ATTACHMENT 1: IREP Input Tables

PERSONAL INFORMATION

 

 

 

 

 

 

Claimant Name

NIOSH ID #

Claimant SSN

DOL District Office

Gender

Birth Year

Year of Diagnosis

Cancer Model

 

 

 

DE

Male

 

2000

Esophagus

CLAIMANT CANCER DIAGNOSIS

 

 

 

 

 

 

 

 

Primary Cancer #1

Primary Cancer #2

Primary Cancer #3

Secondary Cancer #1

Secondary Cancer #2

Secondary Cancer #3

Cancer Type

Esophageal Cancer

N/A

N/A

N/A

N/A

N/A

 

Date of Diagnosis

10/03/2000

N/A

N/A

N/A

N/A

N/A

 

 

 

 

 

 

 

 

 

EXPOSURE INFORMATION

 

 

 

 

 

 

 

Number of exposures

 

 

 

 

 

 

 

122

 

 

 

 

 

 

 

Exposure #

Exposure Year

Exposure Rate

Radiation Type

Dose Distribution Type

Parameter 1

Parameter 2

Parameter 3

1

1954

acute

hotons E=30-250ke

Constant

0.120

0.000

0.000

2

1953

chronic

alpha

Constant

0.100

0.000

0.000

3

1954

chronic

alpha

Constant

0.090

0.000

0.000

4

1955

chronic

alpha

Constant

0.084

0.000

0.000

5

1957

chronic

alpha

Constant

0.080

0.000

0.000

6

1958

chronic

alpha

Constant

0.077

0.000

0.000

etc…..

 

 

 

 

 

 

 

62

 

chronic

electrons E>15keV

Constant

0.000

0.000

0.000

63

 

chronic

electrons E>15keV

Constant

0.000

0.000

0.000

64

 

chronic

electrons E>15keV

Constant

0.000

0.000

0.000

65

 

acute

hotons E=30-250ke

Lognormal

0.233

1.520

0.000

66

 

acute

hotons E=30-250ke

Lognormal

0.117

1.520

0.000

67

 

acute

hotons E=30-250ke

Lognormal

0.127

1.520

0.000

68

1961

chronic

neutrons E<10keV

Lognormal

0.041

1.520

0.000

69

1962

chronic

neutrons E<10keV

Lognormal

0.095

1.520

0.000

70

1964

chronic

neutrons E<10keV

Lognormal

0.219

1.520

0.000

71

1965

chronic

neutrons E<10keV

Lognormal

0.192

1.520

0.000

72

1966

chronic

neutrons E<10keV

Lognormal

0.092

1.520

0.000

73

1967

chronic

neutrons E<10keV

Lognormal

0.103

1.520

0.000

74

1968

chronic

neutrons E<10keV

Lognormal

0.113

1.520

0.000

75

1969

chronic

neutrons E<10keV

Lognormal

0.113

1.520

0.000

76

1970

chronic

neutrons E<10keV

Lognormal

0.123

1.520

0.000

77

1961

chronic

eutrons E=10-100ke

Lognormal

0.008

1.520

0.000

78

1962

chronic

eutrons E=10-100ke

Lognormal

0.019

1.520

0.000

79

1964

chronic

eutrons E=10-100ke

Lognormal

0.044

1.520

0.000

80

1965

chronic

eutrons E=10-100ke

Lognormal

0.038

1.520

0.000

81

1966

chronic

eutrons E=10-100ke

Lognormal

0.018

1.520

0.000

82

1967

chronic

eutrons E=10-100ke

Lognormal

0.021

1.520

0.000

83

1968

chronic

eutrons E=10-100ke

Lognormal

0.023

1.520

0.000

84

1969

chronic

eutrons E=10-100ke

Lognormal

0.023

1.520

0.000

85

1970

chronic

eutrons E=10-100ke

Lognormal

0.025

1.520

0.000

86

1961

chronic

utrons E=100keV-2

Lognormal

0.327

1.520

0.000

87

1962

chronic

utrons E=100keV-2

Lognormal

0.754

1.520

0.000

88

1964

chronic

utrons E=100keV-2

Lognormal

1.743

1.520

0.000

89

1965

chronic

utrons E=100keV-2

Lognormal

1.525

1.520

0.000

90

1966

chronic

utrons E=100keV-2

Lognormal

0.735

1.520

0.000

91

1967

chronic

utrons E=100keV-2

Lognormal

0.817

1.520

0.000

92

1968

chronic

utrons E=100keV-2

Lognormal

0.899

1.520

0.000

93

1969

chronic

utrons E=100keV-2

Lognormal

0.899

1.520

0.000

94

1970

chronic

utrons E=100keV-2

Lognormal

0.980

1.520

0.000

95

1961

chronic

neutrons E=2-20MeV

Lognormal

0.079

1.520

0.000

96

1962

chronic

neutrons E=2-20MeV

Lognormal

0.181

1.520

0.000

97

1964

chronic

neutrons E=2-20MeV

Lognormal

0.419

1.520

0.000

98

1965

chronic

neutrons E=2-20MeV

Lognormal

0.366

1.520

0.000

99

1966

chronic

neutrons E=2-20MeV

Lognormal

0.177

1.520

0.000

100

1967

chronic

neutrons E=2-20MeV

Lognormal

0.196

1.520

0.000

101

1968

chronic

neutrons E=2-20MeV

Lognormal

0.216

1.520

0.000

102

1969

chronic

neutrons E=2-20MeV

Lognormal

0.216

1.520

0.000

103

1970

chronic

neutrons E=2-20MeV

Lognormal

0.236

1.520

0.000

104

1958

chronic

hotons E=30-250ke

Constant

0.073

0.000

0.000

105

1959

chronic

hotons E=30-250ke

Constant

0.073

0.000

0.000

106

1960

chronic

hotons E=30-250ke

Constant

0.073

0.000

0.000

107

1961

chronic

hotons E=30-250ke

Constant

0.073

0.000

0.000

108

1962

chronic

hotons E=30-250ke

Constant

0.073

0.000

0.000

 

 

 

 

 

 

 

 

 

 

These are Neutrons

 

 

 

 

 

These are doses of 0.100 (100 mrem) or higher that should have been monitored

 

 

 

 

 

These meet all criteria -- Neutron Doss of 100 mrem or higher within the years from 1952 to 1966
Only one purple required for a determination that the employee "should have been monitored."