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Oregon Health Authority

Inspections

Preparing for Your Inspection

To help inspections run smoothly and quickly it is generally a good idea to have a binder with all or most of the information we inspect for. Refer to the Oregon Administrative Rules to ensure you are in compliance with the rules.   

The following is a list of items we ask for regardless of the facility type:

  • X-ray operator license or certificate (most boards require licenses to be posted in public view)
  • X-ray machine license
  • Most recent dosimtry reports (dosimetry may not be required for your office). Make sure the report includes
    • SS# or Unique ID#
    • DOB for each employee monitored)

 


Chiropractor

Chiropractors are inspected every 2 years.
Inspections are not scheduled.
Depending availability of machines and office organization, Inspections generally take about an hour. 

An inspection consists of:

  • Testing machine for compliance with Division 106
  • Making sure the technique chart accurate and lists patient size in cm
  • Reviewing the annual lead ppe check  
  • Testing the processor temperature
  • Testing dark room for light leaks
  • Reviewing X-ray machine operator licenses
  • Reviewing gonadal shielding policy
  • Reviewing films to ensure the gonadal shielding policy is being followed
  • Review dosimetry reports to ensure the following information is present: Employee Name, DOB, and Unique ID# (typically this is the SS#, you can ask the company to star out the first 5 numbers)

The following only applies if your facility is operating fluoroscopy equipment:

  • Review fluoro policies and procedurse: who is allowed to operate, operating instructions, benchmark policy, operating manual
  • Review fluoro log book
  • Review fluoro benchmark review
  • Review fluoro operator training certificate

 


Dental

Dental offices are inspected every 3 years.
Inspections are not scheduled.
Depending on the number of machines, machine availability, and office organization inspections can take anywhere from 30 minutes to an hour.

An inspection consists of:

  • Testing machines for compliance with Division 106
    • Testing the machine to make sure the timer and the kVp are reproducible
    • Checking to see that the exposure is below the maximum exposure allowed for an average adult bitewing
  • Testing processor temperature
  • Testing dark room for light leaks
  • Reviewing all licenses and certificates (Dentist, Hygienists, and Assistants)
  • Reviewing any applications training that is required for dental Hand Held machines and CT machines
  • The only time dosimetry is required in a dental office is if you are operating a hand held X-ray machine under an exemption from the State.
  • If you choose to provide dosimetry to staff you must ensure the reports contain all of the following information: Name, DOB, and Unique ID# (typically this is the SS#, you can ask the company to star out the first 5 numbers)

 

 


Hospital 

Hospitals are inspected every year.
Inspections are scheduled to ensure machine availability.
Inspection times can vary between 1/2 a day and several days. 

Hospital inspection contacts are sent a confirmation letter outlining all of the information inspectors will be reviwing during an inspection.  

 

 


Industrial 

Industrial registrants are inspected every 3 years.
Inspections are not generally scheduled.  

 


Medical

Medical offices are inspected every 2 years.
Inspections are not scheduled
Depending on machine availability and office organization inspections generally take up to an hour. 

An inspection consists of:

  • Testing machines for compliance with Division 106
  • Testing the machine to make sure the timer and the kVp are reproducible
  • Checking to see that the exposure is below the maximum exposure allowed for a 23cm APLSS
  • Testing to make sure the collimation is accurate (The light to X-ray field must be within 2%)
  • Verifying Limited Permit Technologists are operating within the scope of their license
  • Testing processor temperature (+/- 3 degreese)
  • Testing dark room for light leaks
  • Reviewing gonadal shielding policy
  • Reviewing films to ensure the gonadal shielding policy is being followed
  • Verify each operator has their own dosimeter.
  • Review dosimetry reports to ensure the following information is present: Employee Name, DOB, and Unique ID# (typically this is the SS#, you can ask the company to star out the first 5 numbers)
  • Reviewing all operator licenses and training certificates (non-radiologist physicians operating fluoro)

 


Podiatrist 

Podiatry clinics are inspected every 3 years.
Inspections are not scheduled.
Depending on machine availability and office organization inspections generally take a half hour to an hour. 

 

 


Veterinary 

Veterinary offices are inspected every 3 years.
Inspections are not scheduled.
Depending on machine availability and office organization inspections generally take an hour. 

An inspection consists of:

  • Testing machines for compliance with Division 106
  • Testing the machine to make sure the timer and the kVp are reproducible