Skip to main content
Western Kentucky University
EMERGENCY ALERT SYSTEM:

WKU WEATHER ALERT:

Classes beginning at 4pm today on the WKU Bowling Green campus are canceled. ALL Thursday and Friday classes on all campuses are also canceled. Online classes will proceed as scheduled. WKU offices will be closed on Thursday, with essential personnel reporting.

WKU Owensboro closed at noon today (Wed., 3/4).

WKU Glasgow evening classes that begin at 5 pm today will be canceled and the WKU Glasgow campus will close at 7 pm.

WKU Elizabethtown-Fort Knox campus will close today at 3 pm and will remain closed Thurs., Fri, and Sat., March 5-7.

Should inclement weather make travel hazardous, residence halls will remain open until Saturday. Follow WKU Housing & Residence Life for updates.

The high school regional basketball tournament games scheduled for tonight have been canceled. Games will be rescheduled for Friday/Saturday. Follow WKU News for the latest updates. #WKUAlert

Environment, Health and Safety

Radioactive Material Safety Manual Forms

 The forms contain form fields and can be completed within Microsoft Word. If you have any questions regarding the use of the forms, please contact Melinda Whitfield.

 →  Appendix B - Niton XRF Gauge Use Log (Word; no fillable form fields)

→  Appendix C - Authorized User Application (Word)

→  Appendix D - Radiation Work Permit (Word)

→  Appendix E - Radiation Work Permit Amendment (Word)

→  Appendix F - Radioactive Material Acquisition Pre-Approval Form (Word)

→  Appendix G - Radioactive Shipment Receipt Report (Word)

→  Appendix H - Radioisotope Use/Disposal Record (Word)

→  Appendix I - Hot Sink Radioactive Waste Disposal Record (Word)

→  Appendix K - Radiation Contamination Survey Form (Word)

→  Appendix L - On-Campus Transfer of Radioactive Material Form (Word)

→  Appendix M - Off-Campus Transfer of Radioactive Materials Form (Word)

→  Appendix N - WKU Form Letter for Declaring Pregnancy (Word)

 

Radiation Producing Machines Safety Manual Forms

The forms contain form fields and can be completed within Microsoft Word. If you have any questions regarding the use of the forms, please contact Melinda Whitfield.

 →  Radiation Producing Machines Pre-Registration Form (Appendix B)

→  Radiation Producing Machines Work Permit (Appendix C)

 

Other Forms

→  Radiation Lab Key Request - Use this form to request a key for a radioactive materials lab. Currently applicable core markings are 1x81, 1x134 and 1x155. Fax this completed form to 5-5037.

 

If your radioactive materials lab requires that the lock core be changed, please request this core change on a Department of Facilities Management Service Request and forward a copy of the Service Request to the Radiation Safety Officer (Fax 5-5037).

 

→  Dosimetry Request/Prior Dose History Reporting - Use this form to request the issuance of personal radiation dosimetry. Radiation training must be completed prior to the issuance of dosimetry. This form should also be used to report prior occupational radiation exposure monitoring.

 

→  Quarterly Radioactive Material Inventory Verification - Use this form to indicate that you have completed a physical verification of your licensed/license-exempt radioactive material inventory. This does not include open sources such as P-32 that are dispensed from a vial as used. Open source inventories are reported on a monthly basis.

Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view,
download Adobe Acrobat Reader.

Note: documents in Excel format (XLS) require Microsoft Viewer,
download excel.

Note: documents in Word format (DOC) require Microsoft Viewer,
download word.

Note: documents in Powerpoint format (PPT) require Microsoft Viewer,
download powerpoint.

Note: documents in Quicktime Movie format [MOV] require Apple Quicktime,
download quicktime.

 
 Last Modified 9/25/14