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New Badged Radiation Worker Enrollment Form A. RADIATION WORKER INFORMATION NameDate of BirthDepartmentSBU ID# Job Function(Physician, Nurse, Research, etc.)Series NumberAccount Number (For Billing)Senior
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How to fill out new badged radiation worker

01
Obtain the necessary forms from your employer or radiation safety officer.
02
Fill out your personal information such as name, contact information, and employee ID.
03
Provide documentation of your training and certification in radiation safety.
04
Sign and date the form to certify that the information provided is accurate.
05
Submit the completed form to the designated individual for processing and issuance of your new badged radiation worker status.

Who needs new badged radiation worker?

01
Employees who work with or around sources of radiation in the workplace.
02
Individuals who handle radioactive materials or operate radiation-producing equipment.
03
Workers in industries such as healthcare, nuclear power, research labs, and manufacturing where radiation exposure is a potential hazard.
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A new badged radiation worker is an individual who has recently been issued a badge to work with radiation.
Employers or supervising authorities are required to file information about new badged radiation workers.
The information of new badged radiation worker can be filled out electronically or via a paper form provided by the relevant regulatory authority.
The purpose of filing new badged radiation worker is to ensure compliance with radiation safety regulations and to keep track of individuals working with radiation.
Information such as the name of the worker, radiation badge number, date of issuance, and type of work involving radiation must be reported.
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