1. John Croft (NRPB) Pascal Crouail (CEPN) John Wheatley (IAEA)
Review of the Development of Incidents Databases and Feedback Mechanisms: IRID, RELIR, EURAIDE and RADEV
John Croft (NRPB)
Pascal Crouail (CEPN)
John Wheatley (IAEA)

2. Ionising Radiations Incident Database (IRID)
Established in UK in 1996
Partnership
National Radiological Protection Board ( NRPB)
Health and Safety Executive (HSE)
Environment Agency (EA)

3. Ionising Radiations Incident Database (IRID)
Established in UK in 1996
Partnership
National Radiological Protection Board ( NRPB)
Health and Safety Executive (HSE)
Environment Agency (EA)
Objectives
National focus on ionising radiation incidents
Feedback to prevent or limit future incidents
Analysis to inform priorities in resource allocation

4. IRID: Scope and Confidentiality
Broad definition of an “incident”
includes “near misses”
Included: non-nuclear sector
industry, medicine, research and teaching
Excluded
nuclear, transport and patient exposure

5. IRID: Scope and Confidentiality
Broad definition of an “incident”
includes “near misses”
Included: non-nuclear sector
industry, medicine, research and teaching
Excluded
nuclear, transport and patient exposure
Confidentiality
major issue with potential contributors
data is anonymous
pledges by NRPB, HSE & EA

6. IRID: Format
23 fields categorising the accidents
1 text field : anonymous descriptions of accident
what happened
causes
doses and other consequences
lessons learned
Published first 100 cases in 1999

7. IRID

8. IRID: First Analysis Usage % Other Radiography  - site 15
 - facility
X - site
X - facility 39
Other
Density / Moisture gauges
Processing of ore / scrap

9. IRID: Lessons
Need for
Good management
Correct use of radiation monitors
Security of radiation sources
Appropriate training
Availability / use of contingency plans

10. Retours d’Expériences sur Les Incidents Radiologigues
RELIR
Retours d’Expériences sur Les Incidents Radiologigues =
Feedback Experience on
Radiological incidents

11. Research and Safety National Institute (INRS)
RELIR: Creation
Qualified Expert Group of French Radiological Protection Society (SFRP)
In collaboration with
Research and Safety National Institute (INRS)
Office of Protection against Ionising Radiations (OPRI)
National Institute of Nuclear Sciences &Techneques (INSTN)
Curie Institute
CEPN
Reporting networks
Qualified Experts in Industrial and Medical fields
Medical Physicians

12. RELIR: Objectives
to learn from feedback to avoid new incidents
to provide training material from examples of incidents
to encourage exchanges between HP & RP professionals and non-professionals

13. RELIR : Operation INCIDENT Moderator analyse dialogue validation
questionnaire
Workers
INCIDENT
Occupational Physicians
Expert
Committee
Competent persons, etc.
diffusion
training
Publication
material
Internet

14. RELIR: Fields Covered
Sector Activities
Medical and Veterinary
Industry
Research and Teaching 2
Other
~ 20 Moderators

15. RELIR: Next Steps WEBSITE (http://RELIR.cepn.asso.fr/)
still in construction (available October 2001)
BY THE END OF THE YEAR
about 40 cases with lessons to be learned
LATER ON
about 10 cases per year ?

16. Recommendation from 2nd EAN Workshop 1998 Pilot Study
EURAIDE
Recommendation from 2nd EAN Workshop 1998
Pilot Study
European Union Radiation Accident and
Incident Data Exchange
encourage establishment and compatibility of databases
establishing network to exchange feedback
summary reports for RP training programmes
involve and integrate EU Applicant Countries

17. CEPN (France) BfS (Germany) CSN (Spain)
EURAIDE: Pilot Study
NRPB (UK)
CEPN (France) BfS (Germany)
CSN (Spain)
existing national mechanisms for capturing data
selection criteria for incident feedback
making available in national languages
identification of relevant national organisations
structure of Steering committee

18. Specifications for EURAIDE and its management
EURAIDE: Development
Pilot Study output
Specifications for EURAIDE and its management
Completion: June 2002
Development
1st Workshop: present results and discus
Dialogue with EC
2nd Workshop to consider revised proposals

19. RADiation Event (RADEV) Reporting System
Purpose
To help prevent accidents or mitigate their consequences
To help Member States, IAEA and other organisations to identify priorities in their radiation safety programmes and to facilitate efficient allocation of resources

20. RADiation Event (RADEV) Reporting System
Purpose
To help prevent accidents or mitigate their consequences
To help Member States, IAEA and other organisations to identify priorities in their radiation safety programmes and to facilitate efficient allocation of resources
Objective
Collect and disseminate information on radiation events
identification of causes
feedback lessons learned

21. (*eg: malicious acts, deliberate acts)
RADEV: Scope
Events with actual/potentially significant radiation protection consequences and from which lessons can be learned:
accidents
near misses
any other unusual* events
(*eg: malicious acts, deliberate acts)

22. Worker / public exposure
RADEV: Scope
Include
Worker / public exposure
Loss of control of sources
- lost, found, stolen, illegally transported or sold
Patient exposure significantly different than intended
Exclude
Nuclear power plants, fuel cycle and weapons
Transport
Illicit trafficking of nuclear materials

23. Data collection/dissemination:- Electronically to/from MS
RADEV
National
IAEA
RADEV
National
RADEV
International

24. Dissemination of Information
Internet
IAEA
IAEA
RADEV
Annual
Report
RADEV
International
Professional
Journals

26. Implementation plan Test database in-house Finalise TECDOC
Prepare instruction manual
Limited international test & evaluation
Incorporation of feed-back
Identify & establish formal contact points & data suppliers
Launch at international workshops (2001)

27. IAEA’s RADiation EVents Database ( RADEV ) Industrial Events Involving Workers / Public
24 orphaned sources
205 persons exposed
below dose limits
44 exceeded dose limits
Research
Unknown
11%
Industrial
50%
14* cases of ‘radiation
burns’
8* amputations
5* deaths
* non-medical
Medical
37%
Total events recorded to date = 179

28. IAEA’s RADiation EVents Database ( RADEV ) Industrial Events Involving Workers / Public - Specific Practice
NORM
Unknown, 11%
Laboratory uses
Research accelerators
Gauging
Industrial radiography
Adventitious x-rays
Security inspection
Industrial irradiators
Medical, 37%
Waste conditioning 10 20 30
Industrial, 50%

29. IAEA’s RADiation EVents Database ( RADEV ) Direct / Contributory Causes of Industrial Events
Deliberate / malicious act
Unknown, 11%
Design / testing deficiency
Equipment / facility failure
Human effects
Maintenance problems
Procedure deficiency
Radiation survey deficiency
Source security ineffective
Source storage deficiency
Supervision inadequate
Medical, 37%
Training deficiency 10 20 30 40
Industrial, 50%