放射源工作翻证译.docx
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放射源工作证Radiation work permit中华人民共和国卫生部制作MINISTRY OF HEALTH P.R CHINA发证机关(盖章)/Issuing authority (stamp )编号:/Serial number:发证日期:/Date of issue姓名:/Name性别:/Sex出生:/Date of birth身份证号:/ ID No工作单位:/ Unit of work工作岗位:/Operating post(部门/科室/车间/工种等):/( Department / Office / workshop / trades etc.)职业照射种类代码:/ Occupation radiation category code单位地址:/ Company address邮编:/ Zip code联系电话:/ Telephone表一:放射源工作经历记录Radiation source work experience record年月—年月Date---Date工作单位Unit of work工作岗位Job职业照射种类代码Occupation radiation category code卫生行政部门验讫章*The administrative department of health inspection stamp*当工作单位变更时,应及时向新工作单位属地的卫生行政部门申请放射源工作人员证得核实。表二:放射源防护知识培训及考核记录Radiation protection knowledge training and assessment record日期Date培训及考核机构Training and assessment institution考核结果The assessment results登记人签章Registered signature/ stamp表三:上岗前职业健康检查情况The occupational health examination situationbefore taking up their posts结论:Conclusion省级卫生行政部门批准的医疗机构签章:日期:年月日 Date表四:在岗期间职业健康体检情况The occupational health examination situation during the on-the-job年月日Date职业健康检查结论Occupation health inspection conclusion职业健康检查机构Occupation health inspection agencies登记人签章Registered signature/ stamp表五:外照射个人受照射剂量记录Personal radiation dose records from radiation source external irradiation起至年月Date from XX until XX个人剂量结果(mSv.a-1)Personal radiation dose results监测机构monitoring agency登记人签章Registered signature/ stampHp(10)Hp(3)Hp(0.07)表六:内照射监测记录Radiation source irradiation monitoring records监测日期Date of monitoring监测方法method of monitoring待积剂量mSv监测机构monitoring agency登记人签章Registered signature/ stamp表六:超剂量限值照射调查情况(注明受照射日期、原因、剂量估算及调查结果)High dose limit radiation surveysituation(Marked by date, reason, radiation dose estimation and findings)记录者签章:recorder signature/ stamp:记录日期:年月日Record date:记录者签章:recorder signature/ stamp:记录日期:年月日Record date:表七:应急或事故受照射记录Emergency or accident by radiant records记录者签章:recorder signature/ stamp:记录日期:年月日Record date:记录者签章:recorder signature/ stamp:记录日期:年月日Record date:表八:事故或应急健康检查情况Health examination reports foremergen
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