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Delegation of authority radiation safety officer form

Delegation of authority radiation safety officer form 2025

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The document outlines the responsibilities and authority of the Radiation Safety Officer (RSO) within a Radiation Control Program. It details the RSO's duties, including managing the Radiation Protection Program, ensuring compliance with regulations, and addressing radiation safety issues. The document also emphasizes that the ultimate responsibility for licensing decisions lies with management and requires signatures from both management and the RSO to validate the appointment.

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Click ‘Get Form’ to open the delegation of authority radiation safety officer form in the editor.
Begin by entering the Licensee Name and License Number in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the Effective Date, which marks when the responsibilities of the Radiation Safety Officer (RSO) commence.
In the section outlining RSO responsibilities, review each item carefully. You may need to check off or acknowledge understanding of tasks such as managing the Radiation Protection Program and ensuring compliance with regulations.
Estimate the time required for radiation safety activities per week and input this in the provided field.
Obtain signatures from both management representatives and the RSO. Use our platform’s signature feature to facilitate this process seamlessly.
Complete contact information for the RSO, including email and phone numbers, ensuring all details are correct for future communications.

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