This study is conducted to evaluate radiation safety at governmental hospitals in Gaza Governorates. Triangulated study design (Questionnaire, Checklist and Key Informant Interview) was used for data collection. Census study conducted on all Radiologic Technologists and medical imaging departments at six main governmental hospitals in the Gaza Strip. Findings revealed that there was shortage in number of radiographic equipment and Radiologic Technologists. Statistically significant relations between participants years' experience and holding Thermoluminescence dosimeters (p=0.033); number of exams and patient waiting time (0.000). Generally, medical imaging departments that followed standards in structure, occupational safety and reception were 90%, 70% and 27%, respectively. The study revealed that the reject rate at the department is high and exceed the international standards. The most common causes of film repetition are the processor machine, artifact, exposure factors, and positioning errors. An obvious defect in the radiation safety in radiology department and we recommend that a regular and periodic quality assurance program to be established at all levels of x-ray department to guarantee the provision of effective and sustainable imaging diagnostic services.