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X-ray Program   


The X-ray Program is responsible for inspecting facilities that use x-ray equipment and businesses that install x-ray equipment in Ohio. 

Health physic inspectors travel throughout Ohio performing inspections on approximately 7,300 x-ray machines at 3,300 facilities annually.

Inspection questions or complaints may be directed to any of the following:

Mailing Address:
Ohio Department of Health
Bureau of Environmental Health and Radiation Protection – X-ray Program
246 North High Street – 7th floor
Columbus, OH 43215


Telephone: (614) 644-2727
Fax: (614) 466-0381

Inspection Frequency:

Facility Type



3 years


3 years


3 years


5 years


3 years


2 years

Mobile Health Care

2 years


3 years


3 years


3 years


3 years

Inspection Fee:

Tube Type






First Dental


Each Additional Dental




First Medical Radiographic


Each Additional Medical Radiographic




First Radiation Therapy < 250 kVp


Each Additional Radiation Therapy < 250 kVp




Each Radiation Therapy > = 250kVp




Each Veterinary




Each Non-Medical Analytical or Cabinet




Each Non-Medical Radiographic




Each Non-Medical > 250 kVp




Hospital 1-10 Tubes




Hospital 11-25 Tubes




Hospital > 25 Tubes



Inspection Time:

It takes approximately 45 minutes to 1 hour to review the quality assurance documents and 15 to 20 minutes for every x-ray unit at small facilities.  Hospital inspections take 1-5 days based on facility size and the organization of their documents.  

           X-ray Equipment Testing Involves:     

  • Exposure, kVp and timer reproducibility

  • kVp and timer accuracy

  • Half-value layer

  • Exposure switch position and function

  • Entrance-skin exposure for examination

  • Collimator and light field congruency

  • Collimator beam size an alignment factors

  • Safety interlocks

    Record and Document Review of the Quality Assurance Program Involves:

  • Current certificate of registration

  • Regulations applicable to facility type

  • Prior violations and corrective action review

  • Notice-to-Employees postings

  • Operator training

  • Personnel monitoring

  • Radiologic licenses

  • Preventative maintenance

  • Quality control tests: daily, monthly, quarterly

  • Area radiation surveys

  • X-ray equipment inventory

  • X-ray equipment safe operating procedures

  • X-ray equipment receipts, transfers and disposals

  • Fluoroscopic equipment: tests by the medical physicist (radiation expert)

  • Computed tomography equipment: tests by the medical physicist (radiation expert)

  • Radiation therapy equipment: tests by the medical physicist (radiation expert)

  • Any self-referral approval letters

  • Any Food & Drug Administration (FDA) X-ray equipment variances


    Last Updated 6/28/2018