IR(ME)R STATUTORY NOTIFICATION FORM

IONISING RADIATION (MEDICAL EXPOSURE) REGULATIONS 2017 - Regulation 8(4) 'Significant Accidental or Unintended Exposure'

Before you start the form, please bear the following points in mind:

• You should not provide any information that identifies any person(s) in this report form or in any other correspondence with the Care Quality Commission regarding this incident.
• If you wish to come back to a form and complete it later, you should click on the 'Save and Exit' button at the bottom of the page.
• If you accidentally close the notification form before completion, reopen the link to continue completing the form.
• All mandatory fields are marked with an asterisk (*).

This webform should be filled in in conjunction with our 'Significant accidental and unintended exposure under IR(ME)R' guidance. This guidance can be found on the CQC's IR(ME)R webpages.

Note. For notifications related to IR(ME)R Licensing Breaches be note there is a separate webform which can be found on the IR(ME)R webpages

IR(ME)R Reference; 38765502;