Compliance with Requirements for Summation of External and Internal Doses

(A) If the licensee is required to monitor pursuant to both 105 CMR 120.226(A) and (B), the licensee shall demonstrate compliance with the dose limits by summing external and internal doses. If the licensee or registrant is required to monitor only pursuant to 105 CMR 120.226(A) or only pursuant to 105 CMR 120.226(B), then summation is not required to demonstrate compliance with the dose limits. The licensee may demonstrate compliance with the requirements for summation of external and internal doses pursuant to 105 CMR 120.212(B), (C) and (D). The dose equivalents for the lens of the eye, the skin, and the extremities are not included in the summation, but are subject to separate limits. (B) Intake by Inhalation. If the only intake of radionuclides is by inhalation, the total effective dose equivalent limit is not exceeded if the sum of the deep dose equivalent divided by the total effective dose equivalent limit, and one of the following, does not exceed unity: (1) the sum of the fractions of the inhalation ALI for each radionuclide; (2) the total number of derived air concentration-hours (DAC-hours) for all radionuclides divided by 2,000; or (3) the sum of the calculated committed effective dose equivalents to all significantly irradiated organs or tissues (T) calculated from bioassay data using appropriate biological models and expressed as a fraction of the annual limit. For purposes of this requirement, an organ or tissue is deemed to be significantly irradiated if, for that organ or tissue, the product T T,50 of the weighting factors, w , and the committed dose equivalent, H , per unit intake is T,50 T T,50 greater than 10% of the maximum weighted value of H , that is, w H , per unit intake for any organ or tissue. (C) Intake by Oral Ingestion. If the occupationally exposed individual receives an intake of radionuclides by oral ingestion greater than 10% of the applicable oral ALI, the licensee shall account for this intake and include it in demonstrating compliance with the limits. (D) Intake through Wounds or Absorption through Skin. The licensee shall evaluate and, to the extent practical, account for intakes through wounds or skin absorption. The intake through intact skin has been included in the calculation of DAC for hydrogen-3 and does not need to be evaluated.