Health and Safety

Radiation Forms

The H&S Department is reviewing the forms required for work with ionising radiations, during this review period there will be a mix of online and electronic / paper forms.

The H&S Department will accept electronic signatures on documents. All documents must be signed prior to submitting to the H&S Department.

Electronic forms can be sent to H&S@Nottingham.ac.uk

IR001 RPS Appointment Letter MS Word Icon

IR002 SRPS Appointment Letter MS Word Icon

IR003 New Project Proposal & Justification of Work MS Word Icon

IR004 Authorisation of Radiation Work MS Word Icon

IR005 Proposal for a New Radioactive Source MS Word Icon

IR006 Moving a Source of Ionising Radiation MS Word Icon

IR007 Radiation Worker Registration form MS Word Icon

The form is designed to be completed and submitted by the prospective Radiation Worker, and should be completed by ALL prospective radiation workers, regardless of if they are only using low risk sealed sources.

IR008 Decommissioning Form MS Word Icon

 

IR009 Radiation Risk Assessment (Blank) MS Word Icon

IR010 Radiation Risk Assessment - Unsealed Sources MS Word Icon

IR011 Radiation Risk Assessment - Sealed Sources MS Word Icon

IR012 Radiation Risk Assessment - X-rays MS Word Icon

IR013 Monthly X-Ray Monitoring Sheet MS Word Icon

IR014 Local Rules Template MS Word Icon

IR027 Sealed Sources Accountancy Record MS Word Icon

IR028 Radiation Equipment Handover Form MS Word Icon

Local Rules Acknowledgement Form PDF format- Individual to complete, scan and email  to confiirm that they have read the University Local Rules relevant to their work. This is to be submitted at teh same time as the New Workers Registration Form (above.)

Dosimeters - Declaration of Contamination Check Prior to Return MS Word Icon(Rad 10)
Annual Inspection Checklist MS Word Icon(Also available in PDF format PDF format)
Radiochemical Laboratory Condition Checksheet  MS Word Icon- for completion at a minimum of 6-monthly intervals to review the physical condition of the fixtures and fittings for deterioration affecting contaminatio control.
 

Health and Safety Department

Pharmacy Building (Building 63)
University Park
University of Nottingham
Nottingham, NG7 2RD

Telephone: Telephone: +44 (0)115 9513401
Email: h&s@nottingham.ac.uk