Training Certification Document

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All pages in this lab

I. Laser Induced Fluorescence and Raman Scattering

II. Staff Sign-Off Sheet (LIF)

III. Raman Setup

IV. Laser Startup Instructions

V. Optics and the Spectrometer

VI. Troubleshooting

VII. Training Certification Document


Appendix E

Training Certification Document for the Office of Radiation Safety

Subject: (Laser User and Laser Registration)


Name of Laser User (Print):

Last First Middle


Student ID \# :


Name of Principal Investigator: Orlando Donald J.

Last First Middle


LUR Numbers: 1188 & 1189 & 1190 Phone No: 642-5328 Room: 282 LeConte Hall


Laboratory Location: Physics 111-LAB Room No.:


Type of 'Laser, Power, & λ ':

I the undersigned have read and understood the UCB Laser Safety Training Supplement and Laser Use Registration (LUR). I have received instruction from the Principal Investigator (or his/her designee) in the use of the laser systems, associated optics, and laser safety standards and laboratory Standard Operating Procedures, (SOP's) and that I am responsible for my own safety in the laboratory.



(Signed): Dated:



Social Security \# :

I the undersigned have viewed the Laser Safety Video in the Physics 111-LAB and read the training manual.



(Signed)



Date Read & Viewed:



Staff Signature:


Completed form must be on file with: Laser Safety Officer; c/o UCB Office of Radiation Safety; 3rd. floor University Hall; Berkeley, CA. 94720 (643-9566)