All files below are 500 KB or less, unless otherwise specified. To obtain a printed copy of these documents, please contact the
Florida Department of Health, Radioactive Materials Program at (850)
245-4545.
Description |
Title |
Choose Version |
GAMMA STEREOTACTIC RADIOSURGERY REGULATORY GUIDE-
Guide For The Preparation Of Applications For Gamma Stereotactic Radiosurgery Units Including Gamma Knife Devices
NOTE: This Reg Guide is made up of multiple individual documents, provided together as a single file.
|
Regulatory Guide 1.70, June 2012 |
Entire Guide (PDF, 330 KB)
Entire Guide (DOC, 870 KB) |
HDR REGULATORY GUIDE-
Guide for the preparation of applications for High Dose Rate Remote Afterloaders
NOTE: This Reg Guide is made up of multiple individual documents, provided together as a single file. An
HDR application checklist (PDF)
is also available.
|
Regulatory Guide 1.60, October 2011 |
Entire Guide (PDF, 311 KB)
Entire Guide (DOC, 802 KB) |
UNSEALED OR SEALED SOURCES GUIDE (Non-Human Use) -
Instructions for Preparing Applications for
Radioactive Materials Licenses Authorizing Unsealed and/or Sealed Sources
NOTE: This Reg Guide is made up of 30 individual documents, provided together as a single compressed
ZIP file. The Guide is also provided as a single PDF file.
|
Regulatory Guide 1.50, February 2007 |
Entire Guide (ZIP, 523 KB)
Entire Guide (PDF, 1547 KB) |
MEDICAL USE GUIDE - for the Preparation of Applications for a Medical Use License. Includes license
application form. NOTE: This Reg Guide is made up of several individual documents. The entire guide is provided as a single
file, under the "Entire Guide (PDF)" or "Entire Guide (DOC)" links. |
Regulatory Guide 1.30, Revision
4,
April 11, 2013 |
Entire Guide (PDF, 683 KB)
Entire Guide (DOC, 1.30 MB)
|
PRECEPTOR ATTESTATION FOR MEDICAL AUTHORIZED USERS -
A required guide to document a physician's training and experience with radioactive materials to become an authorized user
listed on a Human - Medical Use Radioactive Materials License.
NOTE: This Reg Guide is made up of several individual documents some of which are listed individually on the right. The entire guide is also provided together as a single
file, under the "Entire Guide" link. |
Regulatory Guide 3.50, Revision 1, October 2011 |
Entire Guide (PDF, 608 KB)
Appendix 1 (PDF)
Appendix 1A (PDF)
Appendix 2 (PDF)
Appendix 2A (PDF)
Appendix 3 (PDF)
Appendix 4 (PDF)
Appendix 5 (PDF)
|
PORTABLE GAUGE GUIDE - for the Preparation of Applications for
use of Sealed Sources in Portable Gauge Devices.
NOTE: This regulatory guide is actually made up of 31 individual Word documents, all of which
are listed separately to the right. The entire guide is also provided as a single
PDF document, under the "Entire Guide (PDF)" link.
|
Regulatory Guide 1.10, Revision
5, August 2007
|
Entire Guide (PDF, 1870 KB)
Cover & Introduction (DOC)
MOP Dose Limit Compliance Study - Appendix A (DOC)
ALARA Policy - Appendix B (DOC)
Duties and Responsibilities of the RSO - Appendix C (DOC)
Radiation Safety Training Program - Appendix D (DOC)
Personnel Monitoring Procedures - Appendix E (DOC)
Operating Procedures - Appendix F (DOC)
Emergency Procedures - Appendix G (DOC)
Ordering, Opening and Shipping RAM Packages - Appendix H (DOC)
Posting Procedure - Appendix I (DOC)
Record Retention Procedure - Appendix J (DOC)
Leak Test Procedure - Appendix K (DOC)
Inventory Procedure - Appendix L (DOC)
Notification and Reporting - Appendix M (DOC)
Transfer and Disposal - Appendix N (DOC)
Sample Facility Diagram - Exhibit A (DOC, 1101 KB)
Sealed Source Inventory Form - Exhibit B (DOC)
Portable Gauge Utilization Log - Exhibit C (DOC)
Model Shipping Paper, Private Use Shipment - Exhibit D1 (DOC)
Model Shipping Paper, Common Carrier Shipment - Exhibit D2 (DOC)
Portable Gauge Emergency Response Information - Exhibit E (DOC)
Radiation Protection Program Audit Checklist - Exhibit F (DOC)
Instructions for Women Working With Radiation - Exhibit G (DOC)
Declaration of Pregnancy - Exhibit H (DOC)
Instructions for Declared Pregnant Women - Exhibit I (DOC)
Delegation of Authority - Exhibit J (DOC)
Non-Human Use Application Form - Supplement A (DOC)
List of Attachments - Supplement B (DOC)
License Application Checklist - Supplement C (DOC)
Guide to SI Units for Radiation Protection - Supplement D (DOC)
Outline for Radiation Safety Training Program - Supplement E (DOC)
|
FIXED GAUGE GUIDE - for the Preparation of Applications for use of Sealed
Sources in Fixed Gauges.
(Also contains an Application for Non-Human use of Radioactive Materials)
NOTE: Revision 1 should be used for new license applications, license renewals and
amendments as applicable.
NOTE: This regulatory guide is made up of 29 separate Word documents, all of which
are listed separately to the right. The entire guide is also provided as a single
PDF document (73 pages), under the "Entire Guide (PDF)" link.
|
Regulatory Guide 1.20, Revision 2,
February 2008
|
Entire Guide (PDF, 1474 KB)
Introduction (DOC)
MOP Dose Limit Compliance Study - Appendix A (DOC)
ALARA Policy - Appendix B (DOC)
Duties and Responsibilities of the RSO - Appendix C (DOC)
Radiation Safety Training Program - Appendix D (DOC)
Operating Procedures - Appendix E (DOC)
Personnel Monitoring Procedures - Appendix F (DOC)
Release from Personnel Monitoring Requirements - Appendix G (DOC)
Posting Procedure - Appendix H (DOC)
Lock-Out Procedure - Appendix I (DOC)
Emergency Procedures - Appendix J (DOC)
Ordering, Opening and Shipping RAM Packages - Appendix K (DOC)
Leak Test Procedure - Appendix L (DOC)
Inventory Procedure - Appendix M (DOC)
Record Retention Procedure - Appendix N (DOC)
Notification and Reporting Procedures - Appendix O (DOC)
Transfer/Disposal Procedure - Appendix P (DOC)
Sealed Source Inventory Form - Exhibit A (DOC)
Fixed Gauge Survey Form - Exhibit B (DOC)
Model Shipping Paper - Private Use Shipment - Exhibit C (DOC)
Emergency Response Information - Exhibit D (DOC)
Instructions for Women Working With Radiation - Exhibit E (DOC)
Instructions for Declared Pregnant Women - Exhibit F (DOC)
Declaration of Pregnancy Form - Exhibit G (DOC)
Deleg. of Auth. to Make Legally Binding Statements - Exhibit H (DOC)
Fixed Gauge License Application Cover Page - Supplement A (DOC)
Application for Non-Human Use of RAM - Supplement A2 (DOC)
List of Attachments - Supplement B (DOC)
Fixed Gauge License Application Checklist - SupplementC (DOC)
|
FEES - for Radioactive Material Licenses |
Regulatory Guide 6.20, Revision 5 |
DOC |
Instructions for Recording and Reporting Occupational Radiation Exposure Data |
Regulatory Guide 6.7, Revision 1 |
PDF
DOC |
Monitoring Criteria and Methods to Calculate Occupational Radiation Doses |
Regulatory Guide 3.34, Revision 2 |
PDF
DOC |
Radiation Dose to the Embryo/Fetus |
Regulatory Guide 3.36, Revision 1 |
PDF
DOC |
To obtain an official (printed) copy of these documents, please contact the
Florida Department of Health, Radioactive Materials Program at (850) 245-4545.
Description |
Title |
Choose
Version |
NON-HUMAN USE Radioactive Materials License Application |
Form DH 1054, December 2009
(Incorporated by reference in 64E-5.207, F.A.C.) |
PDF
DOC |
NON-HUMAN USE Radioactive Materials Application - Checklist |
Non-Human Use Application Checklist
(Use with Form 1054) |
PDF
DOC |
Portable Gauge License Application - Checklist |
Portable Gauge Checklist
(Use with Form 1054) |
PDF
DOC |
Fixed Gauge License Application - Checklist |
Fixed Gauge Checklist
(Use with Form 1054) |
PDF
DOC |
INVENTORY FORM - use to document performance of sealed
source inventory. Has columns for recording additional descriptive information not
required by Chapter 64E-5 |
Model Radioactive Material Inventory Form |
PDF
DOC |
HUMAN USE Radioactive Materials License Application
(For Medical Applicants Only) |
Form DH 1322, December 2009,
(Incorporated by reference in 64E-5.207, F.A.C.) |
PDF
DOC |
Checklist for High Dose-Rate (HDR) Remote
Afterloading License Application |
HDR Application Checklist
(Use with HDR Regulatory Guide 1.60 and DH Form 1322) |
PDF
DOC |
Radioactive Materials LICENSE RENEWAL ATTESTATION and Instructions
(Use for both Human and Non-Human Licenses) |
Renewal Attestation & Instructions |
PDF
|
Certificate - Disposition of Radioactive
Materials |
DH Form 1059 |
PDF
DOC |
Notice To Employees |
Notice To Employees |
PDF
DOC |
Occupational Exposure Record For A Monitoring
Period |
DH Form 1622 |
PDF
DOC |
Cumulative Occupational Exposure History |
DH Form 1623 |
PDF
DOC |
Emergency Notification Poster
Designed to be Printed in Color on Yellow or Canary Colored Paper |
Emergency Notification Poster
NOTE: The poster is provided in one file while the poster instructions are in a separate file. Both documents are provided in both PDF and DOC format.
|
Poster (PDF)
Instructions (PDF)
Poster (DOC)
Instructions (DOC)
|
Report Used to Document Transfers of Generally Licensed Industrial Devices |
Transfers of Industrial Devices Report - April, 2007 |
PDF
|
To obtain a printed copy of these documents, please contact the
Florida Department of Health, Radioactive Materials Program at (850) 245-4545.
Description |
Title |
Choose
Version |
Authorization for Aerosols in Diagnostic Nuclear Medicine |
Information Notice 2012-1 |
PDF
|
Industrial Radiography Reporting Requirements
(Clarification of the 24 hour notification requirement for an event in which the sealed source assembly did
not return to the fully shielded position within the exposure device.) |
Information Notice 2010-3 |
PDF
|
Technetium 99m Shortage and the Calibration of Dose Calibrators |
Information Notice 2010-2 |
PDF
|
Revision 10 Filing Instructions: Changes to Chapter 64E-5, Florida Administrative Code (F.A.C.)
(The first PDF contains only the Information Notice, while the second PDF contains the Notice plus the actual replacement pages for
Revision 10) |
Information Notice 2010-1 |
PDF
PDF(1 MB)
|
Notice of Proposed Changes in 64E-5, Florida Administrative Code
- Majority of Changes are Regarding the Medical Use of Radioactive Materials |
Information Notice 2009-2 |
PDF
|
Varian Medical Systems Varisource High Dose-Rate Remote
Afterloader Events: Source Retraction Problems |
Information Notice 2009-1 |
PDF
|
Voluntary Security Enhancements for Self-Contained Irradiators Containing Cesium Chloride Sources |
Information Notice 2008-3 |
PDF(630 KB)
|
Revision 8 Filing Instructions: Changes to Chapter 64E-5, Florida Administrative Code (F.A.C.)
(The first PDF contains only the Information Notice, while the second PDF contains the Notice plus the actual replacement pages for
Revision 8) |
Information Notice 2008-2 |
PDF
PDF(420 KB)
|
Nuclear Medicine Procedure Verification |
Information Notice 2008-1 |
PDF
|
Radioactive Material License Categories and Fee
Revisions |
Information Notice 2007-6 |
PDF
|
Revision 7 Filing Instructions: Changes to Chapter 64E-5, Florida Administrative Code (F.A.C.)
(The first PDF contains only the Information Notice, while the second PDF contains the Notice plus the actual replacement pages for
Revision 7) |
Information Notice 2007-5 |
PDF
PDF(756 KB)
|
Renewal Attestation |
Information Notice 2007-4 |
PDF
|
Opportunity to Dispose of Unused Radioactive Sources |
Information Notice 2007-3 |
PDF
|
Additional Requirements for Licensees Who Possess or Transfer Certain
Generally Licensed (GL) Devices |
Information Notice 2007-2 |
PDF
|
Revision 6 Filing Instructions: Changes to Chapter 64E-5, Florida Administrative Code (F.A.C.)
(The first PDF contains only the Information Notice, while the second PDF contains the Notice plus the actual replacement pages for
Revision 6) |
Information Notice 2007-1 |
PDF
PDF (593 KB)
|
Portable Gauge Additional Security Requirements, Effective 01-01-07 |
Information Notice 2006-4 |
PDF
|
Leak Testing Frequency for Troxler Portable Gauges |
Information Notice 2006-2 |
PDF
|
MEDICAL PHYSICISTS - Requirements for medical physicists for brachytherapy procedures |
Information Notice 2005-1 |
PDF
|
Overnight Mail Delivery Address |
Information Notice 2004-1 |
PDF
|
HAZMAT Training Requirements for Radioactive
Material Licensees. (Replaces Information Notice 99-3)
Includes new USDOT requirements for security awareness training and security plans (if
applicable). |
Information Notice 2003-1 |
PDF
|
Am-241/Pu-238 DISPOSAL - Provides contact information for licensees who wish to dispose of unwanted
or obsolete Am-241 or Pu-238 sources. |
Information Notice 2002-9 |
PDF
|
Y-90 Zevalin Human Use Radiopharmaceutical Therapy -
Contains information needed to amend licenses for medical use of Yttrium-90 (Y-90) as a
radiopharmaceutical therapy procedure |
Information Notice 2002-8 |
PDF
|
Changes to 64E-5, F.A.C.; Revision 5 Filing Instructions |
Information Notice 2001-6 |
PDF
|
Changes to 64E-5, F.A.C.; Revision 3 & Revision 4 Filing Instructions |
Information Notice 2001-4 |
PDF
|
Panama Misadministration Information |
Information Notice 2001-3 |
PDF
DOC |
Specific License Applications for Amendments,
Renewals, Terminations and New Licenses |
Information Notice 2001-2 |
PDF
DOC |
Licensing Requirements for the Performance of Coronary Brachytherapy Procedures |
Information Notice 2000-3 |
PDF
DOC |
Changes to Chapter 64E-5, F.A.C.; Revision 2 Filing Instructions |
Information Notice 2000-2 |
PDF
DOC |
Change of Bureau's Mailing Address and Phone Number |
Information Notice 2000-1 |
PDF
DOC |
Problems Encountered When Manually Editing Treatment Data On The Nucletron Microselectron-HDR (New) Model 105.999
|
Information Notice 99-5 |
PDF
DOC |
Unplanned Radiation Exposures To Radiographers Resulting From Failure To Follow Proper Radiation Safety Procedures |
Information Notice 99-4 |
PDF
DOC |
Guidance On The Use Of A New Dose-Calculation Formalism And Revised
Air-Kerma Strength Standard For Iodine-125 Sealed Sources |
Information Notice 99-2 |
PDF
DOC |
Requirements and Responsibilities of Authorized Users in Medical Facilities |
Information Notice 99-1 |
PDF
DOC |
Requirements for Advance Notification for the Shipment of Low Level Radioactive Waste |
Information Notice 98-6 |
PDF
DOC |
Changes to Chapter 64E-5, Florida
Administrative Code; Filing Instructions |
Information Notice 98-5 |
PDF
DOC |
Requirements for Possession, Transfer and
Record Retention for Generally Licensed Devices |
Information Notice 98-3 |
PDF
DOC |
Notice of Exemption - Carbon 14 Urea Breath
Test to Detect Presence of H. Pylori Bacteria |
Information Notice 98-2 |
PDF
DOC |
Additional Controls For Transport of The
Amersham Model 660 Series Radiographic Exposure Devices |
Information Notice 98-1 |
PDF
DOC |
Failure of High Dose Rate (HDR) Remote
Afterlloading Device Source Guide Tubes, Catheters, and Applicators |
Information Notice 97-3 |
PDF
DOC |
To High Dose Rate (HDR) Licensees Regarding
Treatment Planning Errors |
Information Notice 97-1 |
PDF
DOC |
Procedures for Incident Reporting Requirements |
Information Notice 96-6 |
PDF
DOC |
Failure of Safety Systems on Self-Shielded
Irradiators Because of Inadequate Maintenance and Training |
Information Notice 96-2 |
PDF
DOC |
To obtain an official (printed) copy of these documents, please contact the
Florida Department of Health, Radioactive Materials Program at (850) 245-4545.
