Oregon Oregon Health Authority, Public Health Division

Rule Rule 333-120-0650
Records of Individual Monitoring Results


Recordkeeping Requirement. Each licensee must maintain records of doses received by all individuals for whom monitoring was required pursuant to OAR 333-120-0210 (Surveys and Monitoring: Conditions Requiring Individual Monitoring of External and Internal Occupational Dose) and records of doses received during planned special exposures, accidents, and emergency conditions. These records must include, when applicable:


The deep-dose equivalent to the whole body, lens dose equivalent, shallow-dose equivalent to the skin, and shallow-dose equivalent to the extremities; and


The estimated intake or body burden of radionuclides (OAR 333-120-0110 (Radiation Dose Limits: Compliance with Requirements for Summation of External and Internal Doses)); and


The committed effective dose equivalent assigned to the intake or body burden of radionuclides; and


The specific information used to calculate the committed effective dose equivalent pursuant to OAR 333-120-0130 (Radiation Dose Limits: Determination of Internal Exposure)(3); and


The total effective dose equivalent when required by OAR 333-120-0110 (Radiation Dose Limits: Compliance with Requirements for Summation of External and Internal Doses); and


The total of the deep-dose equivalent and the committed dose to the organ receiving the highest total dose.
NOTE: Assessments of dose equivalent and records made using units in effect before the licensee’s adoption of this division need not be changed.


Recordkeeping Frequency: The licensee must make entries of the records specified in section (1) of this rule at least annually.


Recordkeeping Format. The licensee must maintain the records specified in section (1) of this rule using NRC form 5 or equivalent, in accordance with the instructions for NRC’s Form 5, or in clear and legible records containing all the information required by NRC’s Form 5.


Privacy Protection. The records required under this rule are protected from public disclosure because of their personal privacy nature. These records are protected and if transferred to the Authority, are protected under ORS Chapter 192 (Records).


The licensee must maintain the records of dose to an embryo/fetus with the records of dose to the declared pregnant woman, as defined in OAR 333-100-0005 (Definitions). The declaration of pregnancy must also be kept on file, but may be maintained separately from the dose records.


The licensee must retain each required form or record until the Authority authorizes disposition.
NOTE: The following information is required on Form 5, Occupational Exposure Record for a Monitoring Period: Name; identification number and type (Social Security Number (SSN), Passport Number (PPN), Canadian Social Insurance Number (CSI), Work Permit Number (WPN), INDEX Identification Number (IND), or Other (OTH)); sex; date of birth; monitoring period; licensee name; license or registration number; is dose is official record or estimate; if dose is routine or planned special exposure; intake, list radionuclide, class, mode, total intake (Ci); external dose(s), DDE (Deep Dose Equivalent in rems), LDE (Lens Dose Equivalent in rems), SDE(WB) (Shallow Dose Equivalent Whole Body in rems), SED(ME) (Shallow Dose Equivalent Maximum Extremity in rems), CEDE (Committed Effective Dose Equivalent in rems), CDE (Committed Dose Equivalent in rems), TEDE (Total Effective Dose Equivalent in rems) and TODE Total Organ Dose Equivalent in rems).
[ED. NOTE: Forms referenced are available from the agency.]

Last accessed
Jun. 8, 2021