Radiation Safety Forms and Information Handouts

Commonly used radiation safety forms from can be downloaded from this page provided you have Adobe Acrobat Reader installed on your computer.  Adobe Acrobat files have a .pdf extension, which is an acronym for "portable document format."  It is strongly suggested that you use the latest version of Acrobat Reader, which for the PC and Mac is 3.02.  Older versions of Acrobat Reader will open and print these files, but it can be tricky if your web browser is not configured to use it.  A free copy of Adobe Acrobat Reader can be obtained by clicking on the "Get Acrobat Reader" icon below.  After installation, clicking on any of the following links will automatically open the Adobe Acrobat Reader and display the document.  The document can then be printed on your local printer.

Forms for Radionuclide Projects

Form Number Form Name
Revision Date
Form 8.2.038.A Application for Nonhuman Use of Radioactive Material
01/18/2005
Form 8.2.038.B Training and Experience of Radiation Project Director
05/23/2005
Form 8.2.039 Application for Change in Possession Limit
06/07/2000
Form 8.2.044 Radioactive Material Transfer Report
12/03/1997
Form 8.2.088A Request to Add an Individual to a Radionuclide Project
01/18/2005
Form 8.2.130 Request to Remove Individual(s) or Lab(s) From a Project
01/18/2005
Form 8.2.157 Request to Add Lab(s) to a Radiation Project Authorization
11/12/1997
Form 8.2.175 Low-Level Radioactivity Sewage Disposal Log
07/11/2000
Form 8.2.226 Request to Reactivate a Radionuclide Project
01/2005

Forms for X-Ray Projects

Form Number Form Name
Revision Date
Form 8.2.088D Request to Add an Individual to a Analytic X-Ray Equipment Project
01/19/2005
Form 8.2.088E Request to Add an Individual to a Medical or Veterinary X-Ray Project
01/19/2005

Radiation Dosimeter Service Forms and Information

Form Number Form Name
Revision Date
Form 8.2.122.A Application for Radiation Dosimeter Service
01/19/2005
Form 8.2.122.B Application for a Temporary Radiation Dosimeter (One Time Use or Replacement of Lost Badge)
05/23/2005
Form 8.2.122.C Instructions for Wearing Radiation Dosimeters
11/09/2000
Form 8.2.123.C Radiation Exposure History Record
11/10/2000
Form 8.2.125 Answers to Commonly Asked Questions About Radiation Dosimeters
11/10/2000

Information Handouts

Form Number Information Sheet
Revision Date
Form 8.2.111 Notice to Employees (IDNS KLA001.01)
04/94