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安全,健康,环境和风险管理

形式RSO1B

Application for Non-Human Use of Radioactive Material - Training, Experience, Laboratory Staff, and Equipment Addenda

下载RS-01B Word文档的形式

Instructions for Completing the form

Please return the completed Form RS-01B to: Radiation Safety Division CYF G102,
电话:500-5840

第7节:安全使用辐射的培训
申请人应以指示名称完成A-F部分的所有相关培训。请列出接受辐射安全培训的大学或学院。还要注意培训的持续时间,无论是在职还是正式的课堂培训。

第8节:使用辐射源的实验室/临床经验
List prior experience utilizing the requested radionuclides, activities, and protocols described on the RS-01A application (e.g. 32 P, 0.250 mCi, sequencing, 2 years, Texas A&M Univ.).

如果申请人在协议或放射性核素方面没有直接的经验,则另一位授权用户可以提交监督备忘录,指出建议的协议将在其方向下执行,直到申请人熟练地熟练使用该技术为止。

Section 9: Laboratory personnel using radiation sources
列出所有使用辐射源工作的实验室人员。使用辐射工作的实验室人员必须完成从辐射安全部门获得的RS-02(培训和经验)和RS-03(以前的暴露历史记录)表格。

All persons working with radiation sources must be informed of the specific hazards of their work. They should initial the RS-01B indicating that they have been informed by the applicant of the potential radiation hazards present in the laboratory.

Section 10: Radiation detection instrumentation
List any portable survey instruments used by or available to the laboratory (example. Ludlum Model 3, SN: 12345). Also, list any analytical counting equipment used by or available to the laboratory (example: Liquid Scintillation Counter, Packard Tri-Carb Model 4430). Also include the last date of calibration for instruments and counting equipment.

Section 11: Certification
Sign and date on the appropriate line indicating that all information on the application is true to the best of your knowledge and that you intend to comply with the authorization conditions and restrictions imposed by the Radiation Safety Committee at the University of Texas Health Science Center at Houston.

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