SErIES IAEA HumAn HEAltH SErIES IAEA Hum

FORM FOR A FLUOROSCOPIC AND/OR INTERVENTIONAL
FLUOROSCOPIC X RAY FACILITY QA PROGRAMME
Form FIF — Items to be reviewed by auditor Adequacy Comments
I. General
General condition of equipment and room
Availability of operator’s manual
Training of personnel to use equipment
Imaging protocols and involvement of medical
physicist in development of protocols
Acceptance testing policies, procedures and/or
manual
Quality assurance policies, procedures and/or
manual
Y NI N NA
Y NI N NA
Y NI N NA
Y NI N NA
Y NI N NA
Y NI N NA
II. Quality Assurance (Acceptance Tests, Frequencies, Responsible Persons,
Performance Criteria and Corrective Actions Taken)
Evaluation of facility assembly
Indicator lights
Mechanical integrity
Beam limitation assessment
Evaluation of focal spot performance
Performance of automatic exposure control (AEC)
system
Image quality (phantom)
Y NI N NA
Y NI N NA
Y NI N NA
Y NI N NA
Y NI N NA
Y NI N NA
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