UMB Industrial Radiography Permit

Industrial Radiography Permit
University of Maryland, Baltimore

This permit is required for any industrial radiography operation executed within the University of Maryland, Baltimore campus. It must be completed by a competent industrial radiography supervisor (typically the service provider's Radiation Safety Officer) and posted at the site. If any of the conditions stipulated below cannot be satisfied, the work will not be permitted.

THIS PERMIT IS NON-TRANSFERABLE

	Industrial Radiography Permit University of Maryland, Baltimore This permit is required for any industrial radiography operation executed within the University of Maryland, Baltimore campus. It must be completed by a competent industrial radiography supervisor (typically the service provider's Radiation Safety Officer) and posted at the site. If any of the conditions stipulated below cannot be satisfied, the work will not be permitted. THIS PERMIT IS NON-TRANSFERABLE
Name of service provider:
Name and contact information of service provider's Radiation Safety Officer: Name: Contact Info:
Copy of license provided? Yes No		If from out of state, copy of reciprocity provided? Yes No
UMB location (Building):		Enter floor or room where work will occur:
Proposed start date: (i.e. 10/22/07) Today is 08/30/08.		Proposed start time: (i.e. 09:30)
Proposed duration of work:
Type of radiation unit to be employed: Gamma source X-ray unit Accelerator
If a gamma source is used, does the service provider recover a stuck source? Yes No
If yes, is the person responsible for this task fully authorized? Yes No
If a gamma source is used, what radionuclide of what activity (and date of its measurement) is used?
Certified radiographers? Yes No
Does service provider's radiation safety and operations training cover all required topics (i.e., as specified in NCRP Report 61: Radiation Safety Training Criteria for Industrial Radiography)? Yes No
Type(s) of survey meters employed:
Date(s) of last calibration of survey meters:
Type(s) of personnel monitoring employed:
Date of last calibration of personnel monitors:
Date of last leak test:
What communication system is used between radiographers?
How is the public protected from exposure?
Conditions: No work shall be conducted, or equipment brought to the work area, until the work area has been inspected and a permit has been issued. Operations shall be restricted to a designated controlled area. The boundary containing the controlled area must be physically delineated in a clear and obvious way, for example cordoned off. Warning signs containing the standard Radiation trefoil must be present. The perimeter of the boundary must be under continuous surveillance during an exposure. At least two radiographers or one radiographer and one radiographer’s assistant must carry out the work. Only experienced, trained and qualified personnel shall be used. Each radiographer and radiographer’s assistant must be equipped with a survey meter and digital dosimeter. After each exposure, a survey must be done to determine that the sealed source has returned to its shielded position in the case of a gamma source or, for the case of an x-ray producing unit, that the beam is actually turned off. For the case of a gamma source unit, the entire circumference of the device must be surveyed as well as the entire length of the guide tube. Each time a gamma source unit is to be stored or left unattended, a survey must be performed to ensure that the source is in its shielded position. In addition, the source container must be locked. If an x-ray producing unit is to be left unattended, a survey must be done to ensure that the beam is off and the control panel must be set such that unauthorized use is prevented. The gamma source unit is to be outfitted with: a warning label indicating that hazardous gamma rays are emitted when in operation a warning label prohibiting unauthorized use the radiation trefoil a key switch to prevent unauthorized use separate warning lights to indicate when the machine is energized and when gamma-rays are produced a timer to control gamma-ray duration For the case of an x-ray producing unit, the tube assembly must remain stable during operation. The control panel of an x-ray unit is to be outfitted with: a warning label indicating that hazardous x-rays are emitted when in operation a warning label prohibiting unauthorized use the radiation trefoil a key switch to prevent unauthorized use separate warning lights to indicate when the machine is energized and when x-rays are produced a timer to control x-ray duration or switch requiring continuous pressure to control x-rays Each day that the equipment is to be used visual and operability checks must be performed on: survey meters radiation exposure devices and radiation producing machines transport and storage containers all associated equipment sources verified to be adequately shielded required labeling is present on all equipment and on the boundary In the case of an emergency, UMB Radiation Safety and the Campus Police must be contacted and informed: Radiation Safety Office: (410)706-6281 Campus Police: (410)706-6882 An emergency kit must be available, including, but not limited to, a high range survey instrument, a first aid kit, a portable communications radio, appropriate shielding, tongs at least 1.5 m long, hand tools, radiation warning labels and signs and plastic wrap to prevent contamination of instruments. No hot work is permitted near radioactive sources. In addition to the conditions specified for this permit, all state regulations regarding industrial radiology as specified in COMAR must be adhered to at all times.
Neither this permit nor any act or omission of the University of Maryland, Baltimore shall be construed to impair the obligation of any person under or in connection with any agreement with the University of Maryland or connection with the work done. The contractor shall not do or permit to be done any act or thing which will invalidate or conflict with any insurance policy covering any area which the contractor enters upon, and the contractor shall promptly observe, comply with and execute the provisions of any and all present and future rules, regulations, requirements, orders, and directions of the MDE (COMAR Section E), or of any other board or organization exercising, or which may exercise, similar functions which may pertain or apply to the operations of the contractor hereunder. The contractor understands that certain areas owned or leased to the University of Maryland, Baltimore are in turn leased or licensed to third parties. Without in any way limiting the conditions, provisions, and requirements in this permit, if the contractor requires entrance upon an area leased or under license to a third party, the contractor shall make independent arrangements for such entry with any such lessee or licensee. The contractor shall observe and obey (and compel its officers, members, employees, agents, subcontractors, and other persons doing business with it to observe and obey) the present and future "Rules and Regulations" of the University of Maryland, Baltimore. This permit is subject to cancellation by the University of Maryland, Baltimore immediately upon oral or written notice, in the opinion of the University of Maryland, Baltimore, such action is deemed justifiable or any reason whatsoever.
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