Radiation Safety Division | Documents & Forms

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Radiation Safety Division > Docs & Forms

Documents and Forms

Documents and forms are listed according to what the form is used for. To select a document, click on the title. Save the file to your hard drive. Use the hard drive copy to type on. Please do not type onto the web document nor save it to the web as it will leave your information for all others to see.

Use	Title	Comments
Authorization	Non-Human Use Authorization Application (Radioactive Materials)	To apply for non-human radioactive material (RAM) use
Authorization	Example of Non-Human Use Application (Radioactive Materials)	An example of how to fill out the Non-human Use Application
Authorization	Animal Use Application (Radioactive Materials)	To apply for use of RAM in animals.
Authorization	Human Use Application (Radioactive Mat.) Part A Part B	To apply for RAM in human use
Authorization	Human Use Radiation Machine Application	To apply for X-ray, accelerator radiation use in/on humans.
Authorization	Human - Medical Radiation Machine Application	To apply for the use of a radiation producing machine in practicing medicine.
Authorization	Non-Human Use Radiation Machine Application	To apply for X-ray, accelerator radiation use for all uses other than human.
Authorization	Training & Experience Attachment	Attaches to authorization applications and demonstrates your training and experience
Personnel Changes/ Dosimetry	Dept. Personnel Changes Form	Form for adding/deleting personnel and changing dosimetry
Dosimetry	Exposure History Request Form	How to obtain UCLA exposure history for another employer
Laboratory	Inventory Forms	Convenient forms for keeping track of RAM inventory.
Laboratory	Survey Form	Convenient form for lab survey process.
Laboratory	Transfer Radioactive Material Form	Convenient form to record the transfer of RAM to another lab or off campus
Informational	Vendor list	A list of radiation related vendors
Training	New Worker Radiation Quiz Handout	The training guide used for the New Worker Radiation Quiz (NWRQ)
Waste	Animal Waste	How to manage animal waste
Waste	Liquid Waste	How to manage liquid waste
Waste	Liquid Scintillation Waste	How to manage LSC waste
Waste	Solid Waste	How to manage solid waste
Waste	Special Waste	How to manage lead (Pb), sharps and high activity waste
Waste	Waste Flow Chart	A flow chart that shows how to classify/separate waste
Waste	Hazardous Chemicals	A listing of common hazardous chemicals
Waste	Liquid Scintillation Counter	How to dispose or transfer a liquid scintillation counter.
Regulatory	Notice to Employees	State of California's required posting

Please email Radiation Safety if you have other questions that you would like to see on the FAQ sheet.

For more information please contact us at (310) 825-5689.

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