Republic of Iraq
Iraqi Radioactive Sources Regulatory Authority
Authorization Directorate
Form No: IRSRA-A-٠١
Required documents and information for approval of radioactive sources store construction
A: Safety Requirements
Existence of utilization log
Provided with (PPE)
Scheme for nears explosives bunker
Committing with capacity of storage
Record of personal exposure for employs in the store
Existence of extinguisher and illumination
Taking protection procedures in radiological event
Dose rate outside and inside the store
Dimensions of the store and distance between the pits
Informing IRSRA when the store is closed or decommissioned
B: Securty Requirements
Availability of means of detection (camera, lighting, sensor, and
guarding point )
Availability of defense in depth ( fencing, locks )
Availability of response (security force)
C:Design of storage
GPS coordinates for store location
Scheme for the construction details for The store and it's wall
thickness and type of universal designs in used& material used
Determine the details of pit lining and thickness of pit cover
Type of window and door and floors
The level of aquifer and precipitation and influxes in the area
The site plane (as its build) of store and neighbors facility
Iraq-Baghdad/ AL-Farddos Sq P.O.Box : ٢٠٢٥ AL-Jadarya Tel: ٠٧٧٠٦٢٤٣٢٧٩
Email: irsra٢٠٠٤@yahoo.co.uk
Web: www.irsra.gov.iq
(٥-١)
Republic of Iraq
Iraqi Radioactive Sources Regulatory Authority
Authorization Directorate
Form No: IRSRA-A-٠١
Approval form of Radioactive Sources store construction
First: Type of radiological practice:
well logging
industrial radiography
other
Second: Authorization applicant Information:
Name:
Government:
Private:
mixed Sector:
For IRSRA Purposes
Recommendation and Remark of
Authorization Directorate :
Foreign
Address:
Governorate:
City/town:
District:
Recommendation and Remark of
Inspection Directorate :
Store location:
Recommendation and Remark of
Research & Development Directorate:
Governorate:
City/town:
District:
Type of storage:
Permanent
Store code :
Store Validity:
Date of Issues:
Interim
Third: Information of responsible person:
Name:
IRSRA Chairman Approval:
Position:
Tel.:
Email:
Iraq-Baghdad/ AL-Farddos Sq P.O.Box : ٢٠٢٥ AL-Jadarya Tel: ٠٧٧٠٦٢٤٣٢٧٩
Email: irsra٢٠٠٤@yahoo.co.uk
Web: www.irsra.gov.iq
(٥-٢)
Republic of Iraq
Iraqi Radioactive Sources Regulatory Authority
Authorization Directorate
Form No: IRSRA-A-٠١
Fourth: Information for contract institution:
Name of institution:
Contract duration:
Name of following company:
Name of subcontract institution:
When the Contract institution uses the bunker, the owner should officially inform IRSRA.
Fifth: Information of the number & location of stores in the company:
No.
Store code
Authorization state
In case of transport or radioactive sources from bunker to another you should inform IRSRA.
Sixth: Describe of the required procedures for decontamination:
Contamination of surface bunker (wall, ground):
Contamination of equipments:
Seventh: describe of field storage:
Iraq-Baghdad/ AL-Farddos Sq P.O.Box : ٢٠٢٥ AL-Jadarya Tel: ٠٧٧٠٦٢٤٣٢٧٩
Email: irsra٢٠٠٤@yahoo.co.uk
Web: www.irsra.gov.iq
(٥-٣)
Republic of Iraq
Iraqi Radioactive Sources Regulatory Authority
Authorization Directorate
Form No: IRSRA-A-٠١
Commitment
I hereby (
) director of company office (
)
attend to headquarter (IRSRA) and I:
١. I commit that all the mentioned information in this form was true and
corresponding with fact.
٢. I directly inform IRSRA about any change in design of radioactive source
store.
٣. I notify IRSRA in case of stealing, losing, and incident of radioactive
source.
٤. I notify IRSRA in case of closing and disassembling of radioactive source
store.
Difference that I will carry all lawful responsibility
Signature (
) date
/
/٢٠١٣.
Approval of manager of authorization directorate:
Company name:
Authorized name:
Signature:
Address:
Tel.:
Date:
Approval of lawful department director:
Iraq-Baghdad/ AL-Farddos Sq P.O.Box : ٢٠٢٥ AL-Jadarya Tel: ٠٧٧٠٦٢٤٣٢٧٩
Email: irsra٢٠٠٤@yahoo.co.uk
Web: www.irsra.gov.iq
(٥-٤)
Republic of Iraq
Iraqi Radioactive Sources Regulatory Authority
Authorization Directorate
Form No: IRSRA-A-٠١
Table (١) radioactive sources details:
Item
Isotope
Physical
form
Activity
Date of
activity
Birthday
Serial No
Iraq-Baghdad/ AL-Farddos Sq P.O.Box : ٢٠٢٥ AL-Jadarya Tel: ٠٧٧٠٦٢٤٣٢٧٩
Email: irsra٢٠٠٤@yahoo.co.uk
(٥-٥)
Web: www.irsra.gov.iq