Aslam.Ibrahim/Sandbox

[1]CNSC laboratory achieves a milestone in ISO accreditation

Accreditation for gamma calibration services achieved, more to come

[2]Written by: Aslam Ibrahim

On November 16, 2016, the CNSC laboratory was granted accreditation to ISO/IEC 17025:2005, a standard used throughout the world to evaluate testing and calibration laboratories. The accreditation scope includes the calibration of working measurement standards, gamma survey meters, and personal electronic dosimeters – in short, a significant part of the CNSC laboratory’s calibration services.

Accreditation was granted by the Standards Council of Canada (SCC), under the Program for the Accreditation of Laboratories – Canada (PALCAN) and the National Research Council of Canada Calibration Laboratory Assessment Service (NRC CLAS).

It is notable that the CNSC laboratory is the first of its kind in Canada that the SCC has accredited for calibration of working measurement standards and survey instruments for gamma measurement.

For the purposes of this article, the term “working measurement standard” refers to a measuring instrument that is calibrated relative to a reference measurement standard (which is also a measuring instrument). The working and reference measurement standards each consist of an ion chamber and an electrometer that are combined as a single measurement system.

Certificate of accreditation for CNSC laboratory issued by SCC and NRC CLAS

The laboratory maintains the reference measurement standard through annual calibrations that are performed by the NRC. The laboratory then calibrates the working measurement standard in-house by directly comparing it to the (calibrated) reference measurement standard. The calibration of the working measurement standards has also been accredited by SCC and NRC CLAS.

What is accreditation and why is it important?

Laboratory accreditation is a formal process of recognition by a third party organization to establish that a laboratory is technically competent and impartial. The CNSC laboratory was required to demonstrate its ability to produce precise and accurate test and calibration data, and to show the technical competence of staff. Learn more.

One reason that the CNSC pursued this recognition for the laboratory is because ISO/IEC 17025:2005 is an internationally accepted standard. Accreditation to such a standard provides formal recognition of competent laboratories throughout the world.

This recognition is important because, in all its efforts to fulfill its mandate, the CNSC strives continuously not only to achieve excellence in its operations, but also to foster public trust and confidence. The CNSC laboratory is no exception. With the calibration services becoming accredited by recognized bodies like the SCC and NRC CLAS, the CNSC laboratory has received a significant global mark of approval of high quality of its services. This in turn contributes to building public trust and confidence in the laboratory’s operations and the CNSC as a whole.

What did the accreditation process involve?

During this voluntary process, specialist technical assessors from NRC CLAS and NRC Measurement Science and Standards first conducted a thorough desktop assessment of the management system manual documentation and then a rigorous onsite evaluation of the laboratory’s processes, staff and equipment.

Upon concluding that the CNSC Laboratory met all requirements of the stringent ISO/IEC 17025:2005 standard, NRC CLAS recommended accreditation to the SCC, which reviewed the results of assessment and granted the recognition.

How do CNSC staff members (customers) and licensees benefit?

The results of the process showcase the technical and service-oriented capabilities of the CNSC laboratory, including highly professional technical staff, equipment, processes, and successful participation in proficiency testing. Together these features make the laboratory a leader in calibration services that are crucial for reliable radiation measurements – a key component of nuclear regulation.

The ISO/IEC 17025:2005 accreditation provides high confidence to both the regulator and licensees in the data used for key analyses and regulatory decisions.

Instrumentation Technologist Clifford Chouinor sets up working standard for calibration at the CNSC laboratory

What were the challenges the laboratory faced while preparing for accreditation?

Adapting all in-house MS Excel spreadsheets, writing procedures and work instructions to comply with all the ISO/IEC 17025:2005 standard requirements was certainly a big challenge. There are a lot of documents!

Another significant challenge was to find proficiency testing (PT) providers with appropriate measurement capabilities to meet ISO compliance requirements. The capabilities of the few established and reputable PT providers, such as the National Research Council of Canada (NRC), the National Institute of Standards and Technologies (NIST) and the International Atomic Energy Agency (IAEA), are limited to their well-characterized artefacts consisting of working measurement instruments for air kerma measurements. Their PT capabilities do not extend to field instruments such as personal dosimeters and gamma survey equipment.

It is important to note that the accreditation task presented to the Standards Council of Canada (SCC) and NRC CLAS, with the measurement scope that the CNSC laboratory sought, was the first of its kind for all three of these primary project stakeholders, and a first for Canada. The unique scope of accreditation turned out to be a challenge for the SCC and the NRC Calibration Laboratory Assessment Service (NRC CLAS), as the requirements for the analysis of measurement uncertainties and model equations, in addition to data analysis of the measurements and interpretation of the comparison of results from PT exercises are different from other physical and electrical metrological calibrations.

Typical instruments that the CNSC laboratory calibrates under the scope of accreditation

Control room for remote handling of equipment and sources during calibration

What’s next?

The current scope of accreditation includes working measurement standards for air kerma measurements, gamma survey meters, and personal electronic dosimeters. The CNSC laboratory has prepared a project management plan to extend the scope to include electronic and radiological calibrations of survey meters for gamma, neutron, alpha and beta radiation measurements, as well as energy calibrations of the spectrometers used for gamma and neutron measurements. There’s lots more to do!

How can CNSC staff members suggest improvements to the laboratory?

Through annual customer satisfaction surveys that the CNSC laboratory conducts, CNSC staff members who have used the laboratory services in the previous year can provide feedback on their quality, including suggestions for improvement. The CNSC laboratory has been conducting such surveys since 2015, and has taken action to address comments from its customers to meet its commitment to provide a high service level and meet customer expectations. One such action was to respond to the suggestion to provide links to instrument manuals from the laboratory’s Web page.

The CNSC laboratory gamma calibration service now operates within a quality management system that complies with the requirements of ISO/IEC 17025:2005. As specified in the quality management system, the laboratory implements mechanisms including, but not limited to, proficiency testing, customer satisfaction surveys, internal reviews, management reviews, and corrective and preventative actions to drive continual improvement, which is the true intention of the ISO/IEC standard. Control room for remote handling of equipment and sources during calibration

Summary of steps to set up an IFA with NRC

·      CNSC Technical Authority contacts NRC Technical Authority to define the scope of work and schedule of work to be completed in the fiscal year

·      Contact Finance by email to request the Finance contact person info to include in the IFA

Finance / Finance (CNSC/CCSN) <cnsc.finance-finance.ccsn@canada.ca>

·      Provide the Finance contact person info to NRC Technical Authority to include in the draft IFA

·      Once draft is provided by NRC Finance/Accounting for counter signatures, queue the IFA for Director LSD approval

·      Once approved by Director LSD, provide a copy to CNSC Finance to commit funds and to provide REF code to include in the IFA.

·      After REF code information is included in the IFA, submit the signed IFA to NRC Finance/Accounting Contact

·      NRC Finance/Accounting to provide the IFA to CNSC Technical Authority with NRC counter signature

·      Maintain the IFA in records

Contract processing timelines can vary greatly depending on the procurement strategy chosen and based on other factors that typically results in delays.  Typical delay factors are: Complexity of the requirement; completeness of the statement of work and evaluation criteria; approval process; security; translation; supplier questions; bid evaluation process; manufacturing and delivery lead times.

Contract Award Service Standards – The Contract Award Service Standards outline the time it takes CMS to award a contract from the time a completed Contract Request Form is received and assigned to an officer. There are factors outside of the Contract Management Section’s (CMS) control that impact CMS’s ability to meet the contract award service standards listed below.  However, CMS will strive to meet its contract award service standards at least 90% of the time.

No.	Procurement Type	Contract Award Service Standard
1	·       Non-competitive goods under $25K (tax incl.); ·       Non-competitive services under $40K (tax incl.); ·       Purchases from standing offer; ·       Software purchases from software licensing supply arrangement	5 weeks
2	·       Temporary help services competitive contracts; ·       Proservices competitive contracts; ·       Competitive furniture or audio-visual contracts; ·       Non-competitive service contracts greater than $40K (tax incl.)	4 months
3	·       Competitive contracts against supply arrangements (e.g. TBIPS, TSPS, PASS); ·       Competitive service contracts from $40K to less than $105,700 (tax incl.) not covered by standing offers or supply arrangements	5 months
4	·       Competitive services from $105,700 to $3.75M (tax incl.) not covered by standing offers or supply arrangements	6 months

Note:       The above timelines do not include contract requests that need to be sent to PSPC or SSC for processing (e.g. goods over $25K, research and development services, select IT hardware and software, public opinion research, advertising etc.)

                The Contract Management Section (CMS) would be happy to discuss any aspect of your procurement needs. We suggest you contact CMS early in the procurement planning process, so we can determine the most appropriate procurement strategy for you.

1        Introduction

1.1     Customer Feedback

The CNSC Laboratory solicits customer feedback on an annual basis as one of the measurements of performance of the Laboratory Management System (LMS) ([Pcdocs://E-DOCS/4412335/R e-Docs-#4412335]) in regards to instrument management and calibration services. Customers can provide feedback to the Laboratory to address any issues which require immediate attention any time as needed, however, the annual survey provides an opportunity for customers to feedback on any aspect of the laboratory’s services including data quality and turnaround times. Any immediate problems as reported by the customers are to be documented and corrected through the non-conformance and corrective action processes following the Laboratory procedure P409 Corrective Action and Preventive Action in a timely manner by the Management System Officer (MSO).

Customer feedback is solicited to conform with the requirements of standards ISO/IEC 17025:2017, “General Requirements for the Competence and Testing of Calibration Laboratories”, and “SCC Requirements and Guidance for the Accreditation of Testing Laboratories – April 2018.”

1.2      Process

The MSO of the CNSC Laboratory conducts an electronic survey annually to collect feedback from CNSC staff members who have utilized the services of the Laboratory, and to collect any suggestions for improvement of the services, as per section 9.2.1 of the LMS.

Microsoft® Outlook based customer satisfaction survey form was used in this most recent customer satisfaction survey conducted in last year.  Note that this form was designed and introduced in calendar year 2018 considering feedback from the customers to introduce a simple tool to provide feedback to the Laboratory.  The Outlook email Voting button with a custom design offers to the customer to describe impressions of the services as Excellent, Good, Fair or No Impression, as described in the CNSC Laboratory Customer Satisfaction Survey Form F407.001 ([Pcdocs://E-DOCS/4429053/R e-Doc# 4429053]) which was used in previous years between 2014 and 2016.  In addition, once the customer selected to respond to the invitation email with the selected impression of the service, the customer was offered an option to edit the response which may include any comments a customer may wish to have for the improvement of services.

After successfully conducting customer satisfaction surveys for years 2017 and 2018, CNSC Laboratory Customer Satisfaction Survey Form F407.001 ([Pcdocs://E-DOCS/4429053/R e-Doc# 4429053]) has now been retired and is no longer valid and available to use.

The survey results are used as an input into the management review process following the Laboratory procedure P415 Management Review ([Pcdocs://E-DOCS/4424239/R e-Doc# 4424239]). Any improvements suggested in the survey are implemented considering the available resources and benefit to the larger group of customers through the Laboratory procedure P409 Corrective Action and Preventive Action ([Pcdocs://E-DOCS/4425262/R e-Doc# 4425262]), and then followed and monitored through internal assessment process.

2        Methodology

The following preparatory steps were taken prior to execution of the survey:

1)     A comprehensive list of customers that requested and received instrument services from the CNSC laboratory (i.e., the service “requestor”) during the 2018 calendar year was compiled from laboratory service records.

2)     An invitation email was drafted in Microsoft® Outlook with a custom design Voting button, to be sent to each customer as a formal request for their participation in the annual customer satisfaction survey.

3)     A telephone call/voice message was drafted to remind the customer the next day after the initiation of the survey.

4)     A follow-up invitation email was drafted, to be sent as a reminder to each customer who had not responded to the initial request within a week time-period.

5)     The list of customers was provided to the Laboratory’s administration staff to send the invitation email via Microsoft® Outlook with a custom design Voting button and other instructions regarding the data integrity of the feedback provided by the customers. Administration staff was to save the completed forms in the central electronic repository as e-access documents with appropriate access rights for maintaining lists of respondents and records as customers respond to the survey.

The following steps were taken subsequent to execution of the survey:

1)      The feedback provided by the customers was analyzed and a summary ([Pcdocs://E-DOCS/5763601/1 e-Doc# 5763601]) was prepared to discuss the results of the survey with the stakeholders in order to implement the suggestions and any corrective actions to be taken to address the comments.

2)      The results of the survey were summarized for the preparation of this summary report of the customer survey, as presented in this document.

3)      If appropriate, an opportunity for improvement (OFI) as identified in the customer survey regarding LIMS requester module in addition to others as those identified in section 5 of this report will be filed using the Laboratory procedure P409 under the LMS and will be followed up to monitor the effectiveness of the implemented actions.

3        Results and analysis     

3.1     Cohort

The cohort identified for the calendar year 2018 satisfaction survey numbered 60 customers in total, all of whom requested and received instrument services via 146 service requests fulfilled by the laboratory during the calendar year.

The demographic of the survey cohort represented a multi-disciplined sampling of individuals from various divisions and directorates within the technical support and regulatory operations branches of the CNSC, and from all regions of Canada in which the CNSC executes its’ mandate.

The services requested by the survey cohort during the calendar year included, but were not limited, to the following:

-         Provision of calibration and repair services for field instruments, such as personal electronic dosimeters, gamma survey meters, contamination meters, neutron survey meters, passive detectors – bubble detectors, and radon progeny concentration monitoring equipment;

-         Provision of inspection outfitting services, including logistical planning for shipping and return of field instruments and tools that are delivered on site by the laboratory, in step with the inspectors’ travel and divisional licensee inspection schedules;

-         Provision of subject matter technical assistance and technical reviews regarding field instruments, radiation measurement, and licensee documents

-         Provision of research and purchasing services to meet specified customer requirements regarding field instrumentation

-         Provision of ‘rush’ services to meet immediate and urgent customer requirements

-         Provision of outreach outfitting services that included field instruments, radioactive artifacts, and technical advice on the use of those items in outreach activities

3.2     Annual Customer Satisfaction Survey

The survey was executed during the spring and summer in 2018. All customers who were identified as requestors of instrument services during the calendar year 2018 were contacted via Microsoft® Outlook email with a formal invitation for their participation in the survey.  Customers were given the choice to describe the impression of services as Excellent, Good, Fair or No Impression using the Voting button as well as an option to include any comments a customer may wish to have for the improvement of services.

A telephone call/voice message was used to remind the customer within few days after the initiation of the survey. Those customers who did not respond within few weeks of the initial formal request for participation were sent the reminder email in late summer same year.

3.3     Analysis

3.3.1     Customer Response to the Survey

Table 1 illustrates the proportion of customers who responded to the survey. The total cohort response yielded 43 responses and 8 non-responses, of possible 51 responses, for a final customer response rate of 84%.  Out of 60 customers who were originally identified to seek feedback, 9 of them were not available to respond either because they were no longer working for CNSC or on extended leave.  This response rate was relatively higher than that of previous surveys conducted for calendar years 2014, 2015, 2016, and 2017, as illustrated in Table 2.  It also demonstrates an increasing trend since the inception of survey in 2014 as demonstrated in Figure 1.  This increased participation in the survey could be apparently attributed to number of factors including the simplified form used this year as well as follow up phone calls/voice messages given to customers after initiating the survey.   

Table 1: Analysis of the responses

	Number of Responses	Percentage of Customers Responded
Total	43 out of 51	84%

Table 2: Comparison of current customer’s responses to previous years

Survey Year	Percentage of Customers Responded
2014	54%
2015	55%
2016	65%
2017	77%
2018	84%