Get Rc001 For Radiation

The Rc001 For Radiation form is essential for individuals or organizations applying for a license to use an x-ray device under the Hazardous Substances Act. This guide provides step-by-step instructions on completing the form accurately and efficiently online.

Follow the steps to complete the Rc001 For Radiation form online.

1. Click ‘Get Form’ button to obtain the Rc001 For Radiation form and open it in your preferred editor.
2. Fill in the particulars of the applicant section, including the name, postal address, postcode, contact number, fax number, and email of the individual or organization applying.
3. Provide details of the contact person if different from the applicant, including their name, postal address, postcode, contact number, fax number, and email.
4. Specify if you have other licenses and provide the license number if applicable.
5. Complete the section for the responsible person, including surname, title, initials, ID number, address, email, cell number, radiation protection experience, designation, qualification, and HPCSA registration number.
6. Indicate whether you are aware of your duties as the responsible person by signing and dating the acknowledgment.
7. Outline the particulars of the person(s) who will operate the unit, marking the corresponding categories and qualifications.
8. Provide details of the x-ray equipment, including the brand name, model, year of manufacture, generator serial number, and number of tubes attached.
9. Fill in the technique factors, including peak tube potential (kV), maximum mA at 100kV, maximum exposure time, and type of examinations or investigations that will be performed.
10. State the generic description and code of the x-ray device as listed.
11. Indicate the type of image processing you will use and provide details of the premises where the x-ray device will be installed.
12. Complete the type of installation section, either for an enclosed or open installation. If enclosed, attach a diagram or plan; if open, explain why an enclosed installation is impracticable.
13. Input details about the source of the x-ray device, including the dealer or previous user, their contact details, and sales/license numbers.
14. Complete the details of the installer who will set up the x-ray device and the inspection body that will conduct acceptance tests.
15. Fill in the dosimetry service details that will be utilized.
16. Finalize the form with a declaration declaring all information is true to the best of your knowledge, with the applicant's signature and date.
17. After completing all sections, you can save changes, download, print, or share the completed form.

Begin completing your Rc001 For Radiation form online today to ensure compliance and obtain your license.