Get the free Request for Radiation Badge Form

This form is used to request a radiation monitoring badge from the Radiation Safety Office at the University of North Texas Health Science Center. It requires personal information, a history of radiation exposure, and the appropriate signatures of both the radiation worker and their supervisor.

How to fill out request for radiation badge

How to fill out request for radiation badge

1. Obtain the radiation badge request form from your workplace or online.
2. Fill in your personal information, including your name, job title, and department.
3. Specify the reason for the badge request, indicating your role with radiation exposure.
4. Provide any necessary medical information or justifications if required by your organization.
5. Sign and date the request form to certify the information is correct.
6. Submit the completed form to your supervisor or the designated health and safety officer.

Who needs request for radiation badge?

1. Individuals who work in environments with potential radiation exposure, such as medical personnel, industrial workers, and researchers.

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What is request for radiation badge?

A request for a radiation badge is a formal submission made by individuals who work in environments where they may be exposed to radiation, seeking permission or provision to wear a dosimeter for monitoring their radiation exposure.

Who is required to file request for radiation badge?

Individuals who work with or around radiation sources, including medical staff, researchers, and industrial workers, are typically required to file a request for a radiation badge.

How to fill out request for radiation badge?

To fill out a request for a radiation badge, individuals should complete the designated form by providing personal information, employment details, and any relevant medical history related to radiation exposure.

What is the purpose of request for radiation badge?

The purpose of the request for a radiation badge is to monitor and record the radiation exposure of individuals working in radiation-prone environments to ensure their safety and compliance with regulatory standards.

What information must be reported on request for radiation badge?

The information that must be reported includes the applicant's name, position, workplace, duration of expected radiation exposure, and any previous radiation monitoring history.