ࡱ;  Root Entry  !"#$%&')*+,./0123  FMicrosoft Word-Dokument MSWordDocWord.Document.89q [ppDefault & Fdd1$A$*$/B*OJQJCJsH sH PJnH ^JaJ_HtH<<Default Paragraph Font@@ Style1 Char;OJQJCJ5^J\FFBalloon Text CharOJQJCJ^J aJF2FHeading x$OJ QJ CJPJ^JaJ.B2. Text body x/1BList<R<Caption xx $CJ6aJ]"b"Index $^r^Style1- & F^]`dh %h xx;CJ5^J\LL Contents 1% & F % ^]`dPP Balloon Text & FOJQJCJ^J aJ` X |  _GoBack````P GTimes New Roman5Symbol3&ArialGTimes New Roman7Calibri3ArialIArial Unicode MS7Calibri5Tahoma5Tahoma3&ArialBhWKiWKia&JJ' 0 0Oh+'0 X` Radiation incident form cmcclintick AFD31A65 cmcclintick2@@mx@R:@H@R:@H՜.+,D՜.+,\D P$,4< AppVersiM 0 Caolan80 2`bbbv4 $% b Radiation Incident Form Please complete the following form and email to the Practice Placement Coordinator and the Radiation Protection Supervisor within 48hours of the incident. Fill in as many details as you can, but remember if a patient is involved do not include any patient identifiable information. Student: Hospital Site: Placement: Date of incident: Practice Educator(s): Describe exactly what happened: Date of Follow-up Meeting: Student: Sign: Practice Placement Coordinator: Sign: RPS: Sign: Additional Comments:  .2h h l ~    V Z \ ^     B F J L N v z | ~ CJCJ5 CJ>*5I02j j l    X $IfddX Z \ ^   D H J L N x z | $Ifdd$d<$$If%"  p 44l44l4f4| ~ $Ifdd :$$If$  p 44l44l4f4 $Ifdd0/ =!"#$2P1h0p3P(20onCompany DocSecurityHyperlinksChangedLinksUpToDate ScaleCrop ShareDoc16.0000Queen Margaret University Root Entry F CompObjjOle 1Table SummaryInformation(((WordDocument 2DocumentSummaryInformation8-