Get Yale University Application For The Use Of X-ray Equipment

The YALE UNIVERSITY Application For The Use Of X-Ray Equipment is a necessary document for individuals wishing to utilize x-ray generating equipment at Yale University. This guide will walk you through each section of the form, ensuring that you provide all required information accurately and comprehensively.

Follow the steps to complete the application form effectively

1. Click ‘Get Form’ button to obtain the form and open it in a suitable editor.
2. In section 1a, fill in the details of the Principal Investigator (PI), including their Net ID, office address, telephone number, department, and email address. In section 1b, provide the information for the X-Ray Equipment Manager, including their Net ID, email address, and telephone number.
3. For section 2a, enter the equipment information, including the manufacturer, model, and serial number of the x-ray unit. In section 2b, select the type of x-ray unit from the provided options. Be sure to specify if the equipment falls under 'Other' by describing it.
4. In section 2c, input the output details for the x-ray unit, including maximum voltage, normal operating voltage, maximum current, and normal operating current.
5. For section 2d, list any safety features present on the x-ray equipment, such as beam-on indicators and interlocks.
6. Section 3a requires you to list all rooms where the x-ray equipment will be used or stored. In section 3b, select any safety devices or equipment that will be present in your lab.
7. In section 4, indicate whether biohazards/pathogens or hazardous chemicals will be used in conjunction with the x-ray unit by selecting 'Yes' or 'No' and providing details if applicable.
8. Section 5 addresses the use of x-ray equipment on live animals. Indicate 'Yes' or 'No,' and if yes, include the approved IACUC protocol number and species of animal used.
9. Provide a brief purpose for using the equipment in section 6, detailing the types of experiments planned.
10. Outline the project methodology in section 7, emphasizing safe x-ray unit usage. Include any necessary operating procedures and potential hazards.
11. In section 5b, describe security procedures to prevent unauthorized access to the x-ray equipment. Explain how the lab will be secured when not in use.
12. Section 5c requires detailing who is authorized to maintain and repair the x-ray unit, as well as keeping records of any repairs.
13. Outline your emergency response plans in section 5d, providing instructions for contacting Radiation Safety/EHS in case of incidents.
14. List all individuals who will use or assist with the x-ray equipment in section 4, ensuring they have completed the necessary training.
15. Lastly, in the training section, specify who will provide safety training and documentation methods. Ensure that each individual has taken required training.
16. After completing the form, ensure each section is filled correctly. Save changes, download, print, or share the application as needed.

Complete your application online today to utilize x-ray equipment at Yale University effectively.