Environmental Health,Safety & Risk	EH&S TEL NO: (818) 677-2401 FAX NO: (818) 677-5853 MAIL DROP: 8284
	Refresher Training Record Form 207

Instructions: The Authorized User must (at a minimum) annually retrain employees in:

1. Emergency procedures 2. Changes in regulations or IRUA conditions that affect operations 3. Changes in operating procedures 4. Control and measurement methods specific to laboratory 5. Personal protective gear 6. Maintenance of records of training, dosimetry, required surveys, and records of the receipt, use, transfer and disposal of radioactive materials.

Name of Trainee:	Trainer:
CERTIFICATION: I understand the material contained in this training and any questions I had have been answered.
Signature: ________________________________		Date: __________

Name of Trainee:	Trainer:
CERTIFICATION: I understand the material contained in this training and any questions I had have been answered.
Signature: ________________________________		Date: __________

Name of Trainee:	Trainer:
CERTIFICATION: I understand the material contained in this training and any questions I had have been answered.
Signature: ________________________________		Date: __________

Name of Trainee:	Trainer:
CERTIFICATION: I understand the material contained in this training and any questions I had have been answered.
Signature: ________________________________		Date: __________

Name of Trainee:	Trainer:
CERTIFICATION: I understand the material contained in this training and any questions I had have been answered.
Signature: ________________________________		Date: __________