• Home
  • Radiation Work Permit Request Form


Radiation Work Category *

Applicant Name *

Work Title *

Department/Division *

Start date *

End date *

Work Area

Facility (Building) *

Detailed Work Area (Room) *

Radiation Concerns *

Fill out this section if radioactive materials are handled

Major Nuclides Handled *

Physical Form *
 
Type of Source *
 

Complete description of work by schedule (use supplementary sheets if necessary) All responsibilities or tasks that related to my position and tasks of RPO in all areas of reactor. *

Procedure /related work documents(use supplementary sheets if necessary) All procedures that related to emergency preparedness and radiological protection department. *

Work participants (use additional paper if necessary)

Category *

Name *

Department *

Work Scope *


 

Applicant Signature *

Date *

Radiation Work Supervisor *

Name *

Signature *

Date *

Head of Radiological Protection Division *

Name *

Signature *

Date *


Retype the CAPTCHA code from the image
Change the CAPTCHA codeSpeak the CAPTCHA code
 

Contact Us
Social Icons Social Icons Social Icons

All Rights Reserved © JRTR 2017 - 2024

Powered By Echo Technology