Radiation Safety Committee:


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Radiation Safety Committee Charter

I.    Authority:

The Radiation Safety Committee is established by the authority of the President of the University of Oregon. The Committee is delegated primary responsibility for the safe use of ionizing radiation in all aspects of the University operation including, but not limited to instructional, research, and support functions. Through this authority, the Committee serves as the administrative body required by State rules and by the conditions of the University license for radioactive materials.

II.    Members:
    A.  The membership of the Committee shall consist of not less than six nor more than eight members. The membership shall include the Vice-President for Finance and Administration or their designee, the Vice-President for Research and Graduate Studies or their designee, and the University Radiation Safety Officer who shall serve as ex officio members.

    B.     All members are appointed for a three-year term by the Vice-President for Finance and Administration. No more than one-half of the existing Committee may be appointed as new members each year.

    C.     A Chair is appointed for a one-year term by the Vice-President for Finance and Administration. The Chair may serve in that position for no more than two consecutive terms.

    D.    New members and the Chair are appointed at the beginning of the academic year.

    E.     In addition to the ex officio members, the Committee shall be comprised of faculty members who represent the diversity of scientific disciplines using ionizing radiation at the University. One member may be appointed from the general University community. Members shall be appointed on the basis of knowledge and experience in the safe use of ionizing radiation.

    F.     No later than August 15 each year, the Committee shall nominate candidates to fill vacancies for the upcoming academic year. Nominations shall be forwarded to the Vice-President for Finance and Administration for review, approval, and transmittal to the President for appointment.
III.          Responsibilities:

    A.    Review and grant permission for, or disapprove, the use of radioactive material within the University.

    B.     Prescribe special conditions that will be required during a proposed use of radioactive material such as minimum level of training and experience of users.

    C.     Approve and disapprove all users of radioactive materials within the University.

    D.    Review and grant permission for, or disapprove, the use of x-ray producing machines within the University.

    E.     Review records and reports from the Radiation Safety Officer or other individuals delegated responsibility for health safety practices in the University.

    F.     Recommend remedial action to correct safety infractions.

    G.     Formulate and review the University training program for the safe use of radionuclides.

    H.    Maintain written record of actions taken by the Committee.

    I.        Inform the Oregon State Health Division of any changes in Committee practices.
IV.          Administrative Procedures:

    A.     The Committee shall meet at least once each calendar quarter. A simple majority of the total membership shall constitute a quorum. Ex officio members shall have the same voting privileges as other Committee members.

    B.     The Radiation Safety Officer or his designee shall serve as the Secretary for the Committee.

    C.     The Committee delegates to the Radiation Safety Officer primary responsibility for the following functions:

1.     Maintenance of an inventory of the total quantity of each radionuclide possessed at the University

2.     Control of the receipt, delivery, and shipment of all radioactive material.

3.     Verification of possession limits for each authorized user.

4.     Disposal of radioactive material waste.

5.     Monitoring of the use of ionizing radiation at the University for conformance with established procedures.

6.     Performance of leak tests of sealed sources at the appropriate regulatory intervals.

7.     Assurance that radiation detection instruments are calibrated at appropriate intervals.

8.     Daily operation of a personnel dosimetry program including bioassays as necessary.

9.     Registration and monitoring of radiation-producing machines.

10. Maintenance of all necessary records pertaining to Committee meetings and to the above functions.

11. Advising the Committee of regulatory changes as relating to the University.

    D.    The Committee shall review all proposed uses of ionizing radiation according to the following protocol:

1.     The Principal Investigator initiates a meeting with the Radiation Safety Officer to discuss the authorization process.

2.     The Principal Investigator prepares an application for authorization and submits it to the Radiation Safety Officer.

3.     The Radiation Safety Officer conducts an interview to identify potential hazards of the proposed use.

4.     The Radiation Safety Officer submits a recommendation with the application to the next full Committee meeting.

5.     The Committee approves, approves with added conditions, or disapproves the application.

6.     The application is returned to the Principal Investigator indicating approved conditions of use.

7.     Normally only members of the Academic or Research Faculties will be approved as Authorized Users of radioactive material. This includes individuals holding the job titles of Professor, Associate Professor, Assistant Professor, Instructor, and Research Associate. Individuals not having one of these titles and temporary appointments will not normally be approved. Exceptions to this policy shall be considered by the Committee on a case-by-case basis.

    E.     The Chair of the Committee may allow interim authorization pending full Committee review under the following conditions:

1.     The intended use is similar in size and scope to an existing authorization.

2.     The Radiation Safety Officer has performed a hazards analysis and supports interim authorization.

3.     The Chair reviews the application for completeness and signs the authorization.

4.     The application is reviewed at the next meeting of the full Committee. The application may then be amended to reflect the full Committee opinion.

    F.     The Committee shall require the Authorized User to submit an amendment to authorized use based upon the following criteria:

1.     Radionuclide(s) for which the Authorized User is not currently authorized.

2.     Increase in excess of ten times existing possession limits for authorized radionuclides.

3.     Chemical form presenting significant increase in toxicity.

4.     Radioiodination at any level or any radioiodinated compound at an activity level of five millicuries (185 megabecquerels) or greater.

5.     Changes in use locations.

6.     Use of radionuclides(s) in animals.

    G.     The Committee shall require the Authorized User to request, by memorandum, minor changes in authorized use, such as increases of less than ten times existing possession limits for authorized radionuclides.

    H.    The Committee shall reevaluate all Authorized Users once every three years.

    I.        The Committee shall require the Radiation Safety Officer to summarize at each meeting any safety infractions that were identified during the period since the last meeting. If in the Committee’s opinion the Authorized User has not instigated adequate corrective action, the Committee will prepare a time frame for correction and forward its recommendations via memorandum to the Authorized User.  If during subsequent inspections it appears the Authorized User has still not addressed the problem, the Committee will require the Authorized User to appear before the full Committee to discuss the situation.

    J.        The Committee reserves the right to suspend or revoke an Authorization if the use is in flagrant disregard for rules specified in the Radiation Safety Manual or for conditions specified in the Authorization.

    K.    The Committee shall require the Radiation Safety Officer to conduct a radiation safety orientation course. This course, and laboratory-specific instructions provided by each authorized user, shall be given to all individuals working with radioactive material at the University of Oregon.

    The Radiation Safety Manual shall be provided to each Authorized User and be available for all personnel working with ionizing radiation.
    L.   Annually, the Committee shall audit or shall request an outside audit of the radiation safety program at the University to review conformance to specified rules and to develop recommendations for improving the program.

    * Return to Radiation Safety Committee


Don Elting, Radiation Safety Officer
Telephone:  (541) 346-2864
E-Mail: delting@uoregon.edu


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