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AREA CONTAMINATION REPORT Date Building Time Room Person s involved Approved Supervisor Surveyed By Radionuclide Spilled Original Dose mCi Estimated Activity Spilled mCi Describe the Incident Describe the Decontamination Process Instrumentation Information Make Model Serial Cal. Due Date Background Efficiency Radiation Safety Spill Response Form RSS-371 June 2017 Page 1 of 2 Diagram of Contaminated Area Location Description Initial Readings Direct Frisk Smear Wipe cpm dpm Post Decon Readings...
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How to fill out emergency response report

01
To fill out an emergency response report, follow these steps:
02
Start by gathering all the necessary information related to the incident, including date, time, and location.
03
Identify the individuals involved in the incident and their roles or positions.
04
Describe the nature of the emergency or incident in detail.
05
Provide any relevant background information or events that led to the incident.
06
Document the actions taken by the emergency responders, including the techniques used and any medical assistance provided.
07
Include any witness statements or testimonies, if available.
08
Attach any supporting documents or evidence, such as photographs, videos, or audio recordings.
09
Verify the accuracy of the report before submitting it.
10
Submit the completed emergency response report to the appropriate authority or department.

Who needs emergency response report?

01
Emergency response reports are required by various individuals and organizations, including:
02
- Emergency response teams and personnel who were involved in responding to the incident.
03
- Law enforcement agencies investigating the incident.
04
- Insurance companies to assess claims and damages.
05
- Regulatory bodies or government agencies responsible for oversight and compliance.
06
- Public health and safety organizations for analysis and prevention purposes.
07
- Legal entities involved in potential litigation or liability cases.
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