2900-FM-BRP0010o
Rev. 7/2013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF RADIATION PROTECTION
2.6 EXAMPLE OF RADON EXPOSURE TRACKING RECORD
Name
Month(s)
Company Name
Employee ID Number
Date
1.
Job Site or
Number
Year
Radon
Level
(pCi/L)
Working
Level
(WL)
Hours of
Exposure
(HR)
Working
Level
(WLM)
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
÷200=
X
÷170=
Based upon an annual recommended health and safety limit of 4 working level months (WLM)
WL = pCi/L (Assuming 50% ER)
200
Cumulative
Exposure(1)
(WLM)
2.
Method Used
to Assess
Exposure(2)
Serial
Number
Supervisor
Initials
Highest Premitigation Level (a)
On-Site Measurement (b)
This documentation is not required to be submitted but must be available for review as part of the Department’s inspection program.
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