X-Ray & Radiology Room Safety Inspection Checklist

Verify wall shielding (lead equivalence) is intact and free from damage (cracks, holes) in accordance with room design specifications.

Inspect door shielding (lead equivalence) for proper fit and absence of gaps when closed. Confirm smooth operation and secure latching.

Examine window shielding (lead glass) for scratches, cracks, or discoloration that may compromise its effectiveness. Verify lead equivalence rating.

Assess ceiling and floor shielding for any signs of deterioration or modifications that could reduce radiation protection.

Confirm that all penetrations (pipes, conduits, cables) through shielded walls, floors, and ceilings are properly sealed with appropriate shielding materials.

Verify control booth shielding provides adequate protection for the operator, ensuring clear visibility and ergonomic design.

If applicable, evaluate the maze design for compliance with radiation safety standards, ensuring adequate attenuation of scattered radiation.

Inspect viewing systems (mirrors, cameras) for clarity and proper positioning to maintain visual contact with the patient during procedures.

Review the latest shielding survey report to ensure compliance with regulatory limits and identify any areas requiring improvement.

Confirm that appropriate radiation warning signs are prominently displayed at the entrance to the X-Ray room, in compliance with regulatory requirements.

Inspect X-Ray tube housing for any signs of damage or leakage. Verify proper cooling system operation.

Verify collimator functionality, ensuring accurate beam limitation and alignment with the image receptor. Check light field congruence.

Test exposure switch functionality, confirming proper operation and safety interlocks to prevent unintended radiation exposure.

Confirm that warning lights (radiation on/off) are functioning correctly and clearly visible both inside and outside the X-Ray room.

Assess the stability and functionality of the X-Ray table, ensuring smooth movement and secure locking mechanisms.

Verify the functionality of the emergency stop button, ensuring immediate termination of radiation exposure in case of an emergency.

Inspect the image receptor (CR cassette, DR panel) for damage or artifacts that may affect image quality and diagnostic accuracy.

Review generator settings (kVp, mA, time) to ensure they are appropriate for the specific examination and patient size, minimizing radiation dose.

Verify that all X-Ray equipment is calibrated according to manufacturer's recommendations and regulatory requirements. Review calibration records.

Confirm proper beam alignment with the image receptor, minimizing unnecessary radiation exposure to the patient.

Evaluate the use of scatter reduction techniques (grids, collimation) to minimize radiation dose and improve image quality.

Inspect lead aprons for cracks, tears, or punctures using fluoroscopy or visual inspection. Document findings.

Inspect lead gloves for cracks, tears, or punctures using fluoroscopy or visual inspection. Document findings.

Inspect thyroid shields for cracks, tears, or punctures. Ensure proper fit and coverage.

If applicable, inspect protective eyewear (lead glasses) for scratches or damage that may impair vision or reduce radiation protection.

Verify that adequate quantities of appropriate PPE are readily available for all personnel entering the X-Ray room.

Ensure proper storage of PPE to prevent damage and maintain its effectiveness (e.g., hanging lead aprons on designated racks).

Confirm that all personnel who routinely work with radiation are wearing assigned dosimeters correctly and consistently.

Verify that dosimeters are exchanged and processed according to the established schedule (e.g., monthly, quarterly).

Review dosimeter records to identify any trends or anomalies in radiation exposure levels. Investigate any unusual readings.

Confirm that all personnel have received adequate training on the proper use, care, and storage of PPE.

Verify that female personnel have been informed of their right to declare a pregnancy and the associated radiation safety precautions.

Review the radiation safety program to ensure it is up-to-date and compliant with all applicable regulations and guidelines.

Verify that a qualified Radiation Safety Officer (RSO) is designated and has the necessary authority and resources to implement the radiation safety program.

Confirm that written operating procedures are available for all X-Ray equipment and procedures, including safety precautions and emergency protocols.

Review training records to ensure that all personnel have received adequate training on radiation safety, equipment operation, and emergency procedures.

Verify that a system is in place for reporting and investigating radiation incidents, including near misses and equipment malfunctions.

Review audit records to ensure that regular audits are conducted to assess the effectiveness of the radiation safety program and identify areas for improvement.

If applicable, verify that a system is in place for tracking and controlling radioactive materials (isotopes) used in the radiology department.

If applicable, confirm that radioactive waste is properly segregated, stored, and disposed of in accordance with regulatory requirements.

Ensure that procedures are in place to control access to the X-Ray room and minimize radiation exposure to visitors.

Verify that appropriate shielding is used to protect patients from unnecessary radiation exposure during procedures.

Assess the implementation of ALARA (As Low As Reasonably Achievable) principles in all aspects of the radiology department's operations.