Introduction: The use of ionizing radiation in diagnostic radiology carries the potential for adverse health effects. Therefore, adherence to radiation protection practices is essential to ensure the safety of both patients and staff. This study aimed to evaluate radiation protection practices in diagnostic radiology facilities in Pekanbaru, Indonesia. Methods: A cross-sectional study was conducted in all diagnostic radiology facilities in Pekanbaru. Data were collected using a structured questionnaire, observation checklists, and measurements of radiation dose levels. The questionnaire assessed the knowledge, attitudes, and practices of radiation workers regarding radiation protection. Observation checklists were used to evaluate the availability and use of personal protective equipment, radiation warning signs, and shielding. Radiation dose levels were measured using thermoluminescent dosimeters. Results: A total of 30 diagnostic radiology facilities participated in the study. The majority of radiation workers (80%) had received formal training in radiation protection. However, only 60% of facilities had a written radiation protection program. Personal protective equipment was
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