Haw. Code R. § 11-45-131

Current through November, 2024
Section 11-45-131 - Radiation safety committee
(a) Each medical institution licensee shall establish a radiation safety committee to oversee the use of radioactive material.
(b) The committee shall meet the following administrative requirements:
(1) Membership shall consist of at least three individuals and shall include an authorized user of each type of use permitted by the license, the radiation safety officer, a representative of the nursing service, and a representative of management who is neither an authorized user nor a radiation safety officer. Other members may be included as the licensee deems appropriate.
(2) The committee shall meet at least once each calendar quarter.
(3) To establish a quorum and to conduct business, one-half of the committee's membership shall be present, including the radiation safety officer and the management's representative.
(4) The minutes of each radiation safety committee meeting shall include:
(A) Date of the meeting;
(B) Members present;
(C) Members absent;
(D) Summary of deliberations and discussions;
(E) Recommended actions and the numerical results of all ballots; and
(F) Document any reviews required in section 11-45-129(c) and subsection (c).
(5) The committee shall provide each member with a copy of the meeting minutes, and retain one copy.
(c) To oversee the use of licensed material, the committee shall:
(1) Be responsible for monitoring the institutional program to maintain occupational doses as low as reasonably achievable;
(2) Review, on the basis of safety and with regard to the training and experience standards of this part, and approve or disapprove any individual who is to be listed as an authorized user, the radiation safety officer, or qualified medical physicist before submitting an application for a license or request for amendment or renewal;
(3) Review on the basis of safety and approve or disapprove each proposed method of use of radioactive material;
(4) Review on the basis of safety, and approve with the advice and consent of the radiation safety officer and the management representative, or disapprove procedures and radiation safety program changes before submittal to the department for license action;
(5) Review quarterly, with the assistance of the radiation safety officer, occupational radiation exposure records of all personnel working with radioactive material;
(6) Review quarterly, with the assistance of the radiation safety officer, all incidents involving radioactive material with respect to cause and subsequent actions taken;
(7) Review annually, with the assistance of the radiation safety officer, the radioactive material program; and
(8) Establish a table of investigational levels for occupational dose that, when exceeded, shall initiate investigations and considerations of action by the radiation safety officer.

Haw. Code R. § 11-45-131

[Eff 11/12/99] (Auth: HRS §§ 321-10, 321-11, 321-71) (Imp: HRS §§ 321-1, 321-11(21), 321-71)