University of Maryland Baltimore
University of Maryland, Baltimore

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Related:
ALARA
Closeout Procedures
Dosimetry
Emergency Procedures
Forms
Laser Safety
Material Authorizations
Material Procurement
Policies and Procedures
Radionuclides
Safety Inspections
Safety Training
Sealed Sources
Waste Disposal
Worker Registry

Contact:
Environmental Health
  and Safety
714 W. Lombard Street
Baltimore, MD 21201
410-706-7055
Fax 410-706-8212

 
Radiation Safety Forms

Most of the forms here are in Adobe pdf format.  When appropriate, you may type in the form(s) from the browser and then print them.

Click here to download 

Basic Research Application Forms
Basic Research Application pdf Basic Research Application Word
Facility Registration pdf Facility Registration Word
Terms and Conditions of Authorization by Radiation Safety Committee
Human Use Forms
Human Use Application pdf Human Use Application Word
Required Consent Form
A Summary of Radiation Dose Guidelines and Limits Applicable to Human Subjects in Research Studies
Guide for Process for Applying for an Authorization to Administer Radiation for Research with Humans pdf
Laboratory Postings and Forms
Contamination Wipe Survey Results Form
Inspection Worksheet
Radiation Caution Radioactive Material Sign (Assume Site is Contaminated)
Radiation Emergency Procedures
Radionuclide Laboratory Safety Practices
Response to Semiannual Compliance Inspection
Sewer Disposal Log Sheet pdf Excel Format
State of Maryland Department of the Environment Notice to Employees
Sewer Disposal Forms
Sewer Disposal Application
Miscellaneous Forms
Central Iodination Facility (Online Form Submission)
Radiation Worker Registration Form (Online Form Submission)
Pregnant Worker Declaration  (Online Form Submission)
Misadministration Report (Word doc)
Dosimetry Badge Damaged/Inadvertant Exposure
Dosimetry Lost/Late Badge

Dosimetry Badge Termination

Instrument Calibration Form Other - COMB/UMBI, etc.

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