CAMD Access Procedure:

Please complete at least two weeks prior to your arrival at CAMD.

Please enter your personal information in the spaces below. After that, complete the Radiation Safety Test. This form can also be picked up and filled out in the CAMD front office, rm. 107 A minimum passing score is 80% (24 out of 30) After completing the test, you will be notified by e-mail or telephone for further instructions. You can prepare for this test by first reading the Radiation Safety Training Manual. All fields are required to be filled in.

Note: All new applicants are required to provide a refundable deposit for the following:

Gate Key: $5.00 (if applicable) Access Card: $10.00

Note: A late fee of $10.00 will be assessed for all Radiation Badges that are lost or returned late. Badges are routinely changed on a quarterly basis; July 1, Oct. 1, Jan. 1, and April 1.)

First Name:
Last Name
Gender:	Female Male
Birth Date:
SSN/Passport#
Phone Number:
E-Mail Address:
Contact:
Company/Department/Major:
Job Title:	Select One Undergraduate Student MS Student PhD Student Post Doctoral Fellow Faculty Staff Contractor Other
Project Name:
Start Date:
End Date:
Supervisor's Name
Supervisor's Phone Number:
Supervisor's E-Mail Address:
Access Requested For:	EntranceDoor Experimental Hall Cleanroom Access Main Office Building
After Hours Access(please justify):

1. The highest level of authority with respect to radiation safety matters at LSU is: a. the Nuclear Regulatory Agency b. the LSU system radiation safety committee c. the Department of Environmental Quality d. the Environmental Protection Agency

2. The 1994 Hanford Reactor Study indicated that: a. the reactor workers had higher cancer rates compared with the control group b. the reactor workers had the same cancer rates as the control group c. the reactor workers had lower cancer rates than the control group d. none of the above

3. To which type of radioactive material would one ascribe the highest quality factor: a. alpha particles b. neutrons c. beta particles d. photons

4. After hours entrance to the CAMD facility requires: a. safety approval b. approval from the Director of CAMD c. a single tiered computer access card d. no access card

5. The biological effectiveness of the radioactive material is described by its: a. weight to mass ratio b. cross sectional area c. linear energy transfer(LET) d. distance mass energy

6. The Linear No-Threshold Model states that: a. risk is directly proportional to dose b. is derived from the occupational dose exposure studies c. is the best mathmatical model for risk assessment d. all of the above

7. The computer screen outside the experimental hall depicts: a. the total mA of the circulating current b. the injection process c. the mode of operation of the machine d. all of the above

8. The red and white sign outside the experimental hall: a. indicates that it is dangerous to enter the hall at this time b. contains the international trifoil symbol for radiation c. indicates that the laser may be on d. is a terminal display of the interlock system

9. Badges must be kept in the assigned drawer when not in use because: a. this is where the controls are located b. we wish to only evaluate the CAMD portion of your radiation exposure c. we change out badges every quarter and must be able to retrieve the badges d. all of the above

10. Verbal announcements during the injection include all of the following except: a. please enter the storage ring and linac areas b. injection, injection, injection c. prepare for injection d. injection is complete

11. Experimental hall access requires: a. radiation safety training b. an access code to the building c. requires approval of your CAMD contact person d. a and c but not b e. b and c but not a

12. The bending magnets at CAMD weigh a. 8 tons each b. 12 tons each c. 10 tons each d. 4 tons each

13. ALARA is based on the following principles except: a. have an active shielding program b. limit time of exposure c. maximize the distance from the source d. use the appropriate kinds of shielding for the radiation hazard at hand

14. When relativistic electrons are bent: a. radiation is given off horizontal to the bending magnet b. radiation is given off parallel to the bending magnet c. radiation is given off vertical to the bending magnet d. radiation is given off tangential to the bending magnet

15. The CAMD storage ring is optimized for: a. soft X-rays b. hard X-rays c. medium X-rays d. UV irradiation

16. The 10 Year exposure study of the Chernobly victims observed: a. there was a significant increase in childhood thyroid cancers b. there was a significant increase in childhood leukemia cancers c. there was a significant increase in childhood thyroid and leukemia cancers d. we now have an adequate understanding of the risks asociated with radiation exposure

17. Which of the folowing statements is untrue? a. radiation dose increases to the 4th power of the energy b. radiation dose decreases as 1/r2 with the distance from the source c. gamma rays can be stopped with the high hydrogenous materials d. X-rays may be stopped with the appropriate amount of lead shielding

18. The radiation dose is a function of the following parameters: a. energy deposited per unit volume b. is related to the LET c. the biological effectiveness as defined by the quality factors d. all of the above

19. Which radiation tissue equivalent exposure unit is frequently used by American Health Physicists a. the rad b. the rem c. the sievert d. the gray

20. The occupational dose limit for a declared pregnant female or a minor person less than 18 years is: a. 5000 mrem b. 5 mrem c. 50 msievert d. 500mrem

21. Which two terms describe absorbed dose? a. roentgen and rad b. rad and gray c. rad and sievert d. gray and roentgen

22. The threshold for the neutron production is normally in the range of: a. 1-5 MeV b. 6-10 MeV c. 25-30 MeV d. 0.5-2 MeV

23. The average background radiation for Baton Rouge is approx.: a. 100 mrem b. 250 mrem c. 350 mrem d. 50 mrem

24. That radiation which persists after a radiation-producing machine is turned off is called: a. prompt radiation b. eficiency radiation c. activation d. deceleration radiation

25. Which of the following terms is both larger and tissue equivalent: a. erg b. roentgen c. rem d. sievert

26. Activation is a function of the following parameters: a. the energy of the operation of the accelerators b. the efficiency of the machine during injection c. the materials bombardedby the electrons or photons d. all of the above

27. In a Lawrence Berkeley Mathematical model, the risk of exposure to radiation from one rem given acutely is said to increase the rate of fatal cancer from 1650/10000 to: a. 1650 b. 1850 c. 1750 d. 1651

28. The yearly ocupational exposure limit is: a. 1 rem b. 5 rem c. 5 sievert d. 1 sievert

29. The average background radiation dose in Denver, Colorado is: a. 350 mrem b. 250 mrem c. 500 mrem d. 200 mrem

30. Within the experimental hall which of the following statements is untrue: a. the red light depicts that there is a potential for beam b. the computer monitors at each beam line detail the mode of operation of the storage ring c. the shield wall is seven feet in height limiting any work above this height during machineoperations d. the red lights flash at 60 Hz