e-form

RPB - Notification to carry out off-site Work

Nuclear Safety and Radiation Protection Regulations 2003 (Regulation 17)

Please fill and submit form to: Radiation Protection Board on rpb.ohsa@gov.mt

This form must be received by the RPB at least 3 working days in advance to commencement of work.
Work cannot commence prior to clearance from the RPB

1. Radiography Company Details

Company Name





Address





Telephone / Mobile





Fax





Email





Name & Contact (mobile) of Person





2. Client Details

Company Name





Contact Person





Address





Telephone / Mobile





Fax





Email





3. Site Details

Site Details and Location





Contact Details for Client on Site

Name





Telephone / Mobile





Fax





Email







Print Form
pageno Next Page


 


Aloaha Software
Aloaha Form Provider Aloaha Crypto Provider Aloaha VallettaCoin