Nuclear Power Supervisory Regulation Number 8 In 2011

Original Language Title: Peraturan Badan Pengawas Tenaga Nuklir Nomor 8 Tahun 2011

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Read the untranslated law here: http://peraturan.go.id/inc/view/11e44c50cf087d209446313233313038.html

Microsoft Word-bn639-2011 REPUBLIC of INDONESIA No. 639, 2011 SUPERVISORY NUCLEAR POWER. Sinar-x. Radiation Safety. REGULATION of NUCLEAR POWER WATCHDOG AGENCY HEADS of the REPUBLIC of INDONESIA number 8 year 2011 ABOUT RADIATION SAFETY in the USE of PLANE x-ray DIAGNOSTIC RADIOLOGY and INTERVENSIONAL by the GRACE of GOD ALMIGHTY HEAD of the REPUBLIC'S NUCLEAR POWER WATCHDOG BODY, Considering: that in order to implement the provisions of article 6 paragraph (6), article 7 paragraph (2), article 20, article 10 paragraph (3), section 23 subsection (4), article 25 Article 31, paragraph (4), article 46 paragraph (4) of article 47, paragraph (3), and article 58 Government Regulation Number 33 in 2007 about the safety of ionizing radiation and Radioactive Source Security, need to establish Regulatory Supervisory Chief of nuclear power on safety in the use of Radiation Plane x-ray Diagnostic Radiology and Intervensional; Remember: 1. Act No. 10 of 1997 of Ketenaganukliran (State Gazette of the Republic of Indonesia Number 23 in 1997, an additional Sheet of the Republic of Indonesia Number 3676); 2. Government Regulation Number 33 in 2007 about the safety of ionizing radiation and Radioactive Source Security (State Gazette of the Republic of Indonesia Number 74 in 2007, an additional Sheet of the Republic of Indonesia Number 4730); www.djpp.kemenkumham.go.id 2011, no. 639 2 3. Government Regulation Number 29 in 2008 about Licensing the utilization of ionizing radiation Sources and Nuclear Materials (State Gazette of the Republic of Indonesia Number 54 in 2008, an additional Sheet of the Republic of Indonesia Number 4839); Decide: Define: REGULATION Of NUCLEAR POWER SUPERVISORY HEAD Of RADIATION SAFETY In The USE Of PLANE X-ray DIAGNOSTIC RADIOLOGY And INTERVENSIONAL. CHAPTER I GENERAL PROVISIONS article 1 in regulation of nuclear power Supervisory Head this is: 1. the nuclear energy Supervisory hereafter BAPETEN is in charge of carrying out the supervision agencies through regulation, licensing, and inspection of all activities of the utilization of nuclear power. 2. Ionizing Radiation Safety in medical field which is hereinafter referred to as Radiation Safety is actions taken to protect patients, workers, community members, and the environment from the hazards of radiation. 3. Ionizing radiation hereinafter referred to radiation is electromagnetic waves and charged particle because the energy is able to ionize the media path. 4. The Radiation Protection Act is being made to reduce the influence of the radiation damage resulting from radiation exposure. 5. Radiology is the branch of medicine that deals with the use of all modalities of using Radiation for diagnostic and therapeutic procedures using a guide including radiology, imaging techniques and the use of Radiation with x-rays and radioactive substances. 6. Diagnostic Radiology is an activity related to the use of facilities for the purposes of diagnosis. 7. Intervensional Radiology is the branch of Radiology are involved in therapy and diagnosis of the patient, doing therapy in a patient's body through the outside of the body with wire guiding, stents, and others with the use of x-rays. www.djpp.kemenkumham.go.id 2011, no. 6393 8. Use are all activities associated with the implementation of Diagnostic Radiology services and Intervensional. 9. The aircraft Fixed-mounted x-ray x-ray was installed on a permanent basis in a room that is used for public examination on a regular basis. 10. air Portable x-ray x-ray is a small size container comes with a wrapper (suitcase) so easy to carry from one place to another. 11. Mobile x-ray Plane indoors is a x-ray which is equipped with or without the battery charger and the wheel so that the digerakan can be easily brought to some room for public examination on a regular basis. 12. Mobile x-ray Aircraft in Mobile Station is a x-ray which is permanently installed in the car so it can be used for public examination on a regular basis in some places. 13. Plane x-ray Tomography is an x-ray of the aircraft using Imaging tomography method to know the description of the object in the pieces sliced (slice per slice). 14. Aircraft Measuring x-ray Bone Density (Bone Densitometry) is a x-ray which is specifically used to know the density of the bone or kekeroposan examination of bone (Osteoporosis), e.g. dual energy x-ray absorptiometry (DXA). 15. X-ray Supporting Aircraft Extracorporeal Shock Wave Lithotripsy (ESWL) is x-ray aircraft equipped with curtain image amplifier, to find out the location of the stone in the human body and destroy the stones with shock wave generator, with the aircraft type in the form of x-ray C-Arm or conventional. 16. Plane x-ray C-Arm Supporting Surgery is a form of x-ray C-Arm placed in a surgical room specifically used to help surgery. 17. The plane x-ray Mammography is an x-ray of the aircraft with a low-energy Radiation that is specifically used for examination of breast with objects are among the film radiography and x-ray tubes. 18. air Dental x-ray Intraoral aircraft was Conventional x-rays used for dental radiography examination of the mandible and the structure surrounding an intraoral radiography film, which uses a special gear. www.djpp.kemenkumham.go.id 2011, no. 639 4 19. Aircraft x-ray Intraoral Digital Dental x-ray was used for the mandible and dental radiography examination structure surrounding an intraoral, which use media receiver images in addition to the film radiografik as well as recording medium computer radiography. 20. Plane x-ray Dentistry is a Portable x-ray Dentistry whose size is very small so it is easy to carry from one place to another. 21. The plane x-ray Ekstraoral Conventional Dentistry is a x-ray examination used for radiography of the head and jaw, which uses a special dental radiography film. 22. air Dental x-ray Digital Ekstraoral is a x-ray examination used for radiography of the head and jaw, which use media receiver images other than film radiography as well as recording medium computer radiography. 23. air Dental x-ray Cone Beam Computed Tomography Scanning (CBCT-Scan) is a x-ray tomography which is the development of CT-scan system, which was designed to obtain an overview of hard tissue visualization and evaluation of maxillofacial surgery area skeletal morphology in three dimensions, with the ability to display image reconstruction fit shape, size and volume of the object. 24. X-ray Fluoroskopi Plane is the plane of x-ray that has a veil or sheet fluorosensi amplifier equipped with video system that identifies an object can be constantly. 25. The plane x-ray Angiography is an x-ray of the aircraft that are specifically used for the examination of the blood vessels. 26. The plane x-ray CT-Scan is an x-ray tomography with imaging method using digital processes that can create images in 3 (three) dimensions of internal organs of the body x-ray imaging of two dimensional resulting from a number of basic data that can be dimanipilasi fit pencitraannya. 27. The plane x-ray CT Angiography is a scanned x-ray CT-Scans are used for the examination of the blood vessels. 28. The plane x-ray CT-Scan Fluoroskopi x-ray is a CT-Scan Imaging tomography method using digital processes that can create images in 3 (three) dimensions of internal organs of the body x-ray imaging of two dimensional resulting from a number of basic data that can be manipulated as needed pencitraannya equipped with imaging device continuously. www.djpp.kemenkumham.go.id


2011, no. 29 6395. Aircraft x-ray CT-Scan for Simulator is a x-ray CT-Scan in Radiology Installations equipped with additional accessories in the form of a patient table flat (flat) and a laser pointer that is used for the simulation of radiotherapy. 30. Plane x-ray CT-Scan Simulator is a x-ray CT-Scan in the installation of Radiotherapy that is designed and used exclusively for the simulation of radiotherapy. 31. The plane x-ray C-Arm for Brakhiterapi is a form of x-ray C-Arm is placed in Brakhiterapi that are specifically used to help Brakhiterapi actions, such as the installation of the applicator. 32. Citra Radiography is an image obtained from the examination of the patient's body on a media recorder radiography using x-ray aircraft. 33. Recording medium Radiography is a device or material used to record results, such as radiography Imaging films, papers, and computer systems. 34. Radiation Exposure is the Radiation received by a very human or material, whether intentional or not, that come from internal Radiation or Externa. 35. Work Exposure is the exposure received by Radiation Workers. 36. Medical Exposure is the exposure received by the patients as part of a diagnosis or medical treatment, and others as a volunteer who helped patients. 37. The potential Exposure is an exposure not expected or predicted but have had a possibility to occur due to accidents or because of an event or series of events that may occur include equipment failure or operational error. 38. Emergency Exposure is the exposure caused the occurrence of nuclear emergency condition and radiologik. 39. A dose of Radiation Dose is hereinafter referred to as the amount of radiation found in the Radiation field or the amount of Radiation energy absorbed or accepted by the material kind. 40. The equivalent Dose is the dose quantities used in Radiation Protection specific to state the magnitude of the level of damage to the tissues of the body due to terserapnya a number of Radiation energy by considering factors which affected it (dose and type of radiation as well as other factors). www.djpp.kemenkumham.go.id 2011, no. 639 6 41. The effective dose is the Dose-specific quantities used in Radiation Protection whose value is the sum of the equivalent Doses received multiplication network with weighting factors of the network. 42. Dose Limit Value is the largest Dose permitted by acceptable BAPETEN by Radiation workers and community members in a specific time period without causing genetic and somatic effects of meaning due to the utilization of nuclear power. 43. The holder of the permit is the person or entity that has received the permission of nuclear power utilization of BAPETEN. 44. A radiation Worker is any person who works in Radiology diagnostic and Installation Intervensional the estimated Radiation Dose can receive an annual exceeding dose for the general public. 45. Protection of radiation Officers are officers appointed by the holder of the permit and is able to carry out the stated BAPETEN by work-related Radiation Protection. 46. Radiology Specialist is a doctor with a specialization in the field of Radiology, the use of ionizing and non ionizing radiation to make diagnoses and perform therapeutic interventions. 47. Radiology Specialist Dentist Dentistry is dentists that specialize in medical service in Radiology and diagnostic imaging of dentistry that is concerned with diseases and/or abnormalities in the system stomatognatik. 48. the Competent Dentist is a dentist who has acquired competence in a particular field of Dentistry Radiology. 49. The competent doctor who is a specialist in radiology or another doctor that has competence in the field of Radiology. 50. Experts (Qualified Expert) is a health workforce that has the competence in the field of medical physics, clinical information, have been following clinical residence, and has been working on Instalation Radiology at least 7 (seven) years. 51. The medical Physicist is a health workforce that has the competence in the field of medical physics clinic basis. 52. Radiografer is a health workforce that has the given tasks with competence, authority, and responsibility in full to perform Diagnostic Radiology and Intervensional. 53. The Operator's Aircraft x-ray Dentistry is the person operating the aircraft x-ray Dentistry in addition to Radiografer, which has the competence field of Radiology dentistry. www.djpp.kemenkumham.go.id 2011, no. 6397 54. Remote areas are areas that are difficult to reach because of various reasons such as geography (Islands, mountains, land, forests and swamps), transport and social culture. 55. An intervention is any action to reduce or avoid exposure or probability of chronic exposure and exposure to Emergencies. 56. The recording is a document stating results achieved or provide evidence of implementation of activities in the utilization of nuclear power. 57. The accident Radiation is unplanned events including operating errors, damage or failure of the function of the appliance, or other events that give rise to consequences or potential consequences which cannot be disregarded from the Radiation Protection or safety aspects. Article 2 (1) of the regulation the head of BAPETEN this set of requirements of Radiation safety requirements, permits, interventions, and recording and reporting, in the use of x-ray aircraft. (2) the use of x-ray aircraft referred to in subsection (1) include the following: a. diagnostic; b. intervensional; c. supporting radiotherapy; and d. supporting nuclear medicine. Article 3 (1) the aircraft type x-rays for diagnostic as referred to in article 2 paragraph (2) letter a include: a. Aircraft Mounted x-ray; b. x-ray Mobile Aircraft, stationed in: 1. the room; and 2. mobile station. c. Aircraft x-ray Tomography; d. Aircraft x-ray Bone Density Measure; e. Plane x-ray Supporting ESWL, types: 1. C-Arm; and 2. conventional. f. Plane x-ray C-Arm Surgery Support; www.djpp.kemenkumham.go.id 2011, no. 639 8 g. Plane x-ray Mammography, which is placed in the: 1. room; and 2. mobile station. h. Plane x-ray dentistry, includes: 1. Conventional Intraoral; 2. Digital Intraoral; 3. Ekstraoral Conventional; 4. Digital Ekstraoral; and 5. CBCT Scans. i. x-ray Fluoroskopi Aircraft; and j. Plane x-ray CT-Scan. (2) the aircraft type x-ray for intervensional as referred to in article 2 paragraph (2) letter b include: a. the x-ray Fluoroskopi Aircraft; b. Plane x-ray CT-Scan Fluoroskopi; c. Aircraft x-ray C-Arm/U-Arm Angiography; and d. the plane x-ray CT-Angiography Scan. (3) the aircraft type x-rays for supporting radiotherapy as referred to in article 2 paragraph (2) Letter c covers: a. the x-ray Simulator Aircraft; b. Plane x-ray CT-scans to Simulator; c. Aircraft x-ray CT-Scan Simulator; and d. the plane x-ray C-Arm for Brakhiterapi. (4) aircraft type x-rays for nuclear medical support referred to in article 2 paragraph (2) letter d is a x-ray CT-Scan. Article 4 any person or entity that will use x-ray aircraft required to have the permission of the head of BAPETEN and meets the safety requirements of radiation. CHAPTER II CONSENT article 5 REQUIREMENTS of the applicant, to obtain permission as referred to in article 4, shall apply in writing by filling out the form, complete the permit requirements document and convey to the head of BAPETEN. www.djpp.kemenkumham.go.id 2011, no. 6399 article 6 (1) the requirements of a permit referred to in article 5 consists of: a. the identity of the applicant's permission, in the form of a photocopy of the card (KTP) Resident Mark for applicant's permission of the nation of Indonesia, or temporary residence permit card (KITAS) and passport to the applicant the permit of a foreign nationality; b. photocopy of deed of legal entities for the applicant permission in the form of a legal entity; c. photocopying permission and/or requirements established by other agencies local authorities, include: 1. the company's domicile certificate of the applicant's permission in the form of a legal entity or business entity; 2. Tax Payer Number (NPWP); 3. Business license fixed (IUT) of the agencies authorized to permit applicant in the form of a legal entity investing; 4. permits issued by health care establishments that are authorized in the field of health; and/or 5. a letter of appointment as leader of the Government hospitals from the authorized agencies. d. use of the aircraft location x-rays; e. a photocopy specifications x-ray aircraft unit and/or the certificate of the test tube according Indonesia national standard (SNI) or other standard tertelusur published by the manufacturer or accredited laboratories in the country of origin; f. the floor plan of the room and surrounding areas, including: 1. the size; 2. materials; and 3. the thickness of the walls of the room. g. report of the Radiation Safety verification, include: 1. function test results; and 2. the results of the measurement of radiation exposure. h. photocopies of diplomas all the personnel; i. a photocopy of a letter of permission to work from Medical Radiation Protection Officer level II; j. photocopying results health monitoring of radiation Workers; www.djpp.kemenkumham.go.id


2011, no. 639 10 k. photocopying service monitoring application for evidence of individual Dose or individual Dose monitoring evaluation results; b. photocopy of proof of direct reading dosimeter individual calibration for use of Aircraft – X Rays Fluoroskopi and intervensional; and m. safety and radiation protection programs. (2) the Format and contents of safety and radiation protection programs as intended in paragraph (1) Letter m are listed in Appendix I that is part an integral part of the regulation of the head of BAPETEN. Article 7 further Provisions regarding the specification of x-ray aircraft unit and/or the certificate of test tubes referred to in the article 6 letter e is governed by regulation the head of BAPETEN. Article 8 (1) the permit referred to in article 4 may be extended in accordance with the period of the permit. (2) the applicant, in order to obtain an extension of the permit referred to in subsection (1), must apply for an extension of the permit in writing by filling out the form, complete and submit the document to the head of BAPETEN permission requirements. (3) the requirements of a permit referred to in subsection (2) includes the documents referred to in the article 6 letter a, letter i up to the letter m. Article 9 in the event of Radiation Workers is the relocation of another legal entity or individual, in addition to fulfilling the requirements of a permit referred to in article 6 of the letter k, the applicant must meet the requirements of additional permissions, including: a. the results of the evaluation of individual Dose monitoring during the work in a legal entity or individual; b. document results of the last Worker Radiation Health monitoring; and c. affidavits stopped working from legal entities or individual before. www.djpp.kemenkumham.go.id 2011, no. 63911 RADIATION SAFETY REQUIREMENTS of CHAPTER III of Part One General article 10 Radiation safety requirements referred to in article 2 paragraph (1) includes the following: a. management requirements; b. terms of Radiation Protection; c. engineering requirements; and d. the safety verification. The second part of Requirement Management Article 11 management requirements referred to in article 10 the letter a include: a. in charge of Radiation Safety; b. personnel; and c. Radiation Protection training. Paragraph 1 in charge of Radiation Safety article 12 (1) the person in charge of the Radiation Safety as stipulated in article 11 letter a is the holder of the permit and related personnel with the use of aircraft to x-rays. (2) personnel associated with the use of x-ray aircraft referred to in subsection (1) include the following: a. Radiology Specialist or doctor competent; b. Dentist Dentistry Radiology Specialists or Dentists competent; c. Experts (Qualified Expert) and/or Medical Physicist; Radiation Protection Officer d.; and e. Radiografer Aircraft Operators or x-ray of dentistry. www.djpp.kemenkumham.go.id 2011, no. 639 12 (3) the holder of a permit referred to in subsection (1) has the responsibility for: a. providing, implementing, documenting the safety and radiation protection programs b. Verify systematically that only appropriate personnel with the competencies to work in aircraft use of x-rays; c. Radiation Protection training organized; d. organize health monitoring for Radiation Workers; e. provide Radiation Protection equipment; and f. report to the head of BAPETEN regarding the implementation of the programme of safety and radiation protection, safety and verification. Paragraph 2 of article 13 Personnel the holder of the permit must provide the personnel referred to in article 11 letter b according to the type of plane x-ray used and the purpose of use. Clause 14 of the Personnel who work in installations that use Aircraft-mounted x-ray, x-ray Mobile Aircraft, plane x-ray Tomography, x-ray Bone Density Measurement (Bone Densitometry), x-ray Supporting Aircraft ESWL, and/or plane x-ray C-Arm Supporting the least Surgery consists of: a. Radiology Specialist or doctor competent; Radiation Protection Officer b.; and c. Radiografer. Article 15 (1) personnel who work in installations that use x-ray Mammography, x-ray CT-Scan, x-ray Fluoroskopi Aircraft, plane x-ray C-Arm/U-Arm Angiography, x-ray Angiography, CT-Scan x-ray Aircraft CT-Scan Fluoroskopi x-ray, aircraft Simulators, and/or plane x-ray C-Arm Brakhiterapi least consists of: a. Radiology Specialist or doctor competent; b. Experts (Qualified Expert) and/or Medical Physicist; www.djpp.kemenkumham.go.id 2011, no. 63913 c. Radiation Protection Officer; and d. Radiografer. (2) Experts (Qualified Expert) as referred to in paragraph (1) letter b can work part time or full time. Article 16 (1) personnel who work in installations that use x-rays for inspection areas of dentistry at least consist of: a. a dentist Specialist Radiology or Dentistry Dentists competent or Radiology Specialist; Radiation Protection Officer b.; and c. Radiografer Aircraft Operators or x-ray of dentistry who have certification in the field of Radiology dentistry. (2) the Operator of a plane x-ray Dentistry as referred to in paragraph (2) Letter c must be certified in accordance with the conditions set out in radiology Dentistry Ties Indonesia (IKARGI). (3) aircraft x-ray dental medicine used in hospitals, physician practices, and educational institutions should be operated by Radiografer. Article 17 Specialist Radiology Doctor or competent as stipulated in article 2 letter a and article 15 paragraph (1) letter a has duties and responsibilities: a. guarantee the implementation of all aspects of patient safety; b. provide the citation and justification implementation of the diagnosis or intervensional taking into account the previous examination information; c. operate the x-ray Fluoroskopi Aircraft; d. ensure that patient exposure as low as possible to get the image of a seoptimal Radiography may be considering the level of Medical Exposure guidelines; e. assign Intervensional diagnosis and procedures along with the medical Physicist and/or Radiografer; f. evaluating Radiation Accidents from a clinical point of view; and g. provide the criteria for the examination of pregnant women, children, and the medical examination of workers to radiation. www.djpp.kemenkumham.go.id 2011, no. 639 14 Article 18 (1) qualifications of Experts (Qualified Expert) as stipulated in article 15 paragraph (1) letter b should have the least educational background S2 (stratum 2) medical physics. (2) Experts (Qualified Expert) as referred to in paragraph (1) has the duties and responsibilities: a. review the safety and radiation protection programs; and b. provide consideration based on Radiation Safety aspects, engineering practices are tested, and the study of safety in a comprehensive manner to the improvement of the Diagnostic Radiology service and Intervensional to the holder of the permit. Article 19 Radiology Specialist Dentist Dentistry referred to in article 16 paragraph (1) letter a has duties and responsibilities: a. guarantee the implementation of all aspects of patient safety; b. provide the citation and justification pelaksanan diagnosis taking into account the previous examination information; c. ensure that the exposure of patients as low as possible to get the image of a seoptimal Radiography may be considering the level of Medical Exposure guidelines; d. establish procedures to evaluate the Radiation Accident diagnosis from a clinical point of view; and e. provides criteria for the examination of pregnant women, children, and the medical examination of workers to radiation. Article 20 (1) qualifications of Medical Physicists as stipulated in article 15 paragraph (1) letter b should have the least educational background Degree (holders) medical physics or equivalent. (2) Medical Physicist as referred to in paragraph (1) has the duties and responsibilities: a. participate in the review the continuous existence of the human resources, equipment, procedures, and equipment Radiation Protection; b. conducts test the suitability of aircraft x-rays when the installation has the proper equipment; www.djpp.kemenkumham.go.id


2011, no. 63915 c. perform calculations Dosage especially for determining fetal Doses in pregnant women; d. planning, executing, and supervision of quality assurance procedures if possible; e. participate in the investigation and evaluation of Radiation Accident; f. participate in the drafting and implementation of Radiation Protection training program; and g. together Specialist Radiology and Radiografer, ensure quality acceptance criteria the results of imaging and justifications Doses received by patients. Radiation Protection Officer chapter 21 as referred to in article 2, letter b Article 15 paragraph (1) the letter c, and article 16 paragraph (1) letter b have duties and responsibilities: a. creating and updating safety and radiation protection programs; b. monitor the operational aspects of safety and radiation protection programs; c. ensuring the availability and feasibility of Radiation Protection equipment, and monitoring its use; d. reviewing systematically and periodic monitoring program, in all the places where x-ray aircraft used; e. provide consultancy related to the protection and safety of radiation; f. participate in Radiology facility design; g. Record keeping; h. identify needs and organizes training activities; i. carry out exercise countermeasures and fact-finding in regard to Emergency Exposure; a. the Permit Holder to report to each incident of failure operation that could potentially pose a Radiation Accident; and k. prepare a report in writing on the implementation of the program of protection and safety of radiation, safety and verification. Section 22 (1) Radiografer Qualification as mentioned in Article 2 letter c of article 15 paragraph (1) letter d, and article 16 paragraph (2) Letter c should have an educational background of at least D-III (diploma 3) Radiology. www.djpp.kemenkumham.go.id 2011, no. 639 (2) Qualifications Operators Plane x-ray Dentistry referred to in article 16 paragraph (2) Letter c must have the least educational background ADMIN or equivalent and have received special training in the operation of Aircraft x-ray dentistry. (3) Radiografer and x-ray aircraft carriers Dentistry as referred to in paragraph (1) and paragraph (2) has the duties and responsibilities: a. provide protection against the patients, themselves, and the community around the space plane X-rays; b. apply the appropriate techniques and procedures to minimize exposure of patients accepted according to needs; and c. perform the processing of the film in the darkroom. Paragraph 3 of the Radiation Safety training of protection and Article 23 (1) safety and radiation protection Training referred to in article 11 letter c shall be held by the holder of the permit. (2) the training referred to in paragraph (1) most cover less material: a. legislation ketenaganukliran; b. sources of Radiation in the utilization of nuclear power; biological Radiation Effects c.; d. Radiation quantities and units; e. principles of radiation safety and protection; f. Radiation measuring instrument; and g. the action in an emergency. (3) the Radiation Protection Officer training is regulated in the regulations the head of BAPETEN. The third part the requirements of the Protection of article 24 (1) the Radiation Protection Requirements referred to in article 10 the letter b, comprising: a. justification use of plane x-ray; www.djpp.kemenkumham.go.id 2011, no. 63917 b. Dose limitation; and c. the application of the optimization of radiation protection and safety. (2) the Radiation Protection Requirements referred to in subsection (1) must be applied at the stage of planning, design, and use of facilities in Diagnostic Radiology and installation to Intervensional. Paragraph 1 Justification use of Plane x-ray Article 25 Justification the use of x-ray aircraft referred to in Article 24 paragraph (1) letter a should be based on the consideration that the benefits far outweigh the risks of Radiation hazard posed. Article 26 Justification awarding radiation exposure to the patient for diagnostic purposes or Intervensional must be given by a doctor or Dentist in the form of a letter of referral or consultation. Article 27 (1) any examination Radiology done for purposes of employment, legal, or health insurance without clinical indications are not allowed, unless necessary to: a. gives important information about the health of the person who checked; or b. the process of proof upon the occurrence of a breach of the law. (2) examination of Radiology as intended in paragraph (1) is based upon the plea of the doctor or Dentist who consulted with health related professions oganisasi. Article 28 Examination of mass selectively against population groups with one x-ray is only allowed when the benefits derived from each individual person examined or to the population as a whole, is greater than the risk is determined by a specialist or a Competent Physician Radiology. Article 29 Plane x-ray Mammography should not be used for a breast exam when there is no clinical indication, except for: www.djpp.kemenkumham.go.id 2011, no. 639 18 a. women over the age of 40 (forty) years with the consideration that the benefits outweigh the risks; and b. females aged under 40 (forty) years old and have a history of undue risk factors, among others, have a history of breast carcinoma in families. Paragraph 2 of article 30 Dose Limitation (1) Dose Limitation as stipulated in article 24 paragraph (1) letter b should refer to the value of a limit Dose. (2) the Dose Limit Value referred to in subsection (1) must not be exceeded in normal operating conditions. (3) the Dose Limit Value referred to in subsection (1) applies to: a. a radiation Worker; and b. members of the community. (4) the Dose Limit Value referred to in subsection (1) does not apply to: a. the patient; and b. the patient's Companion. Article 31 the value of Radiation Dose Limits for workers referred to in article 30 paragraph (2) letter a, shall not exceed: a. the effective Dose of 20 mSv (the twenty-milisievert) per year on average over the last 5 (five) consecutive years; b. the effective Dose of 50 mSv (fifty milisievert) dalam1 (one) particular year; c. Dose equivalents for lenses of the eye 150 mSv (one hundred and fifty milisievert) within 1 (one) year; and d. the equivalent Dose for the hands and feet, or skin of 500 mSv (1 milisievert) in 1 (one) year. Article 32 the value Limit doses to members of the public as stipulated in article 30 paragraph (2) letter b, shall not exceed: a. the effective Dose of 1 mSv (one milisievert) within 1 (one) year; www.djpp.kemenkumham.go.id 2011, no. 63919 b. Dose equivalents for the lens of the eye by 15 mSv (fifteen milisievert) within 1 (one) year; and c. a dose equivalent to the skin of 50 mSv (fifty milisievert) within 1 (one) year. Article 33 the holder of a permit, to ensure that the Dose Limit Values referred to in article 30 paragraph (3) was not exceeded, should: a. conducts monitoring of radiation exposure with surveymeter; b. conduct a monitoring of the Dose received by personnel film badge or TLD badge, and individual dosimeter readings directly already calibrated; and c. provide equipment Protection radiation. Article 34 individual direct reading Dosimeter referred to in Article 33 the letter b shall be provided by the holder of the permit for the radiation Workers at least 2 (two) pieces using x-ray C-Arm intervensional and Surgical Support. Article 35 (1) the Radiation Protection Equipment referred to in Article 33 the letter c shall be provided by the holder of a permit for each worker's radiation. (2) the Radiation Protection Equipment referred to in subsection (1) must be in accordance with the provisions of the Indonesia national standard (SNI) or other standard tertelusur published by accrediting agencies or a certificate issued by the manufacturer. (3) the Radiation Protection Equipment includes: a. individual Dose monitoring equipment; and b. equipment protective radiation. (4) the Radiation Protection Equipment referred to in paragraph (3) should be used by every worker radiation. (5) individual Dose Monitoring Equipment referred to in paragraph (2) letter a include the film badge or TLD badge, and/or individual dosimeter readings directly. (6) the radiation Protective Equipment referred to in paragraph (3) the letter b include the following: a. an apron; b. a curtain covered with Pb and fitted glass Pb; www.djpp.kemenkumham.go.id


2011, no. 639 20 c. Pb glasses; d. the glove Pb; e. protective thyroid Pb; f. protective ovary; and/or g. protective gonads Pb. (7) further Provisions regarding Radiation Protection equipment as listed in annex II which are part an integral part of the regulation of the head of BAPETEN. Paragraph 3 the application of the Optimization of radiation protection and Safety of article 36 (1) the application of the optimization of radiation protection and safety should be attempted in order that Workers in Radiation Installation Radiology and community members around the installation of Radiology received the lowest possible Radiation Exposure that can be achieved. (2) application of the optimization of radiation protection and safety should be attempted so that patients receive Radiation Doses as low as possible in accordance with the required to achieve the objectives of the diagnostic. (3) the application of optimization as referred to in paragraph (1) and paragraph (2) was implemented through the principle of optimisation of protection and safety of radiation include: a. limiting Radiation doses to Workers and community members; and b. the level of Medical Exposure guidelines for patients. Article 37 the limiting Dose as referred to in Article 36 paragraph (2) letter a is determined by the holder of the permit in the design phase of building facilities, and its value is assigned: a. 1/2 (one per two) from the value of a limit Dose per year for Radiation Workers referred to in article 31 a, i.e. by 10 mSv (ten milisievert) per year or 0.2 mSv (zero comma two milisievert) per week; and b. 1/2 (one per two) from the value of a limit Dose per year for members of the community as referred to in article 32 a, i.e. of 0.5 mSv (zero comma five milisievert) per year or 0.01 mSv (zero comma zero one milisievert) per week. www.djpp.kemenkumham.go.id 2011, no. 63921 Article 38 (1) Limiting the dose must be determined by the holder permission to escort the patient so that the dose received will not exceed 2 mSv (milisievert) during the examination of the patient. (2) in carrying out the provisions as referred to in paragraph (1), Permit Holders must apply for a complementary protection action optimization of patients during Radiology examination. Article 39 Any Radiation Workers who carry out inspection of Radiology must prevent the occurrence a reiteration of exposure. Article 40 (1) the level of Medical Exposure guidelines as stipulated in article 36 paragraph (3) the letter b is applied to: a. radiography; and b. fluoroskopi. (2) the level of Medical Exposure guidelines as referred to in paragraph (1) can be exceeded as long as there is justification based on clinical need. (3) the level of Medical Exposure guidelines as referred to in paragraph (1) are listed in Annex III which is an integral part of the regulatory section head of BAPETEN. The fourth part of the engineering Requirements of article 41 of the engineering Requirements as referred to in article 10 subparagraph c covers: a. aircraft x-rays; b. ancillary equipment aircraft x-rays; and c. the building facilities. Paragraph 1 Plane x-ray Article 42 (1) the holder of the permit should only be using x-ray as referred to in article 41 letter a that meets the conditions of Indonesia national standard (SNI) or other standard tertelusur published by accrediting agencies or a certificate issued by the manufacturer. www.djpp.kemenkumham.go.id 2011, no. 639 22 (2) x-ray Aircraft referred to in subsection (1) at least the main components consist of: a. the tubes; b. high-voltage generator; c. control panel; and/or d. software. Article 43 (1) x-ray Aircraft for public examination on a regular basis should have specs: a. the lowest generator power 5 kW (five kilowatts); b. the lowest tube current 50 mA (milliamps fifty); and c. the voltage of the tube can be operated up to 100 kV (kilovolt hundred). (2) the specification of the current tube as intended in paragraph (1) letter b is not applicable to the aircraft type x-ray: a. Radiology Dentistry; b. Mammography; c. Fluoroskopi; and d. Measuring the density of the bone. (3) tube voltage Specifications as referred to in paragraph (2) Letter c is not applicable to the aircraft type x-ray: a. Radiology Dentistry; b. Mammography; and c. Measuring the density of the bone. (4) bone density Gauges as referred to in paragraph (2) letter d and subsection (3) the letter c can be either C-arm digital. Article 44 (1) Plane x-ray Intraoral Dentistry should be equipped with konus. (2) the Konus referred in paragraph (1) should only be used with specifications: a. konus length should not be less than 20 cm (twenty centimeters) for operating voltages above 60 kV (enampuluh kilovoltage); www.djpp.kemenkumham.go.id 2011, no. 63923 b. konus length should not be less than 10 cm (ten centimeters) to 60 kV voltage (enampuluh kilovoltage); and c. the diameter of konus should not be more than 6 cm (six centimeters). Article 45 x-ray Fluoroskopi Aircraft must be equipped with imaging systems, at least include the following: a. clossed circuit television (CCTV); or b. a charge coupled device (CCD). Article 46 (1) Mobile x-ray Aircraft should only be used for routine checks in: a. emergency installations; b. installation of intensive care; c. Radiology room when the aircraft-mounted x-ray Still suffered damage; d. mobile station; e. clinic; f. health centers; or g. practice doctor. (2) in the case of use of Mobile x-ray Aircraft in mobile station referred to in subsection (1) the letter d, room size requirements of the mobile station must be in compliance as listed in Annex IV that is part an integral part of the regulation of the head of BAPETEN. Article 47 Aircraft banned Portable x-ray used for regular inspections. Article 48 (1) in some cases, the provision of indoor mobile station as stipulated in article 46 paragraph (2) and the provisions banning Portable x-ray Aircraft as referred to in article 47 may be excluded. (2) certain matters referred to in subsection (1) include the following: a. the usage on remote areas; b. disaster area; c. conflict areas; and d. the inspection of mass (mass screening) for members of the public who allegedly contracted the infectious disease. www.djpp.kemenkumham.go.id 2011, no. 639 24 (3) of mass Examination as referred to in paragraph (2) letter d should only be carried out by government agencies. Article 49 (1) Plane x-ray Portable Dentistry prohibited to be used for regular inspections. (2) dental examination in terms of victim identification for forensic interest, the Dental x-rays are portable as mentioned in subsection (1) may be used with attention to safety of radiation. Article 50 Plane x-ray image amplifiers Fluoroskopi without veil (image intensifier) and Mass Chest Survey (MCS) are forbidden to use. Article 51 (1) x-ray Aircraft must be operated by the Radiografer, except the plane x-ray Fluoroskopi. (2) in the matter of the operation of x-ray Mammografi Aircraft, Radiografer as referred to in paragraph (1) shall take precedence. Article 52 x-ray Fluoroskopi Aircraft referred to in Article 51 should be operated by a specialist or a doctor Radiology competent. Article 53 the image of the resulting plane Radiography x-rays should be diinterpretasi by a specialist or a doctor Radiology competent. Article 54 (1) the image of the resulting plane Radiography x-ray dentistry should be diinterpretasi by a dentist Specialist Radiology dentistry, Dentists, or competent Specialist Radiology. (2) in terms of the image of Radiography as mentioned on paragraph (1) for the projection of periapikal can be diinterpretasi by a dentist. Paragraph 2 Aircraft Supporting Equipment x-ray Article 55 (1) the holder of the permit should only be using aircraft supporting equipment x-ray as referred to in article 41 the letter b which satisfy the conditions of the Indonesia national standard (SNI) or other standard tertelusur published by accrediting agencies or a certificate issued by the manufacturer. www.djpp.kemenkumham.go.id


2011, no. 63925 (2) ancillary Equipment x-ray aircraft referred to in subsection (1) at least consists of components: a. mast strut tubes; b. kolimator; and c. the instrumentation voltage. Paragraph 3 of article 56 Facilities Building Design building plane x-ray facilities as referred to in article 41 of the letter c, must meet the following requirements: a. limiting Radiation doses to Workers referred to in Article 37, letters a to the shields on the walls of the room and/or door directly adjacent to the work space Radiation Workers; and b. the limiting Dose to members of the community as referred to in article 37 of the letter b, for shields on the walls of the room and/or door bordered with access to community members. Article 57 (1) any aircraft facilities planning x-rays must take into account the maximum workload, to anchoring the radiation, and the placement of the area around the facility. (2) any aircraft facilities planning x-rays should consider possible changes in the future in any parameter or all parameters that include the addition of tube voltage, workload, technical modifications may require additional aircraft to x-rays, and the increase of the rate of placement of the area around the facility. (3) aircraft x-ray Facilities referred to in subsection (1) must meet the requirements of at least the following: a. the size of the room plane x-ray and mobile station must be in accordance with the specifications of the aircraft engineering x-rays from the factory or international standards or recommendations have sizes as listed in Annex IV that is part an integral part of the regulation of the head of BAPETEN; b. If the room has a window, then the window of the room least lies at an altitude of 2 m (two meters) from the floor; c. room walls for all types of plane x-ray red brick thickness 25 cm (twenty-five centimetres) or concrete with the kind of density 2.2 g/cm3 (two comma two grams per www.djpp.kemenkumham.go.id 2011, no. 639 26 cubic centimeters) with a thickness of 20 cm (twenty centimeters) or the equivalent of 2 mm (2 mm) lead (Pb), and the plane x-ray room must be coated with a lead with a certain thickness; d. darkroom film processing or tools; e. the patient waiting room; f. dressing room; and g. a sign of radiation, Radiation hazard, warning posters and a red light (4) a sign of radiation and Radiation hazard warning poster referred to in subsection (3) the letter g listed in Annex V which are part an integral part of the regulation of the head of BAPETEN. The fifth part of the safety Verification of article 58 (1) the safety of the Verification referred to in article 10 the letter d to be done through: a. monitoring of radiation exposure; b. test the suitability of plane x-ray; and c. identifying the occurrence of potential exposure. (2) the safety Verification as referred to in subsection (1) must be recorded in the logbook. Paragraph 1 Monitoring radiation exposure Article 59 (1) monitoring of radiation exposure referred to in Article 58 paragraph (1) letter a should be performed by the holder of the permit against: a. new facilities owned prior to use; and b. changing facilities. (2) monitoring of radiation exposure referred to in subsection (1) must be made by the clerk in the Radiation Protection: a. space x-ray aircraft control; b. the space around the aircraft x-rays; and c. personnel who are carrying out the procedure fluoroskopi. www.djpp.kemenkumham.go.id 2011, no. 63927 Paragraph 2 Test the suitability of Plane x-ray Article 60 (1) Test the suitability of plane x-ray as stipulated in article 58 paragraph (1) letter b should be performed by the holder of the permit. (2) the provisions concerning the suitability of the test plane x-ray referred to in subsection (1) is set out in the regulations of the head of BAPETEN. Paragraph 3 the identification of Potential Exposure and exposure to Emergency Article 61 (1) identification of the occurrence of Potential Exposure as stipulated in article 58 paragraph (2) Letter c is done by considering the possibility of an accident or an event or series of events that may occur due to equipment failure or operational error. (2) Potential Exposure as referred to in paragraph (1) may be an emergency Exposure. CHAPTER IV INTERVENTION Article 62 (1) the holder of the permit is obliged to intervene against an emergency Exposure referred to in Article 61 paragraph (2) through the action of protective and remedial Plans based on the response to an emergency. (2) the Emergency Response Plan referred to in subsection (1), at least include the following: a. the identification of the causes of the occurrence of an emergency Exposure; b. personnel who carry out Interventions; c. Coordination Salvation Organizer system Radiation in carrying out Interventions; d. countermeasures Emergency Exposure; and e. reporting. (3) the response to Emergency Exposure referred to in paragraph (2) letter d least include: www.djpp.kemenkumham.go.id 2011, no. 639 28 a. protective actions to prevent recurrence of Emergency Exposure, at least through: 1. the conformity test and repair aircraft x-rays; and/or 2. improvements to the software. b. treatment and recovery of patients or workers who received excess Radiation Exposure. (4) the emergency response Plan referred to in subsection (1), shall be drawn up in safety and radiation protection programs in accordance with listed in Annex I which is not integral in Regulations the head of BAPETEN. Article 63 (1) the holder of a permit must carry out fact-finding immediately after the occurrence of an emergency Exposure. (2) search the facts referred to in subsection (1) include the following: a. an analysis of the causes of the incident; b. calculation of the dose of studies or received; and c. the necessary corrective actions to prevent recurrence of similar incidents. (3) the search results the facts referred to in subsection (2) must be recorded in the logbook. Chapter V RECORDINGS and REPORTS of article 64 (1) the holder of the permit should create, maintain and keep a Record referred to in article 2 paragraph (1) are related to the protection and safety of radiation. (2) the Record referred to in subsection (1) include the following: a. an inventory data plane x-ray; b. a record of doses received personnel each month; c. results of the monitoring of the rate of radiation exposure in the workplace and the environment; d. test the suitability of plane x-ray; e. individual direct reading dosimeter calibrations; f. results of the fact-finding of radiation accident; g. aircraft component replacement x-ray; www.djpp.kemenkumham.go.id 2011, No. 63929 h. training the least load information: 1. name of the personnel; 2. the date and time period of training; 3. a given topic; and 4. training certificate or a photocopy of the certificate. i. results of the monitoring of health personnel. (3) the recording referred to in subsection (1) must be indicated clearly in the radiation safety and protection programs. Article 65 aircraft Inventory Data x-rays as stipulated in article 64 paragraph (2) letter a, the least include: a. aircraft components and engineering specifications of the x-rays; and b. the replacement x-ray tubes. Article 66 of the report referred to in article 2 paragraph (1) includes a report on the implementation of: a. the safety and radiation protection programs, verification of safety; and b. an intervention against an emergency Exposure. Article 67 (1) of the report referred to in Article 66 the letter a should be submitted in writing by the holder of the Permit to the head of BAPETEN. (2) the written report referred to in subsection (1) include at least: a. the results of the monitoring of the dose for Radiology Intervensional; b. aircraft suitability test results x-rays; and c. the repair and/or replacement of aircraft component x-rays, which at least include the following: 1. the control panel; 2. filter; 3. kolimator; and 4. lights kolimator. (3) a written report for the results of the monitoring of the dose for Radiology Intervensional as referred to in paragraph (2) letter a must www.djpp.kemenkumham.go.id


2011, no. 639 30 reported to the head of BAPETEN least once within 1 (one) year. (4) written reports for test results of conformity as referred to in paragraph (2) letter b and repair and/or replacement x-ray aircraft component as referred to in paragraph (2) Letter c is set up with its own head of Bapeten Regulations. Article 68 (1) report on the implementation of an intervention against an emergency Exposure referred to in Article 66 the letter b should be submitted in writing by the holder of the Permit to the head of BAPETEN longest 3 (three) business days counted since the implementation of Interventions against Emergency Exposure done in doing. (2) the written report referred to in paragraph (1) contains the least about the results of the implementation of the Emergency Response Plan referred to in Article 62 paragraph (2). CHAPTER VI TRANSITIONAL PROVISIONS Article 69 (1) provisions on Radiografer as stipulated in article 2 letter c and article 15 paragraph (1) letter d mandatory Permit Holder filled with the longest 2 (two) years counted from the date of entry into force of the regulation the head of BAPETEN. (2) the holder of a permit, before having a Radiografer during the period of time referred to in subsection (1), may appoint an Operator that has possess competence in the field of Radiology. Article 70 (1) provisions on aircraft carriers or Radiografer x-rays of dentistry in the use of aircraft for x-ray examination of the field of dentistry as stipulated in article 16 paragraph (2) Letter c mandatory Permit Holder filled with the longest 2 (two) years counted from the date of entry into force of the regulation the head of BAPETEN. (2) the holder of a permit, before having Radiografer aircraft carriers or x-ray of dentistry in the use of plane x-ray for dental medicine examination during the period of time referred to in subsection (1), may appoint personnel who have competency in the operation of Aircraft x-ray dentistry. www.djpp.kemenkumham.go.id 2011, no. 63931 Article 71 (1) the provisions concerning Medical Physicist as stipulated in article 15 paragraph (1) letter b mandatory filled by the holder of the permit is the longest of three (3) years commencing from the date of entry into force of the regulation the head of BAPETEN. (2) the holder of a permit, before having a medical Físika during the period of time referred to in subsection (1), may appoint a Physics degree or equivalent and have had the competence of medical physics clinic. Article 72 Conditions regarding the size of the mobile station requirements as stipulated in article 46 paragraph (2) should be filled with the longest 3 (three) years counted from the date of entry into force of the regulation the head of BAPETEN. Article 73 (1) the provisions concerning the prohibition of the use of Portable x-rays Aircraft for public examination on a regular basis as stipulated in article 47 took effect since 3 (three) years counted from the date of entry into force of the regulation the head of BAPETEN. (2) the holder of a permit, after not using again the aircraft Portable x-ray, should do the Act of genocide or pembesituaan. (3) the holder of the permit must be applied for the determination of the termination of the activity to the head of BAPETEN 5 (five) business days counted since the action referred to in subsection (2). (4) the petition for determination of termination of activities as referred to in paragraph (3) shall be accompanied by proof of the implementation of the activities referred to in paragraph (2). Article 74 (1) the holder of the permit meets the mandatory x-ray Aircraft referred to in Article 43 paragraph (1) the longest of three (3) years commencing from the date of entry into force of the regulation the head of BAPETEN. (2) the holder of a permit, after not using x-ray Plane again as intended in paragraph (1), must perform the Act of genocide or pembesituaan. (3) the holder of the permit must be applied for the determination of the termination of the activity to the head of BAPETEN 5 (five) business days counted since the action referred to in subsection (2). www.djpp.kemenkumham.go.id 2011, no. 639 32 (4) petition for determination of termination of activities as referred to in paragraph (3) shall be accompanied by proof of the implementation of the activities referred to in paragraph (2). CHAPTER VII PROVISIONS COVER Article 75 of the regulation at the time head of BAPETEN this Regulation took effect, the head of the nuclear power Watchdog Agency number 01-P/Ka-BAPETEN/I-03 about the patient's Dosage Guidelines Radiodiagnostik revoked and declared inapplicable. Article 76 Rules the head nuclear power Watchdog Agency began to take effect on the date of promulgation. In order to make everyone aware of it, ordered the enactment of regulations this with his head of BAPETEN in Republic Indonesia. Established in Jakarta on 10 October 2011 at the HEAD of the REPUBLIC'S NUCLEAR POWER WATCHDOG AGENCY, the US NATION LASMIN Enacted in Jakarta on October 14, 2011 MINISTER of LAW and HUMAN RIGHTS Republic of INDONESIA, PATRIALIS AKBAR ANNEXES I www.djpp.kemenkumham.go.id 2011, no. 63933 PROTECTION PROGRAMS and the SAFETY of RADIATION safety and radiation protection programs is one of the requirements of the permit, is a dynamic document, very open to upgraded periodically. The update is done either on the initiative of the holder Permission itself or through the input submitted by BAPETEN. The main goal of safety and radiation protection programs are shows the responsibility of the holder of the Permit through the application of management structures, policies, and procedures that are in accordance with the nature and extent of the risk. When the inspection was conducted in a facility, the document safety and radiation protection programs to be one of the topics of discussion between the inspection teams with the holder's consent, medical practitioners and PPR. Systematics in General from the radiation safety and protection programs that will be drafted by the PPR in a document, including: Chapter i. INTRODUCTION i. 1. I. background 2. Goal i. 3. Scope i. 4. CHAPTER II Definitions. ORGANIZERS of the PROTECTION and SAFETY of RADIATION II. 1. Organizational structure (if the Organizer in form of organization) II. 2. Liability II. 3. HEAD of the SUPERVISORY REGULATIONS training NUCLEAR POWER number 8 year 2011 ABOUT RADIATION SAFETY in the USE of PLANE x-ray DIAGNOSTIC and RADIOLOGY INTERVENSIONAL www.djpp.kemenkumham.go.id 2011, no. 639 34 CHAPTER III. DESCRIPTION of FACILITIES, x-ray and ANCILLARY EQUIPMENT, and RADIATION PROTECTION EQUIPMENT III. 1. Description of Facility III. 2. Description of plane x-ray and Ancillary Equipment III. 3. Description of Division of work III. 4. Radiation Protection Equipment Description Of CHAPTER IV. RADIATION SAFETY and PROTECTION PROCEDURES IV. 1. Radiation protection and Safety in the operation of Normal IV. 1.1. Operation of Aircraft x-ray IV. 1.2. Radiation protection and Safety for Personnel IV. 1.3. Protection and safety of Radiation to a patient IV. 1.4. Protection and safety of Radiation to a patient Escort IV. 2. Emergency Countermeasure plans CHAPTER v. RECORDING and REPORT V 1. Normal operating State v. 2. HEAD of the emergency AGENCY WATCHDOGS of NUCLEAR POWER of the REPUBLIC of INDONESIA, the US NATIO LASMAN www.djpp.kemenkumham.go.id 2011, No RADIATION PROTECTION EQUIPMENT 63935. A. Radiation Protective Equipment 1. Apron Apron which is equivalent to 0.2 mm (zero comma two millimeters) Pb, or 0.25 mm (zero comma twenty-five millimeters) Pb for the use of plane x-ray Diagnostic Radiology, and 0.35 mm (zero comma thirty-five millimeter) Pb, or 0.5 mm (zero comma five millimeters) Pb for aircraft Intervensional Radiology x-ray. Thick kesetaran lead should be marked permanently and clearly on the apron. 2. Protective Protective Gonads gonads equivalent to 0.2 mm (zero comma two millimeters) Pb, or 0.25 mm (zero comma twenty-five millimeters) Pb for the use of plane x-ray Diagnostic Radiology, and 0.35 mm (zero comma thirty-five millimeter) Pb, or 0.5 mm (zero comma five millimeters) Pb for aircraft Intervensional Radiology x-ray. Thick kesetaran Pb should be marked permanently and clearly on the apron. This protection should be the appropriate size and shape to prevent overall gonads from exposure to the main file. 3. Protective Thyroid thyroid Protectors made of material which is equivalent to 1 mm (one millimeter) Pb. 4. The glove-protection Gloves used for fluoroskopi must provide the least attenuation equivalence 0.25 mm (zero comma duapuluhlima millimeters) Pb at 150 kVp (one hundred fifty peak kilovoltage). This protection must be able to protect overall, including fingers and wrist. ANNEX II of the REGULATION of the HEAD of the NUCLEAR POWER WATCHDOG AGENCY number 8 year 2011 ABOUT RADIATION SAFETY in the USE of PLANE x-ray DIAGNOSTIC and RADIOLOGY INTERVENSIONAL www.djpp.kemenkumham.go.id


2011, no. 639 36 5. Glass eye glasses are made from ingredients that are equivalent to 1 mm (one millimeter) Pb. 6. The veil Veil used by Radiografer must be coated with a material which is equivalent to 1 mm (one millimeter) Pb. size veils are as follows: height 2 m (two metres), and a width of 1 m (one meter), which features a glass Pb mode which is equivalent to 1 mm (one millimeter) Pb. B. Individual Dose Monitoring Equipment 1. Film Badge Film badges provided by the health facility Safeguards Hall (BPFK)-the Department of health or Safety Technology Center of Metrology and radiation (PTKMR)-National Nuclear Energy Agency. 2. Termoluminisensi Dosimeter (TLD) TLD provided by Health Facilities Security Hall (BPFK)-the Department of health or Safety Technology Center of Metrology and radiation (PTKMR)-National Nuclear Energy Agency (BATAN). 3. individual dosimeter Equipment langsungsecara analog or digital readout. C. Monitoring Equipment radiation exposure monitoring radiation exposure Equipment such as survey meters are not required for use of the plane x-ray Radiology Diagnostics but for the use of plane x-ray Radiology Intervensional preferably available survey meters. The HEAD of the REPUBLIC'S NUCLEAR POWER WATCHDOG AGENCY, the US NATIO LASMAN www.djpp.kemenkumham.go.id 2011, no. 63937 LEVEL GUIDE a. Radiography table 1. The level of diagnostic radiography Dosage guidelines for each specific adult patients * no. Type of Position Examination Examination Entrance Surface Dose ** per Radiography (mGy) 1. Lumbar (Lumbar Spine) AP LAT LSJ 10 30 40 2. Abdomen, Intravenous Urography, and Cholecystography AP 10 3. Pelvis AP 10 4. Hip joint (Hip Joint) AP 10 5. Lung (Chest) PA LAT 0.4 1.5 6. Torakal (Thoracic Spine) AP LAT 7 20 7. Dental (Dental) Periapical AP 7 5 8. The head (Skull) PA LAT 5 3 * in the air by scattering. These values are for conventional screen-film combination in the relative speed of 200. Film-screen combination for high speed (400 – 600), these values should be reduced by a factor of 2-3. * * PA: postero-anterior, AP: antero-posterior, lateral, LSJ: LAT: lumbo sacral joint. ANNEX III of REGULATION of NUCLEAR POWER SUPERVISORY HEAD of number 8 in 2011 ABOUT RADIATION SAFETY in the USE of PLANE x-ray DIAGNOSTIC and RADIOLOGY INTERVENSIONAL www.djpp.kemenkumham.go.id 2011, no. 639 38 table 2. The rate guide Dose CT-Scan to certain adult patients No. This type of examination is the average dose multiple scan * (mGy) 1. Head 50 2. Lumbar 35 3. 25 abdominal  retrieved from the size of the axis of rotation on the water equivalent phantom, length 15 cm and 16 cm (head) and 30 cm (lumbar and abdomen) in diameter. Table 3. The level of Dose Mammography guidelines for each specific adult patients average glandular Dose for each projection of the cranio-caudal * 1 mGy (no grid) 3 mGy (with a grid) * Specified on the breast that pressed 4.5 cm consists of 50% glandular and 50% fatty tissue, for film-screen system and intended for Aircraft x-ray Mammography with Mo and filters from Mo. B. Fluoroskopi table 4. Fluoroskopi Dose rate guide levels for each particular adult patient No. How to skin surface Dose Rate Operations * (mGy/min) 1. Normal 25 2.  100 high levels in the air by scattering. ** For fluoroskopi has the option with a high level of operational way, such as the checks are often used in Radiology Intervensional. The HEAD of the REPUBLIC'S NUCLEAR POWER WATCHDOG AGENCY, the US NATIO LASMAN www.djpp.kemenkumham.go.id 2011, no. 63939 i. ROOM SIZE x-ray AIRCRAFT No aircraft type x-ray Room Minimum size: length (m) x width (m) x height (m) 1  Mobile  fixed Installed, do not include the installation of emergency intensive care daninstalasi,   Estimator Density Tomography, bone,  C-Arm for Supporting surgical,  C-Arm for Brakhiterapi. 4 x 3 x 2 2.8 Mammography 2.8 3 x 3 x 3   accounting for Intraoral Digital Intraoral 2 x 2 x 2.8 4   Accounting Ekstraoral Ekstraoral Digital 3 x 2 x 2.8 5 CBCT Scans-3 x 3 x 2.8 6    ESWL Supporting Fluoroskopi CT-Scan CT-Scan Fluoroskopi   C-Arm/U-Arm  CT Angiography-Angiography Scan   Simulator CT-Scan for Simulator  CT-Scan Simulator 6 x 4 x 2.8 ANNEX IV REGULATIONS NUCLEAR POWER SUPERVISORY HEAD NUMBER 8 year 2011 ABOUT RADIATION SAFETY in the USE of PLANE x-ray DIAGNOSTIC and RADIOLOGY INTERVENSIONAL www.djpp.kemenkumham.go.id 2011, no. 639 40 II. UKURANMOBILE STATION No aircraft type x-ray UkuranMobile Station: 1. Mobile x-ray Aircraft in Mobile Station according to specifications from the manufacturer or engineering terms international standards 2. Aircraft x-ray Mammography in a Mobile Station HEAD of the REPUBLIC'S NUCLEAR POWER WATCHDOG AGENCY, the US NATIO LASMAN www.djpp.kemenkumham.go.id 2011, no. 63941 SIGNS of RADIATION and RADIATION HAZARD WARNING POSTER 1. Mark the correct Radiation as follows: or or a sign of Radiation must be mounted on the Aircraft's control panel and tube x-rays, provided: 1) attaches permanently; 2.) has two contrasting colors; and 3). It can be seen clearly and identified at a distance of 1 m (one meter). b. Radiation sign should be posted on the door of the room of x-ray Aircraft, provided: 1) attaches permanently; 2.) has two contrasting colors; 3.) can be seen clearly and identified at a distance of 1 m (one meter); and 4). contains the words "CAUTION x-rays" and "attention: Beware of x-rays", or other expressions that have the same meaning. ANNEX V of REGULATION of NUCLEAR POWER SUPERVISORY HEAD of number 8 in 2011 ABOUT RADIATION SAFETY in the USE of PLANE x-ray DIAGNOSTIC and RADIOLOGY INTERVENSIONAL www.djpp.kemenkumham.go.id 2011, no. 639 42 2. Posters warning of the dangers of Radiation should be installed indoors plane x-ray, which contains the words "PREGNANT or SUSPECTED PREGNANT SHOULD INFORM the DOCTOR or RADIOGRAFER" head of the REPUBLIC'S NUCLEAR POWER WATCHDOG AGENCY, the US NATIO LASMAN www.djpp.kemenkumham.go.id