Orientation Checklist

Radiologic Sciences Program Orientation Checklist – Radiation Safety

I have received a copy of the Radiologic Sciences Program Pregnancy Policy
I have received a copy of the U.S. Nuclear Regulatory Commission Regulatory Guide 8.13 – Instruction Concerning Prenatal Radiation Exposure
I have received a copy of the Radiation Safety Rules (NRC) and Radiation Protection Rules Governed by ALARA, which are adhered to at all times in the energized lab and anytime ionizing radiation is being used, including clinical training and shadowing

I have received all of the above materials. I understand that if I have any questions regarding any of the policies or documents I received I may contact the Radiologic Sciences Program Director for further discussion of these polices.

Printed Name:

Signature:

Date:

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Program Official Name (please print)

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