• Position
• Area
• Collimation
• Exposure
• Markers
• Aesthetics
• Name

(P) - Position:

• Is the patient in the correct position?
• Is the patient rotated?
• Does the image correctly show any needed joint spaces?

(A) - Area:

• Is enough of the area being filmed covered? eg: In an abdominal film is pubic symphysis to diaphragms covered?
• Have you exposed an area that is not required?

(C) - Collimation:

• Is the image properly collimated? eg is four way collimation seen on an extremities film?

(E) - Exposure:

• Were the exposure factors set correctly?
• Does the image show the correct contrast and density?
• Are there any factors that need to be changed to produce a better image?

(M) - Markers:

• Have markers been placed on the image?
• Are they correctly identifying left and right?

(A) - Aesthetics:

• Is the image nice to look at?
• Is it centered on the film?
• Is there four way collimation?

(N) - Name:

• Does the image correctly identify the patient?
• Does it have any other relevant identification details? eg episode number or department labels?