Radiology Equipment Daily QC
Daily QC checklist for radiography, fluoroscopy, and CT rooms to verify warm-up, image quality, and radiation safety before patient use. Use it to catch equipment faults, protective apparel damage, and unresolved deficiencies early.
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Overview
This template is a daily quality control inspection for radiology equipment used in radiography, fluoroscopy, and CT. It walks the inspector through startup readiness, image quality checks, and radiation safety controls before the room is opened for patient care. The structure is designed to catch operational problems that affect image quality, dose control, and staff protection, including error messages, failed warm-up sequences, artifacts, exposure indicator drift, and damaged protective apparel.
Use it when your department needs a repeatable pre-use check that can be completed at the start of each day or shift. It is especially useful in rooms that see multiple operators, shared coverage, or frequent turnover, because it creates a consistent record of what was verified and what needs escalation. The checklist also helps document unresolved prior deficiencies so they do not disappear between shifts.
Do not use this template as a substitute for preventive maintenance, acceptance testing, or physicist-led performance evaluation. It is not the right tool for annual calibration, service repair, or post-installation commissioning. It also should not be used to judge cosmetic issues that do not affect safety or image performance. The strongest use of this template is as a daily operational gate: if a critical item fails, the room is held, documented, and escalated before patient use.
Standards & compliance context
- The template supports daily operational controls commonly used in ACR-based imaging programs and radiation safety management systems.
- Its radiation protection checks align with general expectations under state radiation control programs, ANSI-style safety practices, and facility dosimetry policies.
- The protective apparel and access-control items help document conditions relevant to NFPA-style life-safety and controlled-area expectations where imaging suites are part of a larger facility program.
- For CT, fluoroscopy, and radiography, the checklist should be paired with manufacturer instructions and physicist or service-provider performance testing rather than used as a substitute.
- If your facility is accredited or inspected under a state program, keep the checklist wording consistent with your local policy and the modality-specific quality control plan.
General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.
What's inside this template
Inspection Details
This section anchors the record to a specific room, modality, and timestamp so the daily QC can be traced to the exact equipment in use.
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Equipment type inspected
Select the primary modality being inspected.
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Room / suite identifier
Enter the room number, suite name, or asset identifier.
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Inspection date and time
Record when the daily QC inspection was completed.
Equipment Warm-Up and Operational Readiness
This section confirms the scanner or room is safe and functional before imaging begins, including startup behavior, motion controls, and unresolved prior issues.
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System powered on without error messages
Verify the console, generator, and imaging system initialize normally with no active fault codes or startup alarms.
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Required warm-up sequence completed
Confirm the manufacturer-required warm-up procedure was completed before patient use.
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Tube, detector, and gantry movement normal
Verify smooth movement and normal mechanical operation of the tube, detector, gantry, table, and any motorized components applicable to the modality.
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Collimation and positioning lights functional
Verify collimator control and positioning lights are visible and respond correctly.
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Emergency stop / abort controls functional
Verify emergency stop, exposure abort, or scan abort controls are accessible and functional as applicable to the modality.
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Daily QC log reviewed for unresolved prior deficiencies
Confirm prior-day deficiencies, non-conformances, or service tickets have been reviewed and addressed before use.
Image Quality and Performance Checks
This section verifies that the equipment is producing usable diagnostic images and that the image chain is behaving within expected limits.
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Reference image or phantom image meets acceptance criteria
Verify the daily reference image, phantom image, or test exposure demonstrates expected contrast, uniformity, and artifact-free appearance per site criteria.
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No visible artifacts on image display
Confirm there are no streaks, banding, dead pixels, shading defects, or other image artifacts affecting diagnostic quality.
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Exposure indicators within expected range
Verify exposure index, dose indicator, or CTDI-related daily check values are within the facility’s acceptable range.
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Fluoroscopy image chain and last-image hold functional
For fluoroscopy systems, verify live image display, last-image hold, and image retention functions operate normally.
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CT scout / localizer image acceptable
For CT systems, verify scout or localizer image quality is acceptable and free of obvious artifacts or positioning errors.
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Image quality comments
Document any observed image quality deficiency, non-conformance, or corrective action taken.
Radiation Safety and Protective Equipment
This section checks the controls that protect staff and patients, including protective apparel, signage, access control, and dosimetry presence.
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Lead aprons inspected for visible damage
Inspect lead aprons for cracks, tears, delamination, broken straps, or other visible defects before use.
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Lead apron and thyroid shield inventory checked
Confirm all required protective garments are present, labeled, and available for staff use.
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Protective apparel storage prevents folding or damage
Verify aprons and shields are stored on proper hangers or racks to prevent creasing and material degradation.
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Radiation warning signs and controlled access posted
Confirm required radiation warning signage, room postings, and access controls are in place and visible.
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Dosimetry badges present where required
Verify personnel dosimeters are worn or available according to department radiation safety procedures.
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Any radiation safety deficiency identified
Indicate whether a radiation safety deficiency, non-conformance, or reportable condition was identified during this inspection.
Documentation and Escalation
This section captures deficiencies, service holds, and sign-off so problems are not lost after the inspection ends.
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Deficiencies documented and escalated
Confirm any failed item was documented, communicated to the appropriate supervisor, and escalated to service or radiation safety as needed.
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Equipment removed from service if required
If a critical item failed, confirm the equipment was taken out of service and tagged according to site lockout-tagout or equipment control procedures.
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Inspector comments
Record additional observations, corrective actions, or follow-up requirements.
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Inspector signature
Signature of the technologist, physicist, or authorized inspector completing the daily QC.
How to use this template
- 1. Enter the equipment type, room or suite identifier, and inspection date and time before starting the walk-through.
- 2. Power on the system and verify the warm-up sequence, movement functions, collimation lights, emergency stop controls, and prior deficiency log status.
- 3. Run the required image quality checks using the approved reference image, phantom, or test exposure for that modality and record any artifacts or abnormal exposure indicators.
- 4. Inspect lead aprons, thyroid shields, storage conditions, warning signage, controlled access, and dosimetry presence where required.
- 5. Document every deficiency with a clear description, remove the equipment from service if needed, and escalate to the responsible supervisor, physicist, or radiation safety officer.
- 6. Sign and close the record only after corrective actions, temporary controls, or service handoff steps are assigned.
Best practices
- Verify the room before the first patient scan, not after the schedule is already underway.
- Use the same reference image or phantom standard each day so small changes in image quality are easier to spot.
- Treat any unexplained artifact, repeated exposure indicator drift, or failed movement control as a deficiency until it is investigated.
- Inspect lead aprons and thyroid shields by hanging or laying them flat, because folding can hide cracks and shorten service life.
- Record unresolved prior deficiencies at the start of the checklist so repeat problems are visible to the next shift.
- Photograph visible damage, warning sign issues, or protective apparel defects at the time of inspection when your workflow allows it.
- Escalate critical radiation safety or image chain failures immediately instead of waiting for end-of-day review.
What this template typically catches
Issues teams running this template most often surface in practice:
Common use cases
Frequently asked questions
What equipment does this daily QC template cover?
This template is built for radiography, fluoroscopy, and CT rooms where daily operational checks are needed before patient imaging begins. It includes warm-up readiness, image quality verification, and radiation safety checks such as lead apron condition and warning signage. If your site runs multiple modalities, you can clone the template by room or scanner. It is not meant for general facility maintenance or preventive maintenance scheduling.
How often should this QC be completed?
Use it daily, typically at the start of the first shift or before the first patient scan in each room. If a room is taken out of service and then returned to use later the same day, many sites repeat the critical readiness checks. The exact cadence should follow your facility policy, manufacturer instructions, and local radiation safety program requirements. If your state or accreditor requires more frequent checks, this template can be adjusted to match.
Who should run the daily QC?
A trained radiology technologist, lead technologist, or other designated operator usually completes the checklist, with escalation to the radiology supervisor, medical physicist, or radiation safety officer when a deficiency is found. The person running it should know the room's normal startup behavior and be able to recognize image artifacts, error messages, and unsafe conditions. For CT or fluoroscopy issues that affect image quality or dose, escalation should be immediate. The template also supports sign-off by the responsible inspector.
Does this template align with ACR or radiation safety requirements?
Yes, it is structured to support daily quality control expectations commonly used in ACR-based imaging programs and radiation safety oversight. It also fits broader radiation protection practices tied to state radiation control programs, ANSI-style safety management, and facility policies for controlled access and dosimetry. The template does not replace manufacturer service checks or physicist acceptance testing. It is a daily operational control, not a commissioning or annual performance test.
What are the most common mistakes when using a daily radiology QC checklist?
A common mistake is treating the checklist as a signature exercise instead of verifying actual image quality, exposure indicators, and safety controls. Another is skipping unresolved prior deficiencies and repeating the same problem day after day without escalation. Sites also miss damaged lead aprons stored folded or hung improperly, which can shorten protective apparel life. This template helps prevent those gaps by making each check observable and documentable.
Can I customize this template for CT only or fluoroscopy only?
Yes, and that is often the best way to use it. For CT-only rooms, you can emphasize scout/localizer image quality, gantry movement, and exposure indicator behavior, while removing fluoroscopy-specific checks like last-image hold. For fluoroscopy-only rooms, you can focus on image chain function, collimation, and room access controls. The structure is flexible enough to keep the daily workflow intact while removing irrelevant items.
How does this compare with ad hoc equipment checks?
Ad hoc checks depend on memory and usually miss repeat issues, especially when multiple staff cover the same room across shifts. A structured daily QC template creates a consistent record of warm-up, image performance, and radiation safety conditions, which makes trends easier to spot. It also gives supervisors a clear escalation trail when a deficiency is found. That matters when you need to show the room was reviewed before use.
Can this template connect to maintenance or incident workflows?
Yes. Deficiencies can be routed to maintenance, biomedical engineering, the PACS or imaging support team, or the radiation safety officer depending on the issue. If your workflow tool supports it, you can link the checklist to work orders, corrective actions, or incident reports. That is especially useful when the same artifact, error message, or protective equipment problem appears repeatedly. The template is designed to produce a clean handoff from inspection to action.
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