(If this is an amendment to an existing Laboratory Safety Plan, submit Schedule C and an updated Schedule A to the Department of Environment, Health and Safety.)
Principal Investigator
SECTION I
Location of laboratories: (list in Schedule A, Section II)
SECTION II – Personnel
Complete and attach a separate Lab / Rad Worker Registration form (Appendix B, Rad. Protection Manual) for each person who will be using radiation sources.
Number of proposed radiation workers / .
SECTION III – Project Information
1.Project title:estimated termination date:
2.Radiological Data:
Radionuclides requested and quantities
Chemical Forms / Critical Organ
Biological Half-Life / Annual Limit on Intake
Hazard Index (Maximum quantity to be handled at one time/ ALI)
3.Description: Provide a brief description of the experiment and outline purpose and/or objectives. For animal studies, give details such as dose administered to each animal and number of animals.
Section IV – Storage and Handling
- Storage and Security: Specify where radiation sources are to be stored, quantities, and security measures.
2.Handling Procedures
- Tracer Uses: If a stock solution of a radionuclide is to be diluted or separated into aliquots, describe the following in detail:
(2)subsequent aliquot amounts,
(3)and the facility where this is to be done - room, hood, etc.
All containers must be properly labeled - radionuclide, amount, when used, who, etc. Describe subsequent labeling procedures indicating
(1)what is to be labeled,
(2)how it is to be accomplished,
(3)where it is to be used, and
(4)assay procedures to be used.
b.Sealed Sources: A description of how the source is to be secured, shielded, and the dose rate expected in the general area of use.
3.Handling Precautions: Handling procedures to be used to minimize personnel exposure and lab contamination should be outlined.
4.Radiation Surveys: What instruments are available to be used for checking lab equipment, glassware, and personnel during experiment. Describe method and frequency of checking for contamination.
5.Waste Disposal
NOTE: The Department of Environment, Health and Safety provides 30 gallon drums, cardboard boxes, and 4-liter glass jugs for waste collection. Each laboratory is to provide its own rubber buckets for liquid waste containers.
a. Describe nature of hazardous materials that may be in radioactive wastes of which waste handlers should be aware (e.g. pathogens, carcinogens, toxic chemicals).
b. Specify the liquid scintillation counting media (brand name) you plan to use.
c. Specify any solvents that may be used in processes that include radioactive materials.
Please be aware that no hazardous waste may be generated for which we have no avenue of disposal. You may be invoiced for disposal costs beyond normal bounds.
6.Procedures to be followed in the Event of a Spill: