The PAG Manual is a planning guide for emergency responders, and does not change federal, state or local environmental standards. The PAG guidelines are only for use during a large-scale emergency, when radiation levels could be high enough to cause health effects unless public safety measures are taken.

In January 2017, the EPA incorporated non-regulatory guidance that authorities can use to protect residents from experiencing the harmful effects from radiation in drinking water following a nationally significant radiological emergency into Chapter 4 of the PAG Manual.  (See Federal Register Notice, 82 FR 6498, January 19, 2017.)

The drinking water PAG is a level that can be used to determine when alternative drinking water should be provided and the use of contaminated water supplies be restricted. The drinking water PAG identifies doses of radiation that should be avoided during an emergency event. They do not represent acceptable routine exposures. PAGs apply to emergency situations only. They trigger safety measures—in this case, provision of alternative drinking water—to keep doses to the public as low as possible.

The updated 2017 PAG Manual includes lessons learned from actual radiological emergencies, including the Fukushima nuclear power plant accident. It can be used for response to a radiological dispersal device (RDD) or “dirty bomb,” or an accident at a nuclear power plant. The PAG Manual provides a list of considerations for planning and initiating a cleanup process as the emergency is brought under control. The PAG Manual does not set cleanup levels. One of the recommendations in the Manual is a community involvement process for setting cleanup levels.

Download the 2017 PAG Manual.

Revisions to the 1992 Manual

In 2013, EPA sought public comment on a revision to the 1992 PAG manual. A key goal of the revision is to update dose calculations based on current science. EPA believes that guidance based on the best available science can help local authorities save lives and minimize the impact of a radiological emergency. Comments were accepted until September 16, 2013. EPA assessed public comments before issuing the 2016 PAG Manual. EPA issued a 2017 version of the PAG Manual that incorporates drinking water guidance.

View Federal Register notices and public comments related to the EPA PAG Manual in EPA's official docket (EPA-HQ-OAR-2007-0268) on Regulations.gov.

Significant changes from the 1992 PAG Manual include:

• Applying the PAG Manual to incidents other than just nuclear power plant accidents.
• Referring users to current food guidance from the Food and Drug Administration (FDA).
• Providing guidance for potassium iodide (KI) based the latest FDA guidance.
• Providing basic planning guidance on reentry, cleanup and waste disposal.
• Incorporating late phase (cleanup) guidance from the Department of Homeland Security’s Radiological Dispersal Device/Improvised Nuclear Device Planning Guidance.
• Adding a two-tiered drinking water guidance addressing the people at the most sensitive life stages and the general population.

Information for consumers about the drinking water PAG.

Information for public water system on the drinking water PAG.

Frequently asked questions about the PAG Manual and drinking water PAG.

Training

The Federal Emergency Management Agency's (FEMA) Emergency Management Institute has two Independent Study Courses on Radiation:

• IS-3 - Radiological Emergency Management.
• IS-301 - Radiological Emergency Response. Unit 5 of this course, "Protective Actions & Protective Action Guides" provides an excellent introduction to the use of PAGs in an emergency.

Radiation Emergency Response Guidance

In addition to EPA’s PAGs Manuals and Resources, the following radiological emergency response guidance is available:

Nuclear Detonation and Radiological Dispersion DeviceRadiological Dispersion DeviceA mix of explosives, such as dynamite, with radioactive powder or pellets. Also known as a dirty bomb. A radiological dispersal device is not a nuclear weapon. (RDD)

• U.S. Department of Health & Human Services, Radiation Emergency Medical Management (REMM), Planning Guidance for Response to a Nuclear Detonation, Second Edition (PDF)(135 pp, 2.7 MB, About PDF)
• Department of Homeland Security, Federal Emergency Management Agency (FEMA), Planning Guidance for Protection and Recovery Following Radiological Dispersal Device (RDD) and Improvised Nuclear Device (IND) Incidents (official docket on Regulations.gov)

​Assessing Doses

• Federal Radiological Monitoring and Assessment (FRMAC), FRMAC Assessment Manual, Volume 1 - Overview and Methods (PDF) (324 pp, 2.95 MB, About PDF) and FRMAC Assessment Manual, Volume 2 – Pre-assessed Default Scenarios (PDF) (234 pp, 3.85 MB, About PDF)
• Oak Ridge National Laboratory, Dose Coefficient Factor web application DCFPak Exit

Potassium Iodide (KI)

• U.S. Food and Drug Administration (FDA), Guidance: Potassium Iodide as a Thyroid Blocking Agent in Radiation Emergencies (PDF)(15 pp, 39.9 K, About PDF)
• U.S. Food and Drug Administration (FDA), Guidance for Industry KI in Radiation Emergencies - Questions and Answers (PDF)(9 pp, 161.1 K, About PDF)

• U.S. Food and Drug Administration (FDA), Frequently Asked Questions about KI

Population Monitoring

• U.S. Centers for Disease Control and Prevention (CDC), Population Monitoring in Radiation Emergencies: A Guide for State and Local Public Health Planners (PDF)(104 pp, 4.0 MB, About PDF)

Food

• U.S. Food and Drug Administration (FDA), Accidental Radioactive Contamination of Human Food And Animal Feeds: Recommendations for State and Local Agencies (PDF)(59 pp, 231.4 K, About PDF)

Reentry and Return

• U.S. Department of Energy (DOE), Operational Guidelines
• U.S. Department of Energy (DOE, Preliminary Report on Operational Guidelines Developed for Use in Emergency Preparedness and Response to a Radiological Dispersal Device Incident (PDF)(416 pp, 2.6 MB, About PDF)