Forms & Resources
The forms needed to apply for a Radiation Use Authorization or to make changes to an existing Radiation Use Authorization require your campus username and kerberos password to access. The interactive forms are on-line versions of the downloadable paper forms.
- Forms
General Forms
Radiation Safety Manual Forms
Click on the Form Number to view and download the form.
Form Number Title Note Form 1 Radiation Use Authorization (RUA) Application Instructions This form is in the process of being replaced at the UC Davis main campus. If you are located on the main campus, please visit UC Radiation for new RUA Applications. Form 2 Radiation Use Authorization (RUA) Application This form is in the process of being replaced at the UC Davis main campus. If you are located on the main campus, please visit UC Radiation for new RUA Applications. Form 3 Radiation Use Authorization Statement of Experience Form 3A Machine Use Authorization Statement of Experience Form 4 Safety Protocol Form 5 Human Radiation Use Research Application Form 6 Guidelines for Completing Amendment/Renewal Request Form Form 7 Radiation Use Authorization Amendment/Renewal Request Form This form is in the process of being replaced at the UC Davis main campus. If you are located on the main campus, please visit UC Radiation for new RUA Applications. Form 8 Radioactive Materials Transfer Form Form 9 General Safety Guide for Outpatients Receiving Radioiodine Therapy 10-33 mCi Form 10 General Safety Guide for Hyperthyroid Outpatients Receiving Radioiodine Therapy Less than 10 mCi Form 11 Safety Guidelines for I‑131 Therapy Form 12 Checklist for I‑131 Therapy Room Preparation and Clean-up Form 13 Doctor's Orders for I‑131 Therapy Form 14 Nursing Care for Patients Receiving Iodine-131 Therapy Form 15 Doctor's Orders for Patients Who Have Received P-32 Radionuclide Therapy Form 16 Checklist for P-32 Colloid Therapy Form 17 General Safety Guide for Outpatients Receiving Cu-67, Y-90 or Re-186 Therapy Form 18 Checklist for Cs-137, Ir-192 Brachytherapy Form 19 Doctor's Orders for Cesium-137, Iridium-192 or Iodine-125 Therapy Form 20 Uncontrolled Area Survey for Patients Treated with Cs-137, Ir-192 or I‑131 Form 21 Nursing Care for Patients Receiving Cesium-137 or Iridium-192 Therapy Form 22 Guidelines for Receiving Ir-192 at UC Davis Medical Center Form 23 Checklist for I‑125 Seed Brachytherapy Form 24 Nursing Care for Patients Receiving I‑125 Therapy Form 25 Recommendations for People Near Patients with Radioactive Iodine Implants Form 26 Procedures for Receiving I‑125 Seeds at UC Davis Medical Center Form 27 Report on Radioactivity to the Funeral Director from the Radiation Safety Officer Form 29 MICU Exposure Time Guidelines Form 30 Radiation-Producing Machine (MUA) Application Form 31 Request for Shielding Design Form 32 Radiation-Producing Machine Amendment Form Form 33 Health Physics Event Form Form 35 Protocol Exemption from Radiation Use Committee Review Form 35 Instructions Form 36 Diffraction/Fluorescence X-ray Safety Protocol Form 37 Cabinet X-ray Safety Protocol Form 38 Portable Radiography X-ray Safety Protocol Form 39 Radiography X-ray Safety Protocol Form 40 Fluoroscopic X-ray Safety Protocol Form 41 Bone Densitometer Safety Protocol Non-Human Use Form 42 Bone Densitometer Safety Protocol Human Use Form 43 Micro CT/CT Scanner Safety Protocol Non-Human Use Form 44 CT Scanner Safety Protocol Human Use Form 45 Spectroscopy Safety Protocol
- Manuals
- Resources
Regulations
- Title 17, California Code of Regulations
- Title 10, Code of Federal Regulations, part 20, (10 CFR 20) - Standards for Protection Against Radiation
- Title 10, Code of Federal Regulations, part 35, (10 CFR 35) - Medical Use of Byproduct Material
Documents and Articles
Websites
- Laser safety supplies - Kentek Corporation
- LaserNet Web Server - Rockwell Laser Industries
- Radiation Protection - Professor Kim Kearfott, University of Michigan
- U.S. Nuclear Regulatory Commission
Videos
The following videos are available for check out from the Carlson Health Sciences Library (HSL). You may contact them at (530) 752-8041 if you have any questions about the videotapes.
- Radionuclide Hazards: Safety in the Research Laboratory (12 minutes): A basic review of the fundamentals of radiation safety. Also includes a demonstration of protocols used in biological science research, use or survey instrumentation and safe work practices, etc. (Howard Hughes Medical Institute); Call # QY 23 R129
- X-ray Diffraction Hazards (9 minutes): For non x-ray diffraction users. (Howard Hughes Medical Institute) 2 copies; Call # WA 485 X83