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Radiation Safety Committee (RSC) - Forms

   Application for Use of Radiation-Producing Devices
   Application for Use of Radioactive Materials

Note: These forms are in Microsoft Word. For this form to function properly, Macros needs to be ENABLED in Microsoft Word. If the macros is not enabled already, please refer the Instructions to enable it. After the macros are enabled [a one time process] clicking on the link will help you open or save the form. Please make sure the form is opened in Microsoft word (In browsers like Firefox, Safari there will be an option to choose a program to open the form with. Please choose Microsoft Word).   To save the form, click "save" button.  Please select choose a location on your computer to save it.  To fill the form, open the form from the saved location on your computer. 

The individual responsible for the project (Principal Investigator or PI) completes the "Application for Use of Radioactive Materials Form" or "Application for Use of Radiation Producing Devices Form". These forms may be obtained from EH&S (294-7667) as printed copies or downloaded using the links above. If the project involves the use of live animals, it also requires the approval of the Institutional Animal Care and Use Committee (IACUC) which can be initiated by submitting a completed COAC Protocol Review Form.

The completed radioactive material or device application is submitted to the Radiation Safety Officer, EH&S, 2809 Daley Drive, where it will receive an initial review. If the application is complete, the Radiation Safety Officer will forward it to the Radiation Safety Committee (RSC) Chair, who will distribute copies to the other RSC members if necessary. After reviewing the application, the RSC Chair will decide whether to grant authorization. If the application is approved, the signed authorization form will be returned to the PI. Any special conditions under which authorization is granted will be specified on the authorization form.

If approval is not granted, a written notification will be sent to the PI including an explanation of the decision.

For changes to a current Radioactive Material Use Authorization, the Principal Investigator must send the request to the Radiation Safety Officer.


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