Safety Code 34. Radiation Protection and Safety for Industrial X-Ray Equipment

Guidance for Industrial Device Registration

Device registration applies to facilities under federal jurisdiction, pursuant to Canada Labour Code Part II, Occupational Health and Safety Regulations, Part X, Section 10.26. There are forms and attachments that need to be submitted to facilitate device registration.The completed registration form and all supporting materials shall be sent to:

Health Canada,
Consumer and Clinical Radiation Protection Bureau,
NonMedical X-rays,
A.L. 6301A,
775 Brookfield Road,
Ottawa, Ontario K1A 1C1.

Attachment A

Industrial X-Ray Machine Registration

This attachment contains 2 pages. The owner is required to submit specific information in order to register the industrial x-ray device.

Attachment B:

Emergency Procedures For Unintentional Exposure to X-Rays

The emergency procedures required are specific to the case where a worker is unintentionally exposed to radiation generated by the x-ray machine. The facility shall have in place a policy to follow such written procedures that: reflect prompt medical treatment for the exposed or allegedly exposed victims; specify the designated medical institution; include directives for the disclosure of radiation exposure information to the attendant medical staff at the medical institution and for the requisition of consultation by a radiation oncologist. Contact information on personnel provided in the emergency procedures shall remain current.

Attachment C:

Accident Investigation Report

This form shall be used to promptly notify Health Canada and other relevant parties about any radiation accident. Following the complete investigation all sections are to be completed in full. A completed report shall be submitted to Health Canada at the address provided above within 5 calendar days of the accident.

Attachment A - Industrial X-Ray Machine Registration

(Pursuant to Canada Labour Code Part II "Occupational Safety and Health Regulations"⁽¹⁾)

(A)

Name of facility:
Address:

_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________

(B)

Registration type:

New registration

Amended registration

Re-registration

(C)

Radiation safety officer at facility:

Certification:

CNSC

CGSB Certificate

Police / Security

Certified Operator

Level I

Level I

Level II

Level II

Level III

Name:
Phone #:
Fax:
Email:

_____________________________________
_____________________________________
_____________________________________
_____________________________________

(D) Number of x-ray machines at facility: _________________________
List x-ray machines as follows: (If space is insufficient, provide information on a separate sheet and attach to this form.)

Brand
Name

Manufacturer

Model #

Serial No.

Date of
Manufacture

Place of
Manufacture

Application
Permanent/
Portable

(E) List all industrial radiographers and operators as follows:
(If space is insufficient, provide information on a separate sheet and attach to this form.)

Name

CGSB Police / Security Level
I II

CGSB Industrial
Level
I II III

Radiation Safety Education

(F) Authorized maintenance provider:

Organization Name

Contact telephone number

(G) Dosimetry service provider:

Organization Name

Address

Telephone Number

(H) Listing of electronic personnel dosimeter:

Brand Name

Manufacturer

Model Number

(I) Detector used for radiation leakage testing:

Brand name

Model No.

Manufacturer

Calibration Frequency

Calibration Agency
(Name and Location))

(J) Submission of the Following Materials is Mandatory for X-Ray Machine Registration
(Check appropriate place and attach relevant information as required.)

1. Provide a copy of emergency procedures for handling unintentional x-ray exposures at the facility.

[  ] ATTACHED

2. Provide a copy of detailed procedures that will be followed for open beam radiography, if applicable. ( State the referenced dose rate at boundary of cordoned off area.)

[  ]

3. Provide a copy of specific safety procedures that apply for visitors, and in training radiographers in the workplace.

[  ]

4. Provide a copy all reports of radiation accident in the facility or at the temporary job site, complete with all associated corrective actions.

[  ]

5. Provide a copy of any remedial actions taken at the facility, i.e., elevated occupational exposures, staff relocation due to pregnancies.

[  ]

6. Provide a copy of the procedures for the disposal of the x-ray machine.

[  ]

7. Ensure a copy of Safety Code 34⁽²⁾ is readily available at the facility for use by all authorized personnel.

[  ]

Any changes to items (B), ( C ), (D), or (E) will require a re-registration within 10 calendar days.

⁽¹⁾

http://laws.justice.gc.ca/en/L-2/sor-86-304/text.html

⁽²⁾

http://www.hc-sc.gc.ca/
hecs-sesc/ccrpb/publication/
safety_code34/index.html

OFFICE USE ONLY

Non Compliant

Compliant

Date

Nonmedical Industrial x-ray equipment, Health Canada Registration Form Dec. 2003

Attachment B - Emergency Procedures For Unintentional Exposure to X-Rays

Facility name where industrial x-ray machines are located:

___________________________

Equipment location:

___________________________

Equipment owner (or responsible manager):

___________________________

Telephone number of equipment owner (or responsible manager):

___________________________

Accidental exposure: Accidental exposure is considered to be unintentional x-ray exposure to any part of the human body. This c an o ccur if safety and operational procedures are not followed or if the equipment is not properly installed or serviced.

Measures to be taken in the event of accidental or suspected exposure to x-rays:

1. The X-RAY MACHINE OPERATOR shall:
   
   1. turn off the x-ray machine and disconnect the power;
   2. record names of all personnel who might have been exposed;
   3. contact the Radiation Safety Officer immediately and report the incident, and the Radiation Safety Officer will ensure that staff exposed will be immediately dispatched to the emergency room of the hospital indicated below to be seen by the radiation oncologist on duty.
      
      Name of hospital or health care facility:
      ______________________________________
      
      Telephone number:
      ______________________________________
      
      It is the duty of the individual(s) accompanying the exposure victim(s) to the hospital /health care facility to advise the attendant medical staff that accidental exposure to x rays has occurred. The hospital/health care facility emergency staff should then undertake the protocol for post exposure to ionizing radiation.
      
      
2. The Radiation Safety officer will immediately initiate an accident investigation, file a preliminary report with the regulatory authority that has jurisdiction of the facility in which the x-ray machine is located as soon as sufficient details about the accident become available, and prepare a final report.
   
   
3. The contracted maintenance service provider, ___________________,
   shall be contacted and requested to check the machine, participate in the investigation and, if necessary, service the x-ray machine accordingly.
   
   
4. The x-ray machine owner shall:
   
   
   1. ensure that a complete investigation is carried out and that appropriate corrective measures are immediately implemented; and
   2. ensure that a copy of the accident investigation final report, which shall incorporate the corrective measures, is sent within 5 calendar days to the radiation protection regulatory authority that has jurisdiction for the facility in which the x-ray machine is located.
      

Note:
The user should complete the blanks in the preceding emergency procedures specific to the facility, hospital / health care facility, and contracted maintenance provider. It is the responsibility of the equipment owner to ensure that all operators and operators' Supervisor adhere to these emergency procedures, and that the contact information on personnel presented in the emergency procedures remains current.

Attachment C - Accident Investigation Report

Facility name and address:

Date:

______________

Equipment Brand name:

______________

Manufacture:

______________

Model:

_____________

Site of accident:

______________

Date of Accident:

______________

Description of accident:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Equipment owner or RSO actions taken: (e.g., care of the victims, immediate repair of equipment, etc.)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Corrective action: (specify dates when implemented)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Comments:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Report prepared by:

Signature: _____________________

Title: _____________________

Telephone Number: _____________

email address: _____________