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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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FORM FOR A COMPUTED TOMOGRAPHY QA PROGRAMME<br />

Form CTQ — Items to be reviewed by auditor Adequacy Comments<br />

I. General<br />

General condition of equipment and room<br />

Availability of operator’s manual<br />

Training of personnel to use equipment<br />

Imaging protocols and involvement of medical<br />

physicist in development of protocols<br />

Acceptance testing policies, procedures and/or<br />

manual<br />

Quality assurance policies, procedures and/or<br />

manual<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

II. Quality Assurance (Acceptance Tests, Frequencies, Responsible Persons,<br />

Performance Criteria and Corrective Actions Taken)<br />

Facility assembly evaluation<br />

Visual inspection<br />

Audible/visual signals<br />

Mechanical integrity<br />

Alignment light accuracy<br />

Alignment of table to gantry<br />

Table/gantry tilt<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

<br />

Y NI N NA<br />

158

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