Hospital software Equivalent Form 5

dentalveterinarypatient report management

Hospitals & Health Care SystemsMedical Clinics, Dental & VeterinaryIndustry & Energy This report provides the final dose received by a participant during the year as well as the lifetime dose. The information assists in compliance with regulatory requirements and can be generated annually or quarterly. GENERAL FACTS • Purpose: The Equivalent Form 5 - Annual provides the final dose received by the participant during the year. The report also lists the lifetime dose for the participant. • This report is generated to assist in compliance with regulatory requirements. • The report can be generated annually, after the close of the calendar year (or can also be generated quarterly). • 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 5 - Annual contains all information required by NRC Form 5 and fulfills the requirement found in 10CFR 20.2206 stating that you must submit an annual report of the results of individual monitoring carried out by the licensee for each individual for whom monitoring was required by 20.1502 during that year. If you are part of an Agreement State, please consult your State Regulations for specific requirements. Why do the doses on the Equivalent Form 5 - Annual seem lower than the doses on my Radiation Dosimetry Reports? Dose Equivalent on an Equivalent Form 5 - 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.