Occurrence of radium in drinking water may pose a radiological hazard. It is one of the most radiotoxic radionuclides and a major contributor to the Indicative Dose (ID), regulated parameter in UE. Its removal at Drinking Water Treatment Plants (DWTPs) can be considered a preventive action, as it cannot reach the final consumer nor be accumulated in distribution pipes. A filtration system based on greensand designed for radium removal was tested in an actual DWTP. Removal effectiveness depended on the spatial velocity water passed through the filter, range 65-100%. The lower the spatial velocity, the greater contact time, and the longer high removal percentages were achieved. The radium removed from the water was mainly associated to easily reducible fraction in greensand. So radium accumulation in the filter may pose a radiological hazard for the workers in the DWTP. Dose rate was assessed in the worst case scenario for this case study, being about 0.22 mSv/y, significantly lower than reference value 1 mSv/y. Radium accumulated in the greensand filter can be extracted in order to ease waste management, and subsequently, the filtration system can be regenerated showing similar capacity to extract radium as a new one.