Radiation Monitoring System Inspection Checklist
Radiation Monitoring System Inspection Checklist
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment ID
*
Location of Inspection
*
Operational Status
*
Operational
Requires Maintenance
Out of Service
Battery/Power Check
*
Battery Level Sufficient
Power Cable Secure
Backup Power Functional
Calibration Status
*
Calibrated
Calibration Due
Calibration Failed
Alarm Function Test
*
Audio Alarm Functional
Visual Alarm Functional
Alarm Test Not Performed
Contamination Check Results
*
No Contamination Detected
Contamination Detected
Not Checked
Inspection Findings & Follow-up Actions
Submit Inspection
Should be Empty: