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RADIATION CONTROL APPLICATION AND REPORT FORMS

ELECTRONIC GENERATORS OF IONIZING RADIATION (X-rays)

NumberFile NameVersion (Year)Document TypeDownload
MAM01(1)MAMMOGRAPHY: ANNUAL SUBMISSION (END OF JANUARY) FOR MAINTENANCE RESULTS2006Report Form
RC001Application for a licence to use an X-ray device2016Application Form
RC002Disposal – Premises change2016Application Form
RC003-1Application for a licence to use a therapeutic device or particle acceleratorApplication Form
RC003-2Change of Responsible person or Medical PhysicistApplication Form
RC003-3Application for a licence to use a particle acceleratorApplication Form
RC004Application for premises licence to maintain or install X-ray devices2015Application Form
RC005Responsible Person2016Application Form
RC006Medical Physicist for Interventional Radiology2019Application Form
RC007Re-instate licence of x-ray device2019Application Form
RC008-1Registration of radiation workerApplication Form
RC009-1Medical report on radiation workerApplication Form
RC010Notification of radiation occurrence2007Report Form
RC011-1(DENT)Application for Use and Details of Transaction as per Condition 03 of your Licence to Import or Manufacture2017Report Form
RC011-1(MRI)Details of Transaction as per condition 03 or 04 of your licence to either Import or ManufactureReport Form
RC011-1(R)Details for Replacement of Dental X-Ray Unit2014Report Form
RC011-1(rev 1)Details of Transaction as per condition 03 or 04 of your licence to either Import or ManufactureReport Form
RC012-1Application for exemption from personal monitoring – Dental radiographyApplication Form
RC013-1Application to register as an industrial radiographer(x- ray Radiography)Application Form

RADIONUCLIDES

NumberFile NameDocument TypeDownload
RC009-1Medical report on radiation workerReport Form
RN001MRS – Monthly report on sealed radionuclidesReport Form
RN002MRU – Monthly report on unsealed radionuclidesReport Form
RN523App_Liquid RA wasteApplication Form
RN524App_Solid RA wasteApplication Form
RN525App_Discard sealed sourcesApplication Form
RN526App_Dispose of (sell) radionuclidesApplication Form
RN527App_Change detailsApplication Form
RN528App_Cancel AuthorityApplication Form
RN607 Medical reportReport Form
RN608Particulars of sealed radioactive sourcesApplication Form
RN621Application to release equipment from storage at NLM (NECSA)Application Form
RN778App_Register industrial radiographerApplication Form
RN780Log for sealed gamma radiography sourcesApplication Form
RN781App_ImportApplication Form
RN781aConfirmation of importApplication Form
RN782App_ExportApplication Form
RN782aConfirmation of exportApplication Form
RN783Log for TRANSPORT of AFTERLOADER sourcesApplication Form
RN783Log for transport of afterloader sourcesApplication Form
RN785App_Change of RPOApplication Form
RN786App_Change of physicistsApplication Form
RN786AApp_RPA Radiation Protection AdviserApplication Form
RN787App_Renewal or new source authorityApplication Form
RN787AList of premises & roomsApplication Form
RN788Temp Use LoanApplication Form
RN789App_ Convey onlyApplication Form
RN900 Incident Notification FormApplication Form

LISTED ELECTRONIC PRODUCTS: REGULATION R1302 OF 1991-06-14

NumberFile NameDocument TypeDownload
SBLM-1Application for a licence to use a medical laserApplication Form
SBLN-1Application for a licence to use a non-medical laserApplication Form
SBMR-1Application for a licence to use an MRI device (medical)Application Form
SBVETMR-1Application for a licence to use an MRI device (veterinary)Application Form