Get Contamination Survey Report Form - Uvm

The Contamination Survey Report Form - Uvm serves as a critical tool for documenting areas potentially impacted by radioactive materials. This guide provides clear and concise instructions to help users effectively complete the form online.

Follow the steps to complete your form accurately.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by filling in the room and building details. Enter the room number and building name where the survey is being conducted.
3. Provide your name as the investigator and your phone number. These identifiers ensure proper follow-up and communication.
4. Select the room status. Indicate whether radioactive materials are being handled weekly or if none were used during the reporting period.
5. Identify the surveyor’s name and sign the form to validate its authenticity. Also, include the survey date to record when the assessment was performed.
6. In the contamination test conducted section, check the box(es) corresponding to the possible contaminants you are testing, such as 3H, 14C, 32P, etc.
7. Fill in the detector brand, model, and serial number. Ensure that you include the calibration date for accuracy.
8. Input the estimated detector efficiency percentages for each contaminant in the area survey section.
9. If a wipe test is conducted, provide the same details regarding detector efficiency for wipe tests.
10. List the areas checked and record the corresponding area survey and wipe test results (in counts per minute).
11. Indicate whether each area exceeded three times the background levels by checking yes or no in the provided sections.
12. Document the CPM results for post-decontamination as needed, ensuring accuracy in reporting.
13. Lastly, review all information entered for completeness and accuracy. Save the changes, and you can download, print, or share the completed form as necessary.

Complete your Contamination Survey Report Form online today for effective documentation and record-keeping.