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SAMPLE TRANSPORTATION INSTRUCTIONS

5.12

Radioactive material transport checklist

Date __________________________________Operator ____________________________________

Destination _________________________________________________________________________

____________________________________________________________________________________

Transport container model ______________ Serial number________________________________

Radionuclide __________________________ Activity _____________________________________

Type of label applied ___________________ Transport index ______________________________

Survey meter model ____________________ Serial number ________________________________

Calibration date _______________________ Film badge __________________________________

Dosimeter serial number ________________Initial reading ________________________________

Final reading ________________________________

Radiation area signs ____________________Packing list __________________________________

Rope _________________________________ Bill of lading _________________________________

Radioactive material sign _______________ Emergency equipment ________________________

Radiation survey _______________________ Driver's compartment ________________ mRem/hr

(Record highest reading) Vehicle (18in from surface) ___________ mRem/hr

Packages properly marked and labeled (including transport index) ________________________

Packages secured in vehicle _____________ Vehicle placarded ____________________________

Shipping papers properly completed __________________________________________________

Remarks: ___________________________________________________________________________

____________________________________________________________________________________

Operator's signature _________________________________________________________________

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Sigma 880 Betriebshandbuch Seite 66