My experiences over the last 5-6 years travelling have been that in the US, when I ask for a hand inspection I get it. I have not been refused, even when TSA is busy. Once my Contax iia set off a signal during a hand check and they insisted on x-raying it, but they allowed me to rewind the film first. Two TSA agents who handled it had comments. The first noted how dense it was (I said something like, "no plastic in the camera"), and the second said that her dad gave her a camera that looks just like it. I gave her the 15 second run down on the camera. Airports I can recall doing this in the US include Ontario/LAX/John Wayne/San Jose/SFO/Dallas/Ft. Lauderdale/Detroit/Washington DC/Charlottesville VA/Seattle/Oklahoma City/Wichita, maybe a couple/few others, not sure.
In Montreal they refused to hand check my camera, but did hand check my film (2019).
In Vienna (Oct 2023), they refused to do a film hand check even though they were basically empty (e.g., not busy). They insisted that if ISO < 1600, it is not a problem and they would not hand check, and I asked multiple times. This is the worst (film photographer? F-you!).
I have put cameras w/film and/or film through a normal passenger check x-ray (old style) by accident a couple/few times (ISO 100/400), and did not note any issues. In Queretaro, Mexico, I put all my unexposed film through a customs check x-ray (customs check caught me off guard; just did not think about the film until it was just a bit too late), and I shot the film, and did not note any obvious issues (HP5+ and Fujilm Superia 400 XTRA). I did have it hand checked at the initial screening during the return flight, and I kind of recall they just looked at the film, turned the knob a little to feel it was film, and that was it.