Web Content Viewer
Actions
X-ray Equipment Inspection
X-Ray

Inspection  

The X-ray Program is responsible for inspecting facilities that use x-ray equipment and businesses that install x-ray equipment in Ohio.  Health physics inspectors travel throughout Ohio performing inspections on approximately 7,300 x-ray machines at 3,300 facilities annually.

 

Quality Assurance Items Reviewed at Inspection

-Current certificate of registration

-Regulations applicable to facility type

-Prior violations and corrective action review

-Notice-to-Employees postings

-Operator training

-Personnel monitoring

-Radiologic licenses

-Preventative maintenance

-Quality control tests: daily, monthly, quarterly

-Area radiation surveys

-X-ray equipment inventory

-X-ray equipment safe operating procedures

-X-ray equipment receipts, transfers and disposals

-Fluoroscopic equipment: tests by the medical physicist (radiation expert)

-Computed tomography equipment: tests by the medical physicist (radiation expert)

-Radiation therapy equipment: tests by the medical physicist (radiation expert)

-Any self-referral approval letters

-Any Food & Drug Administration (FDA) X-ray equipment variances

 

X-ray Equipment Tests Performed at Inspection

-Exposure, kVp and timer reproducibility

-kVp and timer accuracy

-Half-value layer

-Exposure switch position and function

-Entrance-skin exposure for examination

-Collimator and light field congruency

-Collimator beam size an alignment factors

-Safety interlocks

 

Inspection Time

It takes approximately 45 minutes to 1 hour to review the quality assurance documents and 15 to 20 minutes for every x-ray unit at small facilities.  Hospital inspections take 1-5 days based on facility size and the organization of their documents.

 

Inspection Frequency

 

The following is a listing of the frequency for radiation-generating equipment inspections.

 Facility Type

  Interval

 Assembler

  3 years

 Chiropractic 

  3 years

 Clinic  

  3 years

 Dental

  5 years

 Educational

  3 years

 Hospitals 

  2 years

 Mobile Health Care

  2 years
 Non-Medical 
  3 years
 Physician    
  3 years
 Podiatry 
  3 years
 Veterinary
  3 years


Inspection Fee

The following is a listing of the current radiation-generating equipment inspection fees. 

 Inspection type Fee
 Assembler $380.00
   
 Dental $155.00
 Each Additional Dental $77.00
   
 First Medical Radiologic $307.00
 Each Additional Radiographic $163.00
   

 First Radiation Therapy < 250 kVp

$307.00

 Each Additional Radiation Therapy <  250 kVp

$163.00

 

 

 Each Radiation Therapy > = 250kVp

$610.00

   

 Each Veterinary

$240.00

   

 Each Non-Medical Analytical or Cabinet

$120.00

   

Each Non-Medical Radiographic

$240.00

   

 Each Non-Medical > 250 kVp

$610.00

   
Hospital 1-10 Tubes

$960.00

   

Hospital 11-25 Tubes

$1,800.00

   

Hospital > 25 Tubes

$2,640.00

General Documents

The following are public guidance documents to assist facilities in preparation for inspections.

Guidance Documents

Revision Date

Instructions to Individuals

5/08

Instructions to Workers

5/08

No Approvals for Self-Referral CT Scans –
Question and Answers

 10/28/12

Preparing for your inspection

1/20
Rule Listing by Facility Type

2/19

Notice to Employees

11/17

 

Rule Guidance

 

The following are public guidance documents to assist facilities in preparation for inspections and give a general explanation for how to comply with a rule.

 

*Guidance for rule numbers without a hyperlink are currently under development.

                   Guidance Chapter 3701:1-66 -                   Medical Radiation-Generating Equipment

Guidance Revision Date

  3701:1-66-02 - General administrative requirements

12/27/19

  3701:1-66-04 - Quality assurance program

12/27/19 

  3701:1-66-05 - Radiographic equipment

12/27/19

  3701:1-66-06 - Dental equipment

12/27/19

  3701:1-66-07 - Fluoroscopic equipment

12/27/19

  3701:1-66-08 - Mammography equipment

12/27/19

  3701:1-66-10 - Computed tomography equipment

12/27/19

  3701:1-66-11 - Bone densitometry equipment

 12/27/19

 3701:1-66-17 - Medical screening and research

12/27/19

 

             Guidance Chapter 3701:1-67 -          Therapy Radiation-Generating Equipment

Guidance Revision Date

  3701:1-67-02 - General administrative requirements

 

  3701:1-67-04 - Quality management program

 

  3701:1-67-05 - Therapy equipment < 1 MV

 

  3701:1-67-06 - Therapy equipment = or > 1 MV

 

  3701:1-67-07 - Survey and dosimetry instruments

 

  3701:1-67-08 - Shielding design and survey requirements

 

  3701:1-67-09 - Quality assurance

 

  3701:1-67-10 - Electronic brachytherapy

 

  3701:1-67-11 - Other uses for electronic RGE for   therapeutic purposes

 

  3701:1-67-12 - Unintended treatment deviations and medical events

 

 

                      Guidance Chapter 3701:1-68 -                  Non-Medical Radiation-Generating Equipment

Guidance Revision Date

  3701:1-68-02 - General requirements

8/22/18

  3701:1-68-03 - Radiographic systems

12/31/18

  3701:1-68-04 - Analytical systems

11/7/18

  3701:1-68-05 - Particle accelerator systems

 

  3701:1-68-06 - Cabinet systems

 6/5/19

Contact us

Inspection questions or complaints may be directed to any of the following:

Mailing Address:
Ohio Department of Health
Bureau of Environmental Health and Radiation Protection – X-ray Program
246 North High Street – 7th floor
Columbus, OH 43215

E-mail: Bradiation@odh.ohio.gov

Telephone: (614) 644-2727
Fax: (614) 466-0381