SOP_NUMBER: 226.05-att-1
TITLE: Quarterly Radiation Inspection Report
DIVISION: Georgia Department of Corrections
TOPIC_AREA: Entry/Search/Emergencies/Escapes
EFFECTIVE_DATE: 2023-03-16
WORD_COUNT: 236
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/185097
URL: https://gps.press/sop-data/226.05-att-1/

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

ATTACHMENTS:
  1. Quarterly Radiation Inspection Report
     URL: https://gps.press/sop-data/226.05-att-1/
  2. Statements Regarding Confidentiality of Images and Information Generated by Non-Medical X-Ray Devices and Rapid Identification Fingerprint Scanners
     URL: https://gps.press/sop-data/226.05-att-2/
  3. Radiation Equipment Shift Checklist
     URL: https://gps.press/sop-data/226.05-att-3/
  4. Attachment 4 - Radiation Symbol
     URL: https://gps.press/sop-data/226.05-att-4/

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FULL TEXT:
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SOP 226.05
Attachment 1

03/16/23
# Quarterly Radiation Inspection Report












|Georgia Department of Corrections|Col2|Col3|Col4|Col5|
|---|---|---|---|---|
|<br>**Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist**|<br>**Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist**|<br>**Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist**|<br>**Through Body Scanner Checklist/Non-Medical X-Ray Equipment Checklist**|<br>**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<br>drawer?||||
|7.|Are only authorized individuals who have<br>been trained in radiation safety and<br>completed the Operators Training on the OD<br>SECURITY NA SOTER RS SCANNER,<br>operating the security scanner?||||
|8.|Have confidentiality reports been completed<br>by all operators?||||
|9.|Are proper records of all refusals being<br>recorded and logged?||||
|10.|Has the GDC Fire Services and Life Safety<br>Division performed an Initial and Annual<br>“refresher” Radiation Safety Training?  (See<br>IV.F.)||||
|11.|Does the GDC Fire Services and Life Safety<br>Division monitor radiation safety records in<br>accordance with applicable federal<br>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.