reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 7 - MEDICAL USES OF RADIOACTIVE MATERIAL › Section R9-7-741 - Additional Radiation Surveys of Sealed Sources used in Radiation Therapy

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to
				the survey requirement in Article 4 of this Chapter, a person licensed to use
				sealed sources in the practice of radiation therapy shall make surveys to
				ensure that the maximum radiation levels and average radiation levels from the
				surface of the main source safe with each source in the shielded position do
				not exceed the levels stated in the Sealed Source and Device
				Registry.
B. A licensee shall make
				the survey required by subsection (A) at installation of a new source and
				following repairs to any source shielding, a source's driving unit, or other
				electronic or mechanical component that could expose the source, reduce the
				shielding around a source, or compromise the radiation safety of the unit or
				the source.
C. A licensee shall
				retain a record of the radiation surveys required by subsection (A) for three
				years from the date of each survey.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 7 - MEDICAL USES OF RADIOACTIVE MATERIAL › Section R9-7-742 - Five-year Inspection for Teletherapy and Gamma Stereotactic Radiosurgery Units

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				licensee shall have each teletherapy unit and gamma stereo-tactic radiosurgery
				unit fully inspected and serviced during source replacement or at intervals not
				to exceed five years, whichever comes first, to assure proper functioning of
				the source exposure mechanism.
B.
				This inspection and servicing may only be performed by persons specifically
				licensed to do so by the Department, the NRC, or an Agreement State.
C. A licensee shall keep a record of each
				five-year inspection for three years from the date of the inspection, if the
				inspection determined that service was unnecessary, and three years from the
				date of the completed service if the inspection determined that service was
				needed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 7 - MEDICAL USES OF RADIOACTIVE MATERIAL › Section R9-7-743 - Therapy-related Computer Systems

Current through Register Vol. 30, No. 28, July 12, 2024
The licensee shall perform acceptance testing on the
				  treatment planning system of therapy-related computer systems in accordance
				  with published protocols accepted by nationally recognized bodies. At a
				  minimum, the acceptance testing shall include, as applicable, verification
				  of:
1. The source-specific input
				parameters required by the dose calculation algorithm;
2. The accuracy of dose, dwell time, and
				treatment time calculations at representative points;
3. The accuracy of isodose plots and graphic
				displays;
4. The accuracy of the
				software used to determine sealed source positions from radiographic images;
				and
5. The accuracy of electronic
				transfer of the treatment delivery parameters to the treatment delivery unit
				from the treatment planning system.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 7 - MEDICAL USES OF RADIOACTIVE MATERIAL › Section R9-7-744 - Training for Use of Remote Afterloader Units, Teletherapy Units, and Gamma Stereotactic Radiosurgery Units

Current through Register Vol. 30, No. 28, July 12, 2024
A. Except as provided in
				R9-7-710,
				a licensee shall require an authorized user of a sealed source for a use
				authorized under Group 600 in Exhibit A, Medical Use Groups of this Article to
				be a physician who:
1. Is certified by a
				medical specialty board whose certification process has been recognized by the
				Department, the NRC or another Agreement State and who meets the requirements
				in subsection (A)(2)(e). The names of board certifications that have been
				recognized by the Department, the NRC or another Agreement State are specified
				in the NRC's Medical Uses Licensee Toolkit available through
https://www.nrc.gov
. To have its
				certification process recognized, a specialty board shall require all
				candidates to:
a. Successfully complete a
				minimum of three years of residency training in a radiation therapy program
				approved by the Residency Review Committee of the Accreditation Council for
				Graduate Medical Education or the Royal College of Physicians and Surgeons of
				Canada or the Council on Postdoctoral Training of the American Osteopathic
				Association; and
b. Pass an
				examination, administered by diplomates of the specialty board, which tests
				knowledge and competence in radiation safety, radionuclide handling, treatment
				planning, quality assurance, and clinical use of stereotactic radiosurgery,
				remote after-loaders and external beam therapy; or
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 7 - MEDICAL USES OF RADIOACTIVE MATERIAL › Section R9-7-745 - Report and Notification of a Medical Event

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee shall report any "medical"
				event, except for an event that results from patient intervention, in which the
				administration of radioactive material or radiation from radioactive material
				results in:
1. A dose that differs from the
				prescribed dose or dose that would have resulted from the prescribed dosage by
				more than 0.05 Sv (5 rem) effective dose equivalent, 0.5 Sv (50 rem) to an
				organ or tissue, or 0.5 Sv (50 rem) shallow dose equivalent to the skin; and
a. The total dose delivered differs from the
				prescribed dose by 20 percent or more;
b. The total dosage delivered differs from
				the prescribed dosage by 20 percent or more or falls outside the prescribed
				dosage range; or
c. The
				fractionated dose delivered differs from the prescribed dose, for a single
				fraction, by 50 percent or more.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 7 - MEDICAL USES OF RADIOACTIVE MATERIAL › Section R9-7-746 - Report and Notification of a Dose to an Embryo, Fetus, or Nursing Child

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee shall
				report any dose to an embryo/fetus that is greater than 50 mSv (5 rem) dose
				equivalent that is a result of an administration of radioactive material or
				radiation from radioactive material to a pregnant individual unless the dose to
				the embryo/fetus was specifically approved, in advance, by the authorized
				user.
B. A licensee shall report
				any dose to a nursing child that is a result of an administration of
				radioactive material to a breast-feeding individual that:
1. Is greater than 50 mSv (5 rem) total
				effective dose equivalent; or
2.
				Has resulted in unintended permanent functional damage to an organ or a
				physiological system of the child, as determined by a physician.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 7 - MEDICAL USES OF RADIOACTIVE MATERIAL › Exhibit A - Medical Use Groups

Current through Register Vol. 30, No. 28, July 12, 2024
Group 100
Included is the use of any unsealed radioactive material for
				  use in uptake, dilution, or excretion studies and not requiring a written
				  directive: The radioactive material in this group shall be:
1. Obtained from a manufacturer or preparer
				licensed under R9-7-703(C)(2)(a), or equivalent NRC or Agreement State
				requirements; or
2. Obtained from a
				PET radioactive drug producer licensed under R9-7-703 or equivalent NRC or an
				Agreement State license excluding production of PET radionuclides prepared by
				an authorized nuclear pharmacist who meets the requirements in R9-7-712, a
				physician who is an authorized user and who meets the requirements specified in
				R9-7-721, or R9-7-723 and
				R9-7-721(3)(b)(vii),
				or an individual under the supervision of either as specified in R9-7-706;
				or
3. If a research protocol:
a. Obtained from and prepared by an Agreement
				State or NRC licensee for use in research in accordance with a Radioactive Drug
				Research Committee-approved protocol or an Investigational New Drug (IND)
				protocol accepted by FDA; or
b.
				Prepared by the licensee for use in research in accordance with a Radioactive
				Drug Research Committee-approved application or an Investigational New Drug
				(IND) protocol accepted by FDA.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-801 - Scope

Current through Register Vol. 30, No. 28, July 12, 2024
The rules in this Article establish requirements for the use
				  of analytical x-ray equipment by persons registered under R9-7-204. The
				  provisions of this Article supplement other applicable provisions of this
				  Chapter
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-802 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
"Analytical x-ray equipment" means devices or machines used
				  for x-ray diffraction or x-ray induced fluorescence analysis.
"Analytical x-ray system" means a group of components
				  utilizing x-rays to determine the elemental composition or to examine the
				  microstructure of materials.
"Enclosed beam x-ray system" means an analytical x-ray system
				  constructed in such a way that access to the interior of the enclosure housing
				  the x-ray source is precluded during operation except through bypassing of
				  interlocks or other safety devices to perform maintenance or servicing.
"Fail-safe characteristic" means a design feature which
				  causes beam port shutters to close, or otherwise prevents emergence of the
				  primary beam, upon the failure of a safety or warning device.
"Local component" means part of an analytical x-ray system
				  and includes each area that is struck by x-rays such as radiation source
				  housings, port and shutter assemblies, collimators, sample holders, cameras,
				  goniometers detectors and shielding, but does not include power sup-plies,
				  transformers, amplifiers, readout devices, and control panels.
"Normal operating procedures" means instructions or
				  procedures including but not limited to, sample insertion and manipulation,
				  equipment alignment, routine maintenance by the registrant, and data recording
				  procedures which are related to radiation safety.
"Open beam x-ray system" means an analytical x-ray system
				  which permits an individual to place some body part in the primary beam path
				  during normal operation.
"Primary beam" means radiation which passes through an
				  aperture of the source housing on a direct path from the x-ray
				  tube.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-803 - Enclosed-beam X-ray Systems

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Enclosed beam x-ray systems are exempt from other equipment requirements
				contained in this Article provided the enclosed beam x-ray systems are designed
				and constructed so that radiation levels measured at 5 cm from any accessible
				surface of the enclosure housing the x-ray source do not exceed 5 µSv (0.5
				mrem) in one hour
B. A registrant
				using enclosed beam x-ray systems shall comply with applicable provisions
				R9-7-804(A), R9-7-805(B), and 9 A.A.C. 7, Article 4.
C. A person who maintains or services
				analytical x-ray systems, shall:
1. Obtain
				permission in advance from the radiation safety officer before bypassing
				interlocks or other safety devices,
2. Label equipment as "out of service" until
				maintenance or service is completed,
3. Wear extremity personnel monitoring
				devices, and
4. Ensure that
				interlocks or other safety devices are operating upon completion of maintenance
				or service.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-804 - Open-beam X-ray Systems

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A registrant shall label open beam x-ray systems with a readily discernible
				sign or signs bearing the radiation symbol and the words:
1. "CAUTION -- HIGH INTENSITY X-RAY BEAM," or
				a similar warning, on the x-ray source housing; and
2. "CAUTION RADIATION -- THIS EQUIPMENT
				PRODUCES RADIATION WHEN ENERGIZED" or a similar warning, near any switch that
				energizes an x-ray tube if the radiation source is an x-ray tube.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-805 - Administrative Responsibilities

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				A registrant shall designate a radiation safety officer who shall:
1. Establish and maintain operational
				procedures so that the radiation exposure of each worker is kept
				ALARA;
2. Instruct all personnel
				who work with or near radiation producing machines in safety
				practices;
3. Maintain a system of
				personnel monitoring;
4. Establish
				radiation control areas, including placement of appropriate radiation warning
				signs or devices;
5. Provide a
				radiation safety inspection of radiation producing machines on a routine
				basis;
6. Review modifications to
				x-ray systems, including x-ray tube housing, cameras, diffractometers,
				shielding, and safety interlocks;
7. Investigate and report proper authorities
				any case of excessive exposure to personnel and take remedial action;
				and,
8. Be familiar with all
				applicable rules for control of ionizing radiation.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-806 - Operating Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				radiation safety officer shall establish written emergency procedures and post
				the procedures in a conspicuous location. The procedures shall include the
				telephone number of the radiation safety officer.
B. A registrant shall ensure that written
				operating procedures are available for all analytical x-ray equipment workers.
				An individual shall not operate analytical x-ray equipment in any manner other
				than that specified in the procedures unless the individual obtains the
				radiation safety officer's written approval.
C. An individual shall not bypass a safety
				device or interlock unless the individual has obtained Radiation Safety Officer
				approval. The approval shall be for a specific period of time. When a safety
				device or interlock has been bypassed, the Radiation Safety Officer shall place
				a readily discernible sign on the radiation source housing, warning the reader
				of the unsafe condition. A registrant shall maintain the written record of the
				bypass approval for three years after the approval expires.
D. Except as authorized in subsection (C), an
				individual shall not perform an operation involving removal of covers,
				shielding materials, or tube housings or modification of shutters, collimators,
				or beam stops without ascertaining that the tube is off and that it will remain
				off until all protective devices have been restored to the normal operating
				condition. An individual repairing analytical x-ray equipment shall use the
				main switch, rather than interlocks, for routine shutdown in preparation for
				repairs.
E. A registrant shall
				ensure that unused ports on radiation source housings are closed and secured
				against unauthorized access to the radiation source.
F. Finger or wrist personnel monitoring
				devices shall be used by:
1. Operators of open
				beam analytical x-ray equipment not equipped with a safety device;
				and
2. Personnel performing
				maintenance procedures that require the presence of a primary x-ray beam when
				any local component is disassembled or removed.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-807 - Surveys

Current through Register Vol. 30, No. 28, July 12, 2024
A. To ensure that
				personnel exposure does not result in a dose to an individual that exceeds the
				dose limits specified in Article 4, a registrant shall perform a radiation
				survey upon:
1. Installation of the equipment
				and at least once each year after installation;
2. Change in the initial arrangement, number,
				or type of local components in the system;
3. Maintenance that involves disassembly or
				removal of a local component in the system;
4. Maintenance that involves alignment, if
				alignment requires the generation of the primary x-ray beam while any local
				component of the system is disassembled or removed;
5. A visual inspection of the local
				components in the system that reveals an abnormal condition; or
6. Determination that personnel are being
				exposed to radiation in excess of established levels recorded in monitoring
				records for personnel during previous monitoring periods or the occupational
				dose limits specified in Article 4.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-808 - Posting

Current through Register Vol. 30, No. 28, July 12, 2024
A registrant shall conspicuously post each area or room that
				  contains analytical x-ray equipment with a sign or signs that bear the
				  radiation symbol and the words "CAUTION - X-RAY EQUIPMENT" or words with a
				  similar meaning.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 8 - RADIATION SAFETY REQUIREMENTS FOR ANALYTICAL X-RAY OPERATIONS › Section R9-7-809 - Training

Current through Register Vol. 30, No. 28, July 12, 2024
A registrant shall not be allow an individual to operate or
				  maintain analytical x-ray equipment unless the individual has received training
				  and demonstrated competence in:
1.
				Identifying radiation hazards associated with use of the equipment;
2. Recognizing and using radiation warning
				and safety devices, including interlocks that are incorporated into the
				equipment, and understanding why these devices are sometimes not
				installed;
3. Taking precautions
				associated with use of the equipment;
4. Recognizing symptoms of an acute localized
				exposure; and
5. Following proper
				procedure for reporting a suspected personnel exposure.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-901 - Purpose and Scope

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				This Article establishes procedures and requirements for the registration and
				the use of particle accelerators.
B. In addition to the requirements of this
				Article, all registrants are subject to the requirements of Articles 1, 2, 4
				and 10. Registrants engaged in industrial radiographic operations are subject
				to the requirements of Article 11, and registrants engaged in the healing arts
				are subject to the requirements of Article 6 of this Chapter. Registrants using
				a particle accelerator for the production of radioactive material are subject
				to the requirements of Article 3, and if the radioactive material is used for
				medical purposes, Article 7.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-903 - General Registration Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. The requirements in this Section
				supplement the registration requirements in 9 A.A.C. 7, Article 2
B. The Department shall approve a
				registration application for use of a particle accelerator only if the
				Department determines that:
1. The applicant
				is qualified by training and experience to use the accelerator for the purpose
				in the application submitted to the Department under Article 2;
2. The applicant's proposed equipment,
				facilities, and operating and emergency procedures are adequate to protect
				public health;
3. The applicant
				satisfies any other applicable l requirements in this Section; and
4. The applicant has appointed a radiation
				safety officer.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-904 - Registration of Particle Accelerators Used in the Practice of Medicine or Human Research

Current through Register Vol. 30, No. 28, July 12, 2024
A. The requirements
				in this Section supplement the registration requirements in R9-7-903.
B. An applicant that is a "medical
				institution," as defined in Article 7 of this Chapter, and performing human
				research shall appoint a radiation safety committee that:
1. Consists of at least four individuals
				including:
a. An authorized user of each type
				of use permitted by the registration,
b. The Radiation Safety Officer,
c. A representative of the nursing service,
d. A representative of management
				who is neither an authorized user nor a Radiation Safety Officer, and
e. Any other members the registrant
				selects;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-905 - Medical Particle Accelerator Equipment, Facility and Shielding, and Spot Checks

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Equipment
1. Leakage radiation
a. X-ray leakage radiation from the source
				housing assembly shall not exceed 0.1 percent of the maximum dose equivalent
				rate of the unattenuated useful beam.
b. Neutron leakage radiation from the source
				housing assembly shall not exceed 0.5 percent of the maximum dose equivalent
				rate of the unattenuated useful beam.
c. Leakage radiation measurements made at any
				point 1 meter from the path of the charged particle between its point of origin
				and the target, window or scattering foil shall meet the requirements of
				subsection (A)(1)(a) and (b) when computed as a percentage of the dose rate
				equivalent of the unattenuated useful beam measured at 1 meter from the virtual
				source. Leakage radiation measurements at each point shall be averaged over an
				area up to but not exceeding 100 square centimeters (15.5 square
				inches).
d. The registrant shall
				maintain, for inspection by the Department, records that show leakage radiation
				measurements for the life of the operation.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-906 - Limitations

Current through Register Vol. 30, No. 28, July 12, 2024
A. A registrant
				shall not permit an individual to act as:
1. A
				particle accelerator operator of any type unless the individual:
a. Has received copies of and instruction in
				this Article and the registrant's operating and emergency procedures,
b. Demonstrates an understanding of the
				material, and
c. Has demonstrated
				competence in the use the particle accelerator, related equipment, and survey
				instruments that will be employed during the operation of the particle
				accelerator;
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-907 - Shielding and Safety Design

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				An authorized medical physicist experienced in the principles of radiation
				protection and installation design shall be consulted in the design of a
				particle accelerator installation and called upon to perform a radiation survey
				when the accelerator is first capable of producing radiation. The registrant
				shall provide a copy of the installation radiation survey to the Department
				before a Department inspection conducted according to R9-7-914.
B. The registrant shall shield each particle
				accelerator installation with the primary and secondary protective barriers
				necessary to comply with
				R9-7-408 and
				R9-7-416.
C. At the time of application for
				registration and before treatment of the first patient, the applicant shall
				provide to the Department a copy of an installation report, signed by the
				contractor who installed required shielding material recommended by the
				authorized medical physicist who performed the shielding calculations for the
				particle accelerator facility.
D.
				As part of the annual radiation protection program review required in
				R9-7-407(C), the registrant shall document installed facility shielding and
				other radiation exposure controls, review patient workload, and note associated
				changes, if any, in public exposure that are the result of installed facility
				shielding, increased workload, and other radiation exposure controls in use at
				the time of the review.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-908 - Particle Accelerator Controls and Interlock Systems

Current through Register Vol. 30, No. 28, July 12, 2024
A registrant shall ensure that:
1. Instrumentation, readouts and controls on
				the particle accelerator control panel are clearly identified and easily
				discernible;
2. All entrances into
				the area that contains the particle accelerator room, target room, or other
				high radiation area, are provided with interlocks that shut down the machine if
				an entrance door is opened;
3. If
				an interlock system connected to an entrance door that provides access to the
				therapy suite has been tripped, it is not possible to resume operation of the
				particle accelerator by resetting the interlock switch at the entrance where it
				had been tripped;
4. Each safety
				interlock is on a circuit that allows it to operate independently of all other
				safety interlocks;
5. If possible,
				the interlock system is fail-safe in design, so that any defect or component
				failure in the interlock system prevents operation of the particle accelerator;
				and
6. A scram button or other
				emergency power cutoff switch is located and easily identifiable in the area
				that contains the particle accelerator. The registrant shall ensure that the
				scram button prevents persons from restarting the particle accelerator at the
				accelerator control panel without resetting the button or switch.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-909 - Warning Systems

Current through Register Vol. 30, No. 28, July 12, 2024
A registrant shall ensure that:
1. High radiation areas and entrances to the
				high radiation areas in medical facilities are equipped with a
				continuously-operating warning light system that operates when, and only when,
				radiation is produced;
2. High
				radiation areas and entrances to the high radiation areas in nonmedical
				facilities are equipped with an easily-observable flashing or rotating warning
				light system that operates when, and only when, radiation is
				produced;
3. High radiation areas
				associated with nonmedical particle accelerators have an audible warning device
				that is activated for 15 seconds before creation of the high radiation area;
				and the warning device is clearly discernible in all high radiation areas and
				all radiation areas; and
4. High
				radiation areas associated with any particle accelerator are posted according
				to R9-7-428 and R9-7-429.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-910 - Operating Procedures

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				registrant shall secure from use a particle accelerator when it is not being
				used to prevent unauthorized use.
B. A particle accelerator operator shall use
				the switch on the control panel to turn the accelerator beam on and off during
				normal operations. The safety interlock system may be used to turn off the
				accelerator beam in emergencies.
C.
				A registrant shall ensure that all safety and warning systems, including
				interlocks, are tested for proper operation at intervals not to exceed three
				months, and maintain a record of each test for Department inspection for at
				least three years from the date of the test.
D. A registrant shall keep current electrical
				circuit diagrams of a particle accelerator and the associated interlock
				systems, and maintain the diagrams for inspection by the Department.
E. A registrant shall not bypass an interlock
				unless the by-pass is:
1. Authorized in
				writing by the Radiation Safety Committee or Radiation Safety Office,
2. Recorded in a permanent log with a notice
				of the by-pass posted at any affected interlock and at the control panel,
				and
3. Terminated as soon as
				possible.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-911 - Radiation Surveys

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				registrant shall ensure that a portable survey instrument is available at all
				times in a particle accelerator facility.
B. An authorized medical physicist shall:
1. Check the operation of the portable survey
				instrument required in subsection (A), using a known radiation source, before
				each use;
2. Perform and document a
				radiation protection survey when changes have been made in shielding,
				operation, equipment, or occupancy of adjacent areas;
3. For particle accelerator facilities
				greater than 30 Mev, establish a program of radiation protection surveys that
				will evaluate the airborne radiation hazards, and ensure that the particulate
				radioactivity present in the accelerator facility will not result in personnel
				exposure that exceeds the limits in Article 4; and
4. Perform radiation protection surveys,
				including smear surveys of the particle accelerator facility, as prescribed in
				the written procedures established by the Radiation Safety Officer of the
				particle accelerator facility and approved by the Department at the time of
				application for registration.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-913 - Misadministration

Current through Register Vol. 30, No. 28, July 12, 2024
A. For purposes of
				this rule "misadministration" means:
1. A
				therapeutic radiation dose from a machine:
a.
				Delivered to the wrong patient;
b.
				Delivered using the wrong mode of treatment;
c. Delivered to the wrong treatment site;
				or
d. Delivered in one week to the
				correct patient, using the correct mode, to the correct therapy site, but
				greater than 130 percent of the prescribed weekly dose; or
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Section R9-7-914 - Initial Inspections of Particle Accelerators Used in the Practice of Medicine

Current through Register Vol. 30, No. 28, July 12, 2024
The Department shall inspect a particle accelerator, used in
				  the practice of medicine, before its initial use to treat human
				  disease.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 9 - PARTICLE ACCELERATORS › Appendix A - Quality Control Program

Current through Register Vol. 30, No. 28, July 12, 2024
A.
Mechanical Tests
1. Patient support assembly motions,
2. Gantry angle indicators,
3. Optical distance indicators,
4. Alignment lights,
5. Congruence of radiation beam and light field,
6. Accuracy of field size indicators,
7. Mechanical isocentergantry and collimator,
8. Mechanical interlocks.
B.
Radiation Beam Tests
1. Machine operating parameters,
2. Dose per monitor unit for x-ray and electron beams,
3. Dose per degree for moving beam therapy,
4. Radiation isocenter,
5. Flatness and symmetry,
6. Wedge transmission factors,
7. Shadow tray transmission factors,
8. Energy check on central axis,
9. Radiation output versus field size.
C.
Control Panel Checks
1. Radiation "ON" condition,
2. Indicator lamp check,
3. Computer control of accelerator,
4. Interlock display,
5. Digital display,
6. Analog display,
7. Status display,
8. Reset display.
D.
Facility Checks
1. Patient audio-visual communication,
2. Entrance door interlock,
3. Warning lights,
4. Emergency off button.
E.
Dose Output Check
1. Each registrant shall use the services of a third party
				  authorized medical physicist or third party TLD system to verify the
				  accelerator's radiation output every two years.
2. If the output check is not within plus or minus 5 percent
				  of the calibrated output, the accelerator shall be recalibrated and the
				  discrepancy investigated.
3. Records of output checks shall be maintained for three
				  years.
F.
Patient Dosimetry Calculation Checks
1. Calculation of patient treatment times,
2. Computer calculation of patient treatment
				  times.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1001 - Purpose and Scope

Current through Register Vol. 30, No. 28, July 12, 2024
This Article establishes requirements for notices,
				  instructions, and reports by licensees or registrants to individuals working
				  for a licensee or registrant. This Article explains the options available to
				  these individuals in connection with Department inspections of licensees or
				  registrants regarding radiological working conditions. The rules in this
				  Article apply to all persons who receive, possess, use, own, or transfer
				  sources of radiation licensed or registered by the
				  Department.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1002 - Posting of Notices for Workers

Current through Register Vol. 30, No. 28, July 12, 2024
A. Each licensee or registrant shall post
				current copies of the following documents:
1.
				The rules in this Chapter;
2. The
				license, certificate of registration, conditions, or documents incorporated
				into the license or registration by reference, and any amendments to the
				license or registration;
3. The
				operating procedures applicable to work under the license or
				registration;
4. Any notice of
				violation involving radiological working conditions, proposed imposition of a
				civil penalty, or order issued under 9 A.A.C. 7, Article 12, and any response
				from the licensee or registrant.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1003 - Instructions for Workers

Current through Register Vol. 30, No. 28, July 12, 2024
A. A
				licensee or registrant shall ensure that each individual who, in the course of
				employment, is likely to receive in a year an occupational dose in excess of 1
				mSv (100 mrem), receives instruction in all of the following subjects:
1. Storage, transfer, or use of radiation and
				radioactive material;
2. Health
				protection problems associated with exposure to radiation or radioactive
				material, precautions or procedures to minimize exposure, and purposes and
				functions of protective devices;
3.
				Applicable provisions in Department rules, licenses, and registrations that
				protect of personnel from exposure to radiation or radioactive material, with
				an emphasis on the duties of workers;
4. The duty to promptly report to the
				licensee or registrant any condition that may lead to or cause a violation of a
				provision in a Department rule, license, or registration or unnecessary
				exposure to radiation or radioactive material;
5. Correct response to warnings in the event
				of any unusual occurrence or malfunction that may involve exposure to radiation
				or radioactive material; and
6.
				Radiation exposure reports that a worker may request according to
				R9-7-1004.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1004 - Notifications and Reports to Individuals

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee or registrant shall report
				radiation exposure data for an individual and the results of any measurements,
				analyses, and calculations of radioactive material deposited or retained in the
				body to the individual as specified in this Section. The information reported
				shall include data and results obtained under Department rules, orders, or
				license conditions, as shown in records maintained by the licensee or
				registrant. Each notification and report shall be in writing; include
				appropriate identifying data, such as the name of the licensee or registrant,
				the name of the individual, and the individual's Social Security number;
				include the individual's exposure information; and contain the following
				statement:
"This report is furnished to you under the provisions of 9
				  A.A.C. 7. You should preserve this report for future reference."
B. Each licensee or registrant
				shall make dose information available to workers as shown in records maintained
				by the licensee or registrant under the provisions of Article 4. Each licensee
				or registrant shall provide annual notification of exposure to radiation or
				radioactive material for each worker, as shown in records maintained by the
				licensee or registrant under
				R9-7-419(E) if:
1. The individual's occupational dose exceeds
				1 mSv (100 mrem) TEDE or 1 mSv (100 mrem) to any individual organ or tissue;
				or
2. The individual requests his
				or her annual dose report.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1005 - Licensee, Registrant, and Worker Representation During Department Inspection

Current through Register Vol. 30, No. 28, July 12, 2024
A. As
				a condition of licensure or registration, each licensee or registrant shall
				afford to the Department, at all reasonable times and without undue delay, an
				opportunity to inspect materials, machines, activities, facilities, premises,
				and records.
B. During an
				inspection, the licensee or registrant shall permit Department inspectors to
				consult privately with workers as specified in
				R9-7-1006. The licensee or
				registrant may accompany Department inspectors during other phases of an
				inspection.
C. A worker authorized
				to consult with an Department inspector under
				R9-7-1006 may authorize another
				individual to represent the worker's interests during the Department
				inspection. The licensee or registrant shall notify the inspectors of the
				worker's authorization and give the worker's representative an opportunity to
				accompany the inspectors during the inspection of physical working
				conditions.
D. Each worker's
				representative shall be routinely engaged in work under control of the licensee
				or registrant or shall have received instructions under R9-7-1003.
E. Different representatives of licensees or
				registrants and workers may accompany the inspectors during different phases of
				an inspection if there is no resulting interference with the inspection.
				However, only one worker's representative at a time may accompany the
				inspectors.
F. With the approval of
				the licensee or registrant and the worker's representative an individual who is
				not routinely engaged in work under control of the licensee or registrant, for
				example, a consultant to the licensee or registrant or to the worker's
				representative, shall be afforded the opportunity to accompany Department
				inspectors during the inspection of physical working conditions.
G. Notwithstanding the other provisions of
				this Section, Department inspectors are authorized to refuse to permit
				accompaniment by any individual who deliberately interferes with a fair and
				orderly inspection. With regard to any area containing proprietary information
				the worker's representative for that area shall be an individual previously
				authorized by the licensee or registrant to enter that area. With regard to
				areas containing information classified by an agency of the U.S. Government in
				the interest of national security, any individual who accompanies an inspector
				may have access to such information only if authorized by the classifying
				agency.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1006 - Consultation with Workers During Inspections

Current through Register Vol. 30, No. 28, July 12, 2024
A. A licensee or registrant shall afford
				Department inspectors talking to a licensee or registrant representative the
				opportunity to consult privately with workers concerning matters of
				occupational radiation protection and other matters related to applicable
				provisions of Department rules, licenses, and registrations to the extent the
				inspectors deem consultation necessary for conducting an effective and thorough
				inspection
B. During the course of
				an inspection, any worker may privately bring to the attention of the
				inspectors, either orally or in writing, any past or present condition which
				the worker has reason to believe may have contributed to or caused any
				violation of the Act, these rules, or a license or registration condition, or
				any unnecessary exposure of an individual to radiation from licensed
				radioactive material or a registered radiation machine under the licensee's or
				registrant's control. If this notification is in writing, the worker shall
				comply with the requirements of R9-7-1007(A).
C. The provisions of subsection (B) shall not
				be interpreted as authorization to disregard instructions required by
				R9-7-1003.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1007 - Inspection Requests by Workers

Current through Register Vol. 30, No. 28, July 12, 2024
A. Any worker or representative of workers
				who believes that a violation of the Act, these rules, license, or registration
				conditions exists, or has occurred with regard to radiological working
				conditions in which the worker is engaged, may request an inspection of the
				facility by the Department. Any request shall be in writing, addressed to the
				Director, set forth the specific grounds for the request, and be signed by the
				worker or representative of the workers. The Department shall provide a copy to
				the licensee or registrant no later than at the time of inspection except that,
				upon the request of the worker, the Department shall protect the worker's name
				and the name of individuals referred to in the request to the extent authorized
				by law, except for good cause shown.
B. If, upon receipt of a request for
				inspection, the Department Director deter mines that there are reasonable
				grounds to believe that the alleged violation exists or has occurred, the
				Director shall initiate an inspection as soon as practicable, to determine if
				the alleged violation exists or has occurred. Inspections performed under this
				subsection need not be limited to matters referred to in the
				complaint.
C. A licensee or
				registrant shall not discharge or in any manner discriminate against any worker
				because the worker has filed any complaint or caused to be instituted any
				proceeding under these rules or has testified or is about to testify in the
				instituted proceeding or because the worker exercises on behalf of the worker
				or others, any option afforded by this Article.
Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 7 - DEPARTMENT OF HEALTH SERVICES - RADIATION CONTROL › Article 10 - NOTICES, INSTRUCTIONS, AND REPORTS TO RADIATION WORKERS; INSPECTIONS › Section R9-7-1008 - Inspection not Warranted; Review

Current through Register Vol. 30, No. 28, July 12, 2024
If the Department determines, with respect to a complaint
				  under R9-7-1007, that an inspection is not warranted or there are no reasonable
				  grounds to believe that a violation exists or has occurred, the Department
				  shall notify the complainant in writing of the determination. The complainant
				  may obtain review of the determination by submitting a written request for
				  hearing to the Department. The Department shall provide for a hearing before
				  the Radiation Regulatory Hearing Board under 9 A.A.C. 7, Article 12 and A.R.S.
				  Title 41, Chapter 6, Article 10.