UCSD Blink: Radiation Safety Forms

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Radiation Safety Forms

Summary: Radiation safety forms communicate required information to Environment, Health & Safety. Use the forms below for work with radioactive materials at UCSD.

Select a category:

Radiation: Ancillary personnel
Pregnancy Declaration
	Declaration of Pregnancy (PDF)
Radiation: Research use
Radiation Use Authorization
	Radioisotope Use Authorization Application (PDF)
	Radioisotope Use Authorization Application (Sealed Source Only) (PDF)
	Radioisotope Use Authorization Amendment
	Enrollment/ Cancellation Forms
	Researchers Using Sealed Radioisotopes (PDF)
	Researchers Using Unsealed Radioisotopes (PDF)
	Cancellation
	Monitoring Radiation Exposure
	Laboratory Survey Sheet (PDF)
	Laboratory Meter Survey Record (PDF)
	Iodination Log (PDF)
	Delivery of Radioactive Materials Packages
	Radioactive Materials Package Delivery Request (PDF)
	Transfer of Radioactive Materials
	Transfer of Radioactive Material (Intracampus) (PDF)
	Transfer of Radioactive Material (Off Campus) (PDF)
	Lab and Equipment Clearance
	Equipment and Facility Decontamination Clearance Request
	Laboratory Relocation or Closure Notification
Radiation-Producing Machines
	Machine Use Registration (PDF)
	Machine Registration Amendment (PDF)
	Enrollment/ Cancellation Forms
	Researchers Using Radiation-Producing Machines (PDF)
	Cancellation
Radiation: Medical use only
Radiation Use Authorization Forms
	Radioisotope Use Authorization Amendment
	Enrollment/ Cancellation Forms
	Nuclear Medicine Workers (PDF)
	Radiation Oncology Workers (PDF)
	Cancellation
	Application to the Radioactive Drug Research Committee (Human Use) (PDF)
Radiation-Producing Machines
	Enrollment/ Cancellation Forms
	Medical Workers Using Radiation-Producing Machines (PDF)
	Cancellation
Pregnancy Declaration
	Declaration of Pregnancy (PDF)

Need an expert? Contact EH&S Radiation Safety, (858) 534-6138.

Notice: Refer to the Radiation Safety Manual (PDF) (Word file) for a detailed description of UCSD's radiation safety program. Also, read about the latest changes (PDF) (Word file).