Get Form 7. Radiation Worker Dosimetry Application

Filling out the Form 7. Radiation Worker Dosimetry Application is an essential step for individuals who need to report on their dosimeter usage. This guide will provide you with step-by-step instructions to complete the form accurately online.

Follow the steps to successfully complete the application.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the series code in the designated field. This code helps identify the dosimeter in use.
3. Fill in the name of the Area Dosimeter Coordinator (ADC) responsible for tracking the dosimeter.
4. Provide the ADC's contact phone number in the appropriate section.
5. Input the badge user's name, ensuring it matches the name registered for the dosimeter.
6. Enter the participant number that corresponds to the user of the badge.
7. Select the type of badge being reported on, indicating whether it is a Whole Body, Whole Body with Neutron, or Fetal badge.
8. Indicate the problem with the dosimeter by checking the appropriate box for either missing or damaged.
9. Provide details on the wear period being reported by specifying the month and year.
10. Describe fully how the dosimeter was lost or damaged in the provided text area.
11. Detail the work performed and locations of use for the respective wear period, ensuring adequate information is provided.
12. List the names and departments of personnel who worked in the same area during the wear period.
13. Print your name, title, and provide your signature along with the date to validate the report.
14. Review the filled-out form for accuracy. Once completed, you can save your changes, download the document for your records, print it out, or share it directly as needed.

Complete your Form 7. Radiation Worker Dosimetry Application online today to ensure accurate reporting of your dosimeter usage.