Get the free Monthly Contamination Survey Form - oehs wayne

This form is used for documenting the contamination surveys performed monthly in radioactive use labs, and must be accompanied by wipe test result printouts.

How to fill out monthly contamination survey form

How to fill out Monthly Contamination Survey Form

1. Obtain the Monthly Contamination Survey Form from your supervisor or the designated location.
2. Fill in the date at the top of the form to indicate the reporting month.
3. Enter your name and department in the appropriate fields.
4. Review the list of areas or equipment to be surveyed and mark them for inspection.
5. Conduct the survey according to the outlined procedures, noting any contamination observed.
6. Record the observations in the designated section, including specific locations and types of contamination.
7. If necessary, indicate actions taken to address any contamination found.
8. Sign and date the form once completed to verify the accuracy of the information.
9. Submit the form to your supervisor or the relevant authority for review.

Who needs Monthly Contamination Survey Form?

1. Personnel in laboratories handling hazardous materials.
2. Environmental health and safety officers.
3. Quality assurance teams monitoring contamination levels.
4. Regulatory compliance teams ensuring adherence to safety protocols.

For pdfFiller’s FAQs

What is Monthly Contamination Survey Form?

The Monthly Contamination Survey Form is a document used to record and assess levels of contamination in a specific area over a monthly period. It helps ensure safety and compliance with health regulations.

Who is required to file Monthly Contamination Survey Form?

Organizations and facilities that handle hazardous materials or operate in environments where contamination is a concern are typically required to file the Monthly Contamination Survey Form.

How to fill out Monthly Contamination Survey Form?

To fill out the Monthly Contamination Survey Form, you should gather data on contamination levels, complete each section accurately, including dates, locations, and observed levels of contamination, and submit it as per the regulatory guidelines.

What is the purpose of Monthly Contamination Survey Form?

The purpose of the Monthly Contamination Survey Form is to monitor contamination levels, ensure safety compliance, and take necessary actions to mitigate risks associated with contamination.

What information must be reported on Monthly Contamination Survey Form?

The information that must be reported includes the date of the survey, specific locations tested, types of contaminants, levels of contamination measured, and any corrective actions taken or recommended.