Hospital software Equivalent Form 4

dentalveterinarypatient report management

Hospitals & Health Care SystemsMedical Clinics, Dental & VeterinaryIndustry & Energy This report details cumulative dose history and the permanent dose for a participant. The report can assist with state and regulatory requirements and is the optimal format for providing detailed dose history from previous places of employment. GENERAL FACTS • Purpose: The Equivalent Form 4 - Annual details cumulative dose history and it is the best format for providing detailed dose history representative of previous places of employment. The report also lists the permanent dose for the participant. • This report is generated to assist with your State and Federal regulatory requirements. • The report does not include data across all Landauer accounts unless doses are entered as Previous History. • This report can also be generated as a Equivalent Form 4 - Termination. • The report can be generated annually (after the close of the calendar year). • The report is generated and mailed to the primary reporting address at the subaccount level. FREQUENTLY ASKED QUESTIONS What do I do with this report? The Equivalent Form 4 - Annual contains all information required by NRC Form 4 and fulfills the requirement found in 10CFR 20.2206. If you are in an Agreement State, please consult your State Regulations for specific requirements. Why do the doses on the Equivalent Form 4 - Annual seem lower than the doses on my Radiation Dosimetry Reports? Dose Equivalent on an Equivalent Form 4 - Annual is shown in rem while Dose Equivalent on a Radiation Dosimetry Report is shown in millirem (mrem). To convert rem to mrem, multiply by 1,000.