X-Ray and microwave radiation testing

• X-Ray and microwave
• Gorton's Seafood Center
  Address

• Conducted on

  Date

• Jose Moreno

If Radiation Producing Machines (x-ray machines)

• Are all rooms containing x-ray machines appropriately identified with signage?

  Yes

  No

  N/A

• Have lead protective devices been inspected in the preceding 12-month period?

  Yes

  No

  N/A

• Are control panels marked with appropriate warnings?

  Yes

  No

  N/A

• If manual techniques are used, are they documented and readily available?

  Yes

  No

  N/A

• Has the annual physics survey and inventory of the x-ray producing device been performed within the preceding 12-month period?

  Yes

  No

  N/A

• Is the Radiation Safety Manual readily available?

  Yes

  No

  N/A

• What is the reading on asset # 0112 infeed and outfeed

• What is the reading on asset # 2022 infeed and outfeed

• What is the reading on asset # 2033 infeed and outfeed

• What is the reading on asset # 2044 infeed and outfeed

• What is the reading on asset # 2055 infeed and outfeed

• What is the reading on asset # 6024 infeed and outfeed

• What is the reading on asset # 7007 infeed and outfeed

Microwave

• Are all safety laches work properly

  Yes

  No

  N/A

• Are all safety work properly

  Yes

  No

  N/A

• What is the reading on asset # 7012 infeed and outfeed

• What is the reading on asset # 6007 infeed and outfeed

• What is the reading on asset # 6009 infeed and outfeed

• Date and time of approval

  Date

• Approver's signature

  Sign