The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
A. ADMINISTRATIVE INFRASTRUCTURE
1. Facility Name:
2. Facility License Number:
3. Legal person:
Official name of the applicant:
Title of the legal person:
Address of the headquarter:
City:
Region:
Street:
Building no.:
4. Name of the General Director:
5. Contact information:
Telephone number
E-mail
Fax Number
P.O Box:
Postal code:
6. Radiation Protection Officer (RPO):
Verify the information related to
nomination and investigate in case that a
new person is nominated and data do not
exist in the regulatory body database
system.
Name
Telephone number
E-mail
Qualifications
Education
Validity of the RPE certificate
7. Radiation Protection Officer (RPE):
Name
Telephone number
E-mail
Qualifications
Education
Validity of the RPE certificate
1
Verify the information related to
nomination and investigate in case that a
new person is nominated and data do not
exist in the regulatory body database
system.
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
Check the information by visiting the site and its surroundings.
City:
Region:
Street:
Building no.:
‫االحداثيات حسب الموقع‬
Drawing with a scale:
Immediate surroundings:
Access to the facility:
Nearby facilities which can impact the: irradiator
facility
2
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
B. Inspection Record
1. Licensee’s representative for the
inspection:
2. Date of LAST Inspection:
3. Date of THIS Inspection:
4. Type of Inspection:
Pre-authorization
ROUTINE
Reactive
Termination
5. Date of NEXT Inspection
Normal
Reduced
Extended
Justify any change from Normal
6.
Summary of Findings and Actions
NO items of non-compliance found
Items of non-compliance found
7.
- Inspector (1) :
Name and Signature
Date
Name:
Date:
Signature:
Name and Signature
Date
Name:
Date:
Signature:
Name and Signature
Date
Name:
Date:
Yes
Signature:
- Inspector (2) :
- Supervisor:
8.
9.
Report approved by supervisor
Comments (to be signed and dated):
3
No
Comments if No
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
10. AMENDMENTS AND PROGRAMME CHANGES:
(Prior to the inspection, list for review any licence amendments submitted by the licensee and approved by
the regulatory body since the last inspection):
11. INSPECTION AND ENFORCEMENT HISTORY:
(Prior to the inspection, list for review any items of non-compliance identified during previous 23 inspections):
DATE
INSPECTOR
VIOLATIONS
12. INCIDENT / EVENT HISTORY:
Prior to the inspection, list for review any incidents or events reported to the regulatory body
since the last inspection:
4
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
C. TECHNICAL INFORMATION
1. Organization and scope of the
Briefly describe the present scope of activities,
programme
including types and quantities of use involving
licensed sources, frequency of use, staff size, etc.
(Note deviations from the licence)
2. Basic information of the
Check the information.
irradiator
a. Manufacturer
b. Address of the
manufacturer of
irradiator
c.
Model
d. ID number
e. Name and address of a
supplier if different from
a manufacturer
Yes
Is the irradiator subject to periodic testing to ensure the design and
operating characteristics comply with the IEC / ISO or other
requirements of the Regulatory Body?
- If yes, by whom, date of last test?
Whom?
Last test?
Do those checks include —
- Each aspect of the system controlling access to and emergency
egress from the irradiation room?
- Source position (or beam ON) indication?
5
No
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
- Emergency source return (or beam OFF) control?
- heat/smoke detectors, fire extinguisher system?
- Assessment of potential radiation damage to electrical wiring?
for radioactive sources —
- Confirmation that water circulation system is leak tight.
- Pool water replacement system high and low water indicators?
- Assessment of water volumes added to the pool to determine if there
is pool leakage?
- Water conductivity and analysis?
Is repair and maintenance of the irradiator performed periodically by the
manufacturer or other persons specifically authorized by the regulatory
body?
If yes, name of organization, date of last maintenance
Are malfunctions and defects found during inspection and
maintenance checks repaired without delay?
Is access to the radiation source(s) adequately controlled?
Are radioactive sources secured to prevent unauthorized removal?
Are adequate procedures in place to prevent unauthorized individuals
from entering controlled areas?
Is the store for radioactive sources secure?
Does the store bear appropriate warning signs (in the local language)?
Is the level of fire protection in the store satisfactory?
RPO keeps records of checks, maintenance and follow up actions?
Comments:
6
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
3. Basic information of the
Check the information.
sources
a.
Manufacturer
b. Address of the
manufacturers of
sources
c. Name and address of a
supplier if supplier
different from a
manufacturer
d. Details about the
sources (new and
already used if
applicable):
1)Radionuclide
2)No. of sources
per pencil
3)No. of sources
per module
4)No. of sources
per rack
5)Total activity
6)Initial total - Initial total activity:
activity with the
date of that - Date of Initial total activity:
activity if
different than
total activity
7) Model of
sources
8)ID number of
sources
9)certificate(s) of
sources
10)
ISO
standards
applicable
7
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
11)
If
applicable
information
from 2 to 10 for
all other racks
and total
activity in the
irradiator with
the date.
12)
Wet/Dr
y storage facility
Yes
No
Radioactive sources (nuclides, activities and uses) at the facility are as
authorized?
Other irradiators (e.g. linear accelerators, etc) at the facility are as authorized?
Are sealed radioactive sources leak tested at prescribed intervals?
Are leak tests performed in accordance with approved procedures?
Have any sealed radioactive sources been found to be leaking?
If yes, were appropriate actions taken and the Regulatory Body
notified?
Records of leakage tests and inventory maintained?
Comments:
3. Layout of the facility
Check the information by visiting the site and comparing the layout from the authorisation file
with on-site observations. Take photos, measurements, samples etc. as appropriate.
A. Detailed Information,
As in the Authorization File?
including:
Yes
No
Comments
Are the facilities as described in the
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The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
licence application?
Irradiation room
Maize
Storage room
Control room
Rooms for additional equipment:
Water treatment equipment
Water pool
Air control room
B. Detailed Information
about the Calculation of
shielding
Drawings (scales, construction materials,
floor and cross cuts)
Workload (e.g. 24-hour operation)
Assumptions used in calculations
Estimated doses to the public
C. Layout of controlled
and supervised area
Check the information used for calculation of
shielding, e.g. check workload, occupancy factor.
Comments:
Check the access to areas, labelling, instructions
and control of entrance and exit to and from
controlled area, including a use of equipment to be
used, key control and logbook related to entrance
to a controlled area.
Comments:
Access to areas
Labelling
Instructions and control of entrance and
exit to and from controlled area,
including:
a use of equipment to be used, key
control and logbook related to entrance
to a controlled area.
D. Layout of position of all Check the information, i.e. all safety systems
safety systems
should be in line with the information given in the
Authorisation file.
As in the Authorization File?
Yes
No
Comments
Interlocks
Radiation monitors – probes and
displays
Shields
Cameras
Alarms
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The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
Position of all warning signs
Position check source
4. Description of estimated doses
during normal operation and
potential exposure due to
possible events and incidents
with estimation of probability
and magnitude of such events
(e.g. loss of access control,
failure of safety system due to
fire in the facility, electrical
distribution faults, damage to
the electrical wires, detection
of contamination…) - Safety
Assessment Report. A
description should include
estimation of off-site
consequences.
5. Description of irradiator
including all safety systems:
Safety interlocks
stop buttons
fixed radiation monitors with alarm
delay timer
movement monitors
fire protection system
ozone monitoring when applicable
earthquake monitor
stop rope
6. Description of security system
ensuring access to only
authorised personnel.
Check if any additional internal or external event
can pose a threat to the facility.
Comments:
Verify the information.
Comments:
Check the information.
Comments:
10
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
7. Description of management
program related to used
sources and waste
management program if
applicable.
Check the information.
Comments:
8. Financial security if applicable.
Verify the information.
Comments:
D. RECEIPT AND TRANSFER OF RADIATION SOURCES
Yes
Radioactive package opening procedures established and followed?
Incoming radioactive packages surveyed for damage, dose rates and
potential radioactive contamination before opening?
Satisfactory procedures are in place for the disposal of radiation sources
that are no longer required. e.g. disposal only to authorized persons;
notification to the Regulatory Body, etc.?
11
No
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
Records of packaging surveys, source receipt and transfer are maintained?
Comments:
E. AREA RADIATION SURVEYS AND CONTAMINATION CONTROL
Radiological surveys; leak tests; inventories; handling of radioactive materials; records;
contamination control [BSS – Section I.38]
Yes
No
Licensee possesses appropriate, functioning survey meters?
Suitable function checks are performed on meters prior to use?
Survey meter calibrations are current?
Survey meter calibration is performed by an approved facility?
Name of facility
Date of last calibration
Are conductivity meters calibrated at appropriate intervals?
Is the location, sensitivity and function of fixed radiation monitor to detect
sources that may be carried by the product conveyor system satisfactory?
Is the location, sensitivity and function of fixed monitor(s) used to
detect the presence of high radiation levels in the irradiation room
satisfactory?
Is the function and sensitivity of monitor(s) used to detect contamination
of the pool water due to a leaking source satisfactory?
Is the function of all monitors routinely tested at prescribed intervals?
Records of calibrations, surveys, tests, conductivity measurements etc.
maintained?
Comments:
12
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
F. TRANSPORT OF RADIOACTIVE SOURCES
IAEA Regulations for the Safe Transport of Radioactive Material - Safety Standard Series No.
TS-R-1
Yes
No
Licensee ships radioactive material?
Authorized packages used?
Packages properly labeled and marked?
Licensee’s vehicles, if used for any transport, comply with regulations?
Shipper’s declaration papers have correct details and used when shipping
sources?
Comments:
G. NOTIFICATIONS AND REPORTS
Reporting and follow-up of theft; loss; incidents; overexposures; safety-related equipment
failures; change in RPO, and radiation dose reports to workers. [BSS - Section 3.12]
Yes
No
Have any programme changes been implemented that required (but
have not received) approval by the Regulatory Body?
Have any notifiable incidents or accidents occurred since the last inspection?
If yes, have they been reported to the Regulatory Body? (If no,
list the incidents or accidents in Comments)
Have any significant structural or other safety related changes been
made to the facilities or irradiator without approval of the Regulatory
Body?
If yes, was a safety assessment performed by a qualified expert?
Comments:
13
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
H. WARNING SIGNS AND LABELING
Proper warning signs in use areas and labeling of containers with radioactive material [BSS Section I.23]
Yes
No
Controlled areas have appropriate warning signs (in the local language)?
Containers of radioactive material are properly labeled (with hazard
warnings in the local language)?
Notices to workers are displayed as required?
High radiation areas properly identified?
Comments:
No. Name
A. Radiation Workers
License no. Description Qualifications
of work
1
2
3
4
5
6
7
8
9
10
Yes
Some workers are not in the radiation protection programme?
Some workers are not authorized?
Comments:
14
No
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
B. TRAINING AND INSTRUCTION OF WORKERS
Training and retraining requirements and documentation; interviews and observations of routine
work; staff knowledge of all routine activities, and emergency response
Yes
No
All occupationally exposed personnel are provided with initial safety training?
Refresher radiation safety training is provided periodically.
Proper supervision of workers by appropriately trained persons.
Are training records maintained for each worker?
Do interviews with workers demonstrate an adequate level of understanding of
safe working rules and emergency procedures?
Discussion with the RPO demonstrates an appropriate knowledge of the
Regulatory Body, the authorization, the legislation, conditions, safe working
procedures,
Does the RPOetc?
have appropriate resources (time, personnel) and authority (to
take independent action to remedy urgent safety issues) to properly perform
the
role? appropriate for the radiation workers to discharge assigned duties
Is staffing
safely?
Comments:
C. Occupational Protection
Radiation protection programme with ALARA provisions; dosimetry; exposure evaluations;
dose and survey records and reports; notifications to workers] [BSS – Schedule II]
Yes
A system of health surveillance for the workers is established? And well managed?
Workers are provided by Personal protective equipment?
Licensee provides personal dosimeters to all radiation workers?
Dosimetry supplier is an authorized provider?
Name of provider:
15
No
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
Dosimeters provided are appropriate for the radiation type and energy?
Dosimeters are exchanged at the prescribed period?
Dosimetry reports are promptly reviewed by the RPO?
Is it evident that personal dosimeters are being worn by workers?
Individual workers are informed of their monitoring results when each
monitoring report is received (regardless of the dose measured)?
Does the licensee apply ALARA to occupational exposure?
A system of dose records is established? And well managed?
Inspector reviewed personnel monitoring records for the period: from:
to:
Investigation levels of personal doses?
System assuring informing female workers who became pregnant about radiation
protection related to protection unborn child including instruction related to be
followed?
System informing workers who are not occupational exposed about risks?
associated to the practice.
Comments (include the maximum doses to workers during this review period)
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The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
D. INDEPENDENT AND CONFIRMATORY MEASUREMENTS
Yes
Inspector made area and other measurements for comparison to licensee’s
Comments: Describe the types and results of measurements taken. Identify the
instruments used by the inspector (make, model, last calibration).
Radiation Detector used:
Device Name:
Type of detector:
Model :
Last Calibration:
Background( B.G ) radiation levels:
α=…….Bq/cm2
β=…….Bq/cm2
ᵞ= …….µSv/h
A. contamination
Location
Radiation level
B. Dose rate
Location
Radiation level
1) Irradiator not in use
2) Irradiator in use
17
No
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
A. Radiation Protection Programme
Yes
1. Description of organisational system with responsibilities (e.g. RPO,
RPE, authorised operators, maintenance staff, and clients providing
the items to be irradiated…) including optimisation of protection and
dose limitation?
2. Quality management?
3. Procedures including:
Verify the information on the site for each item given in the procedures from the
authorisation file by checking the records of the operator, use of procedures and
updating of the procedures. If appropriate, take samples from water pool, make
measurements etc.
a) Operation (e.g. access control, startup procedures, control of
temperature and water level in the pool if applicable, control
of water conductivity…)
b) Acceptance tests when applicable
c) Maintenance
d) Loading and unloading of radioactive sources
e) Control of modification
f) Transport of radioactive sources
g) Individual monitoring
h) Training
i) Leakage testing of radioactive sources
j) Testing of radiation monitors and other equipment on
regular basis (daily, weekly, monthly…) including calibration
of instruments.
k) Routine checks by a RPO (quantities to be measured, where
and when the measurements are to be done, action to be
taken when pre-defined levels are exceeded…)
l) Audits and safety assessments by a qualified expert
m) Response to visible and audible alarms
n) Incident reporting inside the operator management system
as well as to Regulatory Authority as appropriate and
investigation levels
o) Emergency preparedness and response including a system of
exercises and informing local first responders (police, fire
fighter…)
p) Management of records:
1) Documentation of authorization and any
correspondence between the operating
organization and the regulatory body
18
No
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
2)
3)
4)
5)
6)
7)
8)
Safety assessment reports
Operation logbook
Routine checks of safety systems by a RPO
Individual doses (current and prior work history)
Results of workplace monitoring
Radiation monitor test reports
Results of leakage tests of radioactive sources
(e.g. control of contamination of a pool)
9) Inventory of radioactive sources
10) Records of movements of radioactive sources
11) Reports on investigations of incidents and
accidents
12) Audits and reviews of the radiation safety
programme (by a RQE)
13) Installation, maintenance and repair work
14) Facility modifications
15) Training provided (initial and refresher)
16) Transport of radioactive sources
17) Contamination surveys and radiation level surveys
18) Disposal or return of radioactive sources
19) Records of training, which should include the
following information
- Name of the person who received the
instruction or training
- Name of the institution or person who
provided the instruction or
- Date and duration of the instruction or training
- A summary or list of the topics addressed
- Results of examinations taken
- Copies of training certificates.
19
The Hashemite Kingdom of Jordan
Energy and Minerals Regulatory Commission
Radiation Inspection Checklist for Irradiators
Form No. (4)
B. ITEMS OF NON-COMPLIANCE AND OTHER SAFETY ISSUES
List any breaches noted during the inspection (what, when, where and who).
C. PERSONNEL CONTACTED
Identify the personnel contacted during the inspection
20