significant intake of radionuclides as determined by the Radiation Safety Officer. 5.3.5.3 Investigations should be coordinated and results reviewed with responsible management prior to assigning dose to person assessed with internal dose. 5.3.5.4 Management shall exercise due diligence to collect a termination bioassay monitoring sample when a person who participated in the bioassay program terminates employment or concludes work involving the potential for internal dose. 5.3.5.5 Special bioassay monitoring shall also be performed when any of the following occurs: • Nasal contamination is detected; • Airborne monitoring indicates the potential for intakes exceeding 500 mrem CEDE; or • An intake is suspected for any reason. 5.3.5.6 A preliminary assessment of any intakes detected should be conducted prior to the employee receiving any additional occupational radiation dose. 5.4 Respiratory Protection Program Respiratory protection equipment includes respirators with particulate or gas filtering cartridges, supplied air respirators, self-contained breathing apparatus and airline supplied-air suits and hoods. Page 46 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 5.4.1 Requirements 5.4.1.1 Use of respiratory protection shall be reduced to the minimum practicable by implementing engineering controls and work practices to contain radioactivity at the source. 5.4.1.2 When it is not practical to apply administrative or engineering controls to limit the concentrations of radioactive material in air to values below those that define an airborne radioactivity area, consistent with maintaining the TEDE ALARA, monitoring shall be increased and intakes controlled by one or more of the following means: • Control of Access; • Limitation of exposure time; • Use of respiratory protection equipment; or • Other controls 5.4.1.3 Only respirators tested and certified or certification extended by the National Institute of Occupational Safety and Health (NIOSH)/ Mine Safety and Health Administration (MSHA) shall be used. 5.4.1.4 The Respiratory Protection program shall include: • Air sampling sufficient to identify the potential hazard, permit proper equipment selection, and estimate doses; • Surveys and bioassays, as appropriate, to evaluate actual intakes; • Testing of respirators for operability immediately prior to each use; • Written procedures regarding selection, fitting, issuance, maintenance, and testing of respirators, including testing for operability immediately prior to each use; supervision and training of personnel; monitoring including air sampling and bioassays and record keeping; and • Determination by a physician prior to initial fitting and at least every 12 months thereafter, that the individual user is physically able to use the respiratory protection equipment. 5.4.1.5 A written policy statement on respirator usage shall be issued covering: Page 47 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • The use of process or other engineering controls, instead of respirators; • The routine, non-routine, and emergency use of respirators; and • The periods of respirator use and relief from respirator use. 5.4.1.6 Respirators shall be used within the limitations for type and mode of use and shall provide proper visual, communication, and other special capabilities (such as adequate skin protection) when needed. 5.4.1.7 In estimating exposure of individuals to airborne radioactive materials, allowances may be made for respiratory protection equipment used to limit intakes pursuant to section 5.4.1.2, provided that the following conditions, in addition to those in section 5.4.1.3 to 5.4.1.6 are satisfied: NOTE: An initial estimate of airborne concentrations breathed while using a respirator shall be made by dividing the average air concentration during each period of uninterrupted use by the assigned protection factor. • DWMRC authorization is required to alter the respiratory assigned protection factors listed in 10CFR20 Appendix A, Assigned Protection Factors for Respirators. 5.4.1.8 The Clive Facility is authorized to use ALI, DAC and ECL values based on dose coefficients adopted by ICRP Publication 68 and 72. 5.5 Handling Radiologically-Contaminated Personnel 5.5.1 Skin Contamination 5.5.1.1 The RSO shall be notified of all PCEs above levels listed in 2.2.1.3. 5.5.1.2 The extent of skin contamination should be determined prior to initiating decontamination procedures. 5.5.1.3 NCRP No. 65, Management of Persons Accidentally Contaminated with Radionuclides shall be used for personal decontamination. RSO permission shall be required to permit the exit of a person from the restricted Page 48 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 area with skin contamination above Table 2-1, Acceptable Surface Contamination Levels. 5.5.1.4 Dose shall be calculated for skin contamination if action levels in CL-RS-PR-120, Access Control Points are met or exceeded. 5.5.1.5 Personnel with skin contamination for which dose assessment was not performed should be informed of the nature of the contamination and an upper estimate on the potential dose (such as less than 10 mrem) as soon as practicable, preferably prior to the end of their work day. 5.5.2 Contaminated Wounds 5.5.2.1 Emergency medical care shall be administered immediately for injuries involving radioactive materials in accordance with National Council on Radiation Protection and Measurements Report Number 65. Medical treatment of injuries takes precedence over radiological considerations. 5.5.2.2 The treatment of contaminated injuries should include the following: • Treatment of contaminated wounds by medically qualified personnel. • Monitoring of wounds and associated bandages for contamination, including alpha emitters if applicable. • Identification of the radionuclides involved. • Medical determination of the need for therapeutic intervention such as blocking or chelating agents. • Initiation of appropriate bioassay monitoring. • Determination of need for work restrictions. 5.5.2.3 An injured person having contaminated wounds that could result in internal doses greater than 2 percent of the Section 2.1 limits shall be counseled promptly on the medical and radiological implications. The counseling should be performed by senior Radiation Safety and/or medical professionals. 5.5.3 Exposures to Airborne Radioactivity Potential intakes of radioactive material are indicated when personnel without respiratory protection are exposed to airborne radioactivity or when respiratory protection has been compromised. If intakes of radioactive material are indicated which could result in a committed Page 49 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 effective dose equivalent greater than 100 mrem, the following actions should be taken: 5.5.3.1 Identify personnel potentially exposed to airborne radioactivity; 5.5.3.2 Obtain nasal smears for qualitative indication of intakes where appropriate; 5.5.3.3 Analyze air samples to determine airborne concentrations where appropriate; 5.5.3.4 Determine duration of potential exposure to airborne radioactivity; 5.5.3.5 Perform bioassay appropriate for radionuclides involved; and 5.5.3.6 Evaluate dose prior to permitting the worker to receive any ad ditional occupational radiation dose. 5.6 Instrumentation and Calibration 5.6.1 Inspection, Calibration and Performance Tests 5.6.1.1 Record dosimeters shall be processed and evaluated by a dosimetry processor holding current personnel dosimetry accreditation from the National Voluntary Laboratory Accreditation Program (NVLAP). The lab shall be approved in this accreditation process for the type of radiation or radiations included in the NVLAP program that most closely approximates the type of radiation or radiations for which the individual wearing the dosimeter is monitored. 5.6.1.2 Electronic dosimeters and area radiation monitors shall be calibrated at least annually and in accordance with section 5.6.2. All other survey meters shall be calibrated semi- annually. 5.6.1.3 In unusual and limited situations it may be necessary to use an instrument in an application other than that envisioned by the manufacturer. Special calibrations should be performed for use of instrumentation outside manufacturer's specifications. The instrument should be adjusted, calibrated and labeled to identify the special conditions and used only under the special conditions for which it was calibrated. 5.6.1.4 Instruments should bear a label or tag with the date of calibration and due date of the next calibration. Page 50 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 5.6.1.5 Instruments whose "as found" readings indicate that the instrument may have been used while out of calibration shall be reported to the RSO. Surveys performed with the instrument while it was out of calibration shall be identified and reviewed with respect to its impact on safety. 5.6.2 Maintenance 5.6.2.1 A program for preventive and corrective maintenance of radiological instrumentation shall be established and documented. 5.6.2.2 Preventive and corrective maintenance shall be performed using components and procedural recommendations at least as stringent as those specified by the manufacturer of the instrument. 5.6.2.3 Radiological instruments shall undergo calibration prior to use following any preventive or corrective maintenance or any adjustment that voids the previous calibration. A battery change is not normally considered maintenance. 5.6.3 Calibration Facilities Calibration facilities shall be audited and approved by EnergySolutions for its use of acceptable calibration practices and NIST traceable standards. 6 Training and Qualifications The Radiation Safety Training program is required to ensure each person receiving occupational radiation dose resulting from Clive operations understands the potential health risks and can follow the applicable radiation safety requirements. Refer to operating procedure CL-TN-PR-100, Clive Facility Training for additional safety training requirements. 6.1 Visitor Orientation 6.1.1 Requirements 6.1.1.1 Information may be communicated by video or handout materials to personnel entering a site. An examination is not required. 6.1.1.2 Visitor orientation shall include the following information: • Basic radiation protection concepts • Risks of low-level occupational radiation dose, including cancer and genetic effects • Radiological protection policies and procedures • Visitor and management responsibilities for radiation safety Page 51 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 . Radiation Protection Program Revision 17 • Adherence to radiological posting and labeling • Applicable emergency procedures • Training for issuance of dosimetry, if applicable • Pregnant worker policy and statement. (For women only) • Site Radiological Security Plan 6.1.1.3 Orientation shall be commensurate with the areas being visited. 6.1.1.4 Visitors shall be escorted by a qualified certified radiation worker while in the Restricted Area. 6.1.1.5 Visitors may not enter Airborne Radioactivity Areas and Radiation Areas or directly handle radioactive material. 6.2 Radiation Worker Safety Training 6.2.1 Requirements 6.2.1.1 All unescorted persons shall be trained in radiation safety prior entering the restricted area. 6.2.1.2 Documentation of the radiation safety training shall clearly identify the individuaPs name, date of training, topics covered, and name of the certifying individual. 6.2.1.3 Radiation worker safety training programs and retraining shall be established and conducted at intervals not to exceed 1 year to familiarize the worker with the fundamentals of radiation protection and the ALARA process. The RSO may grant an additional 30 days to complete the training. 6.2.1.4 Training shall include both classroom and applied training. 6.2.1.5 Training shall either precede assignment or be concurrent with assignment as a radiation worker if the worker is accompanied by and under the direct supervision of a trained radiation worker. 6.2.1.6 Radiation worker training not specific to a given site or facility may be waived provided that the training was given in the last year and is adequately documented in the form of a certification document containing the individual's name, date of training, and specific topics covered, and an appropriate official has certified the training of the individual. Page 52 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 6.2.1.7 The knowledge of radiation safety possessed by radiation workers shall be verified by examination prior to an unsupervised assignment. 6.2.1.8 The training shall include procedures specific to an individual's job assignment. 6.2.1.9 The level of training shall be commensurate with each worker's assignment. 6.3 Radiation Safety Technician Training 6.3.1 Requirements 6.3.1.1 Training and retraining programs for Radiation Safety Technicians shall be established and conducted at intervals not to exceed 36 months to familiarize them with the fundamentals of radiation protection and the proper procedures for maintaining doses ALARA. 6.3.1.2 This program should include both classroom and applied training. Applied training may be waived at the RSOs discretion. 6.3.1.3 The training shall either precede performance of tasks assigned to Radiation Safety Technicians or be concurrent with such task assignments if the individual is accompanied by and under the direct supervision of a qualified individual. 6.3.1.4 The required level of knowledge of radiation safety possessed by Radiation Safety Technicians shall be verified by examination to include demonstration prior to any unsupervised work assignment. 6.3.1.5 The training program shall include procedures specific to the site or facility where the technician is assigned. 6.3.1.6 The level of training shall be commensurate with the technician's assignment. 6.3.1.7 Allowances may be made for previous radiation safety or Radiation Safety Technician training provided that the training was given within the last 2 years and is adequately documented. 6.3.1.8 Documentation of the previous training shall clearly identify the individual's name, date of training, topics covered, and name of the certifying individual. 7 Radiological Records 7.1 Requirements Page 53 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 . Radiation Protection Program Revision 17 7.1.1 Purpose This chapter contains the prescribed practices for preparing and retaining radiation safety related records. Radiation Safety records are needed to demonstrate the effectiveness of the overall program. The work force and management are required to use records to document radiation safety afforded to personnel on-site. Records of Radiation Safety programs may be required to support worker health studies and future disputes or claims. Therefore, these records should be high quality, readily retrievable and managed for the prescribed retention period. Consideration should be given to cross-referencing related records to aid retrievability. Records shall be handled such that personal privacy is protected. 7.1.2 Records Management Program 7.1.2.1 The following information shall be maintained and records retained until the DWMRC terminates each pertinent license requiring this record: • Results of surveys, measurements, and calculations used to determine individual occupational dose from external and internal sources pursuant to section 7.2.1. • Results of air sampling, surveys, and bioassays pursuant to section 5.4.1.4. • Records or the results of measurements and calculations used to release material and equipment from restricted areas (see section 2.2.1, 2.2.2, 2.2.3, 4.2.1 and 5.3.2) or evaluate the release of effluents to the environment. • NRC Form 4 or equivalent • Personal dose records listed in section 7.2.1 • Dose records to members of the public required to demonstrate compliance with section 2.1.3 • Provisions of the Radiation Safety Program. • Records of the disposal of licensed or registered materials made pursuant to Sections R313-15-1002, R313-1003, R313-15-1004, R313-15-1005, R313- 25 and disposal by burial by soil. 7.1.2.2 The following information shall be maintained and records retained for a minimum period of 3 years after they are created: Page 54 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Results of surveys (section 5.3.1.1), equipment calibrations (section 5.6.1.2 & 5.6.1.3) and receipt of radioactive material (section 4.2.2.1); • Results of audits and other reviews of program content and implementation. • Records used in preparing NRC Form 4. 7.1.3 Record Keeping Standards 7.1.3.1 Radiation Safety records shall be accurate and legible. The records should include the following: • Company name, specific location, function and process • Signature or other identifying code of the preparer and date • Legible entries in black/blue ink • Corrections identified by a single lineout, initialed and dated 7.1.3.2 Radiation Safety shall maintain a file of names, signatures and initials for future identification of the person who signed or initialed a record. 7.1.3.3 Radiation Safety records should not include: • Opaque substances for corrections • Non-standardized terms or shorthand. 7.1.3.4 Units shall clearly be indicated for all quantities entered in records. Units used to denote radiological dose, exposure or contamination are limited to curie, rad, becquerels, and rem (including multiples of subdivisions of these units) and also includes dpm. Working Level concentration units shall be presented in units of some multiple of curie per (multiple of) grams or liters. 7.1.3.5 A clear distinction shall be made among the quantities entered on the records required by this manual (e.g. TEDE, SDE, DDE). 7.2 Employee Records 7.2.1 Personnel Radiation Safety Records 7.2.1.1 For each employee who may enter the Clive Facility Restricted Area and is likely to receive in a year an occupational dose requiring monitoring pursuant to section 5.1.1.1, Clive management shall; Page 55 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Determine the occupational radiation dose received during the current year. 7.2.1.2 In complying with the requirement section 7.2.1.1, Clive management may: • Accept as a record of the occupational dose that the individual received during the current year, a written signed statement from the individual, or from the individual's most recent employer for work involving radiation exposure that discloses the nature and the amount of any occupational dose that the individual may have received during the current year; • Obtain reports of the individual's dose equivalent(s) from the most recent employer for work involving radiation exposure, or the individual's current employer (if the individual is not employed by EnergySolutions by telephone, telegram, electronic media, or letter. The licensee shall request a written verification of the dose data if the authenticity of the transmitted report cannot be established. 7.2.1.3 Clive management shall record the dose history, as required by section 7.2.1.1 on NRC Form 4 or other clear and legible record, of all the information required on the form. The form or record must show each period in which the individual received occupational dose to radiation or radioactive material and must be signed by the individual who received the dose. For each period for which Clive management obtains reports, Clive management shall use the dose shown in the report in preparing NRC Form 4. For any period in which Clive management does not obtain a report, Clive management shall place a notation on NRC Form 4 indicating the periods of time for which data are not available. 7.2.1.4 If the current year's occupational dose record is incomplete, Clive management shall limit the individual to: • TEDE of 100 mrem (1.0 mSv) per year. 7.2.1.5 Records of all employees whom monitoring was required and records of doses received during planned special exposures, accidents, and emergency conditions. These records shall include when applicable: • DDE, EDEX, EDE, SDE to the skin, and SDE to the extremities; and Page 56 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • The estimated intake or body burden of radionuclides (see section 5.2.1); and • The CEDE assigned to the intake or body burden of radionuclides; and • Specific information used to calculate the CEDE (see section 5.2.1.13); and • The TEDE when required by section 5.2.1; and • The total of the DDE and the ODE to the organ receiving the highest total dose. 7.2.1.6 Personal dose records shall be updated at least annually. 7.2.1.7 Personal dose records shall be maintained on NRC Form 5 or in clear and legible records containing all the information required by NRC Form 5. 7.2.1.8 Personal dose records required in this section shall be protected from public disclosure. 7.2.1.9 Records of dose to an embryo/fetus shall be maintained with the dose to the declared pregnant woman. 7.2.1.10 Declarations of pregnancy, including the estimated date of conception, shall also be kept on file. 7.2.1.11 Radiation dose records shall contain information sufficient to identify each person, or employee number. 7.2.2 Planned Special Exposure Records EnergySolutions does not anticipate authorizing planned special exposures at the Clive facility. However, in exceptional situations, EnergySolutions employees may receive doses (planned special exposures) separate from and in addition to the annual occupational dose limits. All PSE's shall (1) receive prior written authorization from the Business Group President and the Corporate Radiation Safety Officer and (2) comply with all Federal or State regulations. Note: Prior to participating in a planned special exposure an individual's lifetime cumulative occupational dose record shall be obtained. 7.2.3 Medical Records 7.2.3.1 Medical evaluations and treatment performed in support of the Radiation Safety program shall be documented. 7.2.3.2 Maintenance of employee non-occupational radiation dose records for therapeutic or large amounts of diagnostic radiation doses for medical purposes is encouraged. Page 57 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 7.2.4 Radiation Safety Training and Qualification Records 7.2.4.1 Radiation safety records of training and qualification shall be maintained to demonstrate that a person received appropriate information to perform the work assignment in a safe manner. Qualification standard records shall be retained for classroom, on-the-job, and practical factor training. 7.2.4.2 Formal records of training and qualification shall be readily available to first-line supervision and management of involved personnel to aid in making work assignments. 7.2.4.3 Personnel training records shall be controlled and retained. At a minimum, these records shall include the following: • Course title • Attendance sheets with instructor's name • Employee's name, identification number (if it provides a positive employee identification) and signature • Date of training • Documentation related to exceptions for training requirements and extensions of qualification • Quizzes, tests, responses and acknowledgments of training, with the date and signature of the person trained • Special instructions to female workers concerning prenatal radiation dose acknowledged by the worker's signature. 7.2.4.4 Records shall be retained for the following types of training: • Visitor Orientation • Radiation Worker Safety Training • Radiation Safety Technician Training • Periodic retraining • Respiratory Protection Training • Hazardous Waste and OSHA training • Instructor training • Qualifications for special tests or operations Training of emergency response personnel Page 58 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • ALARA Training • General Employee Training 7.2.4.5 The following instructional materials shall be maintained: • Course name, with revision and approval date • Instructor's manuals, course content, handouts, or lesson plans containing topical outlines • Video and audio instructional materials, include the dates and lessons for which they were used • Job-specific training documents 7.2.4.6 Documentation of training and qualification waived by the RSO because of previous training, certification, or demonstrated knowledge or experience. 7.2.5 Dosimetry Reports 7.2.5.1 Terminating employees shall be provided a report that summarizes radiation dose for the total monitoring period at the reporting facility either upon a signed request at the time of termination, or a signed request from the current monitoring facility, or annually (on or before April 30) proceeding the affected year. If at the time of tennination, the most recent monitoring results estimate of the dose must be provided together with a clear indication that it is an estimate with a record following within 30 days after final dose determination. If a written request has been received and all doses are final, a record shall be provided to the affected individual or requesting facility within 30 days of receipt. 7.3 Public Dose Records 7.3.1 Visitor Record Requirements 7.3.1.1 For visitors entering an area where radiation monitoring is required, the following records shall be maintained: • Documented completion of Visitor Orientation. • Any additional training given by Clive management or its contractors to gain access into the Restricted Area. • Radiation dose records, including zero dose. 7.3.2 Member of the Public Dose Records Page 59 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 Records shall be maintained sufficient enough to demonstrate compliance with the dose limit for individual members of the public (see section 2.1.3). 7.4 Radiation Safety Procedures 7.4.1 Policies, Procedures and Radiation Work Permits Records of the Radiation Safety Program should be maintained in a chronological sequence that will allow correlation with the corresponding support information. For example, procedures for performing radiation surveys shall be identifiable with the survey results. Completed Radiation Work Permits shall be maintained according to the EnergySolutions' Quality Assurance Manual. 7.4.2 ALARA Records Records of As-Low-As-Reasonably-Achievable (ALARA) plans and goals shall be maintained to demonstrate the adequacy of the ALARA Program. 7.4.3 Quality Assurance Records Records of quality assurance reviews and audits developed for Radiation Safety functions shall be retained to ensure that sufficient records, are specified, prepared, reviewed, approved and maintained to accurately reflect completed work. 7.5 Radiation Surveys 7.5.1 Requirements The Radiation Safety program requires the performance of radiation, airborne radioactivity, and contamination surveys to determine existing conditions in a given location. Maps with sufficient detail to permit identification of original survey and sampling locations shall be maintained. Records should contain sufficient detail to be meaningful even after the originator is no longer available. Radiological surveys shall be recorded on appropriate standard forms and include the following common elements: 7.5.1.1 Date and purpose of the survey. 7.5.1.2 General and specific location of the survey. 7.5.1.3 Name and signature of the surveyor and analyst. 7.5.1.4 Pertinent information needed to interpret the survey results. 7.5.1.5 Reference to a specific Radiation Work Permit if the survey is performed to support the permit. 7.5.2 Radiation Surveys In addition to the elements provided in section 7.5.1, radiation surveys shall, at a minimum, include the following information: Page 60 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 7.5.2.1 Instrument model, calibration date, and serial number. 7.5.2.2 Results of the measurements of area dose rates. 7.5.3 Airborne Radioactivity In addition to the elements provided in section 7.5.1, records of airborne radioactivity measurements shall, at a minimum, include the following information: 7.5.3.1 Sampler location identifier and laboratory counting instrument model, serial number, calibration date, and efficiency; 7.5.3.2 Airborne radioactivity concentrations in general airborne areas and breathing zones; and 7.5.3.3 Supporting parameters, flow rate, duration of sampling, correction factors and filter medium. 7.5.4 Contamination Surveys In addition to the elements required by section 7.5.1, records of contamination surveys shall include, at a minimum, the following information: 7.5.4.1 Model and serial number of counting equipment. 7.5.4.2 Contamination levels (using appropriate units) and supporting parameters including counting efficiency, counting time, correction factors, type of radiation, and whether the contamination was fixed plus removable or removable. 7.5.4.3 Location of areas found to contain hot particles or high concentrations of localized contamination. 7.5.4.4 Follow up survey results for decontamination processes cross-referenced to the original survey. 7.6 Instrumentation and Calibration Records 7.6.1 Calibration and Operational Checks Records of calibration and periodic operational checks of fixed, portable, and laboratory radiation measuring equipment shall be maintained and include frequencies, method, dates, person performing calibration and calibration sources numbers. Only National Institute of Science and Technology or other acceptable standards should be used for calibration. 7.6.1.1 Calibration records shall be maintained for the following equipment: • Portable survey instruments • Bioassay measurement equipment Page 61 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 • Laboratory, counting room and fixed radiation measuring equipment • Process and effluent monitors and sampling equipment • Radiation area monitors • Portal monitors and other personnel contamination monitors • Electronic Dosimeters • Air sampling equipment • Tool and waste monitoring equipment • Protective clothing and equipment monitors. 7.6.1.2 Maintenance histories, including the nature of any defects and corrective actions taken, and calibration results for each instrument should be created and retained. 7.6.2 Special Calibration Records Records of additional tests and checks of instrumentation used in conjunction with a suspected overexposure, questionable indication or unusual occurrence shall be retained. In addition, records of special instrument calibrations and modifications made in accordance with section 5.6.1 should be retained. 7.7 Records Management 7.7.1 Form of Records Records required to be retained by UAC R313-15 and ANI Information Bulletin 15-01, Nuclear Liability Insurance Records Retention shall be legible throughout the specified retention period and meet either of the following conditions. 7.7.1.1 Records may be the original or a reproduced copy or a microfilm provided that the copy or microfilm is authenticated by authorized personnel and that the microfilm is capable of producing a clear copy throughout the required retention period. 7.7.1.2 Records may be stored in electronic media with the capability for producing legible, accurate, and complete records during the required retention period. Records such as letters, drawings, and specifications must include all pertinent information, such as, stamps, initials, and signatures. Adequate safeguards shall be taken to prevent tampering with and loss of records. Page 62 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 7.8 Reports 7.8.1 Reportable Events Reports to the DWMRC are required for the following events (refer to UAC R313-15-1202 for report requirements): 7.8.1.1 Immediate reporting is required for: • Loss, stolen or missing licensed material in an aggregate quantity equal to or greater than 1000 times the quantity specified in appendix C to 10 CFR 20, section 520.1001-20.2401. • Any event involving byproduct, source or special nuclear material possessed by the Clive Facility that may have caused or threatens to cause an individual to receive: 1) A TEDE of 25 rems or more. 2) An EDE of 75 rems or more. 3) A SDE to the skin or extremities of 250 rads or more. 4) A release of radioactive material so that had an individual been present for 24 hours, the individual could have received an intake five times the occupational annual limit on intake. Make reports to the Executive Secretary by telephone, telegram, mailgram or facsimile. 7.8.1.2 A written notification is required within 24 hours after the following events: • The loss of control of licensed material possessed by Clive Facility that may have caused or threatens to cause an individual to receive in a period of 24 hours any of the following conditions: 1) A TEDE of 5 rems; or 2) An EDE of 15 rems; or 3) A SDE to the skin or extremities exceeding 50 rems; or the release of radioactive material inside or outside of the Restricted Area, so that had an individual been present for 24 hours, the individual could have received an intake in excess of one occupational annual limit on intake. 4) Make reports to the Executive Secretary by telephone, telegram, mailgram or facsimile. Page 63 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 7.8.1.3 A written report is required within 30 days after the following events. • Loss, stolen or missing licensed material in an aggregate quantity equal to or greater than 10 times the quantity specified in appendix C to 10 CFR 20.1001-20.2401 • Any incident for which notification is required by section 7.8.1.2 • Doses in excess of any of the following: 1) The occupational dose limits for adults in Section R313-15-201; or 2) The occupational dose limits for a minor in section 2.1.6; or 3) The limits for an embryo/fetus of a declared pregnant women in section 2.1.2; or 4) The limits for an individual member of the public in section 2.1.3; or 5) Any applicable limit of the license; or 6) The ALARA constraints for air emissions established under Subsection R313-1 5-101 (4); or • Levels of radiation or concentrations of radioactive material in: 1) A restricted area in excess of any applicable limit in the license. 2) An unrestricted area in excess of 10 times any applicable limit set forth in this manual or in the license (whether or not it involved exposure to any individual in excess of the limits in section 2.1.3). 7.8.1.4 Contents of Reports • Each report shall describe the extent of exposure of individuals to radiation and radioactive material, including, as appropriate: 1) Estimates of each individual's dose; and 2) The levels of radiation and concentrations of radioactive material involved; and 3) The cause of the elevated doses, dose rates or concentrations; and 4) Corrective steps taken or planned to ensure against a recurrence, including the schedule for achieving conformance with applicable Page 64 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 limits, ALARA constraints, generally applicable environmental standards and associated license conditions. • Each report shall include for each occupationally overexposed individual: 1) The name, Social Security account number and date of birth. With respect to the limit for the embryo/fetus, the identifiers should be those of the declared pregnant female. 7.8.1.5 A copy of the report will also be submitted to the overexposed individual. This report shall be transmitted at a time no later than the transmittal to the Executive Secretary. 7.8.1.6 Any report pursuant to section 7.8.1(1),(2) or (3) shall be prepared and filed with the Executive Secretary so that names of individuals who have received exposure to sources of radiation are stated in a separate and detachable portion of the report. 7.8.1.7 Vacating Premises No less than 30 days before vacating or relinquishing possession or control of premises which may have been contaminated with radioactive material as a results of activities, notify the Executive Secretary in writing of intent to vacate. 8 References 8.1 10 CFR 20, Standards for Protection Against Radiation 8.2 49 CFR, Transportation 8.3 CL-RS-PG-001, Clive ALARA Program 8.4 ES-QA-PG-001, Energysolutions Quality Assurance Program 8.5 ES-RS-PG-001, EnergySolutions Radiation Safety Program 8.6 ICRP Publication 26, Recommendation of the International Commission on Radiological Protection, 1977 8.7 ICRP Publication 68, Dose Coefficients for Intakes of Radionuclides by Workers 8.8 ICRP Publication 72, Age-Dependent Doses to the Members of the Public from Intake of Radionuclides 8.9 NCRP Report No. 65, Management of Persons Accidentally Contaminated With Radionuclides, 1980 Page 65 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 8.10 NCRP Report No. 91, Recommendations on Limits for Exposure to Ionizing Radiation, 1987 8.11 NCRP Report 111, Developing Radiation Emergency Plans for Academic, Medical or Industrial Facilities, August, 1991 8.12 NRC Regulatory Guide 8.9, Acceptable Concepts, Models, Equations and Assumptions for a Bioassay Program, July 1993 8.13 NRC Regulatory Guide 8.30, Health Physics Surveys in Uranium Mills, June 1983 8.14 Utah Administrative Code R313-15, Standards for Protection Against Radiation 8.15 Utah Administrative Code R313-18, Notices, Instructions and reports to Workers by Licensees or Registrants- Inspection 8.16 Utah Administrative Code R313-19, Requirements of General Applicability to Licensing of Radioactive Material 8.17 Utah Radioactive Material License UT 2300249 8.18 Utah Radioactive Material License UT 2300478 Page 66 of 67 EnergySolutions' Clive Facility CL-RS-PG-002 Radiation Protection Program Revision 17 DOCUMENT SUMMARY FORM Please provide the following information for new/revised documents. Forward the completed form, review comment forms, approved document, and electronic file, to Document Control. Document No.: CL-RS-PG-002 Revision No.: 17 Title: Radiation Protection Program Special Status (i.e. Restricted; SSI; etc.): NA If special status is applicable, please note any special distribution/handling requirements: NA Summary of changes (if this is a revision): Added wording to 2.2.3.2 to state that items shall be sufficiently clean to allow for a radiological survey. Corrected Radiation Area upper level rate as well as wording in Table 2-2 Changed 5.1.1.3 from "..., eye dose equivalent (EDE)" to "..., lens dose equivalent (LDE),..." Changed 7.7.1 from "...Bulletin 80-1A,..." to "...Bulletin 15-01,..." Add program number to step 83, "CL-RS-PG-001 D yes T No II yes 5C No This document requires evaluation per the requirements of a license. If yes, attach evaluation results. This document requires regulatory agency approval before implementation. If yes, contact Document Control. Type of revision: n Contains technical changes X Contains only administrative changes Distribution (or changes to distribution) for controlled copies of this document. NA Page 67 of 67