ALARA Investigation Response Form ALARA Investigation Response Form Name* First Middle Last Email* Phone* Was your personal dosimeter worn at all times?* Yes No On what part of the body was it worn?* Chest Collar Waist Right Hand Left Hand Other If other, please explainWas your dosimeter misplaced or left accidentally near the radiation sources?* No Yes If yes, please explainDo you know how the exposure occurred? Did you do more procedures or change your techniques? Please explain the possible cause of the elevated readings.*Please describe how this monitoring period varied from any other months in terms of handling or working around radiation.*(Only applicable for Radioactive Materials users) Describe what isotopes activities were involved and handled, and how often during this monitoring periodAdditional Comments/InformationEmailThis field is for validation purposes and should be left unchanged.