Ir Ui 6 Proforma Form PDF Details

Are you looking for an intuitive and easy-to-use form to streamline your data collection processes? Then you’ve come to the right place! The new Ir Ui 6 Proforma is a powerful tool designed to simplify the process of capturing information from users with minimal effort. From detailed questionnaires to simple datasets, this form offers all necessary features for gathering structured data quickly and accurately. With its robust security measures, ability to integrate with numerous databases, and intuitive web interface, this form provides a secure way of collecting data that can be conveniently analyzed later on. Read on below as we take an in-depth look at why Ir Ui 6 Proforma Form is just what you need!

QuestionAnswer
Form NameIr Ui 6 Proforma Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesexposures, iu 6 form, Cert, IU-6

Form Preview Example

IR/IU-6 PROFORMA

LOCATION DETAILS OF THE INDUSTRIAL RADIOGRAPHY EXPOSURE DEVICES

(Part A and B to be submitted to Head, RSD, AERB in the beginning of months regularly)

every month and Part C to be submitted once in six For Month ___________ 200

Name and address of the institution:

 

 

Phone No. :

 

NR –

 

 

 

 

____________________________

 

 

Fax. No.

:

 

ER –

 

 

 

 

_____________________________

 

 

PMS.No. :

 

WR–

 

 

 

 

_____________________________

 

 

No. of films/ cards:

 

SR –

 

 

 

 

 

 

 

 

 

received

 

 

 

 

 

 

 

 

_____________________________

 

 

 

 

 

 

 

 

 

 

 

Part A – Sites, exposure devices, trained personnel and monitors available on sites

 

 

 

 

 

 

1

2

3

 

4

5

 

6

7

8

9

 

10

 

Sr.

Sites, Contract

Site in-charge

Exposure

Source type

 

Certified

Survey

Pocket

Trainee

 

Job type &

no.

Awarding party

Name and

his

Device

activity

 

Radiographer

meter model

Dosimeter

Radiographer

No.

of

 

& Last inspection

Cert. No. with

Model,

received

 

Name and his

Sr.No. and

& Charger

Name,

his

exposures

 

date

its validity

&

Sr.No. &

and source

 

Cert. No. with

calibration

model and

appointment

during

the

 

 

PMS No.

 

Date of

holder no.

 

its validity &

date

their

date and PMS

month

 

 

 

 

 

movement to

 

 

PMS No.

 

Sr.No

No.

 

 

 

 

 

 

 

this site

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note : 1. Any submission in IU-6 form does not imply permission from AERB, wherever necessary permission should be obtained separately. 2. Part A should cover all the trained personnel and accessories.

Part – B : Details of the Decayed Sources returned to BRIT :

Nos.

Exposure Device

Date of decayed

Activity on

 

Model & Sr.No.

Source return

Date of return

I hereby certify that all safety/ emergency accessories are available at site(s), they are in working order and they are being used regularly. I also certify that personnel monitoring devices are provided to all the radiation workers.

Signature : ------------------------------------

With date

Name : -------------------------------------

(Head of institution)

Seal

Part C – Details of Calibration Check of Survey Meters :

Sr.

Date of

Survey meter

Nos.

Calibration

Model and Sr.No.

 

 

 

Source type and

Distance from

Survey meter

Reading expected

activity used

source (m)

reading

by Calculation

 

 

 

 

% Deviation

Note : RSO is required to check the calibration of survey meters at site once in six months with decayed source and indicate in Part A col.7 regularly.

Name (RSO) with Signature and date

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