USA Staffing

2. Eliminates radiation hazards e.g. controlling contaminations (gas, liquid, solid)people, equipment, and structures.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

E. I am considered an expert in performing this task. I have supervised performance of this task or am normally the person who is consulted by other workers to assist or train them in doing this task because of my expertise.

3. Assures safe receipt, handling, transport, storage and disposal of radioactive ,materials.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

4. Technical Expert in Radiation Safety and decontamination matters.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

5. Responds to radiation incidents involving patients employees, or visitors and take appropriate corrective action.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

6. Survey and monitors laboratories using radioactive materials for evidence of contamination.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

7. Arranges shipment of low level waste and replacement barrels and maintains site disposal permits.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

8. Manages machine-produced radiation safety program.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

9. Coordinates with providers in developing and implementing quality assurance programs in order that imaging and treatment uses of radioactive materials and machine produced radiation are optimum for patient care.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

10. Serves as senior management for radiation exposure and/or contamination accidents, chemical accidents, bio-hazard events and adverse weather.

A. I have not had education, training, or experience in performing this task.

B. I have had education or training in how to perform this task, but have not yet performed it on the job.

C. I have performed this task on the job. My work on this task was monitored closely by a supervisor or senior employee to ensure compliance with proper procedures.

D. I have performed this task as a regular part of a job. I have performed it independently and normally without review by a supervisor or senior employee.

Select “Yes” or “No” to the following question(s).

11. Please note, if you do not answer this question, it will result in not being considered for this position.Select Yes or No to the statement below.

I certify that, to the best of my knowledge and belief, all of the information included in this questionnaire is true, correct, and provided in
good faith.I understand that if I make an intentional false statement, or commit deception or fraud in this application and its supporting materials, or
in any document or interview associated with the examination process, I may be fined or imprisoned (18 U.S.C. 1001); my eligibility may be
canceled, I may be denied an appointment, or I may be removed and debarred from Federal service (5 C.F.R. part 731). I understand that
any information I give may be investigated.

I understand that responding "No" to this item will result in my not being considered for this position. Applicants must submit the following documents as part of the application process:

1. A resume/CV - must include the following information for each job listed: Job Title and Duties (be as detailed as possible), month and year start/end dates (e.g. June 2007 to April 2008), full-time or part-time (include hours worked per week) and Education (location, degree earned and date awarded) - Required.
2. On Line Questionnaire or Occupational Questionnaire - Required.
3. VA Form 10-2850c, Application for Associated Health Occupations - must be signed and dated within the last 30 days - Required.(You can also take pictures of each page and upload to application process)- Required
4. Copy of NRC License-Required

Please be aware that your answers will be verified against information provided on your Resume.Be sure that your Resume/CV clearly supports your responses to all of the questions by addressing your work experience in detail.

Forms may be obtained from the following website - VA Forms

A. Yes

B. No

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