Forms

Quality Assurance (QA) Plan

• MDH Standard QA Plan (PDF)
• MDH QA Plan Adoption Form (PDF)
• QA Plan Control Log and Charts (Excel)

Test and notification reports: Single Family

• Radon Test Report English (PDF)
  • Radon Test Report Hmong (PDF)
  • Radon Test Report Somali (PDF)
  • Radon Test Report Spanish (PDF)
• Radon Test Report (Passive Test Kits) (PDF)
• Report Addendum: Multiple Tests (PDF)
• Observed Test Conditions (PDF)
• Radon Test Notification Form English (PDF)
  • Radon Test Notification Form Hmong (PDF)
  • Radon Test Notification Form Somali (PDF)
  • Radon Test Notification Form Spanish (PDF)

Test and notification reports: Multifamily and large buildings

• Radon Multi-Family and Large Building Report Template (Word)
• Client Advisories Prior to Testing (PDF)
• Client Authorizations & Communications Exhibit 1 (PDF)
• Client Commitment to Compliance Exhibit 2 (PDF)
• Notice of Inspection for Building Occupants (PDF)
• Notice of Inspection for Facilitating Staff (PDF)

Mitigation

• Pre-Mitigation Building Investigation Diagram (PDF)
• Post Mitigation System Checklist (PDF)
• OM&M Plan (PDF)
• OM&M Plan (Word)
• Calculating Energy Costs for Mitigation Systems (PDF)