Use of sealed sources
Radiological Safety NUI, Galway
NATIONAL UNIVERSITY OF IRELAND, GALWAY
Use of Sealed Sources
When completed, a copy of this form must be submitted to the University
Radiological Protection Officer.
This is to certify that ....................................………………who will be working with
sealed sources, has received the necessary instructions in the use of that equipment,
particular attention having been given to the potential hazards involved, and in
general
radiological
safety.
The
..........................................................................
isotopes
with
a
used
maximum
will
activity
be
of
............................................. in any one experiment.
I have read and agree to abide by the regulations relating to the use of ionising
radiations in the University.
Signature of User
________________________________
Signature of Research Supervisor
_____________________________
Signature of Dept. Radiation Supervisor
_____________________________
Received by
University Radiological Protection Officer
Date ____________________________
______________________________