Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Contact salesLog in
Sign up
Back
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
Features Solutions Resources Templates Enterprise Pricing
Free demo
Log in
en
Book a personal demoView video demoContact sales
Explore
Resource hubCentral repository for all Lumiform resourcesCustomer storiesReal-world successes and experiences with Lumiform.
Learn
Template collectionsComprehensive collections of best practice templates.Topic guidesComprehensive safety, quality, and excellence insights.LexiconDefinitions key to quality, safety, and compliance.
Support
Developer's guideTechnical documentation for developers.Help centerAssistance with onboarding and platform mastery.
Featured reads
Explore our collection of 38 free preventive maintenance checklists

Template collection

Explore our collection of 38 free preventive maintenance checklists

Start reading
Your guide to performing and documenting efficient child care observation

Topic guide

Your guide to performing and documenting efficient child care observation

Start reading
Lumiform as customer journey mapping tool in gastronomy

Success story

Lumiform as customer journey mapping tool in gastronomy

Start reading
Book a personal demoView video demoContact sales
By industry
Food and hospitalityManufacturingConstructionRetailTransport and logisticsFacility managementView all industries
By business needs
Health and safety managementQuality managementOperational excellenceRisk management and complianceView all business needs
By use case
Safety management softwareEnergy audit appForklift inspection appBuilding management softwareVehicle inspection appQMS appKaizen method appProperty inspection appRestaurant inspection appElevator management appProject management softwareFire inspection app
View all app uses
Book a personal demoView video demoContact sales
Overview
Template libraryDiscover over 12,000 free, ready-made and expert proofed templates.
Use cases
CleaningMaintenanceRisk assessmentSupply chainIncident management
Business needs
Health and safety managementQuality managementOperational excellenceRisk management and compliance
Industries
Food and hospitalityManufacturingRetailTransport and logisticsConstructionFacility management
Book a personal demoView video demoContact sales
Overview
Product overviewAll features
Capabilities
Digitize
Form builderMobile AppActions
Automate
Workflow automationApprovalsIntegrations
Transparency and accountability
ReportsAnalytics
Orchestrate
Administration
Book a personal demoView video demoContact sales
Templates
Radiation safety program template

Radiation safety program template

Stay on top of compliance, safety checks, and staff responsibilities with this template. You’ll get a clear structure for documenting sources, protection measures, and audit readiness.

Use this template
or download pdf
Radiation safety program template

Stay on top of compliance, safety checks, and staff responsibilities with this template. You’ll get a clear structure for documenting sources, protection measures, and audit readiness.

Use this template
or download pdf

About the Radiation safety program template

When you’re running a facility that handles radioactive materials—whether it’s a hospital, lab, or industrial site—radiation safety is part of daily operations. Keeping track of shielding, monitoring, emergency procedures, and waste protocols needs an organized system that keeps everyone aligned. This radiation safety program template helps you standardize safety practices, document compliance, and make audits less painful. You can use it to streamline your team’s reporting and keep safety protocols up to date.

Why you should use a radiation safety program template

A radiation safety program template gives you a reliable structure for managing your facility’s radiation practices without starting from scratch every time. From coordinating shielding checks to managing waste protocols, the template keeps your documentation consistent and inspection-ready.

You can use the template to quickly map out roles, track compliance tasks, and identify weak spots in your safety plan. It helps you stay organized while reducing the risk of missed steps, especially when managing multiple sources or locations.

The template also makes it easier to train new team members, conduct internal audits, and meet regulatory requirements with confidence. It turns complex safety procedures into clear, repeatable workflows that everyone can follow.

A step-by-step guide to using the radiation safety program template

You can edit and use the template directly in the Lumiform app, making it easier to manage and monitor compliance from anywhere. Here’s how to get started:

  1. Customize the template to match your facility. Tailor the sections to your specific radiation sources, protection measures, and waste handling practices. Add or remove fields, assign responsible roles, and include instructions so nothing’s left open to interpretation.
  2. Assign the checklist to the responsible person. Once set up, assign the checklist to your radiation safety officer or team member handling inspections. Be clear about who’s responsible for what.
  3. Use the mobile app to complete checks onsite. The template works on any mobile device, so checks can be done right where the radiation sources are. Built-in response types like photos, signatures, and QR scans let staff document findings in real time.
  4. Track issues and follow up with action tasks. If the checklist uncovers any safety gaps, like missing signage or expired dosimeters, you can instantly assign follow-up actions to the right people, with due dates and comments.
  5. Review data and improve your safety program. View all completed checklists in the Lumiform dashboard. Use the insights to spot recurring problems, update procedures, or prepare for your next regulatory inspection.

Download Lumiform’s radiation safety program template today

Start using this template to improve reporting and avoid missed steps while keeping your radiation safety records clean and compliant. It gives you a clear structure for documenting controls, tracking tasks, and assigning follow-ups, all in one place. It’s built for teams that need clarity and consistency in their daily operations.

Related categories

  • Health and safety management templates
  • Risk management and compliance templates
  • Energy industry templates
  • Health care templates
  • Quality assurance templates
  • Safety templates
Preview of the template
entity_item!!!
Page 1
General Information
Facility Name
geolocation!!!
Radiation Safety Officer (RSO) Name
RSO Contact Information
Radiation Sources
List all radiation sources on-site
Provide details on isotope, activity, and use for each source
Radiation Protection Measures
Are appropriate shielding materials in place?
Are access controls (locks, alarms) in place?
Are radiation warning signs posted?
Is personnel monitoring (dosimetry) program in place?
Are radiation surveys conducted periodically?
Training and Procedures
Is radiation safety training provided to all authorized users?
Are there written procedures for safe handling of radioactive materials?
Are there emergency response procedures in place?
Waste Management
Is there a radioactive waste disposal program?
Are radioactive waste storage areas properly labeled and secured?
Are radioactive waste records maintained?
Audits and Reviews
Is the radiation safety program reviewed annually?
Are radiation safety program audits conducted periodically?
Are corrective actions taken for any program deficiencies?

More templates like this

Industrial Radiation Safety Checklist
Industrial Radiation Safety Checklist
The industrial radiation safety checklist is vital for environments where radiation exposure is a concern.
Workplace safety templates
Environmental risk assessment template
Environmental risk assessment template
Use this template to keep track of environmental hazards, prioritize risks, and maintain a safer workplace. You can customize it to fit your specific needs and streamline your risk management process.
Risk assessment templates
Hospital environmental risk assessment template
Hospital environmental risk assessment template
Assessing environmental risks in hospitals requires thorough documentation. This template guides you through identifying hazards, managing tasks, and maintaining compliance.
Risk assessment templates
Radiation safety checklist
Radiation safety checklist
Track PPE, monitor exposure levels, and document safety protocols with a checklist built to support consistent radiation inspections.
Risk assessment templates
Radiation safety inspection checklist
Radiation safety inspection checklist
Stay on top of compliance and keep radiation risks under control with an organized checklist built for professional inspections across industries.
Maintenance templates
Radiation safety program audit checklist
Radiation safety program audit checklist
Run a thorough review of your facility’s radiation safety practices with this professional-grade template. You’ll be able to document key safety procedures and check regulatory alignment.
Risk assessment templates

Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Job safety analysis (JSA): A comprehensive guidePersonal protective equipment (PPE): A comprehensive guideWorkplace hazards: Effective management techniques
See all topic guides

Template collections

See comprehensive collections of best practice templates related to this topic.

Top 7 radiation safety templates for inspections and audits6 essential industrial safety checklist templates10 powerful free health and safety policy templates
See all template collections

Use cases

Check out how the Lumiform software can be utilized for related use cases.

Radiation safety compliance softwareEnvironmental safety softwareJob safety analysis softwareOccupational health and safety software
See all use cases

Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

10 reasons why workplace safety is important4 steps of a job safety analysis (JSA)4 ways that workplace safety increases worker productivityHow to perform safety inspections

Frequently asked questions

What should a good radiation safety program include beyond basic checks?

A good radiation program goes beyond shielding and signage. It should include periodic retraining, incident tracking, and cross-checking safety procedures with regulatory updates. Build in routine scenario-based drills (like spill simulations) to keep staff alert and ready. Also, review supplier documentation regularly to confirm you’re working with up-to-date isotope information.

Who should be involved in maintaining the radiation safety program?

Aside from radiation safety officers, maintenance teams, lab managers, security staff, and even janitorial crews all be involved. In fact, anyone who works near sources or may respond in an emergency should be part of it. Conduct cross-functional briefings and regular safety huddles to keep everyone aligned and aware of their roles.

What’s a common mistake teams make in radiation safety management?

A common oversight is relying too much on physical signage without reinforcing protocols through active training. Over time, signs can become background noise, losing their effectiveness. It’s more effective to combine visual cues with regular verbal briefings, assign clearly defined responsibilities, and do systematic check-ins. Signage should support your safety measures rather than being the primary safeguard.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
Lumiform logo
Platform
HomeSign upProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the app
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safety managementQuality managementOperational excellenceCompliance and risk management
Uses cases
Learn
Template collectionsTopic guidesLexiconHelp centerJournalInfographicsVideos
Resources
Lumiform templatesby industryby use caseby business needAll categories
Customer storiesDeveloper APIResource hubIntegrations
Company
AboutJobsLegalBook a demoContact sales
© 2025 LumiformTerms and conditionsPrivacyData processingSitemap
App StoreGoogle play