The X-ray Program registers approximately 19,000 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.
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 remainder of this page will discuss the Private Inspectors. Topics discussed follows:
Private Inspectors conduct X-ray machine safety inspections to ensure the use of X-ray producing machines and the facility's operational procedures conform with the Virginia Department of Health's (VDH) regulations. The information contained in the inspection reports that the Private Inspectors provide VDH is used to determine whether a machine is certified for use in the healing arts. There are over 19,000 X-ray machines registered with VDH and each machine used in the healing arts must be periodically inspected. VDH has a limited number of inspectors available to conduct X-ray machine inspections. Much of a VDH inspector's time is spent following up on reported non-compliances, performing special inspections for the U.S. Food and Drug Administraton and conducting enforcement actions. Private Inspectors provide a valuable service to ensure that X-ray machine owners can meet their obligation to have their X-ray machines inspected and certified for use.
Many private inspectors are also medical physicists who provide specialized services to meet other regulatory requirements or support clinical services. These services may include medical physics support for mammography facilities, nuclear medicine departments, radiation therapy treatment planning and shielding design. Qualifications to provide these services may require distintively different crenditials and are separate from those of a Private Inspector.
Private Inspectors providing physics support to a mammography facility need to take special care in documenting their credentials.
Individuals interested in becoming a Private Inspector must meet the criteria established in the regulations 12VAC 5-481-340.
The application may be down loaded: RH-F-27.pdf
Along with the application the following are required:
The applicant is also asked if they are available for providing consultation or inspection services to X-ray machine registrants in Virginia for a fee. If this is the case, the applicants name will be placed on the Private Inspectors list once the credentials have been verified. The Private Inspector's list is made available to the public.
Some employers restrict their medical physicists from performing work outside of their primary work place. Applicants in this situation will have their name placed on the master list of Private Inspectors; however, this list is not generally distributed. Employers may contact VDH to confirm an individual's status as a Private Inspector.
VDH staff will carefully review each application and verify the information provided. This will also include a verification of certifications and degrees claimed.
The Private Inspector List is periodically updated. Private Inspectors should inform VDH whenever any of thier information changes. For a copy of the list, click on this link: October 2013 Private Inspectors list.
Private Inspectors may contact VDH for the multi-part inspection forms used to report inspection data or may down load the forms. Private inspectors will need access to specialized equipment for conducting the appropriate measurements required for a given X-ray machine, such as: calibrated ion chamber, light meter and X-ray film.
General Administration Items Form -RH-F-21.pdf
General Radiographic Systems RH-F-22.pdf
Fluoroscopic Radiographic Systems RH-F-24.pdf.
Computed Tomography (CT) Machines RH-F-28.pdf
Dental Intra-oral Radiographic RH-F-23.pdf
Dental Panographic RH-F-26.pdf
Radiation Therapy Machines RH-F-29.pdf
Other helpful forms
The following should be posted for each inspection:
The Private Inspector is required to provide the facility a copy of the inspection report within 14 days of the completion of the inspection (12VAC5-481-1590-D). The X-ray machine owner or whoever has administrative control of the machine is required to provide a copy of the inspection report to VDH. The Private Inspector may provide a copy of the inspection report directly to VDH as a service to their client. The Private Inspector should let their client know if this is the case. It would be helpful for the Private Inspector take the time to discuss with the facility's representative the inspection report and any findings of non-compliance and how they may be corrected.
In the last decade two of the listed Private Inspectors were found to have submitted fradulent degrees. Unfortunately for them, the inspection services provided were also regulated by the U.S. Food and Drug Administration. Each was prosecuted under federal law and sentenced to a prison term of five years. Since then VDH staff have taken considerable steps to ensure verification of credentials of existing Private Inspectors and new applicants.
VDH inspectors may also follow up on a Private Inspector's inspection to ensure the quality of the inspection.
American Board of Radiology http://theabr.org/
American Academy of Health Physics/American Board of Health Physics http://www.hps1.org/aahp/
American Association of Physicists in Medicine http://www.aapm.org/
Health Physics Society http://www.hps.org/
Radiological Health Program | James Madison Building, 7th Floor | 109 Governor Street, Room 730 | Richmond, VA 23219 | Telephone (804) 864-8150 | Fax: (804) 864-8155