Office of Radiation Safety

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 Office of Radiation Safety - Forms


 


Radioactive Material Use Application and Training Forms

Click here for the complete Radioactive Material Use Authorization page, including Application and Amendment Forms.

Gamma Knife/Irradiator Access Forms (MCW network access only)

 

 

Film Badge (Dosimeter) Application 

Film Badge Application All personnel likely to receive 10% of the annual limits must be monitored for radiation exposure. 
Declaration of Pregnancy.pdf  Pregnant women working with radiation and wish to limit fetal exposure to 500 mrem must notify ORS.  Please see the complete Radiation and Pregnancy page for more complete information. 

 

Inventory and Disposal Forms

Material Use Sheet.xls Use this Excel Spreadsheet to keep inventory and use records for short half-life isotopes.  Performs automatic decay correction calculations. 
Sewer Disposal Log.pdf For labs who dispose of radioactive aqueous liquids in a designated sink in the lab.  Includes instructions and monthly sewer disposal limits. 
Scintillation Vial Log.pdf For labs disposing of bulk H-3 and C-14 scintillation vials. 

 

Required Postings

 

Wisconsin Notice to Employees

 

Wisconsin Supplement Notice to Employees

Radiation Emergency Procedures

Irradiator Access Forms

 

 

 

 

 

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Page Updated 02/18/2014