New Dosimeter Request (X-Ray)

Personal dosimeters are worn only while working at Michigan State University and shall not be taken off campus or worn at other institutions. If you are assigned a dosimeter, wear only your own and do not loan, borrow or share dosimeters with other workers. Dosimeters are for monitoring any occupational dose received at MSU and do not provide any shielding or protection from radiation exposure.

Dosimetry for workers using x-ray producing machines

  • Body and extremity (ring) badges required

Proper use of dosimeters

  • Store away from radiation sources
  • Do not take them home
  • Wear only while working for Michigan State University
  • Wear body badges between the collar and waist
  • Wear ring badges on dominant hand and inside gloves facing up

If you have questions or are unable to complete this form, please contact EHS at 517-355-0153.

Training Confirmation

Dosimetry request forms cannot be processed until appropriate training has been completed. Contact EHS at 517-355-0153 for clarification on training requirements, or the Training Help Desk at 517-884-4600 for assistance checking your records.

Personal Information

Usage Information

(Generally 2 weeks are required to receive your assigned dosimeter.)

Pregnancy: Contact the Radiation Safety Officer for information for pregnant workers at 355-0153 or



I certify that the information submitted in this request is true and correct to the best of my knowledge.

I further understand that any intentionally false information may result in sanctions from the Radiation Safety Committee.