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Electro Mechanical And Radiological Routine test

Gretna Dental Practice Unit 5 Kirtle Place Gretna DATE: 7th October 2020 EQUIPMENT Satalec X-mind DC Intra Oral X-ray Unit

SERIAL NO D36397

LOCATION

Report number: A 071020-1 YEAR OF MANUFACTURE 2017

Surgery 2 Ground Floor

Category Of work Radiological Routine Test Electro-mechanical inspection

Guidance The Ionising Radiation (Medical Exposure) Regulations 2017 15 (3) Ionising Radiations Regulations 2017 11(1)

Handover of the controlled area and equipment from the customer representative to the engineer As an authorised representative of the customer, I hereby hand over the above equipment/X-ray room (including the associated radiation controlled area) for the category of work above. Customer representative

Date

Tracy Bell

7th October 2020

Engineer

Date

Robert Edwards

7th October 2020

Signature

Time

13:00 Signature

Time

13:00

Could this work have implications for radiation safety, patient dose or image quality? If yes, tick one or more boxes below that apply. Please refer to the visit/service report for full details.

Imaging quality

Electro-mechanical

Filtration

Safety Features

Patient Dose / Dose Rate / DAP

Warning Devices

Collimation/Field Size

Exposure termination

Other Please Specify:

1. Equipment is OPERATIONAL following work as indicated above & detailed on the visit/service report.

✓

2. Equipment is PARTIALLY OPERATIONAL, but limitations may exist, please refer to visit/service report. 3. Equipment is NOT OPERATIONAL and MUST NOT BE USED.

Handover of the controlled area and equipment from the engineer to the customer representative The equipment/X-ray room (including the associated radiation controlled area) has now been handed back to the customer representative Customer representative

Date

Tracy Bell

7th October 2020

Engineer

Date

Robert Edwards

7th October 2020

Signature

Time

13:30 Signature

Time

13:30

Report Summary & Recomendations A. Equipment Safety And Environmental Inspection Electrical inspections Mechanical inspections

All extraneous conductive parts are suitably earthed and the wiring loom in the Arm is in good condition The counterbalance of the primary arm and scissor arm are in good order The mechanical stops are in place, and the wiring loom is suitably protected

The 'mains' and 'X-rays on' lights are visible from the operators position A clearly audible signal is produced during the emission of X-rays. Safety features/Warning The exposure terminated when the Switch was released partway through an Signals exposure. The focal spot is clearly marked The operators position is 2 meters away from the centre of the controlled area The Emergency isolator is be activated without entering the controlled area Location of the equipment The patient is visible for the duration of the exposure

Comments/Recommendations The performance of this X-ray unit is satisfactory and is fit for continued clinical service.

B. Equipment And Output Performance Tests Tube Voltage (KV)

Acceptance Standard Measured Mean KV ±10% of Stated, >50 and 68.74 Set KV 70 within 60-70 KV Timer Accuracy (Secs) Acceptance Standard Measured Mean (Secs) ±10% of Stated, >50 and 0.16 Set Time 0.16 within 60-70 KV Entrance Dose Acceptance Standard Measured Dose Adult Mand Mlr 50 and 68.79 Set KV 70 within 60-70 KV Timer Accuracy (Secs) Acceptance Standard Measured Mean (Secs) ±10% of Stated, >50 and 0.16 Set Time 0.16 within 60-70 KV Entrance Dose Acceptance Standard Measured Dose Adult Mand Mlr