SOP 226.05-att-1: Quarterly Radiation Inspection Report

Division:
Georgia Department of Corrections
Effective Date:
March 16, 2023
Topic Area:
Entry/Search/Emergencies/Escapes
PowerDMS:
View on PowerDMS
Length:
236 words

Summary

This form is used to document quarterly inspections of through-body scanners and non-medical X-ray equipment at GDC facilities. It verifies that radiation safety protocols are being followed, including proper signage, equipment maintenance by the Department of Community Health, operator training and authorization, and compliance with federal radiation safety regulations. The form must be signed by the Radiation Safety Officer, Chief of Security, Deputy Warden of Security, and Warden.

Key Topics

  • radiation inspection
  • through-body scanner
  • X-ray equipment
  • radiation safety
  • security scanning
  • equipment maintenance
  • operator training
  • radiation safety officer
  • health safety signs
  • federal regulations
  • equipment inspection checklist

Full Text

SOP 226.05
Attachment 1

03/16/23
# Quarterly Radiation Inspection Report

|Georgia Department of Corrections|Col2|Col3|Col4|Col5|
|---|---|---|---|---|
|
Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist|
Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist|
Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist|
Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist|
Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist|
|No.|QUESTIONS|YES/NO|DATE|REMARKS|
|1.|Are health safety signs properly placed?||||
|2.|Are health safety signs current?||||
|3.|Has device been checked by DCH?||||
|4.|Date of last check by DCH?||||
|5.|Is operational protocol current?||||
|6.|Is operational protocol in control console
drawer?||||
|7.|Are only authorized individuals who have
been trained in radiation safety and
completed the Operators Training on the OD
SECURITY NA SOTER RS SCANNER,
operating the security scanner?||||
|8.|Have confidentiality reports been completed
by all operators?||||
|9.|Are proper records of all refusals being
recorded and logged?||||
|10.|Has the GDC Fire Services and Life Safety
Division performed an Initial and Annual
“refresher” Radiation Safety Training? (See
IV.F.)||||
|11.|Does the GDC Fire Services and Life Safety
Division monitor radiation safety records in
accordance with applicable federal
regulations and policies?||||

X ____________________ X ______________________ X ______________________ X ____________________

Radiation Safety Officer Chief of Security Deputy Warden of Security Warden

Retention Schedule: Upon completion, this form shall be maintained for six (6) months in the folder or notebook attached to the Non-Medical x-ray equipment.
After six (6) months the forms shall be stored for the remainder of seven (7) years in a local holding area and then destroyed.

Attachments (4)

  1. Quarterly Radiation Inspection Report (236 words)
  2. Statements Regarding Confidentiality of Images and Information Generated by Non-Medical X-Ray Devices and Rapid Identification Fingerprint Scanners (409 words)
  3. Radiation Equipment Shift Checklist (1,491 words)
  4. Attachment 4 - Radiation Symbol (22 words)
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