NIS Camera Paperwork

Daily radiation survey and camera paperwork.

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Camera Paperwork

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Header

Branch / Office Location Office Address Customer Job Date Technician Name Technician Email

Equipment And Transport

Camera Serial Number Source Serial Number Exposure Device Type Manufactured Source Survey Meter Manufacturer Survey Meter Model Survey Meter Number Survey Meter Calibration Due Transport Index Surface mR/hr (Reading at Top Center of Camera) Transport To Return To Truck Number Source Activity Ci Activity GBq

Survey meter operable Radioactive Yellow II Radioactive Yellow III

Was radiography performed during this report period?

Yes - radiography was performed No - camera remained secured in the truck; no exposures were performed

Job Type And Geometry

Pipeline job Fabrication shop job Plant job Offshore job RT - Contact RT - Panoramic RT - Superimposed

Camera Log And Survey Readings

Camera Check Out(Reading at Top Center of Camera) Before Lunch(Reading at Top Center of Camera) After Lunch(Reading at Top Center of Camera) Camera Lock Out(Reading at Top Center of Camera) Vehicle Check-Out Exterior (1 meter from Overpack Area) Vehicle Lock-Out Exterior(1 meter from Overpack Area) Vehicle Check-Out Interior (Reading in Cab) Vehicle Lock-out Interior(Reading in Cab)

Personnel

Equipment Checklist

Dose Estimate And Readings

Elevation Above Elevation Below 2 MR/HR Distance Calculation Mins(Number of Minutes shooting in a hour)Enter decimal minutes only. Example: 2.5 = 2 minutes 30 seconds. Do not use a colon (2:30). 2 MR/HR Distance FT North MR/HR East MR/HR West MR/HR South MR/HR North Footage South Footage West Footage East Footage Exposure Per Hour Exposure Per Shift Dose Per Shift(Total Exposure Time Per Shift Divided-By 60 Min x 2MR)

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Power Automate Upload URL Default Branch Branches And Addresses Camera List Technician List Manager Approval Emails

For branches, use one per line as Branch, ST | Street address. For manager approvals, use one email per line.