Objective:To evaluate the clinical performance of radiation treatment equipment inspection status of the medical and health institutions in Nanjing. Methods: Twenty-two 60Coy teletherapy machine and 12 Teclast subsidiary medical accelerator were detacted from January 2012 to December 2012 in Nanjing. Results: The performance qualified rate of 60Coy teletherapy machine is higher. In other standards, the 60Coy teletherapy machines have different degrees of failures. The performance test results of electronic medical accelerator is good, the majority of medical electronic accelerator performance can comply with the relevant national standards. Conclusion: Regular checks on the performance of radiation treatment equipment and on time check can ensure clinical efficacy and safety of patients treated with radiotherapy treatment.