Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 180 - CONTROL OF RADIATION
Chapter 6 - DIAGNOSTIC X RAYS IN THE HEALING ARTS
Attachment 180-6-1 - NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH X-RAY PROGRAM
Universal Citation: 180 NE Admin Rules and Regs ch 180-6-1
Current through September 17, 2024
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1. |
Yes |
No |
Has your registration of radiation generating equipment expired? (180 NAC 2) |
|
|
2. |
Yes |
No |
Is all operable dental radiation generating equipment at this facility properly registered? (180 NAC 2) |
|
|
3. |
Yes |
No |
Has your service provider performed equipment performance evaluations on all dental radiation equipment at the facility at the required five year interval? (180 NAC 6-004.07) |
Comments:
Form Completed by: _____________________________________________ Date
* Please retain a copy of this completed inspection form for your records
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