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REQUIREMENTS AND
GUIDELINES
TO START A RADIATION
THERAPY FACILITY
These guidelines and requirements are applicable for
any of the Radiation Sources to be used in Radiation
Therapy which ar...
Requirements includes :
 Clearance of the unit by AERB
 Approval of Room Layout Plan of Radiation Therapy
Installation
...
 Other Associated equipment/Accessories
 Road Transport Approval
 Receipt of Sources
 Installation of the Unit
 Loadi...
Clearance of the unit by AERB
 Verify from the supplier that the unit to be installed
is either type approved by Atomic E...
 This is based on the evaluation of specifications of
the unit, design standards and approval from the
competent authorit...
Approval of Room Layout Plan of Radiation
Therapy Installation
 Prepare room layout and the site layout drawing in
consul...
 The location of the teletherapy installation should
be away from unconnected facilities and should be
close to the assoc...
Appointment of Radiation Therapy Staff
 Appoint adequate number of staffs as per the
qualification and experience stipula...
Procurement of Personnel Monitors and other
instruments
 Procure Personnel Monitoring Badges from the
agency recognised b...
 Also appropriate monitoring instruments for area
monitoring ,Survey Meters, Contamination
Monitors, Gamma Zone Monitors ...
Authorisation to procure Radiation Sources
 Obtain authorisation from RSD, AERB by sending the
filled in form. The form m...
Receipt of Sources
 Intimate regarding the receipt of the source
(includes Accelerator and Simulator) to RSD, AERB
by fil...
Loading of the source in case of Telecobalt
Equipment
 Certified service engineer shall load the source
under supervision...
 In cases like that, a consent letter from his/her employer
of the outside Medical Physicist must be attached along
with ...
 After loading the source or switching the beam on,
RSO and the service engineer should carryout
radiation protection sur...
Quality Assurance/Acceptance test
 Perform thorough Quality assurance / acceptance
test of the tele therapy / brachy ther...
Commissioning Approval for Patient Treatment
 Patient treatment should be started without
obtaining the commissioning app...
 Permission for commissioning shall be
granted only if :
◦ Adequate number of full-time staff in
Radiotherapy Department ...
Periodic Performance/ Quality Assurance test
It is necessary to carry out :
 Performance tests of the unit
 Integrity ch...
Annual Status Report
 Send Annual Report on Status of Radiation
Safety in Radiotherapy to RSD, AERB so that
it reaches by...
DECOMMISSIONING OF
TELECOBALT/
ACCELERATOR/
REMOTE AFTERLOADING
BRACHYTEHRAPY UNIT
The procedure for decommissioning the unit:
1) The Agency/Supplier of the unit should be
contacted during
◦ unloading the ...
2) To obtain their concurrence for accepting the
decayed source for disposal , the original supplier
of the existing decay...
5) In order to issue the above said authorisation,
application should reach this Division 15 days
before the actual date o...
9) After unloading the source, the cavity in which
source moves should be checked for
contamination.
10) If found contamin...
12) For transport of depleted uranium, contaminated
objects and decayed source to the concerned
agencies, permission has t...
 Licensee of the institute is always responsible in
fulfilling the regulatory requirements for ensuring
radiation safety ...
Finally
 Dismantle the unit in such a way that the
unit can not be put again for use and
dispose them locally.
 Monitor ...
 The disposal agency for the radioactive
sources is
◦ Original supplier of the existing decayed source for
imported sourc...
DISPOSAL OF
BRACHYTEHRAPY /
DISCRETE SOURCES
 Disposal of a radiation sources from radiation
therapy facility includes:
◦ Sending back the radioactive source(s) to th...
Procedure for disposal of the sources:
 The original supplier of the existing decayed
source/ BRIT should be contacted to...
 In case the sources are free from contamination,
they are to be packed, marked and labelled properly
as per the transpor...
REPLACEMENT OF
TELECOBALT SOURCE
 The telecobalt unit should not be used for
the clinical purposes if the output at the
normal treatment distance is below...
Performance Evaluation of Telecobalt Unit
 Performance evaluation is necessary to check
whether the machine is worth repl...
Authorisation to procure Telecobalt Source
 Authorisation has to be obtained from RSD,
AERB.
 Once the authorisation let...
Contact various Agencies
 Contact the supplier of the telecobalt unit to assist
in replacement of the telecobalt source.
...
Receipt of Sources
 Once the source is received, intimate receipt of the
source to RSD, AERB within 15 days.
 The certif...
 Before Loading of the source ensure that all the
persons involved in the source loading, operation
and testing of the un...
Quality Assurance Tests
 Thorough Quality Assurance Tests of the telecobalt
unit has to be done and records has to be
mai...
 Intimating regarding the availability of personnel ,
associated equipments etc also should be submitted
for commissionin...
Periodic Performance/ Quality Assurance test
 Performance tests of the unit and survey of the
radiation installation has ...
ROLES AND
RESPONSIBILITIES
 Classified worker:- The employer shall designate as
classified workers, those of his employees, who are
likely to receiv...
Responsibilities of the employer
 (1) Every employer shall
◦ Ensure that provisions of these rules are
implemented by the...
◦ Upon termination of service of worker provide to
his new employer on request his dose records and
health surveillance re...
 The employer shall be the custodian of
radiation sources in his possession and shall
ensure physical security of the sou...
Responsibilities of the licensee
 The responsibility for implementing the terms and
conditions of the licence shall rest ...
 The licensee shall comply with the provision of rules
for safe disposal of radioactive waste issued under
the Act.
 Wit...
◦ in consultation with the Radiological Safety
Officer, investigate any case of exposure in excess
of regulatory constrain...
◦ inform appropriate law enforcement agency in the
locality of any loss of source.
◦ inform the employer and the competent...
◦ in consultation with Radiological Safety Officer,
prepare emergency plans, for responding to
accident to mitigate their ...
◦ inform the competent authority if the Radiological
Safety Officer or a worker leaves the employment;
and
◦ inform the co...
Responsibilities of the Radiological Safety
Officer (RSO)
 The Radiological Safety Officer shall be responsible
for advis...
◦ investigate any situation that could lead to
potential exposures.
• Advise the employer regarding
o the necessary steps ...
o routine measurements and analysis on radiation
and radioactivity levels in the off-site environment
of the radiation ins...
 assist the employer in
◦ instructing the workers on hazards of radiation
and on suitable safety measures and work
practi...
 advise the licensee on
◦ the modifications in working condition of a
pregnant worker.
◦ the safety and security of radio...
Responsibilities of worker
 Every worker shall observe the safety requirements
and follow safety procedures and instructi...
◦ inform the licensee and the Radiological Safety
Officer, of any accident or potentially hazardous
situation that may com...
THANK YOU
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Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 1 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 2 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 3 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 4 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 5 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 6 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 7 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 8 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 9 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 10 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 11 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 12 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 13 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 14 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 15 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 16 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 17 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 18 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 19 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 20 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 21 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 22 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 23 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 24 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 25 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 26 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 27 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 28 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 29 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 30 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 31 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 32 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 33 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 34 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 35 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 36 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 37 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 38 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 39 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 40 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 41 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 42 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 43 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 44 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 45 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 46 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 47 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 48 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 49 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 50 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 51 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 52 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 53 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 54 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 55 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 56 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 57 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 58 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 59 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 60 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 61 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 62 Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility Slide 63
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Guidelines to start a radiation therapy facility, decommissioning procedure, source replacement, responsibilities of radiation workers, employer, RSO

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Aerb Guidlines for starting , decommissioning, replacing source and responsibilities of people associated in a radiation facility

  1. 1. REQUIREMENTS AND GUIDELINES TO START A RADIATION THERAPY FACILITY
  2. 2. These guidelines and requirements are applicable for any of the Radiation Sources to be used in Radiation Therapy which are  Source for Telecobalt unit  Medical Accelerator  Sources for Gamma Knife unit  Source(s) for Remote Afterloading Brachytherapy unit  Sources for Manual Afterloading Brachytherapy  Simulator  Check source or any other new modality involving ionizing radiation for therapeutic purposes.
  3. 3. Requirements includes :  Clearance of the unit by AERB  Approval of Room Layout Plan of Radiation Therapy Installation  Appointment of Radiation Therapy Staff  Nomination and Approval of Radiological Safety Officer  Procurement of Personnel Monitors  Measuring and Monitoring Instruments  Authorisation to procure Radiation Sources
  4. 4.  Other Associated equipment/Accessories  Road Transport Approval  Receipt of Sources  Installation of the Unit  Loading of the source/Switching on Radiation in case of Radiation Generating Equipment  Quality Assurance/Acceptance test  Commissioning Approval for Patient Treatment  Periodic Performance/ Quality Assurance test  Annual Status Report
  5. 5. Clearance of the unit by AERB  Verify from the supplier that the unit to be installed is either type approved by Atomic Energy Regulatory Board (AERB) or a NOC is issued.  The local supplier has to produce the copy of type approval certificate or NOC (issued by AERB) whenever its demanded.  Type approval : When a new model is to be imported to INDIA for the first time, AERB issues NOC to the local supplier to import only ONE unit .
  6. 6.  This is based on the evaluation of specifications of the unit, design standards and approval from the competent authorities of other countries.  Once it is imported, AERB checks the performance of the unit and check whether the unit meets the required standards.  The type approval certificate is issued based on the physical evaluation of the unit, to the local supplier.  Then the local supplier can market the same type of unit with certain terms and conditions)
  7. 7. Approval of Room Layout Plan of Radiation Therapy Installation  Prepare room layout and the site layout drawing in consultation with Medical Physicists, Radiation Oncologists, Architects and the supplier of the unit.  Submit two copies of the drawings along with the application to the Head, Radiological Safety Division (RSD), AERB.  It is recommended to commence the construction of the Radiation Therapy facility only on receipt of the approved plan from AERB.
  8. 8.  The location of the teletherapy installation should be away from unconnected facilities and should be close to the associated facilities.  The associated facilities are Simulator room, Minor Operation Theatre (for Brachytherapy), Mould room, Treatment Planning System room, Physicist(s) room, Radiation Oncologist(s) room, Patient waiting area etc  Construct teletherapy/brachytherapy facility as per the approved plan by AERB at the location shown in the approved plan.  For further modifications in the approved layout plan, concurrence must be obtained from RSD, AERB prior to modification.
  9. 9. Appointment of Radiation Therapy Staff  Appoint adequate number of staffs as per the qualification and experience stipulated in AERB Safety Code.  Staffs includes Radiation Oncologists, Medical Physicists and Radiation Therapy Technologists.  In case of existing setup for additional facility also adequacy of staff should be checked.  In case of appointment of Medical Physicists, it is to be ensured that at least one of them is eligible to work as Radiological Safety Officer (RSO).
  10. 10. Procurement of Personnel Monitors and other instruments  Procure Personnel Monitoring Badges from the agency recognised by AERB for all the radiation workers so that they are available during installation of the unit.  Pocket dosimeters for the radiation workers and appropriate measuring instruments for measurement of output and other dosimetric parameters should be procured.  Other measuring instruments includes Thimble Ionisation Chamber, PPC, Well type Ionization Chamber, Electrometer, Radiation Field Analyser etc.
  11. 11.  Also appropriate monitoring instruments for area monitoring ,Survey Meters, Contamination Monitors, Gamma Zone Monitors etc should be available in the facility.  Gamma Zone Monitor for Telecobalt unit and Remote after loading Brachytherapy unit should be of auto-reset type, whereas, that for manual Brachytherapy must have manual-reset button.  The other associated equipments/accessories includes Treatment Planning System (TPS), beam modifiers, patient immobilisation devices such as moulds, quality assurance test tools etc
  12. 12. Authorisation to procure Radiation Sources  Obtain authorisation from RSD, AERB by sending the filled in form. The form must be filled in properly to avoid undue delay.  Also all the necessary documents mentioned in form for procurement of sources to be used in Radiotherapy .  Procure radioactive sources, radiation generating equipment (Accelerator or Simulator) as per the specifications mentioned in the authorisation letter. Road Transport Approval  Obtain road transport permission from RSD, AERB for transporting the radioactive source from the airport/port to the institution (not required in case of Accelerator and Simulator).
  13. 13. Receipt of Sources  Intimate regarding the receipt of the source (includes Accelerator and Simulator) to RSD, AERB by filling in the form within 15 days of its receipt .  Install the teletherapy / brachytherapy unit as per the approved plan.  Carryout the mechanical and electrical tests thoroughly prior to source loading or switching on the Radiation beam in case of Radiation Generating Equipment. Installation of the Unit
  14. 14. Loading of the source in case of Telecobalt Equipment  Certified service engineer shall load the source under supervision of the Medical Physicist/RSO.  RSO will be authorised by AERB for supervising the source transfer operation.  For authorisation, RSO should submit the duly filled in form prior to 15 days of actual date of source transfer.  If the Physicist is not having prior experience in source transfer operation of Telecobalt unit, the institution may seek assistance of Medical Physicist from any other Radiotherapy Centre following instructions of AERB.
  15. 15.  In cases like that, a consent letter from his/her employer of the outside Medical Physicist must be attached along with the filled in form.  The telecobalt source shall not be loaded if the authorised Medical Physicist(s) are not present.  The source transfer report has to be submitted by the Medical Physicist/RSO after loading the telecobalt source.  Before loading of the source , RSO should ensure that all the persons involved in the source loading, operation and testing of the unit have personnel monitoring badges.
  16. 16.  After loading the source or switching the beam on, RSO and the service engineer should carryout radiation protection survey of the installation.  This should be done prior to any other radiation tests.  In case the radiation levels around the installation are not within the limit, all other tests must be suspended and AERB shall be intimated promptly with the recorded survey data.
  17. 17. Quality Assurance/Acceptance test  Perform thorough Quality assurance / acceptance test of the tele therapy / brachy therapy unit. (RP&AD guidelines can be taken as reference).  Report of whole tests must be kept in the hospital records.  This reports are supposed to be produced while inspection of Radiotherapy Department of your institution by AERB personnel.
  18. 18. Commissioning Approval for Patient Treatment  Patient treatment should be started without obtaining the commissioning approval from RSD, AERB  In order to obtain commissioning approval for using the unit for patient treatment from RSD, AERB following documents must be submitted: ◦ Undertaking regarding the performance of the unit in the prescribed format. ◦ Intimate regarding the availability personnel, associated equipments etc.
  19. 19.  Permission for commissioning shall be granted only if : ◦ Adequate number of full-time staff in Radiotherapy Department as mentioned are there. ◦ Personnel monitoring badges for all the radiation workers are available ◦ all the required associated instruments / accessories like RFA, survey meters etc are available
  20. 20. Periodic Performance/ Quality Assurance test It is necessary to carry out :  Performance tests of the unit  Integrity check of the sources (barchytherapy)  Survey of the radiation installation periodically Maintain all the records, and have to be produced while inspection of Radiotherapy Department of your institution by AERB personnel
  21. 21. Annual Status Report  Send Annual Report on Status of Radiation Safety in Radiotherapy to RSD, AERB so that it reaches by the end of each calendar year.  Please note that it is a mandatory requirement to submit the report every year.
  22. 22. DECOMMISSIONING OF TELECOBALT/ ACCELERATOR/ REMOTE AFTERLOADING BRACHYTEHRAPY UNIT
  23. 23. The procedure for decommissioning the unit: 1) The Agency/Supplier of the unit should be contacted during ◦ unloading the source (not required in case of accelerator) ◦ dismantling of depleted uranium parts, if any. ◦ their transportation to the concerned agencies ◦ for safe disposal after obtaining approval from AERB.
  24. 24. 2) To obtain their concurrence for accepting the decayed source for disposal , the original supplier of the existing decayed source/ Board of Radiation & Isotope Technology (BRIT) should be contacted . 3) Consent has to be obtained from this Division for decommissioning the radiotherapy unit from AERB. 4) Medical Physicist-cum-Radiological Safety Officer (RSO) may be authorised by this Division for supervision of the source transfer operation in case of telecobalt unit.
  25. 25. 5) In order to issue the above said authorisation, application should reach this Division 15 days before the actual date of source transfer operation. 6) Source unloading should be done by a Certified Service Engineer under the supervision of authorised RSO. 7) If depleted uranium is present in any part of the unit or used in the form of shielding blocks, all the parts containing depleted uranium should be sent to the concerned agency for safe disposal. 8) Supplier/manufacturer of the unit has to do this and RSO has to ensure this.
  26. 26. 9) After unloading the source, the cavity in which source moves should be checked for contamination. 10) If found contaminated, a report should be sent to this Division promptly for further advice regarding packaging the contaminated parts and for sending back to the concerned agency for safe disposal. 11) For accelerators also same should be done if found contaminated. In case of accelerator after dismantling target, collimators, flattening filters etc., should be checked for contamination
  27. 27. 12) For transport of depleted uranium, contaminated objects and decayed source to the concerned agencies, permission has to be obtained from AERB in separate forms. 13) If the source is purchased from a foreign country, special permission is required for the export of used sources. 14) Medical Physicist-cum-RSO of institution should submit a report on the decommissioning of the unit.
  28. 28.  Licensee of the institute is always responsible in fulfilling the regulatory requirements for ensuring radiation safety while decommission the radiation installation.  Licensee should check the credibility of agency carrying out decommissioning.  It should have an ◦ an approved transport container, ii) complete documentation of the concerned unit and the transport container, iii) necessary tools and gadgets for decommissioning, iv) appropriate radiation survey meter, v) a written contingency plan in case of emergency, and vi) BARC certified Service Engineers
  29. 29. Finally  Dismantle the unit in such a way that the unit can not be put again for use and dispose them locally.  Monitor the area for any residual radioactive contamination and declare it to be free from radiation contamination.
  30. 30.  The disposal agency for the radioactive sources is ◦ Original supplier of the existing decayed source for imported sources ◦ Board of Radiation & Isotope Technology (BRIT), Mumbai for the locally supplied sources.  Whereas the disposal agencies for the depleted uranium and contaminated parts are ◦ Waste Management Division (WMD), BARC, Mumbai and ◦ Centralised Waste Management Facility, IGCAR, Kalpakkam
  31. 31. DISPOSAL OF BRACHYTEHRAPY / DISCRETE SOURCES
  32. 32.  Disposal of a radiation sources from radiation therapy facility includes: ◦ Sending back the radioactive source(s) to the disposal agency for safe disposal complying with the transport regulation ◦ Checking the objects, which were in contact with the source(s) for contamination. ◦ In case of contamination, to separate out the contaminated objects and send back to the disposal agency for safe disposal complying with the transport regulation. ◦ To monitor the area where the sources were kept or used for any residual radioactive contamination and declare it to be free from radiation contamination.
  33. 33. Procedure for disposal of the sources:  The original supplier of the existing decayed source/ BRIT should be contacted to obtain their concurrence for accepting the decayed source for disposal.  Consent has to be obtained from AERB Division for disposing the sources.  Sources are to be checked for contamination. In case the sources are found to be contaminated, this Division should be contacted for specific advice for packing the sources.
  34. 34.  In case the sources are free from contamination, they are to be packed, marked and labelled properly as per the transport regulation.  This Division shall be contacted for obtaining permission for transport of the above package to the concerned disposal agency.  The Medical Physicist-cum-RSO of the institution should submit a report on the decommissioning of the unit
  35. 35. REPLACEMENT OF TELECOBALT SOURCE
  36. 36.  The telecobalt unit should not be used for the clinical purposes if the output at the normal treatment distance is below 50 cGy/min.  The source of a telecobalt unit needs to be replaced, when the output of the unit becomes low and is clinically not acceptable because of the increase in treatment time.
  37. 37. Performance Evaluation of Telecobalt Unit  Performance evaluation is necessary to check whether the machine is worth replacing the telecobalt source or the unit needs to be decommissioned.  In order to evaluate this thorough performance check of telecobalt unit is required.  Once the source is replaced , the machine should be able to function for at least one half life of the source.
  38. 38. Authorisation to procure Telecobalt Source  Authorisation has to be obtained from RSD, AERB.  Once the authorisation letter from AERB is obtained, place order for procurement of telecobalt source as per the specifications mentioned in the authorisation letter.  In case of imported source undertaking need to be obtained from the supplier of the source to take back the source after its use.
  39. 39. Contact various Agencies  Contact the supplier of the telecobalt unit to assist in replacement of the telecobalt source.  Concurrence need to be obtained from the supplier of the old telecobalt source to take back the decayed source . Road Transport Approval  Road transport permission has to be obtained from RSD, AERB for transporting the radioactive source from the airport/port to the institution, in case of imported source.
  40. 40. Receipt of Sources  Once the source is received, intimate receipt of the source to RSD, AERB within 15 days.  The certified service engineer shall load the telecobalt source. Loading the Source  Source loading should be under supervision of the Medical Physicist/RSO, who has been authorised by AERB for supervising the source transfer operation.  To obtain the authorisation ,Medical Physicist/RSO should submit application prior to 15 days of actual date of source transfer
  41. 41.  Before Loading of the source ensure that all the persons involved in the source loading, operation and testing of the unit have personnel monitoring badges.  After loading the telecobalt source, the source transfer report has to be submitted by the Medical Physicist/RSO.  After loading the source, it is the responsibility of the RSO to carryout radiation protection survey of the installation prior to any other radiation tests
  42. 42. Quality Assurance Tests  Thorough Quality Assurance Tests of the telecobalt unit has to be done and records has to be maintained .  This has to be produced while inspection of Radiotherapy Department of your institution by AERB personnel. Commissioning Approval for Patient Treatment after replacement of telecobalt source  Commissioning approval for restarting the unit for patient treatment has to be obtained from RSD, AERB  For commissioning approval undertaking regarding the performance of the unit has to be submitted
  43. 43.  Intimating regarding the availability of personnel , associated equipments etc also should be submitted for commissioning approval.  Adequate number of full-time staff in Radiotherapy Department, personnel monitoring badges for all the radiation workers and all the required associated instruments/accessories.  Patient treatment should not be started without obtaining the commissioning approval from RSD, AERB.
  44. 44. Periodic Performance/ Quality Assurance test  Performance tests of the unit and survey of the radiation installation has to be carried out periodically .  Maintain all the records, which has to be produced while inspection of Radiotherapy Department of your institution by AERB personnel. Annual Status Report  Annual Report on Status of Radiation Safety in Radiotherapy Department has to be sent to RSD, AERB so that it reaches by the end of each calendar year
  45. 45. ROLES AND RESPONSIBILITIES
  46. 46.  Classified worker:- The employer shall designate as classified workers, those of his employees, who are likely to receive an effective dose in excess of three- tenths of the average annual dose limits notified by the competent authority and shall forthwith inform those employees that they have been so designated.  Radiological Safety Officer:- Every employer shall designate, with the written approval of the competent authority, a person having appropriate qualifications as Radiological Safety Officer.
  47. 47. Responsibilities of the employer  (1) Every employer shall ◦ Ensure that provisions of these rules are implemented by the licensee, Radiological Safety Officer and other worker(s). ◦ Provide facilities and equipment to the Radiological Safety Officer ,licensee and other worker(s) to carry out their functions effectively in conformity with regulatory constraint. ◦ Prior to employment of a worker, procure from his former employer, where applicable, the dose records and health surveillance reports
  48. 48. ◦ Upon termination of service of worker provide to his new employer on request his dose records and health surveillance reports. ◦ Furnish to each worker dose records and health surveillance reports of the worker in his employment annually, as and when requested by the worker and at the termination of his service. ◦ Inform the competent authority if the licensee or the Radiological Safety Officer or any worker leaves the employment. ◦ Arrange for health surveillance of workers as specified under rule 25.
  49. 49.  The employer shall be the custodian of radiation sources in his possession and shall ensure physical security of the sources at all times.  The employer shall inform the competent authority, within twenty four hours, of any accident involving a source or loss of source of which he is the custodian
  50. 50. Responsibilities of the licensee  The responsibility for implementing the terms and conditions of the licence shall rest with the licensee  The licensee shall comply with the surveillance procedures, safety codes and safety standards specified by the competent authority.  Every licensee shall establish written procedures and plans for controlling, monitoring and assessment of exposure for ensuring adequate protection of workers, members of the public and the environment and patients, wherever applicable.
  51. 51.  The licensee shall comply with the provision of rules for safe disposal of radioactive waste issued under the Act.  Without prejudice to the generality of the above, the licensee shall ◦ not allow workers, other than those specified in sub-clause (ii) of clause of sub-rule (2) of rule 7 and already dealt with under rule 17. ◦ maintain records of workers as specified under rule 24. ◦ arrange for preventive and remedial maintenance of radiation protection equipment, and monitoring instruments
  52. 52. ◦ in consultation with the Radiological Safety Officer, investigate any case of exposure in excess of regulatory constraints received by individual workers and maintain records of such investigations. ◦ inform competent authority promptly of the occurrence, investigation and follow-up actions in cases of exposure in excess of regulatory constraints, including steps to prevent recurrence of such incidents. ◦ carry out physical verification of radioactive material periodically and maintain inventory.
  53. 53. ◦ inform appropriate law enforcement agency in the locality of any loss of source. ◦ inform the employer and the competent authority of any loss of source ◦ investigate and inform the competent authority of any accident involving source and maintain record of investigations ◦ verify the performance of radiation monitoring systems, safety interlocks, protective devices and any other safety systems in the radiation installation
  54. 54. ◦ in consultation with Radiological Safety Officer, prepare emergency plans, for responding to accident to mitigate their consequences and ensure emergency preparedness measures. ◦ conduct or arrange for quality assurance tests of structures, systems, components and sources and related equipment. ◦ advise the employer about the modifications in working condition of a pregnant worker.
  55. 55. ◦ inform the competent authority if the Radiological Safety Officer or a worker leaves the employment; and ◦ inform the competent authority when he leaves the employment • The licensee shall ensure that the workers are familiarised with contents of the relevant surveillance procedures, safety standards, safety codes, safety guides and safety manuals issued by the competent authority and emergency response plans.
  56. 56. Responsibilities of the Radiological Safety Officer (RSO)  The Radiological Safety Officer shall be responsible for advising and assisting the employer and licensee on safety aspects aimed at ensuring that the provisions of these rules are complied with.  The Radiological Safety Officer shall: ◦ carry out routine measurements and analysis on radiation and radioactivity levels in the controlled area, supervised area of the radiation installation and maintain records of the results thereof
  57. 57. ◦ investigate any situation that could lead to potential exposures. • Advise the employer regarding o the necessary steps aimed at ensuring that the regulatory constraints and the terms and conditions of the licence are adhered to. o the safe storage and movement of radioactive material within the radiation installation. o initiation of suitable remedial measures in respect of any situation that could lead to potential exposures; and
  58. 58. o routine measurements and analysis on radiation and radioactivity levels in the off-site environment of the radiation installation and maintenance of the results thereof.  ensure that ◦ reports on all hazardous situations along with details of any immediate remedial actions taken are made available to the employer and licensee for reporting to the competent authority and a copy endorsed to the competent authority. ◦ QA tests of structures, systems, components and sources, as applicable are conducted. ◦ monitoring instruments are calibrated periodically.
  59. 59.  assist the employer in ◦ instructing the workers on hazards of radiation and on suitable safety measures and work practices aimed at optimising exposures to radiation sources. ◦ the safe disposal of radioactive wastes. ◦ developing suitable emergency response plans to deal with accidents and maintaining emergency preparedness.
  60. 60.  advise the licensee on ◦ the modifications in working condition of a pregnant worker. ◦ the safety and security of radioactive sources.  furnish to the licensee and the competent authority the periodic reports on safety status of the radiation installation.  inform the competent authority when he leaves the employment
  61. 61. Responsibilities of worker  Every worker shall observe the safety requirements and follow safety procedures and instructions and shall refrain from any wilful act that could be detrimental to self, co-workers, the radiation installation and public.  The worker shall ◦ provide to the employer information about his previous occupations including radiation work, if any. ◦ make proper use of such protective equipment, radiation monitors and Personnel monitoring devices as provided
  62. 62. ◦ inform the licensee and the Radiological Safety Officer, of any accident or potentially hazardous situation that may come to his notice  A female worker shall, on becoming aware that she is pregnant, notify the employer, licensee and Radiological Safety Officer in order that her working conditions may be modified, if necessary.
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Guidelines to start a radiation therapy facility, decommissioning procedure, source replacement, responsibilities of radiation workers, employer, RSO

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