General Forms

• Radiation Worker Registration
  • Please do not send the Radiation Worker Registration to EHRS through regular e-mail. If you plan on e-mailing your completed form, please send it via TUsafesend to the intended EHRS staff member (or to our general ehrs@temple.edu e-mail address). More information about TUsafesend can be found here.

Note: A complete Radiation Worker Registration form requires two signatures: one for the applicant and one for the person that will be supervising the applicant's radioactive material use. Also, the area of the form titled "Experience" must have some form of positive reporting: if the applicant has never worn a radiation badge (dosimeter) before please write NONE or NO. If they have been badged prior to coming to Temple, please indicate the name, location and dates of employment. Do not leave this section blank. Please do not submit the form until all the above information has been provided. Thank you.

• Assurance on Hazardous Procedures

Guides

• EHRS Reference Guide for Principal Investigators
  • Laboratory Registration Form

Fact Sheets

• Dry Activated Radioactive Waste
  • EHRS manages all radioactive waste disposal at Temple University and Temple University Health System. Dry activated radioactive waste is any solid, dry laboratory materials, equipment, or supplies that have been contaminated with radioactive material.

• Pregnant Worker Counseling
  • The objective of the Pregnant Worker counseling program is to assist women who are childbearing age, pregnant, or nursing, understand the risks and minimize exposure to these hazards in the workplace through education and counseling.

Authorization to Use Radioactive Materials Forms

• New Authorization for Possession and Use of Radioactive Materials in Research
• Change Possession Limit Form
• Change Chemical Form or Procedure
• Order Radioactive Material

MRC Application

• Application for Non-Routine Administration MRCapplicationof Radionuclides or Radiation to Humans (.doc)
• Application for Non-Routine Administration of Radionuclides or Radiation to Humans (.pdf)

Guides

Research Use of Radioactive Material

Radiation Safety Guide for Research Use of Radioactive Material

Appendix A - Radiation Worker Registration Form

Appendix B - Application forPossession and Use of Radioactive Materials in Research

Appendix C - PA State Form "Notice to Employees"/PA State Form "Aviso para los Empleados" (Espanol)

Diagnostic Imaging for X-ray Machines

Radiation Safety Guide for Diagnostic Imaging X-Ray Producing Equipment

Appendix A - Radiation Worker Registration Form

Appendix B - PA State Form "Notice to Employees"/PA State Form "Aviso para los Empleados" (Espanol)

Analytical X-ray Machines

ALARA

• Radiation exposure (individual radiation exposure as well as collective dose equivalent) must be kept as low as reasonably achievable. This so called "ALARA" (As Low As Reasonably Achieveable) principle has been introduced into regulations of the U.S. Nuclear Regulatory Commission and the Pennsylvania Department of Environmental Protection, and has been adopted by Temple University. This policy provides specific guidance and data on Temple University's approach to the implementation of the ALARA principle.
  
  For me information about Temple's ALARA policy, please see section 4.6 of the EHRS handbook

Policies

• 4.1 - Radiation Safety Program
• 4.2 - Radiation Safety Officer
• 4.3 - Radiation Safety Committee
• 4.4 - Radioactive Material Authorizations
• 4.5 - Radiation Dosimetry
• 4.6 - ALARA
• 4.7 - Radioactive Materials Procurement
• 4.8 - Radiation Safety Audits/Inspections
• 4.9 - Policy for Pregnant Radiation Workers
• 4.10 - Caution Signs and Labels
• 4.11 - Radioactive Sealed Sources
• 4.12 - Surveys and Monitoring
• 4.13 - Radiation Worker Registry
• 4.14 - Radiation Exposure Limits
• 4.15 - Radiation Emergencies
• 4.16 - Facilities and Equipment
• 4.17 - Visitors to Radioactive Material Laboratories