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NASA Payload Safety Program – Forms

Payload Safety Forms
Certificate of Payload Safety Compliance - NF 1851
Certificate of Payload Safety Compliance for Class D Mission Under $150M Using NPR 7120.5 - NF 1852

NASA Payload Safety Hazard Report - NF 1825
NASA Payload Safety Post-Tailoring Request - NF 1826
NASA Payload Safety Waiver Request - NF 1827
NASA Payload Safety Action Tracking Log
NASA Payload Safety Verification Tracking Log

Kennedy Space Center Payload Safety Forms
KSC Form 16-294 Radiation Training and Experience Summary (Ionizing Radiation)

KSC Form 16-295 Radiation Use Request/Authorization (Radioactive Materials)
KSC Form 16-353 Modification of Radiation Use Authorization Form
KSC Form 16-450 Radiation Training & Experience Summary (Nonionizing Radiation)
KSC Form 16-447 Laser Device Use Request/Authorization
KSC Form 16-451 Radiofrequency/Microwave System Use Request/Authorization
KSC Form 28-34 Radiation Use Request Authorization (Ionizing Machine/Device)
KSC Form 28-45 Radioactive Material Transfer Receipt
KSC Form 28-626 Optical Device Use Request/Authorization

Please Note:  If you are having problems with the links above, the direct access to the forms website is: http://nef.nasa.gov

Air Force AFSPCMAN 91-710 Forms
Launch Safety Requirements Relief Request
Instruction for Completing the Launch Safety Requirements Relief  Form

91-700 AFSPCMAN 91-710 Change Request
91-710 AFSPCMAN 91-710 Tailoring Request



Editor: Michele Richtmeyer
NASA Official: Ronnie Rodriguez
Last Updated: September 27, 2019