Radiation Safety Checklist

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

General Information

• Building

• Area Supervisor

• Department

• Room #

• Area Use

Warnings & Signs

• Is the “Notice to Employees” poster displayed in appropriate numbers and locations?

  Yes

  No

  N/A

• Are appropriate radiation warning signs posted at the entrance(s)?

  Yes

  No

  N/A

• REFERENCE: Radiation safety warning sign posted in the main entrance
  [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]
  

  

• Are emergency procedures and phone numbers clearly posted?

  Yes

  No

  N/A

• Are radioactive material and radiation producing devices secured to prevent unauthorized access?

  Yes

  No

  N/A

• Is the “Radiation Safety Manual” available?

  Yes

  No

  N/A

• Do all personnel have documented training of the appropriate type?

  Yes

  No

  N/A

• Are the appropriate personnel supplied with dosimeters?

  Yes

  No

  N/A

Radioisotope Safety

• Is the work area orderly and free of clutter?

  Yes

  No

  N/A

• Is food, drink, applying cosmetics, etc., prohibited?

  Yes

  No

  N/A

• Is mouth pipetting prohibited?

  Yes

  No

  N/A

• Is personal protective equipment available and worn appropriately?

  Yes

  No

  N/A

• Are hands washed before exiting work area?

  Yes

  No

  N/A

• Are accurate and up-to-date isotope receiving logs kept and available for inspection?

  Yes

  No

  N/A

• Are accurate and up-to-date isotope use logs kept and available for inspection?

  Yes

  No

  N/A

• Are semi-annual inventories performed, documented, and copies sent to RSO?

  Yes

  No

  N/A

• Is the area surveyed for contamination at least weekly?

  Yes

  No

  N/A

• Are wipe test and contamination survey logs kept and available for inspection?

  Yes

  No

  N/A

• Have survey meters been calibrated within the last twelve (12) months?

  Yes

  No

  N/A

• Are survey meters in good working order?

  Yes

  No

  N/A

• Are bioassays performed, documented, and copies sent to RSO as necessary?

  Yes

  No

  N/A

• Are refrigerators, hoods, storage cabinets, and waste receptacles clearly and appropriately labeled?

  Yes

  No

  N/A

• Are isotopes clearly marked with name, activity, and assay date?

  Yes

  No

  N/A

• Is waste properly labeled and stored prior to disposal?

  Yes

  No

  N/A

• Are accurate and up-to-date isotope disposal logs kept and available for inspection?

  Yes

  No

  N/A

• Are radioactive markings obliterated on non-contaminated items prior to disposal via the building’s solid waste?

  Yes

  No

  N/A

• Are semi-annual leak tests performed on sealed sources and records maintained?

  Yes

  No

  N/A

Electrophoresis/Sequencing Devices

• Are written operating procedures readily available?

  Yes

  No

  N/A

• Is the power supply clearly marked “DANGER – HIGH VOLTAGE?”

  Yes

  No

  N/A

• Is the sequencing unit clearly marked “DANGER – HIGH VOLTAGE?”

  Yes

  No

  N/A

• Is the power “ON” lamp on the power supply working and clearly visible from the work area?

  Yes

  No

  N/A

• Is the power “ON” switch readily accessible?

  Yes

  No

  N/A

• Are all electrical contacts guarded against operator contact?

  Yes

  No

  N/A

• Are all power leads insulated and undamaged?

  Yes

  No

  N/A

• Is the AC power cord a grounded type and undamaged?

  Yes

  No

  N/A

• Is the unit cover safety interlocked?

  Yes

  No

  N/A

• Are unit and power supply located away from the sink?

  Yes

  No

  N/A

• Are appropriate personnel trained in CPR?

  Yes

  No

  N/A

Radiation Producing Devices

• Is a copy of Registration posted?

  Yes

  No

  N/A

• Are operating and emergency procedures posted?

  Yes

  No

  N/A

• Are quarterly safety device tests performed and documented in a log?

  Yes

  No

  N/A

• Are annual inspections performed and documented?

  Yes

  No

  N/A

• Is the control panel marked with appropriate warnings?

  Yes

  No

  N/A

Recommendations

• Write some recommendations

Completion

• Full Name and Signature of the Inspector

  Sign