Get Radioactive Material Users Permit Application - University Of New ...

Filling out the Radioactive Material Users Permit Application is a critical step for individuals and departments looking to use radioactive materials on campus. This guide provides a clear and comprehensive walkthrough of each section of the application to facilitate a smooth and successful submission process.

Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to acquire the application form and open it in your preferred editing application.
2. Beginning with Section 1, enter the applicant's name and the date. Ensure accuracy as this information identifies the individual responsible for the application.
3. In Section 2, provide details regarding the department, building, and room number where radioactive materials will be used. Include the address of the designated labs as necessary.
4. Select the type of application by checking one of the options in Section 3, indicating whether this is a new permit, a full renewal, or other specified types of renewals.
5. Designate an Assistant Authorized User if applicable in Section 5. This individual must have equivalent radiation safety training.
6. List the names of all individuals who will be using or supervising the use of radioactive material in Section 6. Confirm that each listed person has completed the required training.
7. Describe the radioactive materials you plan to use in Section 7. Specify the radionuclides, their chemical forms, and maximum amounts of activity, differentiating between sealed and unsealed sources.
8. In Section 8, detail the radiation detection instruments you will use. Provide information on the type of instrument, purchase date, manufacturer, model, serial number, and calibration details.
9. Complete the supplemental sheets as required in Section 9 to describe the purpose for which radioactive materials will be used, including protocols and safety measures.
10. Indicate any personnel monitoring necessary in Section 10, specifying the devices or procedures you plan to implement.
11. In Section 11, describe your laboratory facilities and equipment in detail, including all pertinent areas and features that relate to radioactive materials usage.
12. Outline your radiation protection program in Section 12, including control measures, written emergency procedures, and your training plan.
13. Detail your waste disposal methods in Section 13. Provide estimates of the type and amount of waste you expect to generate, justifying the information provided.
14. Complete the certification in Section 14, ensuring that all information provided is accurate and authorized by both the applicant and the department chair.
15. Finally, review all sections for completeness and accuracy. You can then save your changes, download the application, print it out, or share it as necessary for submission.

Begin your application process and submit your Radioactive Material Users Permit Application online today.