DS453
23September 2014

IAEA SAFETY STANDARDSFor protecting people and environment

Draft Version 4.2
Step : 10 Second review by the Standards
Committees after addressing Member
States Comments
Review Committees: RASSC (lead),
WASSC, NUSSC and TRANSSC
Deadline for comments: 3 November 2014
Deadline for comments:

Occupational Radiation Protection
Proposed Joint Sponsors - IAEA AND ILO

DRAFT SAFETY GUIDE
DS453

FOREWORD
By Yukiya Amano
Director General[standard text to be added]

PREFACE
Occupational exposure to ionizing radiation can occur in a range of industries, medical
institutions, educational and research establishments and nuclear fuel cycle facilities. Appropriate
level of radiation protection of workers is essential for the safe and justified use of radiation,
radioactive material and nuclear energy.
In 2006, the Agency published the Fundamental Safety Principles (IAEA Safety Standards
Series No. SF-1), jointly sponsored by the European Atomic Energy Community (EURATOM),
the Food and Agriculture Organization of the United Nations (FAO), the IAEA, the International
Labour Organization (ILO), the International Maritime Organization, the OECD Nuclear Energy
Agency (OECD/NEA), the Pan American Health Organization (PAHO), the United Nations
Environment Programme (UNEP) and the World Health Organization (WHO). That publication
sets out the fundamental safety objective and the principles of protection and safety. In 2013, theAgency published Radiation Protection and Safety of Radiation Sources: International Basic
Safety Standards (IAEA Safety Standards Series No. GSR Part 3) (the BSS), jointly sponsored by
EURATOM, FAO, IAEA, ILO, OECD/NEA, PAHO, UNEP and WHO. That publication sets out
the requirements that are designed to meet the fundamental safety objective and to apply theprinciples specified in the Fundamental Safety Principles.
The establishment of safety requirements and guidance on occupational radiation protection
is a major component of the support for radiation protection and safety provided by the IAEA to
its Member States. The objective of the IAEA’s programme on occupational radiation protection
is to promote an internationally harmonized approach to occupational radiation protection,
through the development and application of standards for optimizing protection and safety,
restricting exposures and applying current radiation protection techniques in the workplace.
Guidance on meeting the requirements of the BSS for occupational radiation protection isprovided in this safety guide. It gives general guidance on the development of occupationalradiation protection programmes, in accordance with the requirements of the BSS and appropriate
for the sources of radiation likely to be encountered in the workplaces in question. It also gives
more detailed guidance on the monitoring and assessment of workers’ exposure due to externalradiation sources and from intakes of radionuclides. This safety guide reflects the current
internationally accepted principles and recommended practices in occupational radiation
protection, with account taken of the major changes that have occurred over the past decade. It
updates the guidance given in five previous safety guides: Occupational Radiation Protection(IAEA Safety Standards Series No. RS-G-1.1), Assessment of Occupational Exposure due toIntakes of Radionuclides (IAEA Safety Standards Series No. RS-G-1.2), Assessment ofOccupational Exposure due to External Sources of Radiation (IAEA Safety Standards Series
No. RS-G-1.3), Occupational Radiation Protection in the Mining and Processing of Raw
Materials (IAEA Safety Standards Series No. RS-G-1.6) and The Management System forTechnical Services in Radiation Safety (GS-G-3.2), which are hereby superseded.

CONTENTS
1.

INTRODUCTION .................................................................................................................. 1
Background ............................................................................................................................. 1
Objective ................................................................................................................................. 2
Scope ....................................................................................................................................... 2
Structure .................................................................................................................................. 2

2.

FRAMEWORK FOR OCCUPATIONAL RADIATION PROTECTION ............................ 3
Occupational exposure and types of exposure situation ......................................................... 3
Radiation protection principles ............................................................................................... 4
Responsibilities ....................................................................................................................... 6
Graded approach ..................................................................................................................... 7
Management system ............................................................................................................... 8
Dosimetric quantities .............................................................................................................. 8

3.

EXPOSURE OF WORKERS IN PLANNED EXPOSURE SITUATIONS ........................ 18
Introduction ........................................................................................................................... 18
Optimization ......................................................................................................................... 19
Dose limitation ...................................................................................................................... 24
Radiation protection programme .......................................................................................... 27
Exposure of workers to natural sources ................................................................................ 49

4.

EXPOSURE OF WORKERS IN EMERGENCY EXPOSURE SITUATIONS .................. 56
Emergency planning and responsibilities ............................................................................. 56
Protection of emergency workers ......................................................................................... 57
Managing the exposure of emergency workers .................................................................... 60
Exposure assessment............................................................................................................. 61
Medical attention .................................................................................................................. 62

5.

EXPOSURE OF WORKERS IN EXISTING EXPOSURE SITUATIONS ........................ 63
Introduction ........................................................................................................................... 63
Protection strategies .............................................................................................................. 64
Justification ........................................................................................................................... 65
Optimization ......................................................................................................................... 65
Exposure arising from remedial actions in areas contaminated with residual radioactive
material ................................................................................................................................. 67
Exposure to radon ................................................................................................................. 71
Exposure to cosmic rays ....................................................................................................... 76

6.

PROTECTION OF WORKERS IN SPECIAL CASES ....................................................... 80
Female workers during and after pregnancy......................................................................... 80

Itinerant workers ................................................................................................................... 83
7.

ASSESSMENT OF OCCUPATIONAL EXPOSURE ....................................................... 100
Assessment of external exposure ........................................................................................ 100
Assessment of internal exposure......................................................................................... 128
Exposure assessment in emergencies ................................................................................. 145
Skin contamination ............................................................................................................. 148
Records of occupational exposure ...................................................................................... 149

8.

MANAGEMENT SYSTEM FOR PROVIDERS OF TECHNICAL SERVICES ............. 154
General considerations ........................................................................................................ 154
Management responsibility ................................................................................................. 156
Process implementation ...................................................................................................... 159
PERFORMANCE Measurement, assessment and improvement ....................................... 162
Additional guidance for providers of calibration and testing services ............................... 166

9.

ENGINEERED CONTROLS, ADMINISTRATIVE CONTROLS AND PERSONALPROTECTIVE EQUIPMENT ............................................................................................ 171
General considerations ........................................................................................................ 171
Shielding ............................................................................................................................. 172
Ventilation .......................................................................................................................... 173
Dust control......................................................................................................................... 175
Spillage of radioactive material .......................................................................................... 175
Surface contamination ........................................................................................................ 175
Decontamination of equipment and personnel ................................................................... 180
Personal protective equipment ............................................................................................ 181
Job rotation ......................................................................................................................... 183
Special considerations for mineral processing operations involving NORM ..................... 183

10.

WORKERS’ HEALTH SURVEILLANCE ....................................................................... 184
Responsibilities ................................................................................................................... 184
Workers’ health surveillance programme ........................................................................... 186
Medical examination of workers ........................................................................................ 186
Notification of ailments and overexposure ......................................................................... 189
Medical records................................................................................................................... 189
Management of overexposed workers ................................................................................ 189

APPENDIX I EXPOSURE OF WORKERS TO NORM ........................................................... 191
APPENDIX II METHODS AND SYSTEMS FOR INDIVIDUAL MONITORING FORASSESSMENT OF EXTERNAL EXPOSURE ................................................................. 193
APPENDIX III WORKPLACE MONITORING INSTRUMENTS FOR ASSESSMENT OF
EXTERNAL EXPOSURE .................................................................................................. 202

APPENDIX IV BIOKINETIC MODELS FOR INTERNAL EXPOSURE ASSESSMENT..... 209
APPENDIX V METHODS FOR INDIVIDUAL MONITORING OF INTERNALCONTAMINATION .......................................................................................................... 214
REFERENCES ............................................................................................................................. 228
ANNEX:TECHNIQUES FOR RETROSPECTIVE DOSIMETRY...……………………247

CONTRIBUTORS TO DRAFTING AND REVIEW...………………………………………...255
BODIES FOR THE ENDORSEMENT OF IAEA SAFETY STANDARDS...………………...255

1.

INTRODUCTIONBACKGROUND
1.1. Occupational exposure to radiation can occur as a result of various human activities,
including work associated with the different stages of the nuclear fuel cycle; the use of radiation
in medicine, scientific research, agriculture and industry; and occupations that involve exposure
to natural sources.
1.2. The IAEA Fundamental Safety Principles [1] present the fundamental safety objective
and principles of protection and safety. Requirements designed to meet the fundamental safety
objective and to apply the principles specified in the Fundamental Safety Principles, including
requirements for the protection of workers exposed to sources of radiation, are established in
Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards, GSR
Part 3 (the BSS), jointly sponsored by the IAEA and seven other international organizations [2].
1.3. This safety guide, prepared jointly by the IAEA and the International Labour Office,provides guidance on fulfilling the requirements of the BSS with respect to occupational
exposure. It gives general advice on the exposure conditions for which radiation protection
programmes (RPPs) need to be established, including the setting up of monitoring programmes toassess radiation doses arising from external radiation and from intakes of radionuclides byworkers. It also gives more specific guidance on the assessment of doses from external sources ofradiation and intakes of radioactive material.
1.4. Recommendations for a system of radiation protection have been developed by theInternational Commission on Radiological Protection (ICRP) [3]. These and other current
recommendations of the ICRP and the International Commission on Radiation Units andMeasurements (ICRU) have been taken into account in preparing this safety guide.
1.5. It is recognized that radiation protection is only one component that should be addressedto protect the overall health and safety of the worker. The RPP should be established andmanaged together with other health and safety disciplines, such as industrial hygiene, medical
hygiene, industrial safety and fire safety.
1.6. This safety guide updates the guidance given in five previous safety guides: Occupational
Radiation Protection (IAEA Safety Standards Series No. RS-G-1.1), Assessment of Occupational
Exposure due to Intakes of Radionuclides (IAEA Safety Standards Series No. RS-G-1.2),
Assessment of Occupational Exposure due to External Sources of Radiation (IAEA Safety
Standards Series No. RS-G-1.3), Occupational Radiation Protection in the Mining and Processingof Raw Materials (IAEA Safety Standards Series No. RS-G-1.6) and The Management System
for Technical Services in Radiation Safety (IAEA Safety Standards Series No. GS-G-3.2), which
are hereby superseded.

1

OBJECTIVE
1.7. The objective of this safety guide is to provide guidance on the control of occupational
exposure. The recommendations given are intended for regulatory bodies, but this safety guide
will also be useful to employers, licensees and registrants; to management bodies and their
specialist advisers; and to health and safety committees concerned with radiation protection ofworkers. The recommendations may also be used by workers and their representatives toencourage safe working practices.
SCOPE
1.8. This safety guide addresses the technical and organizational aspects of the control ofoccupational exposure. The intention is to provide an integrated approach to the control of
exposure, including potential exposure, due to external and internal irradiation from both
artificial and natural sources of radiation.
STRUCTURE
1.9. Following this introductory section, Section 2 gives an overview of the basic frameworkfor occupational radiation protection, including an explanation of the three types of exposure
situation (planned exposure situations, emergency exposure situations and existing exposure
situations), the basic principles of radiation protection and their application to the protection ofworkers, and the dosimetric quantities used. The next three sections provide guidance on meeting
the requirements of the BSS in each of the three types of exposure situation. Section 3 addresses
occupational radiation protection in planned exposure situations, including the application of thebasic principles of optimization and dose limitation, the RPP, and specific guidance on theprotection of workers exposed to natural sources. Section 4 addresses the protection of workers inemergency exposure situations, including the preparation of an emergency plan, the applicationof the principles of optimization and dose limitation in emergencies, and the assessment andmanagement of exposures of emergency workers. Section 5 addresses the protection of workers
in existing exposure situations, including the establishment of an appropriate protection strategy
and legal and regulatory framework, and specific guidance on the protection of workers against
exposure to residual radioactive material from past activities or accidents, radon in workplaces,
and cosmic rays in aircraft and spacecraft.
1.10. The remaining sections provide guidance on more specific aspects of occupationalradiation protection. Section 6 describes the special measures that need to be taken for theprotection of two particular groups of workers— female workers during and after pregnancy anditinerant workers. Section 7 gives detailed guidance on the monitoring and assessment ofoccupational exposure, including monitoring programmes, systems and equipment; theestimation of uncertainties; testing and calibration; the interpretation of the monitoring results;
and the maintenance of records. The guidance covers both individual monitoring and workplacemonitoring, addresses external and internal exposures as well as skin contamination, and includes
exposure assessment in emergencies. Section 8 gives guidance on the management system forproviders of technical services in occupational radiation protection including, in particular,
calibration, testing and dosimetry services. Section 9 describes the engineered and administrative
controls that may be required for worker protection and safety, including the maintenance of2good air quality, the provision of adequate shielding and the control of contamination. Guidanceon the use of personal protective equipment is also provided. Finally, Section 10 addresses
workers’ health surveillance programmes, including guidance on the medical examination ofworkers and medical records, as well as on the management of overexposed workers.
1.11. Five appendices and an annex provide additional, more detailed information relating to
the exposure of workers to Naturally Occurring Radioactive Material (NORM), methods forindividual monitoring for assessment of external exposure, workplace monitoring instruments forexternal exposure, monitoring and assessment of internal exposure (including biokinetic
modelling), and techniques for retrospective dosimetry.

2.

FRAMEWORK FOR OCCUPATIONAL
RADIATION PROTECTION

OCCUPATIONAL EXPOSURE AND TYPES OF EXPOSURE SITUATION
2.1. Occupational exposure is the exposure of workers incurred in the course of their work,
regardless of the situation of exposure. For the purpose of establishing practical requirements forprotection and safety, the BSS [2] distinguish between three different types of exposure situation:planned exposure situations, emergency exposure situations and existing exposure situations, as
follows:“(i)
A planned exposure situation is a situation of exposure that arises from theplanned operation of a source or from a planned activity that results in an exposure from a source.
Since provision for protection and safety can be made before embarking on the activity
concerned, the associated exposures and their likelihood of occurrence can be restricted from theoutset. The primary means of controlling exposure in planned exposure situations are by good
design of facilities, equipment and operating procedures and by training….
“(ii)
An emergency exposure situation is a situation of exposure that arises as a resultof an accident, a malicious act, or any other unexpected event, and requires prompt action inorder to avoid or to reduce adverse consequences. Preventive actions and mitigatory actions haveto be considered before an emergency exposure situation arises. However, once an emergency
exposure situation actually occurs, exposures can be reduced only by implementing protective
actions.
“(iii)An existing exposure situation is a situation of exposure which already exists
when a decision on the need for control needs to be taken. Existing exposure situations include
situations of exposure to natural background radiation. They also include situations of exposuredue to residual radioactive material that derives from past practices that were not subject toregulatory control or that remains after an emergency exposure situation.”
This safety guide gives guidance on the protection of workers in each of these three types of
exposure situation.
2.2. As pointed out in para. 1.21 of the BSS, the descriptions of the three types of exposure
situation are not always sufficient to determine unequivocally which type of exposure situation
applies for particular circumstances. For instance, the transition from an emergency exposure3

situation to an existing exposure situation may occur progressively over time; and some
exposures due to natural sources may have some characteristics of both planned exposure
situations and existing exposure situations. In the BSS, the most appropriate type of exposure
situation for particular circumstances has been determined by taking practical considerations into
account.
2.3.

Reference is made to potential exposure in para. 1.20(i) of the BSS, as follows:“...In planned exposure situations, exposure at some level can be expected to occur. If
exposure is not expected to occur with certainty, but could result from an accident or from an
event or a sequence of events that may occur but is not certain to occur, this is referred to as‘potential exposure’.
...
“If an event or sequence of events that has been considered in the assessment of potential
exposure does actually occur, it may be treated either as a planned exposure situation or, if an
emergency is declared, as an emergency exposure situation.”
2.4. Some exposures are excluded from the scope of the BSS. Paragraph 1.42 of the BSS
states:“These Standards apply to all situations involving radiation exposure that is amenable tocontrol. Exposures deemed to be unamenable to control are excluded from the scope of theseStandards.”
Examples of excluded exposures are those from 40K in the body and from cosmic rays at the
Earth’s surface. Guidance is given in Section 3 on the components of exposure from natural
sources of radiation that may need to be subject to control as occupational exposure.
RADIATION PROTECTION PRINCIPLES
2.5. The three general principles of radiation protection, which concern justification,
optimization of protection and application of dose limits, are expressed in Safety Principles 4, 5,
6 and 10 of the Fundamental Safety Principles [1]. In terms of Requirement 1 of the BSS, those
responsible for protection and safety should ensure that these principles are applied.
Justification
2.6.

Paragraphs 2.8 and 2.9 of the BSS state:“For planned exposure situations, each party with responsibilities for protection and safety
shall ensure, when relevant requirements apply to that party, that no practice is undertaken unless
it is justified.
“For emergency exposure situations and existing exposure situations, each party withresponsibilities for protection and safety shall ensure, when relevant requirements apply to thatparty, that protective actions or remedial actions are justified and are undertaken in such a way as
to achieve the objectives set out in the protection strategy.”42.7. In planned exposure situations, this means that no practice or source within a practice
should be authorized unless the practice produces sufficient benefit to the exposed individuals or
to society to offset the radiation harm that it might cause; that is: unless the practice is justified,taking into account social, economic and other relevant factors.
2.8. The process of determining whether a practice is justified involves consideration of all theradiation doses received by workers and members of the public. In general, the assumption madein this safety guide is that the process of justification has already taken place and that thecontribution of occupational exposure to the total radiation detriment has been taken into account.
The subject of justification in planned exposure situations is therefore not considered in detail inthis safety guide. Guidance on justification is given in Ref. [4].
Optimization
2.9.

Paragraph 2.10 of the BSS states:“For all exposure situations, each party with responsibilities for protection and safety shallensure, when relevant requirements apply to that party, that protection and safety is optimized.”‘Optimized’ in this context means that the process of optimization of protection and safety has
been applied and the result of that process has been implemented.
2.10. In planned exposure situations, in relation to exposures from any particular source withina practice, protection and safety has to be optimized in order that the magnitude of individual
doses, the number of people exposed and the likelihood of incurring exposures all be kept as low
as reasonably achievable (ALARA), economic and social factors being taken into account, withthe restriction that the doses to individuals delivered by the source be subject to dose constraints.
This principle is of particular importance for the implementation of radiation protection measuresin the workplace and therefore underlies much of the guidance given in Section 3, where moredetailed guidance is given.
Dose limitation
2.11. Paragraph 2.11 of the BSS states:“For planned exposure situations other than for medical exposure, each party withresponsibilities for protection and safety shall ensure that, when relevant requirements apply tothat party, specified dose limits are not exceeded”.
2.12. Dose limits apply only in planned exposure situations. In such situations, the normal
exposure of individuals should be restricted so that neither the total effective dose nor the total
equivalent dose to relevant organs or tissues, caused by the possible combination of exposuresfrom authorized practices, exceeds any relevant dose limit.
2.13. The limit on effective dose represents the level above which the risk of stochastic effects
due to radiation is considered to be unacceptable. For localized exposure of the lens of the eye,extremities and the skin, this limit on effective dose is not sufficient to ensure the avoidance of5deterministic effects, and therefore limits on equivalent dose to these tissues and organs are
specified for such situations.
2.14. Guidance on the application of the dose limits for occupational exposure is given in
Section 3.
RESPONSIBILITIESThe government
2.15. The responsibilities of the government1 with regard to protection and safety are set out inparas 2.13–2.28 of the BSS. These include establishing an effective legal and regulatory
framework for protection and safety in all exposure situations; establishing legislation that meetsspecified requirements; establishing an independent regulatory body with the necessary legal
authority, competence and resources; establishing requirements for education and training inprotection and safety; and ensuring that arrangements are in place for the provision of technicalservices, education and training services.
The regulatory body
2.16. The responsibilities of the regulatory body with regard to protection and safety are set out
in paras 2.29–2.38 of the BSS. These include establishing requirements for applying theprinciples of radiation protection, establishing a regulatory system that meets specified
requirements, ensuring the application of the requirements for education and training inprotection and safety, putting in place mechanisms for the dissemination of lessons learnt fromincidents and accidents, setting acceptance and performance criteria for sources and equipmentwith implications for protection and safety, and making provision for the establishment andmaintenance of records.
2.17. The responsibilities of the regulatory body specific to occupational exposure in planned
exposure situations are set out in paras 3.69–3.73 of the BSS. The regulatory body is responsible
for establishing and enforcing requirements for ensuring that protection and safety is optimized,
ensuring that applicable dose limits are complied with, and monitoring and recording ofoccupational exposures.
Employers, registrants and licensees
2.18. Requirement 4 of the BSS states:“The person or organization responsible for facilities and activities that give rise toradiation risks shall have the prime responsibility for protection and safety….”
In planned exposure situations, employers, registrants and licensees (hereinafter referred to1

Since countries have different legal structures, the use of the term ‘government’ here is to be understood in a
broad sense, and is accordingly interchangeable with the term ‘State’.

6simply using the term ‘management’) are responsible for ensuring that protection and safety is
optimized, that applicable dose limits are complied with, and that appropriate RPPs are
established and implemented. Guidance on the content of the RPP is given in Section 3.
Workers
2.19. Requirement 22 of the BSS states:“Workers shall fulfil their obligations and carry out their duties for protection and safety.”
This requirement reflects the fact that workers can by their own actions contribute to theprotection and safety of themselves and others at work. The obligations of workers in this regard
are listed in para. 3.83 of the BSS and relate to: following of rules and procedures, the use ofmonitoring equipment and personal protective equipment, cooperation in health surveillance anddose assessment programmes, and acceptance of instruction and training. Workers are also
required to provide relevant information to management and act in a responsible manner withregard to protection and safety.
GRADED APPROACH
2.20. Paragraph 2.12 of the BSS provides the basis for the graded approach to the control of
exposure:“The application of the requirements for the system of protection and safety shall becommensurate with the radiation risks associated with the exposure situation.”
It is the general responsibility of the government to ensure that the overall application of theprinciples of radiation protection is in line with this graded approach (see para. 2.18 of the BSS).
The regulatory body in turn takes responsibility for adopting the graded approach in theapplication of regulatory requirements (see para. 2.31 of the BSS).
2.21. Requirement 6 of the BSS refers to the graded approach in the more specific context ofplanned exposure situations:“The application of the requirements of these Standards in planned exposure situations shallbe commensurate with the characteristics of the practice or the source within a practice, and withthe magnitude and likelihood of the exposures.”2.22. An important feature of the graded approach in planned exposure situations is theprovision for exemption and clearance. Requirement 8 of the BSS states:“The government or the regulatory body shall determine which practices or sources within
practices are to be exempted from some or all of the requirements of these Standards. The
regulatory body shall approve which sources, including materials and objects, within notified
practices or authorized practices may be cleared from regulatory control.”

7

MANAGEMENT SYSTEM
2.23. Requirement 5 of the BSS states:“The principal parties shall ensure that protection and safety is effectively integrated into
the overall management system of the organizations for which they are responsible.”
For occupational exposure in planned exposure situations the principal party is the employer. For
emergency exposure situations or existing exposure situations, the principal parties are those
persons or organizations designated to deal with the situation.
2.24. In terms of paras 2.47–2.52 of the BSS, the principal parties should demonstrate acommitment to protection and safety at the highest level in the organization and must ensure thatthe management system enhances protection and safety while maintaining coherence between
measures for protection and safety and other measures such as those addressing operational
performance and security.
2.25. Specific actions are needed to provide the necessary degree of confidence in the measurestaken for achieving protection and safety and to ensure regular assessment and review. A safety
culture has to be promoted and maintained at all levels within the organization. The management
system must also address human factors by supporting good performance and good practices toprevent human and organizational failures, with attention being given to the design of equipment,
the development of operating procedures, limits and conditions as appropriate, training and theuse of safety systems to reduce the consequences of human error.
2.26. More detailed requirements and guidance on the management system for facilities andactivities is given in Refs [5, 6 7]. Guidance on the management system for providers of technicalservices related to protection and safety is given in Section 8.
DOSIMETRIC QUANTITIES
2.27. The dosimetric quantities recommended for radiation protection purposes, and in which
the dose limits are expressed in the BSS (the protection quantities), are the equivalent dose HT intissue or organ T and the effective dose E.
2.28. The basic physical quantities include the particle fluence , the kerma K and the absorbed
dose D.
2.29. The determination of equivalent dose in an organ or tissue HT involves the use of aradiation weighting factor wR as a multiplier of absorbed dose for radiation R, to reflect therelative biological effectiveness (RBE) of the radiation in inducing stochastic effects at low
doses:

H T   wR DT , R
R

where DT,R is the average absorbed dose in the tissue or organ T for radiation R.

8(1)

2.30. The determination of effective dose E involves the use of a tissue weighting factor wT as amultiplier of tissue equivalent dose for tissue T, to account for the different sensitivities ofdifferent tissues or organs to the induction of stochastic effects of radiation:E   wT  H T(2)Twhich, on substituting for HT (Eq. (1)), gives:E   wT   wR  DT , R
T

(3)

R

2.31. The recommended values of wR and wT are based on a review of published biological andepidemiological information and are given in the definitions of terms in the BSS [2].
2.32. The protection quantities E and HT relate to the sum of the effective doses or equivalentdoses, respectively, received from external sources within a given time period and the committed
effective doses or committed equivalent doses, respectively, from intakes of radionuclides
occurring within the same time period. The total effective dose E received or committed during agiven time period can be estimated from the operational quantities, using the following equation:
E  H p (d )   e( g ) j ,ing I j ,ing   e( g ) j ,inh I j ,inh
j

j

(4)

where
Hp(d)
e(g)j,ing
e(g)j,inh
Ij,ingIj,inhis the personal dose equivalent in soft tissue below a specified point on the body, at an
appropriate depth d during a given time period;is the committed effective dose per unit intake by ingestion for radionuclide j by thegroup of age g during the same time period;is the committed effective dose per unit intake by inhalation for radionuclide j by thegroup of age g during the same time period;is the intake via ingestion of radionuclide j during the same time period;is the intake via inhalation of radionuclide j during the same time period.

For occupational exposure, the appropriate values of e(g)j,ing and e(g)j,inh are those for adult
workers.
2.33. The dose limits are such that deterministic effects will not occur. For situations that canlead to severe deterministic effects (e.g. in emergency exposure situations) the RBE of different
radiation types in the production of severe deterministic effects has to be considered. The
recommended dosimetric quantity is the RBE weighted absorbed dose ADT in tissue or organ T.
The determination of RBE weighted absorbed dose involves the use of tissue specific andradiation specific factors RBET,R as multipliers of absorbed dose in tissue or organ, to reflect the
RBE in causing the development of severe deterministic health effects from a given absorbed
dose when it is delivered in tissue or organ by a given type of radiation. Recommended values of
RBET,R for the development of selected severe deterministic effects are based on a review ofpublished biological information and are given in the definitions of terms in the BSS [2]. The use
9

of effective dose is inappropriate for the assessment of tissue reactions. In such situations it isnecessary to estimate absorbed dose and to take into account the appropriate RBE as the basis forany assessment of radiation effects.
Operational quantities for individual monitoring in external dosimetry
2.34. As protection quantities cannot be measured directly, the ICRU introduced operational
quantities for practical use in radiation protection where exposure to external sources isconcerned. Definitions of these quantities can be found in the BSS and in Ref. [8]. The
operational quantities provide an estimate of effective or equivalent dose in such a way thatavoids underestimation and over estimation in most radiation fields encountered in practice.
Radiation quality factors Q(L) are used in calculating the operational dose equivalent quantities
used in monitoring [3]. The quality factor characterizes the biological effectiveness of theradiation type, based on the ionization density along the tracks of charged particles in tissue. Q isdefined as a function of the unrestricted linear energy transfer, L∞ (often denoted as L or LET), of
charged particles in water. A detailed evaluation of the numerical relationship between thephysical, protection and operational quantities was conducted by a joint task group of the ICRP
and ICRU [9]. The conceptual relationship between those quantities is illustrated in Fig. 1.
Physical quantities• Fluence, Ø• Kerma, K• Absorbed dose, D
Calculated using Q (L ) andsimple phantoms (sphere orslab) validated bymeasurements andcalculations

Calculated using w R , w T
and anthropomorphic
phantoms

Operational quantities• Ambient dose equivalent, H* (d )• Directional dose equivalent, H' (d ,Ω )• Personal dose equivalent, H p(d )Protection quantities
Compared by measurement andcalculations (using w R , w T andanthropomorphic phantoms)• Organ absorbed dose, D T• Organ equivalent dose, H T• Effective dose, E

Related by calibrationand calculation

Monitored quantities• Instrument responses

FIG. 1. Relationship of quantities for radiation protection purposes [9].
2.35. Strongly penetrating radiation and weakly penetrating radiation are defined as follows[10]. If, for a given orientation of the body in a uniform and unidirectional radiation field, theequivalent dose received by any small area of the sensitive layer of the skin is less than ten times
larger than the effective dose, the radiation is said to be strongly penetrating. If the equivalentdose is more than ten times larger than the effective dose, the radiation is said to be weakly
penetrating.
10

2.36. The operational quantity for individual monitoring is the personal dose equivalent Hp(d)(see para. 2.32). Any statement of personal dose equivalent should include a specification of thereference depth d. For strongly penetrating radiation, the reference depth is 10 mm. For weakly
penetrating radiation, the reference depth is 0.07 mm. In order to simplify the notation, d isassumed to be expressed in millimetres and hence the personal dose equivalents at the tworecommended depths mentioned above are denoted by Hp(10) and Hp(0.07), respectively.
2.37. The sensitive cells of the skin for stochastic effects are considered to be between 0.02 and
0.1 mm below the skin surface, and therefore Hp(0.07) is used to estimate the equivalent dose tosmall areas of the skin. A tissue thickness of 0.07 mm can be penetrated not only by photons but
also by beta radiation with energy greater than 70 keV. For all types of radiation for which
exposure of the extremities is of concern, the skin of the extremities is more likely to become thelimiting tissue or organ, rather than the extremity itself. An estimation of the equivalent dose to
the skin will be a conservative estimate of equivalent dose to the extremity. Thus an extremity
dosimeter essentially becomes a skin dosimeter and should be designed to measure Hp(0.07).
2.38. For monitoring of the lens of the eye, a depth of 3 mm is recommended by the ICRU [8],so the operational quantity to be used is Hp(3). In practice, however, the use of Hp(3) has not yet
been implemented for routine individual monitoring. In specific cases, when actual workplace
radiation fields are known, monitoring of the eye through dosimeters calibrated for Hp(0.07) or
Hp(10) could be acceptable. In Ref. [11], it is stated that Hp(0.07) can be considered a good
operational quantity for the lens of the eye for exposures to fields where most of the dose comesfrom photons, including X rays. In such cases, it should be borne in mind that the uncertainty
associated with the estimation of equivalent dose will be higher.
Quantities for workplace monitoring in external dosimetry
2.39. The operational quantities recommended for workplace monitoring are defined in aphantom known as the ICRU sphere [12]. This is a sphere of tissue equivalent material with adiameter of 30 cm, a density of 1 g/cm3 and an elemental composition (by mass) of 76.2%
oxygen, 11.1% carbon, 10.1% hydrogen and 2.6% nitrogen.
2.40. The two quantities recommended by the ICRU for workplace monitoring [8] are theambient dose equivalent H*(d) and the directional dose equivalent H'(d,Ω).
2.41. The ambient dose equivalent H*(d) at a point in a radiation field is the dose equivalentthat would be produced by the corresponding expanded and aligned field in the ICRU sphere, at a
depth d on the radius opposing the direction of the aligned field.
2.42. The expanded field is one in which the fluence, and its angular and energy distribution,
are the same throughout the volume of interest as in the actual field at the point of reference. In
the expanded and aligned field, the fluence and its energy distribution are the same as in the
expanded field, but the fluence is unidirectional.
2.43. Any statement of ambient dose equivalent should include a specification of the reference
depth d. For strongly penetrating radiation, the recommended depth is 10 mm. The value of dshould be expressed in millimeters, so the ambient dose equivalent for strongly penetrating11

radiation is H*(10). When measuring H*(10), the radiation field should be uniform over thesensitive volume of the instrument and the instrument should have an isotropic response.
2.44. The directional dose equivalent H'(d,) at a point in a radiation field is the dose
equivalent that would be produced by the corresponding expanded field in the ICRU sphere, at a
depth d on a radius in a specified direction . Any statement of directional dose equivalent
should include a specification of the reference depth d and the direction  of the radiation. For
strongly penetrating radiation and weakly penetrating radiation, the recommended depths are
10 mm and 0.07 mm, respectively. Again, d should be expressed in millimeters.
2.45. If the field is unidirectional, the direction  is specified as the angle between the radius
opposing the incident field and the specified radius. When the specified radius is parallel to theradiation field (i.e. when  = 0°) the quantity H'(d,0) may be written simply as H'(d).
Furthermore, in a unidirectional field, H'(d) = H*(d). When measuring H'(d,), the radiation fieldshould be uniform over the dimensions of the instrument and the instrument should have theappropriate directional response.
2.46. For exposure of the lens of the eye, the recommended depth is 3 mm, but there are atpresent no published conversion coefficients for converting from the basic physical quantity
kerma to the directional dose equivalent H'(3, Ω). However, if the monitoring device is notdesigned to measure H' (3, Ω), H'(0.07, Ω) may be used as a surrogate [49, 8887].
Quantities for individual monitoring in internal dosimetry
2.47. Internal doses cannot be measured directly; they can only be inferred from individual
measurements of other quantities, such as measurements of activity in the body or in excretion
samples. In circumstances where individual monitoring is inappropriate, inadequate or not
feasible the occupational exposure of workers may be assessed on the basis of workplacemonitoring and other relevant information such as location, durations of exposure etc. Individual
measurements include both direct and indirect methods. Measurements of activity content in thebody, such as whole body, thorax or thyroid counting are examples of direct methods. In vitro
measurements of activity in collected biological samples or measurements using personal air
sampling are examples of indirect methods. The conceptual framework for the assessment ofdoses from such measurements is illustrated in Fig. 2.

12

FIG. 2. General scheme for the assessment of internal doses from monitoring measurements [9].
2.48. According to that scheme, the quantity of primary interest for internal dose is the intake I,
i.e. the activity of the radionuclide taken into the body. The value of the intake is obtained by
dividing the measured body content or excretion rate M by the appropriate value of m(t):

I

M
m(t )

(5)

where m(t) is the fraction of an intake that remains in the body (for direct methods) or that isbeing excreted from the body (for indirect methods) at time t after the intake [13]. This fraction
depends on the radionuclide, its chemical and physical form, the route of intake and the time t.
2.49. In the case of an intake of a mixture of radionuclides and/or of repeated intakes, the intake
Ij of radionuclide j will be calculated using the relevant measurement Mj and the derived fraction
m(t)j.
2.50. The doses expected to result from a given intake I are called the committed equivalentdose HT() to tissue or organ T and the committed effective dose E(), where  is the time after
the intake over which the dose is integrated. The committed effective dose E() is normally used
for routine occupational dose evaluation. For occupational exposure of adults,  is taken to be 50
years, irrespective of the age at intake. For occupational exposure of apprentices and students
between the ages of 16 and 18 years,  is the time to the age of 70 years.
2.51. To derive the value of committed equivalent dose to a tissue or organ, the intake ismultiplied by hT(g), the committed equivalent dose per unit intake for ingestion or inhalation, as
appropriate, by the group of age g. For routine occupational exposure evaluation adults group ofage is considered except for apprentices.
13

2.52. To derive the value of the committed effective dose, the intake is multiplied by e(g), thecommitted effective dose per unit intake for ingestion or inhalation, as appropriate, by the groupof age g.
2.53. In the case of an intake of a mixture of radionuclides, the intake of each radionuclide
should be assessed separately and multiplied by the applicable dose coefficient (committed
effective dose per unit intake).
2.54. The committed dose can be seriously underestimated if the dose coefficient hT(g) or e(g)is applied directly to the measured body content rather than to the inferred intake.
2.55. Various biokinetic models for calculating the values of m(t) and e(g) have been developed(see para. 7.141(a)). Values of m(t) at selected times for a subset of radionuclides are reported by
the ICRP in graphical and tabular form [13]. A compilation of dose coefficients e(g) for intakesof radionuclides by workers is presented in ICRP Publication 119 [14] and can also be found in
Table III-2A of the BSS [2]. These dose coefficients are based on the calculation methods andparameters given in ICRP Publication 60 [15]. The currently published values of m(t) and e(g)will be superseded in due course by new values [16] based on updated biokinetic models and on
the calculation methods and parameters given in ICRP Publication 103 [3].
2.56. The ICRP intends to additionally provide dose coefficients per unit body content z(t) [16].
As illustrated in Fig. 2, these coefficients will enable the committed effective dose to be
calculated directly from the results of the monitoring measurement, according to the equation:E( )  M  z (t )(6)without going through the process of calculating the corresponding intake.
2.57. In situations of exposure to a single radionuclide by inhalation or ingestion, with noexternal exposure, the limit on intake IL corresponding to the limit L on effective dose is given
by:

IL 

L
e( g )(7)

where e(g) is the applicable value of the committed effective dose per unit intake. When there isinternal exposure to a range of radionuclides and/or external exposure, the total effective doseshould be calculated by summation of the individual contributions and compared with therelevant limit on effective dose.
2.58. The potential for inhalation of radionuclides may be assessed when necessary bymeasuring activity concentrations in air samples. The derived air concentration (DAC) is definedas that concentration of airborne activity which would result in the intake Iinh,L by a worker
exposed continuously for one year (taken to be 2000 working hours). The DAC is usually
expressed in units of becquerels per cubic metre. For a standard breathing rate of 1.2 m3/h and for
an intake expressed in becquerels, the DAC is thus given by:

14

DAC 

Iinh,L(8)2000  1.2

2.59. The measured airborne activity concentration, expressed as a fraction of the DAC, may be
multiplied by the exposure time in hours to obtain an estimate of intake expressed in units of
DAC hours.
Quantities for monitoring short lived progeny of radon (222Rn)
2.60. The dose to the lung arises almost entirely from the short lived progeny of 222Rn, rather
than from 222Rn itself (see para. 5.45). The short lived progeny are unlikely to be in equilibriumwith the parent radionuclide. Therefore, for purposes of radiation protection, special quantities
are used for expressing the concentration of 222Rn progeny in air and the resulting inhalation
exposure.
Potential alpha energy
2.61. The potential alpha energy, εp, of a single atom of a short-lived 222Rn progeny
radionuclide is the total alpha energy emitted by that atom during complete decay from 222Rn to
210
Pb.
2.62. The potential alpha energy emitted by 1 Bq of a radionuclide, rather than by a single
atom, is given by:
Potential alpha energy per unit activity (J/Bq) pactivity per atom



p




 pt
ln 2

(9)

where λ is the decay constant (in units of reciprocal seconds) and t is the half-life of theradionuclide (in units of seconds). The relevant values for the short lived decay progeny of 222Rn
are given in Table 1 [17].
TABLE 1. POTENTIAL ALPHA ENERGIES OF SHORT-LIVED 222Rn PROGENYRadionuclide

Half-life

Alpha energy
(J)

218

Po

3.098 min

0.962 × 10–12

214

Pb

26.8 min

214

Bi

214

Po

Yield
(%)

Potential alpha energy
Per atom
εp (J)Per unit activity
εp/λ (J/Bq)

100

2.19 × 10–12

0.588 × 10–9

Nil (beta emitter)–

1.23 × 10–12

2.85 × 10–9

19.9 minNil (beta emitter)–

1.23 × 10–12

2.12 × 10–9

164.3 μs

1.23 × 10–12100

1.23 × 10–12

3 × 10–16

Potential alpha energy concentration
2.63. When considering exposure situations involving 222Rn progeny, it is usual to express thetotal potential alpha energy as an energy concentration in air (in units of joules per cubic metre).
15

This is referred to as the ‘potential alpha energy concentration’ (PAEC). For any mixture of short
lived 222Rn progeny in air, the contribution of each radionuclide to the PAEC is its potential alphaenergy per unit activity (εp/λ) given in Table 1 multiplied by its activity concentration, c. The
total PAEC is then the sum of these individual contributions:
PAEC   c j

 p, j

j

(10)

j

2.64. It can be deduced from Table 1 (simply by adding the values in the right hand column)that if all the progeny were to be in equilibrium with the parent 222Rn at a concentration of
1 Bq/m3, the PAEC of the mixture would be 5.56 × 10–9 J/m3.
2.65. In practice, the progeny will rarely, if ever, be in equilibrium, and the PAEC will
therefore be some fraction of the equilibrium value. This fraction is called the equilibrium factor,
F:
F = PAEC/PAEC (equilibrium)

2.66. By way of example, consider a non-equilibrium mixture of 222Rn and its progeny in which
the individual radionuclide activity concentrations are 100 Bq/m3 for 222Rn, 75 Bq/m3 for 218Po,
50 Bq/m3 for 214Pb and 25 Bq/m3 for each of 214Po and 214Bi. From Table 1, the PAEC of the
mixture is:

PAEC   0.588  10 9  75    2.85  10 9  50    2.12  10 9  25    3  10 16  25 

 
 
 

 2.40  10 7

(11)

J m3

2.67. If the mixture had been in equilibrium, all members of the chain would have had an
activity concentration of 100 Bq/m3 and the PAEC, in accordance with para. 2.64, would have
been:

PAEC (equilibri um)  5.56  10 9  100  5.56  10 7

J m3

(12)

The equilibrium factor of the mixture is therefore:F

2.40  10 75.56  10 7

 0.432(13)

Potential alpha energy exposure
2.68. The exposure of an individual to 222Rn progeny (PRnP) is determined by multiplying the
PAEC (in joules per cubic metre) by the exposure period (in hours). The exposure is therefore
expressed in units of joule hours per cubic metre. Since the PAEC will generally vary during theexposure period, the exposure has to be calculated as an integral over time:16

PRnP   PAEC(t )dt

(14)

0

where τ is the period of exposure. The exposure period is usually calculated over the course of
one year. It is common to adopt a default annual exposure period of 2000 h for workplaces. It
should be borne in mind that the adoption of this default value may lead to a conservative
estimate of the annual exposure.
Equilibrium equivalent concentration and equilibrium equivalent exposure
2.69. There is an alternative way of referring to the concentration of 222Rn progeny in air. If the222
Rn gas concentration (in becquerel per cubic metre) is multiplied by the equilibrium factor F,
the resulting quantity is called the ‘equilibrium equivalent concentration’ (EEC) of the 222Rn
parent (expressed also in units of becquerel per cubic metre). The EEC can be regarded as theconcentration of 222Rn in equilibrium with its progeny that would give the same PAEC as theactual non-equilibrium mixture. It can be determined from para. 2.64 that the numerical
relationship between the PAEC and the EEC is as follows:
PAEC (in J m3 )  5.56  109  EEC (in Bq m3 )(15)

In the same way, exposure to 222Rn progeny can be expressed as the equilibrium equivalent
exposure, in units of becquerel hours per cubic metre:Equilibriu m equivalent exposure   EEC( t )dt

(16)

0

The choice between potential alpha energy exposure and equilibrium equivalent exposure is notimportant, since these two quantities are simply related by a constant factor of 5.56 × 10–9 J/Bq.
Radon-222 gas concentration as a surrogate for 222Rn progeny exposure
2.70. In many situations involving exposure to 222Rn progeny, the measurement process can be
simplified considerably by using the time weighted average 222Rn gas concentration in air (inunits of becquerels per cubic metre) as a surrogate for potential alpha energy. For instance,measurements in a large number of buildings over an extended time period are best made using
passive track-etch devices that detect 222Rn. Such devices are small, simple, robust andinexpensive. When adopting this approach, an appropriate value for the equilibrium factor F has
to be assumed. The use of a default value of 0.4 is usually adequate for this purpose. It has beenfound that most values of F in indoor air are within 30% of this value. However, workplaces suchas underground mines or water treatment facilities may show significantly lower F values. The
potential alpha energy exposure is then given by:

Potential alpha energy exposure  J  h  m 3   222Rn concentration  5.56  10 9  0.4  T



(17)

17

where T is the exposure period (h). Using a default annual exposure period of 2000 h forworkplaces, this formula gives a potential alpha energy exposure of 4.45 × 10–6 J·h·m–3 for a
222
Rn concentration of 1 Bq/m3.
Quantities for monitoring short lived progeny of thoron (220Rn)
2.71. Thoron is not normally of concern in workplaces, except where material with a highthorium content is processed or stored, for example the processing of monazite to extract rareearths and thorium. In such instances, a similar approach to that for 222Rn progeny can befollowed. The short lived progeny of thoron are likely to be out of equilibrium with the parent. In
enclosed workplaces, the short half-life of thoron (55.6 s) means that the spatial distribution ofthoron is much different from that of its progeny. The assessment of an equilibrium factor isdifficult and, for dose assessment purposes, an approach based on the measurement of thoron
progeny concentration is easier and more appropriate than an approach based on measurement of
the thoron concentration.
2.72. Of the various thoron progeny radionuclides, only 212Pb and 212Bi make major
contributions, 91% and 9% respectively, to the total potential alpha energy. The potential alphaenergy of 212Pb is 6.91 × 10–8 J/Bq, while that of 212Bi is 6.56 × 10–9 J/Bq. The contribution of theparent, radionuclide, 220Rn, is more than an order of magnitude lower than that of 212Bi. Since212
Pb contributes almost all of the total potential alpha energy, its activity concentration in air canbe used as a surrogate for PAEC, in which case a 212Pb concentration of 1 Bq/m3 corresponds to a
PAEC of 6.91 × 10–8 J/m3.

3.
EXPOSURE OF WORKERS IN
PLANNED EXPOSURE SITUATIONSINTRODUCTION
3.1. Paragraphs 3.1–3.4 of the BSS specify the scope of application of the requirements forplanned exposure situations. The scope is defined in terms of the practices involved and theexposures to sources within practices. With regard to exposure to natural sources, para. 3.4 of the
BSS states that such exposure is normally subject to the requirements for existing exposure
situations (see Section 5). Only in certain cases do the requirements for planned exposure
situations apply (see paras 3.159 and 3.161).
3.2. The BSS require that any person or organization intending to carry out any activity within
the scope of application of the requirements has to submit a notification to the regulatory body ofsuch an intention. Notification alone is sufficient provided that the exposures expected to be
associated with the practice or action are unlikely to exceed a small fraction, as specified by theregulatory body, of the relevant limits, and that the likelihood and magnitude of potential
exposures and any other potential detrimental consequences are negligible.
3.3. Where notification alone is not sufficient, the person or organization concerned should
apply to the regulatory body for authorization, which takes the form of registration or licensing.
Typical practices that are amenable to registration are those for which: (a) safety can largely be18

ensured by the design of the facilities and equipment; (b) the operating procedures are simple tofollow; (c) the safety training requirements are minimal; and (d) there is a history of few
problems with safety in operations. Registration is best suited to those practices for which
operations do not vary significantly.
3.4. One of the primary responsibilities of management with regard to occupational exposure
is set out in Requirement 21 of the BSS:
“Employers, registrants and licensees shall be responsible for the protection of workers
against occupational exposure [and]…shall ensure that protection and safety is optimized and thatthe dose limits for occupational exposure are not exceeded.”
3.5. In terms of para. 3.78 of the BSS, where a worker’s exposure arises only from sourcesthat are not required by or directly related to the work, it is the responsibility of management toprovide that worker with the same level of protection as a member of the public.
3.6. In accordance with the graded approach to regulation (see paras 2.20–2.22), it is the
responsibility of the government or the regulatory body to determine which practices or sources
within practices are to be exempted from some or all of the requirements of the BSS, including
the requirements for notification, registration or licensing (see para. 3.10 of the BSS). Similarly,
the regulatory body has to approve which sources, including materials and objects, that are
already within a notified or authorized practice may be cleared from regulatory control (seepara. 3.12 of the BSS). Exemption or clearance is the appropriate regulatory option if theradiation risks are too low to warrant regulatory control or if the imposition (or retention) of
regulatory control would yield no net benefit (see paras I-1 and I-10 of the BSS).
3.7. In terms of paras I-2 and I-11 of Schedule I of the BSS, the general criterion for
exemption or clearance without further consideration is an effective dose of the order of 10 μSv
or less in a year (or 1 mSv or less in a year in the case of low probability scenarios). However, forbulk material containing radionuclides of natural origin, the 10 μSv criterion is not appropriate
since it is one or two orders of magnitude below the normal variations in exposure to natural
background radiation. For such material, the criterion for exemption is an effective dose of theorder of 1 mSv or less in a year (para. I-4 of the BSS), while the criterion for clearance is anactivity concentration of 1 Bq/g or less for each radionuclide in the uranium and thorium decay
series and 10 Bq/g or less for 40K (or, for certain residues, an effective dose of 1 mSv or less in a
year, see para. I-12 of the BSS).
OPTIMIZATION
General3.8. Paragraphs 3.76 and 3.77 of the BSS state that “Employers, registrants and licensees shallensure, for all workers engaged in activities in which they are or could be subject to occupational
exposure, that…Protection and safety is optimized in accordance with the requirements of [theBSS]” and…shall:(a)Involve workers, through their representatives where appropriate, in optimization ofprotection and safety;
19

(b)

Establish and use, as appropriate, constraints as part of optimization of protection andsafety.”3.9. For control of occupational exposure in planned exposure situations, guidance on meeting
the relevant BSS requirements for optimization of protection and safety is provided in paras
3.10–3.18. Further information of a more practical nature is provided in Ref. [18].
3.10. Optimization of protection and safety needs to be considered at all stages of the life ofequipment and installations, in relation to both exposures from normal operations and potential
exposures. As a consequence, all situations — from design, through operation todecommissioning and waste management — should be considered in the optimization procedure.
3.11. From a practical viewpoint, the optimization principle calls for an approach that:
(a)
(b)

(c)
(d)

Considers all possible actions involving the source(s) and the way workers operate with ornear the source(s);Implies a ‘management by objective’ process with the following sequence: planning, setting
objectives, monitoring, measuring performance, evaluating and analysing performance todefine corrective actions, and setting new objectives;
Can be adapted to take into account any significant change in the state of techniques, theprotection resources available, or the prevailing social context;
Encourages accountability, such that all parties adopt a responsible attitude to the process of
eliminating unnecessary exposures.

3.12. The quantity collective effective dose may be used as an instrument for optimisation, forcomparing radiological technologies and protection procedures. These quantities take account of
the exposure of all individuals in a group over a given time period or during a given operation
executed by this group in designated radiation areas. The collective effective dose is calculated as
the sum of all individual effective doses over the time period or during the operation being
considered and expressed in the unit with the special name ‘man-sievert (manSv)’.
3.13. The process of optimization should take account of:
(a)
(b)
(c)
(d)
(e)
(f)

The resources available for protection and safety;
The distribution of individual and collective exposure among different groups of workers;
The probability and magnitude of potential exposure;
The potential impact of protection actions on the level of other (non-radiological) risks toworkers or members of the public;
Good practices in relevant sectors;
Social and economic aspects.

3.14. Some of the options considered in the optimization of protection of workers may lead toincreased exposure of others or, in the medical field, a reduction in the efficacy of the clinicalprocedure. Such impacts should be taken into account in the optimization process, especiallywhen considering the establishment of administrative controls and the use of personal protective
equipment. In particular, the arrangements for the protection of medical staff should not lead to a
reduction in the protection of the patient or the clinical outcome.

20

3.15. In general, the incremental benefits to be obtained in terms of dose reduction decreaseprogressively as the associated expenditure increases. Even the cost of considering the ways inwhich doses may be reduced can become significant compared with the benefit to be achieved.
At some stage, for low doses, the effort may not be worthwhile. In this context, it is noted thatpara. 3.10 of the BSS provides for the exemption of practices from regulatory control when an
assessment shows that exemption is the optimum protection option. This provision is simply
recognition of the more general concept of diminishing returns.
3.16. The optimization of protection and safety should be considered at the design stage ofequipment and installations, when some degree of flexibility is still available. The use ofengineered controls should be examined carefully at this stage in defining the protection options.
In image guided interventional procedures, for example, where there is a potential for workers toreceive a significant dose to the lens of the eye, attention should be paid to the installation of
fixed shielding and to the selection of equipment. Even if protection has been optimized at thedesign stage, however, there is still a need to implement the optimization principle during theoperational phase. At this stage, the content and the scale of the optimization process will dependon the exposure situation. For example, when dealing with X ray machines, the optimization
process can be quite straightforward, involving local rules and appropriate training of theoperators. In the nuclear industry, situations are more complicated, and a structured approach isneeded as part of a detailed RPP, including the use of decision aiding techniques (see paras 3.24–3.27), the establishment of dose constraints (see paras 3.28–3.33) and the establishment ofinvestigation levels (see paras 3.122–3.128).
3.17. Optimization of protection and safety in operation is a process that begins at the planningstage and continues through the stages of scheduling, preparation, implementation and feedback.
This process of optimization through work management is applied in order to keep exposurelevels under review and to ensure that they are as low as reasonably achievable. The elaborationof an RPP, adapted to the specific exposure situations, is an essential element of work
management.
3.18. Management should record information on the way in which optimization of protection
and safety is being implemented and disseminates the information where appropriate. This
information could include the following:
(a)
(b)
(c)
(d)

The rationale for proposed operating, maintenance and administrative procedures, together
with other options that have been considered and the reason for their rejection;
Periodic review and trend analysis for occupational doses to individuals in various workgroups, and other performance indicators;
Internal audits and peer reviews, and the resulting corrective actions;
Incident reports and lessons learned.

Commitment to optimization of protection
3.19. The primary responsibility for optimization lies with management. Commitment to aneffective protection and safety policy is essential at all levels of management, but particularly at
the senior level. The commitment of management should be demonstrated by written policy
statements that make radiation protection criteria an integral part of the decision process, and by21

provision of adequate resources, and clear and demonstrable support for those persons with direct
responsibility for radiation protection in the workplace.
3.20. Senior management should translate its commitment to optimization of protection andsafety into effective action by incorporating optimization into an appropriate RPP, commensuratewith the level and the nature of the radiological risk presented by the practice. The content ofsuch a programme is set out in para. 3.60.
3.21. It is essential that workers also have a commitment to protection and safety. The
employer should ensure that mechanisms are in place by which workers can be involved, as muchas possible, in the development of methods to keep doses as low as reasonably achievable, andhave the opportunity to provide feedback on the effectiveness of radiation protection measures.
3.22. Optimization of protection and safety is a regulatory requirement. The regulatory bodyshould be committed to optimization of protection and safety and should encourage its
application. Where necessary, the regulatory body should undertake all relevant actions toenforce regulatory requirements on management to apply this principle.
3.23. Management should ensure that training programmes, with content and durationcommensurate with and adapted to the functions and responsibilities of the staff concerned, areprovided for staff at all levels, including senior management. The staff of regulatory authorities
should have the training necessary to ensure that optimization of protection and safety isappropriately applied and enforced.
Use of decision aiding techniques
3.24. The process of optimization of protection and safety measures using decision aiding
techniques may range from intuitive qualitative analyses to quantitative analyses, but has to be
sufficient to take all relevant factors into account in a coherent way so as to contribute toachieving the following objectives:
(a)

(b)

To determine optimized protection and safety measures for the prevailing circumstances,with account taken of the available protection and safety options as well as the nature,
magnitude and likelihood of exposures;
To establish criteria, on the basis of the results of the optimization process, for the
restriction of the magnitudes of exposures and of their probabilities by means of measuresfor preventing accidents and mitigating their consequences.

3.25. In most situations, a qualitative approach based on professional judgement will be
sufficient for deciding upon the most favourable level of protection that can be achieved. In more
complex situations, particularly those having implications for significant expenditure (forexample, at the design stage of installations), the use of a more structured approach may beappropriate. Some of those situations may be quantifiable using cost–benefit analysis or otherquantitative techniques. In other cases, however, it may not be possible to quantify all of thefactors involved, or to express them in commensurate units. It may also be difficult to make thebalance between collective and individual doses, and between worker and public doses, and to
take account of broader social factors. For these situations, the use of qualitative decision aiding
techniques such as multicriteria analysis may be useful in making the decision.
22

3.26. A structured approach to the selection of appropriate protection and safety measures
should include the following steps, with account being taken of exposures from normal
operations and of potential exposures:
(a)
(b)

(c)
(d)
(e)

Identify all practicable protection options that might potentially reduce the occupational
exposure;
Identify all relevant economic, social, radiological and, where appropriate, non-radiologicalfactors (sometimes non-radiological factors as well) for the particular situation underreview that distinguish between the identified options, e.g. collective dose, distribution ofindividual dose, impact on public exposure, impact on future generations, investment costs;
Quantify, where possible, the relevant factors for each protection option;
Compare all options and select the optimum option(s);When appropriate, perform a sensitivity analysis, i.e. evaluate the robustness of thesolutions obtained, by testing different values for the key parameters for which recognizeduncertainties exist.

3.27. Whatever the situation, decision makers should keep in mind that decision aiding
techniques do not necessarily provide the definitive answer, nor do they provide the only possible
solution. These techniques must be seen as tools to help structure problems in order to compare
the relative effectiveness of various possible protection options, to facilitate the integration of all
relevant factors and to improve the coherence of decisions taken.
Dose constraints
3.28. Dose constraints are used for optimization of protection and safety, the intended outcomeof which is that all exposures are controlled to levels that are as low as reasonably achievable,
economic, social and environmental factors being taken into account. Dose constraints areapplied to occupational exposure and to public exposure in planned exposure situations. For
occupational exposures, a dose constraint is a source related value of individual dose used to limit
the range of options considered in the process of optimization and will always be a fraction of thedose limit. Dose constraints are set separately for each source under control and serve asboundary conditions in defining the range of options for the purposes of optimization. Dose
constraints are not dose limits; exceeding a dose constraint does not represent non-compliancewith regulatory requirements, but it could result in follow-up actions.
3.29. While the objectives of the use of dose constraints for controlling occupational exposure
and public exposure are similar, the dose constraints are applied in different ways. For
occupational exposure, the dose constraint is a tool to be established and used in the optimizationof protection and safety by the person or organization responsible for a facility or activity. After
exposures have occurred, the dose constraint may be used as a benchmark for assessing thesuitability of the optimized strategy for protection and safety that has been implemented and formaking adjustments as necessary. The setting of the dose constraint needs to be considered inconjunction with other health and safety provisions and the technology available.
3.30. The objective of a dose constraint is to place a ceiling on values of individual dose —from a source, a set of sources in an installation, a practice, a task or a group of operations in a
specific type of industry — that could be considered acceptable in the process of optimization ofprotection for those sources, practices or tasks. Depending on the situation, the constraint can be23

expressed as a single dose or as a dose over a given time period. The setting of any dose
constraints should be such that dose limits for occupational exposure are complied with when
workers incur exposures from multiple sources or tasks.
3.31. To apply the optimization principle, individual doses should be assessed at the design andplanning stage, and it is these predicted individual doses for the various options that should becompared with the appropriate dose constraint. Options predicted to give doses below the dose
constraint should be considered further; those predicted to give doses above the dose constraint
would normally be rejected. Dose constraints should not be used retrospectively to checkcompliance with the requirements for protection and safety.
3.32. Dose constraints should be used prospectively in optimizing radiation protection invarious situations encountered in planning and executing tasks, and in designing facilities or
equipment. They should therefore be set on a case by case basis according to the specificcharacteristics of the exposure situation. Since dose constraints are source related, the source towhich they relate should be specified. Dose constraints should be set in consultation with those
involved in the exposure situation. Regulatory authorities may use them in a generic way — for
categories of similar sources, practices or tasks — or specifically, in authorizing individual
sources, practices or tasks. The establishment of constraints may be the result of interaction
between the regulatory body, the affected operators and, where appropriate, workers’
representatives. As a general rule, it would be more appropriate for the regulatory body toencourage the development of constraints for occupational exposure within particular industries
and organizational groupings, subject to regulatory oversight, than to stipulate specific values of
constraints.
3.33. The process of deriving a dose constraint for any specific situation should include a
review of operating experience and feedback from similar situations if possible, andconsiderations of economic, social and technical factors. For occupational exposure, experience
with well managed operations is of particular importance in setting constraints. National surveys
or international databases, capturing a large amount of experience with exposures related to
specific operations, can be useful for such purposes.
DOSE LIMITATION
3.34. Paragraph 3.76 of the BSS states:“Employers, registrants and licensees shall ensure, for all workers engaged in activities inwhich they are or could be subject to occupational exposure, that...Occupational exposure iscontrolled so that the relevant dose limits for occupational exposure…are not exceeded.”
3.35. In terms of Schedule III of the BSS, the dose limits for occupational exposure of workers
over the age of 18 years, are:
(a)
(b)
(c)
24

An effective dose of 20 mSv per year averaged over five consecutive years (100 mSv in
5 years) and 50 mSv in any single year;
An equivalent dose to the lens of the eye of 20 mSv per year averaged over 5 consecutive
years (100 mSv in 5 years) and 50 mSv in any single year;
An equivalent dose to the extremities (hands and feet) or the skin of 500 mSv in a year.

3.36. The start of the averaging period referred to in para. 3.35 should be coincident with thefirst day of the relevant annual period as defined by the relevant national authority, with noretrospective averaging. The relevant authority should clearly define the convention to befollowed in determining the periods to be used for dose limitation. Calendar or national fiscal
years are simple examples that may be used for the single year periods. ‘Rolling/sliding’ fiveyear periods, in which the current single year (calendar, fiscal, etc.) is considered the final year in
the five year period, may be selected for averaging purposes. Alternative conventions may be
adopted to accord with national regulatory preferences.
3.37. The limits on equivalent dose to the skin apply to the average dose over 1 cm2 of the mosthighly irradiated area of the skin. The dose to the skin also contributes to the effective dose, thiscontribution being the average dose to the entire skin multiplied by the tissue weighting factor forthe skin.
3.38. Additional restrictions apply to occupational exposure for a female worker who has
notified pregnancy or is breast-feeding (see paras 3.46 and 6.2–6.20).
3.39. In terms of Schedule III of the BSS, for occupational exposure of apprentices between theages of 16 and 18 years who are being trained for employment involving radiation, and for
exposure of students between the ages of 16 and 18 years who use sources in the course of theirstudies, the dose limits are:
(a)
(b)
(c)

An effective dose of 6 mSv in a year;
An equivalent dose to the lens of the eye of 20 mSv in a year;
An equivalent dose to the extremities (hands and feet) or the skin of 150 mSv in a year.

For occupational exposure, the employer of the apprentice is responsible for the protection andsafety of the apprentice.
3.40. Guidance on the application of dose limits to itinerant workers is given in paras 6.21–
6.98.
3.41. Cases where the flexibility provided by the averaging of doses over five years might beneeded include planned maintenance operations in nuclear plants and routine work in someuranium mining operations. However, in most situations, provided the principle of optimizationof protection has been appropriately applied, it will be unusual for workers to receive an annual
effective dose exceeding 20 mSv. Where the flexibility provided by averaging is not needed, theregulatory body may prefer to continue to operate with an annual limit; the dose limit would thenbe 20 mSv in any single year.
3.42. The general approach to the application of the dose limits where full flexibility is used
(i.e. averaging of doses over five years) can be summarized as follows:(a)

In general, the exposure of an individual worker should be controlled such that the effective
dose does not exceed 20 mSv in a year. This includes external as well as internal dose
received by the worker during the period;

25

(b)

Where the exposure of an individual worker results in an effective dose exceeding 20 mSv
in a year but within the dose limit of 50 mSv, management should do the following, as
appropriate:(i)

Carry out a review of exposure to determine whether exposures were as low asreasonably achievable, and where appropriate take the necessary corrective action;(ii) Consider ways to restrict further exposures of the individual worker to ensure that theeffective dose over the chosen five year averaging period is less than 100 mSv;(iii) Notify the regulatory body of the magnitude of the dose and the circumstances leading
to the exposure.
3.43. In terms of para. 3.48 of the BSS, registrants and licensees have to report to the regulatory
body promptly any event in which a dose limit is exceeded. Management should therefore have asuitable reporting system in place. Such a system should also provide for the notification of thoseworker(s) involved in an event in which the dose limit for occupational exposure is exceeded.
3.44. Situations (incident or accident) in which a worker is exposed such that the single year
dose limit of 50 mSv is exceeded should be considered exceptional. In such exceptionalsituations, it would be appropriate for the worker to continue working with radiation provided
that:
(a)
(b)

The regulatory body, having due regard for the health of the worker, considers there is no
reason to prevent continuing work with radiation;
The employer and the regulatory body, in consultation with the worker (through his or her
representatives where appropriate), and the occupational physician where appropriate, agree
on a temporary dose restriction and the period to which it applies.

3.45. A restriction based pro rata on the remaining period of time to which the dose limit relates
might be appropriate, and further restrictions might need to be applied in order to keep within thedose limit of 100 mSv in five years.
3.46. In general, the dose limits for occupational exposure apply equally to male and female
workers. However, because of the possibility of a greater sensitivity of the embryo, foetus orbreast-fed infant to radiation, additional controls may have to be considered for pregnant andbreast-feeding workers. Special requirements for the radiation protection of female workers
during and after pregnancy are addressed in paras 6.2–6.20.
3.47. The regulatory body should ensure that systems are in place to prevent workers who havereceived a dose close to a relevant dose limit being deprived of their right to work. Situations
may arise in which a worker has unintentionally received a dose that is close to the relevant dose
limit, such that further planned exposures may result in that limit being exceeded. This situation
should be treated in a similar manner to that where a worker exceeds a dose limit (see paras 3.44
and 3.45).
3.48. Management should plan work programmes so as to ensure, to the extent possible, thatworkers do not receive a dose corresponding to a significant proportion of the relevant dose limit
in a short period of time, such that subsequent exposures might result in the annual dose limit
being exceeded.
26

RADIATION PROTECTION PROGRAMME
Objectives
3.49. The general objective of the RPP is to implement the application of the management
responsibility for protection and safety through the adoption of management structures, policies,
procedures and organizational arrangements that are commensurate with the nature and extent of
the risks. The RPP therefore should cover all the main elements contributing to protection andsafety. The RPP may relate to all phases of a practice, or to the lifetime of a facility, i.e. fromdesign through process control to decommissioning.
3.50. Radiation protection is only one element in ensuring the overall health and safety ofworkers. The RPP should be established and managed in close cooperation with those responsible
for other areas of health and safety such as industrial hygiene, industrial safety and fire safety.
3.51. Paragraph 3.93 of the BSS states:“Employers, registrants and licensees shall minimize the need to rely on administrative
controls and personal protective equipment for protection and safety by providing wellengineered controls and satisfactory working conditions, in accordance with the following
hierarchy of preventive measures:
(1)
(2)
(3)

Engineered controls;
Administrative controls;
Personal protective equipment.”

3.52. Although the RPP may include protection of both workers and the public, this guidance
document focuses only on those aspects dealing with the protection of workers. In most practices,
doses received by workers are well below the relevant limits in the BSS, and only a small fractionof the workforce will be potentially affected by the dose limitation principle. Implementation of
the optimization principle should be the principal driving force behind the establishment andimplementation of RPPs, including in many cases measures to prevent or reduce potential
exposures and to mitigate the consequences of accidents.
Prior radiological evaluation and safety assessment
3.53. The characteristics of exposure situations may vary considerably depending on the type of
facility concerned (ranging from ‘simple’ ones, such as baggage inspection equipment in airports,
to much more complex ones, such as nuclear reprocessing plants), and on the stage of activity(e.g. construction, operation, maintenance, decommissioning). It is important to ensure that the
RPP is well adapted to the situation using a graded approach (see paras 2.20–2.22). Therefore, thefirst step towards the definition of an RPP is to perform a prior radiological evaluation of the
facility or activity.
3.54. The prior radiological evaluation should describe, as precisely as necessary, the situation
involving occupational exposures. In accordance with a graded approach, the level of effort,
formality and detail of the evaluation, and the scrutiny to which it is subjected, has to be linked to27the magnitude of the exposures (both exposures in normal operation and potential exposures) andto the probabilities of the potential exposures.
3.55. The prior radiological evaluation should identify, for all aspects of operations:
(a)
(b)
(c)

(d)
(e)
(f)

The sources of routine exposures and reasonably foreseeable potential exposures, such as
surface contamination, airborne contamination and external radiation sources;
The nature and magnitude of exposures in normal operations;
The nature and magnitude of potential exposures and the likelihood of their occurrence; thisshould include the ways in which structures, systems, components and procedures related toradiation protection or safety might fail, singly or in combination, or otherwise lead topotential exposures, and the consequences of such failures;
The protection and safety measures needed to implement the optimization process.
Appropriate monitoring systems
An assessment of potential public exposures from radioactive effluents from the facility

3.56. The assessment of exposures in the prior radiological evaluation may be done by one ormore of the following methods:
(a)

(b)

(c)

(d)

Workplace monitoring: This method can give a good assessment of the doses that workers
will receive, provided that the radiological conditions in the workplace are reasonably
predictable over a long period (at least for several months). Workplace monitoring should
be repeated at appropriate intervals, and certainly when the working conditions change
significantly.
Use of literature data and information from comparable facilities: Some dose values are
given in the literature for various workplace situations. These can, in principle, be used tojudge whether monitoring is needed.
Use of simulations: Numerical simulations can be very powerful and can bring instantinformation on the parameters that influence doses that would be received in given
exposure situations. The results of simulations should be verified by measurement.
Use of confirmatory measurements: Performing confirmatory measurements with personal
dosimeters can help to determine whether individual monitoring is needed.

3.57. The prior radiological evaluation will help to determine what can be achieved at thedesign stage to establish satisfactory working conditions through the use of engineered features.
Examples would be the provision of shielding, containment, ventilation or interlocks. These
considerations should aim to minimize the need for relying on administrative controls andpersonal protective equipment for protection and safety during normal operations (see para. 3.51).
Subsequent consideration may then be given to additional operational procedures and restrictions
that might be implemented to further control workers’ exposure. Only if these measures are notsufficient to adequately restrict the doses received by workers will the prior evaluation need to go
on to consider the use of special tools, personal protective equipment and specific task related
training.
3.58. With respect to the safety assessment process, Requirement 13 of the BSS states:

28

“The regulatory body shall establish and enforce requirements for safety assessment, andthe person or organization responsible for a facility or activity that gives rise to radiation risks
shall conduct an appropriate safety assessment of this facility or activity.”
3.59. In terms of para. 3.31 of the BSS, safety assessments are to be conducted at different
stages, including the stages of siting, design, manufacture, construction, assembly,
commissioning, operation, maintenance and decommissioning (or closure) of facilities or parts
thereof, as appropriate. More specific requirements on safety assessment for facilities andactivities are established in Ref. [19] and various IAEA safety guides on safety assessment areunder development.
Scope of the radiation protection programme
3.60. The RPP should document, with an appropriate level of detail:(a)

The assignment of responsibilities for protection and safety of workers to different
management levels, including corresponding organizational arrangements and, if applicable(for example, in the case of itinerant workers), the allocation of the respective
responsibilities between employers and the registrant or licensee;(b) The designation and functions of qualified experts, as appropriate (see paras 3.65–3.71);(c) The integration of occupational radiation protection with other areas of health and safety
such as industrial hygiene, industrial safety and fire safety;(d) The system for the accountability for radiation generators and radioactive sources (see paras
3.72–3.74);(e) The designation of controlled or supervised areas (see paras 3.75–3.86);(f) The local rules for workers to follow and the supervision of work (see paras 3.87–3.92);(g) The provision of personal protective equipment, if applicable (see paras 3.93 and 9.53–
9.64);(h) The arrangements for monitoring workers and the workplace, including the acquisition andmaintenance of suitable instruments (see paras 3.97–3.128and Section 7);(i) The system for recording and reporting all the relevant information related to the control of
exposures, the decisions regarding measures for occupational radiation protection andsafety, and the monitoring of individuals (see paras 3.132–3.140and Section 7);(j) The education and training programme on the nature of the hazards and on measures forprotection and safety (see paras 3.141–3.151);(k) The methods for periodically reviewing and auditing the performance of the RPP (seeparas 3.157–3.158);(l) The emergency plan, where the need for such a plan is indicated by the safety assessment(see paras 4.5–4.6);(m) The workers’ health surveillance programme (see Section 10);(n) The requirements for the assurance of quality and process improvement.
3.61. Para. 3.13 of the BSS states:“Registrants and licensees shall bear the responsibility for setting up and implementing thetechnical and organizational measures that are necessary for protection and safety for thepractices and sources for which they are authorized. Registrants and licensees may designate
suitably qualified persons to carry out tasks relating to these responsibilities, but they shall retain
29the prime responsibility for protection and safety. Registrants and licensees shall document thenames and responsibilities of persons designated to ensure compliance with the requirements of[the BSS].”
3.62. The responsibility for the implementation of the RPP within an organization should beallocated by management to staff as appropriate. The responsibilities of each hierarchical level,from the top management to workers involved in specific tasks, regarding each aspect of the RPPshould be clearly delineated and documented in written policy statements to ensure that all areaware of them.
3.63. The organizational structures should reflect the assignment of responsibilities and thecommitment of the organization to protection and safety. The management structure should
facilitate cooperation between the various individuals involved. The RPP should be designed insuch a way that the relevant information is provided to the individuals in charge of the various
aspects of the work.
3.64. In order to coordinate decision making concerning the choice of measures for protection
and safety, it may be appropriate, depending on the size and complexity of the facility, to create a
specific advisory committee with representatives of those departments concerned withoccupational exposure. The main role of this committee would be to advise senior managementon the RPP. Its members should therefore include management staff from the relevant
departments and workers with field experience. The functions of the committee should be todelineate the main objectives of the RPP in general, and operational radiation protection inparticular, to validate the protection goals, to make proposals regarding the choice of measuresfor protection and safety and to give recommendations to management regarding the resources,
methods and tools to be assigned to the fulfilment of the RPP.
Qualified experts
3.65. The RPP should specify the need for and designate qualified experts in the relevant fields,such as:
(a)
(b)
(c)
(d)
(e)
(f)

Radiation protection;
Internal and external dosimetry;
Workplace monitoring;
Ventilation (in underground mines, for instance);
Occupational health;Radioactive waste management.

3.66. Management should ensure that the relevant services of qualified experts are provided andthat the persons providing such services relating to radiation protection work in close cooperationand maintain close working contacts with persons responsible for the control of non-radiologicalhazards. A radiation protection officer (RPO) should be appointed, when required by theregulatory body, to oversee the application of the relevant regulatory requirements andcompliance.
3.67. The functions of the qualified experts in each field are interrelated in many ways and may
be combined for the operation of some facilities. For instance, in a small underground mine, it
30might be appropriate to combine the functions of the RPO and the ventilation officer. Where theresponsibilities are divided between two or more qualified experts, they should maintain a close
liaison.
3.68. The qualified experts should report directly to the senior representative of the employer at
the facility, who has overall responsibility for safety.
3.69. The qualified experts should be provided with adequate equipment, resources and staff to
fulfil their functions.
3.70. The effectiveness of the control measures implemented by the qualified experts should beassessed periodically.
3.71. Management should consult the appointed qualified experts as appropriate on aspects of
the RPP, including the designation of controlled and supervised areas, the preparation of local
rules, the provision of personal protective equipment and the arrangements for monitoring of theworkplace and workers, and on any subsequent changes having a significant impact on protection
and safety.
Accountability for radiation generators and radioactive sources
3.72. The basic requirement is set out in Requirement 17 of the BSS, which states:“Registrants and licensees shall ensure the safety of radiation generators and radioactive
sources.”
3.73. More detailed requirements on ensuring the safety of radiation generators and radioactive
sources are given in paras 3.49 to 3.60 of the BSS. Guidance on the safety of radiation generatorsand sealed radioactive sources is given in Ref. [20].
3.74. The accountability system for radiation generators and radioactive sources should include
an inventory that contains records of the location and description of each radiation generator orradioactive source and the activity and physical/chemical form of each radioactive source. This
inventory has to be updated and verified periodically. In addition, consideration needs to be given
to keeping records on any special instructions for each radioactive source held and details of thedisposal of any such source.
Classification of areas
3.75. Management should consider classifying working areas whenever there is occupational
exposure to radiation. These areas should be clearly defined in the RPP, and their classification
should result from the prior radiological evaluation referred to in paras 3.53–3.56. Two types ofarea may be defined: controlled areas and supervised areas.
Controlled areas
3.76. Detailed requirements for controlled areas are set out in paras 3.88–3.90 of the BSS,
which state:

31

“Registrants and licensees shall designate as a controlled area any area ... in which specificmeasures for protection and safety are or could be required for:(a)(b)

Controlling exposures or preventing the spread of contamination in normal operation;
Preventing or limiting the likelihood and magnitude of exposures in anticipated operational
occurrences and accident conditions.

“In defining the boundaries of any controlled area, registrants and licensees shall takeaccount of the magnitudes of the exposures expected in normal operation, the likelihood andmagnitude of exposures in anticipated operational occurrences and in accident conditions, and thetype and extent of the procedures required for protection and safety.
“Registrants and licensees:
(a)
(b)

(c)

(d)

(e)

(f)

Shall delineate controlled areas by physical means or, where this is not reasonably
practicable, by some other suitable means;
Shall, where a source is only intermittently brought into operation or energized, or is
moved from place to place, delineate an appropriate controlled area by means that areappropriate under the prevailing circumstances and shall specify exposure times;
Shall display the symbol recommended by the International Organization forStandardization ... and shall display instructions at access points to and at appropriate
locations within controlled areas;
Shall establish measures for protection and safety, including, as appropriate, physicalmeasures to control the spread of contamination and local rules and procedures forcontrolled areas;
Shall restrict access to controlled areas by means of administrative controls such as the useof work permits, and by physical barriers, which could include locks or interlocks, thedegree of restriction being commensurate with the likelihood and magnitude of exposures;
Shall provide, as appropriate, at entrances to controlled areas:(i) Personal protective equipment;(ii) Equipment for individual monitoring and workplace monitoring;(iii) Change room facility and suitable storage for personal and workplace clothing;(g)

Shall provide, as appropriate, at exits from controlled areas:(i) Equipment for monitoring for contamination of skin and clothing;(ii) Equipment for monitoring for contamination of any objects or material being removed
from the area;(iii) Washing or showering facilities and other personal decontamination facilities;(iv) Suitable storage for contaminated personal protective equipment;

(h)
(i)

Shall periodically review conditions to assess whether there is any need to modify themeasures for protection and safety or the boundaries of controlled areas;
Shall provide appropriate information, instruction and training for persons working incontrolled areas.”

3.77. An area should be designated as a controlled area when management considers that there
is a need to adopt procedural controls to ensure an optimized level of protection and compliance32

with the relevant dose limits. The designations are best based on operational experience andjudgement. In areas where there is no problem of contamination by unsealed radioactive
materials, designated areas may sometimes be defined in terms of the dose rate at the boundary.
Values of dose rate based on a fraction of the relevant dose limit have often been used in the past
for defining the boundaries of controlled areas. Such an approach may still be appropriate, but itshould not be used without careful radiological evaluation. For instance, account should be takenof the length of time for which the dose rate remains at or above the defined level and the risk
from potential exposures.
3.78. Work with unsealed radioactive sources can result in contamination of the air andsurfaces, and this in turn can lead to intakes of radioactive material by the workers. Suchcontamination will generally be of an intermittent nature, and it will not normally be possible tocontrol intakes by placing reliance solely on design features, particularly in the event of anincident or accident. Operational procedures will therefore be necessary to prevent or reduce thepossibility of intake, and controlled areas will, in general, need to be established.
3.79. Controlled areas may not need to be set up where only small quantities of unsealed
radioactive material are used, e.g. for tracer studies in a research laboratory. They may also be
unnecessary when only materials with low activity concentrations are handled, such as materials
in various industrial activities involving NORM.
3.80. The caution signs at the entrances to controlled areas should be used to indicate toemployees, especially maintenance staff, that special procedures apply in the area and thatradiation sources are likely to be present.
3.81. In setting up controlled areas, management may find it useful to make use of existing
physical boundaries, such as the walls of rooms or buildings. This may mean that the areas will
be larger than would be strictly necessary on the basis of radiation protection considerations
alone. For instance, for practical purposes, in some underground uranium mines, it may beappropriate to designate as a controlled area the entire underground area, and similarly in somediagnostic medical facilities the entire examination room.
3.82. In specifying access controls for controlled areas, practical considerations and the needfor access controls for other (non-radiological) reasons should be taken into account. In many
workplaces, especially those in purpose designed buildings involving relatively few workers,
comprehensive controls such as physical barriers involving locks and interlocks may be practicalto install and operate and may be required already for security reasons. In other workplaces, suchas underground mines employing thousands of workers, access controls such as cards, tags andsupervision may be the more practical and appropriate alternative.
Supervised areas
3.83. Requirements for supervised areas are set out in paras 3.91 and 3.92 of the BSS, whichstate:“Registrants and licensees shall designate as a supervised area any area not alreadydesignated as a controlled area but for which occupational exposure conditions need to be kept
under review, even though specific measures for protection and safety are not normally needed.
33

“Registrants and licensees, taking into account the nature, likelihood and magnitude of
exposures or contamination in the supervised areas:
(a)
(b)
(c)

Shall delineate the supervised areas by appropriate means;
Shall display approved signs, as appropriate, at access points to supervised areas;
Shall periodically review conditions to assess whether there is any need for further
measures for protection and safety or any need for changes to the boundaries of supervised
areas.”

3.84. The essential purpose of a supervised area is to identify those parts of the workplace thatshould be subject to regular review of the radiological conditions to determine whether the statusof the area should be changed — as a result, for example, of circumstances that were not foreseenin the prior radiological evaluation — or whether there has been some breakdown of control,
either in the design features or in the procedures that operate in any adjacent controlled area.
Normally, the review of the radiological conditions would comprise a programme of regularmonitoring of the area and, in some cases, of the individuals who work within it. It should not
automatically be necessary to set up a supervised area around every controlled area, as therequirements that apply within a designated controlled area may well be sufficient.
3.85. As with controlled areas, the definitions of supervised areas are best based on operational
experience and judgement, but again, use may be made of a dose rate to define the boundary. A
reasonable objective would be to ensure those workers exposed outside designated areas should
receive the same level of protection as if they were members of the public. This would imply theuse of a dose rate based on an effective dose of 1 mSv in a year as one possible means of defining
the outer boundary of a supervised area. The conditions in supervised areas should be such that
employees are able to enter the area with minimum number of protection formalities.
Furthermore, it may be appropriate to make use of existing physical boundaries when defining
supervised areas (see para. 3.81).
3.86. Although it may be appropriate in many cases for the boundaries of supervised areas to bemarked with caution signs, this may not always be necessary or productive. For example, it may
be necessary to designate supervised areas in parts of hospitals to which members of the public
may have access; signs at the entrances to such areas may cause unnecessary concern.
Local rules, supervision
3.87. In terms of para. 3.94 of the BSS, management is required to establish local rules andprocedures for protection and safety of workers, which include any relevant investigation level
and the procedures to be followed should such a level be exceeded. Management should ensurethat work involving occupational exposure is adequately supervised and that the rules, procedures
and measures for protection and safety are made known to those workers to whom they apply.
Management should also take all reasonable steps to ensure that the rules, procedures andmeasures for protection and safety are observed.
3.88. The local rules and procedures should correspond to the design and objectives of the
facility concerned and should be designed to aid the optimization of protection and safety.

34

3.89. The local rules and procedures should describe the organizational structures and theprocedures to be followed in controlled areas and may include some or all of the provisions forvarious components of the RPP, such as:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
(k)
(l)
(m)

Monitoring of exposures and contamination;
Engineered controls such as ventilation systems;
Use of personal protective equipment;
Personal hygiene;
Workers’ health surveillance;
Management of radioactive waste;
Environmental monitoring;
The management system;
Training;
Development of a safety culture;
Keeping of records;
Reporting;Emergency preparedness and response, where appropriate.

3.90. The local rules and procedures should be prominently displayed or be readily available in
the workplace.
3.91. Workers should be given adequate training to enable them to comply with the local rules
and procedures.
3.92. Management should assign responsibility for the supervision of tasks. This supervision
should be exercised to ensure that all the required protection and safety measures have been
followed during work. In remote workplaces, such a responsibility should be assigned to thedirect supervisor at the site of the work.
Personal protective equipment
3.93. When engineered and administrative controls are not sufficient to provide an optimized
level of protection for the tasks to be performed, management is required in terms of para. 3.95 of
the BSS to provide suitable and adequate personal protective equipment that has been properly
maintained and tested. When exposure reduction measures using protective equipment are being
considered, account should be taken of any possible increased exposure due to delays or
inconveniences caused by the use of the equipment. The workers should be trained in the use ofsuch protective equipment prior to start of the work. Further details on the use of personal
protective equipment are given in paras 9.53–9.64.
Work planning and work permits
3.94. When work is to be conducted during which significant radiation or contamination levels
may be encountered, or when the work is complex (involving several groups of workers andnumerous activities), advance work planning is one of the most important means of achieving
optimization of protection and safety. The RPO should take part in the planning of the work, andshould advise on the conditions under which work can be undertaken in controlled areas. The
situations which warrant the use of detailed work plans and work permits are generally
35

encountered in the nuclear industry, but may also be found in non-nuclear industries (e.g. in themaintenance or dismantling of accelerators). Additional guidance on the use of work planning for
optimization has been published by OECD/NEA [21].
3.95. Written procedures should be used as part of the work planning process as appropriate
and depending upon the facility or activity. Elements to be considered include:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)

Information from similar work completed previously;
Time for starting the work, its estimated duration, and the human resources involved;
Maps of estimated dose rates;
Operation state of the plant (e.g. for a nuclear power plant, cold or hot shutdown, operation
at full or decreased power);
Other activities in the same area which may interfere with the work;
Preparation and assistance in operations (isolation of the process, scaffolding, insulation
work, etc.);
Protective clothing and tools to be used;
Communication necessary to ensure supervisory control and coordination;
Handling of any radioactive waste arising from the work;
Co-ordination with protective measures for conventional safety.

3.96. For each task that needs special radiological precautions to be taken, a radiation work
permit (RWP) should normally be prepared. The RWP is issued by the persons in charge of theplanning of the operations, in collaboration with the RPO. A copy of the RWP should be
provided to the supervisor of the work and should remain with the working team during theperformance of the work. In addition to a description of the work to be performed, the RWP may
include:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)

A detailed dose rate map of the working area and possible hot spots, produced from asurvey made prior to the work or otherwise estimated;
An estimate of contamination levels and how they may change during the course of thework;
Specification of any additional radiation monitoring to be carried out before or during thework;
An estimate of individual and collective exposure for each work step;
Specification of any additional dosimeters to be used by the workers;
Specification of protective equipment to be used in different phases of the work;
Details of any time or dose restrictions;
Instructions on when to contact the RPO.

Monitoring and exposure assessment
Objectives of monitoring
3.97. The general term ‘monitoring’ refers to a process that includes the making of
measurements related to the assessment or control of exposure to radiation and radioactive
materials. Although measurements play a major part in any monitoring programme, monitoring ismore than simply measurement; it requires interpretation and assessment. The primary
justification for making a measurement should therefore be expressed in terms of the way in36which it helps to achieve and demonstrate adequate protection and safety, including
implementation of the optimization process.
3.98. A programme of monitoring may serve various purposes, depending on the nature andextent of the practice. These purposes may include:
(a)
(b)
(c)
(d)

(e)
(f)

To assess the exposure of workers and demonstrate compliance with regulatory
requirements;
To confirm the effectiveness of working practices (e.g. the adequacy of supervision andtraining) and engineering standards;
To determine the radiological conditions in the workplace, whether these are underadequate control and whether operational changes have improved or worsened the situation;
To evaluate and improve operating procedures from a review of the collected monitoringdata for individuals and groups — such data may be used to identify both good and badfeatures of operating procedures and design characteristics, and thereby contribute to thedevelopment of safer radiation working practices;
To provide information that can be used to allow workers to understand how, when andwhere they are exposed and to motivate them to reduce their exposure;
To provide information for the evaluation of doses in the event of accidental exposures.

Furthermore, monitoring data may be used:
(g)
(h)
(i)

For risk–benefit analysis;
To supplement medical records;
For epidemiological studies of the exposed population.

3.99. Monitoring may provide important supplementary benefits in the fields of industrial or
public relations (such as reassurance and motivation of the workforce) or of scientificinvestigation (such as data for epidemiological studies) or in providing information useful in thedetermination of liability in the event of the expression of adverse health effects in individual
workers. These considerations may well affect decisions about the nature and extent ofmonitoring programmes, but they do not in themselves provide the primary justification for amonitoring programme for protection and safety.
Monitoring programme
3.100. The principal responsibility for setting up a monitoring programme rests withmanagement. The monitoring programme should be designed in consultation with an appropriatequalified expert on the basis of the prior radiological evaluation discussed in paras 3.54–3.56,
with due account being taken of regulatory requirements.
3.101. Monitoring programmes can be divided and subdivided into several different types. The
first division relates to the objectives of the monitoring. At this level, four types of monitoring
can be defined for the purposes of radiation protection:(a)Routine monitoring is associated with continuing operations and is intended to meet
regulatory requirements and to demonstrate that the working conditions, including thelevels of individual dose, remain satisfactory.
37

(b)

(c)

(d)

Special monitoring is investigative in nature and typically covers a situation in theworkplace for which insufficient information is available to demonstrate adequate
control. It is intended to provide detailed information to elucidate any problems and to
define future procedures. It should normally be undertaken at the commissioning stageof new facilities, following major modifications to facilities or procedures, or when
operations are being carried out under abnormal circumstances such as an accident.
Confirmatory monitoring is performed where there is a need to check assumptions
made about exposure conditions, for example to confirm the effectiveness of protective
measures.
Task related monitoring applies to a specific operation. It provides data to support theimmediate decisions on the management of the operation. It may also support the
optimization of protection.

3.102. Each of these types can be subdivided on the basis of the location of monitoring:
(a)

(b)

Individual monitoring comprises measurements made using equipment worn by individual
workers, or measurements of quantities of radioactive materials in or on their bodies, andthe interpretation of such measurements;
Workplace monitoring comprises measurements made in the working environment and theinterpretation of such measurements.

3.103. Individual monitoring can be further subdivided into monitoring for external exposure,internal exposure and skin contamination. Workplace monitoring can be further subdivided into
monitoring for external radiation, air contamination and surface contamination. The details of the
programmes will be influenced by factors such as the type and energy of the radiation and theradionuclides involved (see Section 7).
3.104. The programme design should reflect the objectives of the monitoring programme andthese should be clearly defined and recorded. The design should include the basis for theinterpretation of the monitoring results and how this is related to the objectives of the
programme, and this basis should be recorded. A distinction should be made in the programme
between monitoring for the purpose of controlling operations and monitoring for the formal
assessment of exposure to meet regulatory requirements.
3.105. The equipment to be used in the monitoring programme should be suitable for theradiation type(s) and the form(s) of radioactive material encountered in the workplace. The
equipment should be calibrated to meet appropriate standards. More detailed guidance, including
guidance on the provision of approved dosimetry services, is presented in Section 7. Guidance on
the management system for dosimetry service providers is given in Section 8.
3.106. The design and implementation of a monitoring programme should conform to the quality
assurance (QA) requirements embodied in the management system, to ensure that procedures are
established and followed correctly, and that records are promptly compiled and correctly
maintained. The monitoring programme design should indicate the records that need to be kept
and the associated procedures for keeping and discarding records. All these aspects should be
reviewed regularly, at pre-determined intervals, or following any major change in operations of
the installation or in regulatory requirements. The purpose of such reviews should be to ensurethat the monitoring effort (type, frequency and extent) is appropriately employed. The
38

information should also be used to identify both good and bad features of operating procedures
and design characteristics.
Individual monitoring
3.107. The need for and appropriateness of individual monitoring of workers will depend on
factors such as:
–
–
–
–
–
–
–

The amount of radioactive material present and the radionuclide(s) involved;
The physical and chemical form of the radioactive material;
The type of containment used;
The operations performed;
The expected levels and likely variations in the doses or intakes;
The complexity of the measurement and interpretation procedures comprising themeasurement programme;
The general working conditions.

For example, workers handling sealed sources, or unsealed sources in a reliable containment,
may need to be monitored for external exposure but not necessarily for internal exposure.
Conversely, workers handling radionuclides such as tritium, 125I or 239Pu may need to bemonitored for internal exposure but not for external exposure.
3.108. The need for individual monitoring is likely to be greater in the early stages of an
operation. As experience in the workplace is accumulated, the need for routine individual
monitoring can be kept under review to decide on the need for continuance of individual
monitoring or whether workplace monitoring is sufficient for radiation protection purposes.
Considerations should also be given to the potential for accidental exposures in determining thenecessity for individual monitoring.
3.109. For work involving internal exposure, the decision to enroll a worker in an individual
monitoring programme should be based on the likelihood of the intake of radioactive material
exceeding a predetermined level. If operational procedures need to be set up to prevent or reduce
the possibility of intake, a controlled area will, in general, need to be established. Individual
monitoring for intakes of radioactive material should be used routinely only for workers who areemployed in areas that are designated as controlled areas specifically in relation to the control ofcontamination and in which there are grounds for expecting significant intakes. If experience has
shown that it is unlikely that committed effective doses from annual intakes of radionuclides
from occupational exposure would exceed 1 mSv, then individual monitoring may beunnecessary, but workplace monitoring should be undertaken. The following activities areexamples of those for which routine individual monitoring for internal exposure should beconsidered:
(a)
(b)
(c)

The handling of large quantities of gaseous or volatile materials, for example tritium and its
compounds in large scale production processes, in heavy water reactors and in
manufacturing of gaseous light sources;
The processing of plutonium and other transuranic elements;
The maintenance of reactor facilities, which can lead to exposure to fission and activation
products;
39

(d)
(e)
(f)
(g)

The bulk production of radioisotopes;
The production and handling of large quantities of radiopharmaceuticals, such as 18F for
PET diagnostics or 131I for therapy;
The mining of high grade uranium ores, processing of uranium mineral concentrates andproduction of nuclear fuel;The processing of mineral concentrates such as monazite that is rich in thorium, and the
production of thorium-containing products.

3.110. To secure the necessary accuracy and precision, individual dosimetry should be
performed, whenever possible, by an approved dosimetry service. The regulatory body should
give consideration to the establishment of a national accreditation procedure as a basis for theapproval of dosimetry services. The management system for dosimetry service providers is
discussed in Section 8.
3.111. For visitors making short and infrequent visits to controlled areas, individual monitoring
may be performed but is not necessarily required. However, a record of the radiologicalconditions of the controlled areas visited (for example, data from workplace monitoring or fromindividual monitoring of the visitors’ escort) and the length of time spent in these areas during thevisits should be retained.
Workplace monitoring
3.112. The requirements for workplace monitoring are set out in paras 3.96–3.98 of the BSS,
which state:“Registrants and licensees, in cooperation with employers where appropriate, shallestablish, maintain and keep under review a programme for workplace monitoring under thesupervision of a radiation protection officer or qualified expert.
“The type and frequency of workplace monitoring shall:(a)Be sufficient to enable:(i) Evaluation of the radiological conditions in all workplaces;(ii) Assessment of exposures in controlled areas and supervised areas;(iii) Review of the classification of controlled areas and supervised areas;(b)

Be based on dose rate, activity concentration in air and surface contamination, and their
expected fluctuations, and on the likelihood and magnitude of exposures in anticipatedoperational occurrences and accident conditions.

“Registrants and licensees, in cooperation with employers where appropriate, shall maintainrecords of the findings of the workplace monitoring programme. The findings of the workplacemonitoring programme shall be made available to workers, where appropriate through theirrepresentatives.”
3.113. The programmes for monitoring of the workplace should specify:(a)40

The quantities to be measured;

(b)
(c)
(d)

Where and when the measurements are to be made and at what frequency;
The most appropriate measurement methods and procedures;
Investigation levels and the actions to be taken if they are exceeded.

3.114. The results and findings of workplace monitoring should be recorded and made available
to line management and workers (through their representatives if appropriate). This information
should be used in support of pre- and post-job evaluations, work planning, contamination control
and management of radiological control operations. Significant changes in monitoring results
should be identified and trends analysed periodically. Corrective actions should be taken asnecessary. It is important to record data that:
(a)
(b)
(c)
(d)
(e)

Demonstrate compliance with regulations;
Identify significant changes to the working environment;
Give details of radiation surveys, e.g. date, time, location, dose rate, airborne activity
concentration, instruments used, surveyor, or other comments;
Give details of any reports received about the workplace where compliance with relevant
requirements could be adversely affected;
Give details of any appropriate actions taken.

3.115. Particular attention should be given to the selection and use of instruments to ensure that
their performance characteristics are appropriate for the specific workplace monitoring situation.
Guidance on considerations related to the acquisition, use, maintenance and testing of workplacemonitoring instruments is given in Section 7.
Exposure assessment
3.116. Specific requirements for the assessment of occupational exposure are set out inparas 3.99–3.102 of the BSS, which state:“Employers, as well as self-employed persons, and registrants and licensees shall be
responsible for making arrangements for assessment of the occupational exposure of workers, on
the basis of individual monitoring where appropriate, and shall ensure that arrangements are
made with authorized or approved dosimetry service providers that operate under a quality
management system.
“For any worker who usually works in a controlled area, or who occasionally works in acontrolled area and may receive a significant dose from occupational exposure, individual
monitoring shall be undertaken where appropriate, adequate and feasible. In cases whereindividual monitoring of the worker is inappropriate, inadequate or not feasible, the occupational
exposure shall be assessed on the basis of the results of workplace monitoring and information on
the locations and durations of exposure of the worker.
“For any worker who regularly works in a supervised area or who enters a controlled area
only occasionally, the occupational exposure shall be assessed on the basis of the results ofworkplace monitoring or individual monitoring, as appropriate.
“Employers shall ensure that workers who could be subject to exposure due tocontamination are identified, including workers who use respiratory protective equipment.
Employers shall arrange for appropriate monitoring to the extent necessary to demonstrate theeffectiveness of the measures for protection and safety and to assess intakes of radionuclides andthe committed effective doses.”41

3.117. An assessment of the exposure of individual workers should be considered in normal andforeseeable abnormal conditions if, for any single component of the exposure (e.g. strongly
penetrating photon irradiation, neutron irradiation, internal exposure), the corresponding annual
effective dose is expected to exceed 1 mSv. Consideration should also be given to the likelihood
and possible magnitude of potential exposures.
3.118. In general, when the magnitude or variability of the exposure is likely to be significant, an
individual worker’s radiation exposure should be assessed from the results of individual
monitoring. There are occasions, particularly in the assessment of internal exposure, when thismay not be feasible or practicable and reliance has to be placed on workplace monitoring. Where
this is the case, the monitoring programme should provide detailed information on the worker’s
movements and on the temporal and spatial variations in air concentrations in the worker’s
immediate environment. Where possible, site specific data on characterisation of the workplaceshould be preferred than using default values.
3.119. For work involving risk for internal exposure, a level of activity concentration in air or
intake of radioactivity into the body may need to be established to be used as an indication ofwhether there is a potential for a significant individual exposure. In the derivation of such a level,
the particular radioactive materials and exposure pathways of the relevant workplace should betaken into account to the extent possible. If the level is exceeded, additional direct measurementsof the individual’s internal exposure may be necessary. This may also be desirable if there is any
doubt as to whether the assessed exposure for the specific workplace conditions is sufficiently
accurate.
3.120. For any assessment of occupational exposure, it is important to evaluate the accuracy ofthe particular monitoring procedures or devices used to determine external and internal exposure.
The objective should be to establish as comprehensive a record as is reasonable of credible,
formally assessed exposures. Account should be taken of the factors affecting the accuracy of theassessment. The accuracy criteria for measurements and their interpretation should be definedand reasonable and appropriate measures to quantify and minimize uncertainties should be taken.
3.121. More detailed guidance on exposure assessment is provided in Section 7.
Investigation levels
3.122. Experience with a particular situation sometimes indicates a need to review proceduresand performance. This experience may be qualitative (e.g. the observation that the frequency ofoccurrence of minor contamination may have increased) or quantitative (e.g. a trend in the resultsof monitoring programmes). The use of quantitative experience can be assisted by the applicationof investigation levels to the monitoring results for individuals and workplaces. An investigationlevel is defined as “the value of a quantity such as effective dose, intake or contamination per unit
area or volume at or above which an investigation would be conducted” [2].
3.123. Investigation levels play an important role in monitoring programmes as tools for use bymanagement. Investigation levels should be defined at the planning stage of activities and may berevised on the basis of operational experience. The regulatory body may also wish to establish,
for regulatory purposes, a generic investigation level in terms of individual exposure.
Investigation levels can be set in terms of virtually any measurable quantity related to the42individual or the working environment. They should be defined by management in the RPP, their
purpose being to facilitate the control of operations and exposures.
3.124. Investigation levels should be used in a retrospective sense only and should not be
confused with dose constraints. If an investigation level is exceeded, a review should be initiatedto determine the causes and to address the protection and safety arrangements and the reasons forthe value being exceeded. Such a review may lead to the introduction of additional protection andsafety measures. The review should have the objectives of learning lessons that may beappropriate for any future operations and determining whether additional measures are needed to
improve the current arrangements for protection and safety.
3.125. Investigation levels should be set by management on the basis of a knowledge of theconditions in the workplace, the expected levels and variability of the quantities being determined(e.g. effective dose, intake) and the type and frequency of monitoring. The value of theinvestigation level should also be consistent with the objectives of the monitoring programme
and with the type of investigation that will be initiated. The value of an investigation level may
be based on a selected fraction of the relevant dose limit and should correspond to the period oftime to which the individual monitoring result refers. For instance, an investigation level for aroutine operation with routine monitoring may be set on the basis of a committed effective doseof 5 mSv from intakes over the course of a year. For N monitoring periods per year, theinvestigation level ILj (in becquerels) for the intake of radionuclide j in a given monitoring period
would be given by:
IL j 

0.005
N  e( g ) j(18)

where e(g)j is the dose coefficient for inhalation or ingestion of radionuclide j, as appropriate (insieverts per becquerel). The value of the investigation level should be established with othersources of exposure taken into account.
3.126. A level may be set for individuals involved in a particular operation, or may be derived
specifically for individuals within a place of work without reference to a particular operation. The
latter situation is particularly relevant when individuals are exposed to a number of different
sources in a workplace or are involved in a number of different tasks at work.
3.127. Management should identify those responsible for initiating investigations when they are
required. The purpose of, and the actions associated with, each investigation level should beclearly defined in advance. The investigation should address:
(a)
(b)
(c)
(d)

The circumstances leading to the suspected exposure;
Verification of the dosimetric results;
The probability that dose limits or levels will be exceeded under current working
conditions;
The corrective actions to be taken.

3.128. Workplace monitoring may involve the measurement of dose rates, contamination levels,
airborne activity concentrations or a combination thereof. Investigation levels for workplacemonitoring should be set by management on the basis of the expected levels and operational
43

experience. A value of surface contamination (activity per unit area) derived from a fraction of
the relevant dose limit may be useful in indicating the significance of particular measurements,
and could therefore be used as an investigation level to indicate a deterioration in the radiologicalconditions in the workplace.
Recording levels
3.129. During the routine monitoring of workplace or individuals, a large amount of data will be
generated that may have little quantitative significance in terms of converting them into theeffective (or equivalent) dose. A recording level is defined as “a level of dose, exposure or intake
specified by the regulatory body at or above which values of dose to, exposure of or intake byworkers are to be entered in their individual exposure records” [2]. For instance, the recordinglevel for an intake of a radionuclide could be set to correspond to a committed effective dose of 1
mSv from intakes over the course of a year. Thus, for N monitoring periods per year, therecording level RLj (in becquerels) for intake of radionuclide j in a given monitoring period would
be given by:
RL j 

0.001
N  e( g ) j(19)

In cases of worker exposure to more than one type of radiation or to multiple radionuclides, therecording level for each contribution to the dose, exposure or intake should be selected taking thecontributions of each type of radiation or radionuclides into account. In the case of individual
monitoring for external exposure the minimum level of detection is usually used as recordinglevel.
3.130. For internal dose assessment, if the dose or intake is below the recording level, themeasurement result should always be maintained in the dose record for the workplace and/or theindividual.
Derived investigation and recording levels
3.131. It can be convenient to express investigation levels and recording levels in terms of thequantities actually measured (for instance radionuclide activities in the body or in excretion
samples). These are termed derived investigation levels (DILs) and derived recording levels(DRLs), respectively. They are the measurement values that correspond to the investigation orrecording levels for parameters such as committed effective dose or radionuclide intake. For
intakes of radionuclides, DILs and DRLs are calculated separately for each radionuclide, arespecific to the physical and chemical form of the radionuclide in the workplace and are a functionof the period between the time of intake and the time of measurement. For the examples given in
Eqs (18) and (19):
DIL j 44

0.005m(t 0 ) j
N  e( g ) j

DRL j 

0.001
m(t 0 ) j
N  e( g ) j(20)

where m(t0)j is the fraction of the intake of radionuclide j remaining in the body or in theexcretion sample after an elapsed time period t0. The value of t0 is usually based on theassumption that the intake occurs at the mid-point of the monitoring period, in which case:
t0 

365
days
2N

(21)

Records of occupational exposure
3.132. Record keeping is an essential part of the individual monitoring process, as indicated inparas 3.103 and 3.106 of the BSS, which state:“Employers, registrants and licensees shall maintain records of occupational exposure forevery worker for whom assessment of occupational exposure is required…[and]:
(a)
(b)

(c)
(d)
(e)

Shall provide workers with access to records of their own occupational exposure;
Shall provide the supervisor of the programme for workers’ health surveillance, theregulatory body and the relevant employer with access to workers’ records of occupational
exposure;
Shall facilitate the provision of copies of workers’ exposure records to new employers when
workers change employment;
Shall make arrangements for the retention of exposure records for former workers by theemployer, registrant or licensee, as appropriate;
Shall, in complying with (a)–(d) above, give due care and attention to maintaining theconfidentiality of records.”

3.133. Management should establish a procedure that indicates how monitoring data and results
are to be reported, what dose levels are to be recorded and what documents and records ofoccupational exposure should be maintained. In general, the dosimetry service provider has
limited direct contact with workers and the facility management. Monitoring results are, however,often used by management to advise operational radiation protection personnel when worker
intervention, such as follow-up sampling or work restriction, is necessary. Consequently, close
cooperation is needed between those involved in different parts of the monitoring and protection
programmes.
3.134. Records of individual occupational exposure should include any assessed equivalentdoses or intakes including the dose to the skin and lens of the eye as appropriate. Details of any
involvement in abnormal events should be included, even if estimates of exposure could not be
made. It is also important to retain records referencing the objectives, monitoring methods andmodels used for data analysis and interpretation, because these may be needed for futureinterpretation of the records of occupational exposure. Traceability of the measurements andexposure assessment is essential.
3.135. The monitoring programme should specify the periods over which monitoring andexposure assessment are carried out, these being related to the dosimeter processing or sampling45

programme. Records of occupational exposure for individual workers should be constructed suchthat the exposures assessed for these periods are separately identifiable.
3.136. Records of occupational exposure should be kept up to date and procedures should beestablished to ensure that assessments of exposure from any monitoring period are incorporated
into the individual’s exposure record promptly.
3.137. Recording systems needs to be capable of producing information on the assessment ofoccupational exposure for any reporting period defined in the RPP or required by the regulatory
body. If a worker changes employment, records of occupational exposure should be promptly
updated and completed.
3.138. The dose records should be easily retrievable and should be protected against loss. Suchprotection is usually obtained by maintaining duplicate sets of records in well separated locations,so that both copies cannot be destroyed in a single incident. Records should be consolidated foreach monitored individual, identified by site, purpose, date and originator, and should be legible
and intelligible to a qualified person, complete and accurate. Consideration may need to be given
to any applicable national requirements or international agreements concerning the privacy of
individual data records.
3.139. If employers, registrants and licensees cease to conduct activities in which workers are
subject to occupational exposure, they should make arrangements for the retention of workers’
records of occupational exposure by the regulatory body or a State registry, or by a relevant
employer, registrant or licensee, as appropriate.
3.140. More detailed guidance on records of occupational exposure is given in Section 7.
Information, instruction and training
3.141. Paragraph 3.110 of the BSS states:“Employers, in cooperation with registrants and licensees:
(a)

(b)

(c)

Shall provide all workers with adequate information on health risks due to theiroccupational exposure in normal operation, anticipated operational occurrences andaccident conditions, adequate instruction and training and periodic retraining in protection
and safety, and adequate information on the significance of their actions for protection andsafety;Shall provide those workers who could be involved in or affected by the response to an
emergency with appropriate information, and adequate instruction and training and periodic
retraining, for protection and safety;
Shall maintain records of the training provided to individual workers.”

3.142. It is the management’s responsibility to ensure that workers who may be occupationally
exposed to radiation and persons with assigned responsibilities in the RPP receive generalradiation protection information and training. This should include training of workers’
representatives and members of relevant safety committees where appropriate.

46

3.143. Senior management should be trained in the risks associated with radiation, the basic
principles of protection and safety, their main responsibilities regarding radiation risk
management and the principal elements of the RPP.
3.144. Training for those workers directly involved in work with radiation sources should
include relevant information, presented in the form of documents, lectures, applied training andon-the-job training that emphasizes procedures specific to the worker’s job assignment. Training
for workers considered occupationally exposed should address topics at a level of detailcommensurate with the workers’ job assignments and the potential hazard. The training should
cover topics such as the following:
(a)
(b)
(c)
(d)
(e)
(f)
(g)

The main risks associated with ionizing radiation;
Basic quantities and units used in radiation protection;
Radiation protection principles (optimization of protection, dose limits, etc.);
The fundamentals of practical radiation protection, e.g. use of personal protective
equipment, shielding, behaviour in designated areas;
Specific task related issues;
Responsibility to advise a designated person immediately if any unforeseen occurrence
involving increased radiation risk arises;
Where appropriate, actions that may need to be taken in the event of an accident.

3.145. Where work involving significant exposure to radiation is to be undertaken, consideration
should be given to the use of training on mock-ups or simulators to ensure that the work willproceed as smoothly as possible, that all unnecessary hazards will be avoided and that exposure
periods will be minimized.
3.146. Workers who may not be occupationally exposed, but whose work may have an impact
on the level of exposure of other workers or of members of the public (e.g. designers, engineers,planners, etc.), should be provided with basic information on the principles of protection andsafety. They should also be trained in how to take account of protection and safety requirementsin their activities so as to optimize the protection of other people.
3.147. Individuals whose job assignments are incidental to the use of radiation, such as
caretakers or security staff, and others who may spend brief periods in areas where exposure ispossible, should be given basic information on the hazards and any preventive actions to betaken. For such individuals, there is a need only to include a brief discussion of items such as theuse of time and distance to limit exposure, a qualitative discussion of the risk from the exposure
they may receive and specific directives regarding prohibited, required or recommended actions.
3.148. The specific requirements of the BSS relating to female workers who may enter
controlled or supervised areas are addressed in paras 6.2–6.20. Management should consider the
possible need for further information and training related to any change of working conditions to
restrict exposure of the embryo, foetus and newborn child following a declaration of pregnancy.
3.149. Particular attention should be paid to contractors, including subcontractors and itinerant
workers. Employers should cooperate to ensure that they are provided with the necessary
information and appropriate training. See paras 6.73–6.76.

47

3.150. Workers’ knowledge of the fundamentals of protection and safety, their level of training
and their competence to perform the specified tasks safely should be evaluated, and determined tobe adequate, prior to any unsupervised assignment. A process for the evaluation of workers’
knowledge, level of training and competence should be established by the management.
3.151. Protection and safety information and training programmes should be documented andapproved at an appropriate level within the organization. Such programmes should be reviewed
periodically to ensure that they remain up to date. Formal records of each worker’s training andtesting should be maintained, and retained for an appropriate period after cessation of
employment. Periodic retraining should be provided to ensure that workers have the most up todate knowledge relevant to their work, and that they do not become complacent about workplace
hazards. Retraining should also be undertaken when there are significant changes in policy orprocedures. Training should be updated at regular intervals.
3.152. Further guidance on education and training of workers is given in Ref. [22].
Workers qualification and certification
3.153. Workers that require a significant level of expertise in a specific work area involving
sealed sources, unsealed sources or radiation generators should be suitably qualified and, whereappropriate, be in possession of the relevant certification. Examples of such workers are
diagnostic radiographers, the operators of industrial radiography equipment, the operators ofmaster slave manipulators in hot cells for radiation sources etc.
3.154. The regulatory body should provide guidance on qualification requirements for eachcategory of job. This guidance should address the minimum educational level, minimum training
and retraining requirements and minimum experience for each job category. In addition, theregulatory body should enforce requirements concerning the recognition of qualifications relating
to certain duties and responsibilities, such as those of RPOs. Alternatively, the regulatory bodyshould review and approve, if appropriate, proposals regarding training requirements made bymanagement.
3.155. Following the successful completion of the required training and the necessary period ofwork experience, the worker may be formally recognized as qualified. The recognition of such a
qualification may be accorded by the employer, the regulatory body or by a designated board,society, or professional or academic body.
3.156. It may be appropriate and convenient for the regulatory body to recognize certain training
centres and courses for their quality and suitability. Such recognition can be formally conferredby the process of accreditation.
Audits and reviews
3.157. The RPP should be assessed on a regular basis. Audits and/or reviews of activities within
the RPP should be scheduled on the basis of the status and importance of the activity. The
management system (see paras 2.23–2.26) should include a process for such assessments to
identify and correct administrative and management problems that may prevent the achievementof programme objectives. Audits and reviews should be conducted by persons who are48technically competent to evaluate the processes and procedures being assessed, but do not haveany direct responsibility for those activities. These may be staff from other work areas within theorganization, or there may be advantages in independent assessment by other organizations. The
objective of such assessments is to enhance the effectiveness and efficiency of the RPP.
3.158. Audits and reviews should be performed in accordance with written procedures and checklists. They should be conducted when one or more of the following conditions prevail:
(a)
(b)
(c)
(d)
(e)

When required by the regulatory body;
When a systematic independent assessment of the programme is considered necessary bymanagement;
Following the implementation of a new RPP or substantive element of the RPP;
When significant changes are made to functional areas of the RPP, such as significant
reorganization or procedural revision;
When necessary to verify implementation of previously identified corrective actions.

EXPOSURE OF WORKERS TO NATURAL SOURCES
Applicability of the requirements for planned exposure situations
3.159. In terms of para. 3.4 of the BSS, occupational exposure to natural sources is in generalsubject to the requirements for existing exposure situations (see Section 5). This is always thecase when the exposure is due to radionuclides of natural origin in everyday commodities (food,feed, drinking water, agricultural fertilizer and soil amendments, and construction material) andin existing residues in the environment, regardless of the radionuclide activity concentrations. In
the case of occupational exposure to radionuclides of natural origin in materials other than theseeveryday commodities and in residues in the environment (these ‘other’ materials being
essentially industrial process materials) the applicable requirements depend on the radionuclide
activity concentrations, as follows:
(a)

(b)

If, in any process material, the activity concentration of any radionuclide in the 238U or
232
Th decay chain exceeds 1 Bq/g, or if the activity concentration of 40K exceeds 10 Bq/g,that material is regarded as NORM, the industrial activity is regarded as a practice and therequirements for planned exposure situations apply;If, in every process material, the activity concentrations of all radionuclides in the 238U and232
Th decay chains are 1 Bq/g or less and the activity concentration of 40K is 10 Bq/g orless, the material is not regarded as NORM, the industrial activity is not regarded as apractice and the requirements for existing exposure situations apply.

3.160. The criteria in para. 3.159 represent (in order of magnitude terms) the upper bounds of theactivity concentrations in normal soil [23], as illustrated in Fig. 3 for radionuclides in the 238U
and 232Th decay chains. It is evident from Fig. 3 that many commercially exploited minerals
contain activity concentrations of 238U and 232Th below 1 Bq/g and may not need to be regulated
as NORM.

49

Requirements forexisting exposure
situations apply

Requirements forplanned exposure
situations apply

Uranium ore, U-238
Monazite, Th-232
Pyrochlore, Th-232
Zircon, U-238
Ilmenite sand, Th-232
Rutile, U-238
Phosphate rock, U-238
Bauxite, Th-232
Other metal ores, U-238 or Th-232
Soil, U-238 or Ra-226

Data fromUNSCEAR 2008

Soil, Th-232
0.001

0.01

0.1

1

10

100

1000

10000

Activity concentration (Bq/g)

FIG. 3. Radionuclide activity concentrations in natural materials.
3.161. Exposure to radon in the workplace is normally subject to the requirements for existing
exposure situations. However, in terms of para. 3.4 of the BSS, the requirements for planned
exposure situations apply to:
(a)

(b)

Exposure to 222Rn, 220Rn and their progeny in workplaces in which occupational exposure
to other radionuclides in the 238U or 232Th decay chains is controlled as a planned exposure
situation;
Exposure to 222Rn and its progeny in workplaces in which the annual average activity
concentration of 222Rn in the air remains above the reference level (see paras 5.19–5.23).

The 222Rn progeny referred to in (a) and (b) are 218Po, 214Pb, 214Bi and 214Po. The 220Rn progeny
referred to in (a) are 216Po, 212Pb, 212Bi, 212Po and 208Tl. Further information on 222Rn, 220Rn andtheir progeny is given in paras 5.45–5.51.
3.162. As a result of the criteria in paras 3.159 and 3.161, and taking into account current
published measurements of occupational exposure the following industrial activities are, or may
be, subject to the requirements for planned exposure situations [24]:
(1)
(2)
(3)

50

Mining and processing of uranium ore;
Extraction of rare earth elements [25];Production and use of thorium and its compounds;

(4) Production of niobium and ferro-niobium;(5) Mining of ores other than uranium ore;
(6) Production of oil and gas [26];(7) Manufacture of titanium dioxide pigments [27];(8) The phosphate industry [28];(9) The zircon and zirconia industries [29];(10) Production of tin, copper, aluminium, zinc, lead, and iron and steel;(11) Combustion of coal;(12) Water treatment.
Graded approach
3.163. The adoption of the graded approach to regulation is particularly important for industrial
activities involving NORM because of:
(a)
(b)
(c)

(d)

The economic importance of many NORM industries;
The large volumes of residues and process wastes that may be generated, and thus thelimited options for their management;
The potentially high cost of regulation in relation to the reductions in exposure that can berealistically achieved when exposure levels and the associated radiation risks are alreadyrather low;
The recognition that doses are always expected to be well below the threshold for
deterministic health effects; In addition, there is never any real prospect of a radiologicalemergency.

3.164. In order to determine the optimum regulatory approach, the regulatory body should go
beyond just establishing that the criteria in paras 3.159 or 3.161 are exceeded. It should consider,in addition, particular types of operation, process and material in more detail, including a priorradiological evaluation of exposure or dose and consideration of the costs of regulation in relation
to the benefits achievable.
3.165. In terms of the graded approach, the regulatory body should first determine whether
exemption of the practice is the optimum regulatory option — experience has shown that this
could well be the case for many industrial activities involving NORM. For exposure to NORM,
the criterion for exemption without further consideration, as given in para. I-4 of the BSS, is adose of the order of 1 mSv per year or less. When deciding upon the optimum regulatory option(exemption, notification, registration or licensing) due account should be taken of the effect (andeffectiveness) of existing controls that may reduce doses and that may be already in place as aresult of other forms of regulation, such as occupational health and safety (OHS) regulation,otherwise the dose may be significantly overestimated. The need for the highest level of thegraded approach (licensing) for practices involving exposure to NORM is likely to be limited toonly those operations involving substantial quantities of material with very high radionuclide
activity concentrations.
3.166. In terms of para. I-12(b) of the BSS, material containing radionuclides of natural origin
within an authorized practice can be removed from regulatory control if the activity
concentrations of all radionuclides in the 238U and 232Th decay series are 1 Bq/g or less and theactivity concentration of 40K is 10 Bq/g or less.
51

3.167. Material that has been cleared from an authorized facility on account of its low
radionuclide content may still give rise to non-radiological risks to humans and the environment
as a result of other constituents such as heavy metals. Such material may therefore requireongoing control under the relevant regulations.
Prior radiological evaluation
Exposure pathways
3.168. When conducting a prior radiological evaluation of industrial activities involving NORM,
the exposure pathways to workers that are most likely to require consideration are those
involving external exposure to gamma radiation emitted from process material and internal
exposure via the inhalation of radionuclides in dust:
(a)

(b)

The main radionuclides of natural origin contributing to gamma exposure are 214Pb and214
Bi from the 238U decay series and 228Ac, 212Pb and 208Tl from the 232Th decay series. The
highest gamma energy (2614 keV) is associated with 208Tl. Exposure to gamma radiationarises mainly from accumulations of mineral concentrates or residues. Dose rates are
generally highest near process tanks, piping, filters and large material stockpiles.
Airborne dust particles arise from the resuspension of contamination on floors and othersurfaces, from releases from processing operations and from the conveying of minerals. For
inhalation of such particles by workers in industrial activities involving NORM, exposure toradionuclides in the uranium and/or thorium decay chains may be of concern for radiation
protection.

3.169. Consideration of internal exposure via the inhalation of 222Rn emitted from processmaterial — leading to exposure to its short lived progeny — may be necessary in some activities
involving minerals and raw materials (but bearing in mind that, in terms of para. 3.161 such
exposure would not necessarily be considered as a planned exposure situation). Exposure to 220Rn
and its progeny is not normally of concern because the half-life of 220Rn is much shorter than thatof 222Rn. Attention may have to be given to 220Rn in certain workplaces involving minerals with ahigh 232Th content, such as monazite — in such workplaces, it is likely that the exposure would
in any case be controlled as a planned exposure situation rather than as an existing exposure
situation because of the need to control exposure to other radionuclides in the 232Th decay chain(see para. 3.161(a)).
3.170. Internal exposure of workers via ingestion is unlikely to require consideration undernormal operational circumstances.
Expected exposure levels
3.171. Experience has shown that the annual effective doses received by workers in industrial
activities involving NORM are often small, even when the concentrations of uranium and/or
thorium series radionuclides are significantly higher than 1 Bq/g. It is important therefore, thatthe prior radiological evaluation be conducted in such a way as to quickly identify which
exposure situations are of significant concern for protection and safety, as opposed to those ofminimal concern. For exposure to gamma radiation and airborne dust, it is possible to establish a
broad indication of the expected dose if there is a knowledge of the activity concentrations in the52various process materials; a methodology for this, which makes use of the underlying linear
relationship between dose and activity concentration, is described in Appendix I.
3.172. In the vast majority of workplaces, 222Rn concentrations are similar to normal indoor
levels or can be reduced to such levels by improved ventilation, in accordance with therequirements for existing exposure situations (see Section 5). In terms of para. 3.161(a), exposure
to 222Rn in workplaces involving NORM could become subject to the requirements for planned
exposure situations because of the need to control (as a planned exposure situation) exposure toother radionuclides in the uranium or thorium series. Even in these workplaces, 222Rn
concentrations are still generally close to normal indoor levels because any 222Rn released fromminerals with elevated 226Ra concentrations can be readily diluted by ventilation. Nevertheless,there are some workplaces with a potential for high 222Rn concentrations — high enough in somecases that, despite all reasonable efforts to reduce the concentrations, they remain above thereference level for 222Rn (see para. 5.60), thus becoming subject to control as a planned exposure
situation in terms of para. 3.161(b). In all likelihood, such workplaces will be undergroundworkplaces for which there may be limitations on the amount of ventilation that can be supplied
and/or where there may be a significant release of 222Rn into the air from radium rich minerals(such as in underground uranium mines) or from radium rich water (such as in undergroundmines and groundwater treatment plants). Concentrations of 222Rn in the workplace tend to behighly variable and exposures are very difficult to predict by modelling. Where the possibility ofsignificantly elevated 222Rn concentrations is suspected, a 222Rn survey will need to be conductedin the workplace as part of the prior radiological evaluation, in order to determine the extent towhich measures for the control of exposure to 222Rn might be needed, irrespective of whether the
exposure is eventually to be treated as a planned exposure situation or an existing exposure
situation.
3.173. Since natural potassium contains 0.0117% 40K, this radionuclide is widely present inminerals and raw materials. It decays by beta emission to 40Ca (89%) and by electron capture to
40
Ar, with the emission of a 1.46 MeV gamma ray (11%). Its half-life is 1.265 billion years.
Potassium-40 in the body is homeostatically controlled and any excess is excreted. In the body ofan adult, the K content is about 160 g. Potassium-40 in the body is regarded as unamenable tocontrol and is excluded from the standards. For purposes of protection and safety, the only
possible concern is gamma emission from bulk quantities of material rich in potassium, such as
some types of fertilizer. According to data presented in Ref. [24], the annual effective dose perunit activity concentration due to gamma radiation from 40K in potassium rich minerals is
expected to be 0.02–0.03 mSv per Bq/g. The activity concentration is always less than 30.6 Bq/g,
this being the activity concentration of 40K in pure potassium. The effective dose received by aworker exposed to potassium rich minerals is therefore always expected to be less than 1 mSv per
year. In view of this, occupational exposure to 40K in potassium rich minerals can generally bedisregarded in any prior radiological evaluation.
Control of worker exposures
Exposure to gamma radiation
3.174. To minimize external exposure to NORM, specific protection measures in the workplacesuch as control of the occupancy period or even shielding may sometimes be appropriate.
Materials with relatively low activity concentrations give rise to modest gamma dose rates
53

(typically no more than a few microSv/h), even on contact. In such cases, discouraging access,for example by storing materials in mostly unoccupied areas, may be sufficient. In areas
containing materials with relatively high activity concentrations, physical barriers and warning
signs may be necessary.
Exposure to dust and other airborne contaminants
3.175. Exposure to airborne dust is likely to be controlled already in many workplaces throughgeneral OHS regulations. Control of the air quality for the purpose of minimizing dust levels may
also help to reduce concentrations of 222Rn and 220Rn decay products. Therefore, the extent towhich existing OHS control measures are effective in minimizing workers’ radiation exposure issomething that the regulatory body should first establish before deciding to impose additional
control measures for purely radiological reasons. In some workplaces, existing OHS control
measures alone may provide sufficient protection against internal exposure. In other workplaces,
additional control measures specifically for radiation protection purposes may become necessary
for achieving compliance with the requirements for planned exposure situations.
3.176. Many workplaces involving NORM are inherently dusty. Such workplaces include
mining areas, ore crushing areas and product handling and packaging areas. In such workplaces,
particularly those that are not open to the atmosphere, ventilation systems are generally crucial
for the control of airborne dust. Ventilation systems may also be crucial for the control of 222Rn
and its progeny, as well as non-radiological airborne contaminants — in underground mines,
these non-radiological contaminants may include methane gas and blasting fumes. The design ofventilation systems for underground mines should be an integral part of overall planning anddevelopment of the mine. Where possible, the buildup of 222Rn in underground workplaces
should be minimized by avoiding the passage of fresh air through mined out areas and byachieving a ‘one pass’ system. Air velocities should be high enough to dilute the airborne
contaminants but not so high as to cause settled dust to be resuspended. Area from where thesupply air is drawn should be well separated from the area where the exhaust air is discharged to
avoid mixing of the two air streams. It is preferable to operate the primary ventilation system
continuously to avoid build-up of activity in work areas. Access of workers to any non-ventilatedareas should be prevented unless such workers are specially authorized and adequately protected.
Fixed work stations in return airways should be avoided. Where this is not possible, operator
booths with a filtered air supply should be provided.
3.177. In facilities which have a high potential for exposure to airborne dust, 222Rn and/or otherairborne contaminants, the employer should ensure that the services of a suitably qualified
ventilation officer are employed. The ventilation officer has the following responsibilities:
(a)
(b)

(c)
(d)
(e)

54

Advising management on all matters relating to ventilation and air purification systems;
Ensuring the proper operation of the ventilation systems (including auxiliary ventilation
systems which, in underground mines, may be prone to rapid deterioration), initiating any
necessary modifications and ensuring that any deficiencies are addressed promptly;
Ensuring that air flows and velocities are measured in accordance with good ventilation
practice;
Ensuring that properly calibrated instruments are used;
Conducting dust sampling and control programmes in conjunction with the RPO;

(f)
(g)

Participating in training programmes and developing and/or approving all training material
on ventilation and dust control;
Being familiar with the properties of 222Rn, 220Rn and their progeny, where applicable.

3.178. Complete containment of material is often impractical, especially where large quantities
of low activity concentration materials are involved, but spills and the spread of materials outside
the area are often of no radiological significance unless substantial and persistent airborne dustlevels result. Prevention of resuspension of dust is therefore likely to be the most effective
approach. The control of surface contamination may be difficult and impractical and specificmeasures to control surface contamination only become meaningful where materials with higher
activity concentrations are present. Nevertheless, even where the materials being handled have a
low activity concentration, good industrial practice should always be followed, including theestablishment of appropriate rules and working procedures (for instance the use of vacuum
cleaning) to ensure that dust resuspension is adequately controlled. Measures to encourage good
general housekeeping, spillage control and personal hygiene should be established and kept underreview.
3.179. In situations where the radionuclide activity concentrations in the materials being handled
are moderate, it is important to recognize that the silica content of the airborne dust is likely to beof greater concern for occupational health than the radionuclide content.
Worker awareness and training
3.180. Many industrial activities involving NORM are not automatically associated with
exposure to radiation. Worker awareness and training are therefore particularly important for
supporting the introduction of local rules and for creating an understanding of the precautions
embodied in such rules. Individual employee work practices may exacerbate dust generation and,in some cases may completely negate the effect of any engineered controls installed. There may
be deficiencies in the way in which equipment maintenance tasks are undertaken, implying theneed for periodic review to determine if improvements are possible.
3.181. The programme of worker education and training should include topics specific toindustrial activities involving NORM. Such topics should include, as appropriate:
(a)
(b)

(c)
(d)
(e)

The properties and hazards associated with radionuclides in the uranium and thorium decay
series (including 222Rn and 220Rn, where relevant);
The application of the principles of ‘time, distance and shielding’ to minimize exposure to
gamma radiation near large accumulations of NORM, especially when activity
concentrations are high;
The measurement of airborne activity in the form of dust and 222Rn and its progeny;
The need for controlling and suppressing airborne dust, and the methods employed;
The functioning and purpose of the ventilation system and its importance for protection andsafety.

55

4.
EXPOSURE OF WORKERS IN
EMERGENCY EXPOSURE SITUATIONS
4.1. The requirements for protection of workers in emergency exposure situations are set out
in the BSS [2] and GSR Part 7 [30].
4.2. There are four groups of workers that may be exposed in an emergency exposure situation
either due to their involvement in the emergency response or due to the nuclear or radiologicalemergency at a facility or an activity itself.
(a) Emergency workers who have specified duties;(b) Workers performing their duties at working places and being not involved in response to anuclear or radiological emergency;(c) Workers who are asked to stop performing their duties at working places and to leave thesite;(d) Workers who are accidently exposed as a result of an accident or incident at a facility orin an activity and whose exposure is not related to the emergency response.
4.3. These four groups derived from considerations of wide range of scenarios as well as
different duties and responsibilities of workers in a facility or activity (such as designatedemergency workers, administrative staff at the site, employees of nearby operational units etc),
the duties of different workers in a nuclear or radiological emergency will differ and an
appropriate protection strategies should be applied to ensure adequate protection of all workers.
Protection of emergency workers specified in para 4.2 (a) should be provided in line with therequirements set out in the BSS for emergency exposure situation and in GSR Part 7 [30].
Protection of workers grouped in para. 4.2(b) should be provided in the same way as for workers
in planned exposure situation in line with the requirements set out in BSS [2]. Protection ofworkers grouped in para. 4.2(c) should be provided in the same way as for members of the
public in emergency exposure situation in line with the requirements set out in GSR Part 7 [30].
Protection of workers who are accidently exposed (para.4.2(d)) in relation to medical follow-up
and treatment and dose assessment should be in line with BSS [2] and GSR Part 7[30].
4.4. Protection of members of the public who willingly and voluntarily help in response to anuclear or radiological emergency, i.e. helpers in an emergency, is not specifically addressed inthis publication. However, they should be registered and integrated into the emergency response
operations and provided with the same level of protection as for emergency workers notdesignated as such at preparedness stage in accordance with GSR Part 7 [30].
EMERGENCY PLANNING AND RESPONSIBILITIES
4.5. Arrangements for the protection of workers in a nuclear or radiological emergency should
be a part of the emergency plan that is prepared on the basis of the hazard assessment inaccordance with GSR Part 7 [30]. The degree of planning should be commensurate with thenature and magnitude of the risk and the feasibility of mitigating the consequences should an
emergency occur.
4.6.
56

With regard to the protection of emergency workers, the emergency plan should include:(a) The persons or organizations responsible for ensuring compliance with requirements forprotection and safety of workers in a nuclear or radiological emergency including thosefor controlling the exposure of emergency workers;(b) Defined roles and responsibilities of all workers involved in the response to a nuclear orradiological emergency;(c) Details on adequate self-protective actions to be taken, protective equipment andmonitoring equipment to be used, and dosimetry arrangements;(d) Consideration of access control for workers in a nuclear or radiological emergency on thesite.
PROTECTION OF EMERGENCY WORKERS
4.7. The fundamental difference between members of the public and emergency workers in an
emergency exposure situation is that members of the public may receive doses unless someaction is taken to prevent them, whereas emergency workers will receive doses due to specified
duties assigned to them. Thus, to the extent possible, it is reasonable to continue to treat
emergency workers’ exposures according to the requirements for planned exposure situations, inaccordance with the graded approach, particularly in the later stages of the emergency exposure
situation. The exposure of emergency workers starts with the assignment to undertake a particularaction and finishes with completion of the assigned task or declaration of termination of theemergency.
4.8.

Protection of emergency workers should include, as a minimum;(a) Training of emergency workers designated as such in advance;(b) Providing instructions immediately before their use to those emergency workers notdesignated as such in advance2 — on how to perform their specified duties underemergency conditions and — how to protect themselves (‘just in time training’);(c) Managing, controlling and recording the doses received;(d) Provision of appropriate specialized protective equipment and monitoring equipment;(e) Provision of iodine thyroid blocking, where appropriate;(f) Medical follow-up and psychological counseling, as appropriate;(g) Obtaining informed consent to perform specified duties, when appropriate.

Justification
4.9. At the preparedness stage, the protective actions and other response actions to be taken ina nuclear or radiological emergency should be justified. Due consideration should be given to thedetriment associated with doses received by the emergency workers implementing those actions.
There should be a commitment to the justification process by all stakeholders (regulatory body,
response organizations and interested parties).

2

Emergency workers who are not designated as such at preparedness stage should be registered and integrated in
into the emergency response operations in line with GSR Part 7.

57

Optimization
4.10. At the preparedness stage, the process of optimization, including the use of reference
levels, should be applied to the protection of workers as well. There should be a commitment to
the optimization process by all stakeholders (regulatory body, response organizations andinterested parties).
4.11. As part of the process of optimization, reference levels should be established. A reference
level should represent the level of dose above which it is judged to be inappropriate to plan toallow exposures to occur and for which protective actions should therefore be planned andoptimized. The doses to be compared with the reference levels are usually prospective doses, i.e.
doses that may be received in the future, as it is only those doses that can be influenced bydecisions on protective actions. They are not intended as a form of retrospective dose limit.
4.12. The initial phase of a response to a nuclear or radiological emergency is characterized bya lack of information about the event, a scarcity of materials for implementation of protective
measures and the need for urgency in implementing protective actions. Therefore, there is little orno scope for applying the optimization process when managing the protection of emergency
workers during this initial phase. Efforts should be aimed at reducing any exposures as far aspracticable taking into account the difficult conditions of the evolving emergency.
4.13. When implementing protective actions during the late phase of a nuclear or radiologicalemergency and at the transition from an emergency exposure situation to an existing exposure
situation, the optimization process should be applied to the protection of emergency workers inthe same way as for workers in planned exposure situations.
Restricting exposure of emergency workers
4.14. Because the exposure of emergency workers is deliberate and controlled, the dose limits
for workers should be assumed to apply unless there are overriding reasons not to apply them. In
terms of para. 4.15 of the BSS and GSR Part 7 [30], response organizations and employers haveto ensure that no emergency worker is subject to an exposure in an emergency in excess of 50
mSv other than:
(a)
(b)

(c)

For the purposes of saving life or preventing serious injury;
When undertaking actions to prevent severe deterministic effects and actions to prevent thedevelopment of catastrophic conditions that could significantly affect people and theenvironment; orWhen undertaking actions to avert a large collective dose.

4.15. Reference levels expressed as guidance values for restricting the exposure of emergency
workers should be defined in accordance with the assigned task as provided in Table 2 [30].
Where lifesaving actions are concerned, every effort should be made to keep individual doses of
emergency workers below 500 mSv for exposure to external penetrating radiation, while othertypes of exposure need to be prevented by all possible means. However, while estimating dose to
emergency workers, the exposure from all pathways, external and internal, should be assessed
and included in the total. The value of 500 mSv should be exceeded only under circumstances inwhich the expected benefits to others clearly outweigh the emergency worker’s own health risks,58

and the emergency worker volunteers to take the action and understands and accepts this healthrisk.
TABLE 2. GUIDANCE VALUES FOR RESTRICTING EXPOSURE OF EMERGENCY
WORKERS [30]
Guidance valuea

TasksLife saving actions-

Hp(10)b <500 mSv
Ec<500 mSv-

ADTd < ADT, Table II.1e--

This value may be exceeded — with due
consideration of the generic criteria in
Table II.1 of Appendix II of GSR Part 7 —under circumstances in which the expected
benefits to others clearly outweigh the
emergency worker’s own health risks, andthe emergency worker volunteers to takethe action and understands and accepts
these health risks.

Actions to prevent severe deterministic effects
and actions to prevent the development ofcatastrophic conditions that could significantly
affect people and the environment-

Hp(10) <500 mSv
E<500 mSv

Actions to avert a large collective dose-

Hp(10) <100 mSv

ADT < ADT, Table II.1

E<100 mSv
ADT <ADT, Table II.1

a

These values are set to be two to ten times lower than the generic criteria in Table II.1 of Appendix II of GSR Part
7 and they apply for: (a) the dose from external exposure to strongly penetrating radiation for Hp(10). Doses fromexternal exposure to weakly penetrating radiation and from intake or skin contamination need to be prevented by
all possible means. If this is not feasible, the effective dose and the RBE weighted absorbed dose to an organ or atissue have to be limited to minimize the health risk to the individual in line with the risk associated with theguidance values given here; and (b) the total dose E (effective dose) and the RBE weighted absorbed dose to anorgan or tissue ADT via all exposure pathways (i.e. both dose from external exposure and committed dose fromintakes) which are to be estimated as early as possible in order to enable any further exposure to be restricted as
appropriate.
b
HP(10) is the personal dose equivalent HP(d) where d = 10 mm.
c.
Effective dose.
d.
RBE weighted absorbed dose to a tissue or organ.
e.
Values of RBE weighted absorbed dose to a tissue or organ given in Table II.1 of Appendix II of GSR Part 7.

59

4.16. Regardless of the circumstances, response organizations and employers should make allreasonable efforts to keep the doses received by emergency workers below the thresholds forsevere deterministic effects given in the BSS [2] and GSR Part 7 [30],[31].
4.17. When military personnel are designated as emergency workers, every effort should bemade so that they are protected in the same way as other emergency workers.
MANAGING THE EXPOSURE OF EMERGENCY WORKERS
4.18. In terms of para. 4.12 of the BSS, the government needs to establish a programme formanaging, controlling and recording the doses received by emergency workers in a nuclear orradiological emergency. Response organizations and employers should implement thisprogramme.
4.19. The group of emergency workers specified in para 4.2(a) may be further divided into
three categories of emergency worker and may be defined:
(a)

(b)

(c)

Category 1: Emergency workers undertaking mitigatory actions and urgent protective
actions on the site — include life saving actions or to prevent serious injury or actions toprevent development of catastrophic conditions that could significantly affect people andthe environment, actions to prevent serious deterministic effects and actions to avert large
collective dose. Emergency workers in this category have to be designated as such at
preparedness stage. They are most likely to be operating personnel at the facility or activity,
but may also be personnel from emergency services. They are employed either by aregistrant or licensee (operating organization), or by a response organization, and will havereceived training in occupational radiation protection.
Category 2: Emergency workers undertaking urgent protective actions off the site to avert alarge collective dose (for example, evacuation, sheltering, radiation monitoring etc). They
are most likely to be police, fire fighters, medical personnel, and drivers and crews ofevacuation vehicles. Every effort should be made to designate emergency workers in thiscategory as such at preparedness stage. They are to have predefined duties in an emergency
response and should receive training in occupational radiation protection as first responders
on a regular basis. They are not normally regarded as occupationally exposed to radiationand their employers are response organizations.
Category 3: Emergency workers undertaking early protective actions and other response
actions off the site (for example, relocation, decontamination, environmental monitoringetc.) as well as other actions aimed to enable the termination of the emergency. Emergency
workers in this category may or may not be designated as such at preparedness stage. They
may or may not normally be regarded as occupationally exposed to radiation and may or
may not have received any relevant training.

4.20. Any limit in duration of work undertaken by emergency workers and conditions by which
they will conduct the work should be implemented by planning the emergency work driven bydose guidance values.
4.21. Tasks should be assigned depending on the category of emergency worker as follows:

60

(a)

Category 1 emergency workers should carry out actions to save life or prevent serious
injury and actions to prevent severe deterministic effects and actions to prevent thedevelopment of catastrophic conditions that could significantly affect people and theenvironment;(b) Category 2 emergency workers should not be the first choice for taking life saving actions;(c) Category 1 and Category 2 emergency workers should carry out actions to avert a large
collective dose.
(d) Category 3 emergency workers should carry out those actions in which they will not receivea dose of more than 50 mSv 3.
4.22. In almost all emergencies, at best only the dose from external penetrating radiation will bemeasured continuously. Consequently, the operational guidance provided to emergency workers
should be based on measurements of penetrating radiation (e.g. as displayed on an active or selfreading dosimeter). The dose from intakes, skin contamination and exposure of the lens of theeye should be prevented by all possible means for instance by the use of protective equipment,
iodine thyroid blocking (where exposure to radioactive iodine might be involved) and theprovision of instructions concerning operations in potentially hazardous radiological conditions.
Such instructions should cover the application of time, distance and shielding principles, theprevention of ingestion of radioactive material and the use of respiratory protection. Available
information about radiation conditions on the site should be used in aiding decisions on theappropriate protection of emergency workers.
4.23. Female workers who are aware that they are pregnant or breast–feeding should be
encouraged to notify the appropriate authority and should typically be excluded from emergency
tasks unless such tasks can be carried out within the requirements for occupational exposure set
forth in paras 3.114 and 4.14 of the BSS. Female workers designated as emergency workers prior
to an emergency and who are aware that they are pregnant or breast–feeding during the
emergency may volunteer to take emergency duties as long as para I.4 of the GSR Part 7 applies.
4.24. Emergency workers who undertake actions in which the doses received might exceed
50 mSv (see para. 4.14) do so voluntarily and should have been clearly and comprehensively
informed in advance of the associated health risks, as well as of available protective measures,and should be trained, to the extent possible, in the actions they are required to take. The
voluntary basis for response actions by emergency workers is usually covered in the emergency
arrangements.
4.25. Workers should not normally be precluded from incurring further occupational exposure
because of doses received in an emergency exposure situation.
EXPOSURE ASSESSMENT
4.26. Response organizations and employers should take all reasonable steps to assess andrecord the exposures received by workers in an emergency. Once the total dose of emergency
workers from all exposure pathways (including committed dose from intake) has been estimated,3

Helpers in an emergency should not be allowed to take actions that might result in their exceeding an effective doseof 50 mSv.

61

the Table 2 also provides guidance for the effective dose and RBE weighted absorbed dose to anorgan or tissue for restricting further exposure in response to a nuclear or radiological emergency.
The exposures of emergency workers in an emergency response and of workers who are
accidently exposed (para.4.2(d)) should, if possible, be recorded separately from those incurred
during routine work, but should be noted on the workers’ records of occupational exposure.
4.27. The degree of accuracy required for any exposure assessment should increase with thelevel of exposure likely to have been received by the worker. Some pre-established guidance may
help in the management of exposures of emergency workers in Category 1, expressed in terms ofdose and directly measurable quantities such as dose rate or air concentration. The exposures of
emergency workers should be monitored on an individual basis, using means appropriate to thesituation, such as direct reading or alarm dosimeters.
4.28. Records of occupational exposure should be generated and maintained in a simplified
standard format by all response organizations and employers to avoid confusion. The informationon the doses received and the associated health risks should be communicated to the emergency
workers involved.
4.29. The guidance given in 7.222 and 7.223 may also be relevant for emergencies.
MEDICAL ATTENTION
4.30. Emergency workers and accidentally exposed employees should receive medical attention
appropriate for the dose they may have received (see paras 10.29–10.34). Screening based onequivalent doses to specific radiosensitive organs as a basis for medical follow-up andcounselling should be provided if an emergency worker or accidentally exposed employee hasreceived an effective dose of 100 mSv over a period of a month or if the worker so requests.
Although, an emergency worker or accidentally exposed employee who receives doses in nuclear
or radiological emergency should normally not be precluded from incurring further occupational
exposure, qualified medical advice should be obtained before any further occupational exposure
if an emergency worker or accidentally exposed employee has received an effective dose
exceeding 200 mSv or at the request of the worker. Such a qualified medical advice is intended toassess the continued health fitness of the worker in line with the BSS and GSR Part 7.
4.31. A particular concern should be whether a worker has received a dose sufficient to cause
severe deterministic effects. If the dose received by the worker exceeds the thresholds for severe
deterministic effects specified in Table IV-I of the BSS and Table II-I of the GSR Part 7,
protective actions and other response actions should be taken in accordance with GSR Part 7.
Such actions may include:
(a)
(b)
(c)
(d)

Performing immediate medical examination, consultation and indicated treatment;
Carrying out contamination control;
Carrying out immediate decorporation4 (if applicable);
Carrying out registration for longer term medical follow-up;

4

Decorporation is the biological processes, facilitated by a chemical or biological agent, by which
incorporated radionuclides are removed from the human body.

62

(e)

Providing comprehensive psychological counselling.

4.32. Additional information related to medical response to emergencies can be found in Refs
[31,32, 33].

5.
EXPOSURE OF WORKERS IN
EXISTING EXPOSURE SITUATIONSINTRODUCTION
5.1. In terms of para. 5.1(a) and (b) of the BSS [2], the requirements for existing exposure
situations apply to exposure due to contamination of areas by residual radioactive material arising
from:
(a)
(b)

Past activities that were never subject to regulatory control or that were subject toregulatory control but not in accordance with the requirements of the BSS;
A nuclear or radiation emergency, after an emergency exposure situation has been declared
ended.

5.2. The exposure referred to in para. 5.1 may be incurred directly from the residual
radioactive material itself, or may be incurred indirectly from commodities that incorporate
radionuclides arising from the residual radioactive material. Such commodities include food,feed, drinking water and construction materials. The radionuclides in the residual radioactive
material may be of artificial or natural origin.
5.3. Contamination of areas can also arise from facilities and activities that are subject toregulatory control in terms of the requirements for planned exposure situations, as a result ofauthorized activities such as discharges, the management of radioactive waste anddecommissioning. An exposure situation resulting from such contamination is controlled as partof the overall practice and is therefore a planned exposure situation, not an existing exposure
situation.
5.4. In terms of para. 5.1(c) of the BSS, the requirements for existing exposure situations also
apply, in general, to exposure to natural sources, where such exposure is not otherwise excluded
from the scope of the BSS (see para. 2.4 of this safety guide)5. Natural sources include:(a)(b)

Materials (in a natural or processed state) in which the radionuclides are essentially all of
natural origin;
222
Rn and 220Rn, together with their progeny as specified in para. 3.161;

5

Not all situations of exposure to natural sources are subject to the requirements for existing exposure
situations. Some are subject to the requirements for planned exposure situations, as specified in paras 3.159 and3.161 — they relate to (a) exposure to industrial process materials which, on account of their activity concentrations,fall within the definition of NORM and (b) under certain circumstances, exposure of workers to 222Rn, 220Rn andtheir progeny.

63

(c)

Cosmic radiation.

5.5. Measures for preventing or reducing doses that might otherwise occur in an existing
exposure situation may take the form of remedial action or protective action:
(a)

(b)

Remedial action in an existing exposure situation involves the removal of the source or the
reduction of its activity or amount. An example of a remedial action is the removal ofresidual radioactive material from a contaminated site.
Protective action in an existing exposure situation may involve measures which act on the
exposure pathways rather than on the source itself. Examples of protective actions are thecontrol of access to a contaminated site and restrictions on the use of contaminated water
for drinking purposes.

5.6. Exposure in existing exposure situations includes occupational exposure and public
exposure. When considering occupational exposure, two groups of exposed workers can be
identified:
(1)

(2)

Workers exposed while carrying out remedial action — the exposures of these workers may
be increased as a direct result of their work (for instance when such action involves thehandling, transport or disposal of residual radioactive material);
Workers exposed as part of the existing exposure situation but who do not undertake any
remedial action — the exposures of these workers might eventually be reduced as a resultof remedial and/or protective actions.

5.7. The doses received in existing exposure situations are expected to be well below thethreshold for deterministic health effects. Therefore, stochastic health effects are the only healtheffects of concern.
PROTECTION STRATEGIES
5.8. In terms of paras 5.2 and 5.3 of the BSS, the government has certain responsibilities withregard to existing exposure situations. It has to ensure that existing exposure situations are
identified and evaluated to determine which exposures (including occupational exposures) are ofconcern from the point of view of radiation protection. It must also make provision in the legal
and regulatory framework for the management of exposures of concern, including the assignmentof responsibilities for protection and safety, the establishment of appropriate protection and safety
criteria in the form of reference levels (see paras 5.19–5.23) and the making of decisions on the
reduction of exposures by remedial and/or protective actions.
5.9. Where it is decided that exposures need to be reduced, appropriate protection strategies
for reducing the exposures have to be established. Formal provision for the development andimplementation of protection strategies have to be made by the government in the legal andregulatory framework. Such a provision should include:
(a)
(b)

64

Specification of the general principles underlying the protection strategies;
Assignment of responsibilities for the development and implementation of the protection
strategies to the relevant authority (e.g. a health authority, the nuclear regulatory body, an(c)environmental protection authority)6 and to the parties involved in the implementation
process;
Provision for the involvement of interested parties in the decision making process, as
appropriate.

5.10. In terms of the graded approach (see para. 2.20), the government, in conjunction with therelevant authority identified in para. 5.9(b), must ensure that protection strategies for existing
exposure situations are commensurate with the associated radiation risks.
5.11. In terms of para. 5.4 of the BSS, the relevant authority needs to ensure that the protection
strategy for a particular existing exposure situation defines the objectives to be achieved andcontains appropriate reference levels (see paras 5.19–5.23).
5.12. Various remedial and protective actions will generally be available for achieving theobjectives of the protection strategy for a particular existing exposure situation. In terms ofpara. 5.5 of the BSS, the relevant authority, in implementing the protection strategy, has to makearrangements for these remedial and protective actions to be evaluated. This will include anevaluation of the effectiveness of those actions eventually planned and implemented.
5.13. The relevant authority, in implementing the protection strategy, has to ensure that
information is available to exposed individuals on the potential health risks and on the means
available for reducing their exposures and associated risks.
JUSTIFICATION
5.14. The relevant authority has to establish the protection strategy for a particular existing
exposure situation in accordance with the principle of justification. This means that only those
remedial and/or protective actions that are expected to yield sufficient benefits to outweigh the
detriments associated with taking them, including detriments in the form of radiation risks, thecost of such action and any harm or damage caused by the action, should be considered forinclusion in the protection strategy.
5.15. The detriments in the form of radiation risks to be considered in the justification process
should include exposures of workers engaged in any remedial actions.
OPTIMIZATION
General approach
5.16. The relevant authority and other parties responsible for the establishment of a protection
strategy have to ensure that the form, scale and duration of remedial and protective actions are
optimized, i.e. they will provide the maximum net benefit, in that all exposures are controlled tolevels that are as low as reasonably achievable, economic, social and environmental factors being
taken into account. The implementation of the optimized protection strategy will not necessarily

6

More than one authority may be involved, in which case the term ‘authority’ refers to a system of authorities.

65

result in the greatest reduction in dose, since dose reduction is only one of several attributes
considered in the optimization process.
5.17. As in the case of the justification process (see paras 5.14 and 5.15), the detriments in theform of radiation risks to be considered in the optimization process should include the exposuresof workers engaged in any remedial action.
5.18. Optimization of protection in an existing exposure situation is achieved by:
(a)
(b)
(c)
(d)

An evaluation of the exposure situation, including any potential exposures;
Identification of the possible protection options expressed in terms of justified remedial
and/or protective actions;
Selection of the best option under the prevailing circumstances;
Implementation of the selected option.

Reference levels
5.19. A reference level is an important tool in the optimization process. It represents a level ofdose above which it is judged to be inappropriate to plan to allow exposures to occur. In
considering the various possible remedial or protective actions, a reference level serves as an
upper bound on the range of options considered; this will ensure that the optimized protection
strategy will be aimed at reducing doses to some value below the reference level.
5.20. A reference level also serves as a tool for prioritizing the implementation of remedial orprotective actions. When an existing exposure situation has been identified, actual exposures
could be above or below the reference level. While the process of optimization is intended toprovide optimized protection for all exposed individuals, priority should be given to those groups
receiving doses above the reference level by taking all reasonable steps to reduce those doses tobelow the reference level.
5.21. Reference levels are generally expressed in terms of annual effective dose to therepresentative person in the range 1–20 mSv. However, reference levels for exposure to radon are
expressed in terms of annual average radon concentration in air.
5.22. A reference level for a particular existing exposure situation should be established by thegovernment or a relevant authority acting on behalf of the government. The value should bechosen taking into account all relevant factors, including:
(a)
(b)
(c)
(d)
(e)

The nature of the exposure and the practicability of reducing the exposure;
Societal implications;
National or regional factors;
Past experience with the management of similar situations;International guidance and good practice elsewhere.

5.23. The relevant authority should review reference levels periodically to ensure that theyremain appropriate in the light of the prevailing circumstances.

66

EXPOSURE ARISING FROM REMEDIAL ACTIONS IN AREAS CONTAMINATED WITHRESIDUAL RADIOACTIVE MATERIAL
Application of the system for protection and safety
5.24. As mentioned in para. 5.6(1), workers carrying out remedial action in connection withareas contaminated with residual radioactive material may be subjected to increased exposure asa result of activities such as the handling, transport and disposal of residual radioactive material.
In terms of para. 5.26 of the BSS, the employers of such workers have to ensure that their
exposures are controlled in accordance with the relevant requirements for planned exposure
situations established in Section 3 of the BSS, even though the workers’ exposures are part of an
existing exposure situation. The guidance given in Section 3 of this safety guide is therefore
applicable to these workers. The guidance given in paras 5.38, 5.39 and 5.42–5.44 is also
relevant.
5.25. As mentioned in para. 5.6(2), workers who are not carrying out remedial action may
nevertheless be exposed as part of an existing exposure situation as a result of the exposure levelsin their workplaces being affected by the residual radioactive material. The exposures of theseworkers are also subject to control, in the sense that such exposures may be reduced as a result ofremedial action. The system for protection and safety under which this control is exercised is thesame as that for controlling exposures of members of the public in existing exposure situations.
In essence, therefore, such workers are treated as though they were members of the public.
Guidance on the reduction of exposures by remedial action, together with any necessary postremediation activities, is given in paras 5.28–5.44. More detailed guidance is given in Ref. [34].
Protection strategies
5.26. In formulating protection strategies for areas contaminated with residual radioactive
material, all contaminated or potentially contaminated areas need to be monitored or surveyed by
the relevant authority, so that those areas requiring remedial and/or protective actions can be
identified and appropriate reference levels specified. It will be necessary to involve a number ofgovernment and private organizations, and provision needs to be made for liaison between themand for their input to the process. Account should be taken of any possible effects onneighbouring States.
5.27. The relevant authority has to establish safety criteria for the development andimplementation of protection strategies, including criteria and methods for assessing theeffectiveness of any remedial measures and criteria defining conditions on the end points of theremediation.
Organizational arrangements for remedial action
5.28. The organizational arrangements for remedial action, funding mechanisms, roles andresponsibilities including the legal and regulatory framework should be in accordance with theguidance provided in Ref.[34].

67Roles and responsibilities
5.29. Since the actual remediation of a contaminated area may involve several entities that
include individuals who may be unfamiliar with the principles of radiation protection and safety,
the roles and responsibilities of the different parties involved in the remediation process should
be clearly defined in the legal and regulatory framework. In particular, responsibilities need to be
defined for the protection of workers in the planning and implementation of the remediation
programme.
5.30. Those persons or organizations responsible for providing adequate human resources,
equipment and supporting infrastructure for occupational radiation protection in accomplishing
the remediation should be clearly identified.
Regulatory considerations
5.31. The legal and regulatory framework, supported where necessary by guidance material,
should provide for adequate protection of individuals (including workers) and the environment
when remediation is undertaken.
5.32. Protective actions in the form of restrictions on the use of or access to the area will need
to be considered before, during and, if necessary, after remediation. The basis for establishingsuch restrictions should be provided in the legal and regulatory framework.
5.33. The regulatory process for remediation situations involves more than just radiation
protection. Other laws and regulations covering such matters as occupational health and safety,
environmental protection, land management and food and drinking water standards are likely tobe administered by different government bodies. These other laws and regulations need to be
applied as appropriate to create a coherent regulatory approach.
Remediation programme
5.34. Remediation of a contaminated area involves the prior radiological evaluation of thesituation, the preparation and approval of a remediation plan, the remediation work itself, and the
management of waste arising from the remediation activities. In the prior radiological evaluation,
the nature of the problem and the associated concerns in relation to radiation protection ofworkers should be appropriately characterized.
5.35. As part of developing a remediation plan, the following aspects relevant to protection ofworkers should be considered among others:
(a)
(b)
(c)
(d)

Determining the nature and extent of the radioactive contamination;
Identifying exposure pathways of workers;
Assessing individual doses from all routes of exposure;
Evaluating health and safety issues during remediation including the use of appropriate
personal protective equipment.

5.36. The design of the site characterization survey is determined by the conditions in the area,
the type and extent of on-site contamination and the available resources. It is important to ensure

68that the most suitable instruments and sampling and measurement techniques are selected andthat proper attention is given to instrument calibration and recording of data (see Section 7).
Collection of data will most likely require ambient gamma measurements as well as samples of
surface and sub-surface soil, airborne radioactive material, water and biota.
5.37. The remedial and protective actions that are to be implemented should be justified andoptimized (see paras 5.14–5.23), while taking cognizance of the need to give priority to situations
where the applicable reference level is exceeded (see para. 5.20). Decisions on remedial andprotective actions have to be made with the involvement of relevant parties concerned with thecontamination situation. Protection and safety considerations have to take account of the health of
future generations as well as the present generation including workers.
5.38. In the justification process, the positive attributes of remediation that need to be taken into
account include not only the eventual reductions in individual and collective doses, but also the
expected reductions in anxiety among individuals, including workers. The negative attributes thatneed to be taken into account include not only the direct financial costs of the remediation, butalso the social and economic costs, the health and environmental impacts of the remediation work
(including the radiation risks to the workers undertaking such work), and the disruptive effects of
the remediation process on society. It is important to understand that, while the overall objective
is to reduce the doses received by individuals, the nature of the remediation process itself might
temporarily give rise to additional doses. Such additional doses are justified on the basis of theresulting net benefit, including consideration of the consequent reduction of the annual dose.
5.39. In the optimization process, remedial and protective actions have to be optimized
according to the same general approach as that used for the optimization of protection in planned
exposure situations (see paras 3.8–3.33) with the role of the reference level being in somerespects equivalent to the role of the dose constraint in planned exposure situations. The optimum
nature, scale and duration of remedial and protective actions have to be selected from a set ofjustified options for remediation. When choosing the optimized remediation option, theradiological impacts on individuals and the environment have to be considered together with the
non-radiological impacts, as well as technical, societal and economic factors. Factors related toradioactive waste management also need to be taken into account. These include the costs(including transport costs) of waste management, the radiation exposure of and the health risks to
the workers managing the waste, and any subsequent exposure associated with its disposal. In
some cases, the outcome of the optimization process for remediation may be one in which the useof human habitats is subject to certain restrictions, in which case ongoing institutional controls
will be necessary to enforce those restrictions.
5.40. The remediation plan has to include a monitoring programme that will ensure that all thenecessary radiological information is gathered before, during and after the remediation process.
To ensure that the remediation programme is adequately documented, a system of record keeping
also form part of the remediation plan, and should include:
(a)
(b)
(c)
(d)

Descriptions of activities performed;
Data from monitoring and surveillance programmes;
Occupational health and safety records for remediation workers;
Records of the types and quantities of radioactive waste generated and of their
management;
69

(e)
(f)
(g)
(h)
(i)
(j)
(k)
(l)

Data from environmental monitoring;
Records of financial expenditures;
Records of the involvement of other interested parties;
Records of any continuing responsibilities for the site;
Identification of locations that were remediated and those with residual contamination;
Specifications of any areas that remain restricted and the restrictions that apply;Statements of any zoning and covenant restrictions or conditions;
Statements of lessons learned.

5.41. Procedures have to be established to ensure that any abnormal conditions relevant toprotection and safety will be reported to the relevant authority. Individuals, including workers,
need to be kept informed and parties affected by the existing exposure situation need to be
involved in the planning, implementation and verification of the remedial actions and any postremediation monitoring and surveillance. The remediation plan supported by the priorradiological evaluation, is submitted to the relevant authority for approval which, depending on
the circumstances, may involve the issue of an authorization in the form of a registration or
license, as might be required in a planned exposure situation (see para 3.3).
Implementation of remedial actions
5.42. Throughout the implementation of remedial actions, the responsible person ororganization takes overall responsibility for protection and safety, even when contractors are used
to perform specific tasks or functions. This includes responsibility for protection and safety
during the transport, processing, storage and disposal of the radioactive waste arising from theremediation. The carrying out (and submission to the relevant authority for approval) of a safetyassessment and, where appropriate, an environmental assessment, as well as any follow-up
assessments forms part of this responsibility. As explained in para. 5.24, although the remedialactions are undertaken as part of an existing exposure situation, the exposure of workers
undertaking the remediation work has to be controlled in accordance with the relevant
requirements for occupational exposure in planned exposure situations. This places various
obligations on the employer of the workers, such as:
(a)
(b)
(c)
(d)

To prepare and implement appropriate protection and safety procedures;
To apply good engineering practice;
To ensure that the staff are adequately trained, qualified and competent;
To ensure that protection and safety are integrated into the overall management system.

5.43. If the employer of the workers engaged in the remediation work is an outside contractor,
the person or organization responsible for the remedial actions should cooperate with that
employer to the extent necessary for compliance by both parties with the applicable requirementsfor protection and safety (see paras 6.21–6.98).
5.44. During the implementation of the remedial actions, the relevant authority is responsible
for verifying day to day compliance with regulatory requirements, including requirements foroccupational exposure. This involves the carrying out of regular inspections and a review of work
procedures, monitoring programmes and monitoring results. There are also responsibilities
associated with non-routine matters, such as enforcement action in the event of non-compliance,
responses (where necessary) to reports of abnormal occurrences, and the review and approval of70

any changes to procedures, equipment or the remediation plan itself, when such changes may
have significant radiological implications for workers, the public or the environment.
EXPOSURE TO RADON
Exposure pathways
5.45. Uranium occurs naturally in normal rocks and soil. The decay of 226Ra in 238U series
results in the production of the radon isotope 222Rn, an inert naturally radioactive gas with a halflife of 3.8 d. Some of this gas escapes to the air, while some dissolves in groundwater. The
highest 222Rn concentrations in air are found in enclosed spaces, the levels depending on the rateof ingress and the extent of ventilation. Exposure of individuals to 222Rn and its short-lived
progeny (218Po, 214Pb, 214Bi and 214Po) occurs mainly by breathing air, resulting in a dose to thelung. Only about 1% of the dose to the lung arises from 222Rn itself because most of the inhaled
gas is breathed out again. The dose arises almost entirely from the short-lived progeny, atoms ofwhich attach themselves to condensation nuclei and dust particles present in the air. These
particles, as well as unattached particles, get deposited along the various airways of the bronchialtree. Exposure of the lung is caused mainly by the alpha particles emitted by the short-lived
progeny, even though there are also some emissions of beta particles and gamma radiation.
Exposure from ingestion of 222Rn via the groundwater pathway is unlikely to be of significant
concern for occupational radiation protection.
5.46. A similar situation exists with respect to thorium in rocks and soil, with the decay of 232Th
resulting in the production of the gaseous isotope 220Rn (commonly referred to as thoron).
However, exposure to 220Rn and its short-lived progeny is unlikely to be of concern in existing
exposure situations because the half-life of 220Rn (56 s) is much shorter than that of 222Rn. The
inhalation of 220Rn and its progeny by workers during the mining and processing of minerals withhigh thorium contents could give rise to exposures of concern, but in such situations these would
be controlled as a planned exposure situation along with exposure to other radionuclides in the232
Th decay chain (see para. 3.169). Consequently, the use of the term ‘radon’ hereinafter refers
only to the isotope 222Rn.
Radon concentrations
Buildings
5.47. In buildings, the accumulation of radon in the air occurs mainly as a result of the entry ofradon directly from the underlying soil in the basement through cracks in the floor. In temperatezones, the air inside buildings is normally at a slightly lower pressure than the air outdoors as aconsequence of the air inside the building being warmer than the air outside. This causes a
convective flow which, together with the effect of the wind blowing over chimneys and otheropenings, draws soil gas and hence radon into the building. In addition to pressure differences,other factors, including relative humidity and soil moisture, can also influence radon levels inbuildings.
5.48. The accumulation of radon in buildings also occurs, usually to a lesser extent, through theescape of radon from building materials into the air inside the building, particularly if suchmaterials are porous and have elevated concentrations of 226Ra. The water supply can also
71

provide a route for the entry of radon into the air inside buildings, although radon levels indomestic water are generally quite low, except possibly when the supply comes fromgroundwater. The accumulation of radon in buildings that are workplaces may also be influenced
by the presence of minerals and raw materials containing elevated concentrations ofradionuclides in the 238U decay series, although this influence is generally quite small if there isadequate ventilation (see para. 3.172).
5.49. Indoor radon concentrations differ between countries because of differences in geology,
climate, construction materials, construction techniques, type of ventilation provided (natural orother-wise) and domestic habits. Within individual countries, there may be marked regionalvariations. Data on indoor radon concentrations around the world are given in Ref. [35]. The
arithmetic mean values for various countries vary from 7 to 200 Bq/m3. Arithmetic mean values
in high background areas vary from 112 to 2745 Bq/m3. In some parts of northern Europe,
maximum values of up to 84 000 Bq/m3 have been reported. The population weighted worldwide
arithmetic mean is 39 Bq/m3.
Underground workplaces
5.50. The highest concentrations of radon tend to occur in underground workplaces. Suchworkplaces include underground mines, tunnels, basement storage and parking facilities,
underground facilities for water treatment and distribution, caves, former mines open to the
public, and spas. In such workplaces, there are many interfaces via which there may besubstantial entry of radon into the air and there may be practical limitations on the amount ofventilation that can be provided. In some underground mines, including some in which the 226Ra
concentrations in the rock are not significantly elevated, high concentrations of radon arise fromthe entry of radon via the groundwater and its subsequent release into the mine atmosphere. A
similar situation may be encountered in underground facilities for water treatment anddistribution.
5.51. Concentrations of radon are reported to vary from 20 to more than 20 000 Bq/m 3 inworkplaces in caves and underground mines open to the public and from about 200 to7000 Bq/m3 in workplaces in tunnels [36]. Much higher values have been found in some
operating underground mines, particularly uranium mines.
Application of the system for protection and safety
5.52. As with any other exposure to natural sources, occupational exposure to radon is normallysubject to the requirements for existing exposure situations [2]. However, the requirements forplanned exposure situations will apply in certain situations, as specified in para. 3.161.
5.53. Occupational exposure to radon is generally of concern only in enclosed workplaces suchas buildings and underground mines. Occupational exposure to radon outdoors is not usually ofconcern except, possibly, in open pit mines in certain atmospheric conditions.
Identifying workplaces in which exposure to radon is of concern
5.54. The government has to ensure that information is gathered on indoor concentrations ofradon, including concentrations in workplaces. Since it is not feasible to measure radon72

concentrations in every workplace, surveys have to be designed and carried out such that the
information gathered is reasonably representative of the country as a whole, in a similar manner
to surveys of radon in homes. This requires that the surveys are systematic and unbiased to theextent possible. Geographical considerations will often be a good general guide to identifying
areas in which radon concentrations are likely to be above average. However, such an approachon its own has limitations because the relationships between indoor radon concentration andgeological parameters such as soil porosity and concentrations of uranium and radium arecomplex. Geological considerations can nevertheless be used for interpolating between thesurvey results and may be useful in refining the identification of the relevant areas.
5.55. Radon concentrations measured in above ground workplaces could provide important
input to the identification of radon prone areas for dwellings, or vice versa, since it is likely thatradon prone areas for above ground workplaces will coincide with those for dwellings7.
5.56. Once the measurement data have been gathered, the government should ensure that theanalysis of the measurement data leads to the identification of any workplaces where exposure toradon is of concern. If there are no such situations, no further action is required. If, on the other
hand, exposures of concern are identified, the government should ensure that exposures inworkplaces are incorporated into an overall national action plan for indoor radon. The action plan
has to be appropriate for the exposure situation and adapted to national conditions.
Action plan
5.57. A national action plan for indoor radon exposure, including exposure in workplaces,
provides the means for defining remedial actions to address exposures of concern. It should also
provide the means for ensuring that, by way of suitable campaigns, relevant information on
exposure to radon is provided to employers, workers and members of the public, and to otherinterested parties such as professional bodies. The objective of these information campaigns
should be to share the key findings of the national surveys and to increase the understanding ofradon, the potential health risks and the simple measures that can be taken to reduce the risks.
Since smoking is such a prevalent cause of lung cancer, the increased risks related to smoking
should be highlighted.
5.58. For the exposures in workplaces identified as being of concern, the action plan need todefine a series of coordinated actions to address radon concentrations in existing and future
workplaces.
5.59. It is possible to focus the efforts to control radon by identifying ‘radon prone buildings’.
Such buildings can be identified on the basis of certain characteristics of the design, construction
material or construction method that are likely to give rise to elevated radon concentrations.

7

A radon prone area is one in which, because of the characteristics of the ground and/or building design andusage, the percentage of buildings with 222Rn concentrations above a certain predetermined level (most probably theapplicable reference level) exceeds a threshold percentage established by the relevant national authority.

73Reference levels
5.60. In formulating the action plan, appropriate reference levels for radon in workplaces
should be established, taking into account the prevailing social and economic circumstances. In
general, the reference level for workplaces should not exceed an annual average radon
concentration of 1000 Bq/m3 [2]. This value corresponds to an annual effective dose of the orderof 10 mSv, assuming an equilibrium factor of 0.4 and an annual occupancy period of 2000 h.
There is practical advantage in adopting a single value for the reference level which applies to all
workplaces irrespective of the equilibrium factor. Nevertheless, other reference levels may beappropriate if the equilibrium factor is significantly different from this, which may be the case insome underground mines for instance. The choice of an appropriate reference level is complex —the value should be determined with considerable circumspection, taking into account not only
the level of exposure but also on the likely scale of remedial action involved, which has economic
implications for industry and the country as a whole. In buildings with high occupancy factors formembers of the public such as kindergarten, schools, hospitals etc exposure of all occupants is
controlled using the reference level for dwellings (in terms of para 5.20 of the BSS).
Implementation of remedial action in workplaces
5.61. In workplaces that have been identified in the action plan, additional, more detailed
measurements of radon concentrations may be necessary. Arrangements for making thesemeasurements, and for carrying out any subsequent remedial action, are the responsibility of theemployer concerned. It is important for the employer to have access to expert advice on remedial
measures. It may be appropriate for the relevant national authority to provide written guidance inaccordance with national building practices.
5.62. The employer has to ensure that radon activity concentrations in workplaces are as low asreasonably achievable, with priority being given to those workplaces where the reference level isexceeded. In some workplaces, particularly underground mines, there can be large variations inradon concentration in space and time. This should be taken into account when determining
whether the reference level is exceeded.
5.63. If, despite all reasonable efforts by the employer to reduce radon concentrations in theworkplace, such concentrations remain above the reference level, the relevant requirements foroccupational exposure in planned exposure situations will apply (see para. 3.161(b)). Thisoutcome is unlikely except in some underground mines where there might be practical limitations
on restricting the entry of radon into the air and on the amount of ventilation that can be provided(see para. 3.176).
Methods for reducing radon in buildings
Sub-floor depressurization
5.64. For foundations and basements in contact with soil, the most effective course of action isto reduce the pressure of the soil gas in the vicinity of the foundation relative to the pressure in
the structure. This can be accomplished by installing a system of pipes leading from the soil
under the foundation that maintains a negative pressure gradient between the soil and thefoundation. The soil gas containing radon can then be vented harmlessly to the atmosphere.
74

Where possible, it is desirable to install a small and simple cavity or sump within the foundations
to which the system of pipes may be attached. For buildings with extensive and complex
foundations a number of such depressurization systems may be needed.
Sub-floor ventilation
5.65. If the ground floor is not in contact with the soil, the amount of radon entering thestructure can be reduced by ventilating the space beneath the floor. This may be accomplished byincreasing the natural ventilation or installing a fan that removes the air from under the floor andreplaces it with outdoor air.
Floor sealing and membranes
5.66. Since most of the radon from the soil enters through cracks and other openings in thefloor, it is possible to reduce indoor radon concentrations by sealing such entry routes. However,this approach is generally less effective than depressurization and ventilation because it isdifficult to seal all entry routes adequately and seals deteriorate over time. It can be used as asupplementary measure to increase the effectiveness of sub-floor depressurization or ventilation.
Heavy duty plastic membranes incorporated into the foundations may act as effective radon
barriers provided all joints are properly sealed and the membranes are not punctured during
installation. However, they cannot be retrofitted to existing buildings.
Increased ventilation
5.67. Indoor radon can be diluted by increased ventilation with outside air. This approach canbe costly in terms of energy loss, particularly in hot or cold climates. Energy loss can be reducedby heat exchangers but these involve significant capital, operating and maintenance costs. In
some structures, increased ventilation can actually increase indoor radon concentrations byincreasing the negative pressure differential between the indoor air and the soil gas.
Removal of subsoil
5.68. Elevated indoor radon concentrations are sometimes caused by high 226Ra concentrationsin the soil underneath or surrounding the building. In such situations, indoor radon concentrations
can be reduced by removing the subsoil and replacing it with uncontaminated soil. This is amajor undertaking and is carried out when there is no other straightforward options.
Water treatment
5.69. In the few situations where the water used in the building is a significant source of indoor
radon, prior treatment of the water by aeration can be effective. Filtration with activated charcoal
can also be used but is likely to be less effective. Although aeration of the water can reduce radon
concentrations in the buildings to which it is supplied, it can aggravate the problem in themunicipal water treatment plants where aeration is carried out. In any water treatment plant, theair spaces of frequently accessed areas should be well ventilated to prevent the buildup of highradon concentrations. In treatment plants processing groundwater with high radon concentrations,such measures alone may not be sufficient and it may be necessary to restrict the periods of75

occupancy of the plant workers in areas of high radon concentrations. This is not normally aproblem, because the workers usually make only brief periodic inspections in such areas.
Preventive measures in new buildings
5.70. In addition to any remedial action to be taken in existing workplaces, which is the
responsibility of the employer, consideration should also be given by the relevant authority topreventive measures that can be applied to new buildings, including workplaces, in radon prone
areas. In the case of dwellings, it has been found that, in areas where more than 5% of current
buildings have radon concentrations exceeding 200 Bq/m3, preventive measures in all newbuildings are likely to be cost effective [37]. The difficulty with new buildings is that radon
concentrations cannot be predicted with accuracy as they can only be determined after thecompletion of the construction. The implication is that the relevant authority will need toestablish a basis for identifying in advance those buildings for which preventive measures should
be included in the design and construction and, after construction, to apply checks on theeffectiveness of the preventive measures. Appropriate construction codes and guidance on
construction practices should be developed. Particularly careful consideration should be given tobuilding development on made-up ground if there are indications that the fill material may
contain elevated concentrations of 226Ra. A thorough quantitative assessment may be needed and,
where necessary, restrictions applied by the relevant authority.
5.71. The foundations of new buildings constructed in radon prone areas should be designed
and constructed such that the ingress of radon from the soil is minimized. Some preventive
measures may require major changes to the design and construction of the foundations. Other
measures can be very simple and can be incorporated at relatively low cost. These include theprovision of a porous fill layer under the floor slab so that radon in the soil gas can be extracted.
Space may also be left for an interior exhaust duct for the extracted air. Consideration should also
be given to design features that allow the easy introduction of further remedial measures after theconstruction has been completed, should these be found to be needed.
5.72. The approach favoured by the relevant authority will depend on local building styles andthe extent and severity of radon proneness. A combination of approaches may prove to be thebest option. In the initial phase of the national action plan, the relevant authorities will need toclosely monitor the outcome of preventive and remedial measures to ensure that they are reliableand durable.
EXPOSURE TO COSMIC RAYS
Sources of exposure
5.73. There are three main sources of cosmic radiation that are important for occupational
exposure:(i)

76

Galactic cosmic radiation from sources outside the solar system: Galactic cosmic rays
incident on the upper atmosphere consist of a 98% nucleonic component (mainly protons
and helium ions) and 2% electrons. With increasing solar activity, the fluence rate decreases
but the maximum of the energy spectrum is shifted to higher energies.

(ii)Solar cosmic radiation generated near the surface of the sun by magnetic disturbances: This
radiation originates from solar flares and coronal mass ejections when the particles
produced are directed towards the Earth. These solar particles comprise mostly protons.
Only the most energetic particles contribute to doses at ground level.
(iii) Radiation from the Earth’s radiation belts (van Allen belts): The van Allen radiation belts
are formed by the capture of protons and electrons by the Earth’s magnetic field. There are
two van Allen belts, an inner one centred at about 3000 km and an outer one centred atabout 22 000 km from the Earth’s surface. The inner van Allen belt descends to within a
few hundred kilometres of the Earth’s surface in a region east of Brazil known as the South
Atlantic Anomaly.
5.74. The intensity of cosmic radiation reaching the upper atmosphere is reduced by the Earth’s
magnetic field and therefore varies with latitude. The reduction in intensity is greatest near theequator and least near the geomagnetic poles. The intensity of the total cosmic radiation also
varies with time. The variation follows the 11 year solar activity cycle, with the radiation
intensity being at its lowest when the solar activity is at its highest.
5.75. High energy particles incident on the atmosphere interact with atoms and molecules in the
air and generate a complex set of secondary charged and uncharged particles, including protons,
neutrons, pions and relatively light nuclei. Uncharged pions decay into high energy photons,
which in turn produce a cascade of high energy electrons and photons. Charged pions decay into
muons, which travel large distances in the atmosphere. Thus, at ground level, the muoncomponent of cosmic radiation is the most important contributor to dose, contributing about 80%of the absorbed dose rate.
Application of the system for protection and safety
5.76. Exposure to cosmic radiation at ground level is regarded as unamenable to control and istherefore excluded from the scope of the BSS. 8
5.77. Control of occupational exposure to cosmic radiation above ground level has to beconsidered for aircrew and space crew in terms of the requirements for existing exposure
situations.
Exposure of aircrew
5.78. At commercial aircraft altitudes, typically 6100–12 200 m, the most significant
components of cosmic radiation are neutrons, electrons, positrons, photons and protons, withneutrons contributing 40–80% of the effective dose rate, depending on altitude, latitude and timein the solar cycle. The dose rate doubles for every 1830 m of increased altitude. At higher
altitudes, the heavy nuclei component becomes important.
5.79. Dose rates in commercial aircraft depend on altitude, latitude and time in the solar cycle.
For an altitude of 9000–12 000 m at a latitude of 50° (corresponding to a flight between northern
8

The average annual effective dose to populations from cosmic radiation is estimated to be in the range 0.3–
2 mSv, with a population weighted average of about 0.38 mSv [23].

77Europe and North America), the dose rate is generally in the range 4–8 μSv/h. Dose rates at lower
latitudes are generally lower and, allowing for climbing and descent, an average dose rate of
4 μSv/h can be used for all long haul flights. For short haul flights, the altitude is generally lower(7500–10 000 m) and the corresponding average dose rate is about 3 μSv/h. Annual average
flying times are typically 600–900 h.
5.80. In recent years, there have been new developments in the monitoring technology for
estimating the radiation field on board aircraft (see para. 7.36). In addition, various computercodes have been developed to estimate the doses received by aircrew for specific flight routeparameters. Good agreement has been observed between the measured values and the calculated
values [38]. Computer codes are now used routinely to assess doses received by aircrew, rather
than relying on measurements.
5.81. The annual average doses received by aircrew are typically in the range 1–3 mSv, withmaximum values of 3.5–6.5 mSv being reported from certain countries [23].
5.82. Civil aviation activities vary considerably between countries, and in some parts of theworld the opportunity for aircrew to receive significant dose from cosmic radiation may be very
limited. Consequently, the relevant authority (which could be a civil aviation authority) should
first determine whether assessment of the exposure of aircrew is warranted. If it is not warranted,
then no further action need be taken.
5.83. Where assessment of doses received by aircrew is deemed to be warranted, the following
requirements apply (see paras 5.31 and 5.32 of the BSS):
(a)

(b)
(c)

The relevant authority should establish a framework that includes an appropriate reference
level — a reference level of about 5 mSv might be considered as reasonable — and amethodology for assessing doses and keeping records of occupational exposure.
The employer needs to assess the doses, keep records and make each worker’s dose record
available to that individual.
For female aircrew during pregnancy, the employer should implement the same radiation
protection measures as those that would apply in planned exposure situations (see paras
6.2–6.20). The employer must inform female aircrew members of the risk to the embryo or
foetus due to exposure to cosmic radiation and of the need for early notification ofpregnancy. Notification of pregnancy should not be considered a reason to exclude a female
worker from work. On being notified of the suspected pregnancy, the employer must adapt
the working conditions in respect of occupational exposure so as to ensure that the embryoor foetus is afforded the same protection as is required for members of the public according
to the requirements for planned exposure situations. This includes a limit of 1 mSv on theannual effective dose.

5.84. According to the BSS, the requirement for dose assessment and record keeping(para. 5.83(b)) applies only if the dose exceeds the reference level. This implies that the doses of
only a small portion of the workforce would need to be assessed. In practice, however, countries
with significant civil aviation activities tend to include all aircrew in the dose assessment process.
Given the availability of suitable computer codes for assessing dose directly from the flightparameters (see para. 5.80), this appears to be a more practicable option (and more acceptable to
the workforce).
78

5.85. The doses received by aircrew are self-limiting. These limitations ensure that the average
doses remain at a small fraction, typically about 10%, of the annual dose limit for workers inplanned exposure situations. In terms of current aviation practice, flying altitudes are firmly
established and flying times of aircrew are controlled for non-radiological reasons — suchcontrols may provide sufficient control of exposures. It is probable that some airlines, again for
non-radiological reasons, already have special working arrangements in place for female aircrew
after notification of pregnancy. While there are thus no apparent scenarios in which doses could
increase above current levels, there are at the same time few reasonable opportunities for
reducing doses. For instance, any further restriction on the flying times of aircrew could haveunacceptable economic repercussions. Furthermore, any attempt to reduce the doses received byindividual crew members by reassigning them to other flights will do nothing to reduce thecollective dose. All of these factors must be taken into account when considering whether there isanything to be gained by imposing further control measures to reduce doses. At present, it would
seem that there is little justification for such additional measures.
Exposure of space crew
5.86. At altitudes of 200–600 km and at low inclinations, the main contribution to the exposureof space crew is delivered by protons and electrons trapped geomagnetically by the inner van
Allen belt where it comes closest to the Earth’s surface in the South Atlantic Anomaly [23]. For
low Earth orbit missions of limited duration, the results of some dose assessments show values of
mission dose equivalent varying from 1.9 to about 27 mSv. When considering a broader range ofspace activities, mission doses can reach values of the order of 100 mSv.
5.87. Only a limited number of countries are involved in space travel. The approach to thecontrol of exposures of space crew has been developed by national and regional space agencies.
The requirements of the BSS for controlling exposures in these exceptional conditions are, bynecessity, rather general and essentially reflect current good practice in the countries concerned:(a)(b)

The relevant authority has to establish, where appropriate, a framework for radiation
protection that applies to individuals in space based activities;
All reasonable efforts have to be made to optimize protection by restricting the doses
received by space crew while not unduly limiting the extent of the activities that they
undertake.

5.88. The framework for protection of space crew should make provision for the setting ofappropriate reference levels, for example reference levels for mission dose and career dose. The
protection framework should also make provision for identifying, during the pre-flight design
stage, ways to minimize doses by means such as shielding and the timing and duration of certain
activities. Area monitoring and individual monitoring should be carried out, as appropriate, fordose assessment purposes and for providing warning of changing exposure conditions.
Monitoring and dose assessment are essential inputs to the ongoing optimization process. Further
guidance is provided in Refs [39, 40, 41].

79

6.

PROTECTION OF WORKERSIN SPECIAL CASES

6.1. This Section provides guidance on occupational radiation protection with respect to twogroups of workers for whom there are specific management issues associated with the control ofradiation exposure:(1)(2)

Female workers during and after pregnancy, with exposure implications for not only
themselves but also the embryo, foetus or newborn child.
Workers who regularly carry out their work on the premises or site of another employer andmay be exposed to the site operator’s use of radiation or may take onto the site their own
source of radiation, with exposure implications for both themselves and the employees ofthe site operator. These persons are referred to as itinerant workers and are often employedby contractors.

FEMALE WORKERS DURING AND AFTER PREGNANCY
6.2. For the purposes of occupational radiation protection, there is no reason to make any
general distinction between workers on the basis of gender. However, additional protection
measures have to be considered for a female worker during and after pregnancy in order toprotect the embryo, foetus, newborn or breast-fed child.
Exposure pathways to the embryo, foetus, newborn or breast-fed child
6.3. The following exposure pathways to the embryo, foetus or newborn child are of potential
concern:
(a)
(b)

(c)

(d)

In utero, external exposures: These are exposures from sources of radiation external to thebody of the mother that irradiate not only maternal tissues but also the embryo or foetus;
In utero, internal exposures: These are exposures from the incorporation of radionuclides by
the mother or that present in maternal hollow organs, such as urinary bladder or bowel, withtransfer to the foetus through the placenta and/or irradiation of the foetus by penetratingradiation from radionuclides deposited in maternal tissues;
Newborn, external exposures: These are exposures associated with irradiation of thenewborn child by penetrating radiation from radionuclides in maternal tissues or present inmaternal hollow organs such as urinary bladder or bowel;
Newborn, internal exposures: These are exposures from the intake of radionuclides by thebreast-fed child via transfer from maternal tissues to the breast milk and subsequent
ingestion during breast feeding.

Responsibilities of management
6.4. In terms of para. 3.113 of the BSS, management has to provide female workers who areliable to enter controlled areas or supervised areas, or who undertake emergency duties, withappropriate information on the risk to the embryo, foetus, newborn or breast-fed child during andafter pregnancy. Although such a female worker cannot be compelled to notify her employer if
she suspects or knows she is pregnant or is nursing a breast-fed child, management needs to80

inform female workers of the importance of notifying the employer as soon as possible so thatmeasures to protect the embryo, foetus, newborn or breast-fed child may be implemented
promptly.
6.5. As soon as such a female worker notifies the employer that she is pregnant or is nursing
the newborn or breast-fed child, the employer should make special arrangements with respect toher working conditions to ensure that the embryo, foetus or child is afforded the same broad levelof protection as is required for members of the public (see para. 3.114 of the BSS). Such
notification must not be considered a reason to exclude the female worker from work, but it willentail the imposition of more stringent restrictions on the exposures to which the female worker
is subjected. The employer should inform the female worker of the decision to apply these more
stringent restrictions.
6.6. These more stringent restrictions do not necessarily imply that the female worker may notcontinue to work with radiation or radioactive materials, or that she must be prevented fromentering or working in designated radiation areas. However, the restrictions should be such as toensure that under normal operational conditions the requirements of the BSS with regard to thedose limitations for members of the public are respected for the embryo or foetus during
pregnancy and for the newborn or breast-fed child thereafter. Also, the revised working
conditions have to be such as to avoid any significant potential exposure from accidents or other
unforeseen events that could result in high radiation doses from external or internal exposure.
6.7. In determining these more stringent dose restrictions, account should be taken of any
doses that were received by the embryo or foetus as a result of the mother’s occupational
exposure to external radiation in the period between conception and declaration of pregnancy.
Account should also be taken of any doses that were, or will be, received by the embryo, foetus
or newborn/breast-fed child as a result of intakes of radionuclides by the mother prior to thedeclaration of pregnancy, including intakes prior to conception.
6.8. The employer should consider whether the female worker needs further information andtraining as a result of any change of working conditions to restrict exposure of the embryo, foetus
or newborn/breast-fed child.
Monitoring
6.9. Because of the more stringent restrictions on dose, monitoring of the female worker
during and after pregnancy is especially important. Doses should be assessed taking all relevant
pathways of external and internal exposure into account.
6.10. Once pregnancy has been declared, the monitoring programme should be redefined inorder to be able to determine that the dose to the embryo, foetus or newborn/breast-fed child(including the dose due to intakes by the mother prior to conception) attributable to occupational
exposure will not exceed 1 mSv. Modifications of the monitoring programme for internal
exposure might be needed because some radionuclides might be more relevant for foetal doses
than for maternal doses. The biokinetics of some elements may change during pregnancy,
although the available information is generally not sufficiently detailed to allow alternativemodelling that relates excretion values or organ retention values to intake amounts. Some81changes in biokinetics that have been considered by the ICRP [42] could be used for special dose
assessments.
6.11. If there are indications that the dose to the embryo, foetus or newborn/breast-fed childmight approach 1 mSv/y, individual monitoring of the mother and individual assessment of thecommitted dose to the embryo, foetus or newborn/breast-fed child should be performed. Dosereports should be available quickly to allow for prompt action to be taken should it be found thatthe dose to the embryo or foetus or newborn/breast-fed child might exceed 1 mSv/y.
6.12. A shorter period/frequency of monitoring may be advisable to keep a closer control overpossible inadvertent exposures. However, this frequency should be chosen considering therecording level of the passive dosimeter or other techniques used. For dosimeters with arecording level of 0.1 mSv, a monitoring period of less than one month may not be enough toevaluate adequately the dose to the foetus during the whole period after the declaration ofpregnancy. An active dosimeter might serve the purpose of maintaining an alertness to any
possible accidental exposures. In all cases, the recorded dose of the pregnant worker should bethat of her regular dosimeter.
6.13. The calibration of dosimeters should be considered when assessing doses to the embryoor foetus. For penetrating radiation fields, dosimeters that have been calibrated for the personaldose equivalent Hp(10) will give an overestimation of the dose. However, this may not be thecase for radiation fields of high energy neutrons or particles in accelerator facilities, for which
dosimeters calibrated for doses at different depths are required.
6.14. Although, from a technical point of view, it is not essential to use a dosimeter on theabdomen in addition to that used routinely, it can be useful in providing the female worker withthe reassurance that attention is being given to her exposure during pregnancy. Management
should therefore consider the use of an appropriate dosimeter to monitor the dose to the foetus. If
the external radiation is homogeneous, there is no need to position a dosimeter on the abdomen,
but if the radiation field is inhomogeneous a dosimeter should be positioned on that part of theabdomen that might be irradiated more significantly.
6.15. In the case of a suspected accidental exposure, special monitoring should be carried out toensure that the dose limit to the embryo, foetus or newborn/breast-fed child will not be exceeded.
Monitoring may be carried out using whole body counting, individual organ counting (such as
thyroid counting or lung counting) or in vitro analysis of the mother's excretions.
Dose assessment
6.16. Information on the dose to the embryo or foetus from intakes of radionuclides by themother has been published by the ICRP [42]. This includes dose coefficients based on biokinetic
and dosimetric models that take into account the transfer of radionuclides from the motherthrough the placenta and photon irradiation from radionuclides in the placenta and maternal
tissues. The dose coefficients, expressed in units of sieverts per becquerel, represent thecommitted effective dose to the embryo or foetus per unit intake of activity by the female worker.
Organ dose coefficients for the foetus are also provided.

82

6.17. When there is an acute intake by the mother during or before pregnancy as a result of an
accident or incident, the ICRP dose coefficients can be used to calculate the committed organ
doses and effective doses to the embryo or foetus. For chronic intakes, the ICRP dose coefficientscover three scenarios: a chronic intake during pregnancy, a chronic intake one year before
pregnancy and a chronic intake five years before pregnancy.
6.18. In the assessment of external dose to the foetus, only penetrating radiation should beconsidered. In the case of homogeneous fields, for photons and beta radiation the dose recordedby the mother’s dosimeter will be a conservative estimation of the dose to the foetus because, by
the time that pregnancy is declared, the dose at the depth of the foetus will generally be lower. In
the case of inhomogeneous fields, a careful assessment of the dosimeter results and thecorresponding dose to the foetus is necessary.
6.19. Information on the dose to the newborn child from the ingestion of radionuclides in themother’s milk, including dose coefficients, has been published by the ICRP [43]. Intakes before
and during pregnancy, as well as during lactation, are considered.
6.20. The evaluation of dose to the newborn child from external exposure to radionuclides inmaternal tissues is based on estimations of the position of the mother and child and of the time
period during which the mother is holding or is close to the child. Mathematical models of
mother and child are then used to perform Monte Carlo simulations of the mother’s tissues assources irradiating the infant.
ITINERANT WORKERS
6.21. For the purposes of this safety guide, itinerant workers are occupationally exposed
persons who work in supervised and/or controlled areas at a variety of (one or more) locations
and are not employees of the management of the facility where they are working. Itinerant
workers may be self-employed or employed by a contractor (or similar legal entity) that provides
services at the facilities of other employers. (The facility may or may not be a registrant or
licensee or otherwise under regulatory control).
6.22. The management of a facility and the contractor are both employers. The management ofa facility has primary control of the facility, while the contractor provides services under contract.
The employees of a contractor, when working in supervised and/or controlled areas at a facility
not managed or under primary control of the contractor, will fall within the definition of itinerant
workers. In more complex situations a contractor may itself contract work to a subcontractor,
whereupon the employees of both contractor and subcontractor may be itinerant workers. Whenthe contractor is a self-employed person, that person is treated as both the employer and theemployee.
6.23. Itinerant workers may themselves work with sources of radiation and/or they may bepotentially exposed to radiation sources controlled by the management of the facility at which
they are working.
6.24. Itinerant workers may be apprentices, or students when their courses of study or work
experience (overseen by their mentors in the contractor’s organization) require their presence insupervised and/or controlled areas established at the facility.
836.25. Examples of itinerant workers and the types of work they perform include:
(a)
(b)
(c)
(d)

(e)
(f)
(g)
(h)
(i)
(j)

Maintenance workers in the nuclear power industry — employed by a contractor providing
services during normal operations, shutdown or maintenance outages;
Quality assurance, in-service inspection, and non-destructive examination or testing
personnel in the nuclear power or other industries;
Maintenance and cleaning staff in general industry who may be exposed to radiation from awide range of applications;Contractors providing specialized services, for example, removal of scale and sedimentfrom within pipes and vessels (decontamination of equipment), the transport of radioactive
wastes, or the loading or change-out of radioactive sources at irradiation facilities;
Contract workers in mining and minerals processing facilities who may be exposed to
NORM;
Industrial radiography companies contracted to work at a facility operated by a management
other than their own;
Workers performing contracted security screening using X ray generating machines orradioactive sources;
Contracted personnel involved in the decommissioning of facilities of various types, and theclean-up of associated buildings and outside areas of radioactive materials;
Contracted medical equipment company personnel installing and servicing equipment;
Medical staff who work in supervised and/or controlled areas in several hospitals or clinics(whether fixed or mobile) not operated by their employer.

Issues associated with the use of itinerant workers
6.26. The effective management of itinerant workers is essential for ensuring protection andsafety but can be complicated by issues such as overlapping responsibilities, differences in local
work procedures and protection standards, communication difficulties and remote supervision.
6.27. The issues associated with the use of itinerant workers are primarily related to managerial
control. Uncertainties over the allocation of responsibilities for worker protection arrangements
may give rise to difficulties with regard to the control of exposure of individual itinerant workers
over time, for example a calendar year. As itinerant workers move from facility to facility,
workers may accumulate doses that approach or even exceed the annual individual dose limit;
this may be true even though none of the prospectively established dose constraints oradministrative dose targets at the several facilities was exceeded.
6.28. The range of work carried out by itinerant workers makes it difficult to assign
responsibilities explicitly without first considering specific situations. These can range fromsituations where the management of a facility will be required contractually to provide most of
the necessary services for the protection and safety of itinerant workers to situations where mostof the duties and responsibilities will naturally fall on the contractor. Within this range, three
types of exposure scenario can occur:(i)

84

The operation of a facility has the potential to cause exposure of the contractor’s
employees, who themselves do not possess a radiation source — in such cases, themanagement of the facility is the registrant or licensee and the contractor is merely an
employer;

The contractor’s employees bring their own source of radiation to a facility and hence havethe potential to cause exposure of the employees of that facility — in such cases, thecontractor is the registrant or licensee and the management of the facility is merely an
employer;(iii) In a combination of (i) and (ii), the operation of the facility and the activities of thecontractor on site both have the potential to cause exposure to each other’s employees — insuch cases, both the management of the facility and the contractor are registrants orlicensees.
(ii)

Cooperation between employers
6.29. The main responsibility for protection and safety of workers at a facility lies with the
management of that facility. At the same time, a contractor providing services to the managementof the facility is responsible for the protection and safety of its own employees. It follows that
there will be overlapping responsibilities for the management of itinerant workers, andcooperation between the two employers (the management of the facility and the contractor) is
required. The specific content of these joint responsibilities will be dependent on the type of work
carried out, but will require consultation and cooperation to the extent necessary for compliancewith the requirements for the safety of all workers at the facility. This requirement is reflected inpara. 3.85 of the BSS, which states:“If workers are engaged in work that involves or that could involve a source that is notunder the control of their employer, the registrant or licensee responsible for the source and theemployer shall cooperate to the extent necessary for compliance by both parties with therequirements of [the BSS].”
6.30. Further requirements related to cooperation between employers are given in paras 3.86
and 3.87 of the BSS, which state:“Cooperation between the employer and the registrant or licensee shall include, whereappropriate:
(a)

(b)
(c)

The development and use of specific restrictions on exposure and other means of ensuringthat the measures for protection and safety for workers who are engaged in work thatinvolves or could involve a source that is not under the control of their employer are at least
as good as those for employees of the registrant or licensee;
Specific assessments of the doses received by workers as specified in (a);A clear allocation and documentation of the responsibilities of the employer and those of
the registrant or licensee for protection and safety.

“As part of the cooperation between parties, the registrant or licensee responsible for thesource or for the exposure shall, as appropriate:
(a)
(b)
(c)

Obtain from the employers, including self-employed individuals, the previous occupational
exposure history of [the] workers ... and any other necessary information;
Provide appropriate information to the employer, including any available information
relevant for compliance with the requirements of [the BSS] that the employer requests;
Provide both the worker and the employer with the relevant exposure records.”85

6.31. Where the need for cooperation leads to an agreement on procedures to be followed, thisshould ideally be set down in writing. It is likely to be appropriate for such an agreement to form
part of the formal contractual arrangement, particularly in large and/or complex contracting (andsub-contracting) situations, e.g. when the management of a facility specifically delineates a partof its site to be handed over to a main contractor to carry out some work such as
decommissioning. This should ensure that each party clearly knows which of the legal demandson the employer it is specifically responsible for meeting. The detailed arrangements andidentification of responsibilities will vary with the nature of the work and the relevant experienceof the parties involved.
6.32. Information sheets and checklists are useful aids to the exchange of information between
employers and for assessing the adequacy of protection and safety arrangements. They can beused for summarizing the protection and safety requirements to be fulfilled and for listing thevarious points that need to be discussed and agreed between the management of the facility andthe contractor before the start of the contract work.
Sources under the control of a facility
6.33. In many types of work, a contractor’s employees who do not have their own sources ofradiation are required to enter an area of a facility where they may be exposed to radiation arisingfrom the normal operation of the facility. Examples of such itinerant workers include
maintenance and cleaning staff. In many cases the contractor and its employees will have little orno experience of working in radiation areas, and will have a limited knowledge of the regulatory
requirements for protection and safety.
6.34. In such circumstances, it is the responsibility of the management of the facility to apply
the same level of protection and safety to the itinerant workers as for its own employees. Having
the necessary arrangements in place for achieving this should be a precondition for theengagement of the itinerant workers; consideration should be given to formalizing this byreferring to the relevant protection and safety measures in the contractual agreement. The
relevant protection and safety measures are those specified in Section 3 and would include, as
appropriate:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)

The optimization of protection and safety (including any associated dose constraints);
Dose limitation;
The establishment of classified areas;
Personal protective equipment;
Local rules and procedures;
Monitoring and dose assessment;
Dose records;
Information and training;
Workers’ health surveillance.

6.35. If the contractor’s work includes non-standard operations, a prior radiological evaluationof those operations is required. The evaluation should consider the various protection options andthe amount of detail in the evaluation should be commensurate with the radiation risks. The
responsibility for the preparation of the assessment should fall on the management of the facility
because of its detailed knowledge of the work, but the contractor should be involved, possibly86with the assistance of a qualified expert. This is to ensure that all relevant issues for protection
and safety are considered at an early stage.
6.36. The management of the facility will have arrangements in place for the assessment ofdoses for its own employees, and it is important that appropriate arrangements are also made forthe assessment of doses for the contractor’s employees. This may involve the management of the
facility providing the contractor with dosimeters and then assessing them at the completion of thework, or it may require the contractor to arrange for its own individual dosimetry. The
arrangement to be followed should be specified in the contractual agreement. If the work is being
carried out under dosimetry arrangements made by the management of the facility, the relevant
dose records should be made available to the itinerant workers and their employer (thecontractor). In all cases, it is essential that each itinerant worker complies with any requirementsof local rules or procedures to wear an individual dosimeter in a particular area.
6.37. On completion of the work, and possibly at stages during the contract, the doses being
received by the contractor’s employees should be compared with those predicted in the priorradiological evaluation.
6.38. In deciding which of its employees are suited to work under a particular contract, acontractor will require the following information from the management of the facility:
(a)

(b)
(c)
(d)
(e)

Details of any radiological hazards and associated controls, and an estimate of the
maximum radiation doses likely to be received by the contractor’s employees during thecontract;
Details of any additional training that will be needed and therefore should be provided
either by the contractor or by the management of the facility;
Whether the contractor’s employees need to wear individual dosimeters and, if so, whatarrangements are in hand;
Details of non-radiological hazards such as chemicals, dust and heat;
Provision of personal protective equipment, if required.

6.39. Before a contractor’s employee is accepted into a facility to work in a controlled orsupervised area, the management of the facility should obtain from the contractor specificinformation concerning the employee. If this information is immediately available, it will
facilitate rapid entry to the facility. This information should include:
(a)
(b)
(c)

Details of appropriate qualifications of the employee (training, experience andcertification);
Details of the employee’s dose history;
Any relevant information on the employee’s fitness for work.

6.40. It will also be appropriate for the management of the facility to carry out an assessment of
the competency of the contractor’s employees. This is discussed further in paras 6.56–6.65.
6.41. The contractor should consider whether it needs to consult with one or more qualified
experts for the work it is to undertake, depending on the nature of the work and any contractual
conditions. If the contractor wishes to consult with a qualified expert, it may seek guidance fromthe management of the facility and/or an independent source for suggestions on suitable experts.
87

The following subjects are examples of those for which guidance may be required from aqualified expert:
(a)
(b)
(c)
(d)
(e)
(f)
(g)

The review of engineered controls related to protection and safety;
The formulation of suitable local rules and procedures;
Appropriate dosimetry arrangements;
The requirement for personal protective equipment;
The use of radiation monitoring equipment;
Record keeping;
Emergency procedures.

6.42. The management of the facility should discuss with the contractor the arrangements forradiological supervision at an early stage and may arrange for an existing RPO (see para 3.66) toact as the RPO for the contractor and its employees. Alternatively, the contractor may be required
to appoint one of its own employees as an RPO, and will then need to ensure that this person isadequately trained. This appointed RPO should be acceptable to the management of the facility
and the contractual agreement should require this RPO to work closely with (and take guidancefrom) a nominated member of the supervisory staff of the facility. The RPOs of the facility and of
the contractor should maintain the necessary degree of liaison.
Sources under the control of a contractor
6.43. A source under the control of a contractor may have to be taken by an employee of thecontractor into a facility. Even though radiation sources (for instance nuclear gauges) may be
used within the facility as part of its normal operation, it is often the case that the area in which
the contractor works is outside any classified areas associated with such sources. In such asituation, there is no potential for the itinerant worker to be exposed to sources under the controlof the facility. However, the source brought in by the itinerant worker could cause exposure to
the employees of the facility.
6.44. Such a situation arises most commonly when industrial radiography is carried out by acontractor on site and consequently the guidance given in paras 6.45–6.50 refers specifically tosuch work. Similar principles and actions will apply to other work activities such as sourceloading operations in irradiation facilities, although if unsealed radioactive material is involved,
precautions also have to be taken to avoid surface contamination and airborne contamination (seeparas 9.24–9.46).
6.45. Industrial radiography involves the inspection of components (e.g. pipes, welds andpressure vessels) to determine if cracks or other defects are present. The source of radiation will
be a sealed radioactive source or an X ray generator. Both types of source require strictly
controlled procedures to protect the radiographers using them and other persons on the site. An
essential part of these procedures is the maintenance of a barrier at a suitable distance from thesource, intended to prevent unauthorized entry into the controlled area within the barrier(cordoning of the area). This type of work is sometimes carried out at night and/or at height needadditional protection measures such as stronger lighting and tighter supervision may have to beconsidered. Cooperation between the management of the facility and the contractor is essential
for ensuring adequate protection of the employees of the facility.

886.46. Where the management of the facility has no direct in-house expertise in the work to be
carried out by the contractor, it should restrict its involvement essentially to non-technicalinformation gathering. The management of the facility will need to place the onus on thecontractor for cooperation on the more technical aspects of the work, but should nevertheless beable to satisfy itself that the contractor has made adequate provision for achieving safe working
conditions. In doing this the management of the facility may need the assistance of a qualified
expert.
6.47. Prior to commencement of work, the management of the facility should obtain from thecontractor:
(a)
(b)
(c)
(d)

A telephone number on which the contractor can be contacted in the event of an emergency;
The name(s) of the RPO(s) who will be present during the work;
The type of radiation generating device or radiation source to be used;
A copy of the contractor’s local rules and procedures, which should provide sufficient
information about the proposed work — if adequate local rules are not available, thecontractor should not be allowed to undertake the work.

6.48. The management of the facility should ensure that the contractor implements thefollowing protection and safety measures:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)

(i)
(j)

Placement of barriers to prevent access to controlled areas in which dose rates exceed
predetermined levels;
Posting of sufficient warning notices;
Provision of warning signals (that do not have any other local meaning or significance)
prior to and during the exposure;
Display of explanatory notices at access points;
Inspections of equipment and radiation monitors prior to (and after) use; replacement or
repair of identified inoperable equipment prior to use;
Searching of the controlled area before starting and periodically thereafter;
Patrolling of the barrier to prevent unauthorized access;Use of a suitable, calibrated radiation monitor in setting and/or verifying placement of thebarrier and confirming expected dose rates after exposures. This is especially important
where pulsed X ray fields may be present;
Provision of adequate storage facilities;
Formulation of emergency plans.

6.49. The management of the facility should ensure that any of its employees who may beaffected by the contractor’s work have been given sufficient information about the proposed
work. This should include people whose duties may place them in the vicinity of the work,
security staff, management, and people who would become involved in any emergency situation.
6.50. While work is in progress, it would be prudent for the management of the facility toarrange occasional, unannounced safety audits to ensure that the contractor’s employees areobserving the agreed, safe working practices. Such audits could be undertaken by employees ofthe facility or by an independent third party. When carrying out an audit to assess the standard ofprotection, the management of the facility may find it useful to refer to a checklist, as referred toin para. 6.32, which lists the items to be checked.
896.51. It can also happen that a source under the control of a contractor may have to be taken byan employee of the contractor into an area of a facility where, during normal operation of the
facility, there is also the potential for exposure to a source under the control of the facility. While
the guidance given in paras 6.33–6.50 remains relevant, the additional guidance given in paras
6.52–6.55 should also be followed.
6.52. Before undertaking industrial radiography or other work involving a source under thecontrol of the contractor in areas where there is a significant ambient dose rate arising from theoperation of the facility, the choice of an appropriate dose rate at which to erect barriers and signs
should be discussed and agreed between the contractor and the management of the facility.
Consideration may also need to be given to the timing of the proposed work.
6.53. Work will have to be carried out not only in accordance with the contractor’s local rules
and procedures but also in accordance with the local rules and procedures for those sources
associated with the facility. The contractor may therefore need to modify its local rules andprocedures so as to incorporate certain aspects of the local rules and procedures of the facility andensure that there are no conflicting requirements. This should be included in the contract clearly.
6.54. Special training of the contractor’s employees may be required because of the potential
for exposure to sources under the control of the facility, even though such employees may be
trained already in connection with their own use of radiation. In such circumstances many
facilities require contract radiographers and their RPOs to be trained to a specified level.
6.55. Consideration should be given to the possible impacts of the contractor’s radiation sourceon any radiation-related instrumentation installed at the facility (e.g. the impact on area gamma
monitors and criticality incident detection systems, and the risk of unnecessary false alarms). In
the event of such incidents being identified, appropriate corrective actions should be taken. These
could include the use of smaller sources or collimated radiation beams to minimize dose rates, orthe deactivation of some instrumentation for a limited period.
Competence of itinerant workers
6.56. Management of facilities should ensure that contractors carrying out work at the facility
are using personnel who are competent to carry out the work. Accordingly, the competence ofcontractor personnel may need to be formally assessed and documented. This approach will beappropriate not only where the contractors’ employees are potentially exposed to the sources
under the control of the facility but also where the contractors are themselves bringing a source
into the facility and where there is the potential for the facility’s employees to be exposed to thissource.
6.57. The assessment process should include formal procedures to determine the needed
competencies (through education, experience, and initial and continued training programmes) andqualification requirements for any job carried out by contractors that can have implications forprotection and safety. Established guides or quality management procedures may be useful in theassessment process.
6.58. The level and detail of the assessment process will be dependent on the type of facility
and the work carried out. Some itinerant workers will work in professions that have qualification90

or certification schemes to demonstrate competence. Examples of such professions include
radiological medical practitioners, medical physicists, medical radiation technologists andindustrial radiographers. Management of facilities intending to employ itinerant workers of thisnature should be aware of the certification and qualification requirements for this work, andshould incorporate these requirements into the assessment process. It may also be appropriate tospecify these qualifications in the contractual arrangements. Other professions and skills may nothave qualification requirements, and in these circumstances the assessment of competence may
be restricted to a review of curricula vitae, certificates, training records, references and reports ofsimilar work carried out at other facilities.
6.59. Under certain circumstances, the management of the facility may wish to specify site
specific competency requirements that must be fulfilled before the contractor is permitted to workon site. These requirements could include the competency to use appropriate respiratory
protection. In these circumstances, the management of the facility may have to provide
appropriate training to cover these competencies, or alternatively be able to recommend wheresuch training can be obtained. The satisfactory completion of such training will be an input into
the competency assessment process.
6.60. Contractors should ensure that their employees are suitably qualified for the work to be
carried out and should submit details of each employee’s qualifications to the management of the
facility prior to commencing work at the facility. The itinerant workers should not be allowed towork without the required training and certification in the work and in radiation protection since
the equipment/machines operated by them for instance will have very high intensity gamma
sources with potential for high level exposures in short interval of time if not operated properly.
6.61. The assessment of the competence of contractor personnel will conclude either that thecontractor’s employees are competent to carry out the job or that there are deficiencies inqualifications and/or experience. If deficiencies exist, compensatory actions should be taken
before the contractor’s employees are allowed to work on site. The main characteristics of eachparticular situation should be taken into consideration in order to define the most appropriatecompensatory action.
6.62. For training related compensatory actions, consideration should be given to delivering any
required training before the contractor’s employees commence work on site, and to initiating
liaison between the site operator and the contractor to close identified gaps — the site operator
may be able to provide any site-specific training required.
6.63. The following additional management initiatives may also be implemented ascompensatory measures:(a) Provision of direct supervision by the site operator;(b) Replacement of certain contractor personnel;(c) Documentation of additional experience, training or education;
6.64. The contractor should periodically review the competence of its employees, withparticular regard to the following:(a)(b)

Any changes in the professional qualifications required;
Any changes in the legislation;
91

(c)
(d)
(e)
(f)
(g)
(h)

Lessons learned from experience at the facility and other facilities;
The worker’s dose record;
The ongoing adequacy and effectiveness of the level of training acquired;
The need for refresher training;
Any change in fitness for work;
Any changes in facilities, operations or work practices.

6.65. The performance of the individual worker should also be assessed. Lessons learned fromproblems encountered, and actions taken to resolve difficulties, may lead to the identification offurther competency training for one or more workers.
Radiation protection programme
6.66. The complexities associated with the management responsibilities and radiation
protection arrangements for itinerant workers highlight the need for the work to be conducted inaccordance with an effective RPP (see paras 3.49–3.158) that, among other things, assigns
responsibilities for protection and safety of itinerant workers to the management of the facility
and to the contractor in accordance with the terms of the contractual agreement.
6.67. For most situations, the prior radiological evaluation on which the RPP will be based
should be a collaborative effort by the management of the facility and the contractor, with themore qualified of the two employers taking the leading role. Use should be made of the results ofprevious assessments. For a facility that uses radiation sources as part of its normal operation, themanagement should have already carried out a prior radiological evaluation for its own
operations, followed up by a more detailed safety assessment. Similarly, where the contractor has
its own sources of radiation, it should have already carried out a prior radiological evaluation andsafety assessment appropriate for most of the facilities at which those sources are likely to be
used.
6.68. The management of the facility and the contractor share joint responsibility fordeveloping the RPP but, as with the prior radiological evaluation and safety assessment, thelevels of knowledge and expertise of those two parties may be expected to contribute to themutually agreed allocation of responsibilities to ensure the development of an effective RPP. In
many cases, the existing RPP of the facility and/ or the contractor may need limited modifications
to reflect the proposed work by the contractor at the facility.
6.69. The use of an existing RPP as the basis for providing protection for itinerant workers is
illustrated by the following two examples:(i)

92

At a nuclear power plant, the management will have acquired extensive knowledge of theradiation risks associated with the operation and maintenance of the facility, will havealready carried out a detailed safety assessment for its own employees (and likely for thoseof contractors foreseen to be used for assessed tasks) and will have established acomprehensive RPP. In this instance, therefore, it would be appropriate for the managementof the facility to communicate the relevant safety assessment information to the contractor,
discuss work-related circumstances and any identified concerns with the contractor,anddraw up a simplified RPP that covers the work of the contractor.

(ii)An industrial radiography company working at a chemical plant will already havedeveloped its own RPP for work on site, but will need to maintain liaison with the safety
officer at the facility and provide him or her with appropriate information from the RPP.
That information will include the management and supervision arrangements and theprocedures to be used to ensure protection of the employees of the facility.

Records of occupational exposure
6.70. Some itinerant workers may work at a facility for much less than a year before moving onto the next facility. In that way, they might accrue dose at multiple facilities within a period of
one year. At each facility, the accrued dose may or may not be substantive; however, the accrued
dose across several facilities in one year may result in a total accrued dose that may approach theapplicable dose limits. It is therefore especially important to keep track of these workers’ doses
over long time periods, and the responsibilities and arrangements for achieving this should beclearly established and documented.
6.71. The arrangements should be such as to ensure that, for each itinerant worker, an up-todate record of the doses received and the status of health surveillance is available. This could bein the form of an output from a centralized database of workers’ exposure records or anindividual radiological monitoring document (sometimes referred to as an individual radiation
passbook) or alternative individual dose record. Before starting contract work at a facility using
radiation sources, the worker’s occupational exposure and health surveillance records should bemade available to the management of the facility so that an appropriate protection and safety
programme can be established.
6.72. The worker’s record of occupational exposure should be kept up to date while working onsite, either by the management of the facility or by the contractor, depending on who has therelevant responsibility. To avoid delays in updating the record, estimated doses (based, forinstance, on the results of workplace monitoring) may be recorded pending receipt of the resultsof the worker’s personal monitoring data. This provides a useful indication of the worker’s dose
for the next facility manager, should the worker have moved on to another facility in themeantime. It is the responsibility of the employer of the itinerant worker to ensure that theworker’s record of occupational exposure is kept up to date.
Training
6.73. In a facility in which radiation sources are used as part of normal operation, itinerant
workers carrying out contract work in an area with no implications for protection and safety (e.g.
cleaning, painting, general maintenance, or construction in a supervised area) will require
minimal knowledge of radiation protection and will only need to be provided with very basic
information on any relevant precautions to be followed while in the area. Conversely, itinerant
workers required to carry out operations in controlled areas associated with complex tasks mayneed to be provided with training on topics such as access procedures, precautions to be taken,
the use of personal protective equipment and procedural requirements. Itinerant workers bringing
their own sources into a facility will need to be adequately trained in the safe use of thesesources. It is the responsibility of the employer of the itinerant workers to ensure that training isprovided, but the management of the facility may also need to be consulted on the level andcontent of the training required for contracted task performance in the facility workplace.
936.74. In some situations, typically where the contractor has only limited experience of workwith radiation, the management of the facility may provide the contractor and its employees with
the necessary information on protection and safety, including information related to on-site
emergency situations — depending on the circumstances, this information could take the form ofnotices, written instructions or formal training. In other situations, the contractor may takeresponsibility for training, but the management of the facility should nevertheless provide, before
the work commences, information about the risks relevant to the work and about any special
training needed. At a large establishment, the management of the facility may help to provide
suitable training (insofar as it is relevant to the facility) either on behalf of the contractor or as aseparate contractual arrangement. This training should be at a level similar to that which the
management of the facility provides for its own employees.
6.75. Where the contractor takes responsibility for the training, it should assess the training
needs of its employees and, in consultation with the management of the facility and a qualified
expert, as necessary, draw up a training programme that provides the appropriate level of training
and information for any forthcoming work at the facility. In doing this, consideration needs to begiven to the following:
(a)
(b)
(c)
(d)

The nature of the work to be carried out in the foreseeable future;
The potential for exposure associated with this work;
The extent of training already provided and qualifications obtained;
Site-specific requirements at the facilities to be visited (e.g. entry procedures, the use
personal protective equipment, emergency procedures).

6.76. Several levels of training may need to be provided, depending on the nature of the work
to be carried out. For example, only basic awareness training in radiation protection may berequired for the majority of the workers, but more comprehensive training may be necessary for
those staff who will act as RPOs.
Review of protection and safety
6.77. The arrangements and procedures established by the management of a facility forprotection of itinerant workers should be reviewed periodically to ensure they remain appropriate
and relevant to the work. If the same itinerant workers are on site for a protracted period of time,
it is important that their working practices are reviewed and audited at appropriate intervals toassess the level of compliance with the arrangements and to identify any weaknesses in theprocedures. Likewise, when new itinerant workers are about to commence work, thearrangements and procedures should be discussed with the contractor and the opportunity taken
to review their continued validity.
6.78. In carrying out the review, account should be taken of the following:
(a)
(b)
(c)
(d)
(e)
(f)
94

Changes in the working environment;
Legislative and regulatory changes;
Any modifications to working practices;
The level of adherence to current arrangements;
The practicability of current arrangements;
The adequacy of emergency plans;

(g)
(h)
(i)

The effectiveness of previously used and current arrangements in maintaining doses as low
as reasonably achievable;
The need for changes to the radiological evaluation, the safety assessment for the planned
work, and/or the level of interaction with the regulatory body;Lessons learned/operational experience.

6.79. Item (g) in para. 6.78 is critical — the effective optimization of doses received byitinerant workers is a principal objective of the arrangements and procedures. In assessing theadequacy of the arrangements, therefore, the management of the facility should review therecords of occupational exposure for the itinerant workers while they have been on site, andsatisfy itself that they are appropriate to the type of work being undertaken. This review ought tobe carried out in consultation with the other involved employer(s) and potentially with advice
from a suitable qualified expert.
6.80. The outcome of the review likely will be a series of actions to be taken to rectify,
improve, and/or enhance the arrangements and procedures. These actions should be implemented
as soon as reasonably practicable and preferably before itinerant workers next perform theassessed tasks at the facility. It is very important that the proposed assessment findings arecommunicated with the affected workers and their employer(s) for their input and forincorporation into any revised contractual agreements and/or local rules and procedures.
6.81. Contractors that have sources under their control should also review their internalarrangements and procedures at regular intervals. As a registrant or licensee, the contractor is
responsible for restricting the doses received by its employees and optimizing radiation
protection, and hence it should have procedures in place for the ongoing review of dosimetry
results. As discussed above, the arrangements and procedures for long term work at a single
facility should be reviewed periodically in consultation with the management of the facility. The
contractor should also review any ongoing arrangements and procedures that are followed for allsite work, e.g. arrangements for workers’ health surveillance, procedures for maintenance ofequipment and arrangements for keeping records of the location, description, activity and form ofeach source for which it is responsible.
Issues associated with specific types of facility
Nuclear installations
6.82. Rigorous requirements have to be met before itinerant workers are granted access to anuclear installation, owing to the potential for such workers to receive very high doses. Thesemay include adherence to some or all of the following procedures:(i)

The contractor enters the following information on an access authorization form:
–
–
–
–
–

Individual information regarding the worker;
The contract reference;
Employer details;
The professional skills of the worker with relevant certificates;
The expected duration of the operation;

95

The contractor then sends the form to the management of the facility for addition of thefollowing information:––

A description of the areas where access is permitted;
The period of validity of the access permit to the facility and to supervised/controlledareas therein.

For access to areas with high (or potentially high) dose rates, a specific authorization mustbe given to the worker. The access procedure for a nuclear power plant may take several
days to process.
(ii)

On arrival of the itinerant worker at the plant, a check is made of all the information in (i),as well as:––

The worker’s fitness for work;
The worker’s dose record over the current calendar year, the past twelve months andthe past five years.

(iii) Specific training is provided on particular facility conditions and for actions required in thecase of emergency occurrences.
(iv) A check is made of the compatibility of skills of the itinerant worker with the work to be
performed.
(v) The itinerant worker must justify his/her access to a controlled area by producing aradiation work permit (RWP) developed in accordance with the facility’s work management
system (see para. 3.96).
(vi) An individual dose objective for the itinerant worker is established.
6.83. Special procedures may be adopted for itinerant workers on short-term contracts, such as:−−

An individual dose objective calculated on a pro rata temporary basis;
Restricted or prohibited access to areas of high (or potentially high) levels of radiation.

6.84. In tasks involving high or potentially high dose rates, the following special training andprocedures are needed for itinerant workers:(i)

A pre-work review, involving a detailed description of the work to be done, technical data,
and dosimetric and environmental conditions;(ii) A preliminary procedure to carry out the work with an associated dose estimate;(iii) Training on a mock-up or, where reasonably feasible, a representative simulation of theactual job site, or if necessary, a briefing using descriptors of the job site (e.g., photographs
or videos);(iv) Feedback on this training, including the exposure time, difficulties in carrying out sometasks, phases to be improved, specific tools to be developed, and the number of people
simultaneously at the workplace;(v) Anticipation, to the extent possible, of potential breakdowns of tools or equipment and ofother operational incidents — this facilitates the formulation of corrective actions and thetraining of workers to carry out such actions in a manner that keeps doses as low asreasonably achievable;
96

(vi) Improvement and optimization of working procedures and estimated doses;(vii) Final training in accordance with such optimized procedures.
Facilities for performing medical exposures
6.85. The use of radioactive sources, accelerators and generators for therapeutic purposes, useof X ray equipment for diagnostic and interventional purposes are universal practices with thepotential for high doses to workers. Equipment engineers and maintenance workers often fall into
the category of itinerant workers. In addition, it is common practice for radiological medical
practitioners, medical physicists, medical radiation technologists and other health professionals
with specific duties in relation to medical uses of radiation to work in several hospitals andclinics. While they will be employed primarily by one hospital or hospital group, they will be
acting as contractors in others. These workers already should have received training in radiation
protection in their initial pre-qualification training and will be working in accordance with very
similar procedures at each hospital.
6.86. The critical issue in terms of itinerant workers in facilities for medical uses of radiation isthe adequacy of the dosimetry arrangements. The workers will be provided with dosimeters by
their primary employer and are likely to wear these dosimeters at every location. However, thispractice can create difficulties when a high radiation dose is recorded on a dosimeter. In thissituation it may not be possible to determine from where the high dose was received and thus
which employer is responsible for undertaking any investigation or corrective actions.
6.87. Suitable dosimetry arrangements will entail the worker wearing a separate dosimeter foreach employment location, with perhaps the dosimeter from the principal employer being worn at
all locations for primary record keeping purposes. These dosimetry arrangements should be madeafter consultation with all involved parties.
6.88. In addition to dosimetry arrangements, it is important that itinerant workers receive
specific training to familiarize them with equipment such as accelerators and X ray systems in all
the facilities where they will be working — this training should include operational details andsafety aspects.
6.89. The adequacy of protection and safety measures when radiation-generating machines or
unsealed radiation sources are used is of importance. Radiation monitoring equipment suitable
for the characteristics of the radiation field(s) is to be available. Whole- or partial-body shielding
between the source and medical personnel is often used as a means of reducing dose. Personal
protective equipment suitable for the situation should also be made available, (such as protective
aprons and gloves, face or eye shields, and/or thyroid collars) where appropriate.
6.90. When unsealed radiation sources are used by the facility and/or contractor staff, rules andprocedures for surface and airborne contamination control and the potential need for individual
measurement programmes or supplemental workplace monitoring, to assess if measureable
intakes of radionuclides occurred, should be of relevance. The prior radiological evaluation anddiscussions among all involved parties will be helpful in decision-making.

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6.91. Certain precautions are also needed to avoid unintentional and accidental medical
exposures of workers (and patients) that could occur as a result of maintenance work performedby itinerant workers:
(a)

(b)

(c)

(d)

Sometimes, when itinerant workers perform maintenance services, changes are made to thedefault settings of the system (e.g. fluoro modes in which the X ray beam is pulsed). Suchchanges need to be registered so that the users of the systems are aware of them, and the
responsible medical physicist at the facility should be informed personally.
To avoid the possibility of an accident resulting from the temporary deactivation of a safety
interlock during maintenance of a system by an itinerant worker, some backup measureneeds to be in place to prevent the clinical use of the system in such circumstances.
After any work performed by an itinerant worker that affects radiation or image quality
aspects of the system, a detailed report should be written and given to the head of theservice where the work has been performed.
After any maintenance is performed on a system by an itinerant worker, the system shouldbe left in a state ready to be used with patients. Sometimes, after repair of a film processor,
the cassettes are loaded with exposed films, and this can lead to some patients being
irradiated twice when the system is next used because the first images were not usable.

Mines involving exposure to radon and/or NORM
6.92. Radon concentrations in underground mines depend critically on the ventilation
conditions and can therefore reach high levels in some locations. The mining of uranium ore (andsometimes certain other minerals) can involve external and internal exposure of workers to
NORM. The hiring of contractors, both short term and long term, is commonplace in mines. The
question of who is best placed to take responsibility for radiation protection measures (including
training, health surveillance and the use of personal protective equipment) with respect toitinerant workers depends very much on the nature of the contract work, which can vary widely,as illustrated by the following two examples:
(i)

(ii)

98

In some mines, contractors are hired to carry out normal day-to-day mining operations that
may be conducted on a large scale and continue for a long time. In such situations, it may
be best to place responsibility for the management and control of radiation exposure ofitinerant workers with the mine management, because it will already need to have thenecessary competence and infrastructure in place, and this competence and infrastructure
will almost certainly be greater than that possessed by the contractor.
Contractors may be hired to carry out specialized, non-routine tasks that do not form part ofthe day-to-day operation of the mine, such as the installation and maintenance of plant andequipment in the mine, ore pass excavation and shaft sinking. Such tasks may sometimes
involve higher exposure levels than those encountered during normal operations. It is
possible in such circumstances that the contractor may be better positioned to takeresponsibility for the radiation protection of its employees because of the specialized natureof the work and because the contractor performs this work on a routine basis and is likely to
be more familiar with the particular radiation hazards involved. The contractor also has theadvantage of being more easily able to keep track of its employees’ radiation doses overlong periods. On the other hand, the contractor’s experience in carrying out such specialized
work may have been gained mostly in situations where the radiological hazards were
insignificant, in which case the responsibility for radiation protection may be better placed

with the mine management even though the work is of a specialized nature — the minemanagement would then have to familiarize itself with the radiation hazards associated withsuch specialized work.
6.93. It is important for the full range of options with respect to the assignment of operational
responsibilities to be kept open and, as a general rule, the responsibility should lie with theemployer having the greatest level of radiation protection competence and infrastructure for thetasks in question. Because many workplaces in mines are remote and relatively inaccessible,
supervision of work activities can be difficult, and close and sustained interaction between themine management and the contractor is therefore particularly important.
Facilities for the extraction and processing of minerals
6.94. Facilities for the extraction and processing of minerals rely to a greater or lesser extent on
the use of radioactive materials and/or radiation generators. Sealed sources, often with very highactivities, are used extensively in measurement and control devices. Widespread use is made ofindustrial X ray equipment for testing the integrity of piping and pressure vessels. Unsealed
radioactive materials are often used as tracers, such as in oil and gas pipelines [26]. In addition,
the presence of minerals and mineral processing residues may result in exposure to NORM [24–29].
6.95. Extensive use is made of contractors in such facilities, not all of whom have the necessary
specialist knowledge in protection and safety to be able take responsibility for the control of
exposure of their workers. It is common practice in the chemical industry and the oil and gas
industry to use contractors for specialized jobs such as the removal of scale and sediment fromthe interior of vessels, or the demolition and removal of redundant plant, and these operations
may involve working on plant contaminated with NORM. Itinerant workers in these situations
often work at a particular facility for much less than one year, but could be exposed to dose rates
that, if sustained, would give rise to annual doses approaching or exceeding the relevant dose
limits. It is therefore especially important that the occupational exposure of these workers is
carefully managed.
6.96. The nature of many specialist tasks involving exposure of itinerant workers to NORM
with relatively high activity concentrations (for instance, the removal of radium rich pipe scale) issuch that there may be significant scope for dose minimization in terms of the optimization
process — it may be possible to achieve substantial reductions in doses with relatively simple
modifications to the work (see, for instance, Ref. [26]). The management of the facility and thecontractor should both be alert to the possibility that observance of the principle of optimization
may be overlooked more easily in specialized tasks involving itinerant workers than in normal
routine operation of the facility.
6.97. In many cases, the contractor’s knowledge of protection and safety is limited. The
contractor’s employees should be made aware of the radiation protection implications of the workand the procedures to restrict exposure. The management of the facility and the contractor should
discuss the radiation protection aspects of the work during the planning stage. The topics covered
should include:−

The hazards posed by sealed sources (e.g. nuclear gauges) and by NORM (e.g. radium rich
99

−
−
−
−
−
−
−
−

scale) in various parts of the plant;
The presence of controlled or supervised areas;
Procedures to be followed to optimize exposure to as low as reasonably achievable;
The use of appropriate personal protective equipment;
Supervision;
Dose assessment and maintenance of dose records;
Waste management;
Training;
Actions to take if ventilation, dust control, or other relevant control systems fail or are takenout of service.

6.98. The site operator may need to assist the contractor in performing a prior radiologicalevaluation and developing local rules and procedures. In view of the nature of the work and theprecautions to be taken, the contractor’s employees should receive training in the hazards ofradiation, pathways of exposure, the procedures to be followed for restricting exposure, and theduties of the RPO. The site operator may wish to arrange this training on behalf of the contractor.
6.99. Management of the facility may also need to discuss with the contractor, the nonradiological risks that may be present in the facility or specifically at the work site where theitinerant workers will be present, to ensure development of mutually agreed techniques for
management of those risks in a coherent manner with the radiological risks.
6.100. The nature of the specialized tasks involving exposure of itinerant workers to NORM
with relatively high activity concentrations is such that there may be significant opportunities fordose reduction using the process for optimization of radiation protection — that is, it may bepossible to achieve substantial reductions in projected doses with relatively simple modifications
to the work plan. An example may be in the use of engineered controls to reduce the build-up ofscales, sludges, and sediments or to facilitate maintenance work for removal of accumulated
contaminants. Changes in the local rules and procedures for that type of work may also be found
to reduce doses with a reasonable allocation of resources. Contractors and management of the
facility should be alert to the possibility that observance of the principle of optimization may
require a high level of management attention for specialized tasks involving itinerant workers.

7.

ASSESSMENT OF OCCUPATIONAL EXPOSURE

ASSESSMENT OF EXTERNAL EXPOSURE
Monitoring programme
7.1. Doses received by workers from external exposure can in most circumstances be readily
assessed from the results of a systematic programme of individual monitoring. Doses may also beassessed from the results of workplace monitoring. The BSS [2] sets out the requirements withregard to the use of individual monitoring and workplace monitoring for dose assessment
purposes (see para. 3.116).

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Individual monitoring
7.2. Where individual monitoring of workers is to be performed, each worker should be
provided with an integrating personal dosimeter.
7.3. Individual dosimetry should be performed by a dosimetry service approved by theregulatory body. The regulatory body should require such a service to supply dosimeters capableof measuring Hp(10), Hp(3) and/or Hp(0.07), as appropriate, with adequate accuracy for all
relevant radiation types. Guidance on the management system for dosimetry service providers isgiven in Section 8.
7.4. For controlling individual exposure on a day to day basis, or during a particular task, it
may be necessary to use supplementary dosimeters of the direct reading type (active dosimeters),
which can provide estimates of an individual’s dose with a frequency greater than that provided
by typical routine dosimetry, and can give information on dose rates. Such a dosimeter can be
useful for optimization purposes.
7.5. While an active dosimeter is usually used only for purposes of dose control, it can also be
used with prior approval from regulatory body, as a replacement for the dosimeter designated by
the regulatory body for record keeping purposes (the dosimeter of record). In such cases, thesame approval procedures by the regulatory body should apply. The active dosimeter should beof a suitable design for use as the dosimeter of record. It should have, for instance, an adequate
energy range, sensitivity, linearity and precision; it should be reliable; and sufficient quality
control measures and periodic calibration procedures should be in place. It should be noted that
active dosimeters (especially electronic dosimeters) often have poor performance in pulsed
radiation fields. This can be an important consideration when, for instance, measuring the dose to
the lens of the eye, Hp(3), in image guided interventional procedures in medical uses of radiation.
Performance tests for electronic dosimeters for pulsed fields of ionizing radiation should be
conducted in accordance with the International Electrotechnical Commission (IEC) standard
62743 [44].
7.6. In most cases, a single dosimeter worn on the trunk is adequate. This dosimeter should beplaced in a position at which the highest exposure at the surface of the trunk is expected. Forradiation incident primarily from the front, or when the incidence is expected to be rotationallysymmetrical or isotropic, the dosimeter should be worn on the front of the torso, between theshoulders and the waist. Conversely, if the radiation is primarily from the back, the dosimetershould be worn on the back of the torso. See para. 7.121.
7.7. In an inhomogeneous radiation field, it may be useful for workers to wear additional
dosimeters on other parts of the body in order to obtain a better assessment of the effective dose
received. In some situations — for example in medical uses of radiation, where protective
clothing such as lead aprons can be used — it is advisable to use one dosimeter under theprotective clothing and one on an unshielded part of the body. The readings from the two
dosimeters can then be combined to give an estimate of the total effective dose by the use ofsuitable algorithms. There are many algorithms available, and the accuracy depends on manyfactors such as the thickness of any lead apron worn, the use of a thyroid shield, and exposure
parameters. Further information on the use of such algorithms can be found in Refs [45–47].

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7.8. If a worker is liable to receive an equivalent dose to the extremities, skin or lens of the eyethat is a sizeable fraction of the relevant dose limit specified in paras 3.35 and 3.39, the individual
dosimetry employed should be capable of providing the information needed for an assessment of
the equivalent dose to the tissue or organ concerned. In situations with non-homogeneous
exposure conditions for which whole body monitoring does not provide an adequate estimate ofthe dose to the skin, extremities or lens of the eye, these tissues and organs should be monitored
separately. For example:
(a)

(b)
(c)

(d)

Hand and finger monitoring should be considered for workplaces where extremities are
particularly close to the radiation emitter or radiation beam, such as in situations whereradioactive sources are handled in research, nuclear medicine and dismantling operations.
Extremity monitoring, including feet monitoring, should be considered in interventional
cardiology/radiology and nuclear medicine workplaces.
Skin monitoring should be considered for workplaces where skin is close to the radiation
emitter or radiation beam and can become contaminated, for instance in the handling of
unsealed sources.
Monitoring of the lens of the eye should be considered in workplaces where the eyes are
particularly close to the radiation emitter (which can also be a source of stray radiation) or
the radiation beam. Workers for whom exposure of the lens of the eye might be important
include workers in the medical sector, such as staff working in close proximity to patientsin image-guided interventional procedures, staff carrying out some activities in nuclear
medicine, staff involved in manual brachytherapy, staff involved in CT-guided biopsy andcyclotron engineers. Other examples of workers who may receive significant doses to thelens of the eye include workers in nuclear facilities such as those involved in the fabricationof mixed oxide fuels, laboratory studies using glove boxes, and decommissioning.

7.9. When extremity dosimeters are used, they should be worn in positions that will measure
the dose to the area(s) expected to receive the highest dose. Often the location of the maximum
skin or extremity dose is not known in advance, or it is not practicable to wear a dosimeter atthese locations. In such cases a correction factor should be used to estimate the maximum dose[48].
7.10. When it is necessary to monitor the dose to the lens of the eye, the personal dose
equivalent Hp(3) should ideally be measured. However, suitable Hp(3) dosimeters are not yet
widely available and in certain circumstances the measurement of Hp(0.07) or sometimes Hp(10)can provide a sufficiently accurate estimate of Hp(3) [11]. More details are provided in theRef.[49]. The need for a separate eye lens dosimeter and its positioning on the body depend on
the type, energy, direction and homogeneity of the radiation field, as well as on the use ofshielding:
(a)

(b)

102

For neutron radiation, where homogenous radiation fields are usually present, separate eyelens dosimetry is not necessary because neutron whole body monitoring usually gives, aconservative estimate of the dose to the lens of the eye, irrespective of the energy anddirection of incidence of the radiation (see para. 246 of ICRP Publication 74 [9] and also
Table 1 in Ref. [50] in comparison with Table A.41 in ICRP Publication 74 [9]);For photon radiation, separate eye lens dosimetry is usually the only suitable method for
determining the dose to the lens of the eye:(i)If the radiation field is inhomogeneous, the dosimeter should always be located near
the eyes, if possible in contact with the skin and facing toward the radiation source;(ii) It is usually acceptable to measure Hp(0.07) but not Hp(10) [11, 51]; however, themeasurement of Hp(10) may also be acceptable if the mean photon energy is greaterthan about 40 keV and if the radiation is coming mainly from the front or the person ismoving in the radiation field [51];(iii) If eye shielding in the form of lead glasses is used, the dosimeter should preferably belocated behind the eye shielding — where this is not practicable, the dosimeter should
be worn above or next to the eyes and possibly covered by a filter that mimics theattenuation provided by the lead glasses;(iv) If shielding for the trunk (e.g. a lead apron) is used, monitoring near the eyes isnecessary because monitoring behind the shielding underestimates the dose to the lensof the eye;(c)

For beta radiation, monitoring is necessary only if the maximum beta energy exceeds
700 keV, since beta radiation of lower energy does not penetrate to the lens of the eye:(i)

If eye shields (e.g. glasses) are used, which are thick enough to absorb the beta
radiation,9 only photon radiation needs to be considered but account should be takenof any bremsstrahlung contributions (both outside and behind the shielding) producedby high energy beta radiation;(ii) If adequate eye shields are not used, separate eye lens dosimetry is necessary andHp(3) is the recommended quantity to be measured;(iii) As beta radiation fields are usually rather inhomogeneous, the dosimeter should bepositioned near the eyes.
7.11. For some categories of worker, it might be sufficient to use computational tools toestimate the individual dose. For example, cosmic radiation fields in aircraft are fairly uniform
and predictable. Computer codes have been developed for assessing the doses received byaircrew from cosmic radiation and have been validated against measurements (see para. 5.80).
7.12. The period of dosimeter deployment (the monitoring period) should be established by the
management based on the advice as appropriate from a qualified expert or RPO and dosimetry
service provider, taking into account the type of work being performed, the anticipated exposure
associated with the work, the characteristics of the dosimeters (e.g. fading characteristics), theoverall limit of detection of the dosimetry system and if applicable, any additional requirements
by the regulatory body. Unless exposures are particularly low or uniform in time, a monitoring
period of one month is generally recommended. Where the dosimeter characteristics allow,
monitoring periods as long as three months may be acceptable for exposures that will generally
lead to doses well below the relevant dose limit. A monitoring period of between a week and amonth may be appropriate where the rate of exposure is very non-uniform. Shorter monitoring
periods, such as one week or even the duration of a specific procedure, may be advisable whensetting up new procedures, when optimizing working conditions or when there is a high potential
exposure. If daily monitoring is required, a direct reading dosimeter should be used.

9

For example, about 10 mm of polymethylmethacrylate (PMMA) is sufficient to absorb beta radiationfrom Y.
90

103

Workplace monitoring
7.13. Careful consideration should be given to the selection of locations for workplacemonitoring and to the number of instruments deployed. The sites selected for workplacemonitoring should be representative of worker occupancy, as determined on the basis of expected
operational activities. If the radiation field is well characterized, uniform in space and does notvary significantly with time, it may be possible to justify the installation of only a few workplacemonitoring instruments, or even just a single instrument. In contrast, more monitoring
instruments will be needed if the dose rate varies significantly with time and/or space. The use of
portable instruments may be helpful, provided that supporting documentation is maintained todefine the place and time of each measurement.
7.14. The frequency of routine monitoring of the workplace depends on the occupancy factor
and the expected changes in the radiation environment:
(a)

(b)

(c)

(d)

Where no substantial alterations to the protective shielding or to the process conducted in
the workplace are expected, routine monitoring should be used only occasionally forchecking purposes;
Where changes of the radiation field in the workplace are expected, but which are unlikely
to be rapid or severe, periodic or occasional checks, mainly at pre-established locations, willusually give sufficient and timely warning of deteriorating conditions;
Where sudden unexpected increases in exposure might result in a significant dose being
received by a worker, provision should be made for the continuous monitoring of
exposures;
Where individual doses are assessed on the basis of routine workplace monitoring results,
that monitoring should be continuous and representative of all working areas within theworkplace.

Choice of monitoring system
Personal dosimeters7.15. The choice of a personal dosimeter should be based on the conditions in the workplace,such as the type of radiation and its energy and directional distribution, the range of expected
doses and dose rates, and the environmental conditions.
7.16. The following types of dosimeter may be used:
(a)
(b)
(c)
(d)

(e)

104

Photon dosimeters, giving information only on the personal dose equivalent Hp(10);
Beta–photon dosimeters, giving information on the personal dose equivalents Hp(0.07) andHp(10);
Extremity dosimeters, giving information on Hp(0.07) for beta–photon radiation;
Eye lens dosimeters, giving information on Hp(3) or Hp(0.07) for beta–photon radiation(and for neutrons if neutron sources are being handled Hp(10) can provide an approximate
estimate of Hp(3)) — dosimeters designed specifically for Hp(3) are not yet widely
available, however (see para. 2.38);
Neutron dosimeters, giving information on Hp(10).

7.17. In radiation fields where only photon radiation is important, it is usually sufficient tomeasure only Hp(10). A simple dosimeter is therefore adequate in most practical situations. For awide range of photon energies, thermoluminescent dosimeters (TLDs), optically stimulated
luminescence (OSL) dosimeters, photoluminescent glass dosimeters or photographic film
dosimeters can be used, provided that they exhibit an adequate energy and angular dependence.
In addition, many active dosimeters (or semi active, such as the ‘direct ion storage’ dosimeter)are available that can reliably measure Hp(10).
7.18. Hp(10) can be estimated with a single detector with an energy dependence such that theoutput signal is acceptably proportional to the absorbed dose in tissue (i.e. it is tissue equivalent),
and covered with material of thickness corresponding to a thickness of 10 mm of soft tissue. Sucha dosimeter should be responsive to the backscattered radiation from the body. When the detector
is not acceptably tissue equivalent, multiple detectors should be used and their measurement
results combined using a suitable algorithm.
7.19. Measurement of Hp(10) is often sufficient to assess a worker’s exposure. However, if theradiation field contains significant amounts of weakly penetrating radiation (such as beta
particles, or photons of energy less than 15 keV), Hp(0.07) may be comparable with, or
significantly larger than, Hp(10). For such fields, the dosimeter should be capable of measuring
the dose equivalent at a depth of 0.07 mm.
7.20. For measuring Hp(0.07) a simple, single element dosimeter may be sufficient. For the best
accuracy in measuring low energy beta radiation, the detector should be thin and filtered by athickness of tissue substitute such that the dose at a nominal depth of 7 mg/cm2 (or 0.07 mm) canbe assessed.10 For example, a measurement made using a tissue equivalent detector with athickness of 5 mg/cm2 — corresponding to an effective thickness of 3 mg/cm2 — beneath a tissue
equivalent filter with a thickness of approximately 4 mg/cm2 would suffice.
7.21. The selection and use of extremity dosimeters should be optimized, taking into accountpractical considerations for wearing them. For example, the maximum skin dose on the hand isoften at the tip of the finger, but for some groups of workers it may be difficult to wear extremity
dosimeters on the fingers, especially on the fingertips. Also, it is not always known in advance
where the maximum skin dose will occur. Problems may occur because of sterilization
requirements or because the dosimeters have to be worn under gloves. There may also be
contamination problems associated with the dosimeter. In such situations, there may be severe
constraints on the design and size of the dosimeter. If a suitable dosimeter is not available, apragmatic solution should be found (e.g. a dosimeter at the base of the finger instead of on thefingertip) and correction factors applied where necessary.
7.22. Most types of neutron dosimeter cannot provide information on neutron dose equivalents
over the whole energy range of interest with sufficient accuracy. Therefore extra effort is needed
if individual monitoring for neutrons is necessary. As gamma radiation is always present inneutron fields, a photon dosimeter should always be worn with a neutron dosimeter. In some10

In discussing the measurement and effects of beta radiation, ‘thicknesses’ of material are often expressed inunits of mg/cm2 to allow direct comparisons between materials of different densities. For tissue equivalent material,
the density is 1 g/cm2, so 7 mg/cm2 corresponds to a depth of 0.07 mm.

105

neutron fields, the ratio of neutron to gamma dose equivalent has been found to vary by orders ofmagnitude. Therefore, neutron dose equivalents cannot be derived with sufficient accuracy fromgamma dose equivalent measurements by assuming a constant ratio for a given workplace.
7.23. Doses from thermal, intermediate and fast neutrons can be assessed by various types of
dosimeter, such as an albedo dosimeter, a track etch dosimeter, a bubble detector or an electronic
dosimeter. However, each type of neutron dosimeter has its own specific limitations in terms ofneutron energy range, sensitivity, practical usefulness and photon sensitivity. The choice of aneutron dosimetry system is not simple, therefore, and will depend on many practical aspects.
7.24. One major limitation of existing neutron dosimetry systems is the energy dependence. No
neutron dosimeter can measure at the same time thermal, intermediate and fast neutrons with thesame accuracy as that obtainable with photon dosimeters. When the neutron doses are substantial,
a more detailed study of the neutron spectrum in the workplace is therefore needed. With thisinformation, a local energy correction factor for the dosimeter readings should be applied. This
local energy correction factor may be significantly influenced by the directional distribution of
the neutron field.
7.25. The choice of a dosimeter for use in a particular radiation field may require anormalization factor to be applied in order to minimize uncertainties in the measurement ofHp(10) and in the estimation of effective dose.
7.26. For dose control in situations in which the radiation field experienced by a worker could
increase unexpectedly and significantly (say, by a factor of ten), supplementary dosimeters
should be worn which can give early information on short term changes of the radiation field in
the working environment. An example of a dosimeter of this type is the active warning
dosimeter, which provides an audible or visual alarm if a certain level of dose or dose rate isexceeded.
7.27. For operations of short duration in high radiation fields, special monitoring programmes
should be designed that include the use of warning devices. In highly non-uniform radiation
fields, additional body and extremity dosimeters should be worn (e.g. on the fingers, ankles,
knees or head). Active dosimeters for extremity monitoring are now available.
7.28. Further information on personal monitoring systems for the assessment of external
exposure is presented in Appendix II.
Workplace monitoring systems/instrument
7.29. A workplace monitoring instrument should be appropriate for its intended use. Careshould be taken to verify that the instrument is suitable for the type of radiation to be measured
and that its results are not seriously affected by other radiation types that might be encountered.
7.30. A workplace monitoring instrument should generally have the following characteristics:
(a)

106

The instrument should indicate the dose equivalent rate, although additional functions
should sometimes be considered, such as the calculation of the accumulated dose or the safe
occupancy time remaining;

(b)
(c)

The dose rate range of the instrument should be adequate to cover the range of dose rates
that could reasonably be encountered in practice;
When a monitor is exposed beyond its range, the indication should remain high and off
scale.

7.31. In areas where the possibility of a sudden unexpected increase in exposure necessitates
the continuous monitoring of the workplace (see para. 7.14(c)), workplace monitoring
instruments should be permanently installed and fitted with appropriate audio and/or visual
alarms to warn of unacceptable conditions. The display may be routed to control room whereappropriate for initiating prompt action.
7.32. For mixed beta–gamma fields in which the relative contributions of beta and gamma
radiation to the dose equivalent rate can change substantially as a consequence of minor changes
in the operations, it may be necessary to use two types of instrument. Alternatively, one
instrument may be used, provided that it is capable of measuring both the ambient dose
equivalent H*(10) and the directional dose equivalent H'(0.07,Ω).
7.33. Workplace monitoring may also be performed with passive dosimeters, which provide awide dynamic range. In general, however, such dosimeters are not ideally suited to dose
assessment applications, particularly where dose rates might vary significantly with time, as theygive no information about the time dependence of the radiation field.
7.34. Spectrometers can be a useful supplement to workplace monitoring instruments and areneeded when the information about the radiation spectrum will further support the performanceof the workplace monitoring instrument.
7.35. While it is possible to use workplace monitoring at relevant locations for estimating doses
to the lens of the eye, no workplace monitoring instruments are currently available for measuring
the directional dose equivalent H'(3,Ω) and special care is therefore needed in selecting
alternative instruments. The considerations that apply in this regard are the same as those for themeasurement of the personal dose equivalent Hp(3) (see para. 7.10)
7.36. The measurement of cosmic radiation fields on board passenger aircraft is discussed in
Refs [52–54]. Currently, such measurements are not made on a routine basis for purposes of
exposure assessment, since it has been shown that the doses received by aircrew can be reliably
calculated using computer codes using flight routes and altitudes as input data (see paras 5.80 and
7.11). Where such measurements are required on a non-routine basis, instruments measuring theambient dose equivalent H*(10) should be used [38]. Instruments sensitive to neutrons as well as
to low linear energy transfer (low-LET) radiation are required. Some instruments such as tissue
equivalent proportional counters (TEPCs), silicon semiconductor LET spectrometers andrecombination ionization chambers are capable of measuring both high- and low-LET dosecomponents. For this reason such instruments, in particular the TEPC, have been suggested as
reference instruments for cosmic radiation measurements. Alternatively, for dosimetric purposes
the field can be divided into a low-LET particle component (≤5 keV/μm) and a high-LET particle
component (>5–10 keV/μm), or into two slightly different components, the non-neutroncomponent and the neutron component, which includes the dose equivalent contribution by highenergy protons. The deposition by low-LET particles can be determined using ionizationchambers, scintillation counters, silicon based detectors, passive luminescence detectors or ion
107storage devices. The high-LET component can be measured using special neutron survey meters(with an extended energy range response), passive track etch detectors, bubble detectors(superheated drop detectors) or fission foils with damage track detectors.
7.37. Personal dosimeters are, in principle, not suitable for workplace monitoring as themeasurement quantities are different. The dose equivalent quantity for workplace monitoring isdefined free in air and the conversion coefficient from air kerma has no dependence on the angleof radiation incidence, while the quantity for personal monitoring is defined in a phantom and theconversion coefficient has a strong dependence on the angle of radiation incidence, especially at
low energies. Where there are compelling reasons for using a personal dosimeter for workplacemonitoring, for example by mounting it on a wall in a controlled area, such use should at least be
accompanied by a careful consideration of the associated additional uncertainty. The results of a
type test in terms of H*(10) (see paras 7.94–7.95) can be used to estimate this uncertainty.
7.38. Further information on workplace monitoring instruments for the assessment of external
exposure is given in Appendix III.
Specifications for monitoring equipment
Personal dosimeters7.39. The essential dosimetric performance specifications for personal dosimeters should besuch as to meet the objectives of individual monitoring. Information relating to dosimetricperformance specifications can be found in various publications, including Refs [9, 55–60].
7.40. A basic objective of personal dosimetry is to provide a reliable measurement of theoperational quantities Hp(10), Hp(3) and Hp(0.07) for almost all practical situations, independentof the type, energy and direction of incidence of the radiation, and with a prescribed overall
accuracy. Other dosimeter characteristics which are important from a practical point of view
include size, shape, weight and identification.
7.41. The accuracy that can be expected when making measurements with individual
dosimeters in the workplace is discussed in para. 251 of ICRP Publication 75 [55], which states:“The Commission has noted that, in practice, it is usually possible to achieve an accuracyof about 10% at the 95% confidence level for measurements of radiation fields in goodlaboratory conditions (Paragraph 271, Publication 60). In the workplace, where the energy
spectrum and orientation of the radiation field are generally not well known, the uncertainties in ameasurement made with an individual dosimeter will be significantly greater. Non-uniformity
and uncertain orientation of the radiation field will introduce errors in the use of standard models.
The overall uncertainty at the 95% confidence level in the estimation of effective dose around therelevant dose limit may well be a factor of 1.5 in either direction for photons and may besubstantially greater for neutrons of uncertain energy and for electrons. Greater uncertainties arealso inevitable at low levels of effective dose for all qualities of radiation.”
Strictly speaking, this statement applies to the assessment of effective dose and equivalent dosebut, for doses below the relevant annual dose limit, it can be applied also to the operational
quantities.

108

7.42. The ICRP statement quoted in para. 7.41 should be taken to mean that, for doses of theorder of the annual dose limits, the apparent annual doses received by an individual — Hp(10),Hp(3) and Hp(0.07), as indicated by a number of basic dosimeters, issued regularly during theyear and worn on the surface of the body — should not differ by more than –33% or +50% (at the
95% confidence level) from the dose equivalents that would be indicated by an ideal dosimeterworn at the same point at the same times.
7.43. The ICRU recommends, for single measurements of the operational quantities, that:“...in most cases an overall uncertainty of one standard deviation of 30% should be
acceptable. The error of instruments may substantially exceed this limit at some radiationenergies and for certain angles of incidence, but conform to it when they occur in a radiation fieldwith a broad energy spectrum and broad angular distribution” [57, 58].
7.44. Concerning the determination of a value for the recording level, i.e. the dose above which
the recording of doses is required, the ICRP states, in Ref. [55], para. 232:
“The Commission now considers that the recording level for individual monitoring should
be derived from the duration of the monitoring period and an annual effective dose of no lower
than 1 mSv or an annual equivalent dose of about 10% of the relevant dose limit.”
Doses just below this recording level will not be included in assessments of a worker’s dose, andthis therefore indicates that an absolute uncertainty R (in terms of dose) given by:
R  L

Monitoring period in months
12

(22)

is acceptable, where L is 1 mSv or 10% of the relevant annual equivalent dose limit, as
appropriate. This sets a realistic accuracy criterion for the measurement of doses in the low dose
range. Consequently the minimum level of detection should be at least the recording level.
Guidance on minimum levels of detection and other characteristic parameters in measuring
radiation can be found in Ref. [61].
7.45. Thus, the ICRP recommendations in Ref. [55] indicate acceptable levels of uncertainty at
two dose levels:(a)(b)

In the region near the relevant dose limit, a factor of 1.5 in either direction is considered
acceptable;
In the region of the recording level, an acceptable uncertainty of ±100% is implied.

7.46. This formulation of acceptable uncertainties leads to a step function, and a smoothing
procedure is therefore desirable. To assist in this procedure, a recommendation on acceptable
uncertainties in the intermediate dose range is taken from an earlier ICRP publication [62]. Thispublication recommends that a factor of two in either direction is an acceptable uncertainty fordoses of about one-fifth of the relevant dose limit. On this basis, the allowable accuracy interval
can be smoothed as a function of dose level [63]. The upper limit RUL is given by:

109



H0

RUL  1.5  1 
 2H 0  H1 



(23)

where H1 is the conventional true dose and H0 is the lowest dose that needs to be measured, i.e.
the recording level (which is equal to R in Eq. (22)). The lower limit RLL is given by:for H 1  H 00
RLL   1 
2 H 0 for H 1  H 0
 1 –
1.5  H 0  H 1 


(24)

7.47. For Hp(10), with a monitoring period of one month, H0 is 0.08 mSv (using 1 mSv in
Eq. (22)). For Hp(0.07), with a monitoring period of one month, H0 is 4.2 mSv (based on 10% of
the annual limit of 500 mSv for extremities or the skin). For Hp(3), with a monitoring period of
one month, H0 is 0.17 mSv (based on 10% of the annual limit of 20 mSv for the lens of the eye).
These recording levels are, of course, dependent on the monitoring periods. The accuracy
intervals for Hp(10) and Hp(0.07), the most widely used quantities, are shown graphically in Fig.
4. It should be noted that any changes in the value of the recording level will influence the shapeof the trumpet curve in the low dose region.

110

FIG. 4. Acceptable upper and lower limits for the ratio measured dose/conventional true dose as
a function of dose: (a) for Hp(10); and (b) for Hp(0.07). (Broken lines: monthly monitoring
periods; solid lines: two-month monitoring periods.)
7.48. The performance criteria presented in these paragraphs should be used for demonstratingthat the ICRP recommendation on overall accuracy has been followed. However, it is recognizedthat national requirements may make it necessary to adopt other criteria, which may be more
stringent or have more mathematical rigour, for purposes of accreditation and performance
testing.
7.49. For doses to the extremities from low energy electrons or positrons, the required accuracy
is achievable for some designs of dosimeters, but there can be difficulties associated mainly withthe thickness of the detector and/or covering.

111

7.50. From considerations of the response characteristics of personal neutron dosimeters incurrent use, and from results of intercomparisons, there are certainly difficulties in meeting thecriteria for neutrons. Even with a criterion of 50%, it might not be possible with any current
design of dosimeter to meet the criterion over the full range of neutron energies possibly present
in the workplace. However, for those neutron energies for which there are the greatestdifficulties, the contributions to the total dose are generally small. In practice, therefore, acombined standard uncertainty of 50% should be achievable for single measurements in actual
workplace fields. The use of a workplace field specific correction factor should enable an overall
uncertainty for the assessment of annual effective dose within the limit of a factor of 1.5 to beachieved.
7.51. Where the external field has both a photon and a neutron component, the overall
uncertainty is derived from the uncertainties for the two assessments or measurements. If, as is
usually the case, the photon component is larger, a larger uncertainty for the neutron component
can be accommodated, while still meeting the general criterion for the total dose. In general,
contributions from intakes of radioactivity have also be included. For these contributions, thecombined uncertainties may be substantially greater than 50%.
7.52. Using knowledge of the energy and angular spectra of the workplace fields, theuncertainty of a dose assessment can be reduced by applying correction/normalization factors.
This can be determined by carrying out in-field calibrations or by using information on theworkplace field characteristics combined with the dosimeter energy and angular characteristics.
7.53. The detailed determination of the energy and directional distributions requires the use of
specialists and specialized equipment. The measurements can thus be time consuming andexpensive. In such cases, an alternative method can be used. The readings of the routine
dosimeter can be compared with on-phantom readings of specialized devices which give a better
determination of the operational quantities, but are generally not suitable for routine use. Multiple
dosimeters can be used on the same phantom to mimic rotation of the worker.
7.54. The determination of field-specific correction factors is the responsibility of the employer
but should be carried out in consultation with the RPO or Qualified Expert or the dosimetry
service, as appropriate, using information on the dosimeter characteristics supplied by thedosimetry service.
7.55. In addition to the numerical criteria for the performance of personal dosimeters, criteria
concerning their use in practice and economic factors should be considered. Criteria of this kindinclude, but are not limited to:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
112

Low cost;
Low weight, convenient size and shape, convenient and reliable clips;
Adequate mechanical strength and dust tightness;
Unambiguous identification;
Ease of handling;
Reliable readout systems;
Reliable supplier who will continue to provide dosimeters over long periods;
Adaptability to various applications, e.g. measurement of body dose and extremity dose;
Availability and ease of calibration

(j)Suitability for automatic processing.

7.56. For extremity dosimetry, particular attention should be paid to the mechanical strength ofthe dosimeters and to their temperature and humidity resistance, as these dosimeters are often
used in abnormal working environments.
Workplace monitoring instruments
7.57. Workplace monitoring instruments used for dose assessment should be calibrated in termsof the operational quantities H*(10) and H'(0.07,), and should operate within prescribed criteria
for overall accuracy, taking into account the dependence on radiation energy, direction ofincidence, temperature, radiofrequency interference and other quantities of influence. As withpersonal dosimeters, the energy and direction dependencies of the response are particularly
important.
7.58. In line with ICRU recommendations on the acceptable uncertainty value for single
measurements of the operational quantities in individual monitoring (see para. 7.43), an overall
uncertainty of one standard deviation of 30% would be appropriate for workplace monitoring
instruments. This value would apply to performance under laboratory test conditions (standard
test conditions), and may not be achievable under normal operational conditions.
7.59. In addition to the energy and angular response, several factors can influence the accuracy
and reliability of measurements. The factors that need to be assessed include:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
(k)
(l)

Ability to withstand shock and vibration;
Independence of response to atmospheric pressure;
Dust tightness;
Water resistance;
Independence of response to dose rate;
Correctness of response in pulsed fields (as applicable);
Insensitivity to electric and magnetic fields;
Stability under extremes of temperature and humidity;
Insensitivity to radiation types not to be measured;
Response time;
Stability of response over time (minimal drift);
Sensitivity and coefficient of variation.

7.60. Other features should be considered as appropriate, including weight, cost, ease ofhandling and reading, and the need for reliable and continuing maintenance and support.
7.61. In some industrial activities involving NORM, such as mining and oil and gas production,
conditions can be particularly harsh. In such conditions, the design and construction of workplacemonitoring instruments need to be suitably rugged. There may also be a risk of flammableatmospheres. Workplace monitoring instruments used in such applications have to be designed
and constructed to meet intrinsic safety requirements. This limits the choice of suitable
instruments because most do not meet these requirements.

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Estimation of uncertainties
7.62. The assessment of uncertainty in measurement is the basis for quantifying themeasurement accuracy. International guidance on the metrological aspects of dosimetry can befound in documents developed by the Joint Committee for Guides in Metrology (JCGM). 11 The
two fundamental reference documents are the International Vocabulary of Metrology – Basic andGeneral Concepts and Associated Terms (VIM) [64] and the Guide to the Expression ofUncertainty in Measurement (GUM) [65]. Further guidance related to the GUM can be found in
Refs [59, 66–72].
7.63. In the evaluation of the uncertainty, all knowledge of the dosimeter and its associatedevaluation system (e.g. TLD reader, densitometer, track counting system) or of the workplacemonitoring instrument, both from experience and from type testing (see paras 7.72–7.81 and
7.94–7.95), should be used, possibly in combination with information from the client or customer
such as local exposure and storage conditions.
7.64. The evaluation of the uncertainty needs a mathematical model of the dosimetry system.
This mathematical model can be given as:

Y  f ( X 1 , X 2 ...)  f ( X )(25)

where Y is the output quantity or measurand, for instance Hp(10), and X is an array containing the
input and influence quantities of the measurement system. The evaluation of the uncertainty thenconsists of two stages: the formulation stage and the calculation stage.
7.65. The formulation stage consists of:(a)(b)

Defining the output quantity Y.
Determining the input quantities in array X. These are all the quantities that affect the valueof the output quantity, in this case the radiation field characteristics. Typical input quantities
include:(i)(ii)

Dose rate, energy and angle of incidence;
Characteristics of the measurement system (e.g. sensitivity as a function of energy andangle, dosimeter fading, dosimeter evaluation system characteristics such as developer
temperature and reader sensitivity);(iii) Characteristics of the calibration system;(iv) The dose due to the natural background, which has to be subtracted (see paras 7.128–
7.132).
(c)

Developing a model relating the input quantities to the output quantity. In most cases themodel is already largely available in the form of the algorithm that is routinely used to11This committee comprises representatives of the International Bureau of Weights and Measures, the IEC,
the International Federation of Clinical Chemistry and Laboratory Medicine, the International Laboratory
Accreditation Cooperation, the ISO, the International Union of Pure and Applied Chemistry, the International Union
of Pure and Applied Physics and the International Organization of Legal Metrology.

114

(d)

calculate the dose from film density or from track detection light output using numerous
parameters such as calibration and normalization factors or coefficients.
Assigning a probability density function (PDF) to each of the input quantities. This
assignment is done using all knowledge of the dosimetry system and the measurement
conditions.

7.66. In a ‘Type A’ evaluation of uncertainty, the assignment of the PDFs is based on statisticalanalyses. The standard uncertainty for a Type A evaluation, with an associated standard
deviation, is identified from a series of measurements. Examples of parameters with Type A
uncertainties are:
(a)
(b)
(c)

Measurements of film density or of light output of a TLD reader;
Blank signal of the reader system;
Sensitivity of the individual detectors.

7.67. For many of the other input quantities, a ‘Type B’ evaluation has to be applied, in which
an educated guess of the uncertainty is the best available. Type B uncertainties are those whichcannot be reduced by repeated measurements. The following are usually considered to be sourcesof Type B uncertainties:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)

Characteristics of the field to which the dosimeters were exposed;
Energy and angular dependence of the dosimeter;
Non-linearity of the response;
Fading, dependence on ambient temperature and humidity;
Effects due to exposure to light;
Effects due to exposure to types of ionizing radiation that are not intended to be measured
by the dosimeter;
Effects from mechanical shock;Calibration errors;
Variation in local natural background.

7.68. The calculation stage consists of propagating the PDFs of the inputs through themeasurement model Y = f(X) into a PDF of the output. From this PDF the following summarizing
quantities have to be calculated:
(a)
(b)
(c)

The expectation value, the central value of the PDF that is taken as an estimate y of thedose Y;The standard deviation that is taken to be the combined uncertainty uc(y) on the dose Y;
A coverage interval that contains Y with a specified probability.

7.69. If it is believed that the PDF of the dose Y has a Gaussian (normal) probability density,then one standard deviation each side of the mean corresponds to confidence limits of about 66%.
Therefore, it is often necessary to multiply the combined standard uncertainty by a suitablefactor, called the coverage factor k, to yield an expanded uncertainty (also known as the ‘overall
uncertainty’). Typical values of the coverage factor would be 2 or 3, corresponding to confidence
limits of approximately 95% or 99% respectively. The numerical value taken for the coveragefactor should be clearly indicated.

115

7.70. For the calculation stage, essentially two methods are available:(a)(b)

The framework based on the law of propagation of uncertainties and the central limit
theorem [65];The Monte Carlo method which uses statistical sampling from the PDFs of the input
quantities to evaluate the convolution integral of the PDFs [68].

7.71. From a metrological point of view, it is not meaningful to report doses in more detail than
the standard uncertainty allows. So, for example, in systems with a standard uncertainty in low
doses of less than 0.1 mSv, the doses can be reported in multiples of 0.01 mSv. In systems with agreater standard uncertainty, the doses can be reported in steps of 0.1 mSv.
Testing of personal dosimetry systems
Type testing
7.72. Type testing of a dosimetry system for external exposure involves testing the performance
characteristics of the system as a whole under a series of irradiation and storage conditions. In
particular, those sources of uncertainty discussed in paras 7.64–7.67 should be quantified. Thislargely involves investigation of the variation of dosimeter response with the energy and the
direction of incidence of the radiation beam. However, it also includes consideration of otherdosimetric characteristics, such as the linearity of response, the range of measurable doses, theability of the system to perform satisfactorily over a reasonable range of temperature andhumidity conditions, and the ability to respond properly in high dose rates and in pulsed radiation
fields. Type testing also includes tests of a more general nature, such as the ability of the system
to operate satisfactorily in a reasonable range of electric and magnetic fields, and its ability towithstand mechanical shock and vibration. The tests do not concern only the dosimeter itself, but
the whole system including any readout equipment.
7.73. The result of a type test is the detailed description of all the properties of a given type of
dosimeter. The results of type testing should be analysed in terms of performance criteria (seeparas 7.48–7.56), and are intended to demonstrate whether these can be met in practice, bearing
in mind the range of values of the various factors at the facility in which the dosimeters are to be
used. As long as the type of a dosimeter and the readout equipment is unchanged, the type test
remains valid.
7.74. It is preferable that dosimetry systems are type tested according to the relevant standardsof the IEC and/or the International Organization for Standardization (ISO) and/or equivalent
national standards and should have passed the relevant test. Failure of any part of the test should
be clearly detailed and reasons for the failure considered.
7.75. All the radiation fields used in type tests should be well characterized and traceable tonational metrology standards. Several ISO standards give guidance on establishing reference
radiation fields for photon, beta and neutron radiation [73–82]. Additional equipment may beneeded for measuring environmental quantities of influence, mechanical effects, electromagnetic
fields, etc. Not all these are required at the dosimetric service site — it is sufficient if they areavailable at the testing laboratory.

116

7.76. Several standards for type testing exist. For active personal dosimeters, the IEC standard
61526 [83] covers photon, beta and neutron radiation. For passive personal dosimeters, the IEC
standard 62387 [84] covers photon and beta radiation. Since these two standards are mutuallycompatible, the type test results are comparable, regardless of whether the detector is of the activeor passive type. For passive personal neutron dosimeters, the ISO standard 21909 [85] isavailable.
7.77. The response with respect to radiation energy and angle of incidence is a crucial
characteristic of a personal dosimeter. Dosimeters should be tested to determine how well they
conform to the energy and angular response characteristics demanded by the quantity or
quantities to be measured.
7.78. As a result of a type test according to the relevant standard specified in para. 7.76, rated
ranges of use for all influence quantities are determined. The suitability of a dosimeter for a given
workplace can be judged by comparing these rated ranges with those required for that workplace.
7.79. Because the operational quantity for individual monitoring Hp(d) relates to themeasurement of dose equivalent within the body, dosimeters for this operational quantity should
be type tested on an appropriate phantom to emulate backscatter from and attenuation by the
body. If the dosimeter performs adequately on the phantom, it can be assumed that it will also do
so on the body.
7.80. Personal whole body dosimeters should, for the purpose of type testing, be irradiated on aslab phantom 30 cm square and 15 cm thick, made of tissue substitute. Extremity dosimeters
should be irradiated on the pillar phantom in the case of wrist dosimeters or on the rod phantom
in the case of ring dosimeters, in accordance with the ISO 4037 standards series [73–76]. For
doses to the lens of the eye (Hp(3)), the design of a suitable phantom is the subject of ongoing
discussion. When dosimeters for the quantity Hp(0.07) are used for determining the dose to thelens of the eye:
(a)

(b)

They should be optimized for such use on the slab phantom, i.e. their energy and angulardependence should be type tested on the slab phantom and they should be calibrated on theslab phantom; or
It should be ascertained that the dosimeters correctly detect the radiation scattered backfrom the body behind them (i.e. the head) — this is usually the case for ring dosimeterswith a back layer of plastic with a thickness of about 1–3 mm [86].

It has been shown that, in the case of photons, measurement of the quantity Hp(0.07) withdosimeters sensitive to backscatter radiation and calibrated on any ISO phantom provides aconservative approximation of the dose to the lens of the eye [11, 86, 87].
7.81. Conversion coefficients relating the physical quantities (fluence, air kerma) to theoperational quantities (Hp(10), Hp(3) and Hp(0.07)) are given in various publications [75, 78, 79,
82, 84, 85, 88].

117

Performance testing
7.82. In addition to the type testing of a personal dosimetry system, in which the functioning of
the whole system is carefully analysed in order to verify that it meets the accuracy criteria,
performance testing should be conducted at regular intervals (typically annually) to demonstratethat this standard of performance is maintained.
7.83. Performance tests carried out externally serve as a check on the reliability of thedosimetry system and the consistency of its method of application by an identifiable laboratory.
The approval of a dosimetry service by the regulatory body should involve a review of both thetype testing results and the initial performance testing results. Ongoing compliance with approval
procedures should be based on the results of external performance testing.
7.84. External performance testing requires careful consideration of the dose range, the types
and energies of the radiation to be measured, the uncertainty of the dose estimations, and themeasurement process including traceability and calibration. The results obtained should meet
specific performance criteria, with reference to a standard where applicable.
7.85. In addition, performance tests carried out externally or internally may serve as a check on
the consistency of the measurement procedures and laboratory practice (as part of an internal QA
programme conducted in accordance with a relevant international standard such as ISO/IEC
standard 17025 [89]).
7.86. Three types of performance test are in general use — the blind test, the surprise test andthe announced test:
(a)

(b)

(c)

In a blind test, the dosimetry service provider is not aware of the tests and cannot use
selected dosimeters or special evaluation procedures for the tests. One approach is theinvention of an independent ‘dummy’ customer and irradiation of the dosimeters undercontrolled conditions independent of the service provider. Most service providers use adummy customer for their internal quality assurance performance testing.
In a surprise test, the dosimetry service provider is aware of the tests but does not know theactual test date in advance. It is possible to use selected dosimeters but not to use special
evaluation procedures.
In an announced test, the dosimetry service provider is aware of the tests and may use
selected dosimeters and special evaluation procedures.

7.87. An intercomparison exercise among dosimetry service providers can be regarded as anannounced performance test. Generally the results of such intercomparisons are published but are
not identified with the names of the participants. Participation in such intercomparisons is often arequirement for approval and also a part of the quality management system.
7.88. Further guidance on performance testing can be found, for example, in ISO standard
14146 [90].

118Routine testing
7.89. The purpose of routine testing is to test the accuracy and precision of the dosimetry
system for measurement of doses at a single energy, usually that of the calibration source, e.g.
137
Cs or 60Co for photon dosimeters. This type of test also serves to normalize the overallsensitivity of the system. Routine tests are normally carried out by the dosimetry service
provider, and should be repeated at regular intervals, preferably monthly. In contrast, QA tests tomonitor specific aspects of system performance are generally performed every readout day.
7.90. Routine testing, which includes calibration, is a means by which the sensitivity, precision
and accuracy are verified, usually for a single radiation type and energy. The tests required in a
QA programme may include routine testing.
7.91. The introduction of a dummy customer is one possible routine test. Dosimeters from thedummy customer are exposed to a known dose over each exposure period and undergo the same
treatment as the normal dosimeters. A follow-up of the doses reported for this dummy customer
gives a good idea of the ongoing performance of the normal dosimeters.
7.92. Results of routine tests should be followed up closely, for instance by the use of control
charts, where warning and action levels are defined to trigger necessary actions by the dosimetry
service provider.
Summary
7.93. A summary of the recommended testing programmes for personal dosimetry systems isgiven in Table 3.
TABLE 3. SUMMARY OF TESTING FOR PERSONAL DOSIMETRY SYSTEMS
Test performed byFrequency of testingType testing

Manufacturer or authorized
type testing organization

Once, typically prior tomarketing to end users

Performance testing

Authorized testing organization

Annually

Routine testing

Dosimetry service provider

Monthly

Routine testing (QA tests) End user or dosimetry
service provider

Daily/ every readout day,prior to startup of dosimeter
processing

Testing of workplace monitoring instruments
Type testing
7.94. The type testing of workplace monitoring instruments demonstrates the suitability of an
instrument to perform adequate measurements in the workplace environment and should involvethe same general approach as that described in paras 7.72–7.81 for personal dosimetry systems.
Procedures for the measurement of the energy response and angular response of workplace119monitoring instruments are similar to those used for personal dosimeters, except that radiation
exposures in workplace monitoring would normally be free in air (i.e. without phantom).
7.95. The IEC has published standards for most types of workplace monitoring equipment.
These standards not only give the performance specifications to be met but also describe themethods of type testing to be undertaken. Tests are prescribed for determining the radiological
performance (e.g. linearity, energy dependence, angular response) and the environmental,
electrical and mechanical performance. The relevant IEC standards and their applicability are
given in Table 4.

120

TABLE 4. IEC STANDARDS FOR WORKPLACE MONITORING INSTRUMENTS
Standard
IEC 60532:2010[91]

Applicability
Installed dose rate meters, warning assemblies and monitors that are used toprevent or mitigate a minor radioactive release, or minor degradation of fuel,within the nuclear power plant/nuclear facility design basis, and to warn
personnel or to ensure their safety during or following events that involve or
result in release of radioactivity in the nuclear power plant/nuclear facility,
or risk of radiation exposure. In IEC standard 61226 [92], this equipment istypically classified as category A, B, C or ‘not classified’. The maintechnical changes with regard to the previous edition are updates taking
account of the requirements of IEC standards published since 1996

IEC 60846-1:2009 Specifies the design requirements and performance characteristics of dose
[93]
equivalent (rate) meters intended for the determination of ambient dose
equivalent (rate) and directional dose equivalent (rate) as defined in ICRU
Report 47 [57]. Applies to dose equivalent (rate) meters and/or monitors forthe measurement of ambient dose equivalent (rate) and/or directional dose
equivalent (rate) from external beta, X and gamma radiation
IEC 60846-2:2007 Applies to portable or transportable dose equivalent (rate) meters and/or[94]
monitors for the measurement of ambient and/or directional dose equivalent(rate) from external beta, X and gamma radiation during emergency
situations. Applies directly to dose equivalent (rate) meters intended for thedetermination of the dose equivalent or dose equivalent rate from externalbeta and/or X and gamma radiation of energies up to 10 MeV during
emergency situations
IEC 61005:2003[95]

Specifies requirements for the performance characteristics of neutron
ambient dose equivalent (rate) meters, and prescribes the methods of testingin order to determine compliance with this standard. Specifies generalcharacteristics, general test procedures, radiation characteristics, electrical,
mechanical, safety and environmental characteristics, and also theidentification certificate

IEC 61017-1:1991 Applies to portable, transportable or installed assemblies intended to[96]
measure environmental air kerma rates from 30 nGy/h to 10 µGy/h due to X
or gamma radiation of energy between 50 keV and 1.5 MeV. Specifies
general characteristics, general test procedures radiation characteristics,
electrical, mechanical, safety and environmental characteristics as well as theidentification certificate
IEC 61017-2:1994 Applies to portable or installed integrating assemblies intended to measure[97]
environmental air kerma due to X or gamma radiation of energy between
50 keV and 1.5 MeV by integration of the detector’s signal
Pre-use testing
7.96. Workplace monitoring instruments should be tested before they are first used to ensurethat they conform to type test data. Testing should cover the range of dose rates that could121reasonably be encountered. Ranges for which an instrument has not been tested should be clearly
identified and documented.
7.97. Pre-use tests should be designed to identify credible faults such as miscalibration orincorrect assembly of the detector. Pre-use testing should also provide a baseline for subsequentroutine testing. It is normally possible to select a restricted series of tests which can provide
adequate confidence in an instrument’s performance. Detailed recommendations are provided inRef. [98].
Periodic testing
7.98. Once a workplace monitoring instrument is in use, periodic testing should be carried out
to indicate any deterioration in an instrument’s performance. Periodic testing should be carriedout at least once a year and should involve a subset of the tests used in pre-use testing. Examplesof reference types of radiation that may be used are:
(a)
(b)
(c)
(d)
(e)

For photon dose rate monitors, the 0.662 MeV gamma emission from 137Cs;
For neutron dose rate monitors, 241Am–Be neutrons;
For beta dose rate monitors, the 0.662 MeV gamma emission from 137Cs plus a low energy
beta source;
For beta contamination monitors, beta emissions at or below the minimum energy for which
the monitor is to be used;
For workplace involving NORM, an appropriate reference source is to be used.

7.99. Simpler periodic tests should be carried out on a more frequent basis:
(a)

(b)

Most workplace monitoring instruments need to be regularly source checked to ensure
proper functioning. Source checking should be carried out monthly, weekly or even daily,
depending on the type of instrument. The choice of source and ranges tested should beappropriate for the type of monitoring being conducted.
Battery checks, zeroing and tests to demonstrate an adequate response should be carried out
regularly as part of the QA programme to ensure that the equipment continues to function
satisfactorily and has suffered no obvious damage.

7.100. Following testing, a sticker should be attached to the instrument giving relevant
information, including the organization performing the test, the test certificate number, and thedate of the test or date when the next test is due, as appropriate.
7.101. A summary of the recommended testing programmes for workplace monitoring
instruments is given in Table 5.

122

TABLE 5. SUMMARY OF TESTING FOR WORKPLACE MONITORING INSTRUMENTS
Test performed byFrequency of testingType testing

Manufacturer or authorized
type testing organization

Once, typically prior to marketing to end users

Pre-use testing

Manufacturer, end user orOnce, prior to placing instrument into service
authorized testing organization

Periodic testing

End user or authorized testing/ Annually or more frequently, depending on thecalibration organization
stability of the instrument and its intended use

Calibration of instruments
7.102. Calibration is the operation that, under specified conditions, in a first step, establishes a
relation between the quantity values (with measurement uncertainties) provided by measurement
standards and corresponding indications (with associated measurement uncertainties) and, in asecond step, uses this information to establish a relation for obtaining a measurement result froman indication.
7.103. Calibration should not be confused with adjustment of a measurement system, with ‘selfcalibration’ or with verification.
7.104. For all measurement methods, instruments should be regularly calibrated and thiscalibration should be traceable to recognized national standards. This may be effected either byusing reference sources that have been calibrated previously against primary standards or byusing reference instruments that have been calibrated previously against primary standards by anational primary laboratory or at an acknowledged reference laboratory that holds appropriate
standards.
7.105. The reference calibration of a personal dosimetry system (passive or active) should be
repeated at regular intervals, for example every one or two years. More frequent periodic checks(routine testing — see paras7.89–7.92) should be carried out on the dosimetric performance ofthe dosimetry system. For passive systems, some simple checks of the readout system should also
be performed every readout day, for example using irradiated detectors.
7.106. To determine the reference calibration factor, the radiation field needs to be wellcharacterized. For the periodic determination of the reference calibration factor of a dosimetry
system, it is usually sufficient to use a radioactive source such as 137Cs or 60Co for photon
radiation, 90Sr/90Y for beta radiation and/or 252Cf for neutron radiation. These fields should havetraceability to a national metrology institute. Such reference fields and the calibration proceduresare described in the relevant ISO standards [73–82]. For neutrons, it may be useful to also carryout a calibration in simulated workplace fields, in accordance with ISO standard 12789 [99, 100].
7.107. The reference calibration factor may then be combined with a number of correction
factors to be applied in specific conditions of use.

123

7.108. In addition, every dosimeter should have a traceable individual normalization/calibration
factor. For reusable dosimeters, the individual normalization/calibration factor should be checked
periodically and adjusted if necessary.
7.109. Periodic repeated internal calibrations are important for passive (solid state) dosimeters toadjust the normalization/calibration factors for changes due to repeated use, or to confirm that
their performance has not changed. A suggested frequency is every 10 uses or every 2 years,
whichever comes first. An individual normalization factor may also be needed for active
dosimeters.
Approval of dosimetry services
7.110. In terms of para. 3.73(c) of the BSS [2], the regulatory body is responsible for theauthorization or approval of service providers for individual monitoring and for calibration
services. An approved dosimetry service provider can be defined as one such service provider
who is responsible for the calibration, reading or interpretation of individual monitoring devices
and whose capacity to act in this respect is recognized by a competent authority.
7.111. The purpose of approval is to recognize and verify that a dosimetry service provider istechnically competent, able to generate technically valid results and has adequate administrative,
technical and management systems.
7.112. For a service provider to be approved, it should be able to provide an acceptable degree of
accuracy in the assessment of dose, to achieve and maintain a high level of reliability, tocommunicate the results of routine dose assessments to the employer and/or the regulatory bodyin a reasonable time and to rapidly communicate the results of dose assessments made in theevent of an accident, occurrence or incident. In addition to satisfying technical requirements, anapproved service provider should satisfy relevant management system requirements (seeSection 8).
7.113. The approval process may involve the following aspects:
(a)

(b)
(c)

(d)
(e)

124

Submission of a report containing information about the dosimetry system — the technicaldocumentation typically covers type test results, dosimetry procedures and calibration
traceability, as well as the management system including the organizational structure,
personnel, equipment quality control and procedures;
Accreditation of the management system in accordance with a relevant international
standard such as ISO/IEC 17025 [89];Certification that the dosimetry system is traceable to the appropriate national standard andis based on conversion coefficients for the operational quantities in accordance withinternational recommendations and standards;
An irradiation performance test at unknown doses in unknown situations;On-site inspection and assessment of the laboratory by dosimetry experts who evaluate
aspects such as staff (including training), equipment, facilities, calibration and dosimetry
procedures in accordance with what is stated in the approval documentation.

7.114. External performance testing as part of approved procedures should be carried out todemonstrate that the essential performance specifications are routinely maintained (see paras 7.83
and 7.84). The results should confirm the type testing data.
7.115. An approval performance testing programme may be subdivided into different irradiation
categories to suit different classes of dosimeter, i.e. categories based on the radiation types andenergy ranges covered by the dosimeters. Each test may include a range of different energies andangles of incidence of the radiation, and an appropriate distribution of dose ranges.
7.116. Approval performance tests should be carried out at regular intervals. Such tests can beorganized by the relevant authority or can involve participation in international externalintercomparisons.
Interpretation of measurements and dose assessment
Personal dosimetry
7.117. For radiation protection purposes the measured operational quantities Hp(10), Hp(3) andHp(0.07) are interpreted in terms of the protection quantities effective dose, equivalent dose to thelens of the eye, and equivalent dose to the skin and extremities, respectively.
7.118. For photons, Hp(10) will in most practical situations provide a reasonable estimate of theeffective dose E that avoids both underestimation and excessive overestimation. For neutrons,
Hp(10) can underestimate the effective dose for some energy ranges and field geometries. In suchcases information on the energy and directional distribution of workplace fields is necessary toapply suitable corrections.
7.119. The close correspondence between E and Hp(10) is based on the assumption of uniform
whole body irradiation. Coefficients have been calculated for conversion from the fundamental
quantities (particle fluence, air kerma, tissue absorbed dose) to effective dose in anthropomorphic
phantoms representing adult humans, and to the operational quantities using ICRU phantoms.
The ratios of the operational and protection quantities are an indication of the quality of
estimation of the protection quantities for different energies and directional distributions [88].
7.120. For doses near or above the dose limit, or above a fixed investigation level, confirmationis needed that measurements of the operational quantities provide a good estimate of theprotection quantities. This can be especially important for neutron doses or inhomogeneous
exposures. To do this, information is needed on the uniformity of the field, the energy anddirection distribution of the field, the wearing position of the dosimeter and the dosimeter
response characteristics.
7.121. In cases where the worker moves about the workplace, four types of multidirectional field
are generally considered:(a)(b)

Radiation incident predominantly from the front half space (anterior–posterior (AP)geometry);
Radiation incident from the rear half space (posterior–anterior (PA) geometry);

125

(c)
(d)

Radiation incident symmetrically from all directions perpendicular to the body (rotational(ROT) geometry);
Radiation incident from all directions including above and below (isotropic (ISO)geometry).

It may be assumed that Hp(10) measured by a personal dosimeter worn on the chest approximatesthe effective dose sufficiently accurately, at least for AP, ROT and ISO geometry. For PA
geometry (e.g. for the driver of a vehicle transporting radioactive material), the dosimeter should
be worn on the back. Thus, one dosimeter worn on the front (or rear) of the trunk generally
provides a satisfactory assessment of the effective dose. More detailed guidance on theinterpretation of dosimeter results obtained under various geometric exposure conditions is given
in Ref. [101].
7.122. For certain radiation fields, the operational quantities may not be a good approximation of
the protection quantities because of the energy spectrum of the field. This is particularly the casefor neutrons in the energy range of 4–20 MeV and above 50 Mev. Such factors might bedetermined by a good experimental characterization of the workplace field. Monte Carlosimulations can also be very useful for this purpose.
Workplace monitoring
7.123. In many cases, workplace monitoring is used to characterize the workplace for purposesof determining whether restrictions on the movement of workers within that workplace areneeded. In such cases, it is assumed, conservatively, that a worker is located for the entire
working period in that part of the workplace where the dose equivalent rate is highest. However,when workplace monitoring is used for purposes of dose assessment and records, realistic
estimates of the periods of occupancy should be obtained and used. In workplaces where the dose
rates may vary significantly with time, the occupancy of the workplace should be recorded so thatthe periods of occupancy can be applied to the relevant dose rate to assess exposure. Additional
information on workplace monitoring can be found in ICRP Publication 75 [55].
7.124. If appropriately designed and accurately calibrated instruments are used, it may be
assumed that a quantity measured in the workplace can, along with appropriate occupancy data,
provide the basis for an adequate estimation of the effective dose received by a worker or of theequivalent dose in the tissues and organs of a worker. The operational dose quantities H*(10) andH'(0.07,Ω) defined for workplace monitoring will provide an adequate estimate of the effective
dose and skin dose. As explained in para. 7.37, instruments for measuring quantities defined infree air (e.g. kerma) generally do not have the correct energy response for the measurement of
H*(10).
7.125. It should be noted that the quantity H*(10) may significantly overestimate the value ofHp(10), as measured with a dosimeter on an individual, and hence the value of the effective dose,
especially if the field is isotropic. This is because instruments for measuring H*(10) have an
isotropic response, whereas the quantities Hp(10) and E are dependent on the angle of incidence.
7.126. For situations in which the extremities or the unprotected skin of the body may be locally
exposed to radiation, the directional dose equivalent H'(0.07, Ω) provides an adequate estimationof the equivalent dose. The quantity H'(0.07, Ω) also provides an adequate estimation of the126equivalent dose to the lens of the eye from exposure to photon radiation (see para. 7.10). For
multidirectional fields, the instrument should be rotated in the radiation field and the maximum
value of dose indicated by the instrument used in order to avoid any underestimation of the skinor eye dose. The operator should be aware of the possible existence of point sources or narrow
beams which could give rise to misleading readings.
7.127. Workplace monitoring instruments are calibrated in radiation fields that irradiate thedetector volume uniformly, with the centre of the volume used as a reference point. However,many operational fields irradiate the detector in a non-uniform manner (e.g. operational fields
close to point sources or narrow beams). These situations need special attention and it may benecessary to establish a correction factor that can be applied to the readings to give a corrected
dose rate. These factors may be in excess of 100 [102]. One technique is to use a matrix of point
sources to simulate source geometries of interest [102].
Background subtraction
7.128. The zero dose indication of a dosimetry system comprises the readout system backgroundplus the detector intrinsic background. Intrinsic detector backgrounds can be determined for
detectors individually or in batches. In the latter case the uncertainty contribution to a single
result will be larger. For batch determination of intrinsic background, attention must be paid tothe sampling procedure.
7.129. The dosimeter indication will, after subtraction of the zero indication (blank indication),and after the application of correction factors and calibration factors, give the gross dose, also
known as the measured value. The gross dose will, in general, include a contribution from thenatural background in addition to any dose from the worker’s occupational radiation field.
7.130. The methods of natural background subtraction are to use either an average value basedon customer geographic spread (usually a national average) or specific customer or location
values. For monthly issue, the use of a geographic spread average background between readouts,
although adding to the total uncertainty, will for many services still enable the recommended
accuracy requirements to be met.
7.131. At locations where the natural background is significantly greater or less than the national
average, the local natural background dose rate will obviously need to be taken into account.
Local background variation can be taken into account by the use of control dosimeters which aresupplied by the dosimetry service to the customer, and stored at the location where the workers’
dosimeters are kept when not being used. In some cases, the subtraction of transit doses may need
to be done. The determination of natural background can also be done using a method based on
the analysis of the results for issued dosimeters. Such methods are based on the assumption thatthe majority of issued dosimeters are only exposed to natural background radiation.
7.132. Additional considerations are needed for active personal dosimeters, since they often
accumulate natural background dose only when they are in use, rather than continuously. For
active personal dosimeters issued on a shift basis, methods may have to be established to subtract
the correct amount of dose attributable to natural background, especially when using active
personal dosimeters that are claimed to have low detection limits. Alternatively, the natural
background contribution may be neglected.
127

ASSESSMENT OF INTERNAL EXPOSURE
Monitoring programme
7.133. The assessment of doses received by workers from intakes of radionuclides may be basedon the results of individual monitoring involving one or more of the following types ofmeasurement:
(a)
(b)
(c)

Sequential measurements of radionuclides in the whole body or in specific organs such as
the thyroid or the lung;
Measurements of radionuclides in biological samples such as excretions or breath;
Measurement of activity concentrations in air samples collected using personal air sampling
devices worn by the worker and representative of the air breathed by that worker.

7.134. For some radionuclides, individual monitoring based on measurements of activity in the
body or in biological samples may not be feasible because of the radiation type(s) emitted and thedetection sensitivity of the monitoring methods.
7.135. In some situations, it may be necessary or preferable for the assessment of doses received
by individual workers to be based on the results of workplace monitoring (see para.3.118).
7.136. For workers engaged in industrial activities involving NORM, internal exposure from theinhalation of 238U and 232Th decay series radionuclides in dust particles is often the dominant
pathway because of the inherently dusty nature of many such activities. In such workplaces:(a)(b)

Air sampling, rather than biological sampling or whole body counting, is the best way ofassessing doses and providing the information needed for optimization;
Particular attention should be given to the characterization of the airborne dust in terms of
its particle size distribution, its activity concentration (which may differ from that of thebulk material), and the lung absorption class(es) of the radionuclides concerned.

Further guidance and information is given in Ref. [103].
7.137. The choice of measurement technique will be determined by several factors:
(a)
(b)
(c)
(d)
(e)

The radiation emitted by the radionuclide;The biokinetic behaviour of the contaminant;
The degree to which the contaminant is retained within the body, taking account of bothbiological clearance and radioactive decay;
The required frequency of measurements;
The sensitivity, availability and convenience of appropriate measurement facilities.

7.138. A facility for individual monitoring should ideally be situated in a building remote fromother laboratories or operations giving rise to the emission of radioactive materials or penetratingradiation which could interfere with measurements. The monitoring area for direct measurement,
containing shielded detectors and associated electronic equipment, would normally occupy aground floor or basement location in view of floor loading requirements. There should also be128waiting rooms for people coming for measurement, showers, toilets and rooms for the change ofclothes, and also separate rooms for collecting or handling excretion samples.
7.139. The laboratory for excretion analysis should be constructed in much the same way as anyother radiochemical laboratory, but should not be also used for the analysis of other, high activity
process samples such as reactor coolant, in order to avoid any cross contamination. Precautions
for the handling of potentially infectious material have to be taken into account when planningspace for the handling or storage of collected but unanalysed excretion samples.
7.140. Further information on the design and implementation of internal monitoring programmes
for workers can be found in Refs [103–106].
Routine monitoring
7.141. Routine internal exposure monitoring is conducted on a fixed schedule for selected
workers. Internal exposure monitoring has certain limitations that should be considered in thedesign of an adequate monitoring programme:
(a)

(b)

(c)

(d)

Monitoring does not directly measure the committed effective dose received by theindividual. For instance, biokinetic models are needed to relate the activity levels in an
excretion sample to that in the body at the time the sample was taken, to relate the bodycontent at the time the sample was taken to the original intake, and to calculate thecommitted effective dose from the estimated intake. Further information on the biokinetic
models used is given in Appendix IV.
Measurements may be subject to interference from other radionuclides present in the body,
including radionuclides of natural origin. It may be necessary to establish the body content
of radionuclides of natural and/or artificial origin from previous intakes, especially wheresuch non-occupational intakes are unusually high. Radiopharmaceuticals administered for
diagnostic or therapeutic purposes may interfere with bioassay measurements for some timeafter administration, depending on the properties of the agent administered and on theradionuclides present in the workplace. Workers should be requested to report any
administration of radiopharmaceuticals to their supervisors, so that it can be determined
whether or not adequate internal exposure monitoring can be performed.
The results of an individual monitoring programme for the estimation of chronic intakes
might depend on the time at which the monitoring is performed. For certain radionuclides
with a significant early clearance component of excretion, there may be a significant
difference between measurements taken before and after a weekend break. Such cases
should be reviewed individually [13, 16, 107]. Additionally, for radionuclides with long
half-lives, the amount present in the body and the amount excreted depend on, and increase
with, the number of years for which the worker has been exposed. In general, the activity
retained from intakes in previous years should be taken to be part of the background for thecurrent year.
The analytical methods used for individual monitoring sometimes do not have adequate
sensitivity to detect the activity levels of interest. Information on detection limits achievable
for individual radionuclides is given in ICRP Publication 78 [13]. More specificinformation on detection limits for inhaled intakes of 232Th and its decay progeny forvarious measurement techniques is given in Tables 7, 8, 94 and 95 of Ref. [25].

1297.142. In situations where air quality measurements are used as the basis for assessing the doses
received by workers from the inhalation of airborne radionuclides, the airborne activity
concentration is determined using stationary air samplers (SASs) or personal air samplers(PASs). The dose is assessed from the airborne activity concentration using generic or site
specific assumptions about the form of the material (particle size and chemical form) and thebreathing rate and exposure period of the worker. SASs for the monitoring of airborne dust haverelatively high flow rates, typically about 20 L/min, and are deployed at predetermined fixedlocations in the workplace. PASs, on the other hand, have relatively low flow rates, typically
about 2 L/min, and are worn on the lapel. The pack containing the pump and battery is worn on abelt and connected to the sampling head by a flexible tube. Care is needed to ensure that the
sampling head is positioned such that the sampled air is reasonably representative of the air
breathed. Personal air samplers may not be sufficiently rugged or convenient to wear in harshworking conditions.
7.143. PASs, combined with other direct and indirect methods, are increasingly being used in
preference to SASs since they provide more reliable monitoring [103–104]. The air sampled by a
SAS may not be representative of the air breathed by the worker, resulting in dust inhalation
doses being significantly underestimated, sometimes by several orders of magnitude, particularly
in workplaces where the resuspension of dust by worker activities is a significant factor. On theother hand, the use of SASs may result in a significant overestimation of the dose if the worker is
not continuously stationed in a dusty area. Where practicable, therefore, PASs should be used in
preference to SASs in all cases where short term spatial and temporal variations of airborne
activity concentrations are expected and, where radon progeny concentration is to be highest.
7.144. In some workplaces, particularly those associated with mining and mineral processing
operations, there may be difficulties in applying personal air sampling to every exposed worker
all of the time. Where this is the case, monitoring strategies usually involve the assignment ofworkers to work categories that reflect the general nature and scope of the work activities. In
many cases, however, the exposure is not uniform within a work category since a worker may,during the course of the work shift, spend time in different exposure environments. A further
complication arises in accounting for the wearing of respiratory protective equipment.
7.145. Surface contamination monitoring may be used to indicate the potential for intake ofradionuclides and the need for more detailed workplace monitoring. However, surface
contamination measurements do not provide a suitable basis for internal dose assessment becauseof the large uncertainties associated with parameters such as resuspension factors.
7.146. In order to determine the appropriate frequency and type of individual monitoring, theworkplace should be characterized. The radionuclides in use and, if possible, their chemical andphysical forms should be known. Consideration should also be given to the potential for these
forms to change under accident conditions (e.g. the release of uranium hexafluoride into theatmosphere, resulting in the production of hydrogen fluoride gas and uranyl fluoride). The
chemical form and physical form (e.g. particle size) of the material determine its behaviour in the
respiratory tract and its subsequent biokinetic behaviour in the body. These in turn determine theexcretion routes and rates, and hence the type of excretion samples that might need to becollected and their frequency of collection.

1307.147. Where bioassay monitoring is used, the measurement method and measurement frequency
should be capable of detecting an intake that results in a specified fraction of the dose limit. It
should therefore be verified that such an intake is not ‘missed’. An intake could be missed if, as aresult of radioactive decay and biological clearance, the body content or daily excretion of theradionuclide were to decline to a level below the detection limit of the method employed. The
fraction m(t)of an intake remaining in the body for direct measurement or being excreted from thebody for indirect measurement depends on its effective half-life and the biokinetic behaviour of
the radionuclide, and is a function of the time period t since the intake. Thus, an intake I and theresulting committed effective dose E(50) would be missed if the product I  m(t) were less thanthe detection limit. Typically, the frequency of monitoring should be such as to ensure that
intakes corresponding to more than 5% of the annual dose limit are not missed.
7.148. The required frequency of monitoring is thus strongly dependent on the sensitivity of themeasurement technique. Techniques for measurement should be as sensitive as possible. The
costs of using the most sensitive techniques and the shortest possible sampling interval should bebalanced against the radiation detriment associated with doses that might be underestimated or
missed if less sensitive methods or less frequent measurements were to be used.
7.149. A further consideration in establishing a bioassay sampling schedule is the uncertainty inestimating the intake due to the unknown time of an intake within the monitoring period. It is
recommended in ICRP Publication 78 [13] that monitoring periods should generally be selected
such that, assuming an intake to have occurred at the mid-point of the monitoring period, any
underestimation of the intake would be by a factor of not more than three.
7.150. Maximum values of recommended monitoring intervals for various radionuclides andmeasurement techniques are given in ISO standard 27048 [108] and in European guidelines (theIDEAS Guidelines) [109].
7.151. A graphical approach to the determination of monitoring intervals has also been proposed[110], which takes into account uncertainties in material specific parameters (e.g. absorption,
particle size distribution), as well as in the time of intake. Information on the detection limit for aparticular measurement technique is used to determine a monitoring interval appropriate for thedose level of interest.
7.152. In some cases, one or more of the stipulations referred to in paras 7.147–7.151 cannot besatisfied because of a lack of analytical sensitivity, unacceptably long counting times for direct
measurements, or unacceptably short sampling intervals for excretion sample collection,
particularly in the case of faecal sampling to monitor the inhalation of insoluble (Type S)
particulates. In such cases, dose assessment should be based on alternative types of measurement
such as personal air sampling or workplace monitoring.
Task related monitoring
7.153. Task related monitoring is, by definition, not routine, i.e. it is not regularly scheduled.
Such monitoring is conducted to provide information about a particular operation and to give, if
necessary, a basis for decisions on the conduct of the operation. It is particularly useful whenshort term procedures are carried out under conditions which would be unsatisfactory for longterm use. Task related monitoring should be conducted in the same way as routine monitoring,131

unless the circumstances of the operation dictate otherwise, for example if the radionuclides
involved may be different or if the probability or potential magnitude of internal exposure may besignificantly greater.
Special monitoring
7.154. Special monitoring may be necessary as a result of a known or suspected exposure, or an
unusual incident such as a loss of containment of radioactive material as indicated by an air orsurface sample, or following an accident. It is most often prompted by a result of a routine
bioassay measurement that exceeds the derived investigation level, but may also result from ameasurement on an occasional sample such as a nose blow (nasal swab) or surface contamination
wipe.
7.155. In accident situations, medical care and treatment of the accident victim take priority.
Once the victim’s medical condition is stable, the following steps should be followed:
(a)
(b)
(c)
(d)
(e)

Remove external contamination and ensure that the worker has showered and washed his or
her hair before making direct bioassay measurements;
Establish the whole body content of radionuclides as quickly as possible;
Ensure the collection of all excretions;Collect other biological samples such as nasal smears, mouth wipes (this may be performed
during medical treatment or decontamination procedures);Collect samples of the contaminant for further analysis of the radionuclide composition andthe physical and chemical properties of individual radionuclides.

These steps facilitate a more reliable estimation of the committed effective dose from internal
exposure, which, along with the possible dose received from external exposure, is of prime
importance in cases of suspected high exposure.
7.156. Special monitoring prompted by an incident is not usually conducted any differently froma routine measurement in terms of measurement techniques, although improved sensitivity or afaster processing time may be needed. The laboratory should be advised that the sample analysis
or the direct measurement has priority over routine measurements, and the frequency ofsubsequent monitoring may be changed. The laboratory should also be informed that samples
may have a higher than normal level of activity, so that the measurement technique can be
tailored to the special monitoring situation and any necessary precautions taken to prevent
contamination of other samples. For instance, if counting rates are so high that dead time losses
do not permit proper collection of data, the measurement geometry should be changed and bodycounting performed at a greater distance from the detector, following which a recalibration of thesystem should be performed. Similar measures should be taken in a radiochemistry laboratorywhen excretion samples (especially faeces) with high contents of radionuclides are to beanalysed.
Methods of measurement
7.157. Intakes of radionuclides can be determined by either direct or indirect measurement
methods. Direct measurements of gamma or X ray photons (including bremsstrahlung) emitted
from internally deposited radionuclides are frequently referred to as body activity measurements,
132

whole body monitoring or whole body counting. Indirect measurements are measurements ofactivity in samples which may be either biological (e.g. excretions) or physical (e.g. air filters).
7.158. Each type of measurement has advantages and disadvantages, and the selection of one
rather than another is largely dependent on the nature of the radiation to be measured.
7.159. Direct methods are useful only for those radionuclides which emit photons of sufficientenergy, and in sufficient numbers, to escape from the body and be measured by an external
detector. Many fission and activation products fall into this category. Incorporated radionuclides
which do not emit energetic photons (e.g. 3H, 14C, 90Sr/90Y, 239Pu) can usually be measured only
by indirect methods. However, some beta emitters, especially those with high energy emissions
such as 32P or 90Sr/90Y, can sometimes be measured ‘directly’ via the bremsstrahlung produced.
Such bremsstrahlung measurements, because of their relatively low sensitivities, are not usuallyemployed for routine monitoring.
7.160. Recommendations on the principles of measurement and on the instruments used are
given in ICRU Publication 69 [111] and are summarized in Appendix V.
7.161. Direct measurements, where they are possible, offer the advantage of a rapid andconvenient estimate of the total activity in the body or a defined part of the body at the time of
measurement. The direct measurement of body or organ content is therefore to be preferred for
dose assessment if it is sufficiently sensitive, for example the measurement of 131I and 137Cs.
However, whole body and individual organ measurements suffer from greater calibration
uncertainties, especially for low energy photon emitters. Direct measurements may necessitate
the worker being removed from any work involving radiation exposure for the period over which
the retention characteristics are measured and usually need special, well shielded (and therefore
expensive) facilities and equipment.
7.162. Direct measurements are useful in qualitative as well as quantitative determinations ofradionuclides in a mixture that may have been inhaled, ingested or injected. In addition, direct
measurements can assist in identifying the mode of intake by determining the distribution ofactivity in the body. Intake by inhalation route of insoluble (Type S) aerosols containing gamma
emitting radionuclides can easily and accurately be detected by lung counting technique, forinstance, measurement of U3O8, the intake is likely to be missed in bioassay technique. Anotherexample is of radioactive iodine where thyroid counting system can quantify the uptake ofradioiodine by the thyroid. Sequential measurements, where they are possible, can reveal theredistribution of activity and give information about the total body retention and the biokinetic
behaviour of radionuclides in the body.
7.163. Indirect measurements generally interfere less with worker assignments, but require
access to a radiochemical analytical laboratory. Such a laboratory may also be used for measuring
environmental samples, but high level measurements (e.g. measurements of reactor waterchemistry) should be performed in separate laboratories. Measurements performed on excretion
samples determine the rate of loss of radioactive materials from the body by a particular route,and have to be related to the body content and intake by a biokinetic model. Because of theability of radiochemical analyses to detect low levels of activity, measurements performed on
excretion samples usually give sensitive detection of activity in the body.

133

Detection limits and decision thresholds
7.164. Measurement methods have limits of detection arising from natural background radiation,from statistical fluctuations in counting rates and from factors related to sample preparation andanalysis. The concepts of detection limit and decision threshold and their application to in vivo
and in vitro activity measurements are documented in ISO standards 11929 and 28218 [112,113].
7.165. The measured number of gross counts (NG) is the sum of counts induced by backgroundradiation NB (natural background radiation and/or radionuclides other than the one of interest)and net counts induced by the monitored radionuclide (Nn):NG  NB  Nn

(26)

The activity in the sample or in the body is calculated by dividing the net counts by anappropriate efficiency factor .
7.166. The detection limit DL can be evaluated for a given radionuclide and measurement
procedure before the sample measurement takes place. It specifies the minimum activity in thesample (for indirect methods) or in the body (for direct methods) which can be detected with a
specified probability ß of a false negative. The DL allows a prior decision to be made as towhether a measuring method is suitable for the given monitoring programme.
7.167. Once the measurement has taken place, the measured net count rate should be comparedwith the decision threshold DT. The decision threshold is defined such that if the count rate is
greater than DT, then it can be said that the sample or the body contains the monitored
radionuclide with a specified probability α of a false positive. If the measured count rate is lessthan DT, it cannot be concluded that the radionuclide is absent; however, the activity in thesample or in the body, if present, would be less than the DL.
7.168. For cases where NB is sufficiently large (greater than about 30) for the Poisson
distribution to be approximated by a normal distribution, DT and DL (expressed in terms of countrates) can be calculated as follows: 11 
DT  k1 B  
 TB TS DL  k1  k1    T1  T1 
B



B

(27)

S

where
k1–α and k1–ß134

are the 1–α and 1–ß percentiles of the normal distribution, respectively; theprobabilities α and ß are generally taken to be 5%, in which casek1–α = k1–ß = 1.645;

λB
TB and TS

is the background effect counting rate, which can be determined by backgroundmeasurements in the absence of the activity in the sample;
are the durations of the background measurement and of the sample measurement,
respectively.

7.169. Representative values of the detection limits for different radionuclides and methods ofmeasurements are given in the IDEAS Guidelines [109]. ISO standard 28218 [113] gives
examples of the application of the calculation of DL, DT and other quantities for a selected
number of bioassay techniques.
7.170. The theoretical background to the definition of DT and DL is based on the application ofBayes’ theorem — this differs from the theoretical background to the definition of minimum
detectable activity or minimum detectable amount (MDA) [114]. For monitoring techniques forinternal contamination, however, the values of MDA and DL are in most cases equal provided
that the uncertainty associated with the counting efficiency is negligible.
7.171. Further clarification and applications of these concepts for direct and indirect methods canbe found in the IDEAS Guidelines [109] and in ISO Standards 11929 and 28218 [112, 113].
Calibration
Direct methods
7.172. Whole body counters and organ counters should be calibrated with a phantom thatsimulates the human body or organ and contains a known quantity of the required radionuclide(s)either in solution, in sealed sources within the phantom or in the form of a permanent source in asolid tissue substitute matrix.
7.173. The most convenient general purpose whole body phantom consists of an assembly ofplastic containers filled with standardized radioactive aqueous solutions. This concept has been
extended to the development of phantoms based on a collection of polyethylene cylinders withcircular or elliptical cross-sections. The appropriate proportions of each section of a phantom
representing the adult body are given in ICRU Report 48 [115]. Phantoms that have been scaled
to represent different age groups have also been developed [116].
7.174. Recently, phantoms have been developed which do not need to be filled with aqueous
solutions of radionuclides, and so are less subject to spillage or contamination. Organic gels with
dissolved radionuclides are used for filling the new BOMAB phantoms [116]. Alternatively,
numerous separate point sources may be inserted into polyethylene bricks from which phantoms
of various body heights and weights can be easily built, as shown in Ref. [117]. Properly
prepared phantoms are also available for the thyroid, the lungs and, for bone seeking
radionuclides, the knee or skull [115, 118]. Several publications present different styles andapplications of phantoms, tissue substitutes and phantom construction [119–124].
7.175. Methods of calibration using phantoms are relative methods. Some absolute methods do
not require a radioactive standard for calibration, but reference standards should always be used
to confirm a calibration. Mathematical phantoms, developed for Monte Carlo calculations ofdetection efficiency, are used for such calibrations [125–128]. The advantage of such phantoms isthat different distributions of radionuclides in the body and also different sizes, shapes, and135

geometrical relations between internal organs can be simulated. However, thorough comparisonsof calculated efficiencies with the measured values should be performed in order to ensure theaccuracy of the calibration. This is especially important when low energy photons are to bemeasured or when the radionuclides in the body are not homogeneously distributed.
Indirect methods
7.176. Methods of calibration depend on the instruments used. Standard radionuclide solutions,tracer radionuclides or stable isotopes of the elements to be determined (e.g. strontium) areneeded.
7.177. When gamma emitting radionuclides are to be measured, the gamma counts obtained
from the sample should be compared with those from a standard containing a known amount of
the specific radionuclide and measured in the same counting geometry. When gamma
spectrometry is used, curves of efficiency versus energy for different geometries should beconstructed from measurement standards in those geometries. When preparing efficiency curves,
the relative yields of the various gamma emissions from different radionuclide standards should
be considered.
7.178. Internal and external standards should be used for beta emitters analysed by liquid
scintillation counting. Care should be taken to ensure that the same quenching conditions exist
for the standards and the samples.
7.179. Many radiochemical techniques rely on separation procedures for which recovery can bequite variable and depend to some extent on the matrix of samples to be analysed. It is therefore
important to use methods that allow the determination of the yield of chemical separation or
extraction procedures. For that purpose, a known amount of a tracer radionuclide (e.g. 243Am for
241Am) should be added to the sample as early in the procedure as possible to permit direct
measurement of chemical recovery.
7.180. Descriptions of various calibration methods for indirect counting are given in Ref. [129].
Performance criteria
7.181. A full description of performance criteria for direct and indirect methods is given in
Ref. [112].
7.182. The relative bias is a measure of how close the assessed activity is to the actual activity.
This criterion should be verified with phantoms or test samples containing a known value ofactivity Aai. The individual relative bias Bri for the ith measurement in a series with respect to thecorrect value of the measurand is defined as:
Bri 

Ai  Aai
Aai(28)

where Ai is the value of the ith measurement in the series being tested.
7.183. The relative bias Br for that series of measurements is given by the average of theindividual relative biases Bri:
136

n

Bri
i 1 nBr  

(29)

where n is the number of test measurements (n >5).
7.184. The repeatability S Br of the measurement method is defined as the relative dispersion of
the values of Bri from their mean Br:

 Bri  Br 2n

S Br 

i 1

n 1

(30)

7.185. Br should be between –0.25 and +0.50 for values of Aai which are 5–10 times greater thanthe detection limit DL. The value of S Br should be ≤0.4. When S Br is >0.4, appropriate
corrective actions should be taken.
Uncertainties in monitoring measurements
7.186. As indicated in paras 7.62–7.71, general guidance for uncertainty assessment is given inRefs [64, 65]. Further guidance in line with the GUM [65] can be found in Refs [59, 66–72].
7.187. The result of the uncertainty evaluation should be realistic for the application. The amountof effort put into the uncertainty evaluation should be commensurate with its purpose in terms ofradiation protection.
7.188. In programmes for monitoring the intakes of radionuclides, the evaluation of uncertainties
in the measurements enables the following:
(a)
(b)
(c)

The making of objective decisions on whether the result is compatible with previous intakes
or is to be considered as a new intake;
The identification of outliers data;
Statistical analyses of the results of the fitting procedures used to evaluate intakes from
more than one data point.

7.189. In the case of a measurement of activity in the body or in a biological sample, it can beassumed that the Type A components of the uncertainty (see para. 7.66) arise only from counting
statistics, which can be described by the Poisson distribution, while the Type B components of
the uncertainty (see para. 7.67) arise from all other sources of uncertainty.
7.190. In the IDEAS Guidelines [109] it is assumed that the overall uncertainty of ameasurement can be expressed in terms of a log-normal distribution. The geometric standard
deviation of the distribution is given the name scattering factor (SF). The total uncertainty isassessed as:137SF  exp ln(SFi ) 2

(31)

i

where the summation is performed over all Type A and Type B components of the uncertainty.
According to Ref. [130], this assumption is considered valid when the Type A uncertainties are
relatively small, that is:ln(SFB )3ln(SFA )(32)

where SFA and SFB are the scattering factors for Type A and Type B uncertainties, respectively.
7.191. The IDEAS Guidelines [109] include a compilation of typical values of the various
uncertainty components for various direct and indirect monitoring methods.
7.192. Examples of Type B uncertainty components for in vivo measurements include:
(a)
(b)
(c)
(d)

Counting geometry errors;
Positioning of the individual in relation to the detector and movement of the person during
counting;
Chest wall thickness determination;
Differences between phantom and individual or organ being measured, including:
(i)
(ii)
(iii)
(iv)

(e)
(f)
(g)
(h)
(i)
(j)
(k)
(l)
(m)

Geometric characteristics;
Density;
Distribution of the radionuclide within the body and organ;
Linear attenuation coefficient;Interference from radioactive material deposits in adjacent body regions;Spectroscopy resolution and peak overlap;
Electronic stability;
Interference from other radionuclides;
Variation in background radiation;
Activity of the standard radionuclide used for calibration;
Surface external contamination of the person;
Interference from natural radioactive elements present in the body;
Calibration source uncertainties.

7.193. Examples of Type B uncertainty components for in vitro measurements include:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
138

Quantification of the sample volume or weight;
Errors in dilution and pipetting;
Evaporation of solution in storage;
Stability and activity of standards used for calibration;
Similarity of chemical yield between tracer and radioelement of interest;
Blank corrections;
Background radionuclide excretion contributions and fluctuations;

(h)
(i)
(j)
(k)
(l)
(m)
(n)

Electronic stability;
Spectroscopy resolution and peak overlap;
Contamination of sample and impurities;
Source positioning for counting;Density and shape variation from calibration model;
Assumptions about homogeneity in calibration;
For liquid scintillation counting differences in quenching between sample and calibration
standard.

7.194. If the samples are collected over periods of less than 24 h, they should be normalized toan equivalent 24 h value (see Appendix V, para. V.22). This introduces additional sources ofType B uncertainty: the uncertainty in the collection period and the uncertainty relating tobiological (inter-and intra-subject) variability.
Interpretation of measurements and dose assessment
7.195. The intake of radionuclides and the resulting committed effective dose should be assessedfrom the results of monitoring measurements according to the scheme presented in Fig. 2 andparas 2.48–2.53. In the case of routine monitoring, it should be assumed that the intake has
occurred at the mid-point of the monitoring period.
7.196. In some cases, the measured value M needs to be processed before being divided by thefraction m(t) to obtain the intake. For instance, urine samples collected over a period of less than
24 h should be normalized to an equivalent 24 h value.
7.197. According to ISO standard 27048 [108] and the IDEAS Guidelines [109], intake and doseshould not be assessed if the measured value M is below the critical value Mc, defined inRef. [108] as that value of the measurement result below which there is no need to evaluate theintake or dose explicitly, since the annual dose may be regarded as insignificant even if that
intake was repeated for all monitoring periods during the accounting year.
7.198. The annual committed dose value for which the assessment is regarded as insignificant is
specified as 0.1 mSv in Refs [108, 109]. Thus, for N monitoring periods per year, the criticalvalue Mcj (in becquerels) associated with the intake of radionuclide j in any monitoring period isgiven by:
Mc j 

0.0001m(t 0 ) j
N  e( g ) j(33)

where e(g)j is the dose coefficient for ingestion or inhalation of radionuclide j, as appropriate (insieverts per becquerel), and m(t0) is the fraction of the intake remaining in the body or in theexcretion sample after an elapsed time period t0 between the intake and the time of sampling. The
intake is usually assumed to occur at the mid-point of the sampling period, in which case Eqn.
(21) applies for t0.
7.199. The measured value (if above the decision threshold) should be recorded in order todocument the fact that the measurement was carried out and to provide information to support
any possible future reassessment of dose.
139

7.200. Values of Mc for a value of insignificant dose of 0.1 mSv, for various radionuclides andtypical monitoring programme settings, are given in ISO standard 27048 [108] and the IDEAS
Guidelines [109]. The calculation of these Mc values was based on the parameters defined in
ICRP Publication 60 [15] and the bioassay functions and dose coefficients specified in ICRP
Publications 68 and 78 [131, 13].
7.201. For many radionuclides, values of the retained or excreted fractions m(t) and of the dosecoefficients e(g) are given for different lung absorption types and/or different values of intestinal
absorption. The most appropriate choice of value for a given situation should be based on aknowledge of the physicochemical characteristics of the materials present in the workplace.
Tables III–2B and III–2C, Schedule III of the BSS [2] give gut transfer factors and lungabsorption types for various chemical forms of the elements. In some cases, little information
may be available on the characteristics of the intake, in which case the most restrictive value (i.e.
the one indicating the highest dose) should be used.
7.202. The values of the retained or excreted fractions m(t) and of the committed effective dosecoefficients e(g) given in Refs [13, 14], respectively, are for specific routes of intake and should
not be used directly for assessing doses from injection into the blood, from transfer to the blood
at wound sites or absorption through the skin.
7.203. Measurements of airborne activity concentration can be compared directly with values ofderived air concentrations as an input to the evaluation of workplace conditions. However, theinterpretation of airborne activity concentration measurements for purposes of dose assessment
can be difficult, because they correspond to the concentration of radionuclides in the air at thelocation of the sampler, which may not necessarily be in the breathing zone of the worker.
However, a PAS placed on the worker’s lapel or protective headgear can collect a sample that isrepresentative of the activity concentration in air which the worker has inhaled, except in cases
where the sample comprises only a few particles. Air activity concentration measurements,
combined with measured exposure times and assumptions about breathing rates, can be used toestimate the intake. This is the best method for determining intakes of 238U and 232Th decay series
radionuclides by workers engaged in industrial activities involving NORM (see para. 7.136). Thismethod can also be used to determine intakes of other radionuclides such as 14C (in particulateform), 239Pu and 235U for which direct methods and other indirect methods of assessment of body
activity are not sufficiently sensitive.
7.204. The control of exposure to 222Rn progeny in existing exposure situations does notnormally require the calculation of effective dose. Reference levels for 222Rn progeny exposure
are expressed in terms of the time weighted average 222Rn gas concentration (in becquerels per
cubic metre). However, a factor for calculating the effective dose arising from a given exposure
to 222Rn progeny is needed in those special situations where occupational exposure to 222Rn
progeny is subject to the requirements for planned exposure situations (see para. 3.161) because,in such situations it is necessary to ensure that the limits on effective dose are not exceeded. In
addition, the conversion of 222Rn progeny exposure to effective dose enables it to be comparedwith occupational exposures to other sources such as external gamma radiation and inhalation ofradionuclides in dust.
7.205. The committed effective dose is usually determined from the 222Rn progeny exposure
rather than from the intake, using the expression
140

Einh  H RnP PRnP

(34)

where Einh is the committed effective dose via inhalation of 222Rn progeny (mSv), HRnP is thecommitted effective dose per unit potential alpha energy exposure (mSv per mJ·h·m–3) and PRnP
is the potential alpha energy exposure (mJ·h·m–3).
7.206. Various estimates have been made, and continue to be made, of HRnP, the committed
effective dose per unit exposure to 222Rn progeny. Estimates derived from epidemiologicalstudies on mine workers have tended to give lower values than those derived using a dosimetricapproach. UNSCEAR continues to recommend a dose per unit equilibrium equivalent exposureof 9 nSv per Bq·h·m–3 [23] which, when expressed in terms of dose per unit potential alphaenergy exposure, equates to a value of 1.6 mSv per mJ·h·m–3. ICRP is now recommending theuse of dose coefficients based on biokinetic and dosimetric models [132].
7.207. A similar situation exists with respect to intakes of 220Rn (thoron) and its progeny. An
equilibrium equivalent exposure to inhaled 220Rn progeny of 1 Bq·h·m–3 is considered to give rise
to a committed effective dose of 40 nSv [133]. Based on this value, the committed effective dose
per unit potential alpha energy exposure is about 0.5 mSv per mJ·h·m–3. For an annual exposure
period of 2000 h, it can be deduced that:(a)(b)

A time weighted average 212Pb activity concentration of 1 Bq/m3 in air corresponds to acommitted annual effective dose of about 0.08 mSv;
A time weighted average PAEC of 1 μJ/m3 corresponds to a committed annual effective
dose of about 1 mSv.

Use of workplace, material, and individual specific data
7.208. The reference parameter values of the models used for the calculation ofretention/excretion functions and dose coefficients are based on the ‘reference person’ or‘reference worker’, as defined by the ICRP [16]. The models and their parameters have beendeveloped for defined physical and chemical forms of radionuclides. In some circumstances, it islikely that the physical or chemical forms of the radionuclides in use in a given workplace will
not correspond to the reference parameter values used for the biokinetic models. In suchcircumstances, an analysis of the particle size and/or solubility of samples of airborne radioactive
material can assist in the development of more reliable assessments of dose.
7.209. Even if all the assumptions in the reference biokinetic models are appropriate for a given
workplace, there will still be differences between individuals in excretion rates and otherbiokinetic parameters for the same intake of a radionuclide. In these circumstances, material
and/or individual specific models may need to be developed.
7.210. Also, the assessment of dose following an accidental exposure needs more specificinformation about the time and pattern of intake, about the physicochemical form of theradionuclides and about the characteristics of the individual (e.g. body mass). Moreover, routes of
exposure other than those for which the values of m(t) and e(g) have been calculated may be
relevant in accidental situations, e.g. absorption of radionuclides through the intact skin or awound. Biokinetic models for these routes of exposure are described in Appendix IV.

141

7.211. If intakes are small, the reference models are likely to be adequate for estimating theresulting doses. However, if the estimate of an intake corresponds to a significant portion of thedose limit, biokinetic model parameters specific to the material(s) and/or individual(s) in question
may need to be developed to estimate the committed effective dose more accurately.
7.212. According to ISO standard 27048 [108], this specific assessment should be performed if
the dose assessed with the standard evaluation exceeds the investigation level as defined in ISO
standard 20553 [106].
7.213. According to the graded approach adopted in the IDEAS Guidelines [109], it is suggested
that information specific to the workplace should be used when the dose assessed with thereference models (standard evaluation) exceeds 1 mSv and that information specific to theindividual should be taken into consideration when the dose assessed with the reference models(standard evaluation) exceeds 6 mSv. Such specific biokinetic models can be developed fromsequential direct and indirect measurements of the exposed worker(s).
7.214. The deposition of inhaled dust particles in the respiratory tract is influenced by theparticle size, and a common example of the need for information specific to the material is where
the particle size distribution of airborne dust differs significantly from that assumed in thereference models (i.e. an activity median aerodynamic diameter (AMAD) of 5 μm and ageometric standard deviation (GSD) of 2.5 [134]).12 For example, in industrial activities involving
NORM, the AMAD of airborne dust could typically vary from 1 to 20 µm. Dose coefficients for
an AMAD of 1 μm (in addition to those for an AMAD of 5 μm) are specified in ICRP
Publication 119 [14]. For AMADs other than 1 and 5 μm, the fractions of inhaled radioactive
particles deposited in the various regions of the respiratory tract should be determined from the
ICRP respiratory tract model and an appropriate dose coefficient calculated.
7.215. Where information on the particle size distribution is needed for the correct interpretationof the radionuclide intake and subsequent dose assessment, the airborne particle size distribution
should be determined using, for instance, a cascade impactor. As a minimum, air sample
measurements should include the measurement of the concentration of the respirable fraction of
airborne particulates.
7.216. More specific information may also be needed on the absorption types in body fluids ofthe material after inhalation or ingestion as appropriate. Guidance on such an evaluation is givenin the IDEAS Guidelines [109].
7.217. In industrial activities involving NORM, a worker may receive internal exposure from theinhalation of airborne dust particles containing 238U and/or 232Th decay series radionuclides. Such

12

The aerodynamic diameter of an airborne particle is the diameter that a sphere of unit density would need tohave in order to have the same terminal velocity when settling in air as the particle of interest. The activity medianaerodynamic diameter (AMAD) is the value of aerodynamic diameter such that 50% of the airborne activity in a
specified aerosol is associated with particles smaller than the AMAD, and thus the remaining 50% of the activity is
associated with particles larger than the AMAD. In internal dosimetry, the AMAD is used for simplification as asingle ‘average’ value of aerodynamic diameter representative of the aerosol as a whole. It is used for particle sizes
typically greater than 0.5 μm, for which deposition depends principally on inertial impaction and sedimentation.

142

radionuclides are generally contained within a matrix of non-radioactive elements and theircompounds, in which case these matrices determine the solubility of the particles. It is therefore
appropriate to choose, for the contained radionuclides, a single lung absorption typecorresponding to the solubility of the mineral matrix [103]. Many types of industrial NORM,
including metalliferous ores, mineral sands and radium rich scale, are resistant to all but the mostvigorous forms of chemical attack. Therefore, for the radionuclides contained in dust particles
associated with such material, lung absorption type S should be assumed.
7.218. Since the retrospective determination of particle characteristics following an exposure
may be difficult, consideration should be given to obtaining advance information specific to thematerial when setting up worker monitoring programmes. The analysis of workplace air andsurface contamination samples can also assist in the interpretation of bioassay measurements, forexample by measuring the ratio of 241Am to 239+240Pu when direct measurement of 241Am in thelung is used to assess plutonium intakes or solubility of inhaled particles [135, 136].
7.219. In some workplaces, intakes are determined from measurements of dust massconcentrations in air.13 In such cases, the calculation of the intake requires a knowledge of theactivity concentration (activity per unit mass) of the airborne dust particles. Sometimes, thecomposition of the airborne dust, and hence its activity per unit mass, can be assumed to be thatof the process material. Alternatively, the dust may need to be subjected to chemical analysis todetermine its composition, or the activity concentration of the dust (activity per unit mass) may
need to be determined directly by radiometric analysis.
7.220. The variability between individuals, and even in the daily excretion rate for the same
individual, will often be more significant than the differences between a reference biokinetic
model and one developed specifically for a given individual. To reduce some of this variability,
collection periods for excreta samples should be sufficiently long, for example 24 h for urine and
72 h for faeces.
7.221. The use of modelling parameters specific to the individual (e.g. the transfer rates of thesystemic biokinetic model) should be rare under routine circumstances. If modifications are
introduced to the biokinetics or other anatomical characteristics of the model, the ICRP parametervalues for calculating the equivalent dose to a tissue or organ, or the committed effective dose,cannot be used, since they are based on the reference person or reference worker (as defined inRef. [16]).
7.222. Special attention should be paid to the interpretation of bioassay measurements after theuse of interventional techniques aimed at blocking the uptake of the radionuclides or at enhancing
their excretion, such as the administration of diuretics, laxatives, blocking or chelating agents, aswell as after removal of activity and/or surgical intervention at a wound site. These techniques
influence and modify the biokinetic behaviour of the incorporated radionuclides, thus
invalidating the use of the standardized modelling approach to estimate intake and dose from thebioassay measurements.

13

In industrial activities involving NORM, dust mass concentrations in air are often monitored for industrial
hygiene purposes.

1437.223. In these cases, alternative approaches should be employed, such as discarding excretion
data collected during the period in which excretion rates may be assumed to have been influenced
by the treatment, or modifying the standard models in order to take the effect of the treatment
into account. Examples of analyses performed after the administration of the chelating agent CaDTPA (calcium salt of diethylene triamine pentaacetic acid) in cases of accidental intakes ofactinides can be found in Refs [137–145]. Bioassay for dose assignment purpose is performed
after a certain time period, post-treatment with Ca-DTPA, until the excretion of the radionuclide
stabilizes in urine samples.
Uncertainties in dose assessments
7.224. The models that have been developed by the ICRP for describing the behaviour ofradionuclides in the body, and hence for assessing intakes, provide the most up-to-date methods
available for dose assessment. However, the reliability of the estimates of dose depends on theaccuracy of the models and on any limitations on their application in particular circumstances.
7.225. In particular, a knowledge of the time of the intake(s) and of whether the intake was acuteor chronic is essential for a reliable dose estimate. According to Refs [146, 147]:(a)(b)

The assumption that the intake occurred at the mid-point of the monitoring period may havea tendency to overestimate the true intake;
The assumption of a constant chronic intake over the whole monitoring period produces anunbiased estimate of the true intake provided that the measurement and the excretionfunction are accurately known or are at least unbiased.

7.226. Another source of uncertainty in the process of dose assessment is the knowledge of theroute of intake and the physicochemical characteristics of the radionuclides that have entered the
body. For inhaled radionuclides, the particle size is particularly important in influencing
deposition in the respiratory system, while for ingestion the gut absorption factor f1 cansubstantially influence the committed effective dose. For routine monitoring when exposures arewell within those corresponding to the dose limits, the default parameters recommended in the
BSS [2] may be sufficient for assessing the intakes. For exposures approaching or exceeding
those corresponding to the dose limits, more specific information on the physical and chemical
form of the intake and on the characteristics of the individual may be needed to improve theaccuracy of the modelling predictions.
7.227. The models used for dose assessments have the following sources of uncertainty:
(a)
(b)
(c)
(d)
(e)
(f)

144

The structure of the biokinetic model;
The human biokinetic data used in the formulation of the model;
The extrapolation of biokinetic data from animals to humans (interspecies extrapolation);
The extrapolation of biokinetic data from one element to a chemical analogue assuming
close physiological similarities (inter-element extrapolation);
The variability in the population;
The following physical and anatomical parameters of the computational models used toassess the dose deposited in a target region by the radiation emitted by an incorporated
radionuclide:

(i)
(ii)
(iii)
(iv)
(v)

The energy and intensity of the radiation emitted;
The interaction coefficients of the emitted radiation in tissues;
The elemental composition of the tissues of the body;
The volume, shape and density of the target organs in the body;
The spatial relationship of the organs within the body.

EXPOSURE ASSESSMENT IN EMERGENCIES
7.228. High levels of exposure of accidentally exposed workers may be associated with nuclear
or radiological emergencies such as a nuclear emergency at a nuclear power plant, a criticality
accident [148], an accident at an industrial irradiation facility, or a radiological emergency
involving a lost or stolen source. The assessment of such exposures may begin by using datafrom personal and workplace monitors, but other more sophisticated and highly specialized
retrospective dosimetry techniques such as chromosome aberration analysis, electron spinresonance, accident simulation and computer modelling may also be used as discussed in Ref.
[32] (see also paras 7.239–7.243).
7.229. In situations where individual doses of emergency workers could greatly exceed those
expected under normal working conditions and approach the levels of acute dose defined in ,special attention should be paid to the capabilities of dosimeters and to the application of
measurements and calculation methods needed for the assessment of RBE weighted organ doses[32] (see para. 2.33).
External exposure
7.230. The choice of a personal dosimeter depends on the type of radiation and on theinformation that is needed for determining the RBE weighted absorbed dose ADT for tissue T.
The following types of dosimeter may be used:
(a)
(b)

(c)

Photon dosimeters and neutron dosimeters giving information on the personal dose
equivalent Hp(10) for evaluation of ADT in tissues such as red marrow and the lung;
Eye lens dosimeters, giving information on Hp(3) for beta–photon radiation. Since such
dosimeters are not yet widely available, it may be necessary to use Hp(10) as the starting
point in estimating the dose to the lens of the eye in cases of accidental exposure, althoughin accident situations involving industrial radiography this is likely to underestimate thedose to the lens of the eye;
Extremity dosimeters, giving information on the skin dose at a depth of 0.4 mm, for beta–
photon radiation (and for neutrons if criticality is expected) for evaluation of ADT in thedermis for the palm of the hand and the sole of the foot.

7.231. Because of the difference between the RBE of neutrons in the development of severe
deterministic health effects (a value of 3) and the radiation weighting factor wR for neutrons (avalue of about 12 for most neutron spectra), special care is needed when using individual
monitoring of neutron exposure to evaluate ADT in certain tissues and organs as discussed in Ref.
[32].
7.232. For extremity dosimetry in emergencies, especially for the hand, a simple, single element
dosimeter should be sufficient. For the best accuracy in measuring low energy beta radiation, the145detector should be thin and filtered by a thickness of tissue substitute such that the dose at anominal depth of 40 mg/cm2 (or 0.4 mm) can be assessed (see para. 7.230(c)). However, if such
dosimeters are not readily available, suitable alternate methods using Hp(0.07) or Hp(10)dosimeters may be used.
7.233. To avoid the need for a special additional accident dosimeter, the routine personal
dosimeter should be capable of providing information on Hp(10) from photons up to at least
10 Gy [149]. It should be recognized that certain dosimeters, such as film dosimeters, may not becapable of achieving this at all energies.
7.234. The wearing of warning (alarm) dosimeters (or dose rate meters) can be effective inpreventing serious exposures and may help in considerably reducing the dose incurred in theevent of accidents. Warning dosimeters need not be very accurate, but should be very reliable,
especially in high dose rate fields.
7.235. Information on dosimetry in the event of criticality accidents involving fissile materials isaddressed in Ref. [149].
Internal exposure
7.236. The conceptual framework for the assessment of internal doses in emergencies is
illustrated in Fig. 5.

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FIG. 5. General scheme for the assessment of internal doses from monitoring measurements inemergencies.
7.237. To derive the value of committed RBE weighted dose, the intake is multiplied by theappropriate dose coefficient (RBE weighted dose per unit intake) for ingestion (Ad(g)T,j,ing) orinhalation (Ad(g)T,j,inh) of radionuclide j, as appropriate. The committed RBE weighted dose for aperiod of 30 d after acute intake should be used as an indicator of the probability of developing
severe deterministic effects. The committed dose can be seriously underestimated if the dosecoefficient Ad(g)T,j is applied directly to the measured value Mj rather than to the inferred intake.
Recommended values of the retention and excretion rates m(t)j for certain radionuclides after
acute intake for inhalation and ingestion by workers are given in Appendix XII of Ref.[32]. In
the case of incorporation of a mixture of radionuclides, intakes are assessed separately for eachradionuclide and multiplied by the respective dose coefficients. Committed RBE weighted doses
in organ or tissue from intake of different radionuclides could be summarized. Values of thecoefficient of committed RBE dose for a period of 30 d after acute intake for inhalation andingestion by workers are given in Tables 18 and 19 of Ref. [150].
7.238. In case of combination of internal and external accidental exposure an evaluation of riskof developing severe deterministic effects should be based on exposure history of accidentally
exposed worker as given in Ref. [150].
7.239. Additional information on internal or external accidental exposures can be obtained longafter an accident by the application of retrospective dosimetry techniques to biological samples
taken from the exposed individuals, to personal effects on the exposed individuals or to otheritems present at the accident site. An overview and description of such techniques is given in Ref.
[33,151, 152] and summarized in the Annex to this safety guide.
7.240. The choice of retrospective dosimetry technique depends on, among other things, the typeof radiation emitter involved and on the time elapsed since the accident, according to the stability
with time of the signal which is measured. The PCC fragment technique, gamma-H2AX assays,
and the evaluation of changes in blood cell counts or serum proteins should be used only within a
few hours of the exposure.
7.241. Luminescence measurements in polymers, hair and nails are effective only for a few days
after the exposure, owing to a substantial rate of signal fading. Somewhat slower signal fading isobserved for manufactured materials such as glass, electronic components (such as those inmobile telephones) and memory chips (such as those incorporated into cash cards and credit
cards), enabling them to be used for dose reconstruction purposes for up to a few weeks after the
exposure.
7.242. Assays of dicentric chromosomes, micronuclei, translocations or mutations in cells can be
successfully employed several weeks or even years after the exposure, as well as electron
paramagnetic resonance (EPR) measurements in tooth enamel, the measurement of activatedcalcium or the measurement of luminescence signals in quartz extracted from bricks or otherfired building materials. The biodosimetry methods may not be appropriate for low dose
exposures less than 50–100 mSv.

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7.243. Various numerical methods are used for the retrospective estimation of individual dose.
Most of these are based on Monte Carlo radiation transport codes that simulate radiation transportand deposition in tissues starting from known (measured) or estimated information about theradioactive source and its position or distribution in the environment.
SKIN CONTAMINATION
7.244. Contamination of the skin will lead to external exposure and sometimes even to internal
exposure, depending on the radionuclide(s) involved, the chemical form(s) present and theactivity concentration.
Principal objectives
7.245. The principal objectives for the monitoring and assessment of skin irradiation andcontamination can be summarized as follows:(a)(b)

To determine compliance with dose limits, and hence in particular to ensure the avoidanceof deterministic effects;
In the case of overexposures, to initiate and/or support any appropriate medical
examinations and interventions.

General considerations
Strongly penetrating radiation
7.246. For strongly penetrating radiation, the limitation on effective dose generally provides
sufficient protection for the skin against stochastic effects. Except in situations involving ‘hotparticles’ (see para. 7.247), no further consideration of skin monitoring is necessary.
7.247. Situations may arise in which exposure to ‘hot particles’ is possible. This can lead tospatially non-uniform exposure from discrete radioactive sources with dimensions of up to 1 mm.
While compliance with dose limits is a principal objective, the ICRP has noted that acuteulceration is a particular endpoint to be prevented [153]. This implies that the average dosedelivered within a few hours over a skin area of 1 cm2, measured at depths of 10–15 mg/cm2(0.10–0.15 mm) should be restricted to 1 Sv. Detection of hot particles within an ambient
radiation field in a workplace can be difficult, because of the very localized nature of theradiation from the particle. Emphasis should be given to identifying and controlling those
operations which could give rise to such particles.
Weakly penetrating radiation
7.248. For weakly penetrating radiation, the equivalent dose to the skin is limited to 500 mSv ina year, averaged over 1 cm2 of the most highly irradiated area [2]. The nominal depth ofmeasurement is 0.07 mm (7 mg/cm2).

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Monitoring of skin contamination
7.249. Skin contamination is never uniform and occurs preferentially on certain parts of thebody, notably the hands. For routine control purposes, it is adequate to regard the contamination
as being averaged over areas of about 100 cm 2. Routine monitoring for skin contamination
should therefore be interpreted on the basis of the average equivalent dose over an area of
100 cm2. In most monitoring for skin contamination, the reading is compared with a derived limit
and the contamination is reduced when practicable. The derived limit should be the level(expressed in units of, say, becquerels per square centimetre) that is considered to be capable ofcausing exposure equal to the relevant dose limit, and is usually established taking account of all
potential exposure pathways (not just skin irradiation). No attempt is routinely made to assess
equivalent doses if these secondary limits are not exceeded. Sometimes, however, thecontamination persists or is initially very high, and some estimation of equivalent dose becomes
necessary. In such cases the dose should be averaged over an area of 1 cm2 which includes thecontamination. These estimates are often extremely imprecise, especially if the radiation from thecontaminant may be absorbed below the surface layer of the skin. Uncertainties of two orders ofmagnitude are not uncommon. Such estimates are therefore regarded as qualitative procedures
and considered separately from conventional monitoring for external radiation. However, wherean estimate of equivalent dose is made that exceeds one tenth of the appropriate equivalent dose
limit, it should be included in the individual’s personal record. Some of the contamination may
also be transferred into the body, causing internal exposure.
7.250. The calibration of surface contamination monitors is discussed in ISO standards series
7503 [154–156]. The type testing of contamination monitors is discussed in IEC standards 60325
and 61098 [157, 158].
RECORDS OF OCCUPATIONAL EXPOSURE
7.251. Paragraph 3.105 of the BSS [2] states:“Records of occupational exposure shall include:
(a)
(b)
(c)

(d)

Information on the general nature of the work in which the worker was subject tooccupational exposure;
Information on dose assessments, exposures and intakes at or above the relevant recordinglevels and the data upon which the dose assessments were based;
When a worker is or has been exposed while in the employ of more than one employer,
information on the dates of employment with each employer and on the doses, exposuresand intakes in each such employment;
Records of any assessments of doses, exposures and intakes due to actions taken in an
emergency or due to accidents or other incidents, which shall be distinguished fromassessments of doses, exposures and intakes due to normal conditions of work and whichshall include references to reports of any relevant investigations.”

7.252. Apart from demonstrating compliance with the legal requirements, record keeping may be
used for several additional purposes, such as:(a)Demonstrating the effectiveness of the optimization process;
149

(b)
(c)
(d)
(e)
(f)
(g)

Providing data for the compilation of dose distributions;
Evaluating trends in exposure and thus providing the information necessary for theevaluation of the radiation protection system;
Developing effective monitoring procedures and programmes;
Providing exposure data from new medical procedures and programmes;
Providing data for epidemiological and research studies;
Providing information that may be needed for litigation purposes or for workers’
compensation claims, which may arise years after the actual or claimed exposure.

Record keeping for individual monitoring
7.253. The individual occupational exposure record should be linked uniquely to the relevant
worker.
7.254. Dose records should preserve the consistency of data fields in order to allow thereconstruction of results at any later time. They should facilitate coordination with other required
records (e.g. linkage with data from workplace monitoring).
7.255. For each monitoring period, the record should comprise:
(a)
(b)
(c)

A unique identification of the individual and the undertaking;The dose information for every monitoring period, i.e. for an annual period and/or for an
appropriate five year period;
The results of dose assessments for external exposure and the method of assessment,
including, as appropriate:(i) The personal dose equivalent for strongly penetrating radiation, Hp(10);(ii) The personal dose equivalent for weakly penetrating radiation, Hp(0.07);(iii) Other dose values, if appropriate, such as Hp(0.07) derived from extremity dosimeters,
Hp(3) for the lens of the eye, dose values from the use of multiple dosimeters (e.g. in
the case of double dosimetry with lead apron use), dose values calculated fromsimulations (e.g. doses received by aircrew from cosmic radiation);(d)

The results of dose assessments for internal exposure and method of assessment, including:
(i)
(ii)

The committed effective dose, E(50);The values of the measured quantity (e.g. retention or daily excretion value) anddetails of the models used for the assessment. Include results of whole body counting,thorax counting and/or thyroid counting and the assessed committed effective dose;(iii) If appropriate (e.g. in the case of overexposure), the committed equivalent dose to themost highly exposed tissue, H(50);(e)

The notional dose substituting for missing values, artifacts or surrogates, for instance in thecase of lost or damaged dosimeters or samples (see para. 7.258).

7.256. Because it is virtually impossible when evaluating the readings of personal dosimeters to
distinguish between photon and beta radiation, it is not sensible to attempt to identify (and report)
the beta and gamma components of Hp(0.07) separately. However, because the different types of150

high-LET radiation have different quality factors, neutron doses should be recorded separately. Itshould be remembered that photon, neutron and beta doses are to be combined to determine thetotal personal dose equivalent.
7.257. The recording level in the context of individual monitoring should be a formally definedlevel of effective (or equivalent) dose or intake above which a result from a monitoring
programme is of sufficient significance to require the measured or calculated value to be included
in a dose record. Other results can be covered by a general statement in the record that nounrecorded results exceeded the recording level. However, it is essential that the fact that ameasurement has been made be recorded even in these cases. The best way of doing this may be
to enter a zero in the records. If this is done, it should be made clear that the zero entry refers to adose below the recording level.
7.258. If a dose assessment is not available for a period when a radiation worker was (or shouldhave been) monitored — which may happen when a dosimeter has been damaged, lost, or
purposely exposed, or has recorded a dose that, on investigation, is declared invalid — the record
keeping system should provide for the introduction of a notional dose estimated or assessed by
the regulatory body or an authorized person. Notional doses should be marked as such in the doserecord so that they can be distinguished from doses assessed from dose measurements by theapproved monitoring service. If no assessed or estimated dose is provided, the recorded value
should be left blank, so that it is distinguishable from a dose below the recording level (recorded
as zero).
7.259. For those individuals who need to use extremity dosimeters (including their use as eyelens dosimeters), separate records should be kept for the exposure of each extremity (or exposureof the eye lens) for the period when the extremity dosimeter is worn.
7.260. Typical records generated in an internal exposure monitoring programme include both
directly relevant data and supporting documentation. The records should ensure the traceability ofthe measurements and the dose assessment. Directly relevant information includes:
(a)
(b)
(c)
(d)
(e)
(f)

Sample data, such as the date and time of collection and evidence of a ‘chain of custody’;
Raw data from measurement devices, such as techniques used for the measurements(direct/indirect), counting rates in specific energy bands;
Measurements of background levels and standards and calibration data for the counters;
Calculated results such as activity content of the body or daily excretion rates and theirstatistical analyses;
Calculated estimates of intake and the biokinetic models from which they were derived;
Estimated committed effective doses and the dose conversion factors used.

7.261. Individual dose records should include any assessed equivalent doses or intakes. Detailsof any involvement in abnormal events should be included, even if estimates of exposure could
not be made. It is also important to retain records referencing the objectives, the monitoring
methods and the models used for data analysis and interpretation, because these may be needed
for future interpretation of the dose records — for such purposes, traceability of themeasurements and dose assessment is essential.

1517.262. In accident situations, or for a potential intake that may be close to or above a regulatory
limit, interim results should be entered into the exposure record so that appropriate administrativeand other response actions can be instituted. The results should include the result of themeasurement, the implied intake value based on the appropriate biokinetic model, and theimplied committed effective dose based upon the corresponding dose coefficient e(g).
Recommendations for follow-up monitoring and for workplace restrictions may be made if
appropriate. The source of the information reported should be clearly identified, as should a pointof contact for any additional information.
7.263. The uncertainties in the measured and calculated values should be reported. As analternative, the dosimetry service may produce a leaflet or report where specific information
relating to the measurement procedure and its characteristics (limitations) including theuncertainty are shown.
7.264. With respect to confidentiality, availability and integrity of dose records:
(a)
(b)
(c)
(d)
(e)
(f)

Access to premises, files archives, computers, servers, etc. where personal information ishandled and stored should be restricted;
The circulation of information, particularly when using electronic information networks,
should be secure;
There should be backup procedures and equivalent security for copies;
Similar security measures should be taken in the use of active personal dosimeters andassociated software;
Provision should be made for the destruction of paperwork or other media containing
confidential information that no longer needs to be kept;
The recorded data should be protected against unauthorized or unintentional modifications,so as to preserve the integrity of the data.

7.265. Consideration should be given to the establishment of a national dose registry as a central
point for the collection and maintenance of dose records. The storage of information at thenational dose registry should be such as to allow a person, during and after his or her working
life, to retrieve information on the doses received while occupationally exposed. Long term
storage in a national dose registry also serves the following purposes:(a)(b)

It prevents the loss of individual dose data in the event that the registrant or licensee ceases
its activities in the country concerned;
It allows periodic analysis of all exposure data collected in order to characterize theoccupational exposure situation at the national level.

Record keeping for workplace monitoring
7.266. It is important to record data that:
(a)
(b)
(c)

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Demonstrate compliance with regulations;
Identify significant changes to the working environment;
Give details of radiation surveys, e.g. date, time, location, radiation levels, instruments
used, surveyor, other comments;

(d)
(e)

Record reports received about the workplace where compliance with the standards could be
adversely affected;
Detail any appropriate actions taken.

7.267. Records documenting the designation and location of controlled and supervised areas
should be kept. Records should also be kept of radiation surveys, including the date, time andlocation, the radiation levels measured, and any comments relevant to the measurements made.
Records should identify the instrument(s) used and the individual performing the survey. Even if
workplace monitoring data are not used for dose assessment, they should be maintained for future
verification of workplace conditions.
7.268. A suitable record of the calibration of monitoring equipment should include identificationof the equipment, the calibration accuracy over its range of operation for the type(s) of radiationthat it is intended to monitor, the date of the test, identification of the calibration standards used,
the frequency of calibration, and the name and signature of the qualified person under whose
direction the test was carried out.
Record retention periods
7.269. Paragraph 3.104 of the BSS [2] states:“Records of occupational exposure for each worker shall be maintained during and after theworker’s working life, at least until the former worker attains or would have attained the age of
75 years, and for not less than 30 years after cessation of the work in which the worker was
subject to occupational exposure.”
7.270. For records of individual exposure, the retention period should be taken as applying not
only to the worker’s occupational exposure but also to the calibration of the personal monitoring
equipment used for determining such exposure.
7.271. The regulatory body should decide which parts of the records of occupational exposure
need to be maintained by management for regulatory purposes, and should specify retention
periods for each of these.
7.272. A retention period of 5 years is generally recommended for the records of workplacemonitoring and of the calibration of the workplace monitoring instruments. However, many
workplace monitoring records, for example the full details of a particular radiation survey, aretemporary in nature and are only relevant for the lifetime of an established review period, andthere may be no need to retain such records for extended periods. Other records may be related todecisions about the definition of the workplace, and these records may be relevant for the lifetimeof the workplace. It is likely, for example, that records documenting the creation of designatedareas may need to be retained for as long as those designated areas exist.
7.273. The retention periods specified in paras 7.269 and 7.272 reflect the minimum
requirements to be set by the regulatory authority with regard to record retention. Management
may choose to retain more detailed records related to specific operations which could, forexample, be used in future implementation of optimization of protection. Such operations might
include maintenance or refurbishing activities.
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8.
MANAGEMENT SYSTEM FORPROVIDERS OF TECHNICAL SERVICES
GENERAL CONSIDERATIONS
8.1. Any technical service providers for protection and safety should be qualified by certain
procedures. The services provided by technical service providers may be divided into two
categories:(1)

Consultancy and maintenance services, including:
(a)
(b)
(c)
(d)
(e)

(2)

Radiation safety consultancy;
Shielding calculations;
Modelling for dose assessment, containment and ventilation;
Maintenance services covering both in-house operations and services contracted withan outside organization;
Decontamination services for decontamination of equipment/pipes etc.

Calibration and testing/assay services, including:(a)(b)

Monitoring services, including individual, workplace and environmental monitoring;
Calibration and calibration verification services for monitoring devices and radiation
sources.

8.2. The management system for service providers in radiation protection and safety should be
graded to the scope of their activities. The service provider should document its management
system, which may include policies, processes and procedures, and instructions. The
management system should be documented to the extent necessary to ensure the quality of theservice provided.
8.3. The management system for a service provider should cover work carried out inpermanent facilities, at sites away from permanent facilities, or in associated temporary or mobile
facilities.
8.4. The management system of a service provider using radiation should be in accordancewith all relevant IAEA safety standards.
8.5. Safety should be of paramount importance for all service providers that use radiation in
their activities.
8.6. Where a service provider is part of a larger organization, the organizational arrangements
should be such that departments that may have conflicting interests, such as production,commercial marketing or financing departments, do not adversely influence the service
providers’ ability to comply with the requirements of their management system.
8.7. If the service provider wishes to be recognized as a third party organization, it should be
able to demonstrate that it is impartial and that it and its personnel are free from any undue
commercial, financial or other pressures that might compromise their technical judgement.
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8.8. The third party organization should therefore not engage in any activities that may
endanger the trust in its independence of judgement and integrity in relation to its services.
8.9. In many Member States, this demonstration of fulfilment is achieved through third party
audit or accreditation to internationally accepted management standards such as ISO/IEC
standard 17025 [89]. It is the responsibility of the service provider to carry out its activities insuch a way as to satisfy the needs of its customers. See Ref. [5], paras 2.1–2.4 and Ref. [6],paras 2.1–2.21.
Safety culture
8.10. For a service provider, safety culture can be established by:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)

Promoting the knowledge of relevant safety standards within the organization;
Carrying out a risk analysis of the procedures applied;
Establishing proper rules and procedures and observing regulatory requirements to keeprisk at a minimum;
Periodically evaluating the implementation and effectiveness of these rules and procedures;
Engagement of relevant management and staff;
Periodically training the staff according to an established programme to follow the rules andprocedures correctly;
Discussion of the established programme among trained staff;
Periodically updating the training programmes and coordinating them with the requirementsof legal and regulatory bodies, which will check the effectiveness of these programmes;
Dissemination and promotion of knowledge of actual incidents and accidents, to learn fromtheir occurrence, and any reoccurrence, and to improve the safety culture;
Soliciting safety related proposals from the staff through an incentive system.

Grading the application of management system requirements
8.11. The graded approach normally adopted by service providers is such that any differencesin the controls to be applied to the products or services are identified within each process and are
based on the influence of the process on the final product quality.
8.12. In the graded approach adopted, account should also be taken of the size and functions of
the organization. Smaller organizations will not have the personnel to fulfil all the functions withseparate staffing. However, it remains critical that the functions, including promoting safety
culture, ensuring independence, documentation and record keeping, be fulfilled to achieve theperformance outcomes given herein.
Documentation of the management system
8.13. A document may be defined as ‘information and its support media’. Documents may beorganized in any relevant medium used within the organization as long as an appropriate systemof control is used.

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8.14. The management system documentation is often contained in a quality manual that
includes or makes reference to the supporting documents,14 including:(a) A description of the management system;(b) Management documents, for instance documents relating to some of the topics covered inparas 8.55 to 8.76;(c) Detailed working documents and job descriptions;(d) Additional technical documents and/or data, including:
(i)
(ii)
(iii)
(iv)
(v)

Databases of radionuclides or technical databases;
Operating manuals for equipment and software;
Reagent data sheets;
Requirements of national authorities (in laws and regulations);
Managerial and technical standards.

8.15. The additional technical documents are often external documents that are not within thescope of influence of the service provider. Nevertheless these documents and data also have to becontrolled.
8.16. The procedure that describes how documents are to be controlled within the organization
should include a periodic review of valid documents to determine whether an update (revision)
may be necessary.
MANAGEMENT RESPONSIBILITYManagement commitment
8.17. A ‘management commitment’ should be signed by senior management15 to acknowledge
the management’s responsibility to establish a management system, to provide the necessary
resources, to guarantee the review and revision of the system as necessary and to define theorganizational policies and objectives that will govern the system. After it is issued, themanagement commitment document is brought to the awareness of staff. In this context,‘necessary resources’ may include the staff, infrastructure, working environment, information,
supplies and partnerships, natural resources and financial resources necessary to accomplish theobjectives of the organization.

14

Documents may include: policies; procedures; instructions; specifications and drawings (or representationsin other media); training materials; and any other texts that describe processes, specify requirements or establish
product specifications.
15‘Senior management’ means the person who, or group of people which, directs, controls and assesses anorganization at the highest level. Many different terms are used, including, for example: chief executive officer(CEO), director general, executive team, plant manager, top manager, chief regulator, managing director andlaboratory director.

156

Customer satisfaction
8.18. For organizations providing technical services in protection and safety, interested parties(also known as stakeholders)16 are typically customers, staff, regulators, suppliers, the public andowners. Of these, customers are the most important, since the interests of the other interested
parties can generally be satisfied by observing existing laws, rules and regulations.
8.19. A process should be established for identifying and documenting the requirements forfulfilling a contract for service. This should include the identification of:
(a)
(b)
(c)
(d)

Customer requirements;
Related statutory and regulatory requirements;
Organizational resources necessary;
Requirements for communication with the customer.

8.20. The organization should ensure that customers’ reactions are considered. Feedback,including both favourable and unfavourable reactions, should be collected and evaluated. To thisend, the management should establish a monitoring process under the management system that isdesigned to assess and analyse all customer reactions so as to enable the organization to takeactions designed to result in the continuous improvement of effectiveness and safety.
8.21. The organization should have a procedure in place stating how it protects client
confidentiality, while recognizing and acceding to any legal requests to advise regulatory bodies
of any breach of a regulatory request or limit, such as exceeding personal dose limits.
Organizational policies
8.22. Typically, a service provider would only have one organizational policy. The policy
should be simple (concise) and easily understandable by all members of the organization (thestaff).
8.23. The policy should include brief descriptions of actions designed to address such matters
as:
(a)
(b)
(c)

Defining and maintaining the expected level of customer satisfaction;
Identifying opportunities and needs for continual improvement;
Ensuring commitment to provide the resources necessary to accomplish the task;

16

A stakeholder in this context is a person, group, company or other entity with an interest in the performanceof an organization, business, system, etc. Those who can influence events may effectively become interested parties— whether their ‘interest’ is regarded as ‘genuine’ or not — in the sense that their views need to be considered.
Interested parties have typically included the following: customers, owners, operators, employees, suppliers,
partners, trade unions, the regulated industry or professionals; scientific bodies; governmental agencies or regulators(local, regional and national) whose responsibilities may cover nuclear energy; the media; the public (individuals,
community groups and interest groups); and other States, especially neighbouring States that have entered into
agreements providing for an exchange of information concerning possible transboundary impacts, or States involvedin the export or import of certain technologies or materials.

157

(d)
(e)
(f)
(g)
(h)

Ensuring contributions of suppliers and partners (confirming that suppliers and partners arecapable of providing goods and services that meet the established quality standards);
Ensuring commitment to adopt professional good practices when providing services;
Making the commitment to ensure the competence (qualification) of the personnel involvedin the execution of services;
Committing to meet the requirements of the relevant standards;
Ensuring safety, health, quality, environmental, security, societal and economic aspects asappropriate.

8.24. Once established, the policy should be translated into measurable objectives. The
achievement of these objectives should be checked during the management review. Equally, theiradequacy for the existing management system should be evaluated during this review meeting.
Planning
8.25. A plan should be developed to provide the organization with a series of clearly defined
objectives. This means that a series of goals or objectives should be established at different levelsof the organization. These objectives should be established during the planning process, and theyshould be consistent with the organization’s policy or policies. At the technical level, objectives
should be quantifiable.
8.26. Information sources such as internal audit reports, process reviews and feedback from
customers can all help in identifying appropriate objectives. As an example, an initial objective
for a testing laboratory might be to provide a result to the customer that meets certain
performance testing criteria. Over time, if the organization consistently demonstrates its ability tomeet those criteria, other factors, such as improving customer satisfaction through shorter
turnaround times for tests, might be made additional objectives. Thus, objectives are establishedafter the consideration of many factors, including the current and future needs of theorganization, the needs of the market served, and regulatory requirements.
8.27. To ensure that the planning process remains focused on the defined objectives, planning
activities should be systematic and should be documented. Senior management has a
responsibility to ensure that adequate resources are provided to make it possible to meet thedefined objectives.
Responsibility and authority for the management system
8.28. In an organization that provides services in protection and safety, it is often the case thatthe top manager appoints one person as management system manager to act on his or her behalf
regardless of other duties. The management system manager should have appropriate experiencein the tasks for which he or she is appointed and should have the authority, assigned in a written
document, to do the following:
(a)

158

Develop and manage the management system, which includes performing activities
designed to ensure compliance with relevant standards, harmonizing procedures anddocuments, reviewing operations, identifying and reporting any non-conformance (i.e. thenon-fulfilment of a requirement) to the management and/or conducting training inawareness of the management system for the staff;

(b)

(e)

Communicate on quality issues as may be required by the regulatory body and/or
accreditation bodies;
Communicate directly with senior management at all times on issues relating to the
management system;
Act as the focal point for problem reports regarding quality and suggestions for
improvement;
Stop work that is not being performed according to established procedures;(f)

Perform periodic (usually annual) reviews of the management system.

(c)
(d)

PROCESS IMPLEMENTATION
Provision of resources
8.29. Resources are essential items needed for conducting processes. They include staff,
equipment and supplies, information, physical facilities, infrastructure services, workplaces withappropriate conditions and monetary funds.
Human resources
8.30. Issues such as staffing levels, education, training, experience, qualifications and periodic
performance reviews should all be taken into account when considering human resources. The
human resources should be adequate to meet the pre-determined man power requirements.
Infrastructure and working environment
8.31. The infrastructure requirements of each process should be reviewed to identify the
resources that will be required for the successful accomplishment of the stated objectives. For
calibration and testing laboratories, where the workplace environment could influence the qualityof the results, the regulatory body may impose additional requirements such as special authorities
to be used for calibration services to ensure the correct certification and calibration of equipment.
8.32. The process for the control of monitoring and measuring devices should be implemented
to establish an effective means of ensuring, with a high degree of confidence, that the data
generated by these devices and used as the basis for reported results, conclusions andinterpretations are accurate within prescribed requirements. Monitoring and measuring devices
include the instruments, software and calibration standards used to perform measurements andsurveys.
8.33. The process should confirm that these devices are suitable for the intended use, tested,calibrated and verified as functional within specified performance limits. Physical protection of
the devices also needs to be provided, with the goal of eliminating the potential for processerrors.
8.34. Software used to collect data, and to perform calculations on the data collected, should bevalidated before being put into use and should be protected against unauthorized modification. Its
functionality should be re-verified following any change made to the computer’s basic operating
system or network control parameters, or any activity that could have an impact on the159functionality of the application software. Consideration should be given to the need to retain(archive) the different software versions so as to be able to access older records generated by
specific versions of the software.
8.35. Additional requirements established by other regulatory bodies may concern matters suchas safety in the workplace and in associated facilities, protection of personal privacy andconfidentiality of data, and backup of records kept in electronic media.
8.36. With regard to the working environment, consideration should be given to how best to
combine the consideration of human factors and physical factors with achieving the goal ofenhancing the performance of the organization.
Developing processes
8.37. The products of organizations providing technical services in protection and safety arethose services themselves, which are delivered by using established processes. Development of
new processes to supply new services should be carefully planned.
8.38. The management of the organization providing technical services should nominate atechnical project leader to be in charge of the planning of new processes. It will be the task of the
project leader to schedule the planning for the new process, by applying technical knowledge andexperience together with knowledge of the product requirements that is necessary to the technicalservice concerned.
8.39. In the planning schedule, account should also be taken of the need for planning for
ensuring the traceability of measurement results to the SI system and for establishing informationon uncertainties for these measurement results.
Process management
8.40. In an organization providing technical services in protection and safety, there are
generally two types of processes:(a)(b)

Processes of the management system (administrative processes and key processes);
Processes to deliver the services and products of the organization (technical processes andcore processes).

8.41. In monitoring the performance of its processes to ensure that the processes remain
effective and that customer satisfaction is provided, a service organization should review thefollowing:
(a)
(b)
(c)

Timeliness;
Capability (ability to meet relevant requirements);
Efficiency — resources allocated to the process and the possibilities for their reduction
without compromising quality and compliance with regulatory requirements.

8.42. Data can be derived from monitoring of different types during the operation of all
ongoing processes. The data can be put to use as a basis for decisions within the organization, by160

means of adequate analysis. The application of statistical methods to raw data may be especially
useful for determining trends in the performance of persons and instruments, by describing
improvements or deteriorations. This may provide an opportunity for early action to prevent nonconformances.
8.43. The application of similar statistical techniques to the monitoring of customer satisfaction,
resource economics and the performance of suppliers, among other things, may likewise be
useful.
Control of products
8.44. In service-providing organizations for protection and safety, the product is generally
controlled by controlling the production (i.e. service-providing) process.
8.45. The processes of the organization should include any necessary measures to ensure thatthe delivered product or service fulfils the requirements and expectations of the customer.
8.46. For consultancy services, these measures could be:
(a)
(b)
(c)

Additional calculations using other algorithms;
Checks on data entry;
Comparison of the results with previous experience.

8.47. For measurement and calibration services these measures could be:
(a)
(b)
(c)

Repeated tests (possibly done using different instruments for analysis);Checks on introduced blank or test samples;
Plausibility tests on the results, done by applying expert knowledge, etc.

The results should be recorded as proof of the control of the production process.
8.48. The conformance of the product, or of parts of it, should be ensured by specifying theconditions for identification, storage, handling, protection and delivery.
8.49. Moreover, when a product can be fully verified only after delivery, each process that
contributes to its production should be verified to specify acceptable and suitable criteria for theequipment and methods used and the qualification of the personnel involved. A list of parameters
linked to the proper completion of each step is generally useful to keep the process exact andconsistent. Verification usually requires the production of records, such as checklists, to becompleted and evaluated for the final value to be assigned. In practice, the checklist can have theform of a record in a database file and the verification process can be established by means of asoftware routine.
8.50. If the creation of a product requires several steps, tracking of the product’s status may benecessary, if required by regulation, to identify the output of each step. Generating a record suchas a checklist confirming the completion of all necessary steps can be helpful.

161

8.51. Customers’ property, including intellectual property, should be safeguarded throughout
all the production processes. Customers’ property, and methods to protect it, should be specified
in advance. For example, only a limited number of persons should be permitted access to data
provided by customers.
8.52. In the case of a consultancy for radiation protection, the customer’s property could be
detailed information about the customer’s facilities, data on exposures or sources, or any method
developed by the customer in relation to the service requested. Moreover, the service provided inrelation to radiation protection becomes the property of the customer and information on it (i.e.
reports on doses or calibrations) should be treated as confidential.
Communication
8.53. Communication in an organization providing services in protection and safety can beachieved by:
(a)
(b)
(c)

Organizing regular meetings of key personnel;
Using communication tools (electronic billboards, intranet, etc.);
Having similar methods of internal communication.

Managing organizational change
8.54. Should organizational changes be contemplated in service-providing organizations, theguidance in Ref. [6] should be followed to ensure that there is no adverse effect on product orservice quality.
PERFORMANCE MEASUREMENT, ASSESSMENT AND IMPROVEMENT
Monitoring of the management system
8.55. For all phases in the development and operation of technical services, the technicalservice provider should define, plan and implement measurement and monitoring activities
relating to the management system necessary to ensure conformance with applicable standards,
laws and regulations and to achieve improvements. These activities should include determining
the need for, and specifying the use of, applicable methods, including statistical techniques.
8.56. The general process of performance measurement, analysis and improvement includes thefollowing:
(a)
(b)

(c)

162

Actions taken on an ongoing basis to monitor the overall effectiveness of the system,
identifying areas, through appropriate metrics, where improvement may be appropriate;
Application of basic statistical methods (histograms, distributional analysis, mean values,etc.) or qualitative analysis methods to monitoring data on customer satisfaction, theperformance of equipment, measurement throughput and similar indicators of theeffectiveness of services provided to the customer;
Actions taken on a proactive basis to prevent non-conformances, to improve the system andto optimize the service to the client; the internal audit process, together with improvement
activities, is part of these actions;(d)Actions taken on a reactive basis to correct non-conformance identified by, among otherthings, self-assessment, complaints by clients or recommendations of an internal or external
audit.

Self-assessment
8.57. Self-assessment is a tool used by those actually carrying out work to identify possibilities
for improvement. If a service-providing organization wishes to adopt the practice of selfassessment, it should follow the guidance provided in Ref. [6].
Independent assessment
8.58. Audits may be spread over the year or undertaken concurrently. Conducting internal
audits on a progressive schedule has several advantages:
(a)
(b)
(c)
(d)

It helps to emphasize that the internal audit process is a continuous activity designed to
improve the management system;
It helps to reduce the additional workload for individuals selected to conduct the audit;
It is useful in promptly identifying items of potential non-conformance and areas in which
improvements may be appropriate;
It helps to monitor progress in accomplishing any corrective actions 17 that may have been
recommended in previous audits.

8.59. Independence to perform the audits can be achieved by creating a cross-audit department
which works across functions (where resources allow). The mandate and scope of the auditing
team/person should be clarified and communicated.
8.60. Adhoc internal audits could be carried out following customers’ complaints, repeated
non-conformances or major changes in the organization.
8.61. The rotation of internal auditors through different aspects of technical applications within
an organization can serve to increase job satisfaction by allowing employees to play an importantrole in maintaining the organization’s management system.
8.62. The internal audit programme should address all the elements of the management system.
8.63. It is common practice that an audit schedule encompasses all elements of the management
system in all parts of the organization on an annual basis. The extent of the audit and the parts of
the organization to be audited should be planned with consideration given to changes in staff ormethods, workload, customer complaints, findings of previous audits and ongoing corrective or
preventive actions.18
8.64. Customers whose work may have been affected by problems identified during an audit
should be notified in writing. For some findings, a formal system for corrective actions should be
used; for others there may be simpler remedies.
17
18

A corrective action is an action to eliminate the cause of a detected non-conformance.
A preventive action is an action to eliminate the cause of a potential non-conformance.

1638.65. If it is necessary to check the effectiveness of corrective actions quickly, a follow-up audit
should be considered. Corrective measures undertaken should be analysed to evaluate theireffectiveness.
Management system review
8.66. In addition to the review inputs identified in Ref. [5], an organization providing services
in protection and safety should consider the results of inter-laboratory comparisons or proficiency
tests.
8.67. Decisions made during the management review and any actions arising from them should
be recorded. The management review report should include details of:
(a)
(b)
(c)
(d)
(e)

The persons who were involved in the review;
Factors that were considered;
Decisions that were reached;
Actions that were planned, the persons responsible for the actions and the time schedules
that were decided upon;
The provision for review and approval of the report.

8.68. Results should be incorporated into the laboratory planning system and should include thegoals, objectives and action plans for the coming year. Management should ensure that planned
actions are carried out within the agreed timescale and that their completion is documented. A
comprehensive radiation safety audit will bring out the status of the management actions withregard to radiation protection and safety.
Non-conformances and corrective and preventive actions
8.69. For services in radiation protection and safety, non-conformances could include:
(a)
(b)
(c)
(d)
(e)
(f)
(g)

Incorrectly entered raw data;
Data results obtained by applying incorrect algorithms;
Incorrect calibration data or factors;
Measurement results produced by using instruments outside of their application range;
Calibration data obtained by using the wrong irradiation conditions;
Incorrect output data used for analysis;
Incorrectly performed sampling or sample treatment.

8.70. An analysis of the impacts of revealed non-conformances on safety should be performed,
followed by the notification of management at the appropriate level.
8.71. A policy and procedure for the resolution of complaints received from clients or otherparties should be in place. A corrective action procedure is started after a complaint is made by,or feedback is received from, a customer, or upon the discovery of a non-conformance by staff orduring an audit. Corrective actions should be commensurate with the magnitude of the problem
and the associated risks. Records should be maintained of all complaints and of the resulting
investigations and corrective actions.

164

8.72. A preventive action may have to follow a corrective action, or may be taken alone, during
the development of new testing or management procedures or because of a decision taken during
a management review. Preventive actions and corrective actions follow similar courses, the one
prospective and the other retrospective. While preventive actions are intended to eliminate therisk that non-conformances occur at all, corrective actions apply to existing non-conformances.
8.73. A corrective action begins with an investigation to determine the cause(s) of a problem.
Depending on the nature of the problem, this investigation may be informal or may be formal andextensive.
8.74. Some questions that should be considered when determining the root causes of a problem
include:
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)

Has the issue been validated as a problem?
Have the client’s requirements changed?
Have the characteristics of the sample changed?
Has the working environment changed?
Are the methods and procedures for performing the task adequate?
Is there a need for additional staff training or development of skills?
Does the relevant equipment function properly?
Has the calibration of equipment been verified?
Have the specifications of consumable supplies used in support of the operation in question
been changed?

8.75. Preventive action is a proactive process to identify opportunities for improvement rather
than a response to the identification of problems or to complaints. Apart from the review of theoperational procedures, the preventive action might involve the analysis of data, including trend
analyses and risk analyses and the results of proficiency testing. The planning, development,
implementation and monitoring of preventive actions will probably involve a pattern of activities
similar to that for corrective actions, except that the activities are proactive in nature.
Improvement of services
8.76. The organization should always try to improve the services to the customer, and theinternal processes necessary to arrive at the product. It should review its performance and events
that took place and identify and implement improvements.

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ADDITIONAL GUIDANCE FOR PROVIDERS OF CALIBRATION AND TESTINGSERVICES
Organization
8.77. In some States, organizations providing calibration or testing19 services seek accreditationby third parties to internationally recognized standards such as ISO/IEC standard 17025 [89].
Such accreditation is recommended.
8.78. To be sure that tests and calibrations are performed according to established quality
standards, laboratories have to provide for the adequate supervision of testing and calibration
staff, by persons familiar with methods and procedures, with the purpose of each test or
calibration, and with the assessment of the results of tests or calibrations.
8.79. Laboratories should appoint deputies for key personnel, including the technical director
and the quality manager, to provide continuity of qualified management even when primary
individuals may be absent.
Review of requests, tenders and contracts
8.80. When reviewing requests, tenders and contracts, laboratory personnel should ensure thatthe appropriate test or calibration method is selected and that it is capable of meeting the clients’requirements. The review of contracts should also extend to any work that is to be subcontracted
by the laboratory.
Subcontracting of tests and calibrations
8.81. Laboratories proposing to subcontract tests and calibrations should inform the affectedclients of the arrangements in writing and, as appropriate, gain the approval of the client,preferably in writing.
8.82. For calibration and testing laboratories, subcontracting means placing work within thescope of its accreditation with a third party outside the immediate control of the primarycontracting laboratory. It does not include, for example, contracting with a reference laboratory toprovide intercomparison samples, contracting with an employment agency to provide
supplementary support workers, or similar activities. The level of competence of thesubcontractor should be adequate for the technical services to be provided. This can bedemonstrated either by the subcontractor holding an equivalent accreditation in its own right orby the prime contractor completing a quality system audit of the subcontractor’s operation.
8.83. The laboratory should maintain a register of all the subcontractors that it uses for tests orcalibrations. The evidence should be recorded of how each subcontractor establishes its
compliance with international standards (technical and managerial) applicable to the work inquestion.

19

166

In some countries the term ‘assay’ is used instead of ‘test’.

Service to the client
8.84. In addition to maintaining good communication with clients, laboratories may be required
to allow clients to monitor their performance. This can be accomplished by allowing the client
reasonable access to the laboratory for the purpose of witnessing tests or calibrations, byproviding the client an opportunity to submit items for verification purposes, by using client
feedback surveys or by other means.
8.85. All activities involving monitoring by clients should be conducted in a manner that
preserves the confidentiality of the laboratory’s relationship with other clients. Feedback fromclient monitoring should be documented and used to improve the management system.
Control of records
8.86. With regard to technical records, the laboratory should retain, to the extent practicable,
the records of original observations, derived data and sufficient information to establish an audit
trail, calibration records, and a copy of each test report or calibration certificate issued for adefined period. The records for each test or calibration should include sufficient information tofacilitate, if necessary, the identification of factors affecting uncertainty and to enable the test or
calibration to be repeated under conditions as close as possible to the original conditions. The
records should include the identity of personnel responsible for sampling, performing each test or
calibration, and checking results.
8.87. Technical records are accumulations of data and information that result from carrying out
tests or calibrations and which indicate whether specified values for quality or process parameters
were achieved. They may include forms, contracts, worksheets, workbooks, checklists, work
notes, control graphs, external and internal test reports and calibration certificates, clients’ notes,
papers and information from feedback. Observations, data and calculations should be recorded at
the time that they are made and it should be possible to link them to the specific task concerned.
8.88. Each mistake that occurs in records should be crossed out (not erased, made illegible ordeleted), and the correct value should be entered alongside it. All such alterations to records
should be signed or initialled by the person making the correction. In the case of records stored
electronically, equivalent measures should be taken to avoid the loss of, or changes to, original
data.
Internal audit
8.89. When audit findings cast doubt on the effectiveness of the operations or on thecorrectness or validity of the laboratory’s test or calibration results, the laboratory should taketimely corrective action, and it should notify clients in writing if investigations show that thelaboratory results may have been affected.
Infrastructure: Laboratory facilities
8.90. Management should provide adequate laboratory facilities to perform all processes underconsistent and familiar conditions. Management should ensure the following:

167

(a)
(b)
(c)

(d)
(e)
(f)

That technical standards and requirements are fulfilled (facilities, computers, programs);
That adequate technical documentation is available (handbooks, tables, manuals);That necessary environmental conditions (which may influence results) are well known,correctly maintained, documented, monitored and recorded (thresholds and the assignmentof responsibility for stopping a task should be specified);That access to the facilities is restricted and monitored;That procedures for good housekeeping have been specified and documented;
That work in one room should not disturb the process in an adjoining room.

Test and calibration methods and validation of methods
8.91. Each measurement method should be well documented in a procedure that describes thetask step by step, if this is deemed necessary. The management should ensure that staff members
are using an up to date method and that they carry out their daily work guided by these
documented methods. The selected method should be well known (in terms of its accuracy,
correctness, repeatability, reproducibility, robustness, etc.), and the range of uncertainties inmeasurements should be known and should be shown on the measurement report. Eachmeasurement method should be validated in accordance with the laboratory’s procedure forvalidation.
8.92. Consideration should be given as appropriate to these points in following the above
recommendations:
(a)
(b)
(c)
(d)
(e)
(f)

Methods should be planned methodically and documented in a form suited to the working
style of the laboratory;
The documentation should describe the method of measurement on a step by step basis, as
appropriate, and should include guidance on how to keep the necessary records;
As a first method of validation, the newly developed method of measurement should betested using different parameters, and the results should be documented and assessed;
An additional step of validation providing a ‘go/no go’ decision could be incorporated into
the method;
The actions to be taken when a deviation (error) occurs (i.e. who has to do what and when)should be determined;
The data flow of measurement results (who needs what information, when and in which
form, and how the backup of data can be ensured) should be organized.

Test and calibration equipment
8.93. The laboratory should possess adequate equipment to perform the necessary services tothe customer, including sampling, sample preparation, measurement or calibration, calculations
and reporting. The equipment necessary to produce the measurement results should be functionaland capable of being used for day to day measurements.
8.94. The following activities may help to ascertain that the relevant requirements of Ref. [5]are fulfilled:
(a)

168

Periodic and documented calibrations should be performed to guarantee correct
measurement results;

(b)
(c)
(d)

Periodic and documented functional tests should be performed between the calibration
times to test the correct functioning of the equipment;
All maintenance work provided for by the equipment manufacturer should be done andshould be documented in an equipment file;Training and periodic retraining of every equipment operator should be completed to ensurethat staff members are familiar with the equipment.

8.95. All equipment and self-designed software should be clearly identified. This may be
accomplished through documentation that is sufficient to enable the validation of software andthe proper setting up of equipment.
8.96. Checks on outgoing and incoming equipment should be performed if a piece ofequipment is used outside the laboratory.
8.97. All calculations, including those performed using commercial off-the-shelf software (e.g.
for spreadsheets) in respect of the equipment, should be documented and validated.
Measurement traceability
8.98. To be sure that the measurement results will comply with international standards, eachmeasurement device that has an influence on the results should be calibrated before being put into
service and at defined intervals afterwards. The standards used for these calibrations should betraceable to the International System of Units (SI). In some cases — for example in connection
with 222Rn — participation in suitable international intercomparison exercises are also
recommended for demonstrating confidence in measurements.
8.99. Calibration services have to trace their standards and measuring instruments to the SI
System by means of an unbroken chain of calibrations or comparisons linking them to relevant
primary standards for the SI units of measurement. For measurement services, this traceability
can be achieved by using a calibration service.
8.100. To keep a calibration service or measurement service operational, it may be helpful to do
the following:(a)Organize information on all calibration standards used into a database file, giving:
(i)
(ii)
(iii)
(iv)

(b)
(c)
(d)

Calibration data;
Serial numbers of units calibrated;
Date of last and next calibrations;
Location and name of the tester;Store all calibration procedures and their outcome, the calibration certificates, in thelaboratory;
Support periodic calibration with a time schedule programme;
Keep calibrated spare parts available for important devices to shorten the down time in caseof a malfunction.

169

Sampling
8.101. If a testing laboratory also performs sampling, it should do so according to accepted
standards or documented procedures. If a subcontractor or a customer performs sampling, itshould be ensured that the same restrictions and conditions apply as for the laboratory.
8.102. Consideration should be given, as appropriate, to the following points in implementing aprocedure for sampling:
(a)

(b)
(c)

(d)

The requirements of relevant standards and those of customers (in relation to the sampling
location, sampling time, name of the person responsible for sampling, technical conditions,etc.) should be addressed;
Any possible negative influence on the samples during sampling, transport of samples,
handling, storage and analysis should be avoided;
Procedures should be well documented and they should, as appropriate, use statisticalmethods as a basis for providing well identified samples and sample data for themeasurement process;Information should be given to the customer if the sampling process reveals problems orerrors, or in the event that the sampling was performed incorrectly.

Handling of items for testing and calibration
8.103. Test and calibration items should be handled with extreme care to maintain their identity.
The item and its description should never be separated. The laboratory should have a procedurein place that provides:
(a)
(b)
(c)
(d)

Identification and labelling of incoming test and calibration items;
Reporting of any abnormalities found for the items handled;
Instructions for handling, storage and transport, and on the necessary environmental
conditions to be maintained for the testing or calibration items;
Instructions on the return of the items to the customer or any kind of approved disposal
routine.

Ensuring the quality of test and calibration results
8.104. The laboratory needs to have a process and procedure in place to ensure continuous
control of the quality of the services rendered to the customer.
8.105. When designing such a process and procedure, consideration should be given, as
appropriate, to:
(a)
(b)
(c)
(d)
(e)
170

Using only certified (reference) materials for calibration purposes and internal quality
control;
Carrying out all measurements and calibrations in accordance with the applicable
documentation;
Participating in interlaboratory comparison exercises or proficiency testing programmes;
Replicating tests or calibrations using the same or different methods;
Retesting or recalibration of retained items;

(f)
(g)

Correlation of results for different characteristics of an item;
Using statistical methods, such as control charts, to determine the quality of calibration
results over a longer time period so as to identify possible trends in the degradation of
instruments.

Reporting of results
8.106. Results should be reported to the customer accurately and in a comprehensible way so as
to fulfil the requirements of the regulatory bodies and to meet the customers’ needs.
8.107. The laboratory should devise a layout for its reports in which recognition is given to:
(a)
(b)
(c)

The requirements of regulatory bodies;
The requirements of the relevant standards;
The internal rules for reporting within the organization.

Care should be taken to clearly designate data coming from a subcontractor. The laboratory
should have a procedure in place for changing reports in the event that errors are detected in theoriginal version. All reports issued should be considered to be records and should be treatedaccordingly.

9.

ENGINEERED CONTROLS, ADMINISTRATIVE CONTROLS ANDPERSONAL PROTECTIVE EQUIPMENT

GENERAL CONSIDERATIONS
9.1. Where the physical design features of a facility do not provide sufficient containment orshielding of radioactive material, additional engineered controls using facility systems andcomponents should be used to protect individuals. For example, adequately designed andproperly controlled ventilation systems are an effective means of minimizing exposure in
workplaces prone to airborne contamination, such as in underground mines and inside buildings
in which dry processing of radioactive minerals is carried out. Installed fume hoods, glove boxes,
manipulators are also examples of engineered controls.
9.2. Appropriate monitoring should be performed to determine the adequacy and effectivenessof engineered controls. For instance, when engineered controls such as ventilation, vacuum
cleaners or containment devices are used to reduce or maintain radionuclide activity
concentrations in the work environment, air quality should be monitored. Generally, for installedphysical design features such as fume hoods, fixed location air sampling is preferred, whereas for
temporary controls such as portable ventilation or the use of vacuum cleaners, grab sampling ispreferred. Real time air monitoring for determining the adequacy of installed controls may also
be appropriate and could be a requirement in some situations.
9.3. Temporary engineered controls, such as temporary shielding, containment devices andportable or auxiliary ventilation may need to be used during non-routine operations such as
maintenance, modifications, and decontamination and decommissioning. Planning for non-171

routine operations should include an evaluation of the potential for the spread of contamination
and an evaluation of the effectiveness of the engineered controls in reducing such potential.
9.4. Temporary containment devices may be particularly useful in controlling the spread ofcontamination when leakages occur in the normal containment system or when maintenancework requires the containment system to be opened. These devices range in complexity from
simple plastic catch basins suspended below leakage points to complex portable buildings used to
enclose an entire work area. Many commercially available designs include provisions for glove
and equipment ports, ventilation, and contamination reduction exit portals.
9.5. The exhausts from portable air handling systems used in contaminated areas, including
vacuum cleaners, should be equipped either with high efficiency particulate air (HEPA) filters orwith suitable adsorbers, as appropriate and should be directed to installed systems that are soequipped. These provisions may not be necessary in areas where only tritium or radioactive noble
gases are present or when the material to be vacuumed is wet enough to preclude resuspension
after entry into the system collection chamber. Improper use of vacuum cleaners and portable air
handling equipment may result in the generation of airborne radioactive material or removablesurface contamination. The extended use of air handling equipment may result in a significant
buildup of radioactive material in ducts and filters. A radiological assessment of the operation ofsuch equipment should be performed periodically by monitoring the exhausted air and accessible
equipment surfaces.
9.6. When the use of physical design features, including specific engineered controls to limit
individual exposures, is impractical or inadequate, the implementation of administrative controls
may need to be considered to ensure that protection is optimized. Examples of administrative
controls include the use of work authorizations and restrictions or controls on access to areas withthe potential for contamination.
9.7. Control measures such as quality in design, installation, maintenance and operation,
together with administrative arrangements and instruction of personnel should be used to the
maximum extent possible before relying on personal protective equipment for ensuring theprotection of workers. In circumstances in which engineered and administrative controls are notsufficient to provide adequate levels of worker protection, personal protective equipment should
be provided to restrict the exposures of the workers.
SHIELDING
9.8. The provision of shielding can be an effective form of engineered control. At the design
stage, adequate thickness of the shield material is provided to give acceptable level of protection
to the workers during normal as well as abnormal situations. The design of shielding should
ensure that the individual external dose in normal working condition is lower than the dose
constraint. The adequacy of the shielding in abnormal conditions, including accident situations
leading to maximum foreseeable (worst case) radiological consequences, should be evaluated andwhere necessary additional shielding or other engineered controls (e.g. interlocks) should beconsidered. The likelihood of an incident or accident giving rise to an unacceptable level ofindividual dose should be maintained at a very low level and any planned exposure situation
causing the annual dose limit to be exceeded because of inadequate shielding should be172prevented. The effectiveness of the shielding should be actively monitored by installed workplacemonitoring instruments and/or by regular area surveys performed by suitably qualified personnel.
Additional local shielding should be provided to reduce the radiation field as needed. Passive area
monitors should also be used to determine doses integrated over time in various areas. The results
should be analysed for trends, and the shielding improved as appropriate.
9.9. Shielding should be considered in work involving X rays, gamma rays, neutrons and otherhigh energy particles (which may include high energy beta particles). Appropriate shielding
materials should be selected depending on the type of facility. In accelerator facilities, forexample, shielding for the accelerators and the storage ring should be provided through a
combination of various materials, as appropriate (e.g. concrete, lead, polyethylene, soil) andshould be designed for normal operations using conservative beam loss assumptions to limit the
maximum dose received by a worker. Additional guidance related to the design and installationof structural shielding of gamma, electron and X ray irradiation facilities is provide in Ref.[159].
VENTILATION
9.10. The purpose of the primary ventilation system in a facility is to provide fresh air to theworkplaces to remove airborne contaminants generated by the operations. Careful attention
should be given to the design of the ventilation network, including the calculation andverification of rates and velocities of air flow, to ensure that it is adequate for controlling airborne
contamination. In many facilities control of airborne contamination is achieved by:
(a)
(b)
(c)

Maintaining adequate negative pressure with respect to the atmospheric pressure;
Providing an adequate or prescribed number of air changes in the workplace;
Providing the appropriate exhaust air off gas cleaning systems (including scrubbers, adsorbers
and/or HEPA filtration) so that the discharges from the facility will be within authorized limits. The
discharge of the exhaust air should be through a stack of appropriate height to provide the necessary
dilution for the releases to protect members of the public.

9.11. Ventilation is of crucial importance in underground mines, where workers may be
exposed to elevated levels of radon and airborne dust containing radionuclides of natural origin.
The design of mine ventilation systems is complex and the measurement and analysis of air flows
requires special skills. It is usual, therefore, for such mines to employ an appropriately qualified
ventilation officer reporting directly to senior levels of mine management.
9.12. The ventilation officer in a mine should have the responsibilities specified in para 3.177.
(a)9.13. In some workplaces, especially in underground mines and in buildings where dry
processing of radioactive minerals is carried out, the fresh air supplied by the primary ventilation
system may not be adequate to ventilate particular workplaces. Examples of such workplaces
include development ends in underground mine tunneling operations and product bagging areas
in facilities processing radioactive minerals. In these circumstances auxiliary ventilation iscommonly supplied to the affected workplaces through flexible ducts. The positioning ofauxiliary ventilation ducts should be such as to avoid recirculating eddies of contaminated air.

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9.14. The proper functioning of the primary and auxiliary ventilation systems throughout theoperating phase of the facility should be ensured and if necessary be indicated as audio-visual
alarms in the control room/RPO display panel, so that prompt action for the protection of theworkers can be initiated. The employer should put in place a programme of inspection andmaintenance of ventilation equipment, including main fans, auxiliary fans and any heating or
cooling systems. This programme should be documented and recorded.
9.15. In underground mines, the design of the ventilation system should be an integral part ofthe mine planning and development process with the objective of achieving, where practicable, a‘one pass’ or parallel ventilation system to ensure good air quality and to minimize the buildup ofradon and airborne dust.
9.16. For the effective operation of primary and auxiliary ventilation systems in a facility:
(a)
(b)

(c)

(d)
(e)

(f)

Air intakes and exhausts should be separated to the extent practicable;
Ventilation is an important safety related system. For equipment such as fans, blowers,
HEPA filter systems, considerations should be given to the provision of stand-by systems
including alternate power supplies (like diesel generators) where necessary. In this way
process systems can be shut down safely during maintenance activities while all monitoring
systems will continue to work. Considerations should also be given to real time indicatorsof system performance to alert operators of exhaust system failure or malfunction.
For the health and safety of workers, every workplace should be supplied with air of aquantity and quality sufficient to ensure that exposure to airborne contaminants such as
dust, radon and other radioactive gases is minimized;
Air velocities should be high enough to dilute the airborne contaminants but not so high as
to cause settled dust to be resuspended;
In the case of underground mines, the primary systems for ventilation and dust control
should preferably be operated continuously; if the continuous operation of these systems is
not practicable, the regulatory body may authorize intermittent operation subject to (f)below;
When the ventilation system has been changed, has failed or has been shut down, workers
should be allowed to return to their workplaces only after the ventilation system has been
restarted and appropriate monitoring has been performed to ensure that the concentrationsof airborne contaminants have been reduced to acceptable levels.

9.17. The employer should take measures to deter unauthorized entry to any underground area
within a mine that is not ventilated. In the event that the ventilation system is not in operation,
essential maintenance services necessary to ensure the operation of equipment or machinery may
be carried out provided that all practicable measures are taken to limit the doses received by theworkers engaged in the maintenance operation.
9.18. In some situations, such as in an underground mine or inside a building where the dry
processing of radioactive minerals is carried out, the local operating instructions should specify
the actions to be taken in the event of a failure of the ventilation system.
9.19. The location of fixed work stations in return airways or in areas of high external radiation
should be avoided. Where appropriate, operator booths with a filtered air supply may have to be
used in these circumstances to provide the necessary protection.
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DUST CONTROL
9.20. In most operations involving the potential for high dust generation, e.g. mining andmineral processing, the adoption of dust control measures is usually a legal requirement becauseof the need to protect workers against non-radiological hazards such as inhalation of silica
particles. These measures generally provide sufficient restrictions on airborne dust concentrations
to ensure adequate protection of workers against the inhalation of any radionuclides of natural
origin that may be present in the dust.
9.21. To ensure that adequate methods for the control of dust are in place in underground mines
and inside buildings where the dry processing of radioactive minerals is carried out, programmes
for the air sampling and control of airborne dust should be formalized. The following measures
should be taken:(a) The generation of dust in operations should be reduced to the extent reasonably feasible by
the use of appropriate mining and mineral processing techniques such as the use of proper
blasting patterns and timing, the use of water and other means of suppressing dust and theuse of appropriate equipment.
(b) Where dust is generated, it should be suppressed at source. Where necessary and practicable,
the source should be enclosed under negative air pressure. Air may have to be filtered before
being discharged to the environment.
(c) Dust that has not been suppressed at source may be diluted to acceptable levels by means offrequent changes of air in the working area. Again, the exhaust air may have to be filtered
before being discharged to the environment.
(d) Care should be taken to avoid the resuspension of dust as a result of high air velocities.
(e) Where methods of dust control do not achieve acceptable air quality in working areas,
enclosed operating booths with filtered air supplies should be provided for the workers.
SPILLAGE OF RADIOACTIVE MATERIAL
9.22. The employer should establish standard operating procedures (SOPs), including
procedures for the cleanup of spillages, restricting access to the area, implementing contingency
plans, monitoring of affected persons, advice from RPO or Qualified Expert, management ofwaste arisings, notifications to relevant authorities as required, to be followed in the event of any
significant radiation hazard or potential radiation hazard arising from the spillage of radioactive
material from a facility or during transport between facilities.
9.23. Any spillage of radioactive material should be cleaned up as soon as practicable in orderto minimize the spread of contamination. The area should be decontaminated by the removal of
all loose radioactive contamination and contaminated materials as much as practicable.
SURFACE CONTAMINATION
Contamination control programme
9.24. Work with unsealed radioactive material creates the potential for contamination of
surfaces. A contamination control programme should be implemented to identify the presence of175

surface contamination and prevent the inadvertent transfer of such contamination at levels
exceeding specified values under normal operating conditions. A contamination control
programme that makes use of physical design features and includes additional engineered
controls and administrative controls, as appropriate, is an essential element of a comprehensive
RPP aimed at ensuring that the protection of workers is optimized.
9.25. In implementing a contamination control programme, physical design features forcontrolling surface contamination at source are the most important element. The physical design
features used in a contamination control programme may include:(a)(b)

Specific design features aimed at confining radioactive material to prevent it from causing
surface contamination in the first place;
Ventilation systems aimed at preventing the buildup of surface contamination as a result of
the settling of airborne particles.

9.26. Especially during non-routine work such as equipment maintenance, design features suchas those mentioned in para. 9.25(a) and (b) may be the primary methods of controlling workers’
internal exposures from inhalation of radionuclides in airborne particles, irrespective of whether
the particles are released to the air directly from the source of dust or are resuspended into the airfrom contaminated surfaces. The use of such physical design features is illustrated by thefollowing two examples:
(i)

(ii)

A permanently installed ventilation system with HEPA filtration or appropriate adsorbers
may be included as a physical design feature to control airborne radionuclide concentrations
during routine operations, while a temporary ventilation system, also using HEPA filtration
or adsorbers, may be used as an engineered control during certain maintenance activities.
Appropriately designed drainage system should be made available as a physical design
feature to transfer contaminated liquid waste to a controlled collection point (hold-up
tanks), while temporary drains may be installed as engineered controls to collect theeffluent while the line is opened for maintenance, under a special work permit system
where necessary. In the case of fissile liquors, additional special measures may be required.

9.27. When the use of physical design features (including specific engineered controls) torestrict individual exposures is impractical or not sufficiently effective, administrative controls
should be implemented. Such administrative controls might include restrictions on access to acontaminated area or the use of specific work practices designed to minimize contaminationtransfer.
9.28. Work in contaminated areas should be conducted in a manner that minimizes the spreadof contamination to adjacent surfaces, to individuals in the area, and to the workplaceatmosphere. To control the spread of contamination and restrict individual exposures, provisions
such as erection of physical barrier (with change of footwear), cordoning of the affected areas,
should be used in and around contaminated areas.
9.29. Control of access to contaminated areas may be necessary to ensure that workers entering
the area are informed of the radiological status and potential hazards and, if necessary, areprovided with the appropriate protective equipment. Visual display of the levels of contaminationand caution boards should be prominently displayed. Control of workers’ exit from contaminated176areas ensures that radioactive material is not inadvertently transferred from the area by personnel
or equipment. Efforts should be made to control the degree of contamination and the size andnumber of contaminated areas within a facility.
9.30. Exits from contaminated areas should include provisions to facilitate retention ofcontamination in the area and for monitoring of individuals and the area to ensure control has
been maintained. Individuals exiting contaminated areas should be monitored, as appropriate, forthe presence of surface contamination. At a minimum, individuals exiting contaminated areas
should perform a check, using either portable or automated monitoring devices, as appropriate.
Where the only contaminated areas are laboratory bench surfaces or fume hoods, or wherecontamination potential is limited to specific portions of the body, the checking should
concentrate on affected areas. If background radiation levels or other local conditions at the exit
point preclude the performance of personal contamination detection, the exit point should be
moved to an alternative location, for instance to an area with lower background levels. If
relocation of the exit point is not practicable, individuals should proceed directly from the exit
point to an appropriate area to perform the necessary checks. On removal from contaminatedareas, all objects including tools, materials, equipment and personal items should be monitoredby competent personnel. Workers should be made aware of the necessity for such monitoring.
9.31. Because skin contamination by certain radioisotopes, such as tritium, cannot be reliably
detected by currently available hand held or automated monitoring instrumentation, individual
checking is not an appropriate means of detecting such skin contamination. When individual
exposure to such contamination hazards is possible, additional emphasis should be placed on
bioassay programmes and routine contamination and air monitoring programmes..
9.32. Protective clothing should be worn in contaminated areas where removable contaminationlevels exceed specified levels. The type of protective clothing required should be based on
considerations of contamination levels, the chemical and physical form of the contaminant, theactivities to be performed, and the accessibility of the area. Consideration should also be given toother, non-radiological hazards such as heat, flames, hazardous chemicals, physical obstructions,electrical shock and limited visibility.
9.33. The control measures discussed above have proven to be effective in minimizing thegeneration and spread of removable contamination. However, these measures may not beappropriate for implementation in areas having only fixed contamination. When surfaces with
fixed contamination are located within a classified area, the area classification and entry control
requirements should be such as to provide for adequate control of entry and exit. Additional
control measures may be necessary to prevent inadvertent or unauthorized removal of the fixedcontamination by methods that disturb the surface. Although fixative coatings may be used tobind the contamination to the surface, such usage should be minimized and as much of thecontamination as reasonably possible should be removed prior to application of the coating.
Surface contamination monitoring
9.34. A contamination monitoring programme should be carried out as part of the priorradiological evaluation and ongoing safety assessments, and to verify the effectiveness of themeasures for preventing and controlling surface contamination.

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9.35. The instruments and techniques used for contamination monitoring should be appropriate
for the types, levels and energies of the radiation encountered. Instruments should be regularly
maintained and calibrated for the prevailing environmental conditions and should be routinely
tested for operability. A suitable surface contamination meter should be available whereverunsealed radioactive substances such as liquids and powders are in use. However, care must be
taken to avoid the instrument coming into contact with potentially contaminated surfaces.
Instruments which comprise a rate meter and probe provide versatility both in the range of
detectable radionuclides (using different probes) and the ease with which readings can be taken.
Surfaces that should be routinely monitored for spillages or contamination include the body,protective clothing, working areas (benches, floors, etc.), equipment, and transport packages.
9.36. Particular care is needed when making surface contamination measurements on NORMcontaminated items. For some items, alpha monitoring equipment may be altogether unsuitable,
even though alpha emitters are usually the radionuclides of greatest concern. The alpha selfabsorption in the contaminant layer may be too high to obtain a reliable measurement. The alphaprobe of the instrument has to be held within 5 mm of the surface. This may be impossible whenmeasuring rough and/or non-flat surfaces. Furthermore, the vulnerability of the surface of thealpha probe to damage could result in it becoming damaged while attempting to measure roughand/or uneven surfaces. Because of the difficulties associated with alpha monitoring, the use ofbeta monitoring is generally the preferred method for measuring NORM-contaminated items.
Even with the more highly penetrating beta radiation, however, self-absorption may still have tobe taken into account. Most beta detectors are sensitive to gamma radiation. If this is notadequately taken into account, the presence of ambient gamma radiation may be misinterpreted
as contamination. Since the radionuclides in the contaminating layer may be out of equilibrium,
measurement of beta emissions may not provide sufficient information on the activity
concentrations of alpha-emitting radionuclides. Therefore, it may be necessary to establish inadvance the radionuclide composition of the contaminating layer by detailed analysis in alaboratory.
9.37. Even quite low levels of surface contamination may give rise to a risk of internal
exposure. Surface contamination monitoring instruments have detection efficiencies ranging fromzero to 30% (at best) for different radionuclides. Measurements should therefore be made using acalibrated instrument with the best available predetermined detection efficiency for theradionuclide(s) of concern. The measurements, in counts per second, need to be converted tounits of becquerels per square centimetre. Some surface contamination meters are programmable.
The user sets the instrument’s likely response to the radionuclide in use and obtains a direct
measurement of surface contamination (in becquerels per square centimetre).
9.38. Each surface contamination meter is designed and type tested to measure a specific rangeof contaminants. Its response to contamination will depend upon:
(a)
(b)

(c)

178

The type and energy of the radiation or, more precisely, the radionuclide which forms thecontamination;
The instrument’s intrinsic detection efficiency for each radionuclide, which is determinedby the detector’s characteristics, the window area and thickness and the dimensions of any
protective grille;
The detection geometry, including the detector’s dimensions, the nature of the contaminatedsurface and the detector-to-surface distance;(d)Inherent electrical noise, ageing or fault conditions in the instrument’s components.

9.39. When selecting surface contamination monitoring equipment, it should be noted that thesensitivity of the instrument increases with the surface area of the probe. This is illustrated inTable 6 for four types of surface contamination monitor. The management should consult the
RPO or a Qualified Expert as appropriate for advice in the selection of the monitoring equipment.
TABLE 6. SURFACE CONTAMINATION MONITORS: VARIATION OF SENSITIVITY
WITH PROBE SURFACE AREA
Surface area of probe (cm2)

Calibration factor (60Co source)(Bq/cm2 per count/s)

GM end window7

1.2

ZnS + plastic scintillator

50

0.5

Plastic scintillator

65

0.1

Xenon counter

260

0.03

Type of surface contamination
monitor

9.40. Specially designed surface contamination monitoring instruments may be needed in
facilities in which NORM surface contamination is generated. In the oil and gas industry, forinstance, the risk of fire and/or explosion may require the use of intrinsically safe
instrumentation. In addition, the widespread presence of surface contamination on the insides ofpipes will necessitate the use of special cylindrical form beta detectors (see para. 9.36). For
monitoring of surface contamination from NORM, the monitoring instrument/measurement
systems should ideally be calibrated using natural uranium and/or thorium standard sources asappropriate.
9.41. Each instrument should be tested before first use, at regular intervals (annually) and after
any repair which may have affected the instrument’s performance. These tests should be
conducted by qualified experts using calibrated, uniformly contaminated plaques with an active
area of similar dimensions to the detector. The radionuclide used should emit radiation similar tothat of the potential contaminant. The objectives are:(a)(b)

To determine the operating voltage for each detector, especially interchangeable probes;
other electrical and mechanical features may also be tested;
To obtain or confirm the detection efficiency of the instrument for each relevantradionuclide.

Using the detection efficiency, a calibrated response can then be provided to the user to convert
the reading (in counts per second) to surface activity concentration (in becquerels per squarecentimetre). The linearity of response and inter-range differences may also be investigated. The
instrument user should keep a certificate relating to the most recent formal test and should carryout routine checks on the instrument. Sources are available for these purposes which aresometimes attached to the instrument’s window cover. The battery condition should be checked
each time the instrument is used.

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Personal hygiene and first aid
9.42. To prevent inadvertent intakes by workers, the employer should provide washingfacilities for all workers, convenient to the place of work and should allow sufficient time to eachworker for the use of such washing facilities before rest and meal breaks and at the end of theshift. The employer should provide — at locations outside of working areas where contamination
may exist that are reasonably accessible to every worker — clean eating areas that are suppliedwith water, good quality air and hand washing facilities and toilet facilities. These facilities
should be designed, monitored and maintained in a manner acceptable to the regulatory body.
The workers using these facilities should be instructed in how to prevent contamination.
9.43. No person should eat, drink, chew gum or tobacco, smoke, take snuff or apply cosmetics
in working areas where radioactive material could be ingested.
9.44. Special precautions should be taken in the cleaning of wounds sustained in areas whereconcentrated radioactive material is present and wounds caused by contaminated equipment.
Advice from medical officer should be sought in such cases. See also para. 9.52.
9.45. Before entering working areas, cuts and wounds, particularly to the hands, should beproperly dressed with waterproof dressings.
9.46. The employer should ensure that workers are provided with first aid training that is
specific to the job.
DECONTAMINATION OF EQUIPMENT AND PERSONNEL
Decontamination of equipment and areas of floors and walls
9.47. The employer should provide, as necessary, a facility and decontamination agents for thedecontamination of equipment, contaminated tools used for maintenance work and means forcleaning contaminated areas of floors and walls. In general, water is the preferreddecontamination agent. Other cleaning agents should be selected based upon their effectiveness,hazardous properties, amount of waste generated, compatibility with the contaminated surface
and other systems or items that may be contaminated (including protective clothing and waste
handling systems), and ease of disposal (for additional information see Ref.[160] and Ref.[161].
The effectiveness of decontamination should be periodically reviewed and target levels identified
in local operating procedures.
Personal decontamination
9.48. Personal contamination includes contamination of personal clothing, skin, hair, eyes,
mucous membranes and wounds. In this context, personal clothing includes work clothing
provided by the employer, but does not include protective clothing provided solely forcontamination control purposes.
9.49. When contamination is detected, the RPO should be informed, in order to ensure adequate
characterization of the potential for significant dose by assessing the extent of the contamination,
retaining samples of the contamination as necessary to perform a detailed dose assessment and to180

initiate decontamination procedures. Levels of contamination that trigger the need for dose
assessments and decontamination methods should be established for site-specific radionuclides.
9.50. Intrusive decontamination methods, such as tissue removal, require medical assistance. In
the case of skin contamination by contaminants such as radioactive iodine, decontamination by
washing or using detergent may not be effective; in the event of serious contamination, medical
advice should be sought immediately.
9.51. Contaminated personal clothing should be decontaminated by laundering or otherappropriate methods, monitored, and returned to the owner or, if necessary, disposed of asradioactive waste.
Wounds
9.52. Medical treatment of injuries takes precedence over radiological considerations.
Emergency medical care should be administered immediately for injuries involving radioactive
materials. See para. 10.4(d). However, decontamination efforts should start immediately toprevent uptake of soluble radionuclides in the blood.
PERSONAL PROTECTIVE EQUIPMENT
9.53. Personal protective equipment should be selected with due consideration of the hazards
involved. The equipment should not only provide adequate protection but also be convenient andcomfortable to use. Consideration should also be given to the possibility of an increase in
exposure caused by the additional constraints of the protective equipment.
9.54. Examples of personal protective equipment include reinforced clothing, ventilated suits,
protective glasses and respirators. Workers who may have to use such equipment should beproperly trained in its use, operation, maintenance and limitations. It is important that personal
protective equipment correctly fits the wearer.
Respiratory protection
9.55. Employers should not rely on the use of respiratory protective equipment to comply withthe dose limits for individuals, except in temporary and unforeseen circumstances. Respiratory
equipment may nevertheless be needed in emergencies, for repair and maintenance, and in special
short term circumstances. Respiratory protective equipment should be used for a specified andlimited period of time only.
9.56. If levels of airborne contaminants exceed the safe working levels (Derived Air
Concentration – DAC) specified by the management of the facility, appropriate respiratory
protective equipment should be worn by those persons undertaking actions under thosecircumstances. While corrective measures are being undertaken, the area should be monitored toestimate possible exposures. Employers should withdraw workers from affected areas if
continued exposures are such that the recommended safe working levels or DAC values or dose
limits are likely to be exceeded.
9.57. Respiratory equipment and its use should be in conformance with the following:
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(a)

The use of respirators should be carefully supervised to ensure that the expected protection
is provided;(b) Management should ensure that the respirators fit and are used properly.
(c) The protection factors to be used in assessing the actual intake of the worker should bespecified;(d) The periods of use of respirators should not be so long as to discourage their proper use;(e) Filter respirators should have a low breathing resistance and should be efficient for the dust
size concerned;(f) When supplied air equipment is used, the air supplied should be of respirable quality and of
sufficient quantity to ensure leak free operation in the conditions of use;(g) Powered air respirators or helmets with face shields are preferable to other types of
respirator for the comfort of the workers using them, provided that they ensure effective
respiratory protection;(h) In choosing equipment for a particular operation, factors affecting the comfort of workers(e.g. its weight, restriction of vision and effects on temperature and mobility) should beconsidered as well as the required protection factor;(i) Respirators should be cleaned and maintained regularly, and inspected at appropriate
intervals by properly trained persons in suitably equipped facilities;(j) Respiratory protective equipment should be examined, fitted and tested as appropriate by acompetent person before being issued for use and periodically during use; the results ofthese examinations and tests and details of any repairs should be recorded;(k) The frequency of testing of respirators should be determined on the basis of the type of
respirator, the environment in which it is used and how it is handled;(l) Respirators should be checked by their users before use and by the safety maintenance staff
after cleaning, and should be pressure tested regularly in accordance with their use.
Other personal protective equipment
Protective clothing
9.58. Where there is the potential for contamination, the employer should specify appropriate
protective clothing requirements, based on the level of risk. The employer should provide thenecessary overalls, head coverings, gloves, boiler suits and impermeable footwear and aprons(including lead shielding aprons, where appropriate) in accordance with the risks of external andinternal exposure and as appropriate for the working conditions. Work clothes including gloves
and footwear should be provided to every worker whose personal clothing is likely to becomecontaminated during the course of work.
9.59. The employer should also specify cases where individuals are required to shower andchange clothes on leaving contaminated workplaces, and should provide suitable clothing storage
facilities and washing facilities.
9.60. Individuals should wear the specified protective clothing. In some cases it may beappropriate for personal clothing and working clothing to be removed before donning protective
clothing. Personal clothing and working clothing should be changed in suitable locker rooms,
where appropriate with a washroom in between, to control the spread of radioactive
contamination.

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9.61. When contaminated work clothes are stored, laundered or otherwise decontaminated, or
disposed of, the employer should put in place measures to prevent the spread of contamination toother persons or workplaces and to minimize the exposures of individuals and the release ofcontaminants to the environment. The employer should provide suitable laundry facilities, bootwashes, vacuum systems or other means of decontamination, as necessary.
Protective glasses
9.62. Where engineered controls and administrative controls are not sufficient to ensure that
protection for the lens of the eye is optimized, consideration should be given to protecting thelens of the eye using appropriate protective glasses. Glasses made of Perspex may be sufficientwhen the exposure is predominantly due to beta radiation. Account should be taken, however, of
any bremsstrahlung generated by high energy beta radiation. When the exposure is predominantly
due to penetrating radiation (gamma or X rays), consideration should be given to the use ofprotective glasses containing lead.
9.63. If conventional industrial safety glasses are to be used to protect against beta radiation
exposure, they should be evaluated for their shielding properties beforehand. Similarly, protective
glasses containing lead should also be evaluated before use. Such glasses may well be adequate
for protecting against low energy X rays but may be inadequate for protecting against higher
energy gamma radiation.
9.64. The radiation attenuation factor of the eyeglass lenses is not an adequate descriptor, byitself, of the effectiveness of the eyewear in reducing radiation exposure [162]. The area coveredby the lenses should also be considered. Good fitting glasses containing small percentage of lead(including side shields) should be adequate to give the required protection to the eye lens [162].
For maximum effectiveness, protective glasses should intercept as much of any scatteredradiation as possible, particularly in image guided interventional procedures. Workers should use
such protective glasses at workplaces with higher potential for exposure to the lens of the eye.
JOB ROTATION
9.65. In workplaces where there are areas with potential for high levels of radiation exposure,when no other practicable means of control are available, job rotation may be considered as anadministrative control to restrict the exposure of individual workers. However, the use of thismethod should be kept to a minimum, and job rotation should never be used as a substitute forthe development and use of appropriate methods of individual exposure control.
SPECIAL CONSIDERATIONS FOR MINERAL PROCESSING OPERATIONS INVOLVING
NORM
9.66. Some mineral processing operations involve the presence of NORM, either in the form of
the mineral itself or in the form of a residue, product or by-product (see para. 3.162). The firstconsideration in the design of the facilities concerned should be the containment of NORM. For
instance, the design and operation of crushing and screening plants should be such as to keep therelease of contaminants as low as practicable and the design of the concentrator should be such as
to minimize the generation of airborne or liquid contaminants.
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9.67. It should be recognized, however, that complete containment of process material in such
facilities is often impractical. Any NORM that cannot be contained effectively within the process
and becomes airborne should be controlled by means of an adequate ventilation system to remove
airborne contaminants and to minimize occupational exposure (see paras 9.10, 9.13, 9.14 and9.16).
9.68. In the design of processing plants involving NORM, aspects that prevent the buildup of
contamination should be considered. The design should facilitate maintenance work for theremoval of any contaminants that do accumulate.
9.69. During maintenance operations, special care should be taken to control occupational
exposure arising from the accumulation of NORM in pipes and vessels in the plant due to theformation of sediments and the buildup of scale.
9.70. As far as practicable, all hazardous material should be handled with automated equipmentin enclosures where negative air pressure is maintained, regardless of whether the hazard is due
to high concentrations of radionuclides of natural origin or to chemically toxic constituents.
9.71. Good housekeeping and cleanliness should always be maintained. The use of paintcolours for walls, handrails, equipment, furniture and other objects that are distinctly different
from the colours of the materials and products being processed facilitates good housekeeping andcleanliness.
9.72. Solid, liquid and gaseous residues from the processing operation should be managed inaccordance with procedures approved by the regulatory body for the protection of workers, thepublic and the environment.

10.

WORKERS’ HEALTH SURVEILLANCERESPONSIBILITIESManagement
10.1. In terms of paras 3.76(f) and 3.109 of the BSS, management has to ensure that all workers
engaged in activities in which they could be subject to occupational exposure are provided with
the necessary workers’ health surveillance and health services. For itinerant workers who areexposed to a source under the control of the facility at which they work, the management of thatfacility should make special arrangements with the employer of the contract workers to ensurethat they are provided with the necessary workers’ health surveillance (see para. 6.34(i)).
10.2. Management should make available, in the vicinity of the workplace, suitable facilities for
medical examinations in connection with workers’ health surveillance.
Occupational health services
10.3. The occupational health services have the following responsibilities in relation toworkers’ health surveillance:
184

(a)
(b)
(c)

To assess the health of workers.
To help ensure initial and continuing compatibility between the health of workers and theconditions of their work.
To establish a record that provides useful information in the case of:
(i)
(ii)

Accidental exposure or occupational disease;
Statistical evaluation of the incidence of diseases that may relate to the working
conditions;(iii) An assessment for public health purposes of the management of protection and safety
in facilities in which occupational exposure can occur;(iv) Medical–legal inquiries.
(d)

To provide workers with counselling on any radiation risks to which they might besubjected and to provide an advisory and treatment service in the event of personal
contamination or overexposure.

Occupational physician
10.4. The occupational physician in charge of the workers’ health surveillance programme has
the following responsibilities:
(a)
(b)

(c)
(d)

To carry out medical examinations of workers;
To advise management periodically on the fitness of workers for their intended tasks, basedon a full knowledge of the worker’s state of health and the employer’s requirements for thejob;
To give clearance for the return of workers to their normal working environment after
having been removed from that environment on medical grounds;
To advise as appropriate on the arrangements for hygiene at work and the removal ofradionuclides from wounds, in consultation with the radiation protection officer as
appropriate.

10.5. The occupational physician, including any private occupational physician employed on apart time basis, should be knowledgeable, through training and when necessary, retraining, on the
biological effects of radiation exposure, the means of control of exposure, and the interpretationof exposure data and dosimetric assessments [163]. With the support of specialists whereappropriate, the occupational physician should be in a position to use this knowledge not only in
the implementation of the workers’ health surveillance programme but also to provide
counselling to the following categories of workers regarding radiological health risks:(a) Occupationally exposed female workers who are or may become pregnant, or are nursing a
newborn child (see paras 6.2–6.20);(b) Individual workers who have been or may have been exposed substantially in excess of thedose limits;(c) Workers who may be worried about their radiation exposure;(d) Workers who otherwise request such counselling.
10.6. In order to be able to make judgements about workers’ fitness for work, the occupational
physician should be familiar with the tasks in the workplace and the environmental conditions
185

there. For operations involving unusual working conditions and environmental conditions, as
might be the case for certain mines and mineral processing facilities, the occupational physician
should maintain an awareness of such conditions by visiting the working places periodically. The
employer should provide appropriate opportunities for the occupational physician to develop thenecessary degree of familiarity with the tasks in the workplace and the environmental conditions.
10.7. The occupational physician should take responsibility for case management in the eventof a suspected overexposure. This should include the submission of details of the case to relevant
qualified experts, the counselling of the worker and the briefing of workers’ representatives andrelatives if appropriate. Further technical guidance in this area is given in Ref. [163].
WORKERS’ HEALTH SURVEILLANCE PROGRAMME
10.8. In terms of para. 3.108 of the BSS, a programme for workers’ health surveillance have to
be based on the general principles of occupational health, as set out in Ref. [164], and designed toassess the initial fitness and continuing fitness of workers for their intended tasks. Further
objectives of a workers’ health surveillance programme are:
(a)

(b)

To provide a baseline of information that can be used in the case of accidental exposure to aparticular hazardous agent or occupational disease and for specific counselling of workers
with respect to any occupational health risks (including radiological risks) to which they areor might be subjected;
To support the management of overexposed workers.

10.9. The main elements of a workers’ health surveillance programme should be:
(a)
(b)
(c)
(d)

The assessment of the health of workers for the purpose of ensuring that they are fit toundertake the tasks assigned to them;
The establishment and maintenance of confidential medical records;
The arrangements for dealing with accidental exposures, overexposures and subsequent
follow-up;
The provision of medical advice to management and workers.

10.10. Detailed guidance for persons responsible for the design, establishment, implementationand management of workers’ health surveillance programmes is provided in Ref. [164].
MEDICAL EXAMINATION OF WORKERS
10.11. Medical examinations of occupationally exposed workers should follow the generalprinciples of occupational medicine. Occupational exposure to radiation may not be the only
reason for performing medical examinations of workers. Other reasons include exposure tohazards such as noise, dust and chemicals. For example, a periodic review of pulmonary function
for workers in a dusty environment may be highly desirable, and the occupational physician
should consider the advisability of special investigations such as tests of pulmonary function andchest X rays. Special assessments and tests may be warranted if exposures, whether to radiationor to other hazards, exceed relevant limits.

186

10.12. As in any doctor–patient relationship, the occupational physician should keep the worker
fully informed of the reasons for particular examinations, as well as of any significant findings
bearing on the worker’s health and particular working environment.
10.13. Medical examinations of workers should be performed before the start of employment,
periodically thereafter, and at the termination of employment.
10.14. A medical history and assessment should be established for each worker for the following
purposes:(a) To determine fitness for the specific work for which the worker is to be employed;(b) To provide a baseline for use in the consideration of changes to specific work practices;(c) To provide a baseline for use in assessing an occupational disease or overexposure.
10.15. The initial medical examination should be aimed at assessing the worker’s health andfitness for the intended tasks and identifying whether the worker has a condition that mightnecessitate special precautions during work. However, it should be rare for the radiation
component of the working environment to significantly influence the decision about the fitness ofa worker to undertake work with radiation, or to influence the general conditions of service. The
medical conditions that the occupational physician should look for include those that would
affect the ability to use and wear protective clothing and equipment, the ability to hear alarms andrespond to radiation hazards, and the ability to use specialized tools and equipment.
10.16. Fitness for work with radiation depends on the worker’s state of health and the type ofwork involved, as illustrated by the following examples:
(a)

(b)

(c)

If a worker’s duties are such that the use of respiratory protection is required, theoccupational physician should examine the fitness of the worker for wearing respiratory
protective equipment, including checks on lung function integrity.
If a worker is engaged in the handling of unsealed sources, fitness for work could be
influenced by the presence of skin disease such as eczema or psoriasis. In such cases, thedecision regarding fitness should be based on the nature, extent and evolution of the disease
and the nature of the job. Workers with such diseases may not need to be excluded fromwork with unsealed radioactive materials if the levels of activity are low and appropriate
precautions, such as covering the affected parts of the body, are taken.
If a worker is required to work with radiation sources, fitness for work could be influenced
by the presence of a psychological disorder. In such cases, the decision on fitness shouldtake account of the safety implications of symptomatic episodes of the disease. The primaryconcern is whether such workers could represent a danger to themselves or to their coworkers.

10.17. There is no inherent reason why a worker who has previously undergone radiotherapy
should be excluded from work with radiation. Each case should be evaluated individually, taking
into account the quality of the cure, general prognosis and other health considerations, theunderstanding and wishes of the worker, and the nature of the work.
10.18. In the periodic medical examinations, the occupational physician should confirm that noclinical condition which could prejudice the health of the worker has developed while working in187areas involving occupational health hazards, including hazards due to radiation. The nature of aperiodic medical examination should depend on factors such as the type of the work that isundertaken, the age and health status, and possibly the habits of the worker (e.g. smoking habits).
For example:(a)(b)

The skin should be examined where the nature of the work creates a potential for localizedskin damage from irradiation, particularly to the hands;
A worker who has already received accumulated doses to the lens of the eye of more than
0.5 Gy or who may, after a few more years, accumulate doses in excess of this level may
need to be subject to regular opthalmological examination — this is related to the risk ofdetectable opacities and visual impairment, which might affect the ability of the worker tocarry out the intended tasks (e.g. performing image guided interventional procedures).

10.19. The frequency of periodic medical examinations should be based on the state of health of
the worker and on the type of work involved. Normally, exposure to radiation should not, in
itself, be a reason for carrying out periodic medical examinations more frequently than normal.
10.20. In keeping with good practice for occupational health, the occupational physician should
ensure that a worker, on return from absence due to injury or illness, is fit to resume work.
10.21. On completing a medical examination, the occupational physician should communicate
his or her conclusions in writing to both the worker and the employer. These conclusions should
not contain information of a medical nature, but should at least categorize the worker as:
(a)
(b)
(c)

Fit for work in a specific job or trade; orFit for such work with certain restrictions (for example, no work necessitating respiratory
protection); or
Unfit for the work in question.

With regard to (c) above, the occupational physician should have the authority on medical
grounds to declare a worker temporarily or permanently unfit for his or her regular work or torecommend the transfer of a worker to other work. The occupational physician should also havethe authority on medical grounds to advise the employer on reinstating such a worker in his or
her normal duties.
10.22. In an observed ailment likely to have been caused by prevailing working conditions, theoccupational physician should advise the management of the need to investigate the working
conditions and where appropriate the management should take corrective actions in consultation
with the occupational physician.
10.23. In a medical examination at the termination of employment, any work related impairment
should be identified and, if necessary, arrangements should be made for further periodic andfollow-up examinations by the worker’s physician after employment has ceased (see Ref.[164]for additional guidance. This is line with a specific recommendation of the ILO [165], whichstates:188

“the competent authority should ensure that provision is made for appropriate medical
examinations or biological or other tests or investigations to continue to be available to theworker after cessation of the assignment…”
10.24. The data compiled from the medical assessments may be useful for epidemiologicalstudies.
NOTIFICATION OF AILMENTS AND OVEREXPOSURE
10.25. Workers should be encouraged to report any significant ailment promptly to theoccupational physician.
10.26. A worker should report any suspected accidental intake of radioactive substances to his or
her supervisor and to the RPO. The occupational physician should be informed when it issuspected that an accidental intake exceeds a limit specified by the regulatory body and should be
advised of the outcome of any investigation to establish whether such an intake has actuallyoccurred. The occupational physician may be made part of the over exposure investigation
proceedings.
10.27. When a worker has received a dose in excess of an investigation level (see paras 3.122–
3.127), the regulatory body may require notification and investigation of the circumstances of the
exposure.
MEDICAL RECORDS
10.28. Medical records should include records of all medical assessments — pre-employment,
periodic, special, post-illness and at the termination of employment — laboratory reports,
sickness reports and medical history reports. Information on radiation exposures should also berecorded where appropriate especially in over exposure cases. Medical records should be
confidential and should be preserved in a manner approved by the regulatory body. Medical
records should be retained for at least the lifetimes of the workers concerned. However, becauseof the possibility of litigation, a longer period of retention of records might be advisable.
MANAGEMENT OF OVEREXPOSED WORKERS
10.29. In accordance with the conditions of authorization, management should draw up formalplans to deal with situations in which workers might be overexposed. These plans should address
the management of overexposed workers and the health consequences that might be encountered.
They should specify the necessary actions to be taken, and management should allocate resources
for carrying out those actions.
10.30. In the case of accidental exposure or overexposure, the occupational physician should
cooperate with management to ensure that all suitable arrangements for evaluating the severity ofthe exposure are implemented.
10.31. If an overexposure is suspected to have occurred, management should promptly undertakean investigation to assess the dose received by the worker(s) concerned. The investigation should
189

include the reading of personal dosimeters and any monitoring instruments and, in the case ofinternal exposure, in vivo or in vitro monitoring as appropriate.
10.32. Assessed doses that are close to dose limits are unlikely to call for anything more than aninvestigation of the causes, so that appropriate lessons can be learned. They do not necessitate
any special medical investigations or treatment. Only at doses much higher than the dose limits(i.e. 0.1–0.5 Sv or higher) will special dose investigations involving biological dosimetry (e.g.
chromosomal aberration analysis in somatic cells, mainly lymphocytes) and further extended
diagnosis or medical treatment be necessary (see paras 4.30–4.32). The medical treatment of
those persons exposed to high levels of external radiation should address any adverse healtheffects, particularly deterministic effects.
10.33. Measures to reduce the committed dose may be warranted in the event of a worker having
suffered a significant intake of radioactive material. Such workers should be forewarned of thepossibility of medical intervention to reduce the dose uptake in certain situations. The action to
be taken will depend on the radionuclide(s) involved, the magnitude of the committed equivalentdose to relevant organs and the efficiency of and risk associated with the protective measure. The
action should only be implemented when the dose reduction would outweigh the side effects.
Examples of such therapies include increasing the excretion rate of incorporated actinides fromthe body by Ca-DTPA (Calcium salt of diethylene triamine penta acetic acid) treatment, forced
diuresis after an intake of tritium, and surgical excision of contaminated wounds.
10.34. Detailed investigations of accidents, their circumstances and consequences should involve
specialists in different fields, particularly the occupational physician and a radiation specialist.
There should be close liaison between these specialists in order to ensure that all actions
undertaken to provide medical treatment are correctly coordinated. When it is suspected that thedoses received are close to or above the thresholds for deterministic effects, the investigation
should determine as accurately as possible the absorbed doses and their distribution over the
body, and should include appropriate medical examinations of the affected worker(s).

190Appendix I
EXPOSURE OF WORKERS TO NORM
I.1.
As with other occupational exposure situations, the only reliable way to assess theeffective dose received by a worker exposed to NORM is through a properly developed
monitoring programme conducted in the relevant workplace. However, for exposure to gamma
radiation and airborne dust, it is possible to establish, in advance, a broad indication of the
expected dose if there is a reasonable knowledge of the physicochemical characteristics of thematerial and the work situation in which the material is used. This is because the dose is quite
strongly influenced by the radionuclide activity concentrations in the material, reflecting theunderlying linear relationship between these two parameters. A broad indication of the dose fromexposure to gamma radiation and airborne dust can be used during the prior radiologicalevaluation as a prioritization tool to identify, on the basis of activity concentrations in processmaterials, the types of industrial process and exposure situation that are likely to be in greatest
need of measures for protection and safety.
I.2.
A description is given in Ref. [24] of the derivation of indicative relationships between
dose and activity concentration for a range of process materials and associated exposure scenarios
likely to be encountered in industrial activities involving NORM. Three basic categories ofprocess material are considered:(i) Large quantities of material, e.g. an ore body or a large stockpile;(ii) Small quantities of material such as mineral concentrates, scales and sludges;(iii) Material that has been volatilized in a high temperature process, i.e. precipitator dust andfurnace fume.
The results are summarized in Table 7. In actual situations, the doses are likely to be considerably
lower because of the conservative nature of the assumptions made in the dose modelling process.
TABLE 7. PREDICTED RELATIONSHIP BETWEEN DOSE AND ACTIVITY
CONCENTRATION FOR OCCUPATIONAL EXPOSURE TO GAMMA RADIATION AND
AIRBORNE DUST [24]Category of material

ExampleAnnual dose per unit activity concentrationof the radionuclide with the highest activity
concentration (mSv per Bq/g)
Minimum

Maximum

Bulk quantity

Orebody, large
stockpile

0.02

0.4

Small quantity

Mineral concentrate,
scale, sludge

0.008

0.04

Furnace fume,
precipitator dust

0.00060.003

Volatilized material inwhich only 210Pb and210
Po are of concern

191

I.3.
The implications of the results in Table 7. can be illustrated by the following two
examples:
(i)

(ii)

192

A worker’s job involves, on a routine basis, close proximity to a 500 000 t stockpile ofmaterial in which the highest mean activity concentration of an individual radionuclide in
the 238U or 232Th decay series is 5 Bq/g. Depending on the type of material, the annual
effective dose expected to be received by the worker would range from 0.1 mSv per year
(5 Bq/g × 0.02 mSv per Bq/g) to 2 mSv per year (5 Bq/g × 0.4 mSv per Bq/g). This would
suggest that, in terms of the graded approach, the exposure situation would be of only
minimal concern for protection and safety.
A worker’s job involves, on a routine basis, close proximity to 100 kg of process residue inwhich the highest mean activity concentration of an individual radionuclide in the 238U or
232
Th decay series is 250 Bq/g. Depending on the type of material, the annual effective dose
expected to be received by the worker would range from 2 mSv per year (250 Bq/g ×
0.008 mSv per Bq/g) to 10 mSv per year (250 Bq/g × 0.04 mSv per Bq/g). This would
suggest that, in terms of the graded approach, the exposure situation would be of fairly
significant concern for protection and safety.

Appendix II
METHODS AND SYSTEMS FOR INDIVIDUAL MONITORING
FOR ASSESSMENT OF EXTERNAL EXPOSURE
INTRODUCTION
II.1. Only a few dosimetric methods are widely used for individual monitoring purposes. They
differ in the technology used to detect radiation. As a consequence, they also differ with regard tosuch characteristics as ability to measure various types of radiation, size, sensitivity,
technological complexity, ease and degree of automation, and robustness with respect to climaticconditions. When selecting a dosimetry system, these characteristics should be carefully
considered in the light of the local circumstances.
PHOTON AND BETA RADIATION
Photographic film dosimetry
II.2. Photographic film dosimeters commonly consist of a photographic film placed inside asuitable holder containing appropriate filters. Such assemblies are often referred to as film
badges.
II.3. The emulsion of the film is made of silver bromide crystals suspended in a gelatinous
medium. A thin layer of this emulsion is coated uniformly onto a plastic base. The action ofionizing radiation on the grains in the emulsion produces a latent image. In subsequentdevelopment, the silver ions in the latent image produce permanent blackening. The opticaldensity is measured with a densitometer, and is a function of the type and energy of the radiation
being measured. Photographic film dosimeters are used most widely for photon and beta
monitoring. They may also be used for indirect measurement of thermal neutron dose, throughthe capturing of thermal neutrons with a cadmium filter (by n-γ reaction) and the use of theblackening of the film produced by the resulting gamma radiation as an indication of the neutron
dose.
II.4. The sensitivity of the film as a function of photon energy is quite different from that ofhuman tissue. For instance, the optical density at 50 keV can be 25 times higher than that at
1.25 MeV (the 60Co energy peak) for the same dose to tissue. Several methods have beendeveloped to compensate for this energy dependence. Most of them use filters made of various
metals (such as aluminium, tin, copper and/or lead) and of various thicknesses, mounted in thefilm holder in front of the film. These filters attenuate the radiation in a manner dependent on its
photon energy, which results in areas of different optical density from which information on theradiation spectrum can be drawn. Although the use of one filter is adequate for photons of energy
higher than about 0.1 MeV, the use of a multiple filter system (e.g. copper, tin, lead and plastic
filters and open windows) is necessary for lower energy photons. In practice, empiricallydeveloped algorithms are used to combine the ‘apparent gamma doses’ of the different areas,
resulting in a reasonably accurate estimation of the quantities Hp(10) and Hp(0.07).

193

II.5. Even with appropriate filters and algorithms, it is difficult to determine Hp(10) for photon
energies less than about 20 keV or greater than 3 MeV without considerable expertise and someknowledge of the energy spectrum of exposure. The type of incident radiation and the dose canbe estimated from the responses behind different filters.
II.6. The optical densities of the film depend not only on the radiation energy, the filters used
and the dose, but also on the type of film, the temperature of the developer, the developing time
and the climatic conditions (temperature and humidity) to which the film has been exposed
before being processed. Film dosimeters are susceptible to temperature and humidity, resulting in
fading of the latent image [166].
II.7. A further complication arises from the fact that the dose–density relationship is not linear
but sigmoid in shape. This implies that, together with the customer’s films, a set of calibration
films (exposed to the entire range of radiation doses, commonly using 137Cs or 60Co gamma
radiation) should be developed. From the optical densities of these films, a calibration curve canbe drawn which is used to express all optical densities in terms of ‘apparent gamma dose’.
Obviously the calibration curve can, by applying curve fitting procedures, easily be expressed asa mathematical function which is used to convert the measured optical densities into apparent
gamma dose. This has to be done with every batch of newly bought films. There is no way totake intra-batch sensitivity differences into account because a film can only be irradiated once.
II.8. Most densitometers are capable of measuring optical densities between 0.02 and 4.0(corresponding to transmittances of light through the film of 95% down to 0.01%).20 The
corresponding dose range is rather limited and most films used for individual monitoring
therefore have two layers of sensitive emulsion, one on each side of the carrier, which differ insensitivity by a factor of about 100. In the case of a severe overexposure, the sensitive layer(which will be saturated) can be removed and the remaining insensitive layer can be used forquantitative dose measurements of doses of up about 2–10 Sv. Obviously, a calibration curve has
to be available for this emulsion too.
II.9. Type testing is necessary whenever a new type of film is proposed for use or changes are
made to the developing process. Film badges are generally used for issue periods of up to one
month and are suitable for use in controlled areas. When a longer issue period is used, special
attention should be paid to the problem of fading. It is necessary to calibrate film dosimeters by
irradiating identical films with known doses and processing these ‘control films’ simultaneouslywith the dosimeters.
Thermoluminescence dosimetry
II.10. Thermoluminescence dosimetry is based on the excitation (followed by subsequent
trapping) of electrons by ionizing radiation and the subsequent release of the trapped electrons byheating causing the emission of light, the amount of which is directly related to the radiation dose
initially received by the material. The relationship between the amount of light emitted during

20

For a given wavelength of light, the optical density of a material (also referred to as the absorbance, A) isthe ratio of the intensity of light passing through a material (I) to the intensity of light falling on the material (I0),expressed logarithmically according to the expression A = –log10 (I/I0).

194readout and the quantity to be measured is determined by calibration. After readout, the detector
can be reused. Sometimes an annealing procedure is needed before such reuse.
II.11. Quantitative measurement of the light output from a thermoluminescence detector (TLD)
during readout is usually done using a photomultiplier tube. The photomultiplier output plotted asa function of temperature is called the ‘glow curve’. The shape of the glow curve depends on thetype and amount of impurities and lattice defects present in the material, as well as on the thermal
history and treatment of the material. The area under the glow curve is used as a measure of dose.
II.12. In principle, the use of TLDs is simple and straightforward. However, care has to be taken
to always apply the correct readout and annealing procedures, otherwise significant variations inthe sensitivity of TLDs may occur. Although the amount of fading is less than for film
dosimeters, this phenomenon is complicated. Care and experience are therefore required formaking measurements of adequate accuracy and precision.
II.13. The use of TLDs has several characteristics that are beneficial for personal dosimetry
applications, resulting in their wide application over the years because of the progress made in
the development of TLD materials and the current sophistication of TLD reader instrumentation.
The successful use of TLDs as a routine means of measuring radiation dose has been
demonstrated many times, e.g. in international intercomparison studies [167, 168].
II.14. Many TLD materials have been manufactured and investigated, but only a few areroutinely applied for individual monitoring purposes. The most widely used materials are lithium
fluoride (LiF:Mg,Ti or LiF:Mg,Cu,P) and lithium borate (Li2B4O7:Mn). The material
LiF:Mg,Cu,P is becoming increasingly used because of its higher sensitivity and lesser
susceptibility to fading compared with LiF:Mg,Ti. These materials, because of their low effective
atomic number (7.3–8.3), exhibit a response versus energy curve which is within 20% of that forsoft tissue. This avoids the need for using compensating filters and hence allows for a simple
design of dosimeter for the measurement of Hp(10) and Hp(0.07). However, TLDs may not have agood energy response if they are to be used for measuring photons with energies less than about
20 keV [169].
II.15. The quantity Hp(0.07), which becomes important when photons below 12 keV and/or beta
radiation are to be measured, requires the application of a very thin (~4 mg/cm2) detector coveredby a very thin (~4 mg/cm2) protective layer. Such thin detectors are commercially available andare available in two versions: (i) a thin radiation sensitive layer on top of a more robust radiation
insensitive carrier and (ii) regular TLD material loaded with a small amount of carbon (the latter
preventing the luminescence from layers deeper than 4–10 mg/cm2 from reaching the detector
during the readout process). Because of the very small amount of detector material available fordose measurements, the sensitivity of thin TLDs is low. However, by using LiF:Mg,Cu,Pmaterial, these detectors now have a suitable detection threshold and are the most appropriatematerial for extremity dosimetry when beta radiation is involved [170].
II.16. Because of their greater sensitivity, TLD materials with higher effective atomic numbers(10.2–16.3) are also used. Examples include calcium fluoride (CaF2), calcium sulphate(CaSO4:Dy or CaSO4:Tm) and aluminium oxide (Al2O3). TLDs incorporating these materials areused in badges with several filters and essentially mimic the characteristics of the film dosimeter,
giving an idea of the energy of the radiation that gave rise to the dose received by the wearer.
195

II.17. In contrast to the response of photographic film, the response of TLDs (i.e. theluminescent light output) varies almost linearly with dose over a very wide dose range, at least up
to 2 Sv or even higher up to 5 Sv for LiF and even higher for CaSO4:Dy. The behaviour of LiF is
supralinear above a few sieverts, up to saturation at several thousand sieverts. Modern TLD
systems (i.e. combinations of TLDs and related readout equipment) are capable of measuringdoses down to 0.01 mSv with satisfactory accuracy and precision.
II.18. Manual, semi-automatic and also very sophisticated and highly automated TLD systems
are commercially available (see, for instance, Ref. [171]). For smaller services, the cheaper
manual or semi-automatic systems are usually adequate.
Photoluminescence dosimetry
II.19. Photoluminescence is based on the formation of induced luminescent centres in silver
doped phosphate glasses when they are exposed to ionizing radiation. When the glasses aresubsequently exposed to UV radiation, visible light is emitted with an intensity that is linearly
related to the absorbed dose from the ionizing radiation. Unlike thermoluminescence, the effectsof the ionizing radiation — the induced luminescent centres — are not destroyed by the normal
reading process and are extremely stable, so that fading at room temperature is negligible over a
period of several years and the dose information can be obtained at any time during long term
dose accumulation [172].
II.20. Phosphate glasses can be produced on a large scale with good reproducibility andconstant sensitivity. The application of commercially available pulsed UV laser readers reducesthe ‘pre-dose’ — the apparent reading from unirradiated glasses — to a value of about 10 µSv.
This eliminates some of the drawbacks of the older, conventional readout technique, which
needed glass cleaning and subtraction of the pre-dose in order to measure doses below 100 µSv.
II.21. Because of the high atomic number of some glass materials, energy compensating filters
have to be used. An energy dependence within ±15% is achievable for photon energies above
15 keV.
II.22. The advantages of photoluminescent dosimeters include permanent and long term
integration of dose information, good accuracy, negligible fading and the possibility of repeatinga dosimeter reading if necessary. A complete phosphate glass dosimetry system with anautomatic readout using UV laser excitation is suitable for use in large scale systems forindividual monitoring [173, 174]. Photoluminescence dosimetry systems are commerciallyavailable and are already widely used, with excellent results having been achieved inintercomparisons.
Optically stimulated luminescence dosimetry
II.23. Optically stimulated luminescence (OSL) dosimetry is similar in principle to TLD andphotoluminescence dosimetry. OSL techniques use optical methods to release the energy ofelectrons trapped in luminescent materials following exposure to ionizing radiation [175–179].
The detection system is based on the use of aluminium oxide (Al2O3:C) luminescent material.
The source of light used to excite the material is typically provided by a laser or light emitting
diode. OSL can be performed in pulsed or continuous mode. In the latter mode, the stimulating196

light is separated from the emitted light by a series of filters. OSL technology provides the optionof reprocessing the dosimeter at a later time if desired, owing to the fact that only a small portionof the OSL signal is erased during a single readout. The detection level is low because of the highsensitivity of the phosphor. A disadvantage is that the Al2O3:C material is not tissue equivalent,
requiring the use of filters and a suitable calculation algorithm for the determination of Hp(10).
The relationship between the amount of light emitted during readout and the quantity of radiation
to be measured is determined by calibration.
II.24. Widespread use is now being made of OSL dosimetry based on Al2O3:C material, as aresult of the development of material with the required degree of sensitivity and of practicalreadout systems. A second commercial dosimetry system based on OSL has been introduced inrecent years. It works with BeO material, which has the advantage of being nearly tissue
equivalent, avoiding the need for filters or a calculation algorithm for determining Hp(10).
Direct ion storage dosimetry
II.25. The direct ion storage (DIS) dosimeter is based on the combination of an ion chamber anda non-volatile electronic charge storage element. The DIS integrates the doses received, andallows repeated readouts in an on-site small reader. The readout takes only a few seconds and canbe performed by the worker at his or her convenience. The dosimeter does not need to be
returned to the dosimetry service, except for resetting (e.g. once a year). The results recorded in
the reader can be sent to the service automatically at every readout. The DIS is designed tomeasure the personal dose equivalent Hp(10) and Hp(0.07) within the required accuracy [180,181]. It has a high sensitivity, similar to that of an active personal dosimeter, it exhibits no fading
and it is not influenced by climatic conditions. The DIS dosimeter is a passive device by nature,
although it can be used in a special holder as an alarm dosimeter with a direct reading. The DIS isfinding more and more applications and is now approved in some European countries as an
official or legal dosimeter.
Active personal dosimetry
II.26. Many types of active personal dosimeter are commercially available. They are usuallybased on an energy compensated Geiger–Müller counter or a silicon detector.
II.27. Although the majority of these dosimeters are useful as alarm dosimeters for use incontrolled areas and for short term radiation control of workers’ exposures, they are not all
suitable for use as official or legal dosimeters. This is mainly because some dosimeters do notmeasure beta radiation as well as photons, some do not record both Hp(10) and Hp(0.07) andsome have too high an energy threshold for photons. Other important factors are reliability andthe risk of data loss [182]. Furthermore, most devices have difficulties in measuring pulsed
radiation. Some active personal dosimeters do not record both Hp(10) and Hp(0.07), therefore twodifferent types of dosimeters may be required to be worn.
II.28. However, the development of improved dosimeters is continuing and more and more
devices are now technically equivalent to, and as reliable as, passive devices. Recently, active
personal dosimeters have been accepted as legal dosimeters for routine dosimetry in somecountries (e.g. United Kingdom [183], Switzerland). When used for such purposes, only one
dosimeter, serving both alarm and monitoring purposes, should be worn by the worker. An
197

overview of available active personal dosimeters has been compiled and several such dosimeters
have been assessed against applicable standards [184, 185]. Based on the findings of theseinvestigations, it is evident that the energy and directional response characteristics of recently
developed active personal dosimeters are in most cases as good as those of passive dosimeters.
The data transfer characteristics and reliability levels are comparable with those of passive
dosimeters and the technical characteristics are similar or better. Care needs to be taken whenusing active personal dosimeters in certain radiation fields such as low energy X ray fields andpulsed fields [186].
NEUTRON RADIATION
II.29. Information on individual neutron monitoring can be found in Ref. [187]. An evaluationof a wide range of neutron personal dosimeters has been carried out, in which the dosimeters
have been compared with reference values in a range of real and simulated workplace radiation
fields [60].
Nuclear track emulsions
II.30. Nuclear track emulsions can be used for fast neutron dosimetry. The neutrons interact
with hydrogen nuclei in the emulsion and surrounding materials, producing recoil protons byelastic collisions. The ionizing particles pass through the emulsion to create a latent image, whichleads to darkening of the film along the particle track after processing [188].
II.31. Nuclear track emulsions typically have an energy threshold of about 0.7 MeV, and have apoor energy response and a limited dose range. This type of dosimeter saturates at about 50 mSv.
II.32. Neutrons with energies below 10 eV can be detected through interaction with the nitrogen
nuclei of the gelatine resulting in the production of recoil protons from 14N(n,p)14C reactions.
II.33. A microscope may be used for counting recoil tracks in the emulsion. Counting can befacilitated by using a microscope fitted with a television camera and monitor. The accuracy of themeasured dose depends on the skill of the operator in recognizing the tracks in the emulsion.
II.34. One disadvantage of nuclear track emulsion is its high rate of fading before being
processed. The fading is accelerated by high humidity and temperature, and can be as much as
75% per week. The problem can be controlled if the films are dried in a controlled atmosphereand sealed in a moisture-proof pouch prior to use.
II.35. Another serious problem with emulsions is that photon radiation can darken the film
following exposure and development, making it very difficult to distinguish the proton tracks.
Because of these disadvantages, including the high neutron energy threshold, nuclear track
emulsions are increasingly being replaced in personal dosimetry by other methods and, ingeneral, this method is to be avoided.
Solid state nuclear track detectors
II.36. Strongly ionizing particles such as fission fragments, alpha particles or neutron induced
recoil particles produce structural damage along their path in many materials such as minerals,

198glass and various plastics [189]. By etching the surface of the detector with suitable reagents, thedamage zone along the particle track can be removed and the etch pits enlarged to become visible
under an optical microscope. The application of electrochemical etching greatly enlarges the
track size, and track densities can easily be counted.
II.37. The size and shape of the etched track depend on the type, energy and angle of incidenceof the particle, the type of detector material, and the etching conditions (i.e. the etchantconcentration and temperature and the etching time). These parameters should be optimized foreach material and particular application.
II.38. For neutron dosimetry, three detector types have been commonly used: fission track
detectors, recoil track detectors and (n,α) track detectors. These are described briefly inparas II.39–II.42. A more comprehensive discussion of track detection measurement techniques
can be found in Ref. [190].
Fission track detectors
II.39. A radiator or converter of fissionable material emits fission fragments following exposure
to neutrons. The fission fragments are detected with a solid state track detector such aspolycarbonate. Fission reactions have either an energy threshold (e.g. 0.6 MeV for 237Np,
1.3 MeV for 232Th, 1.5 MeV for 238U) or an extremely high cross-section for thermal neutrons(e.g. 235U). The use of fissionable materials in dosimeters is now restricted or prohibited incertain countries because of their radioactivity.
Recoil track detectors
II.40. The elastic scattering of neutrons with the nuclei of plastic detectors such as poly-allyl
diglycol carbonate (PADC) or CR-39 (allyl diglycol carbonate) [189, 191–193] may produce
charged recoil particles such as protons or atoms of carbon, oxygen and nitrogen. These recoils
produce latent tracks which can be made visible by etching. Chemical or electrochemical etchingis used to enlarge the tracks. The track density, which is proportional to the neutron exposure, canbe counted with a microfiche reader or an automatic particle counter. Because of the LET ofrecoil protons and the short range of the heavier particles, different types of plastic have different
sensitivities to neutrons, and the response also depends on the neutron energy. For each detectormaterial or combination of radiator, absorber and detector material, the etching technique shouldbe optimized, and the energy response curves should be established by experiment. In addition to
PADC, the most common detector materials are polycarbonate and cellulose nitrate.
II.41. A dosimeter based only on PADC has an energy threshold of about 100–150 keV, but its
low energy response can be improved by the use of a plastic filter which contains nitrogen. Low
energy neutrons react with nitrogen by the capture process to produce protons with an energy ofabout 0.5 MeV. Its angular response is not good but if the mean response is averaged over angles
of 0°, 20°, 40° and 60°, a response that is flat to within ± 30% is obtained in the 0.15–14 MeV
region. The use of the nitrogenous plastic filter also produces a satisfactory response fromneutrons in the energy range from thermal to 10 keV. This type of detector is not sensitive tophotons, it does not suffer much from fading and the dose threshold can go as low as 0.1 mSv.
Depending on the required sensitivity, no workplace correction factor may be needed. Automatic
readers for use with this type of detector have also been developed and are commercially199

available. However, to operate a track etch dosimetry service requires a high level of technicalexpertise because the etching procedure is critical for obtaining good results and for making agood interpretation of the results.
Track detectors based on (n,α) reactions
II.42. Neutrons interact with 6Li or 10B in an external radiator. The alpha particles produced by(n,α) reactions have maximum alpha energies of about 2.5 MeV (6Li) and 1.5 MeV (10B) for
neutrons below several hundred keV. The reaction cross-sections are high for thermal neutronsand decrease as the neutron energy increases in inverse proportion to the neutron velocity. Most
commercially available plastic detectors can detect the emitted alpha particles. The detection
efficiency depends on the type of material and the etching conditions.
TLD albedo dosimetersII.43. Albedo dosimetry is based on the detection of low energy neutrons (albedo neutrons)
which emerge from the body of a person exposed to neutrons of various energies. Any thermal
neutron detector placed on the surface of the body may therefore serve as an albedo detector.
II.44. Albedo dosimeters usually use TLDs such as 6LiF in boron-loaded plastic encapsulations
which separate the albedo neutrons from incident thermal neutrons. Because of the photon
sensitivity of TLDs, the neutron dose reading is given by the difference between 6LiF and 7LiF
detector readings.
II.45. Albedo dosimeters have been designed with a high and nearly constant response forneutrons in the energy range from thermal to 10 keV. However, the response decreases rapidly
above 10 keV [194, 195]. In stray neutron fields, the relative energy response of an albedo
detector has been found to vary by a factor of as much as 20.
II.46. The neutron response depends on the neutron spectrum. Neutron spectra vary widely inworkplaces. However, site specific correction factors can be used to correct for this, provided thatthe neutron spectrum is known and remains constant. Albedo dosimeters are also very sensitive
to the position of the dosimeter on the worker since they mainly detect the neutrons emerging
from the body.
II.47. The energy dependence of albedo detectors can be compensated for in dosimeters used infast neutron fields by the addition of a nuclear track detector, such as polycarbonate, for separate
measurement of fast neutrons. In such a detector combination, the albedo detector serves as thebasic neutron detector that can be read automatically using a normal TLD reader. The track
detector then only needs to be processed if a significant exposure is indicated by the TLD.
Bubble detectors
II.48. A bubble detector consists of a tube in which superheated liquid drops are dispersed in apolymer gel. Neutrons passing through the detector create protons that can deposit sufficientenergy in the droplet for the threshold energy to be surpassed and the droplets to become visible
vapour bubbles, which are trapped at the sites of formation [196]. The number of bubbles gives ameasure of the neutron dose. Bubble detectors are not sensitive to photons, have a very high200

sensitivity (down to the microsievert range) and have a good dose equivalent response above acertain neutron energy threshold, usually around 100 keV. Thermal neutrons can be detected by aspecial bubble detector with 6Li dispersed in it. The disadvantages of the bubble detector are its
limited range of energies and doses, shock sensitivity and temperature dependence, althoughtemperature compensated detectors are available. A bubble detector does not require a workplacecorrection factor, but the counting of the bubbles is a labour intensive process. The bubble
detector is a completely passive device which can be stored until needed for use. It does not
require any electronic apparatus for measurement or reading. However, an automatic reader
which is computer controlled can be used to perform the reading if a large number of detectors isused routinely.
Electronic neutron dosimeters
II.49. Active personal neutron dosimeters have been developed recently [197]. Their principleof operation is the same as that for active personal gamma dosimeters, except that a plastic
material is positioned in front of the diodes to convert the neutrons to protons which are thenmeasured. The introduction of 6Li or 10B can make the dosimeter sensitive to thermal neutrons.
Gamma energies can be discriminated electronically by an energy deposition threshold. Active
personal neutron dosimeters have the advantages of being direct reading and easy to use. At
present, however, their energy response is not ideal, their sensitivity to fast neutrons is low, andthey often require a workplace correction factor.
Criticality dosimeters
II.50. Criticality dosimeters are a separate class of neutron dosimeters. Their function is toestimate the neutron doses received in the event of a criticality accident. The operating principles
of criticality dosimeters need to be different from those of routine neutron dosimeters because ina criticality accident high neutron dose rates in short pulses are expected. Criticality dosimeters
will mostly contain activation detectors, such as elements like gold, cadmium, indium andsulphur. More information can be found in Ref. [149].

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Appendix III
WORKPLACE MONITORING INSTRUMENTS FORASSESSMENT OF EXTERNAL EXPOSURE
INTRODUCTION
III.1. Workplace monitoring instruments are primarily intended to provide information on thedose rates within the workplace to permit decisions to be made on its occupancy. It is necessary
to know the equivalent dose rates in the various working areas to assess and control occupational
exposure. This is true while the workers occupy a particular area or before they are admitted to it.
Usually the dose rate is monitored, although this might not be necessary where dose rates do notvary significantly with time.
III.2. Fixed or installed workplace monitoring instruments are often equipped with remote
displays and/or audible alarms. Apart from some engineering differences, their detectors andoperating methods are similar to those of portable workplace monitoring instruments.
A comprehensive discussion of monitoring methods can be found in Refs [198, 199].
PHOTONS (GAMMA AND X RAYS)
Ionization (ion) chambers
III.3. Ionization chambers are the simplest form of radiation detector and can be used for thedetection of radiation in various circumstances. The ionization chamber is a gas filled detector;
the detection principle is based on the measurement of the charge from the number of ion pairs
created within the gas caused by incident radiation. The charge is collected by applying a voltage
across two electrodes and can be measured as a current (in the ‘current mode’) or as a voltage (inthe ‘pulse mode’).
III.4. To ensure that the output signal is proportional to the amount of energy released in thechamber, the correct voltage should be applied.
III.5. Hand held monitoring instruments and some installed instruments use chambers that havewalls of low atomic number material and that are filled with air in equilibrium with theatmosphere. In the past, such units were designed to measure exposure, but most designs are now
intended to measure ambient dose equivalent H*(10), and often directional dose equivalentH'(0.07, Ω).
III.6. Hand held instruments for use at normal occupational dose levels (i.e. a few microsieverts
per hour) generally have chamber volumes in the range 300–700 cm3. Installed instruments
designed for use where beta and low energy photon radiation are not expected often have large(of the order of 5000 cm3) steel walled chambers filled with argon at high pressure. These have alarge useful dynamic range, from about 0.1 µSv/h to as much as 1 Sv/h.

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Proportional counters
III.7. Proportional counters are based on the same principal as that for ionization chambers, but
use gas multiplication of electrons to enhance the sensitivity by applying a higher voltage
between the electrodes. To optimize detection, noble gases are generally used in order to avoid
the creation of negative ions.
III.8. Proportional counters can be used as pulse detectors, allowing the measurement of photon
dose rates from 1 mSv/h to 10 Sv/h. The main advantages of commercial proportional counters
are their high sensitivity, large dose rate range and low energy dependence. However, to achievea stable multiplication factor, a stable high voltage supply is required, making the instrument
considerably more expensive than the ionization chamber or Geiger–Müller counter. Proportionalcounters can be used as continuous current detectors, but are almost never used like this, because
the signal of the proportional counter drops very rapidly.
Geiger–Müller (GM) counters
III.9. The strong electric field in GM counters causes a Townsend avalanche (cascade ofelectrons) over the complete anode every time an ionizing particle hits the detector. This meansthat every single event in the GM counter, regardless of the energy of the incoming particle,
causes a signal in the detector with the same magnitude, meaning that all information about theenergy of the incoming particle is lost. To be able to measure ambient dose equivalent, the GM
counter has to be calibrated in terms of pulse frequency of the counter as a function of energy of
the incoming particles.
III.10. GM counters have a photon detection efficiency, typically about 0.5%, that is effectively
constant over a wide energy range. This means that the ambient dose equivalent response isenergy dependent. Effective filters can be designed which allow good energy and angularperformance for H*(10) above about 50 keV for steel walled detectors and from 15 keV for end
window detectors.
III.11. GM counters are popular for use in X ray and gamma fields. They produce large pulses
which can be counted and processed easily. Their dynamic range is, however, limited by deadtime losses at high count rates. Quenching either external or internal restores the GM counter toworking condition. Care should also be taken to ensure at high count rates that the dose rate
indication does not fall back on the scale; this is a fundamental test that should be performed
during type testing. The GM counters are best used to monitor low levels ofcontamination/radiation dose rates.
III.12. It should be noted that the use of GM counters in pulsed radiation fields, such as somediagnostic X ray equipment, may lead to serious underestimates of the measured radiation
quantity. For this reason extreme caution is needed when GM counters — or, indeed, any pulse
counting detectors — are used in such situations.
Semiconductors
III.13. In semiconductor materials such as silicon, ionization after interaction with ionization
radiation causes electrons to jump from the valence band to the conduction band where they are203

free to move through the entire crystal. To be able to detect the freed electrons, the crystal issurrounded by two electrodes.
III.14. Since the energy gap between the valence band and the conduction band is only a few eV,
the output signal is greater, with a higher signal to noise ratio, compared with that for gas filleddetectors where the ionization energy is typically about 30 eV. The small energy gap also gives
the advantage of a better resolution. However, measures need to be taken to avoid thermal
agitation of charge carriers.
III.15. Dose rates can be measured with silicon diodes used as pulse generators (at lower dose
rates) or as photocurrent generators (at high rates). Silicon has a higher atomic number than tissue
and hence it is necessary, in both pulse and current modes, to provide an energy compensation
filter appropriate to the quantity of interest. These filters inevitably limit the low energy
threshold.
Scintillation instruments
III.16. In scintillation detectors, excitation of electrons occurs on interaction with ionizing
radiation, and visible light is emitted. There are two types of scintillator — inorganic andorganic:(a)(b)

Inorganic scintillators are crystals of alkali halides or oxides grown in high temperature
furnaces. The scintillation properties are a consequence of the crystalline structure and arethus only present in the solid state of the material.
Organic scintillators comprise aromatic hydrocarbons and take the form of plastics or
liquids. The scintillation process can be traced back to the molecule itself, meaning that theprocess takes place irrespective of the physical state of the material.

III.17. Scintillators are used in combination with a photomultiplier tube to convert and enhance
the light signal to a relative easily measurable electronic signal.
III.18. Inorganic scintillators, such as NaI(Tl) crystals, are widely used in gamma spectroscopy
and make very sensitive detectors. However, their response is highly energy dependent. For thisreason, simple units cannot be used for making accurate measurements of dosimetric quantities.
However, instruments using spectrometric techniques can be used and are very sensitive.
III.19. Organic scintillators, when used to measure exposure rate or air kerma rate, aresufficiently similar to air in terms of their effective atomic number that they require little
correction for energy dependence except at energies below about 0.1 MeV. In anthracene, forexample, the response per unit kerma falls, primarily because only the outer layers of the crystal
are irradiated. Incorporation of a small amount of material with a high atomic number in front of
the crystal can partially offset this drop, and commercially available monitoring instrumentsallow the measurement of photons with energies as low as 20 keV.
III.20. Scintillation instruments may be used for all types of X ray and gamma measurement[200]. In relatively weak radiation fields, although the electronic parts of the instruments cause
their overall size to be similar to that of ion chambers, the detecting volume can be much smaller.

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Although a 1 cm3 crystal is often adequate, the higher sensitivity of larger crystals permits theiruse for measurements of dose rates at natural background levels.
BETA RADIATION AND LOW ENERGY PHOTONS
Ionization chambers
III.21. It is important to be able to measure the dose equivalent rates from both beta radiation (orlow energy X rays) and from strongly penetrating photon radiation. Measurement can be madewith a single detector. In this case, the detector (ion chamber) is fitted with a window which canbe opened or closed. When it is closed, the strongly penetrating component (i.e. photons withenergies above approximately 20 keV) can be measured. With the window open, bothcomponents are measured and the weakly penetrating component (beta particles and low energy
photons) of the dose equivalent is estimated by subtraction.
III.22. Most survey measurements for beta radiation and low energy photons are made withsmall, portable ion chambers which can also be used for X ray and gamma surveys. One side of
the chamber comprises a thin conducting plastic sheet that is covered, when measuring photons,
with a piece of material equivalent to 1 cm of tissue. The thick cover is removed for measuringbeta radiation [201]. Another type of beta survey meter has an entire thin wall. Such a chamber
may not be appropriate for the measurement of the directional dose equivalent.
III.23. The walls of an ion chamber to be used for beta radiation measurement should be made ofmaterials similar in composition to tissue. However, the exact composition is not as important forelectrons as in the case of ion chambers for X rays or gamma radiation. With electrons, thefunction of the walls is merely to simulate the absorption and backscattering by the body.
GM counters
III.24. Thin walled or thin windowed GM counter monitoring instruments for photons are
sometimes also used for the detection of beta radiation. If the counter is provided with a coverthat is sufficiently thick to stop the beta radiation, the difference between readings with andwithout the cover can be used to distinguish between beta and gamma radiation. Thin end
window GM detectors in particular have an acceptable energy dependence for workplace betadose rate monitoring, and have the additional advantage of small size for a particular minimum
useful dose rate.
Semiconductor detectors
III.25. Semiconductor detectors operating in the mean current mode can be used for themeasurement of high dose rates. Their thin detection layer makes them suitable for beta
dosimetry. For beta and low energy photon radiation measurements, thin sensitive layer silicon
diodes are suitable for H'(0.07, Ω) evaluation, but their response to gamma radiation is higher
than their response to beta radiation because the effective atomic number of the detector is toohigh. Such detectors are not normally used for operational radiation protection.
Scintillators

205III.26. A good beta dose rate monitor for H'(0.07, Ω) can be made using a thin (3–4 mg/cm2)
scintillator, covered by a light-tight plastic window of similar thickness. It can be used in thepulse counting mode at low dose rates, when it behaves similarly to a GM detector, or in thecurrent mode at high dose rates.
NEUTRONS
Moderator based survey instruments
III.27. Moderator based survey instruments are the most common instruments for the monitoringof neutron fields [187, 202]. They consist of a hydrogenous moderator which moderates theneutrons and detects the thermalized neutrons using detectors such as proportional counters filledwith BF3 or 3He gas or 6LiI scintillators. The neutrons are detected by the 10B(n,α)7Li, 3He(n,p)3H
or 6Li(n,α)3He reactions, the characteristics of which allow the achievement of good
discrimination against gamma radiation. By choosing an appropriate thickness for a moderating
shield, or by varying the wall thickness and the gas mixture and pressure, the response toneutrons can be adjusted to give an output which is roughly proportional to the dose equivalent.
Crude neutron spectrometry can be achieved by mathematically analysing the responses of a setof moderated spheres with different diameters [203]. The responses for several moderated
neutron instruments to operational neutron fields have been calculated [204].
III.28. By thermalizing the neutrons in a hydrogenous moderator, an instrument with anapproximately energy independent dose equivalent response for neutrons up to 10 MeV has beendeveloped [205]. The instrument uses a BF3 proportional counter surrounded by a perforated
cadmium shield in a cylindrical moderator and suffers from some anisotropy in response (a factorof two or more). This anisotropy has been largely overcome by the use of a spherical moderatorof polyethylene of diameter 20–30 cm, but at the expense of the energy response. Detectors suchas 6LiI scintillators and 3He proportional counters have been used as alternatives to the
proportional counters. The main characteristic of all these instruments is an over-response tointermediate energy neutrons.
III.29. Another instrument [206] uses two moderating spheres (107 and 64 mm in diameter) in asingle case to produce an instrument weighing 3 kg that covers the dose equivalent range 30µSv/h–100 mSv/h, with an energy response of ±30% over the energy range from thermal to 10
MeV. The response of the larger sphere is corrected using the ratio of the count rates in the two
spheres, which varies from 0.15 to 0.8 for observed neutron spectra. The correction — which
varies from 1 to 30 over this range — is automatically made in the instrument.
Ionization chambers
III.30. Ionization chambers were first developed to measure exposure to X rays and gamma
radiation. However, if hydrogen is introduced into the walls and the gas, they can be made moresensitive to neutrons. However, they are also sensitive to photons, and so it is necessary toprovide a second chamber which is relatively insensitive to neutrons (e.g. with graphite walls anda CO2 gas mixture, or aluminium walls and argon gas) to correct for the gamma radiation whichis always associated with neutrons. Such ionization chambers measure the neutron absorbed dose,
not the dose equivalent. Because their response to gamma radiation per unit dose is similar to thatfor neutrons, it is not possible to discriminate efficiently between the two radiation types and so206

ionization chambers are not particularly useful for pure neutron monitoring. However, thesedevices can be used where it is not necessary to discriminate between the gamma and neutron
contribution in a radiation field.
III.31. It is also possible to make the wall of the ionization chamber in near tissue equivalentmaterial, and to fill the detector with near tissue equivalent gas. The energy deposition in thedetector then mimics the energy deposition in tissue, regardless of the type of radiation. These
ionization chambers are operated in proportional counter mode. Such tissue equivalent
proportional counters are mostly used at low gas pressure, and can thus be used for
microdosimetric purposes, but they are also useful as ambient monitors.
Other neutron instruments
Recoil proton proportional counters
III.32. Recoil proton proportional counters are usually lined with polyethylene and filled witheither ethylene (C2H4) or cyclopropane (C3H6) at pressures of the order of 100 kPa. The wall
thickness is chosen on the basis of energy and range relationship calculations, so that the system
satisfies the requirements of the Bragg–Gray principle. The recoil proton spectra can be analysedmathematically to infer the incident neutron spectrum. This spectral information can then be used
to determine the ambient dose equivalent. The practical energy range for these systems is about
10 keV–1.5 MeV.
Rossi proportional counters
III.33. Tissue equivalent proportional counters can be used to measure, in addition to dose, theLET of the deposited energy. The LET can then be used to determine the mean radiation quality
factor Q using the Q–LET relationship established by the ICRP (see para. 2.34 and Ref. [3]),which can then be incorporated into the electronics of the instrument. Thus, dose can beconverted to dose equivalent. These instruments can also be used for measurements in mixed
radiation fields.
Scintillators
III.34. Organic scintillation detectors offer a potentially simple method of neutron dosimetry andspectrometry because they can be made of tissue equivalent materials and are small in volume.
There are, however, two major drawbacks. Firstly, the scintillation efficiency for light production
is low, with 1–2 keV typically being required to produce a photoelectron at the first stage of amultiplier phototube. Secondly, they are very sensitive to gamma radiation; they require about
three times as much energy to produce a photoelectron from a recoil proton as from a gamma
photon, and ten times as much for an alpha particle. However, it is possible to use pulse shapediscrimination to separate charged particle events from those produced by electrons. There is also
a non-linear relationship between the energy of the recoil proton and the magnitude of the lightpulse, but this can be corrected for in a neutron spectrometer during the mathematical analysis.
These limitations restrict the energy range of the detector to about 0.2–20 MeV.
Semiconductor detectors

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III.35. Semiconductor detectors are normally based on silicon or germanium, and are not useddirectly for neutron measurements. However, they can be used in neutron spectrometers tomeasure secondary particles such as protons, tritons and alpha particles produced in converter
foils of lithium borate, boron, 6LiF, polyethylene and polycarbonate. They are small and sensitive— for example, the ionization yield is about ten times larger than in ionization chambers — andtheir density is about 1000 times that of the gas in a chamber.

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Appendix IV
BIOKINETIC MODELS FOR
INTERNAL EXPOSURE ASSESSMENT
INTRODUCTION
IV.1. Intakes of radionuclides can occur via various pathways, namely, inhalation, ingestion,
injection and dermal absorption (through the intact skin or a wound). In occupational exposure
situations, the main route of intake is by inhalation, although a small fraction of the material
deposited in the respiratory tract is transferred to throat by ciliary action and get swallowed,
giving the opportunity for absorption in the gastrointestinal tract. A fraction of the ingested
radionuclide(s) gets absorbed in the blood. Intakes may also occur by direct ingestion or, forsome radionuclides, by absorption through the intact skin. Damage to the skin in the form of cuts
or other wounds can also result in intakes of radionuclides. Routes of intake of radionuclides into
the body, subsequent transfers within the body and excretion from the body are shown
schematically in Fig. 6.

FIG. 6. Routes of intake, transfers and excretion (from Ref. [13]).
IV.2. Intake, uptake, internal transfer and excretion of radionuclides can be described by meansof compartmental models. The ICRP has developed specific models for workers who areoccupationally exposed.

209

IV.3. Biokinetic models of the alimentary and respiratory tracts are used to define the entry ofradionuclides into the body and their movement within these systems, resulting in absorption toblood and/or loss from the body. The behaviour of radionuclides absorbed to blood is describedby element specific systemic models that range in complexity.
IV.4. The models are intended both for the derivation of dose coefficients and for theinterpretation of bioassay data and can be applied for regulatory control of the workplace. A
general overview of the models used in the generation of dose coefficients for intakes ofradionuclides is given below. Further details and information can be found in the references
quoted.
MODELS FOR DIFFERENT ROUTES OF ENTRY
Inhalation
IV.5. The behaviour of radionuclides inhaled by workers is described in ICRP Publication 66[134] in a human respiratory tract model (HRTM). Guidance on the use of the HRTM can befound in Ref. [207].
IV.6. The HRTM treats deposition and clearance of inhaled radionuclides separately. It
calculates doses to specific tissues of the respiratory tract (RT), and takes account of differencesin the radiosensitivity of tissues.
IV.7. The RT is represented as two tissues: the extrathoracic airways (ET) and the thoracic
airways (TH). The ET airways are divided into two regions, one corresponding to the anterior
nasal passage (ET1) and the other corresponding to the posterior nasal passage, the pharynx andthe larynx (ET2). The thoracic regions are bronchial (BB), bronchiolar (bb) and alveolar–interstitial (AI), the gas exchange region. Lymphatic tissue is associated with both the ET and TH
airways (LNET and LNTH, respectively). Reference values of dimensions and scaling factors are
specified in the model.
IV.8. Deposition of inhaled particulates is calculated for each region of the respiratory tract,with account taken of both inhalation and exhalation. This is done as a function of particle size,
breathing parameters and/or workload, and is assumed to be independent of chemical form. Agedependent default deposition parameters are given for a range of particle sizes from 0.6 nm
activity median thermodynamic diameter (AMTD) to 100 µm AMAD.
IV.9. For inhalation of radionuclides by workers, the reference subjects are taken to be normal
nose breathing persons at light work. For simplicity, deposition in, and clearance from, therespiratory tract are calculated for the reference adult male only. An AMAD of 5 µm is
considered to be the most appropriate default particle size for radionuclides in the workplace[134], whereas an AMAD of 1 µm is used as a default for members of the public.
IV.10. Clearance from the respiratory tract is treated as two competing processes: particle
transport (by mucociliary clearance or translocation to lymph nodes) and absorption to blood.
Most of the deposited material that is not absorbed to blood is cleared to the gastrointestinal tractby particle transport. The small amounts transferred to lymph nodes continue to be absorbed into
body fluids at the same rate as in the respiratory tract.
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IV.11. The HRTM assigns gases and vapours to three default solubility/reactivity (SR) classes,on the basis of the initial pattern of respiratory tract deposition. Subsequent retention in the
respiratory tract and absorption to body fluids are determined by the chemical properties of thegas or vapour.
IV.12. The HRTM has been used to calculate the dose coefficients for inhalation ofradionuclides by workers presented in ICRP Publication 68 [131] and Table III-2A of the BSS[2], and also the bioassay functions presented in ICRP Publication 78 [13].
IV.13. The ICRP has recently developed a revised version of the HRTM [16], with some
simplifications and modifications both to the model structure and to the values of its parameters,
although the basic features of the model remain unchanged. The modifications are based mainlyon the experience gained during the application of the HRTM and on new evaluations of theavailable sets of experimental data. New dose coefficients and bioassay functions for workers,
based on this updated model, will be published in due course [16].
Ingestion
IV.14. The behaviour of radionuclides ingested by workers is described in ICRP Publication 30[208] in a model based on four gastrointestinal tract compartments representing the stomach, thesmall intestine, the upper large intestine and the lower large intestine. The mean residence times
in the four compartments are 1, 4, 13, and 24 h, respectively. The uptake to blood takes placefrom the small intestine and is specified by fractional uptake (f1) values.
IV.15. This model forms the calculation basis for the dose coefficients for ingestion ofradionuclides by workers presented in ICRP Publication 68 [131] and Table III-2A of the BSS[2], and also for the interpretation of bioassay data in ICRP Publication 78 [13].
IV.16. A new model of ingested radionuclide behaviour, the human alimentary tract model(HATM), has been developed and is described in ICRP Publication 100 [209]. This model
includes a larger number of regions, namely: oral cavity, oesophagus, stomach, small intestine,
right colon, left colon and rectosigmoid, and allows for absorption of an element and its
radioisotopes to blood from several sections of the tract. The total fractional uptake is indicatedwith the symbol fA. However, the general assumption, which is valid for nearly all radionuclides,
is that absorption occurs exclusively in the small intestine, i.e. the value of fA equals the fractional
absorption from the small intestine fSI. In addition, the model structure allows for retention in themucosal tissues of the walls of alimentary tract regions, and on teeth.
IV.17. New dose coefficients and recommendations for the interpretation of bioassay data, basedon this new HATM model, will be published in due course [16].
Entry through wounds
IV.18. Although much of the radioactive material may be retained at the wound site, soluble
material can be transferred to the blood and hence to other parts of the body. Insoluble material
will be slowly translocated to regional lymphatic tissue, where it will gradually dissolve andeventually enter the blood. A variable fraction of insoluble material can be retained at the woundsite or in lymphatic tissue for the remainder of the individual’s life. If particulate material enters
the blood directly it deposits principally in phagocytic cells in the liver, spleen and bone marrow.
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IV.19. For insoluble radioactive materials retained at a wound site, the most exposed tissues willbe those around the wound. Consideration may need to be given, in consultation with theoccupational physician, to the excision of contaminated local tissues. For this, the variation withdepth of contamination at the wound site has to be accurately determined. The absorbed dose at
the wound site and in the regional lymph nodes can be assessed from the activity remaining after
excision, the characteristics of the radionuclides involved, the mass of tissue irradiated and thetime since exposure. If the materials are soluble, they may translocate from the wound site to theblood at a rate which depends on their solubility. The distribution of this soluble component will,in most instances, be similar to that of material entering the blood from the lungs or
gastrointestinal tract, but there may be exceptions for some chemical forms of radionuclides
which enter the blood directly.
IV.20. Dose coefficients for incorporation through wounds have been calculated for 38
radionuclides [210] using a wound model [211] combined with systemic models used to calculatedose coefficients for workers [131].
Entry through intact skinIV.21. Certain radioactive materials such as tritium labelled compounds, organic carbon
compounds and compounds of iodine can penetrate intact skin. A fraction of the activity willenter the blood, but there is no general model for the assessment of doses and specific models
need to be developed [212]. For example, the behaviour of tritiated organic compounds following
direct absorption through the skin will be significantly different from that after inhalation oringestion. For skin contamination, both the equivalent dose to the area of skin contaminated andthe effective dose will need to be considered.
MODELS FOR SYSTEMIC RADIONUCLIDES
IV.22. A systemic biokinetic model describes the time dependent distribution and retention of aradionuclide in the body after it reaches the systemic circulation, and its excretion from the body.
The systemic biokinetic models used in ICRP Publication 30 [208] had a relatively simple
structure that included the passage of material from the circulation to selected organs and tissues
and then directly to excretion. In ICRP Publications 56, 67, 69 and 71 [213–216], newphysiologically based age specific models were developed for selected radionuclides. Thesemodels included the possibility of recycling of the deposited radionuclides and a more realistic
description of the excretion pathways.
IV.23. These systemic biokinetic models, along with the HRTM, form the calculation basis forthe dose coefficients for ingestion of radionuclides by workers presented in ICRP Publication 68[131] and Table III-2A of the BSS [2], and for the interpretation of bioassay data in ICRP
Publication 78 [13].
IV.24. Further development of the systemic biokinetic models has been carried out in themeantime [16], leading to the definition of model structures with an increased physiologicalrealism compared with those described in previous ICRP publications. The physiologicallydescriptive modelling scheme has been applied more broadly and in some cases the model
structure has been slightly modified. Also, the approach to the modelling of radioactive decay
progeny has been revised. The general assumption until now has been that the progeny follow the212same biokinetic behaviour as that of the parent, except in the case of progeny which are isotopesof lead, radium, or thorium and also for iodine progeny of tellurium and for noble gas isotopes
arising in various decay chains. In the revised models, separate systemic biokinetics have been
applied to the parent and its progeny. These revised systemic biokinetic models have been used in
the development of updated dose coefficients and recommendations for the interpretation of
bioassay data, which will be published in due course [16].

213Appendix V
METHODS FOR INDIVIDUAL MONITORING OF
INTERNAL CONTAMINATIONDIRECT METHODS
V.1. Direct measurement of the distribution and total body content of one or moreincorporated radionuclides is possible when the radionuclide(s) emit(s) penetrating radiation(normally X ray or gamma photons and, in special cases, bremsstrahlung) of sufficient energy
and yield to be detectable outside the body. For most in vivo counting applications, photon
detectors are positioned at specified locations around the body, usually with at least partial
shielding of the detector and/or the subject to reduce interference from ambient external sources.
Low level whole body counters are located in shielded counting chambers.
V.2. Generally, interpretation of direct measurements in terms of intake and assessment ofcommitted effective dose relies on biokinetic modelling of the distribution and retention of theincorporated radionuclides and on biophysical modelling of energy deposition. Both these aspects
may vary markedly over time and between individuals.
Measurement geometries
V.3. A variety of physical arrangements of detectors has been developed to serve specificpurposes. For radionuclides which are distributed throughout the body, counting of the whole
body, or a large fraction of it, provides the greatest sensitivity. Whole body counting is carriedout either using a static geometry, with one or more detectors, or by scanning — moving the
subject with respect to static detectors or moving detectors around a static subject. Static
geometries commonly comprise an array of detectors distributed along a standing or supine
subject, or a single detector directed towards the centre of a subject on a tilted chair or curved
frame. Some examples of counting geometries are shown in Fig. 7.

214

FIG. 7. Various geometries used for whole body monitoring.
V.4. For other radionuclides which are at least temporarily concentrated in particular organs or
tissues of the body, monitoring of specific sites is recommended. Examples are radioiodine which
is taken up by the thyroid, and inhaled radioactive particles which are retained in the lungs. For
bone seeking radionuclides emitting low energy photons, such as 241Am and isotopes of
plutonium and uranium, measurements should be conducted on bones surrounded by a thin layerof tissues, like the knee or the skull [217, 218].
V.5. Localized monitoring is also recommended when intake is through a wound, or when
there are other reasons for determining the distribution of the radionuclide(s) within the body.
Whole body counting is unlikely to fail completely to detect a significant amount of localized
activity, but might not provide an accurate estimate of the amount or give good information on its
spatial distribution. The applications of the phantoms and their limitations are described by the
ICRP [219].

215

V.6. In all cases the method should be to compare the signal measured from the subject withthat obtained under the same conditions from an anthropomorphic phantom, or other surrogate,containing known quantities of the radionuclide in question. The distribution of the radionuclide
in the calibration phantom should match that expected in the human subject as far as possible,
although some measurement techniques are more sensitive than others to this distribution. In vivo
monitoring systems may also be characterized and calibrated by means of Monte Carlotechniques which have been specifically developed for this purpose [220, 221].
Methods of detection
V.7. Various detection systems are in use for different purposes. Inorganic crystals of highatomic number materials, usually thallium-activated sodium iodide, NaI(Tl), are commonly used
to detect energetic photons (above 100 keV), such as those emitted by many fission andactivation products. Scintillations produced by the crystal’s interaction with high energy photons
are detected by photomultiplier tubes; these generate electronic pulses which are processed to
produce a spectrum reflecting that of the radiation absorbed by the crystal.
V.8. This type of measurement system provides the most sensitive method of quantifying
radioactive content in the body. However, the energy resolution of the detectors is limited, so thateven deconvolution techniques may be unable to determine the radionuclides giving rise to acomplex spectrum, such as that from a fresh fission product mixture, or in the presence of avarying background such as that due to radon and its progeny.
V.9. Semiconductor detectors have major advantages in energy resolution, and so allow almost
unambiguous identification of the radionuclides in a mixture, but are inconvenient in that theyneed cooling to liquid nitrogen temperatures. High purity germanium (HPGe) detectors cantolerate cycles to room temperature and need cooling only during operation. Electrically cooled
cryostats or mechanical coolers allow the operation of germanium detectors without the need for
liquid nitrogen. The lower efficiency of these detectors, when compared with that of inorganic
crystals and other scintillators, is more than compensated for by the lower background signal andimproved energy resolution.
V.10. Low energy photons, such as those emitted by 239Pu (13–20 keV) and by 241Am (60 keV),
can be detected with thin NaI(Tl) crystals, which have a similar detection efficiency to larger
crystals but much lower background. The addition of a second crystal, usually of CsI(Tl), as an
anticoincidence guard improves the detection sensitivity by eliminating the contribution of highenergy photons. Such a device, which is commonly known as a phoswich (phosphor sandwich)
detector, can lower the detection limit for these photons by more than an order of magnitude.
Multiple HPGe planar detectors are increasingly used for the detection of low energy photons,
because of their high resolution and low background. For low energy photon counting (using, forexample, phoswich or HPGe detectors), account has to be taken of the overlying tissue thickness
in determining the detection efficiency.
V.11. Miniature semiconductor detectors, in particular those using cadmium telluride (CdTe)
operating at room temperatures, are becoming increasingly available. CdTe detectors offer highsensitivity for detection of low energy photons. Their small size (approximately 10 mm indiameter and 2 mm thick) make them ideal for localized wound monitoring. Their additional
advantages are that there is no need to confine a worker in a shielded enclosure and that quick216

assessment of the success of a surgical excision procedure is possible. However, these small size
detectors are not suitable for the identification and quantification of radionuclides byspectrometry.
V.12. In setting up an advanced in vivo monitoring facility it would generally be recommended
that a variety of detection systems be installed, appropriate for the specific radionuclide(s) likely
to be of concern.
Measurement procedures
V.13. Subjects for direct measurements should be free of external surface contamination and in
fresh clothing, possibly disposable paper garments. Personal belongings such as jewellery,
watches and spectacles should be removed. Such precautions help to avoid false identifications ofinternal activity, and also prevent the transfer of contamination to the counting equipment.
Individuals should, to the extent practicable, be in a defined counting position, to ensure
reproducibility in serial measurements and to improve comparison with calibration results. In
some cases the subject will need to remain stationary for periods of up to an hour for satisfactory
precision in the measurement. Some means of communication should be provided for subjects in
enclosed shielding, particularly when extended counting periods are necessary.
V.14. Background counts arising in the detector are normally attributed to four sources:
(a)
(b)
(c)
(d)

Ambient background radiation from natural sources, such as cosmic rays or radon and its
decay products;
Background radiation from activity in the shielding and other equipment;
Radiation from natural radioactivity in the subject;
Radiation scattered into the detector by interactions of the subject with ambient radiation.

V.15. For counting systems based on scintillation counting (NaI(Tl) crystals or phoswich
detectors), background counts for the detector system should therefore be determined using anappropriate phantom, as similar as possible to the subject to be counted and placed in the definedcounting position. The background level can be considerably reduced by proper design andadequate shielding of the enclosure (for instance steel room facility), where the subject is counted
for internal contamination. For whole body counting, background counts determined using
uncontaminated subjects matched with respect to gender, height and weight will improve results.
However, exact matching will not be possible and factors such as 40K content cannot be
controlled, and therefore better results can be obtained from matched control groups, or frommeasurements on the specific individual made before starting work. Measurements ofbackground in the counter should be made as close as possible in time to the measurement of thesubject, ideally just before and just after. When using semiconductor detectors, backgroundcounting with matching phantoms is not necessary.
INDIRECT METHODSIntroduction
V.16. Indirect monitoring is based on the determination of activity concentrations in biologicalmaterials separated from the body — usually urine, faeces, breath or blood — or in physical217

samples taken from the work environment, such as samples of air or of contamination fromsurfaces.
V.17. Indirect methods have to be used for those radionuclides that do not emit strongly
penetrating radiation to any significant extent. For some other radionuclides, such as those that
emit only low energy photons or are preferentially eliminated in excretions, the insensitivity ofand uncertainties in the direct monitoring measurement may be such that an indirect method canprovide a more reliable estimate of intake. In other cases, indirect methods may be morepracticable than direct monitoring and be sufficiently accurate.
V.18. Information on the most suitable bioassay measurement techniques for all radionuclidesof common interest in occupational exposure are given in ICRP Publication 78 [13]. This
information is currently being updated [16].
Biological samples
V.19. The biological samples most commonly used for the estimation of intakes are urine andfaeces, but breath, blood or other samples are used in special cases. For example, the analysis ofactivity in a nose blow or nasal swab provides an early estimate of the identities and relative
levels of radionuclides in an inhaled mixture. In this case, however, the relationship between theactivity concentration in the sample and the intake is so uncertain that such data can provide only
a crude indication of the size of the intake.
V.20. The choice of bioassay sample will depend not only on the major route of excretion, as
determined from the physicochemical form of the intake and the biokinetic model for theelement(s) involved, but also on such factors as ease of collection, analysis and interpretation.
Urine samples are relatively easy to obtain and analyse. They generally provide information on
the intake of radionuclides in chemical forms that are readily transferred to the blood. On thecontrary, intakes of insoluble material are usually assessed from faecal samples.
Urine
V.21. Following the entry of radionuclides into the blood and systemic circulation, clearance
from the body will generally be via the urine. Urine contains waste and other materials, including
water, filtered by the kidneys from the blood, and collected for up to several hours or more in the
bladder before voiding. Because of this mixing in the bladder, radionuclide levels in samples ofurine obtained soon after an acute intake should be interpreted with caution. The bladder should
be cleared soon after the intake, and then a second and subsequent samples obtained. All samples
should be analysed.
V.22. After the first few days, 24 h samples of urine normally provide the best basis forassessing intake. In circumstances where 24 h samples have not been obtained, the total excretioncan be estimated by means of normalization relative to creatinine content, collection time (i.e.
lengthofactualsampling
interval),
volume,andspecific
gravity[222, 223]. It was recently observed that methods based on creatinine and specific gravity
normalization do not provide improved confidence over normalization by time or volume, andrequire additional measurements (and costs) for the laboratories involved [224].

218

V.23. In routine monitoring for radionuclides with prompt components of excretion,
consideration should be given to the day on which samples are taken, since there can besignificant differences between samples taken before and after even short periods free fromexposure.
V.24. For intakes of tritiated water, the concentration of tritium in urine is the same as in body
water and can be used to assess body content and dose rate without reference to an excretion
model. Direct dose assessment for intakes of tritiated water is provided in Annex VI of Ref.[225].
FaecesV.25. Faecal samples contain water, cellular debris lost from the wall of the gastrointestinal
tract, unabsorbed waste products transported through the gastrointestinal tract, including
insoluble materials cleared from the lung, and metabolic products cleared from the liver in bile.
The mass and composition of individual faecal voidings can be quite variable and depend
strongly on diet. For this reason, reliable estimates of daily faecal excretion rates of radioactive
materials can usually be based only on total collections over 3–4 d. Single samples should, inmost cases, only be used for screening purposes.
V.26. In the monitoring of workers chronically exposed to long-lived radionuclides, faecal
samples should ideally be collected after a vacation (at least ten days absence from work) andprior to return to the working environment. Such post-vacation measurements allow fordifferentiation between the fraction of inhaled radionuclides cleared rapidly through thegastrointestinal tract and the delayed clearance of systemic activity and long term deposits ofinsoluble forms of radionuclides in the lung.
Breath
V.27. Breath is a significant route of excretion only for those few materials which are exhaleddirectly or metabolized to gases or volatile liquids. However, for these cases, breath samples canprovide a convenient way of measuring the activity of excretions, free from most other sources ofradioactive contamination.
V.28. The measurement of thoron in breath has been used in various countries to determine
thorium intakes by workers involved in the mining and processing of thorium containing
minerals [226–231]. The thoron contained in the exhaled breath is used as a measure of the 224Ra,
and hence 232Th, present in the lung. The exhaled thoron activity is expressed as the activity of
the freely emanating 224Ra parent that would support the thoron concentration measured at the
subject’s mouth. The method provides a relatively inexpensive and portable means of detecting
moderate levels of inhaled thorium in the body. Two basic methods for measuring thoron inbreath are reported:(1)

The first method, as described for instance in Refs [226, 230], is based on the so-called
double filter system. Air from the lung is exhaled into a cylinder fitted with filters at bothends. The exhaled thoron decays during its transit and the progeny are collected on the exit
filter. After a delay of 5 h to allow the progeny to decay, the alpha activity on the filter ismeasured by alpha counting.

219

(2)

The second method, as described for instance in Refs [228, 232], is derived from theexperience of the Argonne National Laboratory [233]. The method is based on electrostaticcollection of the thoron progeny 212Pb, 85–88% of which is positively charged, onto a
negatively charged Mylar disc. After the collection period, the alpha decays can bemeasured by low level alpha spectrometry [229].

V.29. One disadvantage of the thoron in breath technique is that the measurements have to betaken after a period of lay-off from any work involving exposure to thorium following the intake,to take account of the clearance of activity in the upper airways and the possible presence of short
lived thoron progeny. The lay-off period has to be at least 12 h but preferably 72 h to allow forseven half-lives of 212Pb.
V.30. Another, more serious disadvantage is that the measurements require a knowledge of therelationship between exhaled thoron, expressed as the emanating 224Ra equivalent activity at themouth, and the lung burden of thorium. This relationship, referred to as the thoron emanation
rate, appears to depend on the nature of the thorium contamination, thereby making it importantto calibrate the breath measurement against in vivo measurements of thorium lung burden [234].
The calibration procedure requires workers with thorium lung burdens that are high enough to be
detected by the in vivo gamma counting technique. Estimates of thoron emanation rate vary
widely, from 3.7% to 20% [226, 230, 231, 235–239]. Because of this wide variation and theassociated uncertainty, the use of the thoron in breath technique is of limited value for routine
dose assessment.
Blood
V.31. Blood samples provide the most direct source for estimating radionuclides present in thesystemic circulation, but are not often used because of medical constraints on the sampling
process. Investigations of the concentration of thorium in the blood of heavy-mineral sands
workers in Western Australia [240] and thorium plant workers in India [241] have been
conducted but, with only a few exceptions (e.g. in the detection of HTO (dilute tritiated water),
59
Fe and 51Cr in labelled erythrocytes), blood samples provide very limited information on the
total systemic activity following an intake, because of rapid clearance from the blood stream anddeposition in tissues and organs.
Nose blows
V.32. Nose blows/nose swabs should not be used to estimate an intake, but can be useful in task
related and special monitoring to identify the components in a mixture of radionuclides. They canalso be used to indicate the need for additional sampling and analysis, especially when exposuredue to alpha-emitters such as actinides may have occurred.
Tissue samples
V.33. For localized deposits of radionuclides with high radiotoxicity (e.g. transuranic elements)
in a wound, it is usually advisable, subject to medical advice, to excise the contamination soonafter the intake. Radiochemical analysis of excised tissue by destructive and/or non-destructive
methods can provide information on the radionuclides and their relative concentrations, and may
assist in assessing the uptake to blood and in determining the course of further actions.
220

V.34. Other biological samples, such as hair and teeth, can be used to assess intakes although, in
general, they cannot be used for quantitative dose assessments.
Air samples
V.35. For compounds that disperse readily in air, such as radioactive gases and vapours (e.g.
14
CO2 and tritiated water), samples from stationary air samplers (SASs) can provide a reasonable
representation of inhaled radioactive material, especially in small rooms. SASs are deployed atfixed locations in the workplace and have relatively high sampling rates, typically about
20 L/min. For other sources, however, such as resuspended particulates, such samples may leadto estimates of the activity of the material inhaled that are wrong by an order of magnitude or
more, depending on the relative locations of the source, the sampler and the worker.
V.36. More representative samples are obtainable from personal air samplers (PASs), which arebattery powered systems carried by the worker that draw air samples from the immediate
breathing zone at a relatively low sampling rate, typically 2 L/min. Even these samples, however,may lead to an overestimation or underestimation of intakes, depending on assumptions madeabout particle size of the aerosol and breathing rates.
V.37. Both forms of sampling rely on the collection of radioactive material from the passing air
on a filter medium. To some extent, this medium will be specific to the material to be collected.
For example, particulate material can be captured on coarse fibre filters, while activated charcoal
beds are employed to sample radon gas and iodine vapour. Tritiated water can be collected in awater trap.
Airborne dust
V.38. The sampling efficiency of an air sampler is an important factor to be taken into accountin the assessment of internal exposure. Air samplers are designed to follow a specific particle size
sampling convention which is based on industrial hygiene sampling criteria and relates to thefraction of the total airborne particles sampled. In terms of this sampling convention, there arethree dust fractions that may be sampled:
(a)

(b)

(c)

The inhalable dust fraction is the fraction of total airborne particles that enters the bodythrough the nose and/or mouth during breathing — it includes particles with aerodynamic
diameters less than about 100 µm;
The thoracic dust fraction is the sub-fraction of the inhalable fraction that can penetrate
into the tracheo-alveolar region of the lung — it includes particles with aerodynamic
diameters less than about 30 µm;
The respirable dust fraction is the sub-fraction of the inhalable fraction that penetrates into
the alveolar region of the lung, including the respiratory bronchioles, the alveolar ducts andsacs — it includes particles with aerodynamic diameters less than about 10 µm.

V.39. In workplaces involving exposure to 238U and 232Th series radionuclides in airborne dust,
the following considerations apply to air sampling equipment and techniques:(a)

Air samplers typically underestimate the airborne activity concentration and thus theactivity inhaled. The degree of underestimation depends on the AMAD and GSD of the
221

(b)

(c)

(d)

(e)

(f)

ambient aerosol, the dust load in the air and on the type of sampler used [103]. A correction
factor can be applied to minimize the degree of underestimation. For an AMAD of 5 µm
and a GSD of 2.5 (the default values recommended in ICRP Publication 66 [134] forworkplaces where the actual values are unknown), this correction factor is 1.18 forinhalable samplers, 1.41 for thoracic samplers and 2.5 for respirable samplers [103]. The
use of the appropriate correction factor does not remove all of the uncertainty, however,
because the AMAD and GSD vary with location, time and circumstances of dust production
and can therefore never be known precisely.
The aerosol particle size distribution also has a significant effect on the dose coefficient,leading to an additional source of uncertainty when assessing the effective dose due to theinhalation of particles. The dependence of the dose coefficient on AMAD is particularly
strong for particles of lung absorption type S. When assessing the effective dose, it isimportant to select a sampler with a sampling efficiency that follows as closely as possible
the AMAD dependency of the relevant dose coefficients [103].
A knowledge of the lung absorption type is important because it is needed for determining
not only the most appropriate dose coefficient but also the type of sampler that bestminimizes the errors arising from an incomplete knowledge of the particle size distribution[103].
The preferred type of sampling for minimizing dose assessment errors is inhalable samplingfor particles of lung absorption type F and thoracic sampling for particles of lung absorption
types M and S [103]. Particles of lung absorption type M or S are likely to be encounteredin many NORM industries, but thoracic samplers are presently not as widely available asinhalable samplers and often are not suitable for alpha counting owing to the dust particles
being collected on foam rather than flat filters.
The alpha activity inhaled by workers may be underestimated if there is significant alphaparticle self-absorption in large particles or in multilayers or agglomerates of smaller
particles deposited on the filter. Dust loadings on filters may in such cases need to be
restricted accordingly. Various types of filter medium and sampling cassette are available.
Where the dust concentration is relatively low (say, about 1–2 mg/m3) and sampling isundertaken over a 4–6 h period, the choice of filter medium and cassette is not likely to be
critical. However, when the dust concentration is relatively high (more than about 3 mg/m3)
and the sampling is undertaken for a period of 8 h or more, the selection of equipment
requires more careful consideration. For some types of filter medium, such as PVC, part ofthe sample may be lost as a result of dust not fully adhering to the surface. For some typesof monitoring cassette, the dust may adhere to the inside wall, requiring it to be removed bywashing and added to the material collected on the filter prior to analysis [25].
For alpha emitting radionuclides other than those in NORM a delay between sample
collection and counting may be needed to enable the decay of short-lived 222Rn and 220Rn
progeny that would contribute to sample counts.

Radon
V.40. Personal monitoring devices for radon and its progeny are of either the passive or active
type. Passive devices take the form of solid state nuclear track detectors that are worn by aworker for an appropriate time period. After exposure, the track detectors are processed bychemical or electrochemical etching. The etching procedure reveals the nuclear tracks caused by
the alphas from decay of 222Rn. The density of the tracks is proportional to the cumulative222

exposure to 222Rn over the deployment period. Active devices involve the drawing of air througha sampling filter by a battery powered pump. The alpha emissions from the 222Rn progeny
deposited on the filter are recorded by:
(a)
(b)
(c)

A TLD detector disc, which provides information on gross alpha activity;
A silicon solid state detector with associated electronics, which again provides information
on gross alpha activity or provides nuclide specific information; or
A solid state nuclear track detector, which provides information on individual 222Rn
progeny.

V.41. For workplace monitoring of 222Rn in air, the concentration is determined either as an
instantaneous measurement based on a single air sample, known as a ‘grab sample’, or as a time
integrated measurement. Instantaneous measurements have traditionally been made using analpha scintillation cell, commonly referred to as a Lucas cell. In this method, a sample of the air
is collected in a detector chamber. The inside surface of the chamber has a scintillation coating
comprising a layer of silver activated zinc sulphide. The air sample is filtered to remove the 222Rn
progeny, leaving only the parent radionuclide 222Rn inside the chamber. As the 222Rn as well as
in-growing progeny decays by emitting alpha particles, the scintillations from the alpha decay arecounted at a known equilibrium by a photomultiplier mounted on top of the chamber. Other
techniques are available for instantaneous measurement of 222Rn. These include the pulsecounting ionization chamber technique and the double-filter sampler technique. The double-filter
sampler technique can be used for measuring both 222Rn and 220Rn. Air is passed through achamber after removal of 222Rn progeny and 220Rn progeny by an inlet filter. The decay of 222Rn
and 220Rn during passage through the chamber generates decay progeny which are collected on
an outlet filter. The alpha emissions from the decay progeny on the outlet filter are counted, theresults of which are used to back-calculate the 222Rn and 220Rn concentrations. Time integrated
measurements can be made by using nuclear track detectors known as ‘radon cups’, by using
TLDs, or by using devices known as electret passive environmental radon monitors (E-PERMs).
So-called ‘continuous’ monitoring techniques are available. They do not provide truly continuous
measurements, but are based on frequent instantaneous sampling using either adaptations of theinstantaneous sampling methods described above or are based on other specific techniques.
Active pumping or diffusion of radon gas into the sensitive volume of a high voltage chamberallow deposition of ingrowing shortly positively charged radon progeny on the surface of asilicon surface barrier detector for subsequent alpha spectroscopy. This method allows separationof 222Rn and 220Rn. Portable instruments are available that are relatively rugged and lightweight.
They have been used quite extensively in mining environments including underground mines.
Portable instruments can be equipped with alarms which are triggered when a specified 222Rn
concentration is exceeded.
V.42. Workplace monitoring of the short lived progeny of 222Rn is carried out by drawing air
through a filter to capture the progeny radionuclides. Because of the short half-lives of the 222Rn
progeny, counting of the alpha and/or beta activity on the filter (see para. V.57) has to be
performed during or shortly after sampling.
V.43. As with the monitoring of 222Rn gas concentrations, the monitoring of 222Rn progeny may
be carried out either by instantaneous measurements or by measurements over a given time
period. Through the development of automated sampling and analytical techniques, instruments
have become available for semi-continuous monitoring using integrated measurements and for223

continuous monitoring. In some instruments that perform alpha and/or beta spectroscopy, raw
data can be stored on a continuous basis within the instrument and downloaded later forprocessing to determine the individual radionuclide concentrations over time.
V.44. The instruments and counting methods used for measuring the concentrations of 222Rn
and its progeny can, in principle at least, be adapted for measuring the concentrations of 220Rn
and its progeny, with certain limitations. Some continuous monitoring instruments can measure220
Rn and its progeny. For personal monitoring, integrating nuclear track detectors can be used.
One type of personal alpha dosimeter records alpha emissions from 212Po separately, allowing thedirect measurement of 220Rn progeny.
Surface samples
V.45. Because the modelling of the transfer of radioactive material from surfaces into the bodyis particularly uncertain, samples of radionuclide concentrations on surfaces are used primarily toindicate the potential for significant intakes and the need for individual monitoring. Such samples
can also indicate the relative amounts of various radionuclides in a mixture and the presence ofany radionuclides not detected in a bioassay sample.
V.46. Surface samples are usually obtained by wiping a defined area of the surface withmaterials such as filter papers or cotton swabs. These materials are chosen for their ability totransfer the expected contaminants from the surface and to release them as needed for analysis.
The efficiency of collection should be determined for the particular combination of surface andwiping material, but is likely to be around 10% for a moist swab on a moderately porous surface.
Handling of samples
V.47. Special care should be taken in the handling of samples to be used for the assessment ofinternal exposure, firstly, to avoid the transfer of radioactive or biological contamination during
handling and, secondly, to ensure a traceable link between the analytical result and the original
sample, as required by the QA programme.
V.48. With respect to the potential hazard from contamination, both biological and radioactive
contaminants should be considered. Biological samples may contain pathogens such as bacteria
and viruses. These pathogens will be potentially active until the complete sample has been turned
into ash or otherwise sterilized. All such samples should therefore be stored at a low temperature,
preferably frozen, until analysis. This treatment will also reduce unwanted biological degradationof certain materials, such as organically bound tritium, for which the molecular form is an
important factor in the subsequent analysis. Another way to prevent degradation is to treat the
sample with acid.
V.49. To establish traceability, a chain of custody should be maintained such that at each step inthe collection, transport and analysis of the samples, documentation is created to describe andverify the transfers that have occurred.
V.50. Urine, faeces and other biological samples should not be collected in radioactively
contaminated areas, in order to ensure that the activity measured in the sample is representative224

only of body clearance. The sample should be clearly marked to show the worker’s identity andthe date and time of sample collection.
V.51. Those responsible for decisions concerning the type(s) of analysis to be performed on thesample should be informed about the areas in which the worker may have been exposed,
especially if the sample is likely to have high levels of activity, as may be the case for special
monitoring. It is also important that they be aware of the use of any medication or treatment that
may interfere with the sample analysis or its interpretation.
Methods of analysis
V.52. The analysis of biological or physical samples involves the detection and quantification ofemissions from the radionuclides present by appropriate instrumentation. In many cases, theradionuclides have first to be separated from the sample matrix to allow sensitive andreproducible detection. In some other cases, limitations of the detectors prevent discrimination
between radionuclides that have similar emissions (e.g. some actinides); in these cases, thesamples must be subjected to chemical separation of the elements (radiochemical separation)
before counting.
Detection
V.53. Instrumentation for radiometric assessment can be divided into three classes: that formeasuring alpha particles, that for beta particles and that for photon emissions.
V.54. Alpha particles can be detected by various techniques, each having advantages anddisadvantages. The simplest gross count of total alpha activity can be made using a ZnS detector
or a gas flow proportional counter. These methods are efficient, but do not discriminate between
alpha particles of different energies and cannot identify or quantify individual radionuclides in a
mixture. Radiochemical separation of individual radionuclides (see para. V.61) followed by alpha
spectroscopy analysis techniques using silicon detectors can be used to quantify individual
radionuclides, provided that their energies are sufficiently different. Long counting times are
generally needed to achieve adequate sensitivity. Radiometric analysis of individual
radionuclides is unlikely to be cost effective for routine analysis of individual air sampling filters
because it is time consuming and expensive. On a non-routine basis, however, filters can beretained, bulked over a longer period, and the activity determined by these more sensitive
analysis techniques to obtain the integrated intake of individual radionuclides over the longer
period.
V.55. Industrial activities involving NORM give rise to dust particles containing alpha emitting
radionuclides in the 238U and/or 232Th decay series. The detection of this alpha activity on air
sampling filters involves the following considerations:(a)

For NORM that has not been chemically or thermally processed, equilibrium of theuranium and thorium decay chains is unlikely to be significantly disturbed in freshly
generated dust particles. Apart from any subsequent escape of radon or thoron from thecaptured dust particles (see (c) below), equilibrium conditions can generally be assumed
when analysing air sampling filters by gross alpha counting.

225

(b)

For NORM that has been subject to chemical or thermal processing, equilibrium conditionsin the airborne dust particles cannot be assumed and the radionuclide composition should
therefore be determined before analysing air sampling filters by gross alpha counting.
(c) It is possible that some radon or thoron may escape from the captured dust particles
between the time of sampling and time of analysis. Investigations carried out for ore dust
particles suggest that the loss of 222Rn and 220Rn ranges from zero to about 50% [242]. Zeroloss of radon or thoron should be assumed for dust particles associated with minerals
having very low radon or thoron emanation coefficients, such as zircon and monazite. For
dust particles associated with other minerals, such as uranium ore or uranium–thorium ore,some loss of radon or thoron should be expected. For dust particles with uranium/thorium
decay chains in equilibrium at the time of sampling, the measured gross alpha activity
should be multiplied by a correction factor in the range 1 to 1.23 to account for the loss ofradon or thoron and the associated short lived progeny. For a typical loss of 25% radon or
thoron [243], a correction factor of about 1.10 would be needed.
V.56. Beta particles are most commonly detected by liquid scintillation counting, especially forlow energy beta emitters. In some cases separation of two or more beta emitters in a mixture,such as tritium, 14C and 32P, can be achieved by setting energy windows on the detector response.
Gross measurements of high energy beta emitters deposited on planchettes or filters can beobtained using gas flow proportional detectors. High energy beta particles can be detected by
Cherenkov counting with a liquid scintillation spectrometer.
V.57. Alpha and/or beta spectroscopy is commonly used for determining individual 222Rn
progeny concentrations on a filter. One alpha–beta spectroscopic technique uses a passivatedimplanted planar silicon (PIPS) detector. Various counting methods are employed, depending on
the amount of information on individual 222Rn progeny required. Counting may be performed justonce (‘single count’ methods) or may be performed as a sequence of counts at specified intervals
after sampling (‘two count’ and ‘three count’ methods). By solving the relevant equations forradionuclide decay and ingrowth, either the gross activity of the 222Rn progeny or the activities ofindividual progeny may be determined.
V.58. Photon emissions from physical or biological samples are usually detected byconventional gamma spectrometry.
V.59. Non-radiometric techniques are also available. For example, luminescence techniquessuch as UV fluorimetry or kinetic phosphorescence analysis (KPA) can be used for the assay of
uranium, irrespective of the degree of enrichment. For bioassay measurements at low detection
limits, inductively coupled plasma mass spectroscopy (ICP-MS) offers significant advantages inaccuracy, speed and/or sample preparation for the determination of uranium or thorium in urine[244], as does thermal ionization mass spectrometry (TIMS) for 239Pu [245]. Other techniques,
such as fission track analysis and neutron activation analysis can be used to measure specificradionuclides, but are time consuming, expensive and are necessary only in special
circumstances.
V.60. Counting times for all of the above methods will depend upon the activity in the sample,
the measurement equipment employed and the precision needed.
Radiochemical separation

226

V.61. In many cases, radionuclides need to be separated from the sample matrix, or fromradioisotopes of other elements, before counting, in order to allow the activity to be reliably
quantified. This process is, to a large extent, specific to the elements being separated, but
generally includes sample preparation and pre-concentration, purification, source preparation andyield determination. In general, a variety of approaches can be applied to isolate a specificradionuclide from sources of interference in order to improve detection. An essential element of
the process is to trace the recovery of the radionuclide through each step so that the final result
can be reliably related to the concentration in the initial sample. Appropriate blank samples
should be prepared to measure the background.

227

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Annex
TECHNIQUES FORRETROSPECTIVE DOSIMETRY
A-1.

This Annex is a shortened version of a recently published review [A–1].

HAEMATOLOGICAL TECHNIQUES
A-2. A differential blood cell count is the first quantitative bio-indicator that can be applied
after irradiation. The assay is readily available, automated and inexpensive because it is astandard diagnostic tool for investigating many clinical conditions. Measurements take only afraction of an hour for multiple samples.
A-3. For radiation exposures, the assay is quantified with respect to detecting acute and wholebody exposures (or nearly whole body exposures) that might lead to the haematologicalcomponent of the acute radiation syndrome.
A-4. Normal inter- and intra-individual variations in counts impose a background ‘noise’ suchthat it requires a dose of 1.0 Gy or higher before values depart from the normal ranges. The most245

informative early responses are the counts of lymphocytes and granulocytes. The platelet count isslower to respond because the lifespan of platelets in the circulating blood is longer.
A-5. Frequent repeated sampling is performed throughout the time course of clinicalmanagement, and the variation of the differential count with respect to the first sample, taken to
be close to the pre-irradiation background values, is plotted. It is therefore essential that the firstblood sample is taken as soon as possible after exposure.
CYTOGENETIC TECHNIQUES
A-6. Cytogenetic damage in peripheral blood lymphocytes (PBL) includes dicentricchromosomes, chromosome aberrations, micronuclei and translocations. The dicentricchromosome assay, the premature chromosome condensation technique and the micronucleus
assay are best applied to the assessment of dose from more recent exposures, whereas
fluorescence in situ hybridization (FISH) is the assay of choice to detect stable translocations for
exposures that have taken place years or decades before, or that are chronic.
Dicentric chromosome assay
A-7. Dicentric chromosomes are almost exclusively induced by ionizing radiation. The
spontaneous frequency of dicentrics is very low in the healthy general population (about one
dicentric per 1000 cells). Dicentric frequencies in PBL can show a clear linear quadratic dose–
effect relationship up to ~5 Gy for acute photon exposures. Due to these characteristics, thedicentric assay is able to detect whole-body doses down to about 0.1 Gy from the analysis of
500–1000 metaphase spreads. Ideally, the dicentric assay is performed on blood samples within a
few days of the exposure.
A-8. The duration of this assay depends on the number of cells analysed, on the level ofautomation and on the experience of the personnel. An assay takes 3 d or longer, including atleast 51 h for sample preparation. Dose estimates based on the analysis of 20–50 cells (1–2.5 h)
are sufficient to estimate the order of magnitude of the exposure, even if with large uncertainties(± 0.5 Gy). Mathematical procedures exist to take partial body exposure or dose protraction into
account [A–2, A–3].
Premature chromosome condensation techniqueA-9. The premature chromosome condensation (PCC) technique enables the visualization ofchromosome aberrations during interphase in both cycling and non-cycling cells. The frequencyof spontaneously occurring PCC fragments is in the range of 1–3 in 1000 cells. In general, 4–5
excess fragments per cell per gray are observed for low LET radiation. For the PCC assay,
unstimulated lymphocytes should be immediately isolated following exposure in order to perform
fusion with mitotic Chinese hamster ovary cells. If sampling is delayed, the repair kinetics for
PCC fragments have to be taken into account.

246

A-10. The whole process from collecting blood to slide preparation takes 3 h at most.
Microscope scoring of Giemsa-stained preparations is time consuming. However, utilization of
automated systems for scoring PCC fragments, currently under development, can speed up theanalysis.
A-11. The chemically induced PCC assay uses the phosphatase inhibitors calyculin A andokadaic acid, which induce chromosome condensation in S and G2 phase cells but not in
unstimulated lymphocytes. This assay therefore takes at least 40 h. It has been found to besuitable for the analysis of ring chromosomes, especially at higher doses[A–4].
Micronucleus assay
A-12. Micronuclei (MN) arise from acentric fragments or whole chromosomes that are notincorporated into the daughter nuclei during cell division. MN are not radiation specific: they canbe caused by exposure to many clastogenic and aneugenic agents. Like dicentrics, MN represent
unstable chromosome aberrations, which disappear with time after exposure, and thus their use isrestricted to rather recent exposures.
A-13. Compared to the dicentric assay, scoring of MN is simple and quick and does not require
extensive experience in cytogenetics. Together with the fact that MN scoring can be automated,
this technique proves to be very attractive for high throughput analysis and has been validated asa good dosimetric tool in a limited number of small radiation accidents [A–2, A–6]. However itdoes not allow the assessment of partial body irradiation, as MN are inherently overdispersed.
A-14. The greatest limitations of this technique are the time needed to obtained a first dose
estimate (at least 75 h, due to the fact that lymphocytes require 3 d to enter cytokinesis following
stimulation) and the relatively high and variable spontaneous MN yield, that tends to increase
with age and is more pronounced in females [A–5]. The detection limit can be lowered to 0.05–
0.1 Gy by restricting scoring to centromere-negative MN, since their frequency is not affected by
the age-dependent increase [A–6].
Fluorescence in situ hybridization (FISH)
A-15. The technique most commonly used is single colour FISH (sFISH), which enables thedetection of inter-exchanges, such as dicentrics and translocations. In order to assess induced
translocations among different labelled chromosomes, multi-colour FISH (mFISH) and, forwhole genome analysis, multiplex FISH (M-FISH) have been developed. M-FISH is the methodof choice for studying complex interchromosomal rearrangements. It is a 24-colour technique toidentify and evaluate the size, shape, and number of chromosomes in a sample of body cells.
A-16. Translocation frequencies have been shown to persist for many years in circulating
lymphocytes [A–7 to A–10], making this technique very advantageous in cases of protracted
exposure or for assessment of old exposures. The FISH techniques have been most widely used247

in individuals exposed to low-LET radiation, but have also been used in individual exposed tohigh-LET radiation.
A-17. Processing times are about 5 d after receipt of a blood sample, due to the lengthy
hybridization protocols. Background frequencies increase significantly with age [A–11, A–11]
and can vary greatly between individuals of similar age and dose history. Smoking habits havebeen suggested to be a significant additional confounding factor [A–12].
GENETIC TECHNIQUES
Somatic mutation assays
A-18. Two somatic mutation assays have been suggested for use as alternative biodosimeters tochromosome aberration analysis: the Glycophorin A (GPA) and hypoxanthine-guaninephosphoribosyl transferase (HPRT) mutation assays. Several studies have compared one or bothof these assays with chromosome aberration analysis but all have concluded the latter to be thetechnique of choice for retrospective biodosimetry [A–13 to A–15].
Gene expression assays
A-19. Expression levels of many genes are modulated in response to exposure to ionizing
radiation. Gene expression profiles have been assessed in radiation workers and radiotherapy
patients [A–16 to A–19]. The key steps in the application of the assay in array format are RNA
extraction, labelling and hybridization. About 2 d can be required before a dose estimate for lessthan 10 samples can be obtained.
PROTEIN BIOMARKERS
A-20. Numerous changes in protein abundance and localization as well as enzymatic
modifications occur as a consequence of biological responses to irradiation at the cellular, tissue
or systemic level. Such changes can be identified in urine or blood samples using a range ofproteomic approaches. The time between sample receipt and result is typically of the order of afew hours for these assays.
γ-H2AX
A-21. The immunofluorescence microscopic detection of foci of the phosphorylated histone γH2AX — which form at the sites of DNA double strand breaks — has been tested in multiple
clinical settings, showing that it is a sensitive biomarker for radiation exposure. γ-H2AX fociform within minutes after irradiation in a dose-dependent manner. Foci levels peak within lessthan an hour and then decay rapidly, returning to baseline levels within one to several days,
depending on the dose received.
A-22. The sensitivity of this array is reduced by considerable inter-individual variation of
baseline levels and by the rapid loss of foci over time. Therefore it can be reliably applied only to248very recent exposures (less than 1 d). Automated foci scoring techniques ensure more
reproducible scoring criteria [A–20].
C-reactive protein
A-23. A high level of radiation exposure induces an inflammatory response which, throughcytokines, triggers the induction of C-reactive protein (CRP) for a few days after the exposure.
Given that CRP is increased in a large number of acute or chronic medical conditions, it is not
specific to radiation and therefore unsuitable as a stand-alone biodosimetry tool.
A-24. The advantage of the CRP assay is that it is already fully automated and can be performed
rapidly (within a few hours) at any modern hospital with a clinical biochemistry department.
Also, hand-held deployable CRP assay systems are in routine use, therefore it can be used as a
rapid screening tool.
Serum amylase
A-25. Increased serum amylase activity (hyperamylasaemia) is observed after irradiation of thesalivary tissue, as a consequence of the induction of acute inflammatory and degenerativechanges. In a similar fashion to that for CRP, serum amylase levels increase in a dose dependent
manner, peak at 18–30 h after the exposure and return to baseline levels within a few days [A–21]. One obvious limitation of the technique is its restriction to the dose received by the salivary
gland, since irradiation of other tissues would not change amylase levels significantly.
Furthermore, as with CRP, it is not specific for radiation and therefore unsuitable as a stand-alone
biodosimetry tool.
A-26. Various other protein markers for human radiation exposure have been suggested [A–22,
A–23].
PHYSICAL TECHNIQUES
A-27. Physical techniques are those that involve the investigation of physical effects producedby radiation, rather than biological effects, even when performed in biological tissues such as
hair, fingernails, tooth enamel and bone. In general, the time from sample receipt to dose estimate
is between 1 and 48 h, depending on the required accuracy.
Electron paramagnetic resonance (EPR) dosimetryA-28. The EPR technique gives an estimate of the absorbed dose by detection of theparamagnetic centres, such as radicals or point defects that are specifically generated by ionizing
radiation. Typical applications are EPR spectroscopy with tooth enamel [A–24, A–25] or, whenbone biopsies are available, bone tissue [A–26]. Both require invasive sample collection,
however. Other suitable materials which can be collected with non-invasive procedures include
sugar, plastics, glass, wool, cotton, hair and nails.

249

A-29. The time stability of the EPR signal varies widely between materials, ranging from 5 to 7
d for plastics [A–27] to ~106 years for tooth enamel [A–28]. The presence of background EPR
non-radiation-induced signals affects the detection limits of the technique, varying widely
between ~100 mGy for tooth enamel and 10 Gy for cotton.
A-30. The preparation of samples for EPR dosimetry is usually relatively simple. Depending on
the material, a single measurement can take between some minutes up to a few hours. The
readout is non-destructive, allowing for repeated measurements of the same sample. A drawback
is that EPR spectrometers are expensive and highly qualified personnel are required for theiroperation.
A-31. Techniques for in vivo EPR measurements of teeth use microwave frequencies of 1 GHz[A–29], i.e. lower than those used for conventional in vitro measurements (about 10 GHz). With
low-frequency microwaves a loss in sensitivity of a factor of 5–10 compared with X band
spectrometry is expected from calculations, hence the detection limit is expected to be in therange 0.5–1 Gy.
Luminescence dosimetryA-32. The basis for luminescence techniques in retrospective dosimetry is the same as that
described in Appendix II for luminescence techniques in prospective dosimetry. Quartz extracted
from bricks and other fired building materials is currently the main mineral used for retrospective
luminescence dosimetry purposes. In addition to quartz, other phosphors have recently beenstudied, which can be found either in the urban environment or in materials carried on or close to
the body by the general population [A–30].
A-33. Examples of such materials include memory chip modules from telephone cards, identity
cards, health insurance cards, cash cards and credit cards [A–30 to A–34], ceramic resistors of
portable electronic devices such as mobile telephones [A–34, A–35], materials used for dental
restoration [A–31, A–36], tooth enamel [A–37, A–38], household and workplace chemicals [A–39, A–40] and glass [A–41].
A-34. Procedures for sample preparation and measurement protocols vary but are comparatively
quick and easy for most materials: processing of a sample from a personal object can be achieved
within less than an hour. Most of these items show a linear dose response over a wide dose range,and detection limits of the order of 10 mGy can be achieved for most materials.
Activation techniques
A-35. Neutron activation techniques are based on the measurement of radioactivity induced byneutron interaction with biological tissues, such as blood, hair or nails, or metallic elements wornby the victims, such as coins, jewellery or belt buckles.
A-36. Activation techniques can be used in the emergency management of a criticality accident
and in dose reconstructions many years after exposure to neutrons. In the early phase of the250management of a criticality accident, rapid and efficient triage can be performed using themeasurement of sodium activation in humans. At the site of an accident, it is possible to perform
very rapid measurements of gamma radiation emitted by 24Na (produced by activation of 24Na inthe body and emitting gamma peaks at 1.36 and 2.75 MeV with a half-life of 14.96 h) with asimple direct gamma survey instrument positioned against the abdominal area of a victim. A
more precise estimate of the sodium activity in the victim can be performed at a later time using awhole-body counter or by gamma spectrometry of blood samples.
A-37. Measurements of activated sulphur in hair and nails have also been used for dosereconstruction following accidents. In this case, the beta particles emitted by 32P produced by
activation of 32S in the body can be measured directly using a Geiger-Müller counter or by liquid
scintillation techniques, following simple chemical procedures.
A-38. Another possibility is to determine doses by measuring long lived activated nuclei inenvironmental samples (63Ni in copper samples and 152Eu, 60Co, 59Ni, 41Ca, 39Ar, 36Cl, 14C, 10Be
in granite gravestones) or in biological materials (41Ca in tooth enamel), as was done for atomic
bomb survivors.

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CONTRIBUTORS TO DRAFTING AND REVIEW
Doty, R.

Consultant, USA

Giussani, A.

BfS, Germany

Gaunt, M.R.

Rolls-Royce plc., United Kingdom

Hajek, M.

International Atomic Energy Agency

Haridasan, P.P.

International Atomic Energy Agency

Kutkov, V.

IEC, International Atomic Energy Agency

Ma, J.

International Atomic Energy Agency

Nestoroska, M. S.

IEC, International Atomic Energy Agency

Niu, SInternational Labour Office, Geneva

Pradeepkumar, K.S.

Bhabha Atomic Research Centre, India

Pushparaja, P.

Editor, Journal of Radiation Protection and Environment, India

Saigusa, S.

National Institute of Radiological Sciences, Japan

Shaw, J.

Public Health England, United Kingdom

Suzuki, T.

National Institute of Radiological Sciences, Japan

Vanhavere, F.

SCK-CEN, Belgium

Wymer, D.G.

Consultant, South Africa

Xia, Y.

China Institute of Atomic Energy, China

Zodiates, T.

EdF Energy Nuclear Generation Ltd, United Kingdom254

BODIES FOR THE ENDORSEMENT
OF IAEA SAFETY STANDARDSCommission on Safety Standards[to be added]

Radiation Safety Standards Committee[to be added]

Waste Safety Standards Committee[to be added]

Nuclear Safety Standards Committee[to be added]

Transport Safety Standards Committee[to be added]

255