Items of

Non-Compliance

Not Done

Not Documented

Inadequate

To achieve compliance you must:

Leak Tests

1

4

0

Perform leak tests at required intervals and maintain records

Audits/QA/Management Oversight

3

2

1

Perform (and document) radiation safety audits at required interval; manager must better oversee the program and support the RSO

Training

4

7

0

Train users as required and maintain records for inspection

Instruments/Calibrations

6

3

2

Provide the correct number and type of survey meters; calibrate them at required interval and maintain records

Surveys

5

2

3

Perform surveys of rooms and personnel as required; retrain users how to properly perform surveys

Posting/Labeling

1

0

2

Post all required signs and documents; label containers

Dosimetry

1

3

1

Provide dosimetry to users as required; turn dosimeters in on time; review exposure reports; investigate unusual exposures; maintain records; inform users of their exposure

Security

0

0

3

Improve security to prevent loss or theft of radioactive material

Transportation

1

2

0

Properly secure material in transport vehicle; carry required papers; comply with DOT regulations; maintain control of material at all times

Personnel

0

0

1

Allow only authorized users access to material; list authorized users on license

Receipt/Use/Inventory

0

4

2

Maintain use records to ensure proper tracking of material

Disposal/Transfers

2

1

0

Maintain disposal records for inspection; transfer material to authorized recipients only

Poor HP Practices

2

0

1

Improve housekeeping practices in lab areas; retrain users on correct methods for handling material; keep exposures as low as reasonably achievable

Other

0

2

0

Maintain correct itinerary for mobile services; identify patient prior to therapy administration

Items of

Non-Compliance

Not Done

Not Documented

Inadequate

To achieve compliance you must:

Surveys

0

0

1

Perform surveys of rooms and personnel as required; retrain users how to properly perform surveys

Receipt/Use/Inventory

1

0

0

Maintain use records to ensure proper tracking of material

Safety Audits

2

0

0

Perform and document radiation safety audits as required

Items of

Non-Compliance

Not Done

Not Documented

Inadequate

To achieve compliance you must:

Leak Tests

3

3

2

Perform leak tests at required intervals and maintain records

Audits/QA/Management Oversight

3

1

2

Perform (and document) radiation safety audits at required interval; manager must better oversee the program and support the RSO

Training

1

6

0

Train users as required and maintain records for inspection

Instruments/Calibrations

0

1

0

Provide the correct number and type of survey meters; calibrate them at required interval and maintain records

Dosimetry

1

2

4

Provide dosimetry to users as required; turn dosimeters in on time; review exposure reports; investigate unusual exposures; maintain records; inform users of their exposure

Security

2

0

4

Improve security to prevent loss or theft of radioactive material

Transportation

1

0

8

Properly secure material in transport vehicle; carry required papers; comply with DOT regulations; maintain control of material at all times

Receipt/Use/Inventory

8

3

5

Maintain use records to ensure proper tracking of material

Disposal/Transfers

0

2

1

Maintain disposal records for inspection; transfer material to authorized recipients only

Other

0

0

2

Do not store material at unauthorized locations; do not exceed possession limits