Get Application For A Permit For The Use Of Radioactive Material

Filling out the application for a permit to use radioactive material is a critical process that ensures compliance with safety regulations. This guide will lead you through each step of completing the form accurately and effectively.

Follow the steps to complete your application efficiently.

1. Press the ‘Get Form’ button to access the application and open it in a digital format.
2. Begin with Section 1: Enter the supervisor's name, contact number, fax number, after-hours phone number, Kerberos ID, and email address as required.
3. In Section 2, fill in the college affiliation to ensure the application is linked to the appropriate institution.
4. Section 3 requires you to provide the building name, department or division, room number, and the street address where the radioactive materials will be utilized.
5. Section 4 involves detailing the locations by specifying the type of location such as laboratory, fume hood, or storage methods. Enter 'NA' for any items that are not applicable.
6. In Section 5, omit this section, as it will be completed by Radiation Safety staff only.
7. For Section 6, indicate whether animal use is involved by checking 'Yes' or 'No'. If 'Yes', ensure that Form RS-5 and documentation from IACUC are attached.
8. Section 7 requires detailed radionuclide information; complete items A through H accurately based on your project specifics, leaving items H and I for Radiation Safety to complete.
9. In Section 8, list all radiation detection instruments being used including model numbers and calibration dates as required.
10. Section 9 will be completed by Radiation Safety, so you can skip this step for now.
11. In Section 10, provide a thorough description of the methods and procedures, including the objectives of research and activities involving radionuclides. Use the table to indicate publication references and waste generated.
12. Section 11 requires noting training provided by Approved Supervisors to ensure all users are adequately trained in safety procedures. Document who will conduct these trainings.
13. Section 12 will also be filled by Radiation Safety; you should prepare any necessary documentation required for this section.
14. Section 13 must be completed by RS, so ensure you submit it for their review.
15. In Section 14, the supervisor must sign to acknowledge responsibilities regarding safety and compliance.
16. Once all sections are filled out, save your changes, and prepare to submit the final application along with any required copies for review.

Complete your application for a permit online today to ensure your research complies with necessary safety regulations.