Opportunity Title

Opportunity Type

Opportunity Plan - Key Dates for this Opportunity

Audit Plan - Include dates, locations, departments etc

Tender Team Members (including their roles)

Trust Information - Values, Mission etc

Key Audit Questions



Hospital Location
Hospital Name and Address
Hospital Image
Date of Site Audit


Department Number

Department Name i.e. Radiology, A&E, Theatres

Location Information - Wing/Building/Floor

Clinical Lead Name

Clinical Lead Contact Phone Number

Clinical Lead email address

Department Access i.e. Opening Hours, Security etc

Additional Notes on Department


Room Number

Room Name Or Number

Room Image


Equipment Number
Equipment Image



System Serial Number

Serial Number Plate Image

Local Identifier

Current Service Provider

Current Service Provider - Company Name

Current Service Provider Reference

Technical Information

Year Of Manufacture (If known)

DXR/iXR/Surgery Flatplate Detectors

DXR/iXR/CT - Tube Manufacture / Replacement Date (If known)

DXR/iXR/CT - Tube Origin - Is the Tube OEM or non OEM?

US Only - Condition Of Probes - What is the condition of Probes including Specialist Probes?

MR Only - Coil Condition - What is the condition of MR coils - Are they all functioning?

All Modalities - Cosmetic Condition - What is the cosmwetic quality of the Equipment including Missing, Broken, Cracked Covers, Infection Control Risk?

All - System Operation - Does System Perform All Clinical Functions According To Specification? (Refer to Clinical Staff)

All Modalities - Service History - Is the Service History Available?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.