Office for Nuclear Regulation

Leeds Teaching Hospitals NHS Trust (Site) Transport – Inspection ID: 52303

Executive summary

Date(s) of inspection

  • November 2023

Aim of inspection

The purpose of the inspection was to review compliance of Leeds Teaching Hospital NHS Trust’s (LTHT) arrangements for class 7 radioactive material for road transport, covering consignor and carrier duties.

Subject(s) of inspection

  • Transport (Non-nuclear) – Rating: Green
  • Transport (Non-nuclear) Appropriate management system – Rating: Green
  • Transport (Non-nuclear) Contingency plans in accordance with IRR Reg 13 – Rating: Amber
  • Transport (Non-nuclear) Dangerous Goods Safety Advisor subsection 1.8.3 ADR – Rating: Green
  • Transport (Non-nuclear) Designation of Controlled or supervised areas Reg 17 IRR17 – Rating: Green
  • Transport (Non-nuclear) Emergency arrangements – Rating: Amber
  • Transport (Non-nuclear) IRR17 Regulation 19 additional requirements – Rating: Green
  • Transport (Non-nuclear) Local rules Reg 18 IRR17 – Rating: Green
  • Transport (Non-nuclear) Radiation Protection Adviser Reg 14 IRR17 – Rating: Green
  • Transport (Non-nuclear) Radiation Risk Assessment Reg 8 of IRR 17 – Rating: Amber
  • Transport (Non-nuclear) Training – Rating: Green
  • Transport (Non-nuclear) Transport documentation – Rating: Green
  • Transport (Non-nuclear) Vehicle Requirements Part 8 – Rating: Green

Key findings, inspector’s opinions and reasons for judgement made

The inspector reviewed a range of topics and identified a number of examples of LTHT meeting relevant good practice in reducing risk to levels that are ALARP, including appropriate appointment of Safety Advisers and Radiation Protection Supervisors, Local Rules, transport documents, equipment and signage on vehicles and provision of training, having facility based Radiation Risk Assessments that identify transport activities and the continued development of the management system.

The inspector identified two areas of non-compliance and discussed these during the inspection. These were associated with the Radiation Risk Assessment for transport and emergency arrangements.


The inspection findings were presented to LTHT at the close of the inspection.

I judged an overall inspection rating of Green was appropriate for this inspection as there were no significant shortfalls identified in the delivery of safety.

LTHT is required to provide ONR either with evidence that the two identified non-compliances have been resolved, or an appropriate resolution plan with timescales for completion, by 5 January 2024. The non-compliances will be tracked to completion via a level 4 regulatory issue.