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RPC - Notification to carry out off-site Work

Basic Safety Standards for Ionising Radiation Regulations, SL585.01

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

1. Radiography Company Details

Company Name





Address





Telephone / Mobile





Email





Name & Contact (mobile) of Person





2. Client Details

Company Name





Contact Person





Address





Telephone / Mobile





Email





3. Site Details

Site Details and Location





Contact Details for Client on Site

Name





Telephone / Mobile





Email







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