DR-F Monthly Report

:Site Name: Date

:Address

:System Serial Number

System Performance Pass Fall Comment

Table Table Base Pass Fall Comment
WS SID indicator accuracy

SID field
Accuracy of X-ray Display
andMeter
light field

Electrical
Alignment of centers Cables
of X-ray field and image receptor

Detector Calibration
Power & (Vertical
GroundBar, Bad Pixel, Gain and CF
Connections
Calibration)
Connector Panel & Cable Connectors
mR/mAs
Detector Housing & Tubestand Interlock
Evaluate Image Quality(QAP)
Collimator 0 Degree Indicator
Exposure Accuracy
Table Fans
Mechanical Movement
Foot Pedal

System General Pass Fall Comment

Review Previous Performance

Gantry Tube Stand Pass Fall Comment

Check Protective Circuits
Visual Inspection
Exposure check
Check Tube Stand Functions

Check The Tube Stand Mounting Screw

Ground check

Gantry Collimator Pass Fall Comment

General cleaning and painting

Visual Inspection
Visual inspection

Check Collimator Functions

Check The Collimator Mounting Screw

Gantry TUBE Pass Fall Comment

Visual Inspection

Check Tube Functions

Check The Tube Mounting Screw

Gantry GENERATOR Pass Fall Comment

Visual Inspection

Check Generator Functions

WS Wall Stand Pass Fall Comment

1
 General cleaning and painting

Visual Inspection

Vertical lock

Check Wall Stand Functions

Check Detector Power Supply

DETECTOR TRAY AND HOUSING Pass Fall Comment

Electrical connector and cable

Tray handle assembly, push button & hand holder

Rubber bumper end stops

Tray sliding rail

Housing locking assembly

Detector-in switches

WS housing fans

Workstation Pass Fall Comment

Check Workstation Functions

Check workstation case

Clean up disk space Use% >= 60%

Check Keyboard

Check Monitor

Check Mouse

Check RCIM

Check Hand Switch

Comment

2
:F.E Name: Customer Name

:Signature: Signature