RADIOLOGY- X RAY SERVICES AUDIT CHECKLIST
[Link] DISPLAY Status Responsibility Target Date
Display of Hand Hygiene, Hand wash, use of
1
PPE, BMW segregation
2 AERB License display
3 Radiology scope of services with list of tests
4 Asset label
5 PM label
6 Calibration Label
Instruction /operator protocol displayed in the
7
Machine
8 Departmental Signages
9 TAT
10 Critical alert criteria
11 Occupational Hazards
12 Fire exit signage
13 Department Organogram
Radiation signage display (Caution X ray,
14
Pregnancy woman alert sign)
15 List of procedures
16 MSDS display
17 Dose Requirements
18 Radiation Safety Devices Displays
FACILITY
Safety of electrical plugs &Sockets-(Check for
1
loosely tangling wires)
2 Electrical requirements
3 Plumbing requirements
Any damaged items in the area which has
4
potential for Injury.
Hand wash area with elbow tap (If procedures
5
are being done)
6 Availability of Hand rub
7 Lead aprons, Gonad shield, Thyroid shield
8 Lead shield
9 Hanger for lead apron
10 Female dress change area
11 TLD Badge
12 RSO
13 Report back up system
14 Manpower requirements
15 Authorised signatory
16 Standard report format
17 Amendment report seal
18 Hazardous Materials cupboard
19 Spill kit
20 Availability of Biomedical waste bins
21 Hepatitis B Vaccination for Staff
22 Employee health check up
23 Internal meeting records
DOCUMENTATION
1 Departmental Manual
2 MOU for outosurce with QA points
3 Outsourced register
4 Outsourced list
5 Communication register for outsource facility
6 List of procedures
7 Consent for procedures
8 AERB guidelines download
9 TAT register
10 TLD Badge report
11 Equipment file
12 Equipment maintenance checklists
13 Equipment breakdown register
14 Emergency medicine kit
15 Emergency medicine checklist
16 Leak proof test report
17 Critical alert register
18 Repeating or re-do’s details
19 Reporting errors-Incident report form
20 Radiology Safety Manual
21 Quality assurance details (Internal)
22 Quality assurance details (External)
Patient instructions pamphlets for procedures if
23
any
24 Safety checklists for procedures
25 Consultant feedback
26 Quality assurance report-Room
27 PM plan and reports
28 Calibration plan and reports
29 Calibration and traceability certificate
30 Quality check report of outsourced lab
31 Training Calendar
32 MSDS file
33 Emergency medicine checklist
34 LASA and high alert segregation
35 Handing over register
36 Lead apron disposal policy
Quality Monitor-Radiology (Waiting time, usage
37
PPE, Reporting errors, Re dos)
Remarks
