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NC Radiographic and Reciprocity Location Report 2015-2026 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
Begin by downloading the NC Radiographic and Reciprocity Location Report form from the official website.
02
Fill in your personal information, including your name, contact details, and address.
03
Indicate your professional license number and the state in which it was issued.
04
Provide details about the facility where the radiographic procedures will be performed.
05
List the types of radiographic procedures that will be conducted.
06
Include the dates when the radiographic services will commence.
07
Review all entered information for accuracy and completeness.
08
Sign and date the form at the designated area.
09
Submit the form to the appropriate regulatory authority either electronically or via mail.

Who needs NC Radiographic and Reciprocity Location Report?

01
Radiologic technologists practicing in North Carolina who require a license for performing radiographic procedures.
02
Healthcare facilities and clinics that utilize radiographic services and need to comply with state regulations.
03
Professionals seeking reciprocity from other states to practice radiography in North Carolina.
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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 details the use and location of radiographic equipment and activities involving radioactive materials in the state.
Individuals or organizations that possess or use radiographic equipment or radioactive materials in North Carolina must file the NC Radiographic and Reciprocity Location Report.
To fill out the NC Radiographic and Reciprocity Location Report, provide accurate information regarding the locations, types of equipment used, nature of activities conducted, and ownership details. Specific instructions and templates may be provided by the North Carolina Radiation Protection Section.
The purpose of the NC Radiographic and Reciprocity Location Report is to ensure the safe use of radiographic equipment, monitor compliance with state regulations, and maintain records for public health and safety.
The report must include information such as the name and address of the facility, the type of radiographic equipment used, the specific locations where the equipment is utilized, and the licensee's identification details.
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