CHECKLIST FOR INTERNAL AUDIT CYCLOTRON

Audited By: Auditee:

Date: Time:

S
N
Audit Point/ Question C/NC Remarks NABH Std (in
case of NC)
1. Check the Radiati! Sym"# at
the e!t$a!ce a% &e## a% at
a''$'$iate '#ace%(
)( Check the a''$*a# + the
d$a&i!,%- a!d + the
c!%t$ucti!(
.( Check i+ the$e a$e a!y cha!,e%
made $ de*iati! +$m the
a''$*ed d$a&i!,(
/( Check the $e'$t% + m!it$i!,
%catte$ed $adiati! +$ the #a%t .
m!th%(
0( Check &hethe$ a## the tech!ica#
%ta++ ha*e TLD "ad,e%
1( Check the $e'$t + the
e*a#uati! + the %ame(
2( Check i+ a!y de*iati!%
"%e$*ed( Re'$t ! c$$ecti*e
a!d '$e*e!ti*e acti!% take!(
3( Check the ca#i"$ati! $e'$t +
the D%imete$ u%ed +$
checki!, the %catte$ed $adiati!(
4( Check i+ the c'y + the #ice!%e
i% ea%i#y acce%%i"#e $
di%'#ayed(
56( Check the +i$e %a+ety de*ice%
a*ai#a"#e(
55( Check the i! hu%e t$a!%'$t
c!tai!e$( Check the $adiati!
%ym"#(
5)( Check the $e'$t% + %catte$ed
$adiati!7 m!it$i!, #eaka,e
a$u!d the c!tai!e$(
5.( Check the #cki!, +aci#ity
'$*ided( 8h i% auth$i9ed t
'e! the c!tai!e$(
5/( Check the $ute u%ed t
t$a!%'$t the d$u,%( I% the $ute
+##&ed i% the mi!imum
c$&ded $ute:
50( Check the &$itte! '$tc# +$
'$e'a$ati! + $adiacti*e
d$u,%(
;a,e 5 + ) Si,!atu$e + the Audit$:
Si,!atu$e + the Auditee:
CHECKLIST FOR INTERNAL AUDIT CYCLOTRON
Audited By: Auditee:
Date: Time:
51( Check the #a"e#i!, + the %ame(
Check i+ the #a"e#i!, i% d!e
"e+$e %ta$ti!, the '$e'a$ati!
+ a!the$ d$u,(
52( Check the $e'$t% + m!it$i!,
%catte$ed $adiati! +$ the #a%t .
m!th%(
53( Check &hethe$ a## the tech!ica#-
%ta++ ha*e TLD "ad,e%
54( Check the $e'$t + the
e*a#uati! + the %ame(
)6( Check i+ a!y de*iati!%
"%e$*ed( Re'$t ! c$$ecti*e
a!d '$e*e!ti*e acti!% take!(
)5( Check the ca#i"$ati! $e'$t +
the D%imete$ u%ed +$
checki!, the %catte$ed $adiati!(
))( Check the a''$*a# +$m AERB
+$ di%'%a# + Radiacti*e
8a%te(
).( Check the i!%'ecti! $e'$t%
+$m the AERB(
)/( Check the mai!te!a!ce $ec$d%
+ e++#ue!t t$eatme!t '#a!t(
)0(
)1(
)2(
)3(
;a,e ) + ) Si,!atu$e + the Audit$:
Si,!atu$e + the Auditee: