Radiation Safety Forms

Research Forms

• Application for Non-Human Research Protocols that Use Radioactive Material and Radiation Producing Devices
• Application for Ancillary Approval of Human Use Research Involving Ionizing Radiation
• Research Proposal for Use of Research Irradiator 
• Radioactive Waste Pickup Request
• RTC Cesium Closet and HDR Storeroom Access Request Form
• Radiation Safety Clearance Form - lab surveys

Clinical Forms

The following forms are embedded in Written Directives Radiation Oncology and Written Directives Nuclear Medicine

• Written Directives for Radiopharmaceutical Therapy
• OHST Pre-administration Verification of Suppliers Assay
• High Dose-Rate Remote Afterloading Brachytherapy
• Intravascular Brachytherapy with Beta-Cath
• Gamma Stereotactic Radiosurgery (Gamma Knife)

Laser Safety Forms

Laser Safety Guide: The following forms are embedded within the Laser Safety Guide:

• Application for Laser Registration (page 38)
• Laser Safety Inspection Checklist (for laboratories) (page 41)
• Annual Laser Safety Lab Review (page 52)
• Laser Accident Emergency Procedure  (page 58)

Personnel Forms

• Radiation Workers Registration Form (Men)
• Radiation Workers Registration Form (Women)
• Request for Trustworthiness and Reliability Determination
• Police Officer Trustworthiness and Reliability Determination
• 10 Year Reinvestigation for Trustworthiness & Reliability Determination Form

Environmental Health & Safety Forms

• Forms and Guides