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Pregnant radiation worker 2026
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- Click ‘Get Form’ to open the Declaration of Pregnancy form in the editor.
- Begin by entering your full name in the designated field at the top of the form.
- In the section for estimated date of conception, provide the month and year only.
- Review the NRC definitions and regulations provided in the document to ensure you understand your rights and responsibilities as a declared pregnant worker.
- Sign and date the form at the bottom, confirming that you have read and understood the information regarding dose limits.
- Submit your completed form to Radiation Safety – EHS at the specified address.
Start using our platform today to easily manage your declaration process for free!
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 1999 | 4.8 Satisfied (42 Votes) |
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pregnant worker form
A radiation worker who becomes pregnant should notify her department head or supervisor and the Radiation Safety Office (RSO) as early as possible.
Dec 25, 2019 Pregnancy is a normal female human condition which must not result in automatic suspension of an ATCOs licence.When considering the design ofRead more
500 mrem (5 mSv) or less during pregnancy for a declared pregnant worker who is exposed to radiation from licensed radioactive materials.Read more