Title Page
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Site conducted
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Radiographer/Trainee
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Radiographer/Trainee
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Conducted on
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Inspector
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Camera #
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Source S/N:
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Isotope:
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Curies
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Gbq:
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Survey Meters #1:
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Calibration Due:
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Location:
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Survey Meters #2:
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Calibration Due:
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Site Address
Checklist
Gamma Safety Check
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1. Were all personnel wearing all required monitoring equip?
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2. Were all personnel equipment currently calibrated and operational?
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3. Were all personnel wearing PPE? (Hard hats, etc….)
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4. Was the camera properly labeled (TI), including company address?
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5. Was the restricted area posted with proper warning signs?
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6. Was the high radiation area posted with proper warning signs?
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7. Was the restricted area properly controlled to prevent unauthorized entry?
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8. Was there a calibrated and properly operating survey meter present at the job-site?
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9. Was the Utilization Log properly completed before leaving for the job?
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10. Was a copy of the decay chart on the job site?
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11. Was a proper survey sheet filled out?
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12. Was all equipment functioning properly?
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13. Was a proper survey performed after each exposure?
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14. Did the radiographer survey the exposure device & guide tube properly?
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15. Were radioactive sources properly stored on the job-site when not in use?
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16. Were sources properly locked to prevent unauthorized removal?
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17. Were all storage areas posted with “CAUTION RADIOACTIVE MATERIALS” signs?
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18. Was a copy of the O&E procedures available at the job-site?
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19. Was a copy of the pertinent regulations available at the job-site?
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20. Was a copy of the company’s radioactive materials license available at the job-site?
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21. Were ropes, barricades, etc. properly erected around the restricted area?
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22. Was a collimator in use?
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23. Does Transport Vehicle have security system?
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24. Was a misconnect test completed?
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25. Did the camera and crank-out pass another misconnect test?
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26. Were shipping papers for Radioactive Materials completed?
Certification
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1. Are the NDT Technicians Level II certifications current?
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2. Does the technican have a copy if his/her certification?
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3. Is the technicians visual acuity current?
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4. Does the technician have a copy of his/her annual visual acuity?
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5. Does the technician have an approved and current radiographer card?
Quality
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1. Has the technician completed the report meeting applicable codes and standards?
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2. Does the reviewed film meet applicable codes and standards?
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3. Has the film been interpreted for acceptance or rejection in accordance with specified acceptance? standards
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4. Is the film free from mechanical , chemical or blemishes?
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5. Has the film been interpreted using for a density between 2.0 and 3.5?
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6. Has the densitometer been calibrated within the last 90 days?
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7. Does the technician have a step wedge companision film?
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8. Are the IQI's properly paced as per applicable codes and standards?
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9. Are the film markers and all required idnetification on the film and legible?
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10. Are the daily readiographic testing reports legible and correct?
Performance
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1. Does the technicain complete the work in a safe and timely manner?
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2. Does the technician properly mark the pipe correctly? (Including weld #, starting point, defects, etc)
Professional Integrity
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1. Does the technican adhere to complany policies and procdures including project policies?
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2. Are the technicians respectful to other coworkers?
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3. Does the technician take responsibility for his/he actions?
Sign Off
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Completed by (Name, Signature & Sign Date)