SOP 226.05-att-3: Radiation Equipment Shift Checklist

Division:
Unknown
Effective Date:
March 16, 2023
Topic Area:
Entry/Search/Emergencies/Escapes
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Length:
1,491 words

Summary

This form is used by GDC staff to conduct daily shift inspections of radiation and X-ray equipment. Staff must verify that all safety signage is displayed, protective curtains/flaps are in place, electrical cords are intact, required documentation is present, and equipment has not been moved or tampered with. The checklist ensures radiation safety equipment is properly maintained and operational at the start of each shift.

Key Topics

  • radiation equipment
  • X-ray machine
  • shift checklist
  • safety inspection
  • radiation safety
  • equipment maintenance
  • electrical cord inspection
  • POST orders
  • radiation signs
  • security equipment

Full Text

SOP 226.05
Attachment 3

03/16/23

|Radiation Equipment Shift Checklist Date
All radiation/X-ray signs in place and properly displayed?
All curtains/flaps in place?
Electrical cord has not been cut, frayed, or spliced?
Log book and POST orders present?
The machine is in its proper location and had not been moved or disturbed?|YES|NO|
|---|---|---|
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly display?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly display?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly display?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly display?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly display?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly display?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||
|Radiation Equipment Shift Checklist
Date


All radiation/X-ray signs in place and properly displayed?

All curtains/flaps in place?

Electrical cord has not been cut, frayed, or spliced?

Log book and POST orders present?

The machine is in its proper location and had not been moved or disturbed?|||

Retention Schedule: Once completed, this form shall be maintained for one (1) year in the Deputy Warden of
Security’s office. After one (1) year the form shall be stored in the Facility’s File Retention Area for six (6) years for
a total of seven (7) years retention.

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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