Forms: Fixed Gauge |  Industrial Radiography  | Medical | Portable Gauge

RAM Fixed Gauge Application/Renewal Forms

All documents are in PDF format unless noted otherwise.

Radioactive Material License Application
License Guide-Fixed Gauge
Fixed Gauge Licensing Forms and Appendices Complete - ZIP file
Appendix A -  ALARA Program
Appendix B - Typical Duties and Responsibilities of the Radiation Safety Officer (RSO)
Appendix C - Radiation Safety Training Program
Appendix D - Leak Tests of Sealed Radioactive Sources
Appendix E - Calibration of Radiation Survey Instruments
Appendix F - Personnel Monitoring
Appendix G - Radiation Survey Program
Appendix H - Dose Limit for Members of the Public
Appendix I - Ordering, Receiving, Opening and Shipping Packages Containing Radioactive Materials
Appendix J - Disposal of Transfer of Radioactive Material
Appendix K - Transportation of Gauges
Appendix L - Operating Procedures
Appendix M - Lockout Procedures
Appendix N - Emergency Procedures
Appendix O -  Administrative Requirements
Exhibit A - Example Inventory Form
Exhibit B - Fixed Gauge Survey Form
Exhibit C1 - Example Shipping Paper-Exclusive Use Shipments
Exhibit C2 - Example Shipping Paper-Common Carrier Shipments
Exhibit D - Emergency Response Information
Exhibit E - Example Radiation Safety Program Annual Review


Radioactive Materials 4815 W. Markham Street, Slot 30
Little Rock, AR 72205