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UCLA Home / Campus Safety / Environment, Health & Safety / Radiation Safety

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Documents & Forms

Documents and forms are listed by the title of the document. To select a document, click on the title. It is recommended that you save the file to your hard drive. Adobe Acrobat Reader is necessary to use these forms.

Title Comments
Radioactive Material Permit Application (PDF)  
To apply for radioactive material use (non-human)
Radiation-Producing Machine Permit Application (PDF) 
To apply for radiation-producing machine use (non-human)
Statement of Training & Experience (PDF) 
Submitted with permit applications and demonstrates your training and experience
Dept. Personnel Changes Form (PDF) 
Form for adding/deleting personnel and changing dosimetry
Transfer Radioactive Material Form (PDF) 
Convenient form to record the transfer of RAM to another lab authorizaed Radioactive Materials Permit holder
Radioactive Materials Permit Application Instruction Guide (PDF) 
Instructions on how to complete the Radioactive Materials Permit Application
Inventory Forms (PDF) 
Convenient fillable forms for recording RAM inventory
Survey Form (PDF) 
Convenient fillable form for documenting required radioactive contamination surveys
New Radiation Worker Qualification Course Handout (PDF) 
The training guide used for the New Radiation Worker Qualification Course (NWRQ)
Animal Waste (PDF) 
How to manage animal waste
Liquid Waste (PDF) 
How to manage liquid waste
Liquid Scintillation Waste (PDF) 
How to manage LSC waste
Solid Waste (PDF) 
How to manage solid waste
Special Waste (PDF) 
How to manage lead (Pb), sharps and high activity waste
Hazardous Chemicals (PDF) 
A listing of common hazardous chemicals
Notice to Employees (PDF) 
State of California's required posting
Three Strike Policy (PDF) 
Policy regarding non-compliance issues
Food & Drink Policy (PDF) 
Policy regarding food and drink in radioactive material laboratories
UCLA PPE Policy (PDF) 
Policy regarding non-compliance issues

Radiation Safety Program
Email: RadiationSafety@ehs.ucla.edu | Phone: (310) 825-5689 | Fax: (310) 206-9051


Address
501 Westwood Plaza, 4th Floor
Box 951605
Los Angeles, California 90095-1605

 

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