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NC Radiographic and Reciprocity Location Report 2004 free printable template

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RADIOGRAPHIC AND RECIPROCITY LOCATION REPORT INSTRUCTIONS FOR USE: Read these instructions carefully. These instructions are presented to assist reciprocal licensees and industrial radiography licensees
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How to fill out NC Radiographic and Reciprocity Location Report

01
Obtain the NC Radiographic and Reciprocity Location Report form from the North Carolina Radiation Protection website.
02
Fill in your personal information including name, address, and contact details at the top of the form.
03
Provide information regarding your radiation equipment, including type, model, and serial number.
04
Indicate the purpose of the radiographic procedure in the designated section.
05
List all locations where the radiographic equipment will be used.
06
Provide details of any reciprocity requests if applicable, including states involved.
07
Review the filled-out report for accuracy and completeness.
08
Sign and date the report before submitting it to the appropriate authority.

Who needs NC Radiographic and Reciprocity Location Report?

01
Radiologic technologists performing radiographic procedures in North Carolina.
02
Healthcare facilities using radiographic equipment.
03
Individuals seeking reciprocity for radiographic practice from other states.
04
Regulatory agencies requiring location reports for compliance with state radiation safety laws.
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Examples of commonly used PPE for radiation protection from X-rays and gamma rays include: Lead aprons or vests. Wearing lead aprons can reduce a worker's radiation dose. Lead thyroid collar. Lead gloves. Safety goggles.
Keeping the time of exposure to a minimum, Maintaining distance from the source, When appropriate, placing a shield between yourself and the source, and. Protecting yourself against radioactive contamination by using proper protective clothing.
Shielding. Avoid the primary X-ray beam. Wear protective equipment (e.g., lead aprons and thyroid collar, leaded goggles, leaded gloves). Use shielding (e.g., mobile shields, lead curtains), when possible. Be aware of the position of the beam. Know how to position themselves and the machine for the minimum dose.
Staying inside will reduce your exposure to radiation. Close and lock windows and doors. Take a shower or wipe exposed parts of your body with a damp cloth. Drink bottled water and eat food in sealed containers.
Stay Inside Staying inside will reduce your exposure to radiation. Close windows and doors. Take a shower or wipe exposed parts of your body with a damp cloth. Drink bottled water and eat food in sealed containers.
This principle means that even if it is a small dose, if receiving that dose has no direct benefit, you should try to avoid it. To do this, you can use three basic protective measures in radiation safety: time, distance, and shielding.

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The NC Radiographic and Reciprocity Location Report is a document required by the North Carolina Radiation Protection Section that provides information about the use of radiographic equipment and activities involving ionizing radiation in the state.
Any person or organization conducting radiographic operations or utilizing radiographic equipment in North Carolina, including businesses and contractors, is required to file the NC Radiographic and Reciprocity Location Report.
To fill out the report, individuals must provide detailed information regarding their radiographic activities, including locations, types of equipment used, and associated personnel. The report should be completed accurately and submitted to the appropriate regulatory body.
The purpose of the NC Radiographic and Reciprocity Location Report is to ensure the safe use of radiographic equipment, to track radiation exposure and usage, and to maintain regulatory compliance within the state.
Information that must be reported includes the name of the organization, location of radiographic operations, types of equipment used, personnel involved, and any reciprocity agreements with other states regarding radiographic activities.
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