1. TS-R-1 Secretariat Proposals
Presentation 4.3

2. Issues Transport of patients in an emergency
Exemption value harmonization with BSS
ICAO Issue on notification of appropriate people

3. Transport of patients in an emergency
Current text
Radioactive material implanted or incorporated into a person or live animal for diagnosis or treatment
A person with accidental intake is not exempt
IAEA, on occasions, arranges for transport of such people

4. Transport of patients in an emergency
Discussion with ICAO, IATA, IFALPA and IAEA IEC
Proposed text
Transport of a living person for urgent medical treatment, where the person has been subject to accidental intake of radioactive material.
Need for urgent medical treatment (i.e. potential for survival) creates an automatic limit on quantity
Guidance on contamination control would be appropriate

5. Exemption values in BSS
Para 403 allowed calculation of A1 and A2 values for radionuclides not listed
After inclusion of the two new columns for exemption values this was extended to all radionuclide values
TS-R-1 limits this to radionuclides NOT in the Table
BSS permits alternative exemption values for radionuclides included in the table

6. Exemption values in BSS
Proposal
TS-R-1 should adopt the BSS criteria by reference for all radionuclides
Question
Multilateral approval is appropriate for new A1 A2 values – given the exemption values are much lower than the excepted package levels should this be unilateral approval?

7. ICAO Issue
ICAO raised an issue with para 309, but were unable to attend the previous meeting to discuss.
Following ICAO, IATA, IFLAPA IAEA discussions the issue has been clarified
The paragraph only requires notification of the consignor.
Should this be extended to cover the carrier in the case of 309 (a) (ii)?