6-Month X-ray Safety Test Checklist X-Ray Safety Device Test Regulations require Testing of Safety Devices for Radiation Generating Devices every 6 months, DHS 157.87(1)(j) Device(s) being Tested:Micro CT Scanner - Accelerator BuildingHandheld XRF - SabinBruker D8 - EMS 1262Bruker Pioneer S4 - LaphamBruker Phaser - LaphamDXA Scanner - EnderisPronto Benchtop AXRD - KIRCLaue Camera - KIRCCore Labs - NWQ DevicePortable unit - NWQ DeviceSilhouette - NWQ DeviceInterlocks Working?(Required) Yes No N/A Shutter "Open" Warning Lights Working?(Required) Yes No N/A Warning Lights Indicating X-rays are "On" Working?(Required) Yes No N/A Emergency Shut-Off Button Working?(Required) Yes No N/A If any safety device fails during testing, the radiation generating device shall be removed from service until the safety device failure is corrected or proper temporary administrative controls are established and approved in writing by the person in control. Corrective Actions:Name(Required)Building/Room Number(Required)Date(Required) MM slash DD slash YYYY Survey Instrument (if used) -Leak tests will be performed at the Annual Radiation Safety X-ray Inspections in April or after the device has been serviced.Survey Meter Calibration Date: