Get A. Nr. 10, Dt. 7.1.2010 P R Licens P R Veprimtari Me Gjeneratore Me ...

This guide provides clear instructions on filling out the A. Nr. 10 form required for licensing activities involving ionizing radiation sources. Follow these steps to ensure a complete and accurate submission online.

Follow the steps to successfully complete the licensing form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your legal or physical entity details. Indicate your institution's name, address, and contact information, ensuring that all fields are filled out accurately.
3. Describe the areas where the radiation activities will occur. Include details about the layout, control panel location, protective equipment, and related dimensions.
4. List the type and details of the generator, including the manufacturer, model, maximum voltage, maximum current, and weekly exposure time. Attach additional sheets if there are multiple devices.
5. State the purpose for using the generators, elaborating on the activities and any relevant justifications.
6. Specify who will be the authorized service provider for equipment maintenance and servicing.
7. Provide information about dose performances in controlled environments, focusing on dose limits and justifications for activities.
8. Submit documentation regarding the organizational structure and qualifications of personnel who will be handling the equipment.
9. Detail the monitoring and control measures for exposure doses during radiation work, including a contract with an accredited center.
10. Input data about the responsible person for radiation safety and attach relevant contracts or agreements.
11. Describe safety measures and procedures for handling potential accidents related to the equipment being used.
12. Provide internal rules and supervision mechanisms for the operational center or cabinet.
13. Detail the documentation process for maintaining personal monitoring, dosimetry, incidents, and medical controls.
14. Conduct an evaluation for safety and radiation protection, summarizing findings.
15. Submit the form along with all required attachments to the specified address. Ensure the data is truthful and that all pages are signed.

Complete your application online to ensure timely processing and compliance.