REPUBLIC OF INDONESIA STATE NEWS

No. 639, 2011 THE NUCLEAR POWER WATCHDOG. X-rays. Safety of Radiation.

RULE OF NUCLEAR POWER WATCHDOG

REPUBLIC OF INDONESIA

NUMBER 8 YEAR 2011

ABOUT

RADIATION SAFETY IN THE USE OF SY-X AIRCRAFT

RADIOLOGY DIAGNOSTICS AND INTERVENTION

WITH THE GRACE OF GOD ALMIGHTY

THE HEAD OF THE NUCLEAR POWER WATCHDOG OF THE REPUBLIC OF INDONESIA,

TIED: That to perform the provisions of Article 6 paragraph (6), Section 7 of the paragraph (2), Section 20, Section 22 of the paragraph (3), Section 23 of the paragraph (4), Article 25, Section 31 of the paragraph (4), Section 46 of the paragraph (4), Article 47 of the paragraph (3), and Article 58 of the Government Regulation No. 33 of the Year of 2007. The Safety of Ionizing Radiation and the Security of Radioactive Sources, it needs to establish the Regulation of the Head of the Nuclear Power Supervising Agency on Radiation Safety in the Use of Diagnostic Radiological and Conventional X-ray Radiology;

Given: 1. Law No. 10 of 1997 on Liabilities of the Republic of Indonesia in 1997 No. 23, Additional Gazette of the Republic of Indonesia Number 3676);

2. Government Regulation No. 33 of 2007 on the Safety of Ionizing Radiation And The Security Of Radioactive Sources (sheet Of State Of The Republic Of Indonesia In 2007 Number 74, Additional Sheet Of State Republic Indonesia Number 4730);

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3. Government Regulation No. 29 of 2008 on the Licensing of Ionizing Radiation And Nuclear Materials (the State Sheet Of The Republic Of Indonesia In 2008 Number 54, Additional Gazette Of The Republic Of Indonesia Number 4839);

DECIDED:

Establish: REGULATION OF THE HEAD OF NUCLEAR POWER SUPERVISORS ON THE SAFETY OF RADIATION IN THE USE OF DIAGNOSTIC AND INTERVENTIONAL RADIOLOGICAL RADIOLOGY AIRCRAFT.

BAB I

provisions of UMUM

Article 1

In the Regulation of the Chief of the Supervising Board of this Nuclear Power Act referred to:

1. The next Nuclear Power Supervising Agency (BAPETEN) is an agency responsible for carrying out surveillance through regulations, licensing and inspections of nuclear power-utilization activities.

2. The safety of the ionion radiation in the medik area that is next called Radiation Safety is the act to protect patients, workers, members of the public, and the environment of the dangers of Radiation.

3. The next ionizing radiation called Radiation is an electromagnetic wave and a charged particle which is due to the energy it possesses is able to ionize the media that it is going through.

4. Radiation protection is an act that reduces the influence of radiation that is damaged by the Radiation Paparan.

5. Radiology is a branch of medical science related to the Use of all modalities that use Radiation for diagnosis and procedure of therapy using Radiological guidance, including imaging techniques and the Use of Radiation with X-rays. and a radioactive substance.

6. "Diagnostic Radiology" is an activity related to the use of facilities for the purposes of diagnosis.

7. Interconventional Radiology is the branch of Radiology involved in the therapy and diagnosis of patients, by performing therapy in the body of a patient through an outer body with a guiding wire, a stent, and others by using X-rays.

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8. Use is all activities related to the implementation of Diagnostic and Interconventional Radiology services.

9. The Fixed X-ray Aircraft Fixed is a fixed-in-room X-ray aircraft used for regular checkups.

10. Portable X-ray aircraft is a small-size X-ray aircraft equipped with a (suitcase) wrapper container so that it is easily taken from one place to another.

11. The Mobile X-rays in a room is an X-ray aircraft equipped with or without a charger charger and wheel so that it is easy to move that can be brought to multiple rooms for regular checkups.

12. The Mobile X X-ray Aircraft in Mobile Station is a permanently installed X-ray aircraft in the car so that it can be used for regular checkups in some places.

13. Tomography X-ray aircraft is an X-ray aircraft that uses a tomography imaging method to find out the image of the object in slices (slice per slice).

14. "Bone Dencytoometry" ("Bone Dencytoometry") is an X-ray aircraft specifically used to determine the density of bone or bone density (Osteoporosis), for example dual energy X-ray absorptiometry. (DXA).

15. Extracorporeal X-ray Extracorporeal Shock Wave Lithotripsy (ESWL) is an X-ray aircraft equipped with a screen of image amplifiers, to find out where the stone is in the human body and destroy the stone with the wave plant. shock, with the X-Arm type of X-ray aircraft or conventional C-Arm.

16. The C-Arm X-Arm X-ray aircraft is a C-Arm X-ray aircraft that is placed in the surgical chamber specifically used to assist in surgical action.

17. The Mammography X-ray is a low-radiation X-ray that is specifically used for breast screening with objects between radiography and X-ray tubes.

18. The Conventional Intraoral Dental X-ray is an X-ray aircraft used for the examination of geligi dental radiography and its intraoral structure, which uses a special radiographic film of the tooth.

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19. The Intraoral Digital Intraoral X-ray Aircraft is an X-ray aircraft used for the examination of geligi dental radiography and intraoral surrounding structures, which use the medium of image receivers in addition to radiographic films as well as computers as media Radiography recorders.

20. The Portable Dentistry X-ray is a Dental X-ray aircraft whose size is so small that it is easily taken from one place to another.

21. The Conventional Extracoral Dental X-ray is an X-ray aircraft used for the examination of head and jaw radiography, which uses a dental special radiography film.

22. The Digital Extroral Dental X-ray is an X-ray aircraft used for the examination of the head and jaw radiography, which uses the medium of image receivers in addition to radiographic films as well as computers as a media radiographic recorder.

23. The Dentistry (CBCT-Scan) Medical X-ray Aircraft is a tomography X-ray aircraft that is a development of the CT-scan system, designed to acquire a strong network visualization of the area. maksiloffacial and the evaluation of skeletal morphology in 3 (three) dimensions, with the ability to display reconstruction imagery in the shape, size and volume of objects.

24. A fluoroscopy X-ray aircraft is an X-ray aircraft that has a screen or fluorolicensed amplifier sheet equipped with a video system that can impart the object continuously.

25. The Angiography X-ray aircraft is an X-ray aircraft specifically used for the examination of blood vessels.

26. The CT-Scan X-ray is an X-ray aircraft that uses a method of tomography imaging with a digital process that can create images of 3 (three) internal organs of the body from X-ray imaging 2 (two) dimensions resulting from a number of data The base that can be compiled according to the image.

27. The X-ray CT-Scan Angiography spacecraft is a CT-Scan X-ray aircraft used for blood vessels inspection.

28. The X-ray CT-Scan Fluoroscopy aircraft is a CT-Scan X-ray aircraft that uses a method of tomography imaging with a digital process that can create images of 3 (three) internal organs of the body from X-ray imaging 2 (two) dimensions produced by of a number of basic data that can be manipulated according to the needs of its image, which is equipped with continuous imaging devices.

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29. The X-ray CT-Scan for Simulator is a CT-Scan X-ray aircraft with Radiological Installation that is equipped with extra accessories such as a flat patient table (flat) and a laser pointer that is used for radiotherapy simulations.

30. The X-ray CT-Scan Simulator Aircraft is a CT-Scan X-ray aircraft in the Radiotherapy Installation designed and used specifically for radiotherapy simulations.

31. The C-Arm X-ray for Brakhiterapi is a C-Arm X-ray aircraft that is placed in the Brakhiterapi space specifically used to assist Brakhiterapi's actions, for example, the installation of the applicator.

32. Radiography's image is an image obtained from the examination of the patient's body on radiographic recorders using X-ray aircraft.

33. Radiographic recorders are a device or material used to record the results of radiographic imaging, such as film, special paper, and computer systems.

34. Exposure to Radiation is the transmission of Radiation received by humans or material, whether intentional or involuntary, derived from the Radiation Interna or the exosterna.

35. Occupational exposure is the exposure received by Radiation Workers.

36. Medik exposure is exposure to being accepted by patients as part of the diagnosis or treatment of medics, and others as volunteers who help patients.

37. Potential exposure is an exposure that is not expected or estimated but has likely occurred as a result of a source accident or because of an occurrence or series of events that may have occurred including equipment failure or error. operable.

38. Emergency exposure is due to the exposure of nuclear and radiological emergencies.

39. A later dose of radiation called Dosis is the amount of radiation that is in the field of Radiation or the amount of radiation that is absorbed or accepted by the material that it is going through.

40. The equivalent dose is the quantity of Dosis that is specifically used in the Radiation Protection to declare the magnitude of the degree of damage to the body tissue as a result of the amount of Radiation energy by paying attention to factors affecting it (Dosis and the type of Radiation as well as other factors).

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41. An effective dose is the quantity of Dosis that is specifically used in the Radiation Protection whose value is the number of multiplicity Dosis the equivalent of the network received by the network weight factor.

42. The value of the dose limit is the largest dose permitted by BAPETEN which can be accepted by the Radiation workers and members of the public in a given period of time without causing a significant genetic and somatic effect due to the utilization of nuclear power.

43. A permit is a person or body that has received a nuclear power utilization permit from BAPETEN.

44. Radiation workers are any person who works at the Conventional Diagnostic and Diagnostic Radiology Installation which is thought to receive an annual Radiation Dosis exceeding Dosis for the general public.

45. Radiation Protection Officer is an officer appointed by the Licensee and by BAPETEN is stated to be capable of carrying out work related to Radiation Protections.

46. The Radiology Specialist is a physician in the field of Radiology, which uses the Radiation Ionion and non-ionizer to make a diagnosis and conduct Intervention therapy.

47. The Dentistry of the Medical Radiology Specialist is a dentist specializing in Radiological Science in medical services and diagnostic imaging of Dentistry in relation to disease and/or abnormalities in the stomatognatic system.

48. The Competent Dentist is a dentist who has obtained a competency in the field of Radiology of certain Dental Medicine.

49. A competent physician is a Radiological Specialist or other physician who has a competence in the field of Radiology.

50. Experts (Qualified Expert) is a healthcare workforce that has a competence in the field of advanced medical physics, has followed the clinical residence, and has been working on the Radiological Installation at least 7 (seven) years.

51. Medical physicists are healthcare personnel who have a competence in the field of basic clinic medik physics.

52. Radiographers are healthcare that has a complete competence, authority, and responsibility to perform Diagnostic and Conventional Radiological Activities.

53. The operator of the Medical X-ray Aircraft is the one who operates the Dental Medicine X-ray aircraft other than Radiographer, who has the competence of the medical Radiology field of dentistry.

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54. Remote areas are areas that are difficult to reach due to various causes such as geographical states (islands, mountains, land, forest and swamp), transportation and social culture.

55. Intervention is any action to reduce or avoid exposure or possible exposure to the chronicles and the Emergency Shelldom.

56. A recording is a document that states the results achieved or provides evidence for the execution of activities in the utilization of nuclear power.

57. An Radiation Accident is an unplanned event including an operating error, malfunction or malfunction of a device function, or another event that creates a result of or potential consequences that cannot be ignored from aspects of Protection or Safety. Radiation.

Article 2

(1) This BAPETEN Chief Regulation regulates the requirements of the permit, Radiation Safety requirements, Intervention, and Records and reports, in the Use of X-ray aircraft.

(2) The use of an X-ray plane as referred to in paragraph (1) includes:

a. diagnostic;

b. interventional;

c. radiotherapy support; and

d. nuclear medicine support.

Article 3

(1) The type of X-ray aircraft for diagnostics as referred to in Section 2 of the paragraph (2) of the letter is included:

a. X-ray Aircraft Installed Fixed;

b. The Mobile X-ray Aircraft, which is placed in:

1. room; and

2. mobile station.

c. Tomography X-ray aircraft;

d. X-ray Aircraft Measuring Bone Density;

e. ESWL (ESWL) X-ray aircraft, with type:

1. C-Arm; and

2. Conventional.

f. X-ray C-Arm X-ray Aircraft;

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g. X-ray Mammography aircraft, placed in:

1. room; and

2. mobile station.

h. The Dentistry X-ray Aircraft, covering:

1. Conventional Intraoral;

2. Digital Intraoral;

3. Conventional Extracts;

4. Digital extracts; and

5. CBCT-Scan.

i. Fluoroscopy X-ray Aircraft; and

j. CT-Scan X-ray Aircraft.

(2) The X-rays of the X-rays for interventitional are referred to in Section 2 of the paragraph (2) letter b includes:

a. Fluoroscopy X-ray Aircraft;

b. X-ray X-ray Aircraft-Scan Fluoroscopy;

c. C-Arm/U-Arm Angiograph X-rays; and

d. X-ray X-ray-Scan Angiography.

(3) The type of X-ray aircraft for radiotherapy support as referred to in Section 2 of the paragraph (2) of the letter c includes:

a. X-ray Simulator Aircraft;

b. CT-Scan X-ray aircraft for Simulator;

c. X-ray X-ray-Scan Simulator; and

d. X-ray Aircraft C-Arm for Brakhiterapi.

(4) The type of X-ray aircraft for nuclear medicine as referred to in Article 2 of the paragraph (2) the letter d is the CT-Scan X-ray.

Section 4

Each person or body will use the mandatory X-ray aircraft to have the permission of the Chief of BAPETEN and meet the Radiation Safety requirements.

BAB II

PERMIT REQUIREMENTS

Section 5

Applicant, to obtain the permission as referred to in Section 4, must submit a request in writing by filling out the form, completing the permit requirements document and passing it to the Chief of BAPETEN.

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Section 6

(1) The permit requirements as referred to in Section 5 include:

a. the identity of the licensed applicant, in the case of a photocopy of the Population Card (KTP) for the Indonesian citizenship permit, or the temporary residence permit card (KITAS) and the passport for a foreign citizenship permit;

b. a certificate of legal body certificate for a legal body-shaped applicant;

c. photocopy of the permission and/or the requirements specified by other authorized agencies, including:

1. the company ' s domicile certificate for permission-shaped permissions or enterprise entity;

2. Tax (NPWP):

3. Fixed Effort (IUT) from the authorized instance to the permissions applicant of the capital planting legal entity;

4. health care permit issued by authorized agencies in the health field; and/or

5. a letter of appointment as the head of a government hospital from an authorized agency.

d. X&X;

e. photocopies of the specification of an X-ray aircraft unit and/or a tube testing certificate according to the Indonesian National Standard (SNI) or any other standard that is published by the manufacturer's party or accredited laboratory in the home country;

f. the denah of the room and its surroundings, including:

1. size;

2. materials; and

3. the thickness of the room wall.

g. Radiation Safety verification report, including:

1. function test results; and

2. Radiation Paparan measurements.

h. photocopier of all personnel;

i. Photocopy of the License Working Letter from the Medic Level II Radiation Protection Officer;

j. photocopy of Radiation Worker health monitoring results;

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k. photocopy evidence of individual Dosis monitoring services or the results of individual Dosis monitoring evaluations;

l. photocopies of evidence calibration of individual dosimeter calibration directly for the Use of Fluoroscopic and interventional X-ray Aircraft; and

m.program of radiation protection and safety.

(2) The format and content of the protection and safety program The radiation as referred to in paragraph (1) of the letter m is listed in Appendix I which is an inseparable part of this Chief BAPETEN Regulation.

Article 7

Further provisions regarding the specification of the X-ray aircraft unit and/or the tube testing certificate as referred to in Section 6 of the letter e is set up with Your own BAPETEN Head Rule.

Section 8

(1) Permission as contemplated in Section 4 may be extended according to the term of the permit.

(2) The applicant, to obtain an extension of the permit as referred to in paragraph (1), must apply for an extension of the permission in writing by filling out the form, supplementing and passing the license requirement document to BAPETEN Chief.

(3) The permit requirements as referred to in paragraph (2) include documents as referred to in Section 6 of the letter a, letter i up to the letter m.

Section 9

In the event the Radiation Workers are transferred from a legal entity or other individual, in addition to meeting the permit requirements as referred to in Section 6 of the letter k, the applicant must meet additional clearance requirements, including:

A. Individual Dosis monitoring evaluation results during work in the previous individual or legal entity;

b. Radiation Worker's last health monitoring document; and

c. The captions stopped working from the previous legal or individual bodies.

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BAB III

RADIATION SAFETY REQUIREMENTS

Part Kesatu

General

Section 10

Radiation Safety Requirements as referred to in Section 2 of the paragraph (1) include:

a. management requirements;

b. Radiation Protection requirements;

c. engineering requirements; and

d. Safety verification.

The Second Section

Management Requirements

Section 11

The management requirements as referred to in Section 10 of the letter include:

a. Radiation Safety Answers;

b. personnel; and

c. Radiation Protection training.

Paragraph 1

Radiation Safety Responsibility

Section 12

(1) The Radiation Safety Answer Act as referred to in Article 11 of the letter a is the Licensee and personnel associated with the use of X-ray aircraft.

(2) Personnel associated with the Use of X-ray aircraft as referred to in paragraph (1) include:

a. Specialist Radiology Specialist or Doctor who is competent;

b. Doctor of the Radiology Specialist Dentistry or the competent Dentistry;

c. Expert power (Qualified Expert) and/or Medical Physician;

d. Radiation Protection Officer; and

e. Radiographer Or Operator Of Dental-medical X-ray Aircraft.

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(3) The Licensee as referred to in paragraph (1) has a responsibility:

a. provide, execute, document radiation protection and safety programs

b. verifies that only personnel in accordance with the competences work in the Use of the X-rays;

c. conduct the Radiation Protection training;

d. hosting health monitoring for Radiation Workers;

e. provides Radiation Protection equipment; and

f. report to BAPETEN Chief about the implementation of radiation protection and safety programs, and safety verification.

Paragraph 2

Personnel

Section 13

The permit holder must provide personnel as intended in Article 11 of the letter b according to the type of X-ray aircraft used and purpose of Use.

Article 14

Personnel working on installation using Fixed X-ray Aircraft Fixed, Mobile X-ray Aircraft, X-ray Aircraft Tomography, X-ray Plane Measuring Bone Density (Bone Densitometry), ESWL, and/or C-Arm X-Arm X-Arm aircraft are at least comprised of:

a. Specialist Radiology Specialist or Doctor Who is competent;

b. Radiation Protection Officer; and

c. Radiographer.

Article 15

(1) Personnel who worked in installations using X-ray Mammography Aircraft, CT-Scan X-ray Aircraft, Fluoroscopy X-ray Aircraft, C-Arm/U-Arm Angiography X-ray Aircraft, CT X-ray Aircraft Angiography, X-ray-Scan Fluoroscopy X-rays, X-rays Simulator, And/or C-Arm Brakhiterapi X-rays were at least as large as:

a. Specialist Radiology Specialist or Doctor Who is competent;

b. Expert Power (Qualified Expert) and/or Medical Physician;

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c. Radiation Protection Officer; and

d. Radiographer.

(2) The Expert (Qualified Expert) as referred to in paragraph (1) the letter b can work part time or full time.

Article 16

(1) Personnel who work in installations using the X-rays Aircraft for an examination of the field of dentistry at least comprised of:

a. Doctor of the Radiology Specialist Dentistry or the Competent Dentist or Radiological Specialist Doctor;

b. Radiation Protection Officer; and

c. Radiographer or Operator of the Dentistry of Dentistry which has a certification in the field of dentistry Radiology.

(2) The Aircraft Operator of the Dental Medicine Aircraft as referred to in paragraph (1) the letter c must obtain a certification in accordance with the provisions set forth by the Radiological Association of Indonesian Dental Medicine (IKARGI).

(3) The Dentistry of Dentistry used in hospitals, joint physician practice, and educational institutions must be operated by Radiographer.

Article 17

Radiological Specialist Doctor or Competent Physician as referred to in Article 14 of the letter a and Article 15 of the paragraph (1) of the letter a has the duty and responsibility:

a. ensuring the execution of all patient safety aspects;

b. provide referrals and justification for execution or interventional execution by considering previous examination information;

c. operates Fluoroscopy X-ray Aircraft;

d. guarantee that patient exposure is as low as possible to get the optimal Radiographic Image possible by considering the level of the Medik Paparan guide;

e. establish the diagnostic and Interconventional procedure along with the Medical Physician and/or Radiographer;

f. evaluating the Radiation Accident from a clinical point of view; and

g. provides criteria for vetting of pregnant women, children, and Radiation Workers ' health checks.

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Article 18

(1) Expert Power Expert (Qualified Expert) as referred to in Article 15 of the paragraph (1) the letter b must have the educational background of the most less S2 (strata two) of the medik physics.

(2) The Expert (Qualified Expert) as referred to in paragraph (1) has the task and responsibility:

a. review of radiation protection and safety programs; and

b. provide consideration based on the aspect of Radiation Safety, test-tested engineering, and comprehensive safety study for the improvement of Diagnostic and Conventional Radiological Services to Licensee.

Article 19

The Dentist of the Dental Radiology Specialist as referred to in Article 16 of the paragraph (1) of the letter a has a duty and responsibility:

a. ensuring the execution of all patient safety aspects;

b. provide the diagnosis and justification of diagnosis labeling by considering previous examination information;

c. guarantees that patient exposure is as low as possible to obtain an optimal Radiographic Image possible by considering Medik Paparan guide level;

d. establish a diagnostic procedure evaluating the Radiation Accident from a clinical point of view; and

e. provide criteria for examination of pregnant women, children, and Radiation Workers ' health checks.

Article 20

(1) Medical Physician Qualifiers as referred to in Article 15 of the paragraph (1) the letter b must have a background the least S1 education (strata one) of the medik physics or equivalent.

(2) The Medical Physician as referred to in verse (1) has the duty and responsibility:

a. participate in the continuously reviewing the existence of human resources, equipment, procedures, and Radiation Protective equipment;

b. host an X-ray aircraft fitness test if the installation has adequate equipment;

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c. performs a Dosis calculation primarily to determine fetal Dosis in pregnant women;

d. plan, execute, and supervision a quality assurance procedure if possible;

e. participate in the Radiation Accident investigation and evaluation;

f. participate in the drafting and execution of the Radiation Protection training program; and

g. with Radiological and Radiographer Specialist Doctors, ensuring the quality acceptance criteria for the imaging and justification of the Dosis received by the patient.

Article 21

The Radiation Protection Officer as referred to in Article 14 of the letter b, Section 15 of the paragraph (1) of the letter c, and Article 16 of the paragraph (1) of the letter b has the duty and responsibility:

a. create and create radiation protection and safety programs;

b. monitoring operational aspects of radiation protection and safety programs;

c. ensuring the availability and viability of the Radiation Protection equipment, and monitoring its usage;

d. review systemically and periodically, monitoring programs in all the places where X-ray aircraft are used;

e. provide consulting related to radiation protection and safety;

f. participated in designing the Radiological facility;

g. maintaining the Recording;

h. identify the needs and organization of the training activities;

i. carrying out countermeasures and fact-finding exercises in terms of Emergency Sand;

j. Report to the IBM Cloud Service Provider for IBM Cloud Service prepare a written report on the conduct of the radiation protection and safety program, and safety verification.

Article 22

(1) The Radiographer Qualifications as referred to in Section 14 of the c, Section 15 of the letter d, and Article 16 paragraph (1) of the letter c must have the most less educational background D-III (diploma three) Radiology.

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(2) Qualifying the Dental X-ray X-ray Operators as referred to in Article 16 of the paragraph (1) letter c must have the most educational background of most SLTA or equivalent and have received special training In the operation of the Dentistry of the Dentistry.

(3) The Radiographer and Aircraft Operators of the Dental Medicine Aircraft as referred to in verse (1) and verse (2) have the duty and responsibility:

a. provide protection against the patient, himself, and the community around the sinar-X;

b plane space. implement appropriate techniques and procedures to minimize the exposure the patient receives as needed; and

c. conduct film processing activities in the darkroom.

Paragraf 3

Protection and Radiation Safety Training

Section 23

(1) Radiation protection and safety training as referred to in Section 11 of the letter c must be hosted by the Licensee.

(2) Training as referred to in paragraph (1) at least includes the material:

a. {\cf1} {\cf1,} {\cf1 Source of Radiation in the utilization of nuclear power;

c. Radiation biology effect;

d. the unit and the quantity of Radiation;

e. Protection principles and radiation safety;

f. Radiation measurement tools; and

g. action in the state of emergency.

(3) Training for Radiation Protection Officers is set in its own BAPETEN Head Rule.

Third Section

Protection Requirements

Section 24

(1) Radiation Protection Requirements as referred to in Article 10 of the letter b, include:

a. justification the use of the X-rays;

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b. limitation of Dosis; and

c. application of radiation protection and radiation safety optimization.

(2) The Radiation Protection Requirements as referred to in paragraph (1) must be applied to the planning, design, and use of the facility's planning, design, and use of the facility. for Diagnostic and Interconventional Radiology.

Paragraph 1

Justification of the Use of the X-ray Aircraft

Section 25

Justification of the Use of X-rays as referred to in Article 24 of the paragraph (1) the letter a must be based on The consideration that the benefits acquired are far greater than the risk of danger Radiation is incurred.

Article 26

Justification of the granting of the Radiation Paparan to a patient for diagnostic or Conventional Purposes must be given by a Doctor or Dentist in the form of a referral letter or consultation.

Article 27

(1) Any Radiological examination conducted for job purposes, legal, or health insurance without any clinical indication is not allowed, unless required for:

a. provide important information about the health of a person vetted; or

b. the process of proof of a violation of the law.

(2) The examination of Radiology as referred to in verse (1) is based on the request of a Doctor or Dentist consulted with the oganisation of the related health profession.

Article 28

Mass selective examination of the population group by using X-rays is only allowed if the benefits the individual persons are being examined or for the population as a whole, greater of the risks determined by the Radiological Specialist Doctor or Doctor who Competently.

Article 29

Mamographic X-ray aircraft should not be used for breast screening if there are no clinical indications, except for:

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a. women over the age of 40 (empates) years with consideration that the benefits are obtained are greater than the risk; and

b. women aged under 40 (empates) years and have an undue history of risk factors, including having a history of breast carcinoma in a nearby family.

Paragould 2

Limitation Dosis

Article 30

(1) The Dosis Limitation as referred to in Section 24 of the paragraph (1) letter b must refer to the Dose Boundary Value.

(2) The value of the Dosis Limit as referred to in paragraph (1) should not be exceeded in normal operating conditions.

(3) The Limit Value The dose as referred to in paragraph (1) applies to:

a. Radiation workers; and

b. community members.

(4) The Dosis Limit Value as referred to in paragraph (1) does not apply to:

a. patients; and

b. patient companion.

Section 31

The Dosis Limit Value for Radiation Workers as referred to in Section 30 of the paragraph (3) letter a, should not exceed:

a. An effective dose of 20 mSv (twenty-millisievert) per year on average for 5 (five) consecutive years of age;

b. An effective dose of 50 mSv (limapuluh milisievert) in 1 (one) of a given year;

c. An equivalent dose for an eye lens of 150 mSv (one hundred fifths of a millisievert) in 1 (one) year; and

d. The equivalent dose for the hand and foot, or skin of 500 mSv (limaratus milisievert) in 1 (one) year.

Article 32

The Value of the Dosis Limit for members of the public as referred to in Article 30 of the paragraph (3) letter b, should not be exceeded:

a. Effective dose of 1 mSv (one millisievert) in 1 (one) year;

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b. An equivalent dose for an eye lens of 15 mSv (fifteen millisieverts) in 1 (one) years; and

c. An equivalent dose for a skin of 50 mSv (50 millisieverts) in 1 (one) year.

Article 33

Licensee's permission, to ensure that the extent of the Dose Boundary as referred to in Article 30 of the paragraph (3) is not exceeded, must be:

a. host monitoring of Radiation Paparan with surveymeter;

b. performing Dosis monitoring that the personnel received with film badge or TLD badge, and the live recitation of the individual directly calibrated; and

c. providing Radiation Protection gear.

Article 34

A personal dosimeter reading directly as referred to in Article 33 of the letter b must be provided by Licensee for the least 2 (two) of the fruit (two) of the fruit that uses the interventional X-ray and the Bedah Support C-Arm.

Article 35

(1) The Radiation Protection Equipment as referred to in Article 33 of the letter c must be provided by the Licensee for any Radiation Worker.

(2) The Radiation Protection Equipment as referred to in paragraph (1) must conform to the provisions of the Indonesian National Standard (SNI) or other standards that the tertelusur is published by an institution of accreditation or a certificate issued by the manufacturer.

(3) The Radiation Protection Equipment includes:

a. Individual Dosis monitoring equipment; and

b. Radiation protective equipment.

(4) The Radiation Protection Equipment as referred to in paragraph (3) must be used by any Radiation Worker.

(5) The individual Dosis monitoring equipment as referred to in paragraph (3) of the letter is included film badge or TLD badge, and/or dosimeter individual direct readings.

(6) The protective equipment of the Radiation as referred to in paragraph (3) of the letter b includes:

a. apron;

b. Pb-coated screen and glass-coated Pb;

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2011, No. 639 20

c. Pb glasses;

d. Pb gloves;

e. Thyroid protector Pb;

f. Ovarian protection; and/or

g. patron gonad Pb.

(7) Further provisions regarding Radiation Protection equipment as set forth in Annex II which are an inseparable part of this BAPETEN Head Regulation.

Paragraph 3

Application Protection and Radiation Safety Optimization

Section 36

(1) The detection of radiation protection and protection of radiation must be sought for Radiation Workers on Radiological Installation and members of the public around the Radiological Installation Radiation exposure as low as possible can be achieved.

(2) The optimization of optimization Protection and safety of radiation must be sought for patients to receive radiation Dosis as low as possible in order to achieve diagnostic objectives.

(3) The optimization of the optimization as referred to in paragraph (1) and paragraph (2) is executed through the principles of protection protection and radiation safety that includes:

a. limiting Dosis to Radiation Workers and members of the public; and

b. Medic Paparan's guidance level for patients.

Section 37

Limiting Dose as referred to in Section 36 of the paragraph (3) of the letter a specified by the Licensee is specified in the facility building design stage, and the value is set:

a. 1/2 (one per two) of the Dosis Limit Value per year for Radiation Workers as referred to in Article 31 of the letter a, i.e. 10 mSv (ten millisieverts) per year or 0.2 mSv (zero comma two millisievert) per week; and

b. 1/2 (one per two) of the Dosis Limit Value per year for members of the public as referred to in Article 32 of the letter a, i.e. 0.5 mSv (zero comma five millisievert) per year or 0.01 mSv (zero comma zero one millisievert) per week.

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2011, No. 63921

Section 38

(1) Limiting Dose must be specified by Licensee for the companion of the patient so that the accepted Dosis is attempted not to exceed 2 mSv (two millisieverts) during the patient examination period.

(2) In carrying out the provisions of the terms referred to in paragraph (1), Licensee must apply the optimization of the protection act for patient companion during a Radiological examination.

Section 39

Each Radiation Worker is performing The Radiology examination must prevent the recurrence of exposure.

Article 40

(1) The Medic Paparan guide level as referred to in Section 36 of the paragraph (3) letter b is applied to:

a. radiography; and

b. fluoroscopy.

(2) The Medik Paparan guidance level as referred to in paragraph (1) can be exceeded as long as there is a clinical need based on the clinical needs.

(3) The Medik Paparan guidance level as referred to in paragraph (1) is listed in Appendix III which is an inseparable part of this Chief BAPETEN Regulation.

The Fourth Section

Engineering Requirements

Section 41

The engineering requirements as referred to in Section 10 of the letter c include:

a. X-rays;

b. X-ray aircraft support equipment; and

c. facility building.

Paragraph 1

The X-ray plane

Article 42

(1) Licensee may only use the X-ray aircraft as referred to in Article 41 of the letter a comply with the provisions of the Indonesian National Standards (SNI) or other standards that are published by the accreditation institute or the certificate issued by the manufacturer.

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2011, No. 639 22

(2) The X-ray aircraft as referred to in paragraph (1) is least composed of the main components:

a. tube;

b. high voltage plant;

c. control panel; and/or

d. software.

Article 43

(1) The X-ray aircraft for a general inspection must routinely have specifications:

a. power generator is at least 5 kW (five kilowatts);

b. The lowest tube current is 50 mA (limapuluh milliamper); and

c. The tube voltage can be operated up to 100 kV (one hundred kilovolts).

(2) The strong specification of the tube current as referred to in paragraph (1) the letter b does not apply to the type of X-ray aircraft:

a. Radiology of Dentistry;

b. Mammography;

c. Fluoroscopy; and

d. Bone Density Meter.

(3) The tube voltage Specification as referred to in paragraph (1) the letter c does not apply to the type of X-ray aircraft:

a. Radiology of Dentistry;

b. Mammography; and

c. Bone Density Measurement.

(4) The measurement of bone density as referred to in paragraph (2) d and verse (3) the letter c can be a digital C-arm.

Article 44

(1) The Intraoral Dentistry of Intraoral Medicine must be equipped with konus.

(2) Conus as referred to in paragraph (1) may only be used with specifications:

a. Konus length cannot be less than 20 cm (twenty centimetres) for operating voltage above 60 kV (sixty-kilovoltage);

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2011, No. 63923

b. The length of the conus should not be less than 10 cm (ten centimetres) for a voltage of 60 kV (sixty-kilovoltage); and

c. Conus diameters should not be more than 6 cm (six centimetres).

Article 45

Fluoroscopy X-ray aircraft must be equipped with an imaging system, most of which is less than:

a. clossed circuit television (CCTV); or

b. charge coupled device (CCD).

Section 46

(1) The Mobile Monitoring Aircraft may only be used for routine checks at:

a. emergency installation;

b. Intensive care installation;

c. radiological space if the Installed X-ray Aircraft Remains damaged;

d. mobile station;

e. clinic;

f. puskesmas; or

g. doctor's practice.

(2) In terms of the Use of the Mobile Synod Aircraft in the mobile station as referred to in paragraph (1) the d, room size requirements mobile station must be appropriate as set forth in Annex IV which is an inseparable part of this BAPETEN Head Regulation.

Article 47

Portable X-ray aircraft are prohibited from being used for routine checks.

Article 48

(1) In certain terms, the mobile room provision station as referred to in Article 46 of the paragraph (2) and the provisions of the banning of Aircraft Portable X-rays as referred to in Article 47 may be excluded.

(2) Certain things as referred to in paragraph (1) include Usage on:

a. Remote Area;

b. disaster area;

c. conflict area; and

d. Mass screening for members of the public who are suspected to have contracted infectious diseases.

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(3) Mass checks as referred to in paragraph (2) letter d may only be performed by government agencies.

Article 49

(1) Portable Dental X-ray Aircraft are prohibited for use to routine check.

(2) In terms of a dental victim identification case for forensic purposes, the Portable Dental X-ray Aircraft as referred to in verse (1) may be used with regard to Radiation Safety.

Article 50

Fluoroscopy X-ray aircraft without a screen of image amplifiers (image The intensifier ("intensifier") and Mass Chest Survey (MCS) were banned for use.

Article 51

(1) The X-ray aircraft must be operated by Radiographer, except for the Fluoroscopy X-ray Aircraft.

(2) In terms of the operation of the X-ray Aircraft Mammography, Radiographer as referred to in verse (1) takes precede women.

Article 52

The Fluoroscopy X-ray aircraft as referred to in Article 51 must be operated by a Competent Radiological Physician or Doctor.

Article 53

Image of Radiography produced by X-ray aircraft must be (1) Image of Radiography The resulting dentistry X-rays should be interpreted by the Doctor of the Radiology Specialist Dentistry, Doctor The Competent Dental, or Radiological Specialist Doctor.

(2) In terms of the Image of Radiography as referred to in verse (1) for periapical projection can be interpreted by the dentist.

Paragraph 2

The Aircraft Support Equipment X-rays

Section 55

(1) Licensee may only use the equipment X-ray aircraft support as referred to in Article 41 of the letter b that meets the provisions of the Indonesian National Standards (SNI) or other standards that are being published by an institution of accreditation or a certificate issued by the manufacturer.

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2011, No. 63925

(2) The X-ray aircraft support equipment as referred to in paragraph (1) is the least composed of components:

a. Tube buffer pole;

b. colimator; and

c. voltage instrumentation.

Paragould 3

Facility building

Article 56

Disain the building of the X-ray facility as referred to in Article 41 of the letter c, must meet the following requirements:

A. The Dosis delimiter for Radiation Workers as referred to in Article 37 of the letter a, for the shield on the wall of the room and/or the door that borders directly with the Radiation Workers ' work space; and

b. limiting Dosis to members of the public as referred to in Article 37 of the letter b, for the shield on the wall of the room and/or door that borders directly with community members access.

Article 57

(1) Any facility planning X-ray aircraft must take into account the maximum workload, factor for Radiation retention, and area placement factors around the facility.

(2) Any planning of the X-ray aircraft facility should consider the possibility of change in time upcoming in any parameters or all parameters covering the voltage addition The tube, workload, technical modification that may require additional X-ray aircraft, and increase the level of placement of the area around the facility.

(3) The X-ray aircraft facility as referred to in paragraph (1) is least likely to meet requirements as follows:

a. the size of the X-ray and the mobile station room size must conform to the engineering specifications of the X-ray aircraft from the factory or the international standard recommendations or have the size as set forth in Annex IV which is the part inseparable from this BAPETEN Chief Regulation;

* In the air with a reverse scattering. Those values are for conventional "film-screen " combinations in the relative speed of 200. For a combined film-screen high speed (400-600), those values are reduced by a factor of 2-3.

** PA: postero-anterior, AP: antero-posterior, LAT: lateral, LSJ: lumbo sacral joint.

ATTACHMENTS III

NUCLEAR POWER WATCHDOG RULE

NUMBER 8 OF 2011 ON RADIATION SAFETY IN

USE OF DIAGNOSTIC RADIOLOGY AIRCRAFT AND

INTERVENSIONAL

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2011, No. 639 38

Table 2. CT-Scan Dosis guide level for any particular adult patient

No. Type Dosis check average multiple scans *

(mGy)

1. Head 50

2. Lumbar 35

3. Abdomen 25

The abdomen is obtained from the size of the rotation axis in the phantoms that are equivalent to water, 15 cm long and 16 cm (head) and 30 cm (lumbar and abdomen) in diameter.

Table 3. Mammography Dosis guide level for each particular adult patient

average glandular dosis for each cranio-caudal projection*

1 mGy (without grid)

3 mGy (with grid)

* Determined at 4.5 cm pressed breasts consists of 50% gland and 50% fat tissue, for the film-screen system and is intended for the X-x-rays of Mamography with Mo's target and a filter from Mo.

B. Fluoroscopy

Table 4. Rate guidance rate of fluoroscopy for each particular adult patient

No. How to operate the Skin Surface Dosage Rate * (mGy/menit)

1. Normal 25

2. High level 100

The inside air is in the air with a reverse scattering. ** For fluoroscopy that has a choice with the operational way of operational

high, such as the examination often used in the Conventional Radiology.

THE HEAD OF THE NUCLEAR POWER WATCHDOG

THE REPUBLIC OF INDONESIA,

US NATIO LASMAN

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2011, No. 63939

I. SIZE OF THE Sinar-X AIRCRAFT ROOM

No Type Of X-rays Minimum Size Room:

length (m) x width (m) x height (m) 1 Fixed Fixed, Mobile indoor Mobile, not

including emergency installation The installation of intensive care,

Tomography, the Density Measuring of Bones, the C-Arm, the C-Arm, for the Brakhiterapi.

4x 3 x 2.8

2 Mamography 3 x 3 x 3 x Intraoral Convesional Intraoral Digital Intraoral Digital

2 x 2 x 2.8

4 Magnitude Ecstraoral convesional Convesional Digital Exstraoral Digital

3x 2 x 2.8

5 CBCT-Scan 3 x 3 x 2.8 million Fluoroscopy (ESWL) Fluoroscopy (ESWL) CT-Scan CT-Scan, C-Arm/U-Arm Angiography, CT-Scan, CT-Scan, CT-Scan, CT-Scan, CT-Scan, CT-Scan for Surgical Simulator, CT-Scan for Surgical Simulator, CT-scan simulator, CT-scan simulator, CT-scan simulator, CT-scan simulator, CT-scan simulator, CT-scan simulator, CT-scan simulator, CT-scan simulator, CT-scan simulator NUCLEAR POWER

NUMBER 8 OF 2011 ON RADIATION SAFETY

IN USE OF RADIOLOGICAL SYNAPTIC AIRCRAFT

DIAGNOSTIC AND INTERVENTITIONAL

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2011, No. 639 40

II. MOBILE STATION

No Type Of Aircraft X-ray SizeMobile Station:

1. Mobile X-ray aircraft in Mobile Station According to the engineering specifications of the plant

or the international standard provisions 2. Mamography X-ray aircraft

in Mobile Station

HEAD OF THE NUCLEAR POWER WATCHDOG

REPUBLIC OF INDONESIA,

US NATIO LASMAN

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2011, No. 63941

RADIATION SIGNS AND RADIATION HAZARD WARNING POSTERS

1. The correct radiation sign is as follows:

or or

a. The Radiation Mark must be installed on the tube and X-ray Aircraft Control panel, provided: 1). Paste permanently; 2). has 2 (two) contrasting colors; and 3). It can be seen clearly and identified at a distance of 1 m (one

meter).

b. The Radiation Mark must be installed on the gate of the X-ray Aircraft, provided by: 1). Paste permanently; 2). have 2 (two) contrasting colors; 3). can be seen clearly and identified at a distance of 1 m (one

meter); and 4). contains the writing "AWAS SINAR-X", and "ATTENTION: CAUTION",

or any other sentence that has the same meaning.

ANNEX V

THE RULE OF THE NUCLEAR POWER WATCHDOG

NUMBER 8 YEAR 2011 ON RADIATION SAFETY

IN THE USE OF RADIOLOGY SYNAPTIC AIRCRAFT

DIAGNOSTIC AND INTERVENTITIONAL

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2011, No. 639 42

2. Radiation hazard warning posters must be installed inside the X-ray plane room, which contains the inscription "PREGNANT OR PREGNANT WOMAN MUST NOTIFY A DOCTOR OR RADIOGRAPHER"

CHIEF OF THE NUCLEAR POWER WATCHDOG

REPUBLIC INDONESIA,

US NATIO LASMAN

www.djpp.kemenkumham.go.id