Information
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Document No.
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Inspection Title
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Permit Holder
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Permit Number
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Location
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Room Number
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Conducted on
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Prepared by
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Signature of Person Conducting the Assessment
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Personnel present
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Signature of Personnel Present
General Inspection Items
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Is the current permit posted on the door?
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Are all users listed on the permit?
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Is a 24 hour emergency contact name & telephone posted?
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Have yellow "Danger Radiation" warning signs been posted?
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Were any food or drinks observed in the lab?
Specific Inspection Items
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Does the lab have open sources?
Signage
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Are there "In Use" signs in the work area?
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Is all equipment / glassware / samples used for radioactive work labeled as "Radioactive"?
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Is high level waste labeled as "Radioactive"
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Is high level waste labeled with the name of the isotope?
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Are any non-radioactive items labeled as "Radioactive"?
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Is there a Lab Rules poster in the work area?
Lab Practice
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Are hot benches covered with bench paper?
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Are emergency clean up supplies available?
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Location of clean up kit
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Is there a low level radioactive waste can? (Note: Does it need to be emptied?)
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Is excess liquid and/or solid waste transferred to the Hot Lab (B7249)?
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Are radioisotopes secured with a combination lock on the storage container?
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Are any small (bar) refrigerators secured? (bolted to floor or wall)
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Are radioactive items decontaminated prior to returning equipment / glassware to general use?
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Is decontamination of equipment / glassware verified with wipe tests before returning to general use?
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Are hard Beta or Gamma isotopes used?
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Is there a monitor or Geiger counter available?
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Is the monitor or Geiger counter functioning?
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Do users monitor their hands and clothes after radioactive work?
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Do users know where they can obtain their badge results?
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Are seats suitably covered with a non-porous material?
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Is I-125 or I-131 in use?
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Are bioassays done as required?
Documentation
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Is there an inventory of isotopes on the door to all storage equipment (refrigerators, storage cabinets)?
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Are weekly wipe tests being conducted?
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Is usage being tracked?
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Is waste path being documented?
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Is the waste that is transferred to the Hot Lab (B7249) given an identifying label that is noted on the inventory sheet?
Contamination
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Sketch of lab layout desired?
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Sketch lab layout, indicating locations of wipe tests
Wipe test results
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Does the lab have sealed sources?
Lab Practice
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Is access to radioisotopes restricted?
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Is the sealed source that is not in a device stored in a locked container that is secured to the floor or wall?
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Is the dose rate less than 2.5 microSieverts per hour?
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Is there a monitor or Geiger counter available?
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Location of nearest calibrated monitor?
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Are hard Beta or Gamma isotopes used?
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Do users know where they can obtain their badge results?
Documentation
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Is there an inventory of radioisotopes in storage enclosures listed on the enclosure door?
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Is the sealed source in a gas chromatograph?
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Is the GC labeled with the name of the radioisotope?
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Is the GC labeled with the level of source activity?
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Is the GC labeled with "Radioactive" signs?
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Is the GC labeled with 24 hour emergency contact name and phone number?
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Does the GC contain a tritium source?
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Is the GC vented through a fume hood?
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Is the sealed source in a nuclear gauge?
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Is the gauge affixed with a steel tag bearing the radioactive Trefoil symbol, name of radionuclide, and level of activity?
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Is the case affixed with a steel tag bearing the radioactive Trefoil symbol, name of radionuclide, and level of activity?
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Are the following available in the case?
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Dangerous goods shipping manifest
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Exemption permit for transport in BC
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Type A package certificate
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Special Form certificate
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Leak Test certificate
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Log Book (to record use)
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"Radioactive" signs (in case of emergency)
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SFU radionuclide license
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CNSC Emergency Procedures poster (INFO 0483)
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Fire and water resistant "Radioactive" placard