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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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

III. Radiation Protection and Safety<br />

Protective devices checked<br />

Room shielding checked<br />

Quality control of immobilization devices: storage<br />

and replacement<br />

Control of access to X ray room<br />

Checks of warning lights/signs<br />

Checks of door interlocks<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 />

Radiation protection/scattered radiation surveys<br />

(e.g. what is done, including frequency, methods and<br />

records, and actions taken as a result)<br />

IV. Patient Dosimetry<br />

<br />

Y NI N NA<br />

Dosimetry equipment and methodology<br />

Patient dose estimates and reference values<br />

Equipment based dosimetry (e.g. CTDI or DLP<br />

display)<br />

Dosimetry in pregnancy<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 />

160

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