From:	Pomije, Brian D. (LCDR)
Sent:	Friday, January 14, 2005 11:07 AM
To:	Jakarta - HM1 Rager; Burke, Gerald; Carter, Darron H., LTjg; Casey, Richard W.; Clark, Dorothy M. (CIV); Ely, Karen D. (CIV); Giel, Daniel T. (CIV); Hecht, Sheila C , LCDR; Herrera, Mark E; Hope, Lawanda P. HM1; Johnson, Gabrielle M.; Kennemur, Lisa K LCDR; LaFontaine, Richard L CT; Marro, Ralph J. (LCDR); McFadden, Anthony E LTJG; Pomije, Brian D. (LCDR); Scott, John H., CIV.; Shumaker, Debbie J. (LCDR); Simays, Andrew E., CDR; Solanki, Haresh P; Swilley, Eugene A. (LT); Torres, Freddy H  LTJG; Tu, Victor LT; Williams, Anthony S. (LCDR); Younes, Georges  E LCDR; Beecham, Harry J. CAPT NAMRU2; ElMohamady, Hanan (NAMRU3 Cairo); Gustafson, Robert (NDSL Jax); Hoang, LongChau LTJG; Hodge, Jenny L. MSGT; Ratiwayanto, Sutanti (NAMRU2 Jakarta)
Cc:	Pomije, Brian D. (LCDR); Ely, Karen D. (CIV); Clark, Dorothy M. (CIV); Fong, Raynard K. CAPT BUMED; Lino CDR Fragoso (E-mail) (Lino.Fragoso@navy.mil)
Subject:	NRMP Rad Safety Reminders - (1) Annual External Audits, (2) Annual Management Brief
To all Radiation Safety Officers and NRMP Permittees:

This message is being sent to all holders of Naval Radioactive Materials Permits (NRMPs), as a reminder to conduct the annual management brief, and to comply with requirements for annual "external" audits.

	(1) First, each NRMP Permittee is required annually, to brief management at their Command on the current status of the Radiation Safety/Protection Program.  The briefing should be conducted by the Radiation Safety Officer listed on the NRMP, to the Commanding Officer, and should cover the entire period since the last management brief.  Some of the issues to include in the annual brief to management are as follows: ALARA program; dosimetry program; exposures to the public; radioactive spills and contamination incidents; quantities of radioactive material used; summary of radioactive waste disposal; summary of annual external audits and other audits/inspections; summary of major/minor changes in the NRMP program; summary of amendments/renewals of the Command's NRMP; status of required training of staff; summary of adverse events/incidents; high confidence program for written directives (medical permittees only); and any other issue that the RSO deems appropriate to include in the management brief. 

	(2) Second, each NRMP Permittee is required to have their NRMP Program audited annually.  This annual "external" audit shall be conducted in accordance with the requirements in BUMED Instruction 6470.20 using all applicable audit guides that are posted on NEHC's website at http://www-nehc.med.navy.mil/occmed/Nrmp_audit_guide.htm.  Note that the annual external audit is in addition to any audit conducted by NEHC or any other regulatory body.  A copy of the audit guides, as well as a formal report of corrective actions shall be forwarded to NEHC within 60 days of the date on the audit report.  Note that BUMED Inst 6470.20 is currently under revision, and audit requirements for the Naval Medical Centers may be changing, but until the revised instruction is approved, the old instruction will remain in effect.  Following is a list of commands and the current status of external audits:

	COMMAND:						LAST EXTERNAL AUDIT:		CORRECTIVE ACTIONS:

	National Naval Medical Center Bethesda			28 Oct 2004				Report Pending
	Naval Medical Center Portsmouth				09 Nov 2004 
Report Pending
	Naval Medical Center San Diego				27 Feb 2004				Report Received

	Naval Hospital Bremerton				15 Mar 2004					Report Received
	Naval Hospital Camp Lejeune				10 Dec 2004					Report Pending
	Naval Hospital Camp Pendleton				27 Sep 2004					Report Received
	Naval Hospital Charleston				05 Nov 2004
		Report Pending
	Naval Hospital Great Lakes				04 Jun 2004					Report Received
	Naval Hospital Guam					20 Feb 2004					Report Pending
	Naval Hospital Jacksonville				19 Feb 2004					Report Received
	Naval Hospital Okinawa					19 Feb 2004					Report Received
	Naval Hospital Pensacola				09 Apr 2004					Report Received
	Naval Medical Research Unit (NMRU #2), Jakarta	None Received since June 1999
	Naval Medical Research Unit (NMRU #3), Cairo		17 Jun 2004					Report Received
	Naval Dosimetry Center (NDC)				19 May 2004
		N/A - No Deficiencies
	Naval School of Health Sciences (NSHS)		16 Nov 2004 
Report Pending

Note: NMRU #2 in Jakarta has discontinued all uses of radioactive material in 1998, and had disposed of the last of its radioactive material in 2003.  Jakarta is currently in the process of decommissioning.  We are still awaiting a decision by their command whether or not to terminate their NRMP.

Very Respectfully,

LCDR Pomije

Brian D. Pomije, MS, DABR
Lieutenant Commander, Medical Service Corps, USN
Radiation Health Team Leader
Navy Environmental Health Center
620 John Paul Jones Circle (Suite 1100)
Portsmouth, VA 23708-2103

W: (757) 953-0766; DSN: 377-0766
Cell: (757) 651-2814
Fax: (757) 953-0685