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MONITORING BADGE DISCONTINUANCE FORM DEPARTMENT OF ENVIRONMENTAL HEALTH & SAFETY RADIATION SAFETY U4097 4863613 Please complete this form and send to the Radiation Safety Office when an individuals
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How to fill out film badge discontinuance bformb:

01
Obtain the form: The film badge discontinuance bformb can typically be obtained from the appropriate regulatory agency or from your employer. Check with your employer's radiation safety officer or the local regulatory agency to obtain the form.
02
Provide personal information: Fill in the required personal information on the form. This may include your name, address, contact information, and employee ID number.
03
State the reason for discontinuance: Indicate the reason for discontinuing the use of the film badge. This may include retirement, job change to a non-radiation-related position, or any other valid reason specified by the regulatory agency.
04
Attach supporting documents: Depending on the regulatory requirements, you may need to attach supporting documents such as a termination letter, retirement letter, or other relevant documents to substantiate the reason for discontinuance.
05
Sign and date the form: Read through the form carefully and ensure all required fields are completed. Sign and date the form to certify that the information provided is accurate to the best of your knowledge.
06
Submit the form: Submit the completed form as instructed by your employer or the regulatory agency. This may include submitting it directly to your employer's radiation safety officer or mailing it to the appropriate regulatory agency.

Who needs film badge discontinuance bformb:

01
Radiation workers ceasing employment in a radiation-related job: Individuals who have been using a film badge as part of their radiation monitoring while employed in a radiation-related job may need to complete a film badge discontinuance form if they are no longer working with radiation sources.
02
Employees changing job positions within a company: If an employee is transitioning to a non-radiation-related job within the same company, they may need to fill out a film badge discontinuance form to indicate that they will no longer require radiation monitoring.
03
Individuals retiring from a radiation-related job: Employees who are retiring from a radiation-related job and will no longer be exposed to radiation may need to complete the film badge discontinuance form to formally request the discontinuation of their radiation monitoring.
Note: The specific requirements for who needs to fill out the film badge discontinuance bformb may vary depending on local regulatory agencies and company policies. It is important to consult with your employer's radiation safety officer or the appropriate regulatory agency to determine if this form is required in your specific situation.
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Film badge discontinuance bformb is a form used to notify authorities that an individual or organization will no longer be using film badges to monitor radiation exposure.
Any individual or organization that has been using film badges for radiation exposure monitoring and decides to discontinue their use must file the film badge discontinuance bformb.
To fill out the film badge discontinuance bformb, one must provide details such as the reason for discontinuance, the number of film badges being discontinued, and the effective date of discontinuance.
The purpose of film badge discontinuance bformb is to inform regulatory authorities that film badges will no longer be used for radiation exposure monitoring, ensuring proper documentation and compliance.
Information to be reported on film badge discontinuance bformb includes the reason for discontinuance, number of film badges being discontinued, and the effective date of discontinuance.
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