Radiation Detection Instrument Registration | UW Environmental Health & Safety

Complete this form to register your radiation detection instrument with EH&S's Radiation Safety Office at the UW. The information is used to maintain calibration records for all radiation detection instruments that are in use under the UW's Radioactive Materials License.

All radiation detection instruments must be registered with EH&S's Radiation Safety Office, even though they may be calibrated at any qualified facility.

The University of Washington is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities. Contact the Environmental Health & Safety Department at ehsdept@uw.edu or call (206) 543-7262 to request an accommodation.

Fields marked with an asterisk ( * ) are required.

Contact Information

First Name

Last Name

Department

UW Box #

Phone #

Owner Information

Name

(Ex: PI or Department)

UW Box #

Instrument Storage

(Provide the building and room number.)

Other Users?

(If there are any other labs or departments using this instrument, please list them here.)

Instrument Information

Manufacturer

Model Number

Serial Number

(*NOTE* Ludlum instruments serial number is stamped on the metal casing near the battery compartment or on the side.)

Characteristic