Form Cms-1882 - Portable Xray Survey Report Page 5
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10name of facility
not
standards
code
met
n/a
eXplanatory statement
met
H26
(3) precautions to be followed to protect other individuals in
the surrounding environment from exposure to radiation;
H27
(4) precautions to be followed to protect the operator of
portable X-ray equipment from unnecessary exposure to
radiation;
(5) considerations in determining the area which will receive
H28
the primary beam;
(6) determination of the time interval at which to check
H29
personnel radiation monitors;
(7) use of the personnel radiation monitor in providing an
H30
additional check on safety of equipment;
(8) Proper use and maintenance of equipment;
H31
(9) Proper maintenance of records;
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(10) technical problems which may arise and methods
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of solution;
(11) Protection against electrical hazards;
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(12) Hazards of excessive exposure to radiation.
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H36
(c)
employee records
records are maintained and include evidence that—
(1) Each employee is qualified for his or her position by
means of training and experience; and
(2) employees receive adequate health supervision.
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form cms-1882 (02/09)
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