Radioactive Material (RAM) Lab Personnel Change Form
A person must be listed on a RAM Authorization before it is legal for that person to handle radioactive material. This process makes her or him a "certified" radiation worker.Persons who…
Nursing Radiation Safety Training Verification & Questions
Please complete this form to document your radiation safety training completion and to address specific questions about the University of Washington's Radiation Safety program.
All UW radiation…
Crane Operator Assessment Form
University units use the Crane Operator Assessment Form to document an individual employee's ability to operate/inspect overhead cranes and hoists and/or inspect rigging and rig loads…
Crane/Hoist and Rigging Critical Lift Plan
When a critical lift is identified, the crane operator must complete the Crane/Hoist and Rigging Critical Lift Plan before the lift is conducted.Visit the Cranes, Hoists and Rigging Safety…
Amendment to Use Additional Radionuclides
Contact Radiation Safety for information on completing this form.
Radiation Worker and Dosimetry Application
Contact Radiation Safety for information on completing this form.
Application for Certification of Laboratory or Use of Radioactive Materials
Contact Radiation Safety for information on completing this form.
Radiation Detection Instrument Registration
Contact Radiation Safety for information on completing this form.
Non-UW Personnel Radiation Safety Class Registration Form
** Please Note - No classes are held in August or December.The University of Washington is committed to providing access, equal opportunity, and reasonable accommodation for individuals with…
UW RAM Shipment Request
All shipments of radioactive material will be performed by or with the direct oversight of EH&S's Radiation Safety team. EH&S must be notified prior to any shipment of radioactive material,…
Fire Drill Report Form
The Fire Drill Report Form (Word) is completed by the Evacuation Director after a scheduled evacuation drill occurs.
Radiation Detection Instrument Registration
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…
Food Establishment Plan Review Application
All plans for new and remodeled food service establishments must be submitted to EH&S for review and approval. Complete a Food Establishment Plan Review Application for a…
Dosimetry Change, Deletion, or Addition
This form is for Area Dosimetry Coordinators (ADC) ONLY.
The University of Washington is committed to providing access, equal opportunity, and reasonable accommodation for individuals with…
Dental Radiation Safety
If you have specific questions about the University of Washington's Dental Radiation Safety program please fill out the following information.
The University of Washington is committed to providing…
Sample Request New Chemical Waste Routine
Refer to the Sample Request for a New Chemical Waste Routine as a guide when completing a a Request New Chemical Waste Routine form.
Waste Evaluation Request
Request a Waste Evaluation if you are unsure how to dispose of a chemical.
Create MyChem Inventory Locations for New Principal Investigator or Responsible Person
Use this form to create or move inventory locations in MyChem if you are a PI or responsible person of an area that contains chemicals. If you are setting up a new inventory location on behalf of a…
Shop Safety Orientation Training Record
Shops can use this template to document shop-specific safety training.Refer to the Shop and Maker Space Safety page for more information.
Human Subjects Radiation Approval Committee (HSRAC) Application
Instructions:
1) Click on the link below to download the application.
2) Save the application in a file folder on your computer.
3) From the folder, open the file with Adobe Reader or Acrobat.…