Standards › Standard 57 › Forms
Form · RTH-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 57.1
Purpose
Records the independent check of a radiotherapy plan before the first fraction, and any correction made.
How to complete
- Record the prescription and the target volumes checked.
- Record the independent checker and the date.
- Record any discrepancy, its correction and the re-check.
Checks
| Check | Entry |
|---|---|
| Prescription and target volumes checked | Yes |
| Independent checker and date | Yes |
| Discrepancy and correction (yes or no) | Yes |
| Re-check before first fraction | Yes |
Evidence
| Reference | Note |
|---|---|
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)