DHS 157.71(11)(b)
(b) A licensee shall retain a record for 3 years after the date of release that the instructions required by s.
DHS 157.62 (8) (b) were provided to a breast-feeding woman if the radiation dose to the infant or child from continued breast-feeding could result in a total effective dose equivalent exceeding 5 mSv (0.5 rem).
DHS 157.71(12)
(12)
Records of administrative and technical requirements that apply to the provision of mobile services. DHS 157.71(12)(a)(a) A licensee shall retain a copy of the letter that permits the use of radioactive material at a client's address of use, as required by s.
DHS 157.62 (9) (a) 1., for 3 years after the last provision of service.
DHS 157.71(12)(b)
(b) A licensee shall retain the record of each survey required by s.
DHS 157.62 (9) (a) 4. for 3 years. The record shall include the date of the survey, the results of the survey, the instrument used to make the survey and the name of the person who performed the survey.
DHS 157.71(13)
(13)
Records of decay-in-storage. A licensee shall maintain a record of the disposal of licensed materials as required by s.
DHS 157.62 (10) for 3 years. The record shall include the date of the disposal, the survey instrument used, the background dose rate, the dose rate measured at the surface of each waste container and the name of the person who performed the disposal.
DHS 157.71(14)
(14)
Records of contaminant concentration. A licensee shall maintain a record of the contaminant concentration tests required by s.
DHS 157.63 (3) (b) for 3 years. The record shall include, for each measured elution or extract, all of the following:
DHS 157.71(14)(a)
(a) The ratio of the measures expressed as kilobecquerel (microcurie) of molybdenum-99, strontium -82 or strontium-85 per megabecquerel of technetium-99m or rubidium-82 chloride injection.
DHS 157.71(15)
(15)
Records of instruction and training. A licensee shall maintain a record of instructions and training required by ss.
DHS 157.64 (2),
157.65 (4) and
157.67 (4) for 3 years. The record shall include a list of the topics covered, the date of the instruction or training, the names of the attendees and the names of the persons who provided the instruction.
DHS 157.71(16)
(16)
Records of radiation surveys of patients and human research subjects. A licensee shall maintain a record of the surveys required by ss.
DHS 157.65 (2) and
157.67 (2) for 3 years. Each record shall include the date and results of the survey, the survey instrument used and the name of the person who made the survey.
DHS 157.71(17)(b)
(b) For temporary implants, the record shall include all of the following:
DHS 157.71(17)(b)1.
1. The number and activity of sources removed from storage, the time and date they were removed from storage, the name of the person who removed them from storage and the location of use.
DHS 157.71(17)(b)2.
2. The number and activity of sources returned to storage, the time and date they were returned to storage and the name of the person who returned them from storage.
DHS 157.71(17)(c)
(c) For permanent implants, the record shall include all of the following:
DHS 157.71(17)(c)1.
1. The number and activity of sources removed from storage, the date they were removed from storage and the name of the person who removed them from storage.
DHS 157.71(17)(c)2.
2. The number and activity of sources returned to storage, the date they were returned to storage and the name of the person who returned them to storage.
DHS 157.71(17)(c)3.
3. The number and activity of sources permanently implanted in the patient or human research subject.
DHS 157.71(18)
(18)
Records of calibrations on brachytherapy sources. A licensee shall maintain a record of the calibrations on brachytherapy sources required by s.
DHS 157.65 (6) for 3 years after the last use of the source. The record shall include the date of the calibration, the manufacturer's name, model number and serial number for the source and instruments used to calibrate the source, the source output or activity, source positioning accuracy within applicators and the signature of the authorized medical physicist.
DHS 157.71(19)
(19)
Records of installation, maintenance, adjustment and repair. A licensee shall retain a record of the installation, maintenance, adjustment and repair of remote afterloader units, teletherapy units and gamma stereotactic units as required by s.
DHS 157.67 (3) for 3 years. For each installation, maintenance, adjustment and repair, the record shall include the date, description of the service and names of the persons who performed the work.
DHS 157.71(20)(a)
(a) A licensee shall retain a record of the calibration, intercomparison and comparisons of its dosimetry equipment done under s.
DHS 157.67 (6) for the duration of the license.
DHS 157.71(20)(b)
(b) For each calibration, intercomparison or comparison, the record shall include all of the following:
DHS 157.71(20)(b)2.
2. The model numbers and serial numbers of the instruments that were calibrated, intercompared or compared.
DHS 157.71(20)(b)3.
3. The correction factor that was determined from the calibration or comparison or the apparent correction factor that was determined from an intercomparison.
DHS 157.71(20)(b)4.
4. The names of the persons who performed the calibration, intercomparison or comparison.
DHS 157.71(21)
(21)
Records of teletherapy, remote afterloader and gamma stereotactic radiosurgery full calibrations. DHS 157.71(21)(a)(a) A licensee shall maintain a record of the teletherapy, remote afterloader and gamma stereotactic radiosurgery full calibrations required by s.
DHS 157.67 (7) to
(9) for 3 years.
DHS 157.71(21)(b)2.
2. The manufacturer's name, model number and serial number for the teletherapy, remote afterloader and gamma stereotactic radiosurgery unit, source and instruments used to calibrate the unit.
DHS 157.71(21)(b)4.
4. The results of the autoradiograph required for low dose-rate remote afterloader units.
DHS 157.71(21)(b)5.
5. The signature of the authorized medical physicist who performed the full calibration.
DHS 157.71(22)
(22)
Records of periodic spot-checks for teletherapy units. DHS 157.71(22)(b)2.
2. The manufacturer's name, model number and serial number for the teletherapy unit, source and instrument used to measure the output of the teletherapy unit.
DHS 157.71(22)(b)5.
5. A determination of the coincidence of the radiation field and the field indicated by the light beam localizing device.
DHS 157.71(22)(b)6.
6. The determined accuracy of each distance measuring and localization device.
DHS 157.71(22)(b)8.
8. Notations indicating the operability of each entrance door electrical interlock, each electrical or mechanical stop, each source exposure indicator light and the viewing and intercom system and doors.
DHS 157.71(22)(b)9.
9. The name of the person who performed the periodic spot-check and the signature of the authorized medical physicist who reviewed the record of the spot-check.
DHS 157.71(23)
(23)
Records of periodic spot-checks for remote afterloader units. DHS 157.71(23)(b)
(b) The record required under par.
(a) shall include all of the following, as applicable:
DHS 157.71(23)(b)2.
2. The manufacturer's name, model number and serial number for the remote afterloader unit and source.
DHS 157.71(23)(b)4.
4. Notations indicating the operability of each entrance door electrical interlock, radiation monitors, source exposure indicator lights, viewing and intercom systems and clock and decayed source activity in the unit's computer.
DHS 157.71(23)(b)5.
5. The name of the person who performed the periodic spot-check and the signature of the authorized medical physicist who reviewed the record of the spot-check.
DHS 157.71(24)
(24)
Records of periodic spot-checks for gamma stereotactic radiosurgery units. DHS 157.71(24)(b)2.
2. The manufacturer's name, model number and serial number for the gamma stereotactic radiosurgery unit and the instrument used to measure the output of the unit.
DHS 157.71(24)(b)8.
8. Notations indicating the operability of radiation monitors, helmet microswitches, emergency timing circuits, emergency off buttons, electrical interlocks, source exposure indicator lights, viewing and intercom systems, timer termination, treatment table retraction mechanism and stereotactic frames and localizing devices.
DHS 157.71(24)(b)9.
9. The name of the person who performed the periodic spot-check and the signature of the authorized medical physicist who reviewed the record of the spot-check.
DHS 157.71(25)
(25)
Records of additional technical requirements for mobile remote afterloader units. DHS 157.71(25)(b)2.
2. The manufacturer's name, model number and serial number of the remote afterloader unit.
DHS 157.71(25)(b)3.
3. Notations accounting for all sources before the licensee departs from a facility.
DHS 157.71(25)(b)4.
4. Notations indicating the operability of each entrance door electrical interlock, radiation monitors, source exposure indicator lights, viewing and intercom system, applicators and source transfer tubes and source positioning accuracy.
DHS 157.71(26)
(26)
Records of surveys of therapeutic treatment units. DHS 157.71(26)(a)(a) A licensee shall maintain a record of radiation surveys of treatment units made under s.
DHS 157.67 (14) for the duration of use of the unit.
DHS 157.71(26)(b)2.
2. The manufacturer's name, model number and serial number of the treatment unit, source and instrument used to measure radiation levels.
DHS 157.71(26)(b)3.
3. Each dose rate measured around the source while the unit is in the off position and the average of all measurements.
DHS 157.71(27)
(27)
Records of 5-year inspection for teletherapy and gamma stereotactic radiosurgery units. DHS 157.71(27)(a)
(a) A licensee shall maintain a record of the 5-year inspections for teletherapy and gamma stereotactic radiosurgery units required by s.
DHS 157.67 (15) for the duration of use of the unit.
