Radiation Safety

Radiation Safety: Forms and Application Process

Forms and Applications

 

Quarterly Radioactive Material Physical Inventory

Required submission form for the inventory of all laboratory radioactive materials

 

Sink Disposal of Radioactive Waste

Required log for all radioactive wastes disposed into the university’s waste water system

 

Radioactive Waste Container Log

Required document to record the quantity and activity of all waste materials contaminated with radioactive materials

 

Radioisotope Usage and Disposition Log

Required document to track all movements of radioactive materials into and out of a laboratory

 

Emergency Phone Numbers

Emergency numbers to be filled out and posted in the laboratory

 

Pregnancy Declaration Form

Allows for pregnant women whose jobs involve the use of radioactive materials to be monitored for radiation dose during their pregnancies

 

Request for dosimeter service 

This form is required to receive dosimeter service

 

Application for use for radiation sources

This form is used to apply for research approved-user status

 

Radioisotope Use Amendment Request

This form is to amend your research approved-user status

 

Additional project forms

This form is used to describe the process for each project

 

Research Lab Area Survey Form

Research Lab Monthly Wipe Test Form 

These forms are required in the monitoring of research labs that use radioactive materials.

 

 

 Statement for Minors

This form is to be used if a minor is to be working in a lab that uses radioactive materials or radiation generating equipment.

   
Request for Clinical Authorized User Status 

This form is required to become a Clinical Authorized User of Radioactive Materials or an Authorized Medical Physicist for Radioactive Materials.

 

Last Updated: 1/20/21