Environmental, Health and Safety Services

Forms and Checklists

Swipe Survey Form
Microsoft Excel format (47 kb)

Amendment to your Authorization
Authorization to add/delete persons from lab authorization

Transfer/Receive
Transfer or Receive radioactive material on-campus

Inspection Checklist
Evaluation form used for lab inspections

Radioisotope Usage ( doc | pdf )
Activity monitoring

Radioactive Material Authorization Application ( doc | pdf )
Documentation to request use of radioisotopes

Radiological Hazard Analysis Program ( doc | pdf )
Assessment required before beginning new procedures

Contact Information

Doug Smiley, Radiation Safety Officer and Co-Director

  • Call 540.231.5364
  • email: smileydc@vt.edu