APPENDIX A

LABORATORY SURVEY PROGRAM FORMS

WITH GUIDELINES

 

Guidelines for Completion of Laboratory Survey Report

 

1. Master Calendar page

 

This page is designed for use as a weekly reminder/checklist. It may be posted or

retained with the individual survey reports. Multiple sheets should be used if

multiple laboratories are surveyed.

 

Explanation of each column:

 

                 "Week beginning":  The Sunday date is shown

 

"Survey Date":  Record the actual date each survey is done.

 

"Material Used":  Indicate with check mark whether radioactive material was used that week

 

"Meter Survey":  Indicate with check mark whether a meter survey was done that week

 

"Wipe survey":  Indicate with check mark whether a smear survey was done that week

 

"Init":  Initials of the individual completing this page

 

"RSO Audit":  To be filled out by representatives of the Radiation Safety Office

 

 2. Preparing a master Laboratory Survey Report form for a specific laboratory

 

The following items may be filled in before duplication for weekly use:

 

Location

Auth User name

Room layout diagram (Note you may not wish to number items until the survey is actually performed)

Survey meter used (if same each week)

Efficiency for above

Scintillation/gamma counter used (if same each week)

Efficiency for above

 

DO NOT SIGN THE MASTER FORM IN THE "SURVEYED BY" LINE--Each survey should be signed at the time it is performed.

 

 3. Efficiency of counting instruments

 

Table 1 shows acceptable efficiency factors for specific radionuclides. You may use these factors, or determine your own.



TABLE 1

Average Counting Efficiency for Standard Instruments1,2

(Detector window 1 cm above source)

                Betas

LSC

PANCAKE GM

END WINDOW GM

 

  3H, 55Fe, 63Ni

50 %

NOT APPLICABLE

NOT APPLICABLE

      14C, 35S

90 %

2 %

1 %

  33P, 45Ca

90 %

15 %

10 %


 32P, 36Cl, 86Rb

100 %

35 %

20 %

 

Photons

NaI (Thin)

Gamma counter

Low energy

  109Cd, 125I

45 %

60 %

Medium and high energy

  22Na, 51Cr, 65Zn, 111In, 131I,

  46Sc, 95Nb, 103Ru, 113Sn, 141Ce

30 %

Unit specific

 

      1 Specific efficiency data may be determined for the specific instruments and nuclides in use in a particular laboratory. That information may be used on survey records.

 

      2 Efficiency may be reduced if the emission rate from a particular radionuclide is less than 100%.

 

4.  Use of scintillation or gamma counters

 

Pay particular attention to the counting program used. Verify that the program you use actually has the energy ranges set for the radionuclide(s) that you use. Each time you use the counter, verify that the program has not been changed (Look at counting time, window settings (energy range) selected, efficiency factors applied).

IF PRINTOUTS ARE IN "DPM", you may attach them to the survey report. Otherwise, convert the "CPM" readings to dpm and record on the survey form.

 

5. Conversion of CPM to DPM

 

Contamination should be reported in units of activity (DPM). This is different than CPM which is the number of electronic pulses recorded by the instrument. The conversion factor is a function of the type of detector, the counting configuration, and other factors.

Refer to the Training Manual, Section VI D for an explanation of how to perform this conversion.

 

An example of this calculation follows:

 

 Assume one minute counts

 Background counts = 55 Sample counts = 470 Efficiency = .15

 Net DPM = (Sample counts - Background counts)/Efficiency

       = (470-55)/.15

       = 2767 dpm At this level, decontamination is recommended.


 LAB SURVEY REPORT LOCATION:                                         AUTH.






















 

ISOTOPES IN USE:

SMEAR #

LOCATION

METER cpm

SMEAR Net dpm

RESURVEY

 

BACKGROUND

 

 

 

 

RED BAG TRASH

 

 

 

 

"COLD" TRASH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SURVEY METER:

SCINTILLATION/GAMMA COUNTER:

       EFFICIENCY:

       EFFICIENCY:

 

DECONTAMINATION AND RESURVEY REQUIRED IF LEVELS EXCEED:

                  Radiation equipment:      2200 dpm removable contamination

                 All other areas:                220 dpm removable contamination

                 Clean & red bag trash:    No detectable meter readings 

SURVEYED BY: _____________________________ DATE: ______________

 

RETAIN THIS RECORD FOR RSO INSPECTION

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LABORATORY CALENDAR LOCATED HERE.


 

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