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Free radiation safety inspection checklist
Free radiation safety inspection checklist (PDF-ready). ARPANSA RPS C-1, OSHA 1910.1096 and IAEA TS-R-1 inspection for sources and gauges.
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24 checks · 4 sections · Sign-off
24 checks
The fields in the printable form, in a view that fits your screen.
- Site / facility
- Licence number
- Radiation safety officer (RSO)
- Inspection class (weekly / monthly / quarterly / annual)
- Inspection date
- Next inspection due
Source & device inventory
Signage & access control
Personal dosimetry
Storage, transport & licensing
Declaration & Sign-Off
I confirm that all items have been inspected/completed as indicated above. Any defects or concerns have been noted and reported.
Completed By
Printed name · Signature · Date
Reviewed / Approved By
Printed name · Signature · Date
The MapTrack radiation safety inspection checklist contains 24 checks across 4 sections.
Commercial Director
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Key takeaways
- The MapTrack radiation safety inspection checklist contains 24 checks across 4 sections. Sections covered: Source & device inventory, Signage & access control, Personal dosimetry, Storage, transport & licensing.
- Inspection identification: site name licence number radiation management plan reference radiation safety officer (RSO) name AHPRA or state registration number inspection date and inspection class (weekly monthly quarterly annual).
- Source inventory: every sealed source X-ray device industrial gauge laboratory isotope and unsealed radioactive material against the controlled register including source serial activity and last reconciliation date.
- Shielding and engineering controls: shielded room integrity interlocks last interlock test result door switches warning lights audible alarms collimator alignment and beam-on indicators on every X-ray and radiography device.
What is a radiation safety inspection checklist?
A radiation safety inspection is a structured periodic check of every radiation source area and supporting program element on a workplace that holds or uses ionising radiation, including sealed sources industrial gauges X-ray equipment radiography devices nuclear density gauges laboratory radioisotopes radiopharmaceuticals fixed nucleonic level gauges and any work area where unsealed radioactive material is handled. The inspection verifies the source inventory shielding warning signs interlocks access control dosimetry program leak testing transport packaging and emergency response are operating to the licence conditions and the radiation management plan. It is the routine assurance activity radiation safety officers (RSO) major-project HSE managers and laboratory managers run weekly monthly quarterly or annually depending on the source class to demonstrate ongoing compliance.
The inspection is anchored against Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) Radiation Protection Series RPS C-1 (Code for Radiation Protection in Planned Exposure Situations 2020), state radiation control legislation (Radiation Safety Act 1999 Queensland Radiation Act 2005 South Australia Radiation Protection Act 1982 Victoria and equivalent statutes elsewhere), OSHA 29 CFR 1910.1096 (Ionising radiation - exposure limits warning signs caution areas and personnel monitoring), International Atomic Energy Agency (IAEA) TS-R-1 / SSR-6 Regulations for the Safe Transport of Radioactive Material 2018 edition for transport scope, IAEA Basic Safety Standards General Safety Requirements Part 3 (GSR Part 3) and AS 2243.4 (Safety in laboratories Part 4 - Ionising radiations) for laboratory use. The inspection is distinct from a radiation risk assessment (the upstream evaluation against ARPANSA RPS C-1 sections 3 to 5) and from a sealed source leak test (a single technical procedure on one source) because the inspection is the periodic program assurance that pulls all elements together. The output drives the licence renewal pack the dosimetry program review and the incident reporting obligations to ARPANSA and the state regulator under RPS C-1 Section 7.
Learn more about compliance and inspections in MapTrack.
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Benefits of using this radiation safety inspection checklist
- Licence compliance: a documented periodic inspection satisfies the ARPANSA RPS C-1 Section 7 and state radiation control legislation obligation to maintain a radiation management plan with verifiable compliance evidence on file.
- Source inventory control: a controlled register check at every inspection prevents the missing-source notifiable event that triggers immediate regulator notification under ARPANSA RPS C-1 paragraph 7.18 and state notification rules.
- Dose minimisation: verifying shielding interlocks dosimeter wear time-distance-shielding controls and contamination monitoring drives ALARA practice and protects worker doses against the public dose constraint of 1 mSv per year and occupational constraint of 20 mSv averaged over 5 years.
- Transport readiness: leak testing surface contamination and packaging integrity verification against IAEA TS-R-1 / SSR-6 ensures any source movement between sites is compliant with the Australian Dangerous Goods Code and avoids the rejection-at-gate failure mode.
- Emergency preparedness: the emergency response section verifies spill kits source recovery procedures contamination monitoring instruments and notification trees are in place before an incident not after.
- Audit defensible record: an inspection register signed by the RSO and dated for every source is the document state regulators and ARPANSA inspectors examine first during a licence audit or after any reportable event.
What to include in a radiation safety inspection checklist
- Inspection identification: site name licence number radiation management plan reference radiation safety officer (RSO) name AHPRA or state registration number inspection date and inspection class (weekly monthly quarterly annual).
- Source inventory: every sealed source X-ray device industrial gauge laboratory isotope and unsealed radioactive material against the controlled register including source serial activity and last reconciliation date.
- Shielding and engineering controls: shielded room integrity interlocks last interlock test result door switches warning lights audible alarms collimator alignment and beam-on indicators on every X-ray and radiography device.
- Warning signs and access control: trefoil signage at every controlled and supervised area access control (key swipe biometric pin) restricted access during beam-on and visitor logbook current.
- Dosimetry program: personal dosimeter issue list dosimeter return rate latest dose record review of any dose approaching investigation level (1 mSv per month or as set by the RMP) and dosimeter calibration period.
- Leak testing and contamination monitoring: leak test schedule per source class last leak test result contamination monitor calibration wipe test results and any decontamination event recorded.
- Storage transport and disposal: source store integrity locking system inventory reconciliation transport package labelling and dangerous goods documentation per IAEA TS-R-1 SSR-6 and Australian Dangerous Goods Code.
- Operator competency: RSO and operator licence currency training records refresher cycle and operator authorisation register signed against each source.
- Emergency response: spill kit contents portable contamination monitor source-recovery tools emergency notification tree posted current and last drill date.
- Records and reporting: dose records register source register incident register notifiable events log retention period (typically 30 years for dose records per ARPANSA) and last submission to regulator.
How to use this radiation safety inspection checklist
Plan the inspection from the radiation management plan and licence conditions
review the licence the RMP the source register the last inspection report and any outstanding actions confirm the scope (source class workplace area transport activity laboratory unsealed work) and confirm the RSO is available with calibrated portable contamination monitor and survey meter.
Reconcile every source against the controlled register and inspect engineering controls
physically locate every sealed source X-ray device industrial gauge laboratory isotope and unsealed radioactive material against the register check shielding integrity warning lights audible alarms interlock function and door switches on every X-ray or radiography device and record the interlock test result with date and signature.
Check access control signage personal dosimetry and contamination monitoring
confirm trefoil signage at controlled and supervised areas verify access control during beam-on review the personal dosimeter issue and return rate compare latest doses to the investigation level conduct wipe tests at agreed locations and record contamination monitor results against the ARPANSA RPS C-1 Annex A surface contamination limits.
Verify leak testing transport storage operator competency and emergency response
confirm the last leak test result per source class falls within the required interval review transport package labelling and dangerous goods documentation against IAEA TS-R-1 SSR-6 check the source store lock and inventory verify operator licence currency and training records examine emergency response equipment and confirm last drill date.
Document defects raise corrective actions report any notifiable event and sign off
log every defect against location source severity recommended action and target date raise corrective actions in the radiation management plan immediately notify ARPANSA and the state regulator of any notifiable event (source missing dose above investigation level contamination above limits) per ARPANSA RPS C-1 paragraph 7.18 and have the RSO sign the inspection record before filing in the licence pack.
How often should you complete this checklist?
Radiation safety inspections follow a tiered schedule driven by the source class the licence conditions and the radiation management plan. ARPANSA RPS C-1 Section 5 expects periodic verification and review of controls proportionate to the radiological risk of the source. High-activity sealed sources (Category 1 and 2 sources industrial radiography devices fixed nucleonic gauges with curie-level activity) typically receive weekly visual checks daily before-use checks for portable radiography and quarterly comprehensive inspection. Medium-activity sources (industrial gauges X-ray cabinets veterinary X-ray dental imaging diagnostic radiology) receive monthly visual checks and quarterly comprehensive inspection. Low-activity sources (research laboratory isotopes Tritium Beta-only sources small-scale unsealed work) receive quarterly checks plus annual comprehensive inspection. All sources are subject to annual leak testing per AS 2243.4 and the source class transport packaging is tested before each transport per IAEA TS-R-1 SSR-6. Dose records are reviewed monthly by the RSO with investigation triggered at 1 mSv per month and a full annual review against the 20 mSv per year averaged over 5 years occupational limit. OSHA 29 CFR 1910.1096(d)(2) requires the personnel monitoring program to be evaluated continuously. In MapTrack each source has its own inspection schedule against the asset record so the daily weekly monthly quarterly and annual checks run automatically against the radiation management plan rather than being tracked on a separate spreadsheet.
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Frequently asked questions
Practical answers about the form, record keeping and using MapTrack.
Yes. The licence holder under state radiation control legislation (Radiation Safety Act 1999 Queensland Radiation Act 2005 South Australia Radiation Protection Act 1982 Victoria and equivalent statutes in NSW WA ACT Tasmania and NT) must maintain a radiation management plan that includes periodic verification of controls. ARPANSA Radiation Protection Series RPS C-1 (Code for Radiation Protection in Planned Exposure Situations 2020) Section 5 sets the framework for the verification and review program and Section 7 covers reporting obligations. OSHA 29 CFR 1910.1096 imposes equivalent duties on US employers for ionising radiation exposure including warning signs caution areas and personnel monitoring. AS 2243.4 (Safety in laboratories Part 4 - Ionising radiations) provides the laboratory-specific framework.
Link to this answerInspection cadence is proportionate to source class and licence conditions. High-activity sealed sources and industrial radiography devices typically receive weekly visual checks and quarterly comprehensive inspection with daily before-use checks for portable radiography work. Medium-activity industrial gauges X-ray cabinets and diagnostic imaging receive monthly visual checks and quarterly comprehensive inspection. Low-activity laboratory isotopes and Beta-only sources receive quarterly checks plus annual comprehensive inspection. All sources are leak tested annually per AS 2243.4 and IAEA TS-R-1 SSR-6 transport packaging is tested before each transport. Dose records are reviewed monthly with investigation at 1 mSv per month against the 20 mSv per year averaged over 5 years occupational limit.
Link to this answerUnder ARPANSA RPS C-1 Section 7 and state radiation control legislation notifiable events include loss or theft of a radioactive source a personal dose above the investigation level (typically 1 mSv in a month or 6 mSv in a year for occupational exposure) contamination of a person or area above the limits in RPS C-1 Annex A unintended exposure to a member of the public above 0.3 mSv damage to a source shielding or interlock that has caused or could have caused exposure transport incident exceeding the IAEA TS-R-1 SSR-6 thresholds and any incident requiring source recovery. The licence holder must notify the state regulator and ARPANSA immediately by phone followed by a written report within the regulator-specified period.
Link to this answerALARA stands for As Low As Reasonably Achievable. It is the principle in ARPANSA RPS C-1 Section 3 ICRP 103 and OSHA 1910.1096 that occupational and public doses must be kept as low as reasonably achievable economic and social factors taken into account. The inspection supports ALARA by verifying shielding integrity (engineering control), access control and time limits during beam-on (administrative control), warning signs and dosimeter compliance (information for use), wipe testing and contamination monitoring (verification) and dose record review against investigation levels (closed-loop feedback). Where doses approach the investigation level the inspection drives source replacement engineering upgrades or work re-design rather than waiting for the regulator limit to be approached.
Link to this answerA sealed source leak test is a single technical procedure per source typically every 6 to 12 months wiping the source housing and counting the wipe to detect any leakage above ARPANSA action levels. A radiation risk assessment is the upstream RPS C-1 Section 3 to 5 evaluation that identifies the sources hazards and controls before work begins and informs the radiation management plan. The radiation safety inspection is the periodic program assurance activity that pulls all elements together including source inventory shielding interlocks signage dosimetry leak testing transport storage operator competency and emergency response across the whole workplace not one source or one upstream document.
Link to this answerApplicable regulatory standards
This form is a starting point. Check the current requirements that apply to your equipment, work and location. The form alone does not establish compliance.
- ARPANSA Radiation Protection Series RPS C-1 (2020 Code for Radiation Protection in Planned Exposure Situations)
- Radiation Safety Act 1999 (Qld)
- OSHA 29 CFR 1910.1096 (Ionising radiation)
- IAEA TS-R-1 / SSR-6 (Regulations for Safe Transport of Radioactive Material 2018)
- IAEA GSR Part 3 (International Basic Safety Standards)
- AS 2243.4-2018 (Safety in laboratories Part 4 - Ionising radiations)
MapTrack publishes this template. The linked authorities publish their own guidance; they haven't endorsed this form.
The numbers behind this radiation safety inspection checklist
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The MapTrack radiation safety inspection checklist contains 24 checks across 4 sections.
- Short attribution
- MapTrack Radiation safety inspection checklist, https://www.maptrack.com/templates/radiation-safety-inspection-checklist
- Reference list
- MapTrack. (2026). Radiation safety inspection checklist [Checklist template]. Retrieved from https://www.maptrack.com/templates/radiation-safety-inspection-checklist
Free to reuse with credit under a Creative Commons Attribution 4.0 licence. If you’d rather link straight to it, the page is https://www.maptrack.com/templates/radiation-safety-inspection-checklist.
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<div style="max-width:480px;font-family:system-ui,-apple-system,'Segoe UI',Roboto,sans-serif;border:1px solid #E5E7EB;border-radius:12px;padding:20px;background:#ffffff;">
<p style="font-size:12px;font-weight:700;letter-spacing:0.05em;text-transform:uppercase;color:#071D49;margin:0;">Free template</p>
<p style="font-size:18px;font-weight:700;color:#071D49;margin:6px 0 0;">Radiation safety inspection checklist</p>
<ul style="margin:12px 0 0;padding-left:18px;color:#374151;font-size:14px;line-height:1.6;">
<li style="margin:4px 0;">Inspection identification: site name licence number radiation management plan reference radiation safety officer (RSO) name AHPRA or state registration number inspection date and inspection class (weekly monthly quarterly annual).</li>
<li style="margin:4px 0;">Source inventory: every sealed source X-ray device industrial gauge laboratory isotope and unsealed radioactive material against the controlled register including source serial activity and last reconciliation date.</li>
<li style="margin:4px 0;">Shielding and engineering controls: shielded room integrity interlocks last interlock test result door switches warning lights audible alarms collimator alignment and beam-on indicators on every X-ray and radiography device.</li>
<li style="margin:4px 0;">Warning signs and access control: trefoil signage at every controlled and supervised area access control (key swipe biometric pin) restricted access during beam-on and visitor logbook current.</li>
<li style="margin:4px 0;">Dosimetry program: personal dosimeter issue list dosimeter return rate latest dose record review of any dose approaching investigation level (1 mSv per month or as set by the RMP) and dosimeter calibration period.</li>
<li style="margin:4px 0;">Leak testing and contamination monitoring: leak test schedule per source class last leak test result contamination monitor calibration wipe test results and any decontamination event recorded.</li>
</ul>
<p style="font-size:13px;color:#6B7280;margin:14px 0 0;padding-top:12px;border-top:1px solid #E5E7EB;">Free <a href="https://www.maptrack.com/templates/radiation-safety-inspection-checklist" style="color:#071D49;font-weight:600;text-decoration:none;">Radiation safety inspection checklist</a> by MapTrack</p>
</div>Free to reuse, including commercially. This template is published under a Creative Commons Attribution 4.0 licence. Copy it, adapt it, put it on your own site or in your own docs. All we ask is that you credit MapTrack with a link back to this page. The snippet above already includes that credit, so if you use it as-is you’re covered.
About the author
Commercial Director
Jarrod has spent over a decade in technology consulting and asset management, including roles at Accenture (mining and heavy industry) and CGI as an Asset Management Consultant. He joined MapTrack in 2018 and has spent the past 8+ years building and scaling the platform, conducting 300+ user research sessions with field teams to shape the product. His consulting background gives him deep insight into the operational and compliance challenges facing asset-intensive Australian businesses.
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