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NASA.gov
  • Home
  • Robotics
    • FIRST LEGO League (FLL) Grants
    • FIRST Tech Challenge (FTC) Grants
    • FIRST Robotics Competition
    • Application and Related Documents
  • NASA Range Flight Safety
  • Other Center’s Safety Missions
    • NASA Chief Safety and Mission Assurance Officer
    • NASA Office of Safety & Mission Assurance (OSMA) – NASA Only
    • NASA Aerospace Safety Advisory Panel (ASAP)
    • NASA Engineering & Safety Center (NESC)
    • NASA’s Exploration – Beyond Earth
  • SMA Events
    • KSC Safety & Health Days
    • Fall into Safety and Health
  • KSC & NASA Information
    • KSC Information Center
    • NASA News & Events
    • KSC News & Events
KSC Safety & Mission Assurance

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 16-294Radiation Training and Experience Summary (Ionizing Radiation)
KSC Form 16-295Radiation Use Request/Authorization (Radioactive Materials)
KSC Form 16-353Modification of Radiation Use Authorization Form
KSC Form 16-450Radiation Training & Experience Summary (Nonionizing Radiation)
KSC Form 16-447Laser Device Use Request/Authorization
KSC Form 16-451Radiofrequency/Microwave System Use Request/Authorization
KSC Form 28-34Radiation Use Request Authorization (Ionizing Machine/Device)
KSC Form 28-45Radioactive Material Transfer Receipt
KSC Form 28-626Optical 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
91-700AFSPCMAN 91-710 Change Request
91-710AFSPCMAN 91-710 Tailoring Request

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Editor: Carli Barr | NASA Official: Ronnie Rodriguez

Last Updated: November 14, 2022

A Product of the Information Technology & Communications Services Directorate |
Privacy Policy & Important Notices | USA.gov |
Accessibility

Editor: Michele Richtmeyer | NASA Official: Ronnie Rodriguez

Last Updated: November 14, 2022