Radiation Safety Manual 1997 (updated August, 2004)
Units and Conversions
This section provides examples and instructions for frequently used forms. The first eight forms have Adobe Acrobat Versions so you can fill out the form on your computer, print it out, sign it, and fax it to Health Physics at (650) 723-0632.
Application
Application for a Controlled Radiation Authorization (CRA) Statement of Training and Experience On The Job Training Record Worksheet for Radiochemical Protocols
Application for a Controlled Radiation Authorization (CRA)
Statement of Training and Experience
On The Job Training Record
Worksheet for Radiochemical Protocols
Personnel
Declaration of Pregnancy
Monitoring
Radiation Dosimetry Service Request
Lost Dosimeter Report
Authorization to Obtain Radiation Exposure History Sample Film Badge Report
Authorization to Obtain Radiation Exposure History
Sample Film Badge Report
Quarterly
Currently Authorized Radioactivity User
Updates
CRA Room Use Report
Radionuclide Inventory Sealed Source Inventory Summary
Radionuclide Inventory
Sealed Source Inventory Summary
Waste
Dry Radioactive Waste Pickup Request
Dry Radioactive Waste Pickup Request/Additional Page
Laboratory
User Radiation Survey Report
User Survey Log
Radioisotope Use Log Storage Container Summary Log Package Safety Information Radioactive Animal Notice Transfer of Radioactive Material Sample Hazards Evaluation
Radioisotope Use Log
Storage Container Summary Log
Package Safety Information
Radioactive Animal Notice
Transfer of Radioactive Material
Sample Hazards Evaluation