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   The aim of the inspection is to ensure that the undertaking applies all necessary measures to protect people and the environment from the harmful effects of ionizing radiation.

 

   Tasks of inspections are:

 

  • to provide methodological assistance and consultations to undertakings;
  • to supervise and control how undertakings follow the requirements on radiation and physical protection stated in the laws and other legal acts;
  • to apply administrative liability and other enforcement actions to the undertakings for committed breaches.

 

   Inspections could be planned and unplanned:

 

  • planned inspections are performed according the State radiation protections supervision annual plan and the Regulation of State Radiation Protection Supervision;
  • unplanned inspections could be performed by the order of the director, deputy director or head of radiation protection supervision and control division of Radiation Protection Centre.

 

   Decision to perform an unplanned inspection may be made then:

 

  • reasoned request or order from other competent authority or regulatory body from other country is received;
  • information or reasonable suspicions about the activities of the undertaking, which may contradict or not comply with the legislation on radiation protection and the physical security of radioactive sources are handled;
  • to ensure that the breaches identified during the previous inspection have been remedied and that the decisions and requirements set out in the inspection report have been implemented;

 

   When the breaches are detected, inspectors may:

  • make the warning in the in inspection report of the undertaking about suspension of authorization of  carried out activity if breaches will not be remedied till the given term;
  • suspend work with ionizing radiation source;
  • write a protocol of administrative infringements;
  • provide an offer to director of  RPC  to suspend authorization of activity carried out by the undertaking

 

   RESULTS OF INSPECTIONS

 

   676 inspections in 591 undertakings were performed in 2019, and in 110 of which infringements of the requirements of legal acts regulating radiation protection and physical security of radioactive sources were identified, including minor violations. For the breaches that could cause unjustified occupational, public or environmental exposure to ionizing radiation, administrative enforcement actions were applied to five undertakings by imposing them with fines. 


Inspections and  Breaches

Fig.1. Statistics of inspections performed in 2019

 

   Most common radiation protection breaches were:

  • exposed workers are not trained in radiation protection;
  • no measurements of workplace monitoring have been performed;
  • no quality control tests have been made;
  • maintenance of sources have been not performed, maintenance contract have been not renewed;
  • no changes have been reported to the license or its annex;
  • data have been not submitted to the Register.

 

   As every year, the RSC officials carried out inspections aimed to evaluate compliance with the radiation protection requirements within specific area of the practices with sources. As a follow-up to the measures launched in previous years, inspections were carried out to assess the radiation protection of the ASPĮ during surgical operations, invasive and/or interventional procedures using ionizing radiation. The analysis of the causes of repeated X-ray diagnostic procedures by the ASPĮ was also assessed.

   In addition, in 2019 much attention has been paid to assessing the justification of X-ray diagnostic procedures performed by ASPĮ. Such an assessment was performed in ASPĮ and dental companies that have panoramic and digital dental equipment.

   During the inspections in undertakings carrying out practices of surgical operations and invasive and/or interventional procedures using ionizing radiation was found out that the monitoring of external exposure of workers (whole body, if necessary – eyes and extremities) is carried out in accordance with the procedure established by legal acts. The average annual doses to workers and the accumulated individual dose equivalents did not exceed the dose limits.

   During inspections in order to evaluate repeated X-ray diagnostic procedures by the ASPĮ, it was found out that the number of registered repeated procedures performed in ASPĮ is low (one hundredth of a percentage of the total number of procedures performed); therefore, their impact on the exposure of workers and the public is not significant. The main reason given for repeated radiological examinations is the human factor – the patient's movement during the procedure, in rare cases – failure of equipment. All cases registered at ASPĮ are investigated, preventive measures are planned to reduce the likelihood of their recurrence.

   During assessment of the justification of radiodiagnostic procedures in dental companies that have panoramic and digital dental equipment, it was found out that the companies have prepared descriptions of procedures for registration and accounting of medical procedures and are registering dental radiodiagnostic procedures in accordance with the established procedure. In cases where the patient comes from another dental company, the examinations are performed with prescriptions from referral dental physician. All radiodiagnostic procedures were identified us justified in the inspected ASPĮ and dental companies.

Last update 15/07/2020


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LT-08352, Vilnius

ph. +370 5 236 19 36
fax +370 5 276 36 33
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