The X-Ray Registration, Inspection and Certification Program exists to assure quality radiographs with a safe x-ray facility environment for both the people of Virginia and the operators of the equipment. The X-ray Program registers approximately 17,000 radiation-producing machines (such as x-ray machines); sets performance criteria for them; and authorizes non-department qualified private inspectors to perform the evaluations and non-department service companies to install and repair the machines. We also maintain a Private Inspectors list.
Machines must be inspected within the established frequency of either 1 or 3 years, based on the type of use. Any x-ray machine that is determined to be unsafe for human use is restricted from use until the x-ray machine is repaired by a service company, and re-inspected by a Virginia Radiological Health Specialist , or permanently removed from service. These regional radiological health specialists audit and monitor private sector inspections and perform compliance inspections of x-ray facilities.
The X-ray Program regulations provide for the:
X-ray Program forms may be found at the following web page: http://www.vdh.virginia.gov/Administration/Forms/
The X-ray program regulations require machine inspections on a frequency basis:
In addition to the above activities, the program also:
X-Ray equipment used in the practice of Medicine is inspected every year. Ninety (90) days prior to the expiration on the green certificate, a yellow notice is sent reminding the facility that an inspection is due. Your previous inspector’s name and telephone number is provided.
The operator of the x-ray equipment should have a license or a limited license to perform radiographic procedures or be a licensed doctor of medicine or osteopathy. One needs to contact the Department of Health Professions, Board of Medicine at (804) 662-9908, to obtain further information.
Personnel Monitoring Devices, Film Badges, or Dosimetry is required unless the private inspector can show through exposure control records or radiation monitoring that the personnel exposure should not anticipate exceeding ten percent (10%) of the maximum permissible dose, which is 500 mrem, of any calendar quarter. This should be documented on the inspection report, which then is signed by the private inspector.
The speed of the film and film-screen combination shall be consistent to obtain a good quality image. Periodic cleaning of cassettes is recommended. You should follow the manufacturer’s recommendations. Routine cleaning of a processor maintains good image quality. Regular changing of processor chemistry, keeps image quality at it’s best. You should follow the chemistry manufacturer’s recommendation for developer temperature. Not keeping the temperature constant can degrade image quality requiring retakes with increased radiation exposure. As with any darkroom, white light is a film’s worst enemy. Any light leaks, fog the film, reducing the quality of the image. Make sure your darkroom is light tight!
The following should be posted for each inspection:
X-Ray equipment used in the practice of Chiropractic Medicine is inspected every year. Ninety (90) days prior to the expiration on the green certificate, a yellow notice is sent reminding the facility that an inspection is due. Your previous inspector’s name and telephone number is provided.
The operator of the x-ray equipment should have a license or a limited license to perform radiographic procedures or be a licensed doctor of chiropractic medicine. One needs to contact the Department of Health Professions, Board of Medicine at (804) 662-9908, to obtain further information.
Personnel Monitoring Devices, Film Badges, or Dosimetry is required unless the private inspector can show through exposure control records or radiation monitoring that the personnel exposure should not anticipate exceeding ten percent (10%) of the maximum permissible dose, which is 500 mrem, of any calendar quarter. This should be documented on the inspection report, which then is signed by the private inspector.
The speed of the film and film-screen combination shall be consistent to obtain a good quality image. Periodic cleaning of cassettes is recommended. You should follow the manufacturer’s recommendations. Routine cleaning of a processor maintains good image quality. Regular changing of processor chemistry, keeps image quality at it’s best. You should follow the chemistry manufacturer’s recommendation for developer temperature. Not keeping the temperature constant can degrade image quality requiring retakes with increased radiation exposure. As with any darkroom, white light is a film’s worst enemy. Any light leaks, fog the film, reducing the quality of the image. Make sure your darkroom is light tight!
The following should be posted for each inspection:
X-Ray equipment used in the practice of Dentistry is inspected every three years. Ninety (90) days prior to the expiration on the green certificate, a yellow notice is sent reminding the facility that an inspection is due. Your previous inspector’s name and telephone number is provided.
Exposure control switches should be permanently mounted outside the operatory to allow the operator to remain in a protected area during the exposure. In this case, dosimetry is not required. Stretch cords are not allowed in new office settings. For existing offices with existing units having stretch cords, the stretch cord should be permanently mounted outside the operatory. In this case, dosimetry is not required. If an existing office has existing x-ray equipment with stretch cords, dosimetry is required. An X-Ray Bulletin dated May 1, 1999 provides additional information on exposure control switches and dosimetry.
Dental X-ray film is now available in "D" speed (Ultra), "E" speed (Ekta), and Insight speed. Each speed of film requires less radiation than the previous. There is approximately a fifty percent (50%) reduction in exposure from the previous speed film. Contained within the Virginia Radiation Protection Regulations is Appendix E. Exposure Limits for Selected Projections containing maximum exposure limits for "D" and "E" speed film for Bitewing projections. Your private inspector should be able to tell you if your equipment is below these limits.
Routine cleaning of automatic processor maintains good image quality. Regular changing of processor chemistry, keeps image quality at it’s best. As with any darkroom, white light is a film’s worst enemy. Any light leaks, fog the film, reducing the quality of the image. Make sure your darkroom is light tight!
The following should be posted for each inspection:
X-Ray equipment used in the practice of Podiatry is inspected every three years. Ninety (90) days prior to the expiration on the green certificate, a yellow notice is sent reminding the facility that an inspection is due. Your previous inspector’s name and telephone number is provided.
Exposure control switches should be permanently mounted outside the operatory to allow the operator to remain in a protected area during the exposure. In this case, dosimetry is not required. If an office has x-ray equipment with stretch cords, dosimetry is required unless the private inspector can show through exposure control records or radiation monitoring that the personnel exposure should not anticipate exceeding ten percent (10%) of the annual dose limits of 5,000 mrem. This should be documented on the inspection report, which then is signed by the private inspector.
Routine cleaning of automatic processor maintains good image quality. Regular changing of processor chemistry, keeps image quality at it’s best. As with any darkroom, white light is a film’s worst enemy. Any light leaks, fog the film, reducing the quality of the image. Make sure your darkroom is light tight!
The following should be posted for each inspection:
X-Ray equipment used in a Veterinary Medicine is inspected every three years. Ninety (90) days prior to the expiration on the green certificate, a yellow notice is sent reminding the facility that an inspection is due. Your previous inspector’s name and telephone number is provided.
Exposure control switches or foot pedals should be on a cord to allow the operator to stand at least six (6) feet from the useful beam and the animal during the radiographic exposure. When an animal must be held during radiography, the individual shall be protected with appropriate shielding devices, such as protective gloves and apron. For this type of practice, dosimetry is required. Also, neither the operator nor the holder of the animal can be under the age of eighteen (18).
Routine cleaning of automatic processor maintains good image quality. Regular changing of processor chemistry, keeps image quality at it’s best. As with any darkroom, white light is a film’s worst enemy. Any light leaks, fog the film, reducing the quality of the image. Make sure your darkroom is light tight!
The following should be posted for each inspection:
X-Ray equipment used in Bone Density is inspected every three years. Ninety (90) days prior to the expiration on the green certificate, a yellow notice is sent reminding the facility that an inspection is due. Your previous inspector’s name and telephone number is provided.
The exposure control switch is usually located at a computer terminal or keypad on or near the x-ray unit. Dosimetry is required unless the private inspector can show through exposure control records or radiation monitoring that the personnel exposure should not anticipate exceeding ten percent (10%) of the annual dose limits of 5,000 mrem. This should be documented on the inspection report, which then is signed by the private inspector.
The following should be posted for each inspection:
The FDA inspection is an inspection of a recently installed x-ray machine (within one year from the installation date). The purpose of this inspection is to provide information to the FDA regarding whether machines and components were manufactured and installed according to federal regulations. There is no fee for the FDA inspection. Assistance in complying with the regulations can be provided at the time of the inspections.
Radiological Health Program | James Madison Building, 7th Floor | 109 Governor Street, Room 730 | Richmond, VA 23219 | Telephone (804) 864-8150 | Fax: (804) 864-8155