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Inspection Check List |
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For all X-Ray Units|
Copy of the plan review (.0603)
Copy of the letter of acknowledgement (.0210)
Copy of the post
installation room(s) survey (.0603)
Copy of the Form FDA 2579, FDA Report of Assembly Form (.0206) and
Federal Part 21 CFR Part 1020
General Documents
Current copy of the Notice of Registration from RPS (.0203) & (.0209)
Previous inspections reports and correspondence regarding inspections with RPS
(.1002)
Current copy of the State Regulations (2002 latest edition) (.1002)
Dosimetry Records for Personnel (.1638 & .1644)
Technique charts posted visibly and current for all procedures. Chart should
include patient’s anatomical
size versus technique factors at a given source to image distance (SID).
(.0603(a)(1)(C)
Current copy of the Notice of Registration from RPS (.0203)
& (.0209)
Radiation Safety Program
Current copy of the radiation safety program (.1603 and .1636)
Reviewed annually by the RSO and signed (.1603)
Reviewed annually and when changes occur by all operators and signed (.1603)
Posting of Signs
Notice to Employees (.1002)
Radiation Caution Signs (.1623 & .1624)
Other Items of Interest
Brand, type and emitting color of film
Brand, type and emitting color of screens
Film/Screen combination speed
Type of processor chemicals (MSDS sheets for
chemistry)
Type and wattage of safelight in darkroom
Type of filter on safelight in darkroom and date last changed
Average number of exposures per week
Film storage procedures and policy
Shielding devices and procedures (lead aprons, gonad and thyroid shielding)
Fluoroscopic outputs (if applicable)
Center, Raleigh, North Carolina
27699-1645
Phone:
(919) 571-4141 Fax: (919) 571-4148
NCDENR . NC Radiation
Protection
Revised
9/23/2008