Forms
RPR 1A Radiation User Training & Personal Data
RPR 1B Request for Radiation Exposure History
RPR 1C User Termination Checklist
RPR 2A Responsible User’s Training & Experience
RPR 2B Radioactive Material Use Application
RPR 2C Radioactive Machine Use Application
RPR 2C-CL Analytical X-Ray Machine Checklist
RPR 2D Application for Use of Radiation
RPR 11A Contamination Survey – Portable Instrument
PRP 11B Contamination Survey – Wipe Tests
RPR 12A Urinalysis Screening Assay
RPR 12B Urinalysis Verification Assay
RPR 12C I-125 Thyroid Monitoring Report
RPR 12D I-131 Thyroid Monitoring Report
RPR 13A Radioisotope Package Arrival Report
RPR 13B Radioisotope Receipt and Verification
RPR 13C Radioisotope Disposition Record
RPR 13D Radioisotope Disposal Log
RPR 14LQ Radioisotopes Limited Quantity Shipment
RPR 14IS International Excepted Quantity Shipment
RPR 27A Nuclear Medicine Evaluation Checklist
RPR 28A Radiopharmacy Evaluation Checklist
RPR 29A Cyclotron/Radiochemistry Laboratory
RPR 30A Analytical X-ray Machine Safety Inspection
RPR 32A Particle Accelerator Safety Inspection
RPR 43A Authorization for Radiation Use
PRP 46A External Exposure Investigation Report
RPR 46B Internal Exposure Investigation Report
RPR 48A Application to Use Radioactive Materials
RPR 48B Application to Use Diagnostic External
RPR 48C Application to Use Therapeutic Ionizing
RPR 50A Laboratory Evaluation Checklist
RPR 50B Total Contamination Survey
RPR 50C Removable Contamination Survey
RPR 50E Radionuclide Laboratory Evaluation Report
RPR 51A Sealed Source Leak Record
RPR 55ID Receiver Identification and Authorization
RPR 55A Common Carrier Shipment
RPR 55RW Radioactive Waste Shipment
RPR 55EUV Exclusive Use Vehicle Shipment Survey and Driver Instructions
RPR 55LSA Exclusive Use LSA Shipment
RPR60A Nuclear Medicine Evaluation Checklist
