SDRW PWS Section J Attachment 1.pdf
PDF 94 KB Posted
- Attached to
- Radiographic Inspection of SDRW
- Solicitation number
- N0040626Q0076
About this file
This is a Radiography Operations Planning Worksheet template used for planning and documenting radiography operations on federal facilities, specifically addressing safety and radiation control requirements.
The worksheet requires contractors to provide comprehensive information across seven sections. Section A captures general contractor information including the prime contractor name, sub-contractor details if applicable, and proposed radiography dates. Section B documents transportation and vehicle details including manufacturer, model, license plate, vehicle signage, driver information, and the specific route to be taken on base. Sections C and D differentiate between gamma and x-ray radiography operations, with gamma radiography requiring documentation of the radioisotope, serial number, activity level, collimator information, and half-value thickness, while x-ray radiography requires machine specifications including manufacturer, serial number, maximum kilovoltage (kVp), maximum milliamperage (mA), total number of exposures, and beam direction. Section E mandates submission of a site diagram illustrating the radiography location with structural features that may provide shielding, equipment positioning (exposure device drive cable and guide tube for gamma or tube head and control panel for x-ray), and the 2 mr/hr (0.02 mSv/hr) controlled boundary location. Section F requires calculations demonstrating how the controlled boundary distance was determined from the radiation source. Section G establishes a review and approval process requiring signatures from the contractor's radiographer and the SRF-JRMC Radiation Safety Officer (RSO), with specific attention to compliance with Japanese Ministry of Labor Ordinance No. 41 (1972) and Ministry of Health, Labor, and Welfare Ordinance No. 172 (2001) regarding minimum worker distances from radiation sources.
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| File | Type | Posted |
|---|---|---|
| Solicitation - N0040626Q0076.pdf |
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Text version
Attachment I
RADIOGRAPHY OPERATIONS PLANNING WORK SHEET
A. General Information
1. Prime Contractor Name:
2. Sub-Contractor Name (if applicable):
3. Proposed Date(s) of Planned Radiography:
B. Transportation and vehicle Information
1. Manufacturer:
2. Model:
3. License Plate Number:
4. Sign on Vehicle:
5. Driver’s Name:
6. Passengers:
7. Location of Radiography site (ship, building, pier):
8. Transportation Route to be taken to and from work site while on base:
C. If conducting gamma radiography complete the following:
1. Radioisotope: Serial Number:
2. Activity: Date of Determination of Activity:
3. Collimator Serial Number:
4. Half Value Thickness:
D. If conducting x-ray radiography complete the following:
1. Machine Manufacturer:
2. Serial Number:
3. Maximum kVp:
4. Maximum mA:
5. Total Number of Exposures:
6. Direction of Beam:
E. Provide a diagram of the work site that illustrates:
1. The location of the radiography, including major features such as walls, bulkheads, tanks, walkways or passageways that may provide shielding or difficulty in controlling the area.
2. The location of the exposure device drive cable, guide tube, and end stop if using gamma radiography equipment, or the location of the tube head and control panel if conducting x-ray radiography.
3. The location of the 2 mr/hr (0.02 mSv/hr) controlled boundary.
Attachment I
4. The closest distance that workers are allowed to the x-ray tube head or gamma radiography source as specified in “Ordnance on Prevention of Ionizing Radiation Hazards, Ministry of Labor Ordinance No. 41 of 30 September 1972 and as amended by the Ministry of Health, Labor, and Welfare Ordinance No. 172 of 16 July 2001.
F. Provide the calculations for the 2 mr/hr (0.02 mSv/hr) controlled boundary from the distance from the gamma radiography source, or the x-ray machine tube head, to the location where the boundary shall be established.
G. Review/Approval:
Contractor’s Radiographer:
Name
Signature
Date:
SRF-JRMC RSO (the SRF's RSO) Approval:
Name
Signature
Date:
File details come from the government source that posted it. Updated .