Open the tabs below to view checklists for gauge licensing, gauge safety & security, gauge shipping, and gauge regulatory paperwork. Alternatively, you can use the download buttons below to obtain printable copies of each checklist.
Helpful Checklists

1.a. Name/Mailing Address

1.b. Location of Use and/or Storage

2. License Category/Fee

3. Purpose of Application

4. Individual Users

5. Rad. Safety Officer (RSO)

6. Training and Experience in Radiation Safety

7. Radioactive Material

8a. Use

8b. Current Radioactive Materials Inventory

9. Radiation Detection Instruments

10. Calibration of Radiation Detection Instruments

11. Personnel Monitoring (PM) Devices

12. Facilities & Equipment
13. Radiation Protection Program

13a. Member of Public (MOP) Dose Study

13b. ALARA Policy
13c. Radiation Safety Officer

13c1. RSO Duties

13c2. Change of RSO Notification

13d. Radiation Safety Training Program

13e. Operating Procedures

13e1. Personnel Monitoring (PM) Procedures

13e2. General Safety Rules

13e3. Posting Procedures

13e4. Security Procedures

13e5. Gauge Ordering, Receiving, Opening & Shipping Program

13f. Emergency Procedures

13g. Leak Testing (LT) Procedures

13h. Inventory Procedures

13i. Record Retention Procedures

14. Waste Disposal

15. Certificate

Is the permanent storage area secured with two independent controls?

Is the storage area restricted from unauthorized individuals?

Is the gauge handle and gauge case locked?

Are alarms used on gauge storage access portals?

Are the outside areas around the storage area well lit?

Are “Caution Radioactive Materials” signs in place?

Are gauge users trained and authorized?

Have gauge users been trained in company safety and operating procedures and have a copy of these procedures?

Do gauge operators know what to do in the event of gauge theft or damage?

Do gauge operators have emergency contact numbers, including the RSO, regulatory agency and gauge manufacturer?

Have you checked to make sure the gauge is undamaged and in operational condition before check-out?

Is the gauge checked before removal to make sure sliding block is fully closed?

Has the gauge case been examined to make sure there are no holes, broken handles, hasps or handles, and no cracks?

Are gauges returned to permanent/authorized storage areas whenever possible?

Are gauges checked for current leak tests before check-out?

Are gauge service providers constantly monitored while working on gauges?

If you are in possession of radioactive quantities of concern have you restricted gauge service personnel that do not have authorized background clearance?

Have you made sure that any and all individuals that perform hazmat duties, including paperwork preparation, loading and unloading gauges, gauge delivery and return, and service and repair, receive U.S. DOT Hazmat training?

Have you instructed gauge users to constantly monitor and control gauges while in transport or at the job site?

Has the gauge been loaded in a properly qualified vehicle with two independent controls/locks?

Is the gauge loaded and secured in a non-passenger part of the vehicle?

Is the gauge blocked and braced?

Is the gauge concealed?

Are all gauge stickers, labels and markings in legible condition?

Whenever you leave the gauge unattended in a vehicle have you used vehicle theft deterrents such as vehicle alarms and steering wheel locks?

Is the gauge case free of any damage including cracks, holes, broken hasps or broken handles?

Is the sliding block fully closed? Are radiation survey meter readings <10 millirem/hr at the surface of the package?

Are all labels on the gauge case fully intact and information on the labels legible?
1. Two Yellow Radioactive II labels on opposite broadsides
1a. Names of nuclides listed
1b. Nuclides quantities listed in SI/becquerel and millicurie levels
1c. Transport Index (TI) number listed and legible
2. One Type “A” Package label affixed next to Yellow Radioactive II Label
2a. RQ designation for gauge containing Americium 241
2b. UN 3332 designation
3. Two Air Cargo Only labels on opposite broadsides
If using an overpack shipping box make sure to affix Yellow II Radioactive and Air Cargo Only labels
Make sure any “ship to” address marked on the case matches the bill of lading address

Does the gauge have a current leak test?

Does the gauge have handle and case locks?

Are you using the correct bill of lading?
1. Private carrier bill of lading for shipments to the worksite
2. Common carrier bill of lading for ground transport with Signed Shipper’s Certification
3. Air Cargo/Signed Shippers Declaration for Dangerous Goods bill of lading

Do shipping papers have the following entries/information:
1. UN 3332 ID, Proper shipping name (Radioactive Materials), Hazard Class 7, Reportable Quantity (RQ) if applicable
2. Name of radioactive sources (Cs137, Am241), quantities in SI units (Gbq)
3. Type “A” Package designation
4. Yellow Radioactive II Label designation
5. Emergency Telephone Number
6. Shipper Certification for Common Carrier and Air Transport
7. Emergency Response sheet attached
8. Case dimensions
9. IAEA Special Form Certificates listed and attached
10. Make sure to keep copies of all shipping documents, including dates, on file

Specific Gauge License

Regulations – A copy of the NRC or Agreement State Regulations

Employee Training Records
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- Gauge Safety Class Certification
- U.S. DOT Hazardous Materials (HAZMAT) Training
- RSO Training – If required
- Annual Refresher – If required
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Notice to Employees Poster

Personnel Gauge Radiation Exposure Records – Dosimetry Records

Inventory and Gauge Receipt Records

Field Gauge Operating Procedures

Transport Documents – Bills of lading + Emergency Response Sheet

Annual Audits

Radiation Safety Program

Type “A” Package Test Results

Extra Labels

Original License Application Package – Application + supporting documents

Sealed Source and Device (SSD) Sheets

Special Form Certificate required by IAEA – Certificate of Competent Authority

Daily Utilization Logs

Leak Test Reports

Emergency Procedure Documents/Procedures/Plans

Gauge Documents Package for File and Gauge Case
1. Copy of original gauge receipt with gauge and source serial numbers
2. Copy of license
3. Gauge manual
4. Emergency procedures with contact names and telephone numbers
a. RSO office, mobile & home number
b. Regulatory agency emergency number
c. Gauge manufacturer’s emergency number
d. Local police number
e. Local fire & rescue number
f. NRC 24 hr emergency number 301-816-5100
g. U.S. DOT 24 hr emergency number 800-424-8802
5. Copy of Bill of Lading (Keep another copy within reach during transport
6. Copy of Emergency Response Sheet (Keep another copy within reach during transport)
7. Gauge Calibration data with telephone number for gauge manufacturer or service center
8. Field operating procedures
9. Emergency responder hand-out (police, fire, rescue, hazmat)
10. Current Leak Test Report
11. Media hand-out
Click HERE for a downloadable example of an Annual Audit Checklist, or visit our Annual Audit Page.