Table of Contents
Notice to Employees
Licensing Reciprocity
X-Ray Machines
Equipment Performance Evaluation
Please contact Trae Windham via email or telephone at (737) 218-7084, about any other inspection forms.
Industrial Radiographer Certification
Industrial Radiographer Applications and Forms
Document Number |
Title |
2020 Exam Schedule |
2020 Industrial Radiography Examination Schedule (PDF, 345KB) |
RC IR-1 |
Industrial Radiographer Replacement ID Card Application (PDF, 29KB) Instructions for Industrial Radiographer Replacement ID Card Application (PDF, 46KB) |
RC IR-2 |
Industrial Radiographer Second Certification ID Card Procedures (PDF, 27KB) |
RC 255-1 |
Request for Disability Accommodation for IR Exam (PDF, 73KB) |
RC 255-3 |
Application for Industrial Radiographer Exam (PDF, 369KB) |
RC 255-C |
Accepted Radiation Safety Training Courses (PDF, 66KB) |
RC 255-E |
Trainee Qualification Form (PDF, 27KB) |
RC 255-OS |
Radiographer Qualification - OJT (Years) (PDF, 35KB) |
RC 255-R |
Radiographer Qualification - OJT (Hours) (PDF, 36KB) |
RC 255-RC |
Radiographer Reciprocity Qualification (PDF, 73KB) |
RC 255-T |
Trainer Qualification (PDF, 65KB) |
Laser Registration
Radioactive Materials
Radioactive Materials Applications and FormsDocument Number | Title |
---|
CI-40 | General License Acknowledgement Self-Evaluation Form (PDF, 1.49MB) |
RC 251-2 | General License Acknowledgement of Devices Containing Radioactive Material (PDF, 1,541KB) |
RC 252-1 | Business Information Form - License (PDF, 256KB) |
RC 252-2 | Radioactive Material License (PDF, 195KB) |
RC 252-4 | Certificate of Disposition (PDF, 206KB) |
313A(RSO) | Radiation Safety Officer (and Associate Radiation Safety Officer) |
313A(AUD) | Authorized Users for (1)Uptake, Dilution, and Excretion Studies (2)Imaging and Localization Studies (3)Sealed Sources for Diagnosis |
313A(AUT) | Use of Unsealed Radioactive Material for which a Written Directive is Required (Including I-131)
|
313A(AMP) | Authorized Medical Physicist or Ophthalmic Physicist
|
313A(ANP) | Authorized Nuclear Pharmacist
|
313A(AUS) | Manual Brachytherapy, Ophthalmic Use of Strontium-90, Remote Afterloaders, Teletherapy Units, or Gamma Stereotactic Radiosurgery Units
|
RC 257-1
| Application for Low Level Radioactive Waste Shipper Registration (PDF, 251KB)
|
RC 257-2
| Application for A Low Level Radioactive Waste Transporter Registration (PDF, 230KB)
|
Mammography