Radiation Safety Forms: For Research Employees

Find radiation safety forms for research work.

Use these forms if you're a researcher working with radioisotopes:

Radioisotope Use Authorization

• Radioisotope Use Authorization Application (PDF)
• Radioisotope Use Authorization Application (Sealed Source Only) (PDF)

• Radioisotope Use Authorization Amendment

Note: RUA applications must be received 1 week prior to the Radiation Safety and Surveillance Committee (RSSC) meeting on the 2nd Tuesday of every other month (starting in January 2010). Otherwise, applications will be deferred until the next regularly scheduled RSSC meeting. Check the RSSC meeting schedule (PDF).

User Enrollment/ Cancellation Forms

• Researchers Using Sealed Radioisotopes (PDF)
• Researchers Using Unsealed Radioisotopes (PDF)

• Cancellation

Monitoring Radiation Exposure

• Declaration of Pregnancy (PDF)
• Iodination Log (PDF)
• Laboratory Meter Survey Record (PDF)
• Laboratory Survey Sheet (PDF)
• Request for Replacement Dosimeter (PDF)

Delivery and Transfer of Radioactive Materials

• Radioactive Materials Package Delivery Request (PDF)
• 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

• Enrollment for Researchers Using Radiation-Producing Machines (PDF)
• Machine Registration Amendment (PDF)
• Machine Use Registration (PDF)
• Cancellation

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

Safety

Radiation

• Resources
• Calibrate or Repair Survey Meters
• Cleaning Up Minor Contamination
• Contamination Survey Overview
• Exposure Monitoring
• Forms
  • For Medical Center Employees
• Health Physicist Contacts
• Loaner Survey Meters
• Performing Contamination Surveys
• Radioisotope Package Delivery Service
• Registering Radiation Producing Machines
• Radioisotope Use Authorization
• Security
• Transferring Radioactive Materials
• Radiation Exposure Risk Statements