Information
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Northwestern University
Radiation Safety Survey -
Campus
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Building
- Cook
- Hogan
- Lurie
- Maple
- McGaw
- Morton
- Olson
- Pancoe
- Searle
- Silverman
- Tarry
- Tech
- Ward
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Lab
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Conducted on
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Personnel
- Pennington
- Spady
- Watts
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Active use since the last survey?
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Last Use Date?
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Request Closeout?
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Continue with survey?
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Principal Investigator
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Signs & Labels
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Proper room/area postings?
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Equipment properly labeled?
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Waste containers labeled?
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Equipment Review
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Instruments to be removed to HPS inventory?
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Serial number(s)
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Are survey instruments in use?
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Enter meter details
Instrument
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Operational?
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Instrument type
- Ludlum 3
- 44-9
- 44-3
- 44-7
- Bicron
- Johnson
- Mini Monitor
- Pancake
- LEG
- End window GM
- Dose Rate
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Serial number:
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Probe serial number(s)
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Date of Calibration
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Prohibition of eating, drinking?
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Surveys records complete?
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Personnel working with radioactivity?
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Proper PPE?
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Last Name of User
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Sources of radiation secured from unauthorized use?
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Waste management adequate?<br>(Inventory, labels, sinks, regular trash)
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Liquid scintillation counter in room?
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General compliance (use for Other findings)
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Wipe Sample Locations
