Get the free X-ray Machine Status Form (. pdf ) - Kansas Department of Health ... - kdheks

X-RAY MACHINE STATUS FORM If any radiation producing equipment at this facility has been removed, replaced, sold, transferred, donated, or is inoperable, complete and return this form to: Kansas Department

How to fill out x-ray machine status form

How to fill out x-ray machine status form?

1. Begin by entering the date of the form in the designated field.
2. Provide the name and contact information of the person responsible for completing the form.
3. Indicate the model and serial number of the x-ray machine.
4. Specify the location of the x-ray machine, including the facility or department.
5. Record the date of the last inspection or maintenance performed on the x-ray machine.
6. Check the appropriate boxes or write a brief description to indicate the current status of the machine, such as "operational," "under repair," or "out of service."
7. Document any issues or concerns related to the x-ray machine in the designated section.
8. Sign and date the form to confirm its completion.

Who needs x-ray machine status form?

1. Radiology departments or facilities that utilize x-ray machines.
2. Healthcare providers who use x-ray machines for diagnostic purposes.
3. X-ray technicians or operators responsible for the maintenance and safety of the x-ray machine.
4. Regulatory bodies or authorities overseeing the use of x-ray machines.
5. Any individual or organization that needs to ensure the proper functioning and safety compliance of x-ray machines.

For pdfFiller’s FAQs

What is x-ray machine status form?

X-ray machine status form is a document that provides information about the current status of an x-ray machine.

Who is required to file x-ray machine status form?

All individuals or organizations that own or operate x-ray machines are required to file the x-ray machine status form.

How to fill out x-ray machine status form?

To fill out the x-ray machine status form, you need to provide detailed information about the x-ray machine, such as its location, model number, and operational status. The form may also require information about recent inspections or maintenance.

What is the purpose of x-ray machine status form?

The purpose of the x-ray machine status form is to ensure that x-ray machines are properly maintained and safe for use.

What information must be reported on x-ray machine status form?

The x-ray machine status form may require information such as the manufacturer, model number, location, operational status, recent inspections or maintenance records, and the name of the responsible individual or organization.

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