WHS FORM WHS55 UNSEALED RADIOACTIVE SUBSTANCES REGISTER Complete this form and keep a copy in your laboratory folder or SharePoint. Records must be retained for inventory and auditing purposes. Each acquisition of unsealed radioactive material must be recorded on a separate page. ACQUISITION Date: Nuclide: Half-life: Contact Phone No: Activity: Suppliers name: Suppliers contact number: Person responsible: Location used: Location stored: EPA registration number of premises: Intended disposal method*: * Check that the disposal is allowed for in the local EPA-approved Waste Management Plan. Amount used: Date: Person responsible: Waste disposal recorded or where stored: ………………………………………………………………………………………………………………………………… Date commenced current employment with radiation at the University: _____/_____/_____ Employee signature: Date: Employee name:
WHS FORM WHS55 UNSEALED RADIOACTIVE SUBSTANCES REGISTER Complete this form and keep a copy in your laboratory folder or SharePoint. Records must be retained for inventory and auditing purposes. Each acquisition of unsealed radioactive material must be recorded on a separate page. ACQUISITION Date: Nuclide: Half-life: Contact Phone No: Activity: Suppliers name: Suppliers contact number: Person responsible: Location used: Location stored: EPA registration number of premises: Intended disposal method*: * Check that the disposal is allowed for in the local EPA-approved Waste Management Plan. Amount used: Date: Person responsible: Waste disposal recorded or where stored: ………………………………………………………………………………………………………………………………… Date commenced current employment with radiation at the University: _____/_____/_____ Employee signature: Date: Employee name:
WHS55.docx