Laboratory Data
Swipes Zone Reading
Survey Detector Zone Reading Type
Add Another Reading

For each zone number in your lab, list the reading from your swipe as rounded to the nearest hundredth decimal place. This form will automatically perform that for you if you forget.

Next, list your reading in the Survey Detector section and choose whether the reading is in CPM or MRPH.

Click the "Add" button to insert another line for another zone. If you are finished entering data, skip clicking the "Add" button and click this hilariously large submit button.


Download A Copy For Your Records

A notification that this form was completed was sent to Safety Services Personnel. Click the "Download File" button below to receive a printable document that you will keep in your Monthly Contamincation Survey Log Book.

You will be asked to produce your log book during laboratory inspections.

Download File Safety Services Home