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UWHC,

Policies,Administrative,UWHC,Department Specific,Facilities & Engineering Services

Radioactive Material Safety Plan (F&E.03.10.02)

Radioactive Material Safety Plan (F&E.03.10.02) - Policies, Administrative, UWHC, Department Specific, Facilities & Engineering Services

F&E.03.10.02

FACILITIES & ENGINEERING SERVICES DEPARTMENT
POLICY & PROCEDURE




Effective Date:
July 2015
X Administrative Manual
Computer Room Manual

Policy #:
PE.03.10.02

Original
X Revision
Page 1
of 2
Title: Radioactive Material
Safety Plan


PE.03.10.02 Radioactive Material Safety Plan
I. Purpose

To outline the safety procedures used in the event that maintenance or remodeling
is required in or near rooms where the possibility of radioactive exposure exists.

II. Policy

A. There are several locations in the building where the possibility of radiation
exposure exists. Some rooms are lead lined for radiation protection and some
rooms are RF (radiofrequency) lined for equipment protection. These shielded
rooms present no problem while walking nearby. However, while working in
interstitial space, areas of concern are marked with yellow paint and signage to
alert to the potential danger of working there. When Plant Engineering
personnel must work in these areas for an extended period of time, they contact
the UWHC Health Physicist at 576-8399.

B. Plant Engineering will annually survey spaces where the possibility of radiation
exposure exists.

C. If a patient room has the yellow symbol present, Plant Engineering personnel
will not enter the room.

D. When working in research laboratory areas, Plant Engineering personnel are
alert for signs which may indicate that a sensitive project is in progress or that
materials may be present that present a hazard. When one of these signs is
encountered, Plant Engineering personnel read it carefully and follow all of the
instructions. Unless it is an emergency, Plant Engineering personnel do not
enter the laboratory until they have contacted the person listed that is
responsible for the radioactive sources. Hoods which are used for iodination
procedures (see attached list) must be kept operating at all times. If shutdown of
hood or attached fan is required, laboratory personnel and the UWHC Health
Physicist (576-8399) must be contacted.

E. Plant Engineering personnel will be provided with the proper procedures
required when working in rooms containing radioactive sources.

III. Forms Used: Inspection Form, Checked OK Form, CSC Lab Query

IV. Procedure:

A. Rooms posted with signage indicating the presence of radioactive materials
require special precautions before proceeding with work.

FACILITIES & ENGINEERING SERVICES DEPARTMENT
POLICY & PROCEDURE




Effective Date:
July 2015
X Administrative Manual
Computer Room Manual

Policy #:
PE.03.10.02

Original
X Revision
Page 2
of 2
Title: Radioactive Material
Safety Plan


PE.03.10.02 Radioactive Material Safety Plan

B. Before working in rooms posted as radioactive, Plant Engineering personnel
will contact UWHC Health Physicist (576-8399) for special precautions.

V. Coordination
Continual Readiness Committee
UWHC Safety Director
UW Health Physicist





Wayne Abbott
Director, Facilities & Engineering Services