registration application for industrial radiation machines


For more information: X-Ray Machines Program: Debra Wolff (515) 201-5110 (Medical Machines and Service Providers) Randy Dahlin (515) 281-0419 (Industrial, Non-medical) Use the "Contact Us" page to submit questions online. Missouri Radiation Machine Registration Form. The Radiation Producing Machines Program inspects and registers all facilities that use radiation producing machines. Mammography Authorization Form. -- This section applies to medical and industrial x-ray machines. 2. Out-of-State Radiation Machine Registration Form. of X-Ray Services (HHE 825) Notice to Employees (HHE 845) SPECIFIC LICENSE FORMS GENERAL LICENSE FORMS; Fixed Gauge License Application (HHE 850) Depleted Uranium Registration (HHE 860) Academic R&D License . Linear accelerator registration and periodic inspection $500 per machine. Cosmetic : Industrial Microwave Medical . We will need: the business name of the facility; person in charge of radiation safety (radiation safety officer); address, phone number, county; federal tax ID number; equipment type and number to be used; and. The Machine Source Section. The registration R-53QI application for registration: qualified inspector radiation producing machines. medical, industrial or other). 12/13/19. The Division is responsible for the registration, inspection and certification of X-ray machines. State Regulations ; Compare Current through Register Vol. Exposure to very large doses of radiation may cause death . This registration must also be updated whenever the information contained in it changes. New Radiation Machine Facility Registrations. (2) Installation shall mean the area of radiation hazard under the administrative control of the person(s) or organization possessing the source of radiation. The control panel of each radiation machine shall be equipped with a locking device that will prevent the . Code r. 641-45.2 - Radiation safety requirements for the use of radiation machines in industrial radiography . Name of owner and/or user: _ 3. Personnel Radiation Monitoring. Interested Parties. Aug 2015 Radiation Producing Machine Fee Schedule The full description of the fee schedule for registering X-ray equipment is described in 16.41 of Part 16 of the State Sanitary Code. Class V - Priority Two Industrial and Educational Radiation Machines: Includes closed-beam analytical radiation machines, gauges and industrial radiation machines used in shielded room or cabinet radiography. People are exposed to varying amounts of radiation from rocks, soil, food, water, outer space, airline travel, medical procedures and X-ray machines. The majority of registered radiation-generating equipment consists of dental, radiographic, fluoroscopic, therapeutic, computerized tomography, mammography, veterinary and various types of non-medical units used for industrial applications. Please check one: New Facility Update Facility (new machine, new location, etc.) If you have any questions concerning this application, call the Radiation Control Program at (401) 2222566. Radiation Machine Operator Training. Nevada State Division of Public and Behavioral Health 675 Fairview Drive, Suite 218 Carson City, Nevada 89701 Page 1 of 2 Tel: (775) 687-7550 Fax: (775) 687-7552 Rev. Mailing Address: Street Street or P O Box Authorization of Mammography Machines. Locate the type of machine to be registered from the Types of Radiation or MRI Machines tables provided on the last page of these instructions and note the type on the form in the space provided. X-Ray Program.

Cell Phones; ElectroMagnetic Fields . Radiation machine registration and compliance Contact the Division Indiana Department of Health Division of Radiology and Weights & Measures 2 North Meridian Street, 4 Selig Indianapolis, IN 46204 (317) 233-1325 (IDOH Main Switchboard) Map Division Director Dave Nauth dnauth@isdh.in.gov (317) 233-7563 Questions: Radiology@isdh.IN.gov In an effort to better serve Utah's X-ray facilities and improve our registration and inspection timeliness, the Division of Waste Management and Radiation Control is proposing to increase X-ray tube registration and inspection fees by $10.00. A facility must apply for a certificate of registration within 30 days of beginning use of the radiation machines. Radioactive Materials Reciprocity Therapeutic X-Ray Machines Industrial/Analytical X-ray Machines.

The cost of registering equipment is a base cost of $50 per year plus an amount from the following table based on the number of modalities in operation at the installation site. 2. Questions may be addressed to the North Dakota Department of Environmental Quality at 701-328-5166, or x-ray@nd.gov. The Division of Radiological Health is responsible for protecting the public from unnecessary radiation exposure from sources such as industry, research, educational institutions, medical treatment, healing arts, and the environment. Below are the forms and guidance for each type. If you have questions regarding x-ray machine registration, you may contact Judy Smith at (971) 673-0507, or send an e-mail to judith.a.smith@dhsoha.state.or.us Help us improve! Laser Registration Radioactive Materials Mammography Notice to Employees Licensing Reciprocity X-Ray Machines Equipment Performance Evaluation Please contact Trae Windham via email or telephone at (737) 218-7084, about any other inspection forms. Radiation Producing Machines - Installation Application Form - (Click here to access our online system) Installer Termination Request Form (Click here to access our online system) Transfer, loan, disposal, assembly or installation of machine, supplies or equipment. A registration and the fee for new equipment must be submitted within 30 days after acquisition. The annual registration fee is due on or before October 28 every year. Facility Name 2. Mailing Address for New Applications With Money: Mailing Address for Other Correspondence: Texas Department . Users pay registration fees based on the type of facility and the number of tubes possessed. If the control unit operates more than one tube, each additional tube is $35.00. Radiology Service Company Registration Form. Please contact the Department of Community Health at (404) 657-5400 for additional information on equipment registration and necessary operator training/licenses.

The notice shall Was this page helpful? The RHB also issues therapy survey and calibration physicist authorizations.

Utilization of a radiation machine at a University facility. Registration application materials are public records as mandated by Rhode Island law and may be made available to the public, unless otherwise prohibited by State or Federal law. . Additional information concerning radiation-producing machine .

To register, each vendor/service provider must complete a registration application and return that application with the associated fee to DEP, Bureau of Radiation Protection (BRP). the date of the first day of operation. (Select the MOST appropriate application of radiation machine your organization practices) L. ASER: R. .

A. . Medical : Hospital Industrial Projector . Radiation Shielding Plan Review and Approval. Processing: There are two kinds of radiation: non-ionizing radiation and ionizing radiation. For questions related to requirements for radiation machines service providers please see our program page. There are . Each person having a radiation machine facility shall: a. Non-Healing Arts - Analytical, Industrial Radiographic, Research. ct mammography industrial unit type: telephone: registration radiation machine installation registration number 9 eqpt. Registration shall be on forms available from the department. *The registration fee is $35.00 per x-ray tube. R-60 registration application and add service technicians: radiation machine sales and services. Part 2, Section 2.5.1.3. All non-federal facilities using x-ray machines for any purpose must: Have their machine initially and periodically inspected by a registered qualified inspector. Location: eLibrary - FOLDERS / PERMIT AND AUTHORIZATION PACKAGES / RADIATION PROTECTION / APPLICATION AND FEE SCHEDULE FOR REGISTRATION OF RADIATION-PRODUCING MACHINES 2900-PM-BRP0016 /. The program inspects mammography facilities under a cost reimbursement contract with the U.S. Food and Drug Administration to assure facilities meet the requirements of the Mammography Quality Standards Act of 1992. Radiation is energy, in the form of rays and particles. (b). REGISTRATION APPLICATION FOR RADIATION PRODUCING MACHINES For Department use only _____ Registration Number KENTUCKY CABINET FOR HEALTH AND FAMILYSERVICES Radiation Health Branch County Dist Insp DEPARTMENT FOR PUBLIC HEALTH 1. Mammography Authorization Form. Applicant must then POST the Validation Certificate in a conspicuous place, preferably, on or near the x-ray machine that is registered. refer to 25 TAC 289.226. registration radiation machine installation illinois emergency management agency - division of nuclear safety 1035 outer park dr springfield, il 62704 . BOX 144880 SALT LAKE CITY, UT 84114- 4880 It is also required when changing the location or ownership of a machine. Off-site use by University employees of radiation-generating equipment for a University-approved activity. The fee schedule is lo-cated in He-P 4070.06 of the NHRCR Table 4070.2 Annual Fees for Radiation or MRI Machine Registration, Processing: RSMPs. Please be aware that some facilities may have multiple registration requirements. 44, No. For example, a teaching hospital in Group 3 could also have registration . Out-of-State Radiation Machine Registration Form. . CDPHE form 2579 report of assembly. Registration Number: X-RAY MACHINE REGISTRATION APPLICATION FY ___ ___ DWMRC-10 (Provided by Division of Waste Management and Radiation Control) Facility Name: Facility Type: (see reverse) . Please ascertain your grouping and click on button to the right to get a list of radiation machine registration requirements for your facility. - X-ray Subregistration Application - All X-ray machines and other ionizing radiation producing devices must be registered with the Texas Department of State Health Services (TDSHS) under UHCL's certificate of X-ray registration within 30 days of initial installation. Qualified Expert - Comprehensive List. Radiation Control. A part of or an entire industrial establishment may be designated as an installation. Companies using the following radiation machines are required to have a certificate of registration prior to use: Industrial accelerators X-ray services and industrial radiographic (IR) operations

Inspection frequency varies from 1 to 3 years and is specified in Table 2-1 of Part 2, Section 2.5.1.3 of the regulations depending on the machine type/use. You are also required to notify DHEC any time you sell or get rid of a registered X-ray machine. Registration is required before operating any radiation machine or modifying any facility in which an x-ray machine is to be used for dental and medical diagnosis and therapy, industrial, scientific or veterinary purposes.

IND-H Industrial with high or very high radiation areas Notes: A mobile unit (MR) is one that may be moved, but requires some assistance to This Safety Code applies specifically to industrial x-ray equipment operating at energies up to 6 MeV for use in industrial radiography and in material melting-and-bonding applications. . Radiation Safety Committee authorization approval (see SPPM 9.40) must precede any of the following: Equipment procurement. A: Please contact this office, two weeks prior to the first day of operation, at (518) 402-7570.

RSS may recharge the costs of registration and related services to facilities that use radiation-generating machines in association with revenue-generating operations. In accordance with regulations promulgated under authority of IC 16-41-35, each person having one or more radiation producing machines shall apply for registration of the machine(s) with the Indiana Department of Health before the operation of the machine(s). Apply for registration [licensure] of such facility with the Agency within 30 days following the effective date of these regulations or thereafter prior to the operation of a radiation machine facility. As required by the "North Carolina Regulations For Protection Against Radiation" rules .0203 Application: Registration: Radiation Machines . Forms can be found in the 'Forms and Applications' portion of the DOCH website. (b) (3)) NAC 459.5931 Electronic brachytherapy devices: Contact Information. E.5 - Licensing and Registration Requirements for Industrial Radiography Operations. 12, December 15, 2021 (1) Locking of sources of radiation. . The fee for radiological equipment registration must be submitted annually. 12/22/21. refer to 25 TAC 289.226. .

12VAC5-481-1200. Radiation Producing Machines Fee Schedule Fees listed below are per tube or electron source Fees are due annually before the expiration date. R-200 application for X-ray reciprocity request. For new registrants and new machines, registration fees are due within 30 days after acquiring a radiation machine, unless the machine is acquired between July 1 and the October 28, the annual renewal date. YOUR EMPLOYER'S RESPONSIBILITY Your employer is required to- 1. To register, each vendor/service provider must complete a registration application and return that application with the associated fee to DEP, Bureau of Radiation Protection (BRP). Radiology Service Company Registration Form. It therefore covers x-ray tube based equipment, electron beam welders and low energy ( 6 MV) accelerators. Enhanced X-Ray Facility Lookup. Facility Registration. Additional information concerning radiation-producing machine . Registering with the department is required within 30 days of acquisition of the machine. This registration must be updated each time an x . Shielding Date DRC-6 (2/10) Must check all that apply: New Registration Shielding Evaluation Information (see pg 2) If replacing old machine enter old Registration # _____ APPLICATION FOR REGISTRATION OF RADIATION SOURCE APPLICATION AI# Registration No. Submit "New Facility Registration" applications via physical . Contact RSS for advice and assistance prior to acquiring or installing radiation-generating machines at (734) 647-1143.

Mailing Address for New Applications With Money: Mailing Address for Other Correspondence: Texas Department . number: check here if new: manufacturer name: model name/number: . Except for industrial radiation machines regulated pursuant to Part 6 of this Subchapter, the Regulations in this Part apply to all licensees or registrants who use sources of radiation for industrial radiography; provided, however, that nothing in this Part shall apply to the use of sources of radiation in the healing arts. It is also required when changing the location or ownership of a machine.

The Radiation Machine . A registration is required for any person or entity possessing a radiation-producing machine.

33.1-10-02-11, "Out of state radiation machines." Whenever any radiation machine is to be brought into the state, for any temporary use, the person proposing to bring such mach ine into the state shall give written notice to the Department at least three days before such machine is to be used in the state. The Agency will approve an application for a specific license for the use of licensed material or a registration for use of radiation machines if the applicant meets the following requirements: a. Open RTF file, 55.54 KB, for Ionizing Radiation Sources - Application for Registration of Industrial X-ray Device (RTF 55.54 KB) Radioactive materials licensing Open PDF file, 189.56 KB, for Application for Use of Depleted Uranium Under a General License (PDF 189.56 KB) Use this form to register a machine or delete a machine from our registration list: The agency will approve an application for a specific license for the use of licensed material or a registration for use of radiation machines if the applicant meets the following requirements: 1. For assistance navigating the Licensing Portal, please contact the Regulatory Programs Help Desk at 855-824-4357 or email ADPEREHreg@idph.iowa.gov. If you have any questions concerning this application, call the Radiation Control Program at (401) 2222566. For registration and radiation safety requirements for x-ray radiation machine services, please . Industrial radiation machine workers using systems having an open-beam configuration and not equipped with a safety device; and. Routine Inspection. Address of Installation: 4. D. Form PA-NRS - Application to Register as a Servicer of Particle . For information please contact Shannon Dove-Edson at (512)834-6688, #2243, or Sue Jean at (512)834-6688, #2248. Please see Public Health Rule 290-5-22 on X-rays to determine your applicability. Repealed 8/19/98. New X-Ray Facility Lookup Link and Responsibilities. Application Attachments (NOTE: There is NO FEE for registration . Registration is required before operating any radiation machine or modifying any facility in which an x-ray machine is to be used for dental and medical diagnosis and therapy, industrial, scientific or veterinary purposes. The Registration and Support Section within the Bureau of X-Ray Compliance is responsible for processing all requests for registration and associated fees for all facilities . Sec. A major responsibility is the registration and inspection of X-ray machine facilities, equipment, operators and radiation service providers. Section 5. The Radiologic Health Branch (RHB) issues State certificates to medical facilities to perform mammography, registers facilities possessing radiation sources such as X-ray machines, and notifies the regulated community of radiation control changes. Healing Arts - Mammography. Tanning . Radiation Control Program Bureau of Environmental Health Department of Public Health Register an industrial X-ray device You must register industrial X-ray devices to be used in Massachusetts facilities with the Radiation Control Program. licensing and registration procedures for using sources of radiation for industrial radiography and for certification of industrial radiographers.

The purpose of this administrative regulation is to provide for the registration of radiation producing machines and vendors in Kentucky. Notice to Employees (2) The requirements in this section apply to licensees and registrants who possess sources of radiation for industrial radiography, including radiation machines, accelerators, and sealed Annual X-Ray Equipment Registration / Fee Payment. Registration application materials are public records as mandated by Rhode Island law and may be made available to the public, unless otherwise prohibited by State or Federal law. 410 IAC 5-2-4, Application for Registration of Facility: Each person having a radiation machine facility shall: (a) Register such facility with the board prior to the operation of a radiation machine facility. Applications and Forms - X-Ray Registration and Services Table of Contents X-Ray Machines Equipment Performance Evaluation Notice to Employees Licensing Reciprocity X-Ray Machines Equipment Performance Evaluation Please contact Trae Windham via email or telephone at (737) 218-7084, about any other inspection forms. Personnel maintaining industrial radiation machines if the maintenance procedures require the presence of a primary X-ray beam when any local component in the X-ray system is disassembled or removed. Applications for registration; temporary use of portable machine.

(NAC 459.161.3. Equipment installation. Any business or individual who possesses an X-ray-producing machine must register the machine with DHEC within 30 days of acquiring the machine. The program also certifies operators of sources of radiation . (d) Date of application and signature. Virginia Radiation Protection Regulations. New or Renewal: Application for Radiation Machine Service Provider . This registration form is for radiation machines used for human/animal use. For information please contact Shannon Dove-Edson at (512)834-6688, #2243, or Sue Jean at (512)834-6688, #2248.

12/13/19. (c). If fee is postmarked after expiration date, there is an additional $56.00 fee for late payment per registration per year. This registration must be updated each time an x . Making changes to a fee structure that has been in place for many years is inherently . The department will bill for the annual registration fee when that fee . Radiation exists all around us. These adverse health effects can range from mild effects, such as skin reddening, to serious effects such as cancer and death, depending on the amount of radiation absorbed by the body (the dose), the type of radiation, the route of exposure, and the length of time a person was exposed. Permitting. 1.3 Scope. Nevada State Division of Public and Behavioral Health 675 Fairview Drive, Suite 218 Carson City, Nevada 89701 Page 1 of 1 Tel: (775) 687-7550 Fax: (775) 687-7552 Rev. June 2017 Radiation Producing Machine When planning or starting up a new facility that will use a radiation machine, the following information should be helpful to ensure compliance with the Rules: Registration of Radiation Machines. Apply these rules to work involving sources of radiation. The X-ray Equipment program has approximately 33,000 X-ray tubes registered. Annotated, and the Rules and Regulations for X-Ray, Chapter 290-5-22, users of radiation machines are required to be registered with the Department prior to the operation of X-ray equipment in Georgia. Form PA-2 - Application for Notice of Registration (To Register Accelerators and Cyclotrons with Energies >0.9 MeV) Form NMX - Application for Non-Medical X-Ray Registration (Industrial X-Ray Units) View Form - Registration of Radiation Services For Non-Medical X-Ray Equipment. Proposed operating procedures for all X-ray Personnel maintaining industrial radiation machines if the maintenance procedures require the presence of a primary X-ray beam when any local component in the X-ray system is disassembled or removed. For Class VII x-ray producing equipment (accelerators), a completed Application for Certified Registration (Form RHS 8-8) must be . The Department of State Health Services has established standards for your protection against radiation hazards, in accordance with the Texas Radiation Control Act, Health and Safety Code, Chapter 401. In accordance with regulations promulgated under authority of IC 16-41-35, each person having one or more radiation machines shall apply for registration of the machines with the Indiana State Department of Health before the operation of the machines. The registration is renewable for 12-month periods following submission of the applicable fee. Industrial radiation machine workers using systems having an open-beam configuration and not equipped with a safety device; and. Industrial X-Ray Machine Registration and X-Ray Services Program Update 11/19/2021 EFFECTIVE IMMEDIATELY All applications with fees are to be sent to this address: Department of State Health Services Cash Receipts Branch - MC 2003 PO Box 149347 Austin, TX 78714-9347