Annual Radiation Training Assessment

Name

First

Last

User Status

Email Address

Please provide your mybama email address.

Date / Time

Sublicensee's Name

Please provide the name of the sublicensee.

PI

Please provide the name of PI.

Location of Radioactive Work

Please provide the building, room number and/or any other information related to location of radioactive work.

Please provide your responses to the annual radiation safety training course below.

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

Question 10

Question 11

Question 12

Radiation Safety Training (Annual) Assessment