Get Dd Form 2163

Filling out the Dd Form 2163 can seem daunting, but this guide will help you complete it efficiently and accurately. The form is essential for verifying and certifying x-ray equipment and understanding its components.

Follow the steps to fill out the form online:

1. Click 'Get Form' button to retrieve the document and open it for editing.
2. In the 'Location' section, include the building and room number where the x-ray equipment is housed.
3. Enter the 'Date and Time of Service' and indicate if an action was taken or is required.
4. For 'Equipment Identification,' fill in the manufacturer, model (including type, style, size, and focal spots), and the serial number for each component.
5. Complete the 'Visual Inspection of Equipment' section by checking the listed items and indicating if action is required. Include initials and dates for actions taken.
6. For the 'Operational Testing of Equipment' section, provide responses to questions about the equipment's performance and safety checks, marking items as required or not.
7. Fill out the 'Radiographic Certification' section regarding line voltage and line drop, ensuring all required voltage settings are documented.
8. In the 'Fluoroscopic Certification' area, indicate the kilovoltage verification results and any necessary tests with satisfactory or unsatisfactory findings.
9. Finally, review all sections to ensure accuracy. You can save your changes, download, print, or share the completed form.

Start filling out your Dd Form 2163 online today for efficient document management!