UNDERAGE USER AUTHORIZATION APPLICATION

 

 

        The University of Alabama uses radioactive isotopes and radiation producing machines under a general license from the Bureau of Radiological Health, State of Alabama.  As a function of this license the Office of Environmental Health and safety (EHS) administers the Radiation Safety Program (RSP).  The objectives of this program are to ensure the responsible use of radiation, to reduce University liability, to ensure University compliance with applicable regulations and to promote the As Low As Reasonably Achievable (ALARA) concept for all exposures.

 

        As a user of radioactive isotopes or radiation producing machines who is under 18 years of age specific permission is required from the University Radiation Safety Officer (RSO).  As a user you will receive the same instructions as any University user including detailed information for females.  As a trained user you will be responsible for following safety procedures, guidelines, and instructions regarding your work.  Failure to follow prescribed policy may result in expulsion from the lab or work area.

 

        Completion of this underage user authorization application is the initial step toward attaining approval to work with isotopes or radiation producing machines.  The prospective user must complete Section II and return it to their University supervisor.  Following review, approval will be granted or refused.  If at any time questions arise or additional information is needed you may contact the Office of Environmental Health and Safety at:

 

        University of Alabama

        Office of Environmental Health and Safety

        15 Research Drive

        P.0. Box 870178

        Tuscaloosa, Al 35487-0178

        (205) 348-5905

        (205) 348-7773

        http://bama.ua.edu/~ehs/

 

Form links:  Section (I)  This form is to be printed and filled out by supervisor.

                     Section (II)  This form is to be printed and filled out by the underage user.

                     Section (III)  This form is to be printed and filled out by the RSO and RCAC.