When it comes to radiation safety protocols, even small lapses can result in serious health risks and long-term consequences, as well as equipment damage, and compliance issues. A radiation safety checklist helps you stay consistent even in high-stakes environments, guiding teams through equipment checks, protective gear, signage, and exposure control measures.
You can use the templates below to prepare staff before procedures, carry out routine inspections, or document shutdown and decontamination steps. They support clear communication and task accountability, especially when you’re handling multiple shifts.
Radiation safety checklist templates for maintaining compliance
With the right checklist in place, you reduce the risk of oversights and build safer, more compliant workflows:
Radiation safety checklist
Use this template to keep radiation-related tasks consistent and traceable across procedures and departments. It allows you to confirm that protective measures are in place, signage is visible, and all required equipment is functioning before use. You’ll find prompts for checking PPE availability, monitoring devices, secure storage, and area clearance so nothing critical is left to chance. The template works for both daily use and high-level overviews, making it a practical tool for labs, hospitals, or industrial sites. If your workflow involves specific equipment or staff roles, you can easily tailor the checklist to reflect those—adding custom fields for job titles, types of machinery, or exposure limits.Radiation safety program template
This template gives you a solid foundation for building or reviewing your organization’s full radiation safety program. It covers core components like hazard identification, training plans, signage protocols, and incident response. Designed for clarity and consistency, the structure walks you through each required element in a logical order. This is perfect for both setting up a program from scratch or updating one to meet new regulations. You can customize it to suit your industry’s standards by adjusting sections for equipment types, internal workflows, or regulatory body references. It’s also easy to assign responsibilities using the built-in role fields.Radiation safety program audit checklist
When it’s time to review your radiation safety program, this audit checklist provides the structure and scope you need to conduct a thorough internal evaluation. You can asses staff training records, signage placement, exposure monitoring, and more with the checklist. Each section includes clear prompts that help you verify compliance without missing key details. It’s especially useful for organizations preparing for inspections, onboarding new safety officers, or tracking long-term improvements. You can easily adapt the checklist to match your regional standards or specific facility layout. It also has space for comments and follow-up tasks so it’s actionable and not just observational.Radiation safety inspection checklist
This inspection checklist helps you stay thorough during routine site walkthroughs, whether you’re running a hospital imaging suite, a lab, or a manufacturing plant. It guides you through evaluating shielding, equipment labels, entry restrictions, and staff behavior. By following a consistent path during inspections, you reduce the risk of missing hidden hazards or relying on memory. This template is built for mobility, which is ideal for inspectors working across multiple facilities. To personalize it, consider including location-specific fields or photo attachments for documentation. With this checklist, you can build a culture of consistency around inspections and to catch problems before they escalate.Industrial radiography inspection checklist (Vernon Department of Health)
This checklist by the Vernon Department of Health is a comprehensive compliance and safety evaluation tool for facilities conducting industrial radiography. It ensures that licensed activities follow strict health, safety, and regulatory standards, from radiation dosimetry to emergency protocols. You’ll be able to go through critical safety focus areas such as ALARA (As Low As Reasonably Achievable) practices too and radiation instrument calibration. It also facilitates structured audit reviews, performance evaluations, and interviews with radiographers and licensee staff. There are also thorough prompts for documenting findings, violations, and corrective actions.Medical X-ray inspection checklist (North Carolina Department of Health and Human Services)
Developed by the NC Department of Health and Human Services, this regulatory compliance checklist is specifically for X-ray facilities in healthcare settings, like hospitals and dental and veterinary clinics. It helps verify that all radiation-emitting equipment is being operated safely and in accordance with state radiation protection rules. The checklist covers essential documentation such as shielding designs, area surveys, waivers, and personnel training records. It also reminds you to assess if proper signage, dose monitoring, and safety policies are in place and current. All in all, it streamlines the compliance process with clear references to the applicable regulations.General X-ray facility self-assessment checklist (Food and Drug Administration Philippines)
This checklist from the Food and Drug Administration Philippines supports diagnostic imaging facilities in meeting radiation safety and operational standards. Adapted from official Radiation Protection Survey and Evaluation (RPSE) checklists, it walks facility heads and radiation protection officers through core compliance requirements. These include proper equipment documentation, staff credentials, radiation safety protocols, and quality control practices. Sections include both general facility-level criteria and individual machine specifications, with references to key administrative orders. With this self-assessment checklists, it’s easier to proactively identify gaps and demonstrate adherence to critical safety norms.
How to create a radiation safety checklist template in Lumiform
Building a radiation safety checklist in Lumiform takes minutes—and it saves you so much time down the line. Start by using a customizable template or let the AI form builder set up one based on your existing process. You can add checklist items for PPE checks, radiation monitoring, or signage placement, and structure them by procedure or area to match your site setup.
Use photo input fields so staff can document shielding installations or equipment status during walkarounds. This gives you a visual record of compliance, especially useful during audits or training. If something’s off, like a missing warning sign, team members can flag the issue right in the form and you can assign a follow-up task on the spot, avoiding delays or miscommunication.
Thanks to the mobile app, your team can complete inspections on-site without paperwork. Afterward, use the built-in analytics to spot patterns, track recurring issues, and improve safety processes over time.