SIGMA projetor - Manual (Page 66)

SAMPLE TRANSPORTATION INSTRUCTIONS
5.11
Radioactive material transport checklist
Date
Operator
Destination
Transport Container Model
Serial Number
Radionuclide
Activity
Type of Label Applied
Transport Index
Survey Meter Model
Serial Number
Calibration Date
Film Badge
Dosimeter Serial Number
Initial Reading
Final Reading
Radiation Area Signs
Packing List
Rope
Bill of Lading
Radioactive Material Sign
Emergency Equipment
Radiation Survey
Driver’s Compartment mRem/hr
(Record highest reading) Vehicle (18 in from surface)
mRem/hr
Packages properly marked and labeled (including transport index)
Packages secured in vehicle
Vehicle Placarded
Shipping papers properly completed
Remarks:
Operator’s Signature