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Guy’s and St Thomas’ NHS Foundation Trust (Guy’s Hospital) Transport - Inspection ID: 54390

Executive summary

Date(s) of inspection

  • June 2026

Aim of inspection

The purpose of the inspection is to review compliance of the dutyholder’s arrangements for class 7 radioactive material for road transport.

Subject(s) of inspection

  • Transport - Consignor Duties - Rating: GREEN
  • Transport - Dangerous Goods Safety Advice - Rating: GREEN
  • Transport - Emergency/Contingency Planning and Testing - Rating: GREEN
  • Transport - Incidents, Events and Reporting processes - Rating: GREEN
  • Transport - Management Systems - Rating: GREEN
  • Transport - Radiation Protection Advisor - Rating: GREEN
  • Transport - Radiation Risk Assessment - Rating: AMBER
  • Transport - Training and Competence - Rating: GREEN

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

The inspectors identified a number of examples of the duty holder meeting relevant good practice in reducing risk to levels that are As Low As Reasonably Practicable (ALARP). This included suitable IRR17 registration and consents, appropriate local rules and radiation protection programme. In addition, the duty holder had a comprehensive set of procedures and arrangements covering the relevant aspects of transport to be compliant with CDG09.

The inspectors identified one area of non-compliance which was the radiation risk assessment. This was discussed during the inspection.

Conclusion

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

We judged an overall inspection rating of green was appropriate for this inspection.

GSTT is required to provide to ONR either with evidence that the identified non-compliance has been resolved, or an appropriate resolution plan with timescales for completion, by 18 September 2026. The non-compliances will be tracked to completion via a Level 4 Regulatory Issue.

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