Medium

Available on

Apple Android Windows

Application for Analytical X-Ray Equipment Utilization Mobile App

Complete the Application for Analytical X-Ray Equipment Utilization mobile app using a mobile device. The app lists all X-ray personnel and their status as authorized or a trainee, a description of each x-ray unit to be authorized, a brief description of the research that will be conducted and detailed information on each X-ray unit. The app also captures the signature of the applicant.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Application for Analytical X-Ray Equipment Utilization Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Permit Supervisor:

  • Ico textbox

    Permit Number:

  • Ico textbox

    Department:

  • Ico multiline

    Address:

  • Ico textbox

    Phone No.

  • Ico textbox

    Email Address:

  • Ico multiline

    A description of each x-ray unit to be authorized

  • Ico multiline

    Describe the portable radiation survey instrument that is present in the facility to monitor radi...

  • Ico multiline

    Provide a brief description of the research that will be conducted under this Permit:

  • Ico dropdown

    List any conditions placed on use:

  • Ico statictext

    6. Certification:

  • Ico statictext

    I certify that I have read and shall comply with the Delaware Radiation Control Regulations and U...

  • Ico signature

    Signature of Applicant

  • Ico date

    Date

  • Ico textbox

    X-ray Unit No.

  • Ico textbox

    GENERATOR MANUFACTURER/ MODEL NO.

  • Ico textbox

    GENERATOR SERIAL NO.

  • Ico date

    GENERATOR MANUFACTURE DATE

  • Ico textbox

    TUBE MANUFACTURER/ MODEL NO.

  • Ico textbox

    TUBE SERIAL NO.

  • Ico textbox

    MAXIMUM TUBE kVp & mA

  • Ico multiline

    XRAY UNIT LOCATION

  • Ico textbox

    X-ray Personnel

  • Ico dropdown

    Status

  • Ico statictext

    A Statement of Training and Experience form must be completed by all personnel listed above using...

  • ...and More!

Related Government & NGO Apps... and they're all free for GoCanvas subscribers!

App Name

Hockey Sports Waiver

The Hockey Sports Waiver mobile app allows recreational centers, sport facilities and camps that provide hockey to allow ...

App Name

Daily Dust Control Checklist

Ask equipment manufacturers for training on the operation, maintenance, and repair of the dust control systems. Equipment ...

App Name

F1 Powerboat Racing Sports Waiver

The F1 Powerboat Racing Sports Waiver mobile app allows recreational centers, sport facilities and camps that provide F1 ...

App Name

Silica Dust: What Employers Can Do…

OSHA enforces a permissible exposure limit, which is the maximum amount of airborne crystalline silica that an employee ma...

App Name

Recommended Schedule For Medical Scre...

The Recommended Schedule for Medical Screening Tests of Silica Exposed Workers mobile app provides recommended schedules f...

App Name

Silica Dust: What Can Workers Do to P...

Silica is a common element that comes in two forms – non-crystalline and crystalline silica. Drilling and working with cry...

App Name

Retail Small Business: Incident Inves...

Use the Retail Small Business: Incident Investigation Report mobile app in conjunction with the requirements of the Worke...

App Name

MRSA Infection Control and Epidemiolo...

Multidrug-resistant organism transmission and infection are among the most important current issues in healthcare setting...

More Information


Related Blog Posts