Attachment 7 - Ionizing Radiation Protection Program.pdf

BY ORDER OF THE COMMANDER

JOINT BASE CHARLESTON

JOINT BASE CHARLESTON

INSTRUCTION 48-201

17 MARCH 2017

Certified Current, 28 May 2019 Aerospace Medicine

IONIZING RADIATION

PROTECTION PROGRAM

COMPLIANCE WITH THIS PUBLICATION IS MANDATORY

ACCESSIBILITY: Publications and forms are available for downloading or ordering on the e-

Publishing website at www.e-Publishing.af.mil

RELEASABILITY: There are no releasability restrictions on this publication

OPR: 628 AMDS/SGPB

Supersedes: JBCHARLESTONI48-2, 6 December 2013

Certified by: 628 AMDS/SGPB

(Maj Scott T. King)

Pages: 15

This publication implements Air Force Instruction (AFI) 40-201, Radioactive Materials

Management, and AFI 48-148, Ionizing Radiation Protection. It provides guidance and procedures for implementing the ionizing radiation protection program at Joint Base Charleston.

It applies to all military, civilian, contractor, and personnel supported by Joint Base Charleston who use radioactive materials or devices that generate radiation on Joint Base Charleston, except for personnel assigned to the Naval Health Clinic Charleston (NHCC), Nuclear Power Training

Unit (NPTU), and the Navy Nuclear Power Training Command (NNPTC) schoolhouse. NHCC, NPTU, and NNPTC manage their own radiation programs and are governed by Navy regulations. This instruction does not supersede or replace the Joint Base Medical Memorandum of Agreement (JB MOA). Per the JB Medical MOA, 628th Medical Group (628 MDG) and

NHCC will maintain responsibility for providing ionizing and non-ionizing radiation hazard assessments for their respective Active Duty (AD) and civilian populations. Each component will provide situational awareness to the other when any component’s activities may impact the health and safety of the others’ personnel. This instruction implements the “As Low As

Reasonably Achievable” (ALARA) concept for control of ionizing radiation. It specifies local management procedures that are required in order for radiation exposures to be kept at a minimum, and to prevent loss of control of radioactive material (RAM). Ensure that all records created as a result of processes prescribed in this publication are maintained in accordance with

(IAW) Air Force Manual (AFMAN) 33-363, Management of Records, and disposed of IAW Air

Force Records Information Management System (AFRIMS) Records Disposition Schedule

(RDS). Refer recommended changes and questions about this publication to the OPR listed above using the AF Form 847, Recommendation for Change of Publication; route AF Forms 847 http://www.e-publishing.af.mil/

2 JBCHARLESTONI48-201 17 MARCH 2017

from the field through the appropriate chain of command. This publication may be supplemented at any level, but all supplements must be routed to the Office of Primary

Responsibility (OPR) listed above for coordination prior to certification and approval. Submit requests for waivers through the chain of command to the appropriate Tier waiver approval authority, or alternately, to the Publication OPR for non-tiered compliance items. The use of the name or mark of any specific manufacturer, commercial product, commodity, or service in this publication does not imply endorsement by the Air Force. This publication requires the collection and or maintenance of information protected by the Privacy Act (PA) of 1974. The

Systems of Records Notice (SORN) for the Master Radiation Exposure Registry is F044-AF SG

O. The authority to collect and or maintain the records prescribed in this publication is DoDI

6055.08.

SUMMARY OF CHANGES

This document has been substantially revised and must be completely reviewed. Major changes include formatting IAW AFI 33-360, Publications and Forms Management and a description of local procedures for emergency radiobioassay monitoring.

JBCHARLESTONI48-201 17 MARCH 2017 3

Chapter 1

PROGRAM OVERVIEW

1.1. Overview. This instruction describes the Radiation Safety and ALARA Programs for Joint

Base Charleston. It requires control of RAM and radiation-producing devices to safeguard the health of military and civilian populations, while permitting maximum benefits from their use.

The effectiveness of these programs depends on consistent and conscientious safety efforts of the material/device users.

4 JBCHARLESTONI48-201 17 MARCH 2017

Chapter 2

ROLES AND RESPONSIBILITIES

2.1. Installation Commander shall:

2.1.1. Appoint, in writing, a qualified individual to be the Installation Radiation Safety

Officer (RSO), as appropriate.

2.1.2. Ensure that personnel in his or her command comply with applicable radiation protection standards.

2.1.3. Support the ALARA concept and ensure subordinate units follow the direction of this instruction and the Installation RSO.

2.2. Installation RSO shall:

2.2.1. Administer the Installation Radiation Safety Program by compiling annual RAM inventories, assisting units with conducting ALARA training, monitoring exposures to ionizing radiation, and overseeing acquisition and use of RAM.

2.2.2. Conduct annual surveillance IAW applicable radiation regulations in all areas on Joint

Base Charleston where RAM or radiation producing devices are stored or used.

2.2.3. Conduct radioactive leak tests of Generally Licensed items and other items requiring such tests, submit to lab for analysis, and supply the equipment owner with the results.

2.2.4. Identify units requiring ALARA training and assist such units with a training program.

2.2.5. Ensure Permit RSOs receive appropriate Air Force Radioisotope Committee (AF RIC) training/certification.

2.2.6. Manage installation Thermoluminescent Dosimeter (TLD) Program.

2.2.7. Serve as AF RIC and Nuclear Regulatory Commission (NRC) inspectors’ point of contact.

2.2.8. Provide consultation and advice on health hazards associated with radiation and the effectiveness of control measures.

2.2.9. Annually brief the installation Environmental Safety and Occupational Health Council

(ESOHC) on radiation protection topics, including receipt of new material and status of base permits, as well as status of radiation protection programs for commanders with radioactive material.

2.2.10. Review construction projects and facility designs to ensure radiation safety, and establishes procedures to review and approve contractor use of RAM (such as permitted density instruments) prior to use on Joint Base Charleston.

2.2.11. Inform the responsible commander and supervisors when processes and/or procedures are not in compliance and recommends corrective action to maximize safety and compliance.

2.2.12. Assist units’ compliance with applicable posting and notification requirements.

2.2.13. Investigate abnormal incidents or exposures involving RAM.

JBCHARLESTONI48-201 17 MARCH 2017 5

2.2.14. Assist units with development/updates of their respective Operating Instructions

(OIs)/Technical Orders (TOs) as requested.

2.3. Unit RSO shall:

2.3.1. Provide initial and annual unit radiation safety training for all personnel in the unit and consult the Installation RSO for training assistance.

2.3.2. Ensure all individuals on the Air Force personnel Dosimetry program receive and follow written guidelines on wear and storage of radiation dosimeters and maintain records documenting all radiation safety training received.

2.3.3. Assist the Installation RSO by gathering information for annual inventories of ionizing radiation sources (RAM and x-ray units).

2.3.4. Notify the Installation RSO when new emitters are expected/received and if an individual is potentially overexposed to radiation.

2.3.5. Contact the Installation RSO immediately when any radioactive item is lost, damaged or leaking.

2.3.6. Ensure unit specific operating instructions and regulations are current.

2.3.7. Ensure compliance with applicable posting and notification requirements.

2.3.8. Ensure a replacement Unit RSO is identified and designated in writing by the unit commander before departing for permanent change of station (PCS), extended temporary duty location (TDY) (180 days or more) or separation.

2.4. Permit RSO shall:

2.4.1. Advise the Installation RSO of the proposed uses of radioactive material or radiation-producing devices by individuals within the organization and advise the Installation RSO of any matters affecting the radiation safety program of the organization.

2.4.2. Coordinate radiation survey or hazard evaluation activities with the Installation RSO.

2.4.3. Assure the timely reporting of accidents or incidents involving radioactive material or radiation-producing devices to the Installation RSO, organizational commanders and according to AFI 91-204, Safety Investigations and Reports.

2.4.4. Assist in the investigation of incidents or accidents relating to the use of radioactive material or radiation-producing devices.

2.4.5. Ensure that radiation areas and locations where radioactive material are stored and used are properly posted.

2.4.6. Perform or arrange with the Installation RSO radiation safety training of newly assigned employees, students or workers who may be occupationally exposed to ionizing radiation and likely to receive greater than 100 mrem in a year.

2.4.7. Coordinate with the Installation RSO before initiating any project including procurement, use, storage and or disposal of radioactive material or devices or any changes in working conditions or activities which could affect the radiation safety program. All coordination shall be accomplished prior to initiation of the project.

6 JBCHARLESTONI48-201 17 MARCH 2017

2.4.8. Submit to the Installation RSO for review any new or revised operating instructions, standard operating procedures or unit instructions impacting on the radiation safety program prior to implementation.

2.4.9. Ensure that all users are familiar with radiation safety operating instructions and radiation safety procedures and the Joint Base Charleston ALARA program.

2.4.10. Ensure that radiation personnel monitoring devices, when required, are issued and worn correctly by all users.

2.4.11. Advise the Installation RSO, in writing, of any proposed changes to the radioactive material inventory, any proposed acquisition of new radiation-producing devices or any proposed generation of radioactive waste. Such notice shall be submitted with sufficient lead time to permit adequate review and comment.

2.4.12. Issue orders, as appropriate, to cease and desist any permit activity if unsafe practices are being used, gross negligence is observed or a failure to follow established procedures, policies or regulations is identified.

2.5. Unit Commanders with Air Force (AF)-licensed RAM shall:

2.5.1. Appoint a Permit RSO in writing. A signed “United States Air Force (USAF) Request for Template Permit Action” form will satisfy this requirement.

2.5.2. Appoint a Unit RSO in writing. If no Unit RSO is appointed in writing, Unit RSO duties will default to the Unit Safety Officer until written authorization is developed.

2.5.3. Ensure personnel in his or her command who receive, distribute, use or dispose of

RAM or work with radiation producing equipment comply with applicable protection standards to include annual ALARA training.

2.5.4. Request a RAM permit through the Installation RSO when the use of permitted RAM is necessary.

2.5.5. Coordinate with the Installation RSO when procuring, transporting and/or disposing

RAM within the unit.

2.5.6. Contact the Installation RSO if any questions or problems arise (lost, damaged or leaking sources) concerning the permitted/licensed RAM.

2.5.7. Coordinate all shipment, receipts, and transfers of RAM with the Installation RSO.

2.5.8. Maintain a binder of correspondence and documents concerning the permitted RAM devices to include RAM Permit, Installation RSO appointment letter, current inventory, swipe sample results (if applicable) and miscellaneous correspondence.

2.5.9. Ensure radiation workers (except contractor personnel) who believe they may be pregnant report as soon as possible to their respective Medical Treatment Facility (628 MDG and NHCC).

2.6. Unit Commanders with General Licensed devices and x-ray producing equipment shall:

2.6.1. Appoint a Unit RSO in writing. If no Unit RSO is appointed in writing, Unit RSO duties will default to the Unit Safety Officer until written authorization is developed.

JBCHARLESTONI48-201 17 MARCH 2017 7

2.6.2. Ensure personnel in his or her command who receive, distribute, use, or dispose of

RAM or work with radiation producing equipment (i.e. x-ray machines) comply with applicable protection standards to include annual ALARA training.

2.6.3. Coordinate with the Installation RSO when procuring, transporting and/or disposing

RAM or x-ray devices within the unit.

2.6.4. Ensure radiation workers who believe they may be pregnant report to their respective

Medical Treatment Facility (628 MDG and NHCC).

2.7. Contracting Squadron Commander shall:

2.7.1. Ensure contractors are informed of the requirement for local approval for the use of

RAM on Joint Base Charleston.

2.7.2. Ensure notification requirements to the Installation RSO are included in local contracts awarded/issued if contractor use of RAM is required.

2.7.3. Ensure contractors using RAM have received approval from the Installation RSO to use the material on base and maintain that approval for entry onto the installation.

2.7.4. Give the Installation RSO the authority to conduct periodic checks of contractors using RAM on base.

2.7.5. Work with the Installation RSO to suspend contractor operations involving RAM believed to be unsafe.

2.7.6. Notify the Installation RSO when a contractor wishes to bring RAM on base.

8 JBCHARLESTONI48-201 17 MARCH 2017

Chapter 3

RADIOACTIVE MATERIAL PROCEDURES

3.1. Requisition of Radioisotopes. An AF Radioactive Material Permit/General License is required by all AF units for the possession and use of special purpose, non-stock-listed and/or high intensity radioactive items. Delivery of such items cannot be accepted until a permit is issued by the RIC. The proposed using organization will contact the Installation RSO who will assist in preparation of the permit application IAW AFI 40-201. The Installation RSO will act as the liaison between the proposed user and the RIC.

3.2. Reporting/Certification.

3.2.1. A condition for continuance or issuance of a RAM permit is that the permittee comply with all requirements contained in the RAM permit.

3.2.2. Any incident involving RAM other than those in nuclear weapons or nuclear weapons components will immediately be reported to the Command Post and Installation RSO. The

Installation RSO will make any further required reporting as necessary. If there is any uncertainty about reporting the incident, it should be reported.

3.3. Shipping.

3.3.1. The organization shipping RAM shall contact 437th Aerial Port Squadron (437 APS) and the Installation RSO for recommendations on packaging, labeling, and other shipping requirements at (843) 963-3225 or DSN 673-3225.

3.3.2. 437 APS will notify the Installation RSO of all RAM shipments originating from Joint

Base Charleston.

3.3.3. 437 APS personnel will work with the Installation RSO to ensure the RAM packages are checked for leakage, proper shipment labeling, and shipping container adequacy prior to shipment.

3.4. Receiving.

3.4.1. When 437 APS Special Handling receives an item containing RAM, they will immediately contact the Installation RSO to monitor the package.

3.4.2. Properly packaged and labeled RAM, once surveyed, will be forwarded immediately to the using organization or storage area.

3.4.3. Unauthorized purchases or shipments of RAM by base organizations are prohibited.

3.5. Storage.

3.5.1. 437 APS Special Handling will have areas identified for the storage of RAM.

3.6. Contractor Use of Radioactive Materials on Joint Base Charleston.

3.6.1. Non-AF organizations that bring RAM onto or conduct operations involving RAM on

Joint Base Charleston require written approval from the installation commander or

Installation RSO.

JBCHARLESTONI48-201 17 MARCH 2017 9

3.6.2. Contractors or other non-AF organizations who wish to use RAM containing items on base must submit the following information to the Installation RSO for review and approval at least 30 days prior to use on Joint Base Charleston.

3.6.2.1. The location of item use and brief description of the proposed activities.

3.6.2.2. Device information to include the manufacturer, model number, serial number, isotope, and isotope activity.

3.6.2.3. Copy of the current NRC or Agreement State license with current NRC

Reciprocity Form 241.

3.6.2.4. Date range of the request to bring the device onto the installation. Any extensions of the time frame must be reapproved by the Installation RSO.

3.6.2.5. The name(s) of the individual(s) using the device and his/her device training documentation.

3.6.2.6. The most recent leak testing documentation of the device, if applicable.

3.6.2.7. Storage plan for the device when not in use.

3.6.2.8. Local responsible representative and RSO contact information.

3.6.2.9. The contract number for which the project is supporting.

3.6.2.10. Radiological health and safety procedures to be used.

3.7. Radioactive Material Disposition and Recycling Procedures.

3.7.1. Transfer or disposal of radioactive items through the Defense Logistics Agency

(DLA) Disposition Services is prohibited.

3.7.2. Unit RSOs will contact the Installation RSO if the respective unit has unwanted RAM.

The Installation RSO will make the determination as to whether unwanted RAM is classified as being recyclable or waste.

3.7.3. Units that have items containing RAM isotopes (e.g., Ni-63) that can be recycled shall submit a request to the Installation RSO who will then submit a formal request to have that item shipped to Wright-Patterson air Force Base (AFB) and await recycling instructions.

3.7.4. Units that have RAM that is classified as waste will keep the item until disposal instructions are received from the Installation RSO.

3.7.5. Once the disposal instructions are received, the owning organization, Installation

RSO, Supply, and Transportation will coordinate to ensure proper packaging, labeling, manifest preparation, distribution of forms and supply turn-in documentation is complete.

The RAM owner is responsible for funding/constructing the shipment.

3.8. Procedures for Using X-Ray Equipment.

3.8.1. Sections using x-ray equipment will notify the Installation RSO when new equipment is acquired or installed or when facility modifications are to be accomplished.

3.8.2. The Installation RSO will conduct annual radiation safety surveys where x-ray equipment is used.

10 JBCHARLESTONI48-201 17 MARCH 2017

3.8.3. Shop supervisors or Unit RSOs will ensure personnel receive annual ionizing radiation safety training. The Installation RSO will assist with developing and conducting this training.

3.8.4. Shop supervisor/workers will immediately report to the Installation RSO all suspected overexposures.

3.8.5. Supervisor and radiation workers will assist the Installation RSO with investigations of abnormal exposures and incidents.

JBCHARLESTONI48-201 17 MARCH 2017 11

Chapter 4

RADIATION SAFETY TRAINING

4.1. ALARA training . ALARA training will be provided to the workplace supervisors by 628

AMDS Bioenvironmental Engineering (BE). The training will be given by the supervisor to workers prior to initial work with RAM or RAM emitters with refresher training given annually.

The extent of training will be commensurate with potential radiological health hazards in the workplace. The Installation RSO will make the determination as to which workplaces require

ALARA training.

4.2. Ionizing Radiation Safety Training.

4.2.1. Training should address the following topics, as applicable, IAW AFI 48-148:

4.2.1.1. Types and characteristics of radiation of concern;

4.2.1.2. Radioactivity, radioactive decay or x-ray production, as appropriate;

4.2.1.3. Modes of exposure (i.e., internal versus external);

4.2.1.4. Health risks posed by this exposure including: deterministic and stochastic effects, somatic and genetic effects, and effects on the unborn fetus, as appropriate; and

4.2.1.5. General radiation protection principles including:

4.2.1.5.1. ALARA and dose limits;

4.2.1.5.2. External protection through time, distance, and shielding;

4.2.1.5.3. Internal protection through respiratory protection, protective clothing and hygiene, as appropriate;

4.2.1.6. Use of instruments, equipment, and personal dosimetry, as appropriate to:

4.2.1.6.1. Identify sources of radiation emission and radioactive contamination;

4.2.1.6.2. Measure radiation exposure rates or dose rates;

4.2.1.6.3. Monitor individual radiation doses;

4.2.1.7. Emergency procedures;

4.2.1.8. Reporting requirements;

4.2.1.9. RAM permit requirements, as appropriate; and

4.2.1.10. Other occupation specific hazards and the related skills and procedures that are required for working with the RAM or radiation-producing devices of concern (e.g., depleted uranium awareness training).

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Chapter 5

DOSIMETRY

5.1. TLD Program.

5.1.1. The AF TLD program will be managed by the Installation RSO.

5.1.2. The Installation RSO will determine which AF workplaces are required to be enrolled in the TLD Program.

5.1.3. The investigation action levels are 0.042 rem/month and/or 0.130 rem/quarter and/or

0.500 rem/yr for Total Effective Dose Equivalent to correspond with guidance in the

Bioenvironmental Engineer’s Guide to Ionizing Radiation (United States Air Force School of

Aerospace Medicine (USAFSAM) Publication).

5.1.4. Pregnant radiation workers are to be monitored throughout their gestation period.

5.2. Internal Dosimetry Program.

5.2.1. People working with unsealed radioactive materials that have the potential to intake radioactive material exceeding 2% of their Annual Limit on Intake (ALI) should be monitored for internal deposition of radionuclides. The Installation RSO will determine who meets this criteria through evaluation of work processes and controls.

5.2.2. IAW Surgeon General NOTAM 15-004, Processing In Vitro Radiobioassay Samples and Internal Dosimetry Reports at the Installation Level, installation BE and Biomedical

Laboratory personnel will maintain radiobioassay sampling and internal dosimetry plans on file for either occupational or emergency exposures.

5.2.3. No occupational exposures exist on the Air Base which exceed 2% of the ALI. An occupational radiobioassay sampling plan is not required.

5.2.4. For emergencies involving RAM on Joint Base Charleston, if the equipment/asset which caused the radiological release is Navy-owned, then the Navy will take the lead on internal dosimetry sampling efforts for all personnel involved. This includes Air Force emergency responders.

5.2.4.1. Both the NNPTC and NPTU have the capability to conduct in vivo radiobioassay (direct measurements of radiations emitted from the individual). This is different from in vitro (indirect measurements) methods such as the analysis of excreta or other biological samples removed from the body.

5.2.4.2. Results from Navy radiobioassay analysis for Air Force personnel must be collected from the NHCC Radiation Health Officer by BE and inputted into the Defense

Occupational and Environmental Health Readiness System (DOEHRS) and the member’s medical record for documentation.

5.2.4.3. BE will utilize their applicable emergency response checklist for emergency bioassay sampling and support the Navy with any requests for assistance in sampling, monitoring, and other related matters.

JBCHARLESTONI48-201 17 MARCH 2017 13

5.2.5. If the equipment/asset which caused the radiological release is not Navy-owned, BE will follow procedures outlined in their applicable emergency response checklist for emergency bioassay sampling which details a sampling plan that has been approved by

USAFSAM.

ROBERT K. LYMAN, Colonel, USAF

Commander

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Attachment 1

GLOSSARY OF REFERENCES AND SUPPORTING INFORMATION

References

AFI 33-360, Publications and Forms Management, 1 December 2015

AFI 40-201, Radioactive Materials Management, 17 September 2014

AFI 48-148, Ionizing Radiation Protection, 20 November 2014

AFI 91-204, Safety Investigations and Reports, 12 February 2014

AFMAN 33-363, Management of Records, 1 March 2008

NOTAM 15-004, Processing In Vitro Radiobioassay Samples and Internal Dosimetry Reports at the Installation Level, November 2015

Prescribed Forms

None

Adopted Forms

AF Form 847, Recommendation for Change of Publication

Abbreviations and Acronyms

AD— Active Duty

AF— Air Force

AFB—Air Force Base

AFI— Air Force Instruction

AFMAN—Air Force Manual

AF RIC— Air Force Radioisotope Committee

AFRIMS— Air Force Records of Information Management System

ALARA— As Low As Reasonably Achievable

ALI— Annual Limit on Intake

APS— Aerial Port Squadron

BE— Bioenvironmental Engineering

DLA— Defense Logistics Agency

DOEHRS— Defense Occupational and Environmental Health System

ESOHC— Environmental Safety and Occupational Health Council

IAW— In Accordance With

JB MOA— Joint Base Medical Memorandum of Agreement

JBCHARLESTONI48-201 17 MARCH 2017 15

MDG— Medical Group

NHCC— Navy Health Clinic Charleston

NNPTC— Navy Nuclear Power Training Command

NPTU— Nuclear Power Training Unit

NRC— Nuclear Regulatory Commission

OI—Operating Instruction

OPR— Office of Primary Responsibility

PCS—Permanent Change of Station

RAM— Radioactive Material

RDS— Records Disposition Schedule

RSO— Radiation Safety Officer

TDY—Temporary Duty Location

TLD— Thermoluminescent Dosimeter

TO— Technical Order

USAF—United States Air Force

USAFSAM— United States Air Force School of Aerospace Medicine