Radiation Training Checklist Crime Lab 1. I have read the IFS Radiation Safety Program.
. I have asked questions and received acceptable answers to my questions. Employee: ___________________ Trainer: __________________ Date: _______ 2. I have been trained in the proper operation of _______________________ equipment and will operate this radiation producing equipment safely and as noted in the IFS Radiation Safety Manual. Employee: ___________________ Trainer: __________________ Date: _______ 3. If I have questions or observe unsafe conditions or activities, I will contact my supervisor, Elizabeth Todd (x5990), or UT-Southwestern Radiation Safety (214-6482250). Employee: ___________________ Trainer: __________________ Date: _______
_________________________________ is adequately trained to use the listed radiation producing instrumentation. Supervisor: _________________________ Date: ______________ Form Routing by Supervisor: Signed original to Quality Manager Copy to Administration for the Personnel File
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