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U.S. Department of Health and Human Services

Radiation-Emitting Products

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When should a facility be inspected?

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In most cases, a facility gets its 6 month provisional certificate and then goes on to get its full 3 year certificate. This facility should be inspected within 10-14 months of its initial provisional certification date and then every 10-14 months from its most recent inspection.

The timing of an inspection of a facility that has undergone provisional reinstatement or has lost its certification for some period of time depends on a number of factors and can best be illustrated using the following examples.

  1. A facility gets its 6 month provisional certificate, fails to get fully accredited and is granted a provisional reinstatement within one month following the expiration date of its provisional certificate. This facility should be inspected within 10-14 months of its initial provisional certification date. If the facility has been without a certificate for more than a month, the timing of the inspection needs to be determined on a case by case basis and the inspector should contact the Facility Hotline at 1-800-838-7715 or MQSAhotline@SSSI.net.
  2. A fully certified facility fails to become reaccredited and is granted provisional reinstatement within a month following the expiration date of its full certificate. This facility should be inspected within 10-14 months of its most recent inspection. If the facility has been without a certificate for more than a month, the timing of the inspection needs to be determined on a case by case basis and the inspector should contact the Facility Hotline.
  3. A provisionally certified facility voluntarily returns its certificate because it stops doing mammography. Within a month, circumstances change and the facility asks for and is granted provisional reinstatement. This facility should be inspected within 10-14 months of its initial provisional certification date. If the facility has been without a certificate for more than a month, the timing of the inspection needs to be determined on a case by case basis and the inspector should contact the Facility Hotline.
  4. A fully certified facility voluntarily returns its certificate because it stops doing mammography. Within a month, circumstances change and the facility asks for and is granted provisional reinstatement. This facility should be inspected within 10-14 months of its most recent inspection. If the facility has been without a certificate for more than a month, the timing of the inspection needs to be determined on a case by case basis and the inspector should contact the Facility Hotline.

Inspectors should note that the above deals only with routine annual inspections and that any facility may be inspected at any time for cause. The above also does not deal with the situation where a facility has ceased performing mammography but still retains an active certificate. These facilities should be inspected within 10-14 months of their most recent inspection (or in the case of a new facility within 10-14 months of its initial provisional certification date) even though they might not currently be performing mammography.

Back to Timing of Routine Annual Facility Inspections