Laser Worker Registration Form (LWRF) - Swansea University

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Laser Worker Registration Form (LWRF)
Surname:
Forenames:
School of:
Ext No.:
Email:
Staff Number:
Contact Address:
@swan.ac.uk
Status:
eg Prof/Dr/Mr/Mrs/Ms
eg Staff/RA/PG/UG
Home Address:
Tel. No.:
Project No.
Tel. No.:
Project Supervisor
Proposed Start Date DD MM YY Expected Finish Date DD MM YY
Class of Laser to be
Used
1 1M 1E 2 2M 3R 3B 4
Work Location(s)
Lab No.
Laser Work Currently Undertaken Elsewhere
Are you currently engaged in work elsewhere involving laser radiation? YES / NO
If the answer is YES then give details of the work location and your status there, the nature of the
work, the type of laser and details of any training received and the period of work to date.
Use rear of sheet to continue
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Previous Experience
Prior to coming to Swansea University have you been involved in any work with lasers in any
capacity? YES / NO
If the answer is YES please give details of the work location and your status there, the nature of the
work, the type of laser, details of any training received and the period of work in reverse chronological
order.
Use rear of sheet to continue
Declaration and signature of applicant:
I have read the CVCP booklet ‘Safety in Universities Part 2:1 Lasers’ and the list of precautions for
current laser classifications. I have also read and understand the local rules for laser work and agree
to abide by the requirements of these documents and fully understand the implications for my work.
Signed:
Date:
Declaration and signature of the supervisor:
The applicant will not be allowed to begin practical work with this laser class until this declaration has
been completed. I am satisfied that preliminary instruction and training on the hazards associated with
working with lasers has been given. I am satisfied that the applicant will receive hands on practical
training during the initial stages of the practical work post-registration.
Signed:
Date:
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Current Laser Classifications and Precautions in Brief
(A full copy of BSi PD IEC TR 60825-14:2004 is held by your School Radiation Protection Supervisor
or Non-Ionising Radiation Advisor if appointed.)
Precautions
1
2
3
4
5
6
7
8
9
10
11
12
Remote
interlock
Key
Control
Emission
Indicator
Beam
Shutter
Beam
Stop
Beam
Level
Beam
Enclosure
Eye
Protection
Protective
Clothing
Instruction
& Training
Laser
Labels
Door
Signs
Class
1/1M
Class
2
Class
2M
Class
3R
Class
3B
Yes
Class
4
Yes
Class
1(E)
Yes Yes Yes
Yes Yes Yes
Yes Yes Yes
Yes Yes Yes Yes Yes Yes
Yes Yes Yes Yes Yes Yes
Yes Yes Yes
Yes
Yes
Yes
Yes
Yes Yes Yes Yes Yes Yes Yes
Yes Yes Yes Yes Yes Yes Yes
Yes Yes Yes Yes
If there is more than one classification in a laboratory then the highest standard applies.
Notes:
Either the School Radiation Protection Supervisor or Non-Ionising Radiation Advisor, if appointed,
must retain this form.
General:
IMPORTANT NOTES WORKING WITH LASERS
1. All laser users must (i) be registered with the School Radiation Protection Supervisor or the Non-
Ionising Radiation Adviser, (ii) be familiar with the CVCP booklet “Safety in Universities – PART 2:
1 LASERS”, (iii) have read departmental local rules (and emergency procedures) for working with
lasers and (iv) be trained in safe use of the laser in question.
2. The laser systems in the laboratory are for use by designated staff and research
project/postgraduate students under the guidance of a supervisor. It is the responsibility of the
supervisor to risk assess practical activities and give basic safety training in the use of lasers.
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3. Any significant modifications to the system or change of use must be subject to risk assessment
which should be discussed with the supervisor.
4. Report ALL incidents to your supervisor.
5. You should not work alone in the laser area. Any out-of-hours work must be discussed with your
supervisor.
Normal Working Practices Summary:
1. Before the laser is switched on (a) make a visual check to ensure that, since the system was last
used, no components have been moved in such a way that unwanted scatter of the beam could be
caused, (b) check that the main shutter or beam stop (where fitted) is closed, (c) remove jewellery
to prevent accidental specular reflections, (d) ensure only registered users are present during
operation (e) affix laser signs where appropriate.
2. The laser and components must be securely fastened in position so that they cannot be displaced
by the vibrations or knocks likely to arise during normal experimental procedures. Use beam
enclosures at all times.
3. Work should always be carried out at the lowest beam power, which will give satisfactory
experimental results. This requirement is particularly important when inserting or removing
components from the system; this procedure should be carried out with no beam passing through
the system whenever possible.
4. Alignment adjustments must be made with the beam power as low as possible. Beam stops
should be used to ensure that stray beams do not unnecessarily traverse the room.
5. When aligning beams, keep them below normal head height to avoid accidental eye contact.
Avoid skin exposure of the beams or, where not possible, use Personal Protective Equipment
(worn as a last resort).
6. When the laser is switched off, the systems must be left in a safe condition. Any modifications,
which have been made to the system during the work just completed, should be drawn to the
immediate attention of the laser supervisor.
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