Radiation Spill Environmental Corrective Action Report
Incident Details
Date of Incident
Time of Incident
Location
Reported By
Description of Incident
Describe the radiation spill and circumstances
Affected Area and Materials
Area(s) Affected
Type and Quantity of Radioactive Material Involved
Immediate Actions Taken
Describe actions taken to contain the spill
Personnel Involved
Names of persons involved in the incident
Evaluation and Environmental Impact
Assessment of risk and environmental impact
Corrective and Preventive Actions
Actions implemented to prevent recurrence
Investigation and Recommendations
Summary of investigation, findings, and recommendations
Reviewed By
Name and Position
Date