Information

  • Building

  • Lab

  • Authorized User

  • Authorized Nuclides

  • Conducted on

  • Surveyor(s)

L3 44-7 S/N 111766, DOC 1/11/13

Compliance Checklist

Signs & Labels

  • Room Postings Current?

  • Refrigerator / Freezer / Equipment properly labeled?

  • LS Vials & Trays properly labeled?

  • Source Containers, Samples properly labeled?

  • Waste Containers, Work Areas labeled?

Contamination Control

  • Absorbent paper / Trays on work areas?

  • Time of use surveys conducted?

  • Proper use of personal protective equipment?

  • Contamination limits met?

  • Prohibition of Eating / Drinking, etc.?

Records Management

  • Inventory records current?

  • Disposal records complete?

  • Lab surveys records complete?

Survey Instruments

  • Survey instrument available?

  • Survey instrument(s) in lab?

  • Enter Serial Number

  • Survey Instrument
  • Enter Serial Number

  • Enter Date of Calibration

  • Is the instrument operational?

  • Is the calibration current?

General

  • All other compliance items met?

Contamination Survey

  • No RAM Use Since Last Survey?

  • Wipe samples collected?

  • Wipe Sample Locations
  • Image

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