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Get the free RADIATION BADGE ORDER/TERMINATE FORM - umc

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This form is used for requesting a new radiation monitoring badge or terminating an existing badge, in compliance with federal regulations regarding occupational exposure to radiation.
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How to fill out radiation badge orderterminate form

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How to fill out RADIATION BADGE ORDER/TERMINATE FORM

01
Obtain the RADIATION BADGE ORDER/TERMINATE FORM from the designated department or website.
02
Fill in your personal details including your name, employee ID, and department.
03
Specify the type of badge you require or the reason for terminating the badge.
04
Include the dates for which the badge is needed or the termination date.
05
If applicable, provide any necessary justification or documentation for your request.
06
Review the form for accuracy and completeness.
07
Submit the completed form to your supervisor or the designated radiation safety officer.

Who needs RADIATION BADGE ORDER/TERMINATE FORM?

01
Employees who work in environments with radiation exposure.
02
Undergraduate or graduate students conducting research involving radioactive materials.
03
Visitors or contractors who may enter radiation-controlled areas.
04
Personnel participating in training or safety programs related to radiation.
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Place in a radiation-free area after working hours. Do not remove the badge from your workplace. Place the badge in the neck or chest area, facing the radiation source. If you wear a lead apron, the badge must be OVER the lead, not underneath it.
A radiation dosimeter or badge does not provide protection but detects and measures radiation that you have been exposed to. The badge will detect high-energy beta, gamma or x-ray radiation. Dosimeters cannot detect low energy beta radiation from some isotopes, including carbon-14, tritium or sulfur-35.
Place in a radiation-free area after working hours. Do not remove the badge from your workplace. Place the badge in the neck or chest area, facing the radiation source. If you wear a lead apron, the badge must be OVER the lead, not underneath it.
TLD Badge is a radiation dose measuring device. This enables us to know whether we are working within the safe dose limits prescribed by AERB. Change your TLD cards every monitoring period (eg. Quarterly) and return used TLD cards to Laboratory for dose assessment.
Frequency and process for exchange: Dosimeters are issued for either a one month or three month wear period. At the end of the wear period, replacement dosimeters will be distributed to you through the designated badge coordinator. Dosimeter holders are reused and are not to be returned with the used dosimeter.
How Long Can a Dosimeter be Used? PL Medical dosimeters can be used for up to one year and are designed to withstand the rigors of daily tasks in various occupations. While the dosimeter can last up to one year, companies will conduct dosimetry exchanges more frequently (monthly, bi-monthly, quarterly).
Your badge will usually be exchanged monthly or quarterly based on risk (more on this below). It is important that you return your badge on time at the end of each monitoring period. If you wear a lead apron, the badge must be worn over top of the apron, not underneath it.

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The Radiation Badge Order/Terminate Form is a document used to request the issuance or termination of radiation monitoring badges provided to personnel who are exposed to ionizing radiation in their work environment.
Individuals who are required to wear radiation badges due to their job responsibilities involving exposure to ionizing radiation must file this form. This typically includes healthcare workers, researchers, and industrial workers in environments where radiation is present.
To fill out the form, individuals should provide their personal information, including name, employee ID, department, and the reason for ordering or terminating a radiation badge. Additionally, the form may require signatures from a supervisor or radiation safety officer.
The purpose of the form is to ensure that personnel who are exposed to radiation are monitored appropriately through the use of badges. It also helps maintain accurate records of badge issuance and termination, facilitating compliance with safety regulations.
The form must report the individual's name, employee ID, department, type of badge requested or terminated, date of the request, and any pertinent reason for the order or termination.
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