4

GUIDE NO. AERB/RF/SG/G-3 (Vol.
3 of 4)
GUIDE NO. AERB/RF/SG/G-3 (Vol. 3 of 4)
GOVERNMENT OF INDIA
AERB SAFETY GUIDE
CONSENTING PROCESS
FOR
RADIATION FACILITIES
(VOLUME - 3)
ATOMIC ENERGY REGULATORY BOARD

AERB SAFETY GUIDE NO. AERB/RF/SG/G-3 (Vol. 3 of 4)
CONSENTING PROCESS
FOR
RADIATION FACILITIES
(VOLUME - 3)
Atomic Energy Regulatory Board

Mumbai-400 094
India
March 2011
Price
Order for this guide should be addressed to:
Chief Administrative Officer

Niyamak Bhavan
Mumbai-400 094
India
FOREWORD
Activities concerning establishment and utilisation of nuclear facilities and use of

radioactive sources are to be carried out in India in accordance with the provisions of
the Atomic Energy Act, 1962. In pursuance of the objective of ensuring safety of
members of the public and occupational workers as well as protection of the
environment, the atomic energy regulatory board (AERB) has been entrusted with the
responsibility of laying down safety standards and enforcing rules and regulations for
such activities. The Board, therefore, has undertaken a programme of developing safety
standards, codes and related guides and manuals for the purpose. While some of these
documents cover aspects such as siting, design, construction, operation, quality
assurance and decommissioning of nuclear and radiation facilities, other documents
cover regulatory aspects of these facilities.
Safety codes and standards are formulated on the basis of nationally and internationally
accepted safety criteria for design, construction and operation of specific equipment,
systems, structures and components of nuclear and radiation facilities. Safety codes
establish the objectives and set requirements that shall be fulfilled to provide adequate
assurance for safety. Safety guides elaborate various requirements and furnish
approaches for their implementation. Safety manuals deal with specific topics and
contain detailed scientific and technical information on the subject. These documents
are prepared by experts in the relevant fields and are extensively reviewed by advisory
committees of the Board before they are published. The documents are revised when
necessary, in the light of experience and feedback from users as well as new
developments in the field.
AERB issued a safety code on ‘Regulation of Nuclear and Radiation Facilities’ (AERB/
SC/G) to spell out the requirements/obligations to be met by a nuclear or radiation
facility for the issue of regulatory Consent at every stage. This safety guide apprises
the details of the regulatory requirements for setting up the radiation facility. such as
consenting process, the stages requiring consent, wherever applicable documents to
be submitted and the nature and extent of review. The guide also gives information on
methods of review and assessment adopted by AERB.
Consistent with the accepted practice, ‘shall’ and ‘should’ are used in the guide to
distinguish between a firm requirement and a desirable option respectively. Appendices
are an integral part of the document, whereas annexures, bibliography and list of
participants are included to provide further information that might be helpful to the
user. Approaches for implementation different to those set out in the guide may be
acceptable, if they provide comparable assurance against undue risk to the health and
safety of the occupational workers and the general public, and protection of the
environment.
For aspects not covered in this guide, applicable national and international standards,
codes and guides acceptable to AERB should be followed. Non-radiological aspects
i
such as industrial safety and environmental protection are not explicitly considered in
this guide. Industrial safety shall be ensured by compliance with the applicable
provisions of the Factories Act, 1948 and the Atomic Energy (Factories) Rules, 1996.
The guide has been prepared by AERB staff. It has been reviewed by experts and the
Advisory Committee on Preparation of Code and Guides and on Governmental
Organisation for Nuclear and Radiation Facilities (ACCGORN).
AERB wishes to thank all individuals and organisations who have prepared and
reviewed the draft and helped in its finalisation. The list of experts, who have
participated in this task, along with their affiliations, is included for information.
(S. S. Bajaj)
Chairman, AERB
ii
DEFINITIONS
Acceptable Limits
Limits acceptable to the regulatory body for accident condition or potential exposure.
Accelerator
A device in which, charged particles are accelerated. Conventional X-ray tube is not
considered as an accelerator.
Activity
The quantity ‘A’ for an amount of radionuclide in a given energy state at a given time,
defined as:
A = dN/dt
where, ‘dN’ is the expectation value of the number of spontaneous nuclear
transformations from the given energy state in a time interval ‘dt’. The SI unit of
activity is the reciprocal of second, (s-1), termed the Becquerel (Bq).
Afterloading Applicator
A device applied to the patient into which radioactive sources are introduced either
manually or by a remotely operated system.
Applicant
Any person who, applies to the competent authority for consent to undertake any of
the actions for which the consent is required.
Approval
A type of consent issued by the regulatory body to a proposal.
Atomic Energy Regulatory Board (AERB)
A national authority designated by the Government of India having the legal authority
for issuing regulatory consent for various activities related to the nuclear and radiation
facility and to perform safety and regulatory functions, including their enforcement
for the protection of site personnel, the public and the environment against undue
radiation hazards.
Authorisation
A type of regulatory consent issued by the regulatory body for all sources, practices
and uses involving radioactive materials and radiation generating equipment (see also
‘Consent’).
Becquerel
See ‘Activity’
iii
Betatron
An electron accelerator in which electrons are accelerated in an increasing magnetic
field maintaining a stable orbit of electrons.
Commissioning
The process during which structures, systems and components of a nuclear and radiation
facility, on being constructed, are made functional and verified to be in accordance
with design specifications and to have met the performance criteria.
Competent Authority
Any official or authority appointed, approved or recognised by the Government of
India for the purpose of the Rules promulgated under the Atomic Energy Act, 1962.
Computed Tomography
Reconstructive tomography in which image recording and processing are effected by
a computing system.
Consent
It is a written permission issued to the ‘consentee’ by the regulatory body to perform
specified activities related to nuclear and radiation facilities. The types of consents
are ‘licence’, ‘authorisation’, ‘registration’, and ‘approval’ and will apply according
to the category of the facility, the particular activity and radiation source involved.
Consentee
A person to whom consent is granted by the competent authority under the relevant
Rules.
Construction
The process of manufacturing, testing and assembling the components of a nuclear or
radiation facility, the erection of civil works and structures, the installation of
components and equipment and the performance of associated tests.
Contamination
Presence of a radioactive substances in or on a material or in the human body or other
place in excess of quantities specified by the competent authority.
Cyclotron
A device in which charged particles (other than electrons) travel in a succession of
semicircular orbits of increasing radii under the influence of a constant magnetic field
and are accelerated by traversing a number of times in an electric field produced by a
high frequency generator.
Decommissioning
The process by which a nuclear or radiation facility is finally taken out of operation, in
iv
a manner that provides adequate protection to the health and safety of the workers, the
public and the environment.
Decontamination
The removal or reduction of contamination by a physical or chemical means .
Disposal
The emplacement of a waste in a repository without the intention of retrieval or the
approved direct discharge of waste into the environment with subsequent dispersion.
Dose
A measure of the radiation absorbed by a target. The quantities termed absorbed dose,
organ dose, equivalent dose, effective dose, committed equivalent dose or committed
effective dose are used, depending on the context. The modifying terms are used when
they are not necessary for defining the quantity of interest.
Dosimeter
A device, instrument or system, which can be used to measure or evaluate any quantity
that can be related to the determination of either absorbed dose or equivalent dose.
Dosimetry
Measurements and/or calculations performed in connection with the determination of
radiation dose and/or dose distributions in the irradiated volume.
Employer
Any person with recognised responsibility, commitment and duties towards a worker
in his or her employment by virtue of a mutually agreed relationship. (A self-employed
person is regarded as being both a worker and employer).
Enclosed Installation
In case of industrial radiography any installation in which radiography operations are
carried out in an enclosure which has walls providing adequate radiation protection to
persons working outside the enclosure, and which prevents unauthorised entry of
persons into the enclosure during radiography operations. Such installations may include
open top installations also.
Ethical Review Committee
A committee of independent, qualified persons to advise on the conditions of exposure
and the dose constraints to be observed for individuals exposed for biomedical research
when there is no direct benefit to the exposed individual.
Fluoroscopy
The technique of imaging by using a fluorescent screen.
v
Handle
Manufacture, possess, store, use, transfer by sale or otherwise export, import, transport
or dispose of.
Industrial Gamma Radiography Exposure Device (IGRED)
An assembly of components necessary to make radiographic exposures and which
includes the source housing, mechanism for securing the source assembly, exposure
mechanism, that includes source drive associated system, positioning devices and guide
tubes.
Industrial radiography
Non-destructive testing of materials employing ionising radiation.
Ionisation
Formation of ions by the division of molecules or by the addition or removal of electrons
from atoms or molecules.
Irradiation
Exposure to ionising radiation.
Irradiators
A facility that houses a particle accelerator, X-ray machine, or large radioactive sources
for imparting high radiation doses to materials.
Licence
A type of regulatory consent, granted by the regulatory body for all sources, practices
and uses for nuclear facilities involving the nuclear fuel cycle and also certain categories
of radiation facilities. It also means authority given by the regulatory body to a person
to operate the above said facilities.
Limit
The value of a parameter or attribute (which is variable) used in certain specific activities
or circumstances that must not be exceeded.
Luminescence
Phenomenon in which certain substances, when excited, emit light of wavelength
characteristic of the substance.
Microtron
A cyclic accelerator in which electrons are guided by a constant magnetic field in
circular orbits of increasing radii, tangential to each other and accelerated at the
beginning of each orbit, by traversing an electric field produced by a radio frequency
generator.
vi
Monitoring
The continuous or periodic measurement of parameters for determination , assessment
in respect of structure, system or component in a facility or control of radiation.
Nuclear Medicine
The speciality that utilises radio-pharmaceuticals to investigate disorders of anatomy,
physiology and patho-physiology, for diagnosis and/or treatment of diseases.
Package
The packaging with its radioactive contents as prescribed for transport.
Personnel Monitoring
Determination or estimation of the dose received by a person from external and internal
radiation.
Practice
Any human activity that introduces additional sources of exposure or exposure pathways
or extends exposure to additional people or modifies the network of exposure pathways
from existing sources, so as to increase the exposure or the likelihood of exposure of
people, or the number of people exposed.
Prescibed Limits
Limits established or accepted by the regulatory body.
Protective Barrier or Shielding (Radiation)
A barrier of appropriate thickness used to reduce radiation levels to specified values.
Protective Device
Device used for the purpose of radiological protection.
Quality Assurance
Planned and systematic actions necessary to provide adequate confidence that an item
or a facility will perform satisfactorily in service as per the design specifications.
Radiation
Gamma rays, X-rays or rays consisting of alpha particles, beta particles, neutrons,
protons, and other nuclear, sub-atomic particles, but not sound or radio waves, or
visible, infrared, ultraviolet light.
Radiation Facility
Any installation/equipment or a practice involving use of radiation-generating units
or radioisotopes in the field of research, industry, medicine and agriculture.
vii
Radioactive Waste
Material, whatever its physical form, remaining from practices or interventions and
for which no further use is foreseen. It can be (a) that contains or is contaminated with
radioactive substances and has an activity or activity concentration higher than the
level for clearance from regulatory requirements, and (b) exposure to which is not
excluded from regulatory control .
Radioactive Waste Management Facility
Facility specifically designed to handle, treat, condition, temporarily store or
permanently dispose of radioactive waste.
Radioactivity
The phenomenon whereby atoms undergo spontaneous random disintegration, usually
accompanied by the emission of radiation.
Radiography (Medical)
Technique for obtaining, recording and optionally processing, directly or after transfer,
information contained in an X-ray pattern at an image receptor area.
Radiography Source
A source sealed in one or more capsules, or an X-ray tube, or an electron accelerator
or a neutron source used for industrial radiography.
Radiography Technician/Radiography Technologist/Radiographer
A worker, who performs radiography operations employing radiography sources and
possesses a valid qualification, duly recognised by the competent authority for the
specific purpose.
Radiological Safety Officer (or Radiation Safety Officer)
Any person who is so designated by the employer and who, in the opinion of the
competent authority, is qualified to discharge the functions outlined in the Atomic
Energy(Radiation Protection )Rules, 2004.
Radiotherapy/Radiation Therapy
Medical treatment by ionising radiation.
Registration
A type of regulatory consent issued by the regulatory body for all sources, practices
and uses involving radioactive materials and radiation generating equipment.
Regulatory Body
See ‘Atomic Energy Regulatory Board’
viii
Safety Assessment
Review of the aspects of design and operation of a source, which are relevant to the
protection of persons or the safety of the source, including the analysis of the provisions
for safety and protection established in the design and operation of the source and the
analysis of risks associated with normal conditions and accident situations.
Safety Site-in-charge
A person who has the qualifications and training prescribed for Level 2 radiological
safety officer and who is appointed by the ‘consentee’ as the person supervising
industrial radiography operations at an authorised radiography site with approval of
the competent authority.
Sealed Source
Radioactive source material that is (a) permanently sealed in a capsule or (b) closely
bounded and in a solid form. The capsule or material of a sealed source shall be strong
enough to maintain leak tightness under the conditions of use and wear for which the
source was designed, as also under foreseeable mishaps.
Source
Any thing that causes radiation exposure, either by emitting ionising radiation or
releasing radioactive substances or materials.
Source Changer
A device for transferring radiography sources from or to exposure device, and suitable
for transport and storage of the source.
Source Housing
Shielding provided in any device containing a sealed source, in order to:
(i) define the useful beam; and
(ii) limit the radiation level outside of the useful beam to maximum permissible
leakage levels, as specified by the competent authority.
Synchrotron
Particle accelerator in which charged particles travel in circular orbits of constant
radius guided by an increasing magnetic field and accelerated by traversing a number
of times an electric field produced by a high frequency generator in synchronism
with the orbital motion.
Teletherapy
Treatment with external radiation beam(s) where the distance from source to skin is
greater than 5 cm.
ix
Tomography
Radiography of one or more sections/layers within an object.
Treatment Planning (Radiotherapy)
Planning of the techniques for radiation therapy, which may include treatment simulation
and dosimetry.
Treatment Simulation
Methods by which the techniques and patient positioning for radiotherapy are simulated
without delivering the therapy dose.
Type Approval
Approval, issued by the competent authority, based on evaluation of the device to
ensure that it conforms to safety standards.
Type A package
A Package designed to withstand normal conditions of transport without loss or dispersal
of its contents or loss of shielding integrity. The radioactive material may be transported
in a Type A package, either in special form radioactive material or other form, with the
provision that the activity shall not exceed the applicable limits prescribed in the relevant
code on ‘Transport of Radioactive Materials’.
Type B(U) package
A package designed to contain an activity in excess of A1, if special form radioactive
material, or in excess of A2 if not special form radioactive material, that is designed to
withstand normal and accidental conditions of transport specified in the relevant code
on ‘Transport of Radioactive Materials’.
Unusual Occurrence
Any occurrence which has the potential to impair or impairs the plant safety, radiological
safety, industrial safety and/or environmental safety.
x
SPECIAL DEFINITIONS
(Specific for the Present Guide)
Consumer Product
A manufactured product or item containing radioactive substance, which is exempted
from regulatory control.
Field Radiography
Radiography operations carried out on shop floors, erection sites or other such areas
with provisions for adequate radiological safety for the radiography personnel and
others including members of the public.
Person
Any individual, or a company, or association, or body of individuals, whether
incorporated or not; or central government or a state government.
Worker
Any person who works, whether full-time, part-time or temporarily, for an employer
and who has recognised rights and duties in relation to occupational radiation protection.
(A self-employed person is regarded as having the duties of both an employer and a
worker).
X-ray Equipment
Equipment consisting of combination of an X-ray generator, X-ray tube and associated
equipment.
xi
CONTENTS
FOREWORD ....................................................................... i
DEFINITIONS ....................................................................... iii
SPECIAL DEFINITIONS ....................................................................... xi
Volume - 1
1. INTRODUCTION ..................................................................... 1
1.1 General ....................................................................... 1
1.2 Objective ...................................................................... 1
1.3 Scope ....................................................................... 2
2. CLASSIFICATION OF CONSENTS AND CONSENTING

PROCESS ....................................................................... 3
2.1 General ....................................................................... 3
2.2 Statutory Provisions for Regulatory Consents ............. 3
2.3 Stages of Consenting Process ...................................... 3
2.4 Regulatory Consenting Procedures .............................. 4
2.4.1 General .......................................................... 4
2.4.2 Consent for Siting .......................................... 4
2.4.3 Consent for Construction/Layout
Plan Approval ................................................ 5
2.4.4 Consent for Commissioning .......................... 5
2.4.5 Consent for Operation ................................... 5
2.4.6 Consent for Decommissioning/Disposal ....... 6
2.4.7 Renewal of Consent for Operation/
Type Approval/RSO ...................................... 6
2.4.8 Review and Assessment Process ................... 7
2.5 Licence ....................................................................... 7
2.5.1 Consent for Operation ................................... 7
2.5.2 Consents, Review Process and Lead
Time at Various Stages .................................. 8
2.6 Authorisation ................................................................ 10
2.6.1 Authorisation for Operation .......................... 10
2.6.3 Authorisation for Waste Disposal/
Decommissioning .......................................... 11
2.7 Registration .................................................................. 11
2.7.1 Registration of Equipment/Laboratories ....... 11
2.8 Consent/Approval ........................................................ 12
2.8.1 Type Approval for Source(s), Equipment,
Devices and Packages ................................... 12
2.8.2 Safety Manpower Approval .......................... 13
2.8.3 Consents/Approval, Review Process
and Lead Time ............................................... 13
2.9 Exemption .................................................................... 14
2.10 Renewal of Consent ..................................................... 14
3. INFORMATION REQUIREMENTS FOR CONSENTING .... 15

3.1 General ....................................................................... 15
3.2 Land-Based High Intensity Radiation
Processing Facilities (other than Gamma
Irradiation Chambers) .................................................. 15
3.2.1 Gamma Radiation Processing Facility
(GRAPF) ....................................................... 15
3.2.1.1 General .......................................................... 15
3.2.1.2 Site Assessment and Approval ..................... 15
3.2.1.3 Layout and Construction Approval ............... 16
3.2.1.4 Commissioning .............................................. 17
3.2.1.5 Operation ....................................................... 17
3.2.1.6 Decommissioning/Disposal ........................... 19
3.2.1.7 Lead Time for Submission/Availability
of Documents ................................................ 19
3.2.2 Industrial Accelerator Radiation
Processing Facility (IARPF) ......................... 19
3.2.2.1 General .......................................................... 19
3.2.2.2 Site Assessment and Approval ...................... 19
3.2.2.3 Layout and Construction Approval .............. 19
3.2.2.4 Commissioning .............................................. 21
3.2.2.5 Operation ....................................................... 21
of Documents ................................................ 22
3.3 Particle Accelerator Research facilities (PARF) .......... 22
3.3.1 General .......................................................... 22
3.3.2 Site Assessment and Approval ...................... 23
3.3.3 Layout and Construction Approval ............... 24
3.3.4 Commissioning .............................................. 24
3.3.5 Operation ....................................................... 25
3.3.6 Renewal of Consent for Operation ................ 26
3.3.7 Decommissioning/Disposal ........................... 26
3.3.8 Lead Time for Submission/Availability
of Documents ................................................ 27
3.4 Facilities Engaged in the Commercial Production
of Radioactive Material and Radiation Generating
Equipment .................................................................... 27
3.4.1 Medical Cyclotron Facility ........................... 27
3.4.1.1 General .......................................................... 27
3.4.1.3 Layout Plan and Construction Approval ....... 28
3.4.1.4 Commissioning and Operation ...................... 28
3.4.1.5 Decommissioning .......................................... 29
of Documents ................................................ 29
3.4.2 Facilities Engaged in the Commercial
Production of Radiation Generating
Equipment ..................................................... 30
3.4.2.1 General .......................................................... 30
3.4.2.2 Layout Plan Approval (of Testing
Laboratory) .................................................... 30
3.4.2.3 Construction .................................................. 30
3.4.2.4 Licence for Commercial Production/
Manufacturing ............................................... 30
3.4.2.5 Lead Time for Submission/availability
of Documents ................................................ 31
3.4.3 Integrated Facility for Radiation
Technology (IFRT) ........................................ 31
3.4.3.1 General .......................................................... 31
3.4.3.3 Layout and Construction Approval ............... 32
of Documents ................................................ 34
3.5 Telegamma and Accelerators Facilities used in
Radiation Therapy ........................................................ 34
3.5.1 Telegamma Radiation Therapy Facility ........ 34
3.5.1.1 General .......................................................... 34
3.5.1.2 Site and Layout Plan Approval ..................... 35
3.5.1.3 Construction .................................................. 35
3.5.1.4 Procurement of Source/Equipment ............... 36
of Documents ................................................ 38
3.5.2 Medical Linear Accelerator Facility ............. 38
3.5.2.1 General .......................................................... 38
3.5.2.3 Construction .................................................. 39
3.5.2.4 Procurement of Medical Linear
Accelerator .................................................... 39
of Documents ................................................ 41
3.6 Computed Tomography/Interventional Radiology
(Cath Lab) .................................................................... 41
3.6.1 General .......................................................... 41
3.6.2 Site and Layout Plan Approval ..................... 42
3.6.3 Construction .................................................. 42
3.6.4 Procurement .................................................. 42
3.6.5 Commissioning and Operation ...................... 42
of Documents ................................................ 43
3.7 Radiography ................................................................. 43
3.7.1 Industrial Radiography .................................. 43
3.7.1.1 General .......................................................... 43
3.7.1.2 Procurement of Source/Device for
Radiography .................................................. 43
3.7.2 Enclosed Radiography Installations .............. 44
3.7.2.1 General .......................................................... 44
3.7.2.2 Site, Layout Plan and Construction ............... 45
3.7.3 Open Field Radiography ............................... 45
of Documents ................................................ 47
3.7.4 Industrial Accelerator Facility (IAF)
for NDT ......................................................... 47
3.7.4.1 General .......................................................... 47
3.7.4.2 Site, Layout Plan and Construction
Approval ........................................................ 47
of Documents ................................................ 49
3.8 Brachytherapy Facilities .............................................. 49
3.8.1 General .......................................................... 49
3.8.2 Site and Layout Plan Approval ..................... 50
3.8.3 Construction .................................................. 50
3.8.4 Procurement of Sources ................................ 50
of Documents ................................................ 53
3.9 Gamma Irradiation Chamber (GIC) ............................. 53
3.9.1 General .......................................................... 53
3.9.2 Procurement of GIC ...................................... 53
of Documents ................................................ 54
3.10 Nuclear Medicine Facilities ......................................... 55
3.10.1 Nuclear Medicine Therapy Facility .............. 55
3.10.1.1 General .......................................................... 55
3.10.1.2 Site and Layout Plan Approval/
Design of facility ........................................... 55
3.10.1.3 Construction .................................................. 55
of Documents ................................................ 57
3.10.2 In-vivo Nuclear Medicine Diagnostic
Facility ........................................................... 57
3.10.2.1 General .......................................................... 57
3.10.2.3 Construction .................................................. 57
of Documents ................................................ 58
3.11 Facilities Engaged in the Commercial Production
of Nucleonic Gauges and Consumer Products
Containing Radioactive Materials ............................... 58
Production of Nucleonic Gauges (NGs)/
Ionising Radiation Gauging Devices
(IRGDs) ......................................................... 58
3.11.1.1 General .......................................................... 59
of Documents ................................................ 60
Production of Consumer Products
Containing Radioactive Materials ................. 60
3.11.2.1 General .......................................................... 60
3.11.2.4 Disposal ......................................................... 61
of Documents ................................................ 61
3.12 Radioactive Sources in Well Logging.......................... 61
3.12.1 General .......................................................... 61
3.12.2 Procurement of Source(s) ............................. 62
3.12.3 Commissioning/Operation............................. 62
3.12.4 Disposal ......................................................... 63
of Documents ................................................ 63
3.13 Medical Diagnostic X-ray Equipment including
Therapy Simulator ........................................................ 63
3.13.1 Radiotherapy Simulator................................. 63
3.13.1.1 General .......................................................... 63
3.13.1.2 Site and Layout Plan approval ...................... 64
3.13.1.3 Construction .................................................. 64
3.13.1.4 Procurement of Radiotherapy Simulator ....... 64
of Documents ................................................ 66
3.13.2 Medical Diagnostic X-ray Equipment .......... 66
3.13.2.1 General .......................................................... 66
3.13.2.3 Construction .................................................. 66
3.13.2.4 Procurement .................................................. 66
of Documents ................................................ 67
3.14 Baggage Inspection System ......................................... 67
3.14.1 General .......................................................... 67
3.14.2 Safety Assessment and Approval .................. 67
of Documents ................................................ 68
3.15 Nucleonic Gauges (NGs)/Ionising Radiation
Gauging Devices (IRGDs) ........................................... 68
3.15.1 General .......................................................... 68
3.15.2 Procurement and Registration ....................... 68
of Documents ................................................ 70
3.16 Research Applications using Radioisotopes ................ 70
3.16.1 Sealed Rdioisotopes in Research and
Calibration ..................................................... 70
3.16.1.1 General .......................................................... 70
3.16.1.2 Procurement and Registration ....................... 70
3.16.1.3 Disposal ......................................................... 71
of Documents ................................................ 71
3.16.2 Research Applications using Unsealed
Radioisotopes ................................................ 71
3.16.2.1 General .......................................................... 71
3.16.2.2 Layout Plan Approval ................................... 72
of Documents ................................................ 72
3.16.3 Biomedical Studies on Humans .................... 72
3.16.3.1 General .......................................................... 72
of Documents ................................................ 73
3.17 Radio-Immuno Assay (RIA) ........................................ 73
3.17.1 General .......................................................... 73
3.17.2 Layout Plan Approval ................................... 74
of Documents ................................................ 74
3.18 Consent/Type Approval ............................................... 74
3.18.1 Type Approval of Sources, Equipment,
Devices and Packages ................................... 74
3.18.2 Approval of Shipment for Radioactive
Consignment under Special Arrangement ..... 76
3.18.3 Safety Manpower Approval (i.e. RSO
Approval) ...................................................... 76
of Documents ................................................ 77
3.19 Channels of Communication ........................................ 77
4. REVIEW AND ASSESSMENT PROCESS ............................. 78

4.1 General ....................................................................... 78
4.2 Consent for Site ............................................................ 78
4.3 Consent for Construction/Layout Plan Approval ........ 79
4.4 Consent for Commissioning ......................................... 79
4.5 Consent for Operation .................................................. 79
4.6 Renewal of Consent for Operation .............................. 81
4.7 Consenting Decisions ................................................... 81
4.8 Licence ....................................................................... 81
4.8.1 Review Process ............................................. 81
4.8.2 Assessment Process ....................................... 82
4.9 Authorisation ................................................................ 82
4.9.1 Review Process ............................................. 82
4.10 Registration .................................................................. 83
4.10.1 Review Process ............................................. 83
4.11 Consent/Approval ........................................................ 84
4.11.1 Type Approval of Sources, Equipment,
Devices, Packages and Approval of
Shipment ........................................................ 84
4.11.1.1 Review Process ............................................. 84
4.11.1.2 Assessment Process ....................................... 85
4.11.2 Safety Manpower Approval (i.e. RSO
Approval) ...................................................... 85
4.11.2.1 Review Process ............................................. 85
4.11.2.2 Assessment Process ....................................... 86
4.12 Codes and Guides as Reference Documents ............... 86
Volume - 2
APPENDIX-1 INDUSTRIAL SAFETY ............................... 87

(Refer section 2.2)
APPENDIX-2A FORMAT OF SITE ASSESSMENT

(Refer section 3.2.1.2) REPORT FOR GAMMA RADIATION
PROCESSING FACILITY (GRAPF) ........... 89
APPENDIX-2B FORMAT OF THE PRELIMINARY

(Refer section 3.2.1.3) SAFETY ANALYSIS REPORT FOR
GAMMA RADIATION PROCESSING
FACILITY (GRAPF)..................................... 92
APPPENDIX-2C FORMAT FOR THE ACCEPTANCE

(Refer section 3.2.1.4 ) TEST REPORT TO VERIFY
FUNCTIONAL PERFORMANCE OF
SAFETY SYSTEMS/INTERLOCKS
FOR GRAPF ................................................. 98
APPPENDIX-2D FORMAT OF THE FINAL SAFETY

(Refer section 3.2.1.5) ANALYSIS REPORT FOR GAMMA
RADIATION PROCESSING
FACILITY (GRAPF)..................................... 109
APPENDIX-2E RADIATION PROTECTION MANUAL

(Refer section 3.2.1.4) OF GAMMA RADIATION
APPENDIX-2F QUALITY ASSURANCE MANUAL

(Refer section 3.2.1.5) (QAM) FOR GAMMA RADIATION
APPENDIX-3B-I FORMAT OF THE PRELIMINARY

INDUSTRIAL ACCELERATOR
FACILITY (IARPF) ...................................... 127
APPENDIX-3B-II FORMAT OF THE PRELIMINARY

(Refer section 3.3.1) SAFETY ANALYSIS REPORT FOR
PARTICLE ACCELERATOR
RESEARCH FACILITIES (PARF)
< 10MeV ....................................................... 133
APPENDIX-3B-III FORMAT OF THE PRELIMINARY

FACILITY (IAF) FOR NDT ......................... 139
APPENDIX-3C FORMAT FOR ACCEPTANCE TEST

(Refer section 3.2.2.4 REPORT (ATR) FOR ACCELERATOR
for IARPF and FACILITIES [IARPF, IAF-NDT AND
PARF<10 MeV) PARF < 10MeV] ........................................... 143
(Refer section 3.7.8.3
for IAF-NDT)
APPENDIX-3D-I & II FORMAT OF THE FINAL SAFETY

(Refer section 3.2.2.5) ANALYSIS REPORT FOR IARPF
(This format can also be used for PARF
with beam energy <10 MeV) ........................ 146
APPENDIX-3D-III FORMAT OF THE FINAL SAFETY
(Refer section 3.7.8.3) ANALYSIS REPORT FOR
APPENDIX-3E FORMAT FOR RADIATION

(Refer section 3.2.2.5 PROTECTION MANUAL FOR ALL
for IARPF)(Refer ACCELERATOR FACILITIES
section 3.7.8.3 [IARPF, IAF-NDT AND PARF
for IAF-NDT) <10MeV] ....................................................... 150

(Refer section 3.2.2.3 (QAM) FOR ACCELERATOR
for IARPF.) (Refer FACILITIES [IARPF, IAF-NDT,
sections 3.7.8.2 and PARF < 10MeV] ........................................... 152
3.7.8.3 for IAF NDT)
APPENDIX-4A FORMAT FOR SITE EVALUATION

(Refer section 3.3.2) REPORT FOR PARTICLE
ACCELERATOR RESEARCH
FACILITY (PARF>10MeV) ......................... 157
APPENDIX-4B, 4D FORMAT FOR (PRELIMINARY/

(Refer sections 3.3.3, FINAL) SAFETY ANALYSIS
3.3.4 & 3.3.5) REPORT FOR PARF/(>10MeV) .................. 159
APPENDIX-4C FORMAT FOR THE ACCEPTANCE

(Refer section 3.3.4) TEST REPORT (ATR) FOR
PARTICLE ACCELERATOR
RESEARCH FACILITIES
(PARF >10MeV) ........................................... 162
APPENDIX-4F QUALITY ASSURANCE (QA)

(Refer sections 3.3.2, MANUAL FOR PARTICLE
to 3.3.4) ACCELERATOR RESEARCH
FACILITY[PARF >10MeV] ......................... 164

(Refer section 3.4.1.3) SAFETY ANALYSIS REPORT
(PSAR) FOR MEDICAL
CYCLOTRON FACILITIES ........................ 173
APPENDIX-5D FORMAT OF THE FINAL SAFETY

(Refer section 3.4.1.4) ANALYSIS REPORT (FSAR) FOR
MEDICAL CYCLOTRON FACILITIES ..... 180
(Refer section 3.4.1.4) FOR MEDICAL CYCLOTRON
FACILITIES .................................................. 188

(Refer sections 3.4.1.3, (QAM) FOR MEDICAL
3.4.1.4) CYCLOTRON FACILITIES ........................ 190
APPENDIX-6A FORMAT FOR SITE ASSESSMENT

(Refer section 3.4.3.2) REPORT OF INTEGRATED
FACILITY FOR RADIATION
TECHNOLOGY (IFRT) ............................... 199

(Refer section 3.4.3.3.) SAFETY ANALYSIS REPORT FOR
INTEGRATED FACILITY FOR
RADIATION TECHNOLOGY (IFRT) ......... 202
APPENDIX-6D FORMAT OF THE FINAL SAFETY

(Refer section 3.4.3.4) ANALYSIS REPORT FOR

(Refer section 3.4.3.4) OF INTEGRATED FACILITY FOR

(Refer section 3.4.3.4 ) (QAM) FOR INTEGRATD FACILITY
FOR RADIATION TECHNOLOGY
(IFRT) ............................................................ 221

(Refer sections 3.5.1.5, OF RADIOTHERAPY FACILITY
3.8.4) (APPLICABLE FOR TELEGAMMA
AND BRACHYTHERAPY
FACILITIES) ................................................. 227
APPENDIX-8C-I ACCEPTANCE/PERFORMANCE/
(Refer section 3.6.3) QUALITY ASSURANCE TEST
FORCOMPUTED TOMOGRAPHY
(CT) SCANNER ........................................... 230
APPENDIX-8C-II ACCEPTANCE/PERFORMANCE/
(Refer sections 3.6.3 & QUALITY ASSURANCE TEST
3.13.2.5) FORDIAGNOSTIC X-RAY UNIT/
CATH LAB .................................................... 239
APPENDIX-8C-III ACCEPTANCE/PERFORMANCE/
(Refer section 3.13.2.5) QUALITY ASSURANCE TEST
FOR MAMMOGRAPHY UNIT ................... 247

(Refer section 3.6.3 ) (RPM) FOR DIAGNOSTIC X-RAY
FACILITIES INCLUDING
COMPUTED TOMOGRAPHY (CT)/
INTERVENTIONAL RADIOLOGY
INSTALLATIONS AND FACILITIES
ENGAGED IN THE COMMERCIAL
PRODUCTION OF RADIATION
GENERATING EQUIPMENT ..................... 254

(Refer section 3.7.5) FOR INDUSTRIAL RADIOGRAPHY
FACILITY ..................................................... 256
APPENDIX-10 LIST OF AERB, STANDARDS,

(Refer section 3.18.1) CODES AND GUIDES USED FOR
RADIATION FACILITIES ........................... 258
Volume - 3
ANNEXURE-1 APPLICATION FOR CONSENT FOR

(3.2.1.2) SITE APPROVAL OF LAND BASED
STATIONARY GAMMA RADIATION
ANNEXURE-2 APPLICATION FOR LAYOUT AND

(3.2.1.3) CONSTRUCTION APPROVAL OF
LAND BASED STATIONARY
FACILITY (GRAPF)..................................... 265
ANNEXURE-3 APPLICATION FOR LICENCE FOR

(3.2.1.5) COMMISSIONING /OPERATION OF
LAND-BASED STATIONARY
FACILITY (GRAPF)..................................... 270
ANNEXURE-4 APPLICATION FOR OBTAINING

(3.2.1.5) THE CERTIFICATE OF APPROVAL
FOR AN IRRADIATION FACILITY ........... 275
ANNEXURE-5 APPLICATION FOR SITING,

(3.2.2.2 & 3.2.2.3) LAYOUT AND CONSTRUCTION
APPROVAL OF INDUSTRIAL
ACCELERATOR RADIATION
PROCESSING FACILITY (IARPF/
PARF < 10MEV) ........................................... 278

(3.2.2.5 & 3.2.2.6) COMMISSIONING/OPERATION OF
FACILITY (IARPF/PARF < 10MeV) ........... 282

(3.3.2) SITE APPROVAL OF PARTICLE
FACILITY OF DAE (PARF > 10 MeV) ....... 287

(3.3.3) CONSTRUCTION OF PARTICLE
FACILITY OF DAE (PARF > 10 MeV) ....... 291
ANNEXURE-9 FORMAT FOR APPLICATION FOR

(3.3.4) APPROVAL OF PERSON TO BE
DESIGNATED AS R S O
(FOR DAE PARF) ......................................... 295
(3.3.4) COMMISSIONING OF PARTICLE
FACILITY OF DAE (PARF>10 MeV) ......... 297

(3.3.5) OPERATION OF PARTICLE
FACILITY OF DAE (PARF>10 MeV) ......... 302
(3.4.1) SITE APPROVAL FOR LOCATION
OF MEDICAL CYCLOTRON
FACILITY ..................................................... 307

(3.4.1.3) LAYOUT AND CONSTRUCTION
APPROVAL FOR MEDICAL
CYCLOTRON FACILITY ............................ 311

(3.4.1.4) COMMISSIONING AND OPERATION
OF MEDICAL CYCLOTRON
FACILITY ..................................................... 314
ANNEXURE-15 APPLICATION FOR LAYOUT PLAN

(3.4.2.2) APPROVAL OF TESTING FACILITY
FOR RADIATION GENERATING
EQUIPMENT [FOR FACILITIES
ENGAGED IN COMMERCIAL
PRODUCTION OF COMPUTED
TOMOGRAPHY (CT)/INTERVEN-
TIONAL RADIOLOGY (CATH LAB)/
RADIOGRAPHY/RADIOGRAPHY AND
FLUOROSCOPY (R&F)/DENTAL/
ORTHO-PANTOMOGRAPHY (OPG)/
MAMMOGRAPHY/BONE
DENSITOMETER/MEDICAL X-RAY
TUBE AND TUBE HEAD] .......................... 320

(3.4.2.3) COMMERCIAL PRODUCTION OF
RADIATION GENERATING
EQUIPMENT [COMPUTED
TIONAL RADIOLOGY (CATH LAB)/
RADIOGRAPHY/RADIOGRAPHY AND
FLUOROSCOPY (R&F) /DENTAL/
ORTHO-PANTOMOGRAPHY (OPG)/
MAMMOGRAPHY/BONE DENSITO-
METER/MEDICAL X-RAY TUBE
AND TUBE HEAD] ..................................... 324

(3.4.3.2) SITE APPROVAL OF INTEGRATED
FACILITY FOR RADIATION
TECHNOLOGY (IFRT) ............................... 329
ANNEXURE-18 APPLICATION FOR LAYOUT AND

(3.4.3.3) CONSTRUCTION APPROVAL FOR

(3.4.3.4) COMMISSIONING/OPERATION OF
ANNEXURE-20 APPLICATION FOR SITE AND

(3.5.1.2, 3.5.2.2, 3.8.2 LAYOUT PLAN APPROVAL OF
& 3.12.4.2) RADIOTHERAPY FACILITIES .................. 343
ANNEXURE-21 APPLICATION FOR CONSENT/NOC

(3.5.1.4, 3.5.2.4, 3.8.4 FOR PROCUREMENT/IMPORT OF
& 3.12.1.3) RADIATION GENERATING
EQUIPMENT/RADIOACTIVE
SOURCE FOR RADIATION
THERAPY FACILITY .................................. 350
ANNEXURE-22 APPLICATION FOR LICENCE/

(3.5.1.5, 3.5.2.4, AUTHORISATION/REGISTRATION
3.8.5 & 3.12.4.5) FOR COMMISSIONING AND
OPERATION OF RADIATION
THERAPY FACILITY .................................. 375
ANNEXURE-23 APPLICATION FOR SITE & LAYOUT

(3.6.2) PLAN APPROVAL AND
PROCUREMENT OF MEDICAL
X-RAY EQUIPMENT [COMPUTED
TIONAL RADIOLOGY (CATH LAB)] ....... 384

(3.6.3) COMMISSIONING/OPERATION OF
MEDICAL DIAGNOSTIC X-RAY
EQUIPMENT [COMPUTED
TIONAL RADIOLOGY (CATH LAB)] ....... 388
(3.7.2) PROCUREMENT OF INDUSTRIAL
GAMMA RADIOGRAPHY
EXPOSURE DEVICE(S) (IGREDs)/
INDUSTRIAL X-RAY MACHINE(S) ......... 393

(3.7.3.2) SITE LAYOUT PLAN/
CONSTRUCTION OF ENCLOSED
RADIOGRAPHY FACILITY ....................... 401
ANNEXURE-27 APPLICATION FOR SITE APPROVAL

(3.7.4) AND MOVEMENT OF IGRED/
X-RAY DEVICE FOR CONDUCTING
OPEN FIELD RADIOGRAPHY WORK ..... 407

(3.7.5) COMMISSIONING AND OPERATION
OF RADIOGRAPHY FACILITY ................. 414
ANNEXURE-29 APPLICATION FOR SITING, LAYOUT

(3.7.8.2) AND CONSTRUCTION APPROVAL
OF INDUSTRIAL ACCELERATOR

(3.7.8.3) COMMISSIONING/OPERATION OF
FACILITY FOR (IAF) NDT ......................... 424
ANNEXURE-31 APPLICATION FOR NO OBJECTION

(3.9.2) CERTIFICATE (NOC) FOR IMPORT/
CONSENT FOR PROCUREMENT
OF GAMMA IRRADIATION
CHAMBERS (GIC) ...................................... 429
ANNEXURE-32 APPLICATION FOR AUTHORISATION

(3.9.3) FOR COMMISSIONING AND
OPERATION OF GAMMA
IRRADIATION CHAMBER (GIC) .............. 436
ANNEXURE-33a APPLICATION FOR APPROVAL OF

(3.10.1.2) SITE AND LAYOUT PLAN FOR
NUCLEAR MEDICINE FACILITY ............ 442
ANNEXURE-33b APPLICATION FOR PROCUREMENT
(3.10.1.2) OF RADIOISOTOPES FOR NUCLEAR
MEDICINE FACILITIES ............................. 446
ANNEXURE-34 APPLICATION FOR AUTHORI-

(3.10.1.4) SATION FOR COMMISSIONING
AND OPERATION OF NUCLEAR
MEDICINE FACILITY ................................ 451

(3.11.1) SATION FOR FACILITIES ENGAGED
IN COMMERCIAL PRODUCTION
OF IONISING RADIATION
GAUGING DEVICES (IRGDs)/
NUCLEONIC GAUGES (NGs) .................... 457
Volume - 4

(3.11.2) SATION FOR PROCUREMENT AND
USE OF THORIUM NITRATE FOR
MANUFACTURE OF CONSUMER
PRODUCT (GAS MANTLES) ..................... 462
ANNEXURE-37 APPLICATION FOR NOC FOR

(3.12.2) IMPORT /CONSENT FOR
PROCUREMENT OF SEALED
RADIATION SOURCES FOR WELL
LOGGING OPERATIONS ........................... 467
ANNEXURE-38 APPLICATION FOR AUTHORISA-

(3.12.3) TION FOR COMMISSIONING/
OPERATION OF WELL LOGGING
ACTIVITIES INVOLVING
RADIATION SOURCES .............................. 474
ANNEXURE-39 APPLICATION FOR SITE AND

(3.13.1.2) LAYOUT PLAN APPROVAL AND
PROCUREMENT OF DIAGNOSTIC
X-RAY EQUIPMENT[RADIO-
GRAPHY/RADIOGRAPHY AND
FLUROSCOPY (R&F)/ORTHO-
PAN-TOMOGRAPHY (OPG)/
MAMMOGRAPHY/BONE
DENSITOMETER ETC.] ............................. 480
ANNEXURE-40 APPLICATION FOR REGISTRATION

(3.13.1.3) OF DIAGNOSTIC X-RAY
EQUIPMENT [RADIOGRAPHY/
RADIOGRAPHY AND FLUROSCOPY
(R&F)/DENTAL/ORTHO-PAN-TOMO-
GRAPHY (OPG)/MAMMOGRAPHY/
BONE DENSITOMETER] ........................... 485

(3.15.2) IMPORT/CONSENT FOR
PROCUREMENT OF IONISING
RADIATION GAUGING DEVICES
(IRGDs)/NUCLEONIC GAUGES
(NGs) CONTAINING RADIO-
ACTIVE SOURCES ..................................... 490

(3.15.2) OF IONISING RADIATION
GAUGING DEVICES (IRGDS)/
NUCLEONIC GAUGE(S) (NGS)
CONTAINING RADIOACTIVE
SOURCES ..................................................... 497
ANNEXURE-43a APPLICATION FOR LAYOUT

(3.16.2.2) PLAN AND CONSTRUCTION
APPROVAL FOR RESEARCH
LABORATORIES HANDLING
RADIOISOTOPES ........................................ 502
ANNEXURE-43b APPLICATION FOR PROCUREMENT

(3.16.2.2) OF RADIOISOTOPES FOR
RESEARCH LABORATORIES ................... 505

(3.16.2) OF RADIOISOTOPE RESEARCH
FACILITY (COMMISSIONING
AND OPERATION) ...................................... 509
ANNEXURE-45 APPLICATION FORMAT FOR

(3.16.3) OBTAINING REGISTRATION FOR
BIOMEDICAL RESEARCH
STUDIES ON HUMANS ............................. 514
ANNEXURE-46 APPLICATION FOR LAYOUT PLAN

(3.17.2) APPROVAL FOR RIA/IMMUNO
RADIOMETRIC ASSAY (IRA)
LABORATORY ............................................ 518

(3.17.3) OF RADIOIMMUNO ASSAY/
IMMUNO RADIOMETRIC ASSAY
(IRMA) FACILITY (COMMISSION-
ING AND OPERATION) .............................. 522
ANNEXURE-48 APPLICATION FOR PROCURE-

(3.17.3) MENT OF RADIO-ISOTOPES FOR
RADIOIMMUNO ASSAY (RIA)/
IMMUNO RADIOMETRIC ASSAY
(IRMA) FACILITY ....................................... 526
ANNEXURE-49 (FORM V) APPLICATION FOR

AUTHORISATION TO DISPOSE OF
RADIOACTIVE WASTE/DECAYED/
UNUSED SOURCES (BY SMALL
INSTALLATIONS) UNDER G.S.R.-125
ATOMIC ENERGY (SAFE DISPOSAL
OF RADIOACTIVE WASTES)
RULES, 1987-RULE 15(1) ........................... 530
ANNEXURE-50 APPLICATION FOR AUTHORISA-

TION TO TRANSFER RADIO-
ACTIVE MATERIAL TO THE
SUPPLIER/AUTHORISED WASTE
MANAGEMENT AGENCY ......................... 535
ANNEXURE-51 APPLICATION FOR APPROVAL OF

(3.18.2) SPECIAL ARRANGEMENT FOR
TRANSPORT OF RADIOACTIVE
MATERIAL ................................................... 540
ANNEXURE-52 APPLICATION FOR PACKAGE

(3.18.1) DESIGN APPROVAL FOR
TRANSPORT OF RADIOACTIVE
MATERIAL ................................................... 546
ANNEXURE-53 APPLICATION FOR NO
(3.18.1) OBJECTION CERFICATE (NOC)/
TYPE APPROVAL OF SEALED
SOURCES ..................................................... 554

(3.18.1) OBJECTION CERTIFICATE (NOC)
FOR IMPORT/TYPE APPROVAL
FOR TELEGAMMA THERAPY
EQUIPMENT ................................................ 560

FOR MEDICAL LINEAR
ACCELERATOR (MLA) .............................. 570

FOR IMPORT/TYPE APPROVAL OF
REMOTE AFTERLOADING (RAL)
BRACHYTHERAPY EQUIPMENT ............ 580

(3.18.1) OBJECTION CERTIFICATE (NOC)/
TYPE APPROVAL OF DIAGNOSTIC
X-RAY EQUIPMENT/RADIO-
THERAPY SIMULATOR [RADIO-
GRAPHY/RADIOGRAPHY AND
FLUOROSCOPY (R&F)/DENTAL/
ORTHO-PAN-TOMOGRAPHY (OPG)/
MAMMOGRAPHY/BONE DENSI-
TOMETER/MEDICAL X-RAY TUBE
AND TUBE HEAD] ..................................... 588
ANNEXURE-57a APPLICATION FOR NO

TYPE APPROVAL FOR RADIO-
THERAPY SIMULATOR ............................. 596
ANNEXURE-58 APPLICATION FOR TYPE APPROVAL

(3.18.1) FOR BAGGAGE INSPECTION
X-RAY SYSTEM (BIS) ................................ 605
FOR IMPORT/CONSENT FOR
TYPE APPROVAL FOR INDUSTRIAL
GAMMA RADIOGRAPHY
EXPOSURE DEVICE (IGRED)/
SOURCE CHANGER/INDUSTRIAL
X-RAY MACHINE ....................................... 610

(3.18.1) IMPORT/CONSENT FOR TYPE
APPROVAL FOR IONISING
RADIATION GAUGING DEVICES
(IRGDs)/NUCLEONIC GAUGES
(NGs) ............................................................. 622
ANNEXURE-61 APPLICATION FOR TYPE

(3.18.1) APPROVAL OF CONSUMER
PRODUCTS CONTAINING
RADIOACTIVE SUBSTANCES ................. 635
FOR MEDICAL CYCLOTRON ................... 639

FOR IMPORT/CONSENT FOR
TYPE APPROVAL FOR INDUSTRIAL
ACCELERATOR FACILITY [(IARPF)/
(PARF < 10 MeV)/(IAF-NDT)] .................... 644

(3.18.1) OBJECTION (NOC) FOR IMPORT/
TYPE APPROVAL FOR GAMMA
IRRADIATION CHAMBER (GIC) .............. 650

TYPE APPROVAL OF MEDICAL
DIAGNOSTIC EQUIPMENT
[COMPUTED TOMOGRAPHY
(CT)/INTERVENTIONAL
RADIOLOGY (CATH LAB)] ....................... 658

(3.16.1) PROCUREMENT OF SEALED
RADIOACTIVE SOURCES FOR
RESEARCH/CALIBRATION
PURPOSES ................................................... 666

(3.16.1) OF SEALED RADIATION SOURCES
USED IN RESEARCH, CALIBRATION
OF RADIATION MONITORS AND
OTHER APPLICATIONS ............................. 673
ANNEXURE-68 APPLICATION FOR APPROVAL OF

(3.18.3) RADIOLOGICAL SAFETY
OFFICER (RSO) ........................................... 678
BIBLIOGRAPHY ....................................................................... Bi
LIST OF PARTICIPANTS ....................................................................... Li
WORKING GROUP ....................................................................... Li
ADVISORY COMMITTEE FOR PREPARATION OF CODES,

GUIDES AND MANUALS ON GOVERNMENTAL
ORGANISATION FOR REGULATION OF NUCLEAR AND
RADIATION FACILITIES (ACCGORN) .............................................. Liii
PROVISIONAL LIST OF CODES, GUIDES AND MANUALS

FOR REGULATION OF NUCLEAR AND RADIATION
FACILITIES ....................................................................... Pi
VOLUME - 3
ANNEXURE-1
(Refer section 3.2.1.2)
Form ID : AERB/RSD/GRAPF/SA
Government of India
Niyamak Bhavan,
Anushaktinagar,
Mumbai - 400 094
APPLICATION FOR CONSENT FOR SITE APPROVAL OF

LAND-BASED STATIONARY GAMMA RADIATION
PROCESSING FACILITY (GRAPF)
(a) This application would be considered by the competent authority for issuance of
relevant consents, under the Atomic Energy (Radiation Protection) Rules, 2004
[AE(RP)R].
(b) The duly filled-in form should be sent to Director/Head, Radiological Safety
Division (RSD), AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-400094 with
the necessary documents
(c) Incomplete applications and those without all relevant documents are liable to
be rejected
(d) All the forms pertaining to this facility can be downloaded from the website
(www.aerb.gov.in)
(e) Attach extra sheets wherever required
PART A
GENERAL PARTICULARS
A.1 Name and address of the institution:
Telephone No. (O):
Fax No.
E-mail
A.2 Name and address of the Head of the institution$
Telephone No. (O): (R)
Fax No.
Mobile No.
E-mail
261
A.3 Name and designation of the applicant#:
Fax No.
Mobile No.
E-mail
A.4 Representative of the applicant to be contacted regarding the application:
Fax No.
Mobile No.
E-mail
A.5 Address for correspondence with PIN code:
$ The head of the institution is the person who would have the responsibilities of
‘employer’ prescribed in AE(RP)R, 2004.
# Applicant is the person in whose name the authorisation (licence) to handle the
source may be issued, under AE(RP)R, 2004, would have the responsibilities of
‘licensee’ prescribed in AE(RP)R, 2004 and should be a full time employee of
the institution.
PART B
PARTICULARS OF THE PROPOSED GRAPF

(Gamma Irradiator)
B.1 Address of proposed location of the GRAPF

B.2 Category of GRAPF proposed to be installed
B.3 Name and address of the designer
B.4 Name and address of the manufacturer
B.5 Brief description of the facility:
B.6 Purpose of irradiation facility:
B.7 Site specific information:
B.7.1 Seismic zone as per IS-1893 (current version)
(Documentary evidence from relevant State /Central Government authority)
B.7.2 Maximum level of ground water and maximum flood level for past hundred
years as per the Central/State Government records, along with documentary
evidence.
262
B.7.3 Distance of site of installation of GRAPF from:
(a) Ammunition storage and explosive dumps
(b) Storage of inflammable materials
(c) Direction of runway of civilian/military airfield
(d) Residential area and public places
(e) Rivers/dams/lake/water reservoir
B.7.4 Distance of proposed site from capable fault, if any
(Documentary evidence from relevant State/Central Government authority)
B.7.5 Provision of access roads to approach the proposed site and its detail.
B 7.6 Distance and location of the nearest railway station and airport from the site
B.8 Documents to be attached with the application
(i) Site assessment report (as per Appendix-2A )
(ii) Installation layout indicating location of the plot with peripheral
occupancy
(iii) Map of the site region upto 2km radius covering details given in
Items B.7.3 and B.7.6
(iv) Proof from local State Government authorities that the land/plot/
site for installation of the facility is in the name of the applicant and
falls in industrial zone.
(v) Any other supporting documents.
PART C
UNDERTAKING
I/we hereby certify that

(i) all the statements made above are correct to the best of my/our
knowledge and belief.
(ii) no activity shall be carried out for purposes other than those specified
in this form.
(iii) the siting activities shall be taken up only after receipt of approval
from AERB.
(iv) all provisions of the Atomic Energy (Radiation Protection) Rules,
2004 shall be strictly complied with.
263
(v) the site/facility shall not be transferred/sold/ rented by me/us to any
other party without the prior permission of the competent authority.
(vi) full facilities will be accorded by me/us to any authorised
representatives of the competent authority to inspect the installation
at any time.
(vii) radiation surveillance of the installation and health surveillance of
all persons engaged in radiation work as required by the competent
authority will be duly carried out at my/our expense.
(viii) all stipulations/recommendations made from time to time by the
competent authority in respect of radiation safety measures will be
duly implemented.
(ix) duly qualified/experienced radiological safety officer(s)/operator(s)
will be appointed before the commencement of operation of the
facility.
(x) the procedures approved by AERB regarding decommissioning/
dismantling and reuse of the site of the decommissioned facility will
be strictly complied with.
(xi) I/we will keep AERB informed about any changes in the information
furnished above.
In case, it is found, at any stage, that the information provided by me/us is
false and/or not authentic, then I/we hereby undertake to comply with the
regulatory action(s) enforced against me/us and our institution, in accordance
with the applicable Rules.
Place: Signature:
Date: Name of the applicant:
Designation:
Signature:
Name of Head of the institution:
Designation:
.
(Seal of the Head of the institution)
264
ANNEXURE-2
Form ID.AERB/RSD/GRAPF/L&CA
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai - 400 094
APPLICATION FOR LAYOUT AND CONSTRUCTION APPROVAL

OF LAND BASED STATIONARY
GAMMA RADIATION PROCESSING FACILITY (GRAPF)
(a) This application would be considered by the competent authority for issuance
of relevant consents, under the Atomic Energy (Radiation Protection) Rules,
2004 [AE(RP)R].
Division (RSD), AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-400094
with the necessary documents
(c) Incomplete applications and those without all relevant documents are liable
to be rejected
(www.aerb.gov.in)
PART A
GENERAL PARTICULARS
Telephone No. (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
265
A.3 Name and designation of the applicant #:
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
$ The head of the institution is the person who would have the responsibilities
of ‘employer’ prescribed in AE(RP)R, 2004.
# Applicant is the person in whose name the authorisation (licence) to handle
the source may be issued, under AE(RP)R, 2004, would have the
responsibilities of ‘licensee’ prescribed in AE(RP)R, 2004 and should be a
full time employee of the institution
PART B
PARTICULARS OF THE PROPOSED FACILITY

B.1 Name and address of the designer(s):
Fax No.
Mobile No.
E-mail
B.2 Name and address of the manufacturer:
Fax No.
Mobile No.
E-mail
B.3 Name and address of the designer of sources and product system:
Fax No.
Mobile No.
E-mail
266
B.4 Name and address of the local vendor agency, if any:
Fax No.
Mobile No.
Email
B.5 Layout and civil engineering drawings .attached : Yes/No
B.6 Category of GRAPF :
[Specify class as per AERB/SS- 6 (Rev. 1), 2007]
B.7 Purpose of the facility:
B.8 Scale of operation : Commercial/Research/other (Specify):
B.9 Mode of operation: Batch type/Continuous/other (specify)
B.10 Products(s)/material(s) to be irradiated:
B.11 Product movement system:
(specify no. of product boxes and product carriers)
B.12 Particulars of radiation source
(i) Name of radionuclide :
(ii) Physical and chemical form :
(iii) Maximum design strength of source : ———— PBq (——— kCi)

(iv) Radiation source geometry :
(v) Source movement system : Hydraulic/Pneumatic/other (specify)
(vi) Source loading/unloading mechanism :
B.13 Documents to be attached with the Application:
(i) Copy of the AERB site approval
(ii) Detailed report from accredited agency on geological and
geotechnical investigation as per Appendix-A of AERB/SS-6
(Rev. 1), 2007.
(iii) Preliminary safety analysis report (as per format prescribed in
Appendix-2B)
(iv) Detailed layout of the facility with peripheral occupancy
(v) Architectural authenticated blue print of the complete design
drawings including the details of radiation processing cell, wall
thicknesses and labyrinth access if applicable.
267
(vi) Layout and civil engineering drawings
(vii) Security plan for the facility as per AERB safety guide on ‘Security
of Radioactive Sources in Radiation Facilities’ (AERB/RS-RS/
SG-1) and AERB safety guide on ‘Security of Radioactive Material
during Transport’ (AERB/NRF-TS/SG-10)
(viii) Any other supporting documents.
PART C
UNDERTAKING
I/We hereby certify that
(i) all the statements made above are correct to the best of my/our knowledge
and belief.
(ii) no activity shall be carried out for purposes other than those specified in this
form.
(iii) the siting activities shall be taken up only after receipt of approval from
AERB.
(iv) all provisions of the Atomic Energy (Radiation Protection) Rules, 2004 shall
(v) the site/facility shall not be transferred/sold/rented by me/us to any other
party without the prior permission of the competent authority.
(vi) full facilities will be accorded by me/us to any authorised representatives of
the competent authority to inspect this installation at any time.
(vii) radiation surveillance of the installation and health surveillance of all persons
engaged in radiation work as required by the competent authority will be
duly carried out at my/our expense.
(viii) all stipulations/recommendations made from time to time by the competent
authority in respect of radiation safety measures will be duly implemented.
(ix) duly qualified/experienced radiological safety officer(s)/operator(s) will be
appointed before the commencement of operation of the facility.
(x) the procedures approved by AERB regarding decommissioning/dismantling
and reuse of the site of the decommissioned facility will be strictly complied
with.
(xi) I/we will keep AERB informed about any changes in the information furnished
above.
268
In case, it is found, at any stage, that the information provided by me/us is false and/or
not authentic, then I/we hereby undertake to comply with the regulatory action(s)
enforced against me/us and our institution, in accordance with the applicable Rules.
Place: Signature:
Designation:
Signature:
Name of Head of the Institution:
Designation:
269
ANNEXURE-3
Form ID: AERB/RSD/GRAPF/LCO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094
APPLICATION FOR LICENCE FOR COMMISSIONING/OPERATION OF

LAND-BASED STATIONARY
GAMMA RADIATION PROCESSING FACILITY (GRAPF)
2004 [AE(RP)R].
to be rejected
(www.aerb.gov.in)
PART A
GENERAL PARTICULARS
Telephone No. (O):
Fax No.
E-mail
A.2 Name and address of the Head of the institution $
Fax No.
Mobile No.
E-mail
270
A.3 Name and designation of the applicant #:
Fax No.
Mobile No.
E-mail
A.4 Name and designation of the Facility In-charge:
Fax No.
Mobile No.
E-mail
A.5 Name and designation of the radiological safety officer (RSO)*:
Fax No.
Mobile No.
E-mail
RSO Approval reference No.:
Approval valid up to
Fax No.
Mobile No.
E-mail
full time employee of the institution.
* RSO is the person who is so designated by employer and approved by
competent authority and have the responsibilities of ‘Radiological Safety
Officer’ prescribed in AE(RP)R, 2004.
PART B

B.1 Name, qualification and experience of personnel
271
S.No. Designation of Name **Academic Type of When and Duration
personnel qualification training/ where of
Experience trained training
1 Operator(s)
2 Radiological
safety officer
(RSO)
** Attach proofs of qualification and training/experience
B.2 Category of GRAPF . :

(Specify class as per AERB safety standard No. AERB/RF-IRRAD/SS- 6
(Rev.1), 2007
B.3 Purpose for which the GRAPF will be used
B.4 Scale of operation: (Commercial/Research/any other (specify)):
B.5 Products(s)/material(s) to be processed by radiation:
B.6 Radiation source details:
(a) Type of radionuclide
(b) Physical and chemical form
(c) Maximum design source strength: PBq (———— kCi)
(d) Present source activity (as on date): PBq (———— kCi)
(e) Total number of integrated source units (ISU) :
B.7 Particulars of the radiation survey meter (RSM) and area monitors available
Particulars of RSM/Area monitor 1 2 3

Make
Model
RSM S. No.
Date of recent calibration
Functional status of RSM/Area
monitor (s)
B.8 Availability of personnel monitoring services (PMS) : Yes/No

B.8.1 No. of personnel availing PMS:
B.8.2 Institution PMS number:
B.9 Documents to be available with the facility:
272
Required documents Availability
(Yes/No)
Final safety analysis report (FSAR)
AERB safety code on ‘Operation and Maintenance of Land-based
Stationary Gamma Irradiators’, (AERB/SC/IRRAD)
PSAR as approved by AERB
Standard operating procedures (SOP)
Servicing/maintenance manual
Pre-commissioning acceptance test report
Radiation protection manual
Radiation protection survey report (along with drawings and layout
indicating stray radiation levels at different locations of the facility)
Quality assurance manual for operation
Security Plan for the facility as per ‘AERB safety guide on ‘Security
of Radioactive Sources in Radiation Facilities’ (AERB/RF-RS/
SG-1) and AERB Safety Guide on ‘Security during Transport of
Radioactive Material’ (AERB/NRF-TS/SG-10).

(i) Final safety analysis report (FSAR) (as per Appendix-2D)
(ii) Radiation protection manual (as per Appendix-2E)
(iii) Quality assurance manual for Operation (as per Appendix-2F)
(iv) Security Plan for the facility as per ‘AERB safety guide on ‘Security
SG-1) and AERB safety guide on ‘Security during Transport of
Radioactive Material’ (AERB/NRF-TS/SG-10).
(v) Any other document.
PART C
UNDERTAKING
(i) all the statements made above are correct to the best of my knowledge and
belief.
(ii) no operation will be carried out for purposes other than those specified in
this form.
273
(iii) the commissioning/operation activities shall not be commenced without
Licence from AERB.
(iv) all provisions of the Atomic Energy (Radiation Protection) Rules, 2004 shall
(v) the facility shall not be transferred/sold/ rented by me/us to any other party
without the prior permission of the competent authority.
(vi) no radiation source of this facility will be transported without the prior
permission of the competent authority.
(vii) full facilities will be accorded by me/us to any authorised representatives of
the competent authority to inspect this installation at any time.
(viii) radiation surveillance of the installation and health surveillance of all persons
engaged in radiation work as required by the competent authority will be
(ix) all recommendations made from time to time by the competent authority in
respect of radiation safety measures will be duly implemented.
(x) duly qualified/experienced radiological safety officer(s)/operator(s)/quality
control officers will be appointed before the commencement of operation of
the facility.
(xi) the requirements regarding decommissioning, disposal of decayed sources
and reuse of the site of the decommissioned facility will be strictly complied
with.
(xii) In case of any unforeseen situations such as bankruptcy, damage to the facility
and other such situations, the sources will be returned to its supplier at my/
our own cost without jeopardising safety and security requirements.
(xiii) AERB will be informed about any changes in the information furnished above.
In case, it is found, at any stage, that the information provided by me/us is false and/ or
not authentic, then I/we hereby undertake to comply with the regulatory action(s)
enforced against me/us and our institution, in accordance with the applicable Rules.
Place: Signature:
Designation:
Signature:
Name of Head of the Institution:
Designation:
274
ANNEXURE-4
AERB/CA-FORM-III
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR OBTAINING THE CERTIFICATE OF

APROVAL FOR AN IRRADIATION FACILITY
[Under G.S.R. 254 Atomic Energy (Control of Irradiation of Food)
Rules, 1996, Rule 5(1)]
1. Name of the applicant

2. Address of the applicant with PIN code
3. Installation for which approval is applied for
4. Name, qualification and experience of personnel
S.No. Designation of Name **Academic Type of When and Duration

1 Operator(s)
2 Radiological
Safety Officer
(RSO)
3 Quality Control
Officer
5. Proposed date of starting the facility

6. Are the personnel provided with facilities for
(a) Personnel dose monitoring
(b) Medical surveillance
7. Details about the irradiation facility
275
(a) Identification number of the facility:
(b) Location and its address
(c) Source details
Name of radionuclide : .............. Activity ................ PBq
Radiation generating plant Energy Output
X-ray
Electron accelerator
(d) Name of the supplier and his address

(e) Purpose for which the irradiation facility will be used
8. Please furnish the following:
(a) A site plan (1:500 scale or as appropriate) of the installation indicating
the location of the buildings including residential complexes.
Occupancy within 50 metres radius of the facility.
(b) Architectural blue prints (appropriate scale) showing layout of the
equipment.
(c) Details on geology of the location, water table, soil characteristics,
seismicity.
(d) Complete design drawings of the facility including details of shielding
surrounding the source, wall thickness and labyrinth access if
applicable; openings, voids, reinforcements, mechanical and
electrical safety systems, ventilation, fire protection systems.
(e) Source movement system (where appropriate)
(f) Safety analysis report to demonstrate the adequacy of radiation safety
under normal and anticipated accident conditions as detailed in Rule
20 and 21 of G.S.R. 254.
(g) Operating and emergency procedures
(h) List of calibrated radiation monitoring equipment in working
condition.
(i) Description of the organisational structure including delegation of
authority and responsibility for operation of the facility.
9. Any other information, which the competent authority may deem necessary
to assess the safety status of irradiation facility.
276
10. Please indicate as appropriate:
(a) Irradiation facility is yet to be built.
(b) The irradiation facility is already built and equipped.
(c) Existing irradiation facility is to be modified as per the details
enclosed.
11. I/we hereby certify that
(i) all the statements made above are correct to the best of my knowledge
and belief.
(ii) no operation will be carried out for purposes other than those
specified in this form
(iii) all provisions of the Atomic Energy (Control of irradiation of food)
Rules, 1996 shall be strictly complied with.
(iv) the irradiation facility shall not be transferred/sold/rented by me/us
to any other party without the prior permission of the competent
authority.
(v) no radiation for the irradiation unit will be transported without the
prior permission of the competent authority.
representatives of the competent authority or the licensing authority
to inspect the installations at any time.
(viii) all recommendations that may be made from time to time by the
duly implemented.
(ix) duly qualified/experienced radiological safety officer(s)/operator(s)/
quality officer(s) will be appointed before the commencement of
operation of the facility.
(x) the requirements regarding decommissioning, disposal of decayed
sources and reuse of the site of the decommissioned facility will be
strictly complied with.
Place: Signature of the applicant:

Date :
(Seal of the institution)
277
ANNEXURE-5
(Refer sections 3.2.2.2 and 3.2.2.3)
Form ID. AERB/RSD/IARPF/SLCA
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR SITING, LAYOUT AND CONSTRUCTION

APPROVAL OF INDUSTRIAL ACCELERATOR
RADIATION PROCESSING FACILITY (IARPF)/PARF<10 MeV
2004 [AE(RP)R, 2004].
with the necessary documents. For DAE Particle Accelerator Facilities <
10MeV, the duly filled-in form should be sent to Director/Head, Industrial
Plants Safety Division (IPSD), AERB, Niyamak Bhavan, Anushaktinagar,
Mumbai-400094 with the necessary documents.
to be rejected
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
A.2 Name and address of the Head of the institution$:
Fax No.
278
Mobile No.
E-mail
Fax No.
E-mail
A.5 Name of the Facility In-charge:
Fax No.
Mobile No.
E-mail
PART B
PARTICULARS OF THE FACILITY
B.1 Proposed location of the radiation facility
B.2.1 Seismic zone as per IS-1893 (current version) (Documentary evidence from
relevant state/central govt. authority)
years as per the central /state govt. records along with documentary evidence.
B.2.3 Distance of site of installation of facility from
(d) Residential and public place
279
(Documentary evidence from relevant state /central govt. authority)
B.2.5 Distance and location of the nearest railway station and airport from the site
B.3 Brief description of the Facility:
(a) Type of accelerator to be installed:
(b) Particles to be accelerated:
(c) Purpose of the facility:
(d) Purpose of operation (commercial/research):
(e) Beam specifications : (current, energy, power)
(f) Products(s)/material(s) to be irradiated:
B.4 Layout and civil engineering drawings attached: Yes/No
B.5 Product movement system (Specify no. of product boxes and product carriers):
Diagrams for electrical circuit diagrams and Available/Not available

other interlocks
Quality assurance manual for construction Available/Not available

(i) Installation layout indicating location of the plot with peripheral
occupancy
(ii) Layout and civil engineering drawings
(iii) Map of the site region up to 2 km radius covering details given in
Items B.2.3 and B.2.5.
(iv) Proof from local state govt. authorities that the land/plot for
installation of IARPF is in the name of the applicant and falls in
industrial zone.
(v) Preliminary safety analysis report (PSAR) (as per Appendix-3B-I)
(vi) Any other supporting document
.
PART C
UNDERTAKING
and belief.
280
in this form.
(iii) siting and construction activities shall be taken up only after receipt
of approval from AERB.
(v) the facility shall not be transferred/sold/ rented by me/us to any other
representatives of the competent authority to inspect this installation
at any time.
(viii) all recommendations made from time to time by the competent
authority in respect of radiation safety measures will be duly
implemented.
facility.
furnished above.
false and/ or not authentic, then I/ we hereby undertake to comply with the
Place: Signature:
Designation:
Signature:
Designation:
281
ANNEXURE-6
( Refer sections 3.2.2.5 & 3.2.2.6)
Form No. AERB/RSD/IARPF/LCO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LICENCE FOR COMMISSIONING/OPERATION

OF INDUSTRIAL ACCELERATOR RADIATION PROCESSING
FACILITY (IARPF)/PARF<10 MeV
2004 [AE(RP)R, 2004].
with the necessary documents. For DAE Particle Accelerator Facilities
< 10MeV, the duly filled-in form should be sent to Director/Head, Industrial
Plants Safety Division (IPSD), AERB, Niyamak Bhavan, Anushaktinagar,
Mumbai-400094 with the necessary documents.
to be rejected
www.aerb.gov.in
PART A
GENERAL PARTICULARS
Telephone No. (O):
Fax No.
E-mail
282
Fax No.
Mobile No.
E-mail
Fax No.
E-mail
A.5 Name of the Facility In-charge :
Fax No.
Mobile No.
E-mail
A.6 Name and designation of the Radiological Safety Officer (s) (RSO)* :
Fax No.
Mobile No.
E-mail
RSO approval reference No.
Officer’ prescribed in in AE(RP)R, 2004.
PART B
B.1 Name, qualification and experience of personnel:
283
S. Designation Name **Academic Type of When and Duration PMS
No. of personnel qualification training/ where of No.
experience trained training
1 Operator(s)
2 Radiological
safety officer
(RSO)

(a) Type of accelerator:
(c) Purpose of the facility : Commercial/research/others (specify)
(d) Beam specifications: (current, energy, power)
(e) Products(s)/material(s) to be irradiated:
(f) Product movement system:
(specify no. of product boxes and product carriers)
in working condition

Make
Model
RSM Sr. No.
Functional status

B.5. Documents to be available with the facility:
284
(Yes/No)
Pre-commissioning acceptance test report with results
Shielding design and of installation survey (along with
drawings and layout)
Radiation protection survey report (along with drawings and
layout indicating stray radiation levels at different locations
of the facility)
Diagrams for electrical circuits and other interlocks

(i) Final safety analysis report (FSAR) (as per Appendix-3D-I and II)
(ii) Radiation protection manual (as per Appendix 3E)
(iii) QA manual for operation (as per AERB/SG/IS-5)
(iv) Operation and servicing/maintenance manual
(v) Pre-commissioning acceptance test report with results (as per
Appendix-3C)
PART C
UNDERTAKING

and belief.
specified in this form.
(iii) the commissioning/operation activities shall not be commenced
without Licence from AERB.
285
at any time.
implemented.
(ix) duly qualified/experienced persons will be appointed before the
commencement of operation of the facility.
(x) the procedures approved by AERB regarding decommissioning,
disposal of decayed sources and reuse of the site of the
decommissioned facility will be strictly complied with.
furnished above
false and/ or not authentic, then I/we hereby undertake to comply with the
Place: Signature:
Designation:
Signature:
Designation:
286
ANNEXURE-7
(Refer section 3.3.2)
Form ID: AERB/IPSD/PARF/SA
Government of India
Niyamak Bhavan,
Anushaktinagar
Mumbai-400 094.

PARTICLE ACCELERATOR RESEARCH FACILITY OF DAE
(PARF >10 MeV)
2004 [AE(RP)R, 2004].
(b) The duly filled-in form should be sent to Director/Head, Industrial Plants
Safety Division, (IPSD) AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-
400094 with the necessary documents.
to be rejected.
www.aerb.gov.in
(e) Attach extra sheets wherever required.
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
287
Fax No.
Mobile No.
Email
A5 Name of the Facility In-charge:
Fax No.
Mobile No.
E-mail
$
The head of the institution is the person who would have the responsibilities
#
Applicant is the person in whose name the authorisation (licence) to handle
PART B

B.1 Purpose of facility:
(a) Type of accelerator
(b) Particles to be accelerated
(c) Beam energy
(d) Beam current
(e) Average beam power (mW/kW)
(f) Stored beam energy in case of circular accelerators (Joules)
(g) Number of beam lines
(i) Site evaluation report (as per Appendix 4A)
occupancy (covered in item 2 (b) of Appendix 4A)
288
(iii) Map of the site region upto 2km radius covering details of major
facilities and site characteristics (viz, seismicity, population centres,
meteorology, hydrology, geo-hydrology, railway lines, roads etc) in
scale 1:100
(iv) Documentary evidence from local state government authorities that
the land/plot for installation of facility is in the name of the Institution.
(v) Security Plan for the facility as per AERB safety guide on ‘Security
of Radioactive Sources in Radiation Facilities’(AERB/RF-RS/
SG-1)
(vi) Any other supporting documents.
PART C
UNDERTAKING

and belief.
in this form.
(iii) siting activities shall be taken up only after receipt of approval from
AERB.
(v) the facility shall not be transferred/sold/ rented by me/us to another
without the prior permission of the competent authority.
at any time.
implemented.
facility.
289
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
290
ANNEXURE-8
Form ID: AERB/IPSD/ PARF/CA
Government of India
Niyamak Bhavan,
Anushaktinagar
Mumbai – 400 094
APPLICATION FOR CONSENT FOR CONSTRUCTION OF

PARTICLE ACCELERATOR RESEARCH FACILITY OF
DAE (PARF >10 MeV)
2004 [AE(RP)R, 2004].
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS
Telephone No. (O):
Fax No.
Mobile No.
E-mail
Telephone No. (O) (R)
Fax No.
Mobile No.
E-mail
291
Fax No.
Mobile No.
E-mail
A5 Name of the Facility In-charge :
Fax No.
Mobile No.
E-mail
$
#
PART B

B.1 Details of siting Consent:
(a) Ref.No. and date of Consent:
(b) Status of compliance to stipulations, if any, made in the consent:

B.2 Status of site:
Availability of approach road, electrical power, water supply etc.
B.3 Brief Description of the Facility:
(c) Beam energy
(d) Beam current
292
B.4 Documents to be attached with the Application
(a) Design manuals of facility
(b) Civil engineering drawings.
(c) Detailed layout of the facility indicating location of the machine,
shielding and its materials (sizes and thickness), mezzanines,
labyrinth, entry-exit points, radiation zoning scheme etc.
(d) Preliminary safety analysis report (as per Appendix-4B, 4D)
(e) Radiation hazard control plans
(i) Organisational set-up including manpower and equipment
(ii) Details of safety interlocks and access control systems and
radiation zoning
(iii) Pre-operational survey report of the background radiation and
radioactivity
(iv) Shielding design drawings with details
(v) Radioactive material handling and waste management details,
if applicable
(f) Construction Schedule
(g) Quality assurance (QA) manual for Construction (as per
Appendix-4F)
(h) Security plan for the facility as per AERB safety guide on ‘Security
SG-1).
(i) Details of ventilation system for removal of noxious gases including
radioactive gases and ozone generated. It should also include stack
height.
(j) Liquid effluent quantification and discharge mode should be
specified.
(k) Supporting documents, if any.
PART C
UNDERTAKING
and belief .
in this form.
293
(iii) construction activities shall be taken up only after receipt of approval
from AERB.
(v) the facility shall not be transferred/sold/rented by me/us to any other
at any time.
implemented.
facility.
(xi) AERB will be informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
294
ANNEXURE-9
FORMAT FOR APPLICATION FOR APPROVAL OF PERSON TO BE

DESIGNATED AS RADIATION SAFETY OFFICER
(For DAE PARF)
[In accordance with the Atomic Energy (Radiation Protection) Rules, 2004]
1 Name and address of the Facility

2 Nature of approval sought First/Renewal Designated RSO/
Alternate RSO
3 Name (with initials expanded) of
the individual to be designated as
RSO (in block letters) Please
4 Age of the individual to be desig- Affix
nated as RSO a Recent
5 Present designation of the indivi- Photograph
dual to be designated as RSO
6 Date of joining the Facility
7 Educational qualification (from Degree:
graduation onwards, giving University/Institution :
subjects covered) Year of passing:
8 Details of training/qualification in Institution:
Radiation Protection Name of training course :
Duration:
Year of completion:
9 Details of experience in the relevant field.
Nuclear Facility Duration Nature of work
Any other relevant information

10 Category of the Facility for which A/ B / C / D
the approval is sought
Place: Name and signature of the person to be

designated as RSO
Date:
Having read and understood the provisions of the Atomic Energy (Radiation Protection)
Rules, 2004, as the Employer and the Licensee, I, .......... (Name and designation)
............., of .........(Details of the Facility)......... hereby
295
(a) certify that the individual meets all the requirements spelt out in the approved
document and is fully aware of all radiological aspects of this Facility,
(b) undertake to provide all necessary infrastructure and man-power to the RSO
to discharge his duties and functions effectively,
(c) undertake to inform the Atomic Energy Regulatory Board immediately in
case the RSO is relieved of his duties,
and request the Approval of the Competent Authority for designating the above
individual as the designated/alternate RSO for ............ (Name of the Facility) .........,
for a period of 5 years.
Place: Signature of Facility-in-Charge

[Employer and Licensee under Atomic Energy
(Radiation Protection) Rules, 2004]
Date:
(Seal of the facility)
296
ANNEXURE-10
Form ID: AERB/IPSD/ PARF/CC
Government of India
Niyamak Bhavan,
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR CONSENT FOR COMMISSIONING OF

DAE (PARF >10 MeV)
2004 [AE(RP)R, 2004).
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS
Telephone No. (O):
Fax No.
Institution No. for personnel monitoring services
E-mail
Fax No.
Mobile No.
E-mail
297
Fax No.
Mobile No.
E-mail
A.5 Name of the Facility In-charge:
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
RSO approval reference No. :
Valid up to :
$
#
PART B
B.1 Details of siting Consent

B.2 Details of cnstruction Consent:
(a) No. and date of Consent issued
(b) Compliance of stipulation/conditions of Consent
(c) Construction completion certificates
298
(c) Beam energy
(d) Beam current
(e) Average beam Power (mW/kW)
S. Designation Name **Academic Type of When Personnel Authori-

No. of qualification training/ and monitoring sation
personnel Experience where service reference
trained No. if No.
applicable

(i) Design manual of the systems/ equipment with specifications.
(ii) Organisational setup with responsibilities, safety organisation set up
including internal safety review setup and reporting system
(iii) Radiation protection manual (RPM) (as per AERB safety manual
titled ‘Radiation Protection for Nuclear Facilities’, AERB/NF/SM/
O-2).
(iv) Details of facilities after construction including design features,
approach ways, emergency exits, ventilation arrangements etc
(v) Technical specifications covering safety limits, limiting safety system
setting, limiting conditions for operation, administrative controls and
surveillance requirements and reporting of significant events
(vi) Commissioning schedule
(vii) Commissioning programme and procedures
(viii) Document on training and qualification of operators
(ix) Training programme for facility specific safety
(x) Arrangements for personal dosimetry and environmental monitoring
(xi) Quality assurance manual for commissioning and operation (as per
Appendix-4F)
299
(xii) Emergency preparedness plan and procedures of the facility (as per
AERB/SM/O-2)
(xiii) Access control system including search and secure procedure
(xiv) Security Plan for the facility as per AERB Safety Guide on ‘Security
SG-1)
(xv) Supporting documents (if any)
PART C
UNDERTAKING
and belief.
in this form.
(iii) the commissioning activities shall not be commenced without Consent
from competent authority.
(vi) no radiation source of this facility will be transported without the
(vii) full facilities will be accorded by me/us to any authorised
representatives of the competent authority to inspect the
installations at any time.
(viii) radiation surveillance of the installation and health surveillance of
(ix) all recommendations that may be made from time to time by the
duly implemented.
(x) duly qualified/experienced radiological safety officer(s)/operator(s)/
300
(xi) the requirements regarding decommissioning, disposal of decayed
(xii) I/we will keep AERB informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
.
301
ANNEXURE-11
Form ID: AERB/IPSD/PARF/LO
Government of India
Niyamak Bhavan,
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LICENCE FOR OPERATION OF

DAE (PARF >10 MeV)
2004 [AE(RP)R, 2004].
Safety Division (IPSD) AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
Institution No. for personnel monitoring services
E-mail
Fax No.
302
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Valid up to :
A.7 Name and Address of the proposed Facility:
$
#
Officer’prescribed in AE(RP)R, 2004..
PART B

B.1 Details of siting Consent (Ref. No. and date)
B.2 Details of construction Consent:
303
B.3 Details of commissioning Consent:
(a) Ref. No. and date of Consent issued

(b) Compliance of stipulation/ conditions of Consent
B.4 Brief Description of the Facility:
(c) Beam energy
(d) Beam current
(a) Revised FSAR [also known as safety analysis document (SAD)] (as
per Appendix-4B, 4D)
(b) Integrated test report of the facility
(c) Radiation monitoring report during test runs
(d) Acceptance test report (as per Appendix-4C)
(e) Analysis of any unusual occurrences during the earlier stages
(f) Requests for approval for any modification and upgradation (if any)
(g) Operation and maintenance manual
(h) Radiation protection manual (RPM) (as per AERB Safety Manual
titled ‘Radiation Protection for Nuclear Facilities’, AERB/NF/SM/
O-2).
(i) Standard operating procedures (SOP)
(j) Internal safety review organisation and periodic reporting procedures
to AERB.
(k) Security plan for the facility as per AERB Safety Guide on ‘Security
of Radioactive Sources in Radiation Facilities’ AERB/RF-RS/SG-1
(l) Technical specifications covering limiting safety system settings,
limiting conditions for operation, administrative control, surveillance
requirement and reporting of significant event reports.
304
PART C
UNDERTAKING
and belief.
in this application.
(iii) the operation of the facility shall not be commenced without Licence
from AERB.
(iv) fulfil all relevant requirements prescribed in the Atomic Energy Act,
1962 and the Rules issued there under, and in the relevant codes.
(v) meet the requirements prescribed in other relevant statutes.
(vi) all provisions of the Atomic Energy (Radiation Protection) Rules,
(vii) the facility shall not be transferred/sold/ rented by me/us to any other
(viii) no radiation source of this facility will be transported without the
(ix) full facility will be accorded by me/us to any authorised
at any time.
(x) radiation surveillance of the installation and health surveillance of
(xi) all recommendations made from time to time by the competent
implemented.
(xii) duly qualified/experienced radiological safety officer(s)/operator(s)/
(xiii) the requirements regarding decommissioning, disposal of decayed
(xiv) I/we will keep AERB informed about any changes in the information
furnished above.
305
Place: Signature:
Designation:
Signature:
Designation:
306
ANNEXURE-12
(Refer section 3.4.1 )
Form ID: AERB/RSD/MCY/SA
Government of India
Niyamak Bhavan
Anushaktinagar
Mumbai-400 094.
APPLICATION FOR CONSENT FOR SITE APPROVAL FOR

LOCATION OF MEDICAL CYCLOTRON FACILITY
2004 [AE(RP)R].
to be rejected
www.aerb.gov.in
PART A
GENREAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
307
Fax No.
Mobile No.
E-mail
$
#
the source may be issued, under AERPR 2004, would have the responsibilities
of ‘licensee’ prescribed in AE(RP)R, 2004 and should be a full time employee
of the institution.
PART B
B.1 Address of proposed location of the facility:

B.2 Location of the site: Industrial area/hospital premises
B.3 Total available area for the medical cyclotron facility
B.5 Type of medical cyclotron: Non self shielded/Self shielded
(Documentary evidence from relevant state/central govt. authority)
B.6.2 Maximum level of ground water and maximum flood level for past ten years
as per the central/state govt. records, along with documentary evidence.
B.6.3 Distance of site of installation of medical cyclotron facility from public and
residential localities
B.6.4 Documentary evidence from accredited agency that the soil and ground
characteristics (e.g. soil profile, stratum, foundation type, soil and rock) will
not cause deterioration in the strength and integrity of structure of irradiation
cell.
B.6.5 Provision of roads to approach the proposed site and its detail.
308
occupancy
(ii) Map of the site region upto 30m radius covering details given in
B.6.3 and B.6.5
(iii) Proof from local state govt. authorities that the land/plot for
installation of medical cyclotron facility are in the name of the
applicant.
(iv) Any other supporting documents.
PART C
UNDERTAKING

and belief.
in this form.
from AERB.
at any time.
implemented.
facility.
309
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
.
310
ANNEXURE-13
Form ID. AERB/RSD/MCY/LCA
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR CONSENT FOR LAYOUT AND CONSTRUCTION

APPROVAL FOR MEDICAL CYCLOTRON FACILITY
2004 [AE(RP)R, 2004].
to be rejected
(www.aerb.gov.in)
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
311
Fax No.
Mobile No.
E-mail
$
#
PART B

B.2 Cyclotron unit model and number:
B.2.1 Type of medical cyclotron : Non self shielded/Self shielded
B.2.2 Beam particles : Protons/Deuterons
(i) Copy of consent of site approval
(ii) Preliminary safety analysis report (as per Appendix-5B)
(iii) Quality assurance during construction (as per Appendix-5F)
(iv) Layout of the facility drawn to a scale of 1:50 and location drawing
with respect to other associated facilities drawn to a scale of 1:500
(v) Security Plan for the facility as per AERB safety guide on ‘Security
SG-1)
(vi) Other supporting documents.
PART C
UNDERTAKING
312
and belief.
(ii) no activity will be carried out for purposes other than those specified
in this form.
(iii) the construction activities shall not be commenced without the
approval from AERB.
(vi) full facility will be accorded by me/us to any authorised
at any time.
implemented.
facility;
furnished above.
false and/ or not authentic, then I/ we hereby undertake to comply with the
Place: Signature:
Designation:
Signature:
Designation:
313
ANNEXURE-14
Form ID. AERB/RSD/MCY/LCO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LICENCE FOR COMMISSIONING AND

OPERATION OF MEDICAL CYCLOTRON FACILITY
2004), AE(RP)R, 2004.
(b) This form is intended to enable AERB to assess the suitability of the institution
for procurement and use of radiation sources, which includes radiation
generating equipment (hereinafter referred to as ‘source’).
(c) The duly filled-in form should be sent to Director/Head, Radiological Safety
with the necessary documents.
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
Institution personnel monitoring number
E-mail
314
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Telephone No. (O): (R):
Fax No.
Mobile No.
E-mail
RSO approval reference No.:
Valid up to
A.5 This application is for
First regulatory licence

Additional Ref No. Date: Valid till:
Renewal Ref No. Date: Valid till:
$
#
315
PART B
DETAILS OF THE FACILITY
B.1 Medical Cyclotron
Name of the Make and Date of Nominal beam Maximum beam

equipment model installation energy current
Protons Deuterons Protons Deuterons
MeV MeV μA μA
B.2 Synthesis Modules
Name of the Make and Date of installation Maximum activity can be

equipment model handled at a time
B.3 Monitoring and Measuring Instruments (survey instruments, area gamma zone
monitor, stack monitor and dose calibrator)
Name of the Make, model Measurement Working status Date of last

instrument and serial No. range calibration
B.4 Handling and General Facilities
Fume hoods (F.H.) No. of functioning F.H. Used for:

available: 1.
2.
L-benches No. of L-benches Used for:
1.
2.
Lead bricks/lead pots for
shielding
Drainage system
Radioactive waste storage Solid waste:
facility
Liquid waste:
316
B.5 List sealed/calibration source(s) if any used in the facility with the
radionuclide, activity, date of procurement, purpose with supplier/
manufacturer details
S. Category of Name Academic Type of When Duration Personnel

No. personnel qualifi- training/ and of monitoring
cation Experience where training service
trained No.
1 Cyclotron
operators
2 Radiopharmacist
3 Radiation
technologist
4 Radiological
safety officer
(RSO)
5 Other auxiliary
saff
B.7 Details of Local Safety Committee constitution.

B.8 Procedures for disposal of radioactive waste
Radio- Nature of waste Method of disposal Activity disposed

isotope generated MBq/week
Solid Liquid Gas Solid Liquid Gas Solid Liquid Gas
B.9 Documents to be attached with the application:

(i) Copy of consent of layout plan and construction of the facility issued
by BARC/AERB
(ii) Final safety analysis report (as per Appendix-5D)
(iii) Copy of RSO approval letter or a duly filled in Application for
approval of nomination of RSO in medical institution
(iv) Radiation protection manual (as per of Appendix-5E)
(v) QA manual (as per Appendix-5F)
(vi) Copy of the certificates of training and qualification for all radiation
workers
317
(vii) Copy of appointment and acceptance letters for the radiation workers
(viii) Security Plan for the facility as per AERB safety guide on ‘Security
of Radioactive Sources in Radiation Facilities’ (AERB/RS/RF/
SG-1).
PART C
UNDERTAKING

and belief.
(vii) full facility will be accorded by me/us to any authorised
at any time.
(ix) all recommendations made from time to time by the competent
implemented.
(x) duly qualified/experienced radiological safety officer(s)/operator(s)/
(xi) AERB will be informed about the absence of any qualified manpower
(as given in Table B.6) immediately.
(xii) the requirements regarding decommissioning, disposal of decayed
318
(xiii) AERB will be informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
319
ANNEXURE-15
Form ID: AERB/RSD/MDX/FCP /LA
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LAYOUT PLAN APPROVAL OF

TESTING FACILITY FOR RADIATION GENERATING EQUIPMENT
[FOR FACILITIES ENGAGED IN THE COMMERCIAL PRODUCTION OF
COMPUTED TOMOGRAPHY (CT)/INTERVENTIONAL RADIOLOGY (CATH LAB)/
RADIOGRAPHY/RADIOGRAPHY AND FLUOROSCOPY (R&F)/DENTAL/
ORTHO-PAN-TOMOGRAPHY (OPG)/MAMMOGRAPHY/BONE DENSITOMETER/
MEDICAL X-RAY TUBE AND TUBE HEAD]
(a) The duly filled-in form should be sent to Director/Head, Radiological Safety
(b) This application would be considered by the AERB for issuance of relevant
consents under the Atomic Energy (Radiation Protection) Rules, 2004
[AE(RP)R, 2004].
to be rejected.
(d) For all the forms pertaining to this facility, AE(RP)R, 2004 and other
information in this regard, refer to our website: www.aerb.gov.in
PART A
GENERAL PARTICULARS
A.1 Name and address of the applicant (manufacturer)#:

Fax No.
Mobile No.
E-mail
A.2 Name and address of the local supplier$:
320
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.4 Address for correspondence of the applicant with PIN code:
#
Applicant is the person in whose name the relevant consent may be issued,
under AE(RP)R, 2004.
$
In case local supplier is the applicant, in whose name licence to handle the
radiation generating equipment may be issued, under AE(RP)R, 2004, would
have the responsibilities of ‘licensee’ prescribed in [Atomic Energy (Radiation
Protection) Rules, 2004] and should be a full time employee of the institution.
PART B
PARTICULARS OF THE RADIATION GENERATING EQUIPMENT
B.1 Details of the equipment

B.1.1 Purpose of the facility:
B.1.2 Whether the layout approval is for: New/modified facility
B.1.3 Complete address of the proposed test location:
B.1.4 Type of unit:
(a) Computed tomography
(b) Interventional radiology
(c) Fixed radiography (conventional/digital)
(d) Radiography (Mobile)
(e) Combined radiography and fluoroscopy (conventional/IIT/digital)
(f) Ortho-pan-tomography (OPG)
(g) Mammography
(h) Dental
321
(i) Bone densitometer
(j) Others (specify)
B.2 Details of the equipment to be tested:
(a) Maximum operating potential:
(b) Maximum operating current:
(a) Two duly signed and stamped copies of the layout plan (scale 1:50)
indicating the following:
(i) Location of the X-ray unit
(ii) Mobile protective barrier
(iii) Control panel/control room
(iv) Chest stand
(v) Windows, doors along with their lead lining, thickness,
dimensions
(vi) Materials of the walls of the enclosure
(vii) Shielding details
(b) Two duly signed and stamped copies of the design and layout of the
factory plan (scale 1:100) indicating the following:
(i) Location of the testing room(s)
(ii) Dark room
(iii) Other manufacturing areas, if any.
(c) Copy of the certificate issued by BIS for manufacturing of the
equipment.
(d) An undertaking from the supplier that they shall not supply the unit
to any other institution till the unit is type approved by AERB.
(e) Proof from local state govt. authorities that the land/plot for
installation of facility is in the name of the applicant.
PART C
UNDERTAKING

and belief.
322
in this form.
(iii) I/we will not take up commercial production of the equipment, unless
license for the same is obtained from AERB.
(v) full facility will be accorded by me/us to any authorised
representatives of the competent authority to inspect the test facility
at any time.
(vi) all recommendations that may be made from time to time by the
competent authority in respect of radiation safety will be duly
implemented.
(vii) duly qualified/experienced radiological safety officer(s)/operator(s)
will be appointed before carrying out the testing of the equipment.
(viii) AERB will be kept informed about any changes in the information
furnished above.
false and/ or not authentic, then I/ we hereby accept that appropriate regulatory
actions may be initiated against me/us and our institution, in accordance with
the applicable Rules.
Place: Signature:
Designation:
323
ANNEXURE-16
Government of India
Form ID: AERB/RSD/MDX/FCP/LIC

Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LICENCE FOR COMMERCIAL PRODUCTION OF

RADIATION GENERATING EQUIPMENT
[COMPUTED TOMOGRAPHY (CT)/INTERVENTIONAL RADIOLOGY(CATH
LAB)/RADIOGRAPHY/RADIOGRAPHY AND FLUOROSCOPY (R&F)/DENTAL/
ORTHO-PAN-TOMOGRAPHY (OPG)/MAMMOGRAPHY/BONE
DENSITOMETER/MEDICAL X-RAY TUBE AND TUBE HEAD]
of Licence for commercial production of radiation generating equipment,
under the Atomic Energy (Radiation Protection) Rules, 2004).
(b) The duly completed form should be sent to Director/Head, Radiological Safety
to be rejected.
(d) All the forms pertaining to diagnostic X-ray (CT/Cath lab) manufacture can
be downloaded from the website www.aerb.gov.in
PART A
GENERAL PARTICULARS
A.1 Name and address of the applicant (manufacturer)#

Fax No.
Mobile No.
E-mail
A.2 Name and address of the local supplier$:
Telephone No (O): (R)
324
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.4 Address for correspondence of the applicant with PIN code:
A.5 Name and designation of the Radiological Safety Officer (RSO)* :
Telephone No. (O): (M)
Fax No.
E-mail
Valid up to:
A.6 Name and address of the authorised agents/local suppliers
for marketing the radiation generating equipment:
#
Applicant is the person in whose name licence to handle the radiation
generating equipment may be issued, under AE(RP)R, 2004, would have the
responsibilities of ‘licensee’ prescribed in [Atomic Energy (Radiation
Protection) Rules, 2004] and should be a full time employee of the institution.
Officer’ prescribed in Atomic Energy (Radiation Protection) Rules, 2004.
$
In case local supplier is the applicant, in whose name licence to handle the
radiation generating equipment may be issued, under AE(RP)R, 2004, would
have the responsibilities of ‘licensee’ prescribed in Atomic Energy (Radiation
Protection) Rules, 2004 and should be a full time employee of the institution.
PART B
PARTICULARS OF THE RADIATION GENERATING EQUIPMENT
B.1 Details of the equipment

B.1.1 Name and address of the authorised agents/local suppliers
for marketing the radiation generating equipment:
B.1.2 Whether the layout approval is obtained : Yes/No
325
B.1.3 Type of unit:
(a) Computed tomography
(b) Interventional radiology
(c) Fixed radiography (conventional/digital)
(d) Radiography (Mobile)
(e) Combined radiography and fluoroscopy (conventional/IIT/digital)
(f) Ortho-pan-tomography (OPG)
(g) Mammography
(h) Dental
(i) Others (specify)
B.2 Number of units to be manufactured per month:
B.3 Radiation measuring and monitoring instruments, protection accessories
B.3.1 Accessories available:
(a) Lead aprons available : Yes/No
(b) Movable lead glass and protective barrier : Yes/No
(c) Lead rubber flaps provided with the couch
of Cath Lab unit : Yes/No
B.3.2 Personnel monitoring badges (TLD) provided : Yes/No
B.4 Availability of quality assurance kit : Yes/No
B.5 Availability of test phantom : Yes/No
B.6 Availability of red light, X-ray caution symbol and
warning placards : Yes/No
B.7 Specify the standards to which the X-ray unit comply : National/ International
B.8 Availability of qalified staff: (such as service engineer/radiological safety
officer)
Name Designation Academic/ Experience Personnel Full-time/

Professional in the field monitoring Part-time
qualification (PMS)

(i) Copy of the layout approval issued by AERB.
326
(ii) Quality assurance manual for design and manufacture.
(iii) Radiation protection manual (to be submitted in case of CT/Cath
Lab only) as per Appendix-8E.
PART C
UNDERTAKING

and belief.
in this form.
(iii) I/we will not take up commercial production of the equipment, unless
license for the same is obtained from AERB.
(iv) I/we will supply the unit only after obtaining a Type Approval from
the competent authority and only to users authorised by the competent
authority.
(v) all provisions of the Atomic Energy (Radiation Protection) Rules,
(vi) all provisions of AERB Safety Code on ‘Medical Diagnostic X-ray
Equipment and Installations’, AERB/SC/MED-2 (Rev–1) or the
revised version thereof currently in force, shall be strictly complied
with.
(vii) the radiation generating equipment shall not be transported/
transferred/sold/rented by me/us to any other party without the prior
permission of the competent authority.
(viii) full facility will be accorded by me/us to any authorised
representatives of the competent authority to inspect our facility at
any time.
(ix) radiation and medical surveillance of all persons engaged in radiation
work as required by the competent authority will be duly carried out
at my/our expense.
(x) all stipulations/recommendations made from time to time by the
competent authority in respect of radiation safety and physical
security measures will be duly implemented.
(xi) installation, commissioning, servicing and maintenance of the
equipment shall be carried out by authorised service personnel.
327
(xii) any incident/accident such as fire, theft, damage etc., involving
radiation generating equipment shall be promptly reported to AERB.
(xiii) all other necessary approvals from the concerned state/central govt.
have been obtained by our institution.
(xiv) AERB will be kept informed about any changes in the information
furnished above.
Place: Signature:
Designation:
328
ANNEXURE-17
Form ID : AERB/RSD/IFRT/SA
Government of India
Niyamak Bhavan,
Anushaktinagar,
Mumbai-400 094.

INTEGRATED FACILITY FOR RADIATION TECHNOLOGY (IFRT)
2004.
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
329
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
$
#
PART B

B.2 Class and category of facility proposed to be installed:
B.3 Name and address of the designer:
B.6 Purpose of IFRT facility:
years as per the central /state govt. records along with documentary evidence.
B.7.3 Distance of proposed site of installation of IFRT facility from
330
(d) Residential and public places
B.7.4 Distance of site from capable fault, if any
B.7.5 Documentary evidence from accredited agency that the soil and ground
characteristics (e.g. soil profile, stratum, foundation type, analysis of water,
soil and rock) will not cause deterioration in the strength and integrity
of structure of IFRT
B.7.6 Provision of access roads to approach the proposed site and its detail.
B.7.7 Distance and location of the nearest railway station and airport from the site
(i) Site assessment report (As per Appendix-6A)
occupancy
(iii) Map of the site region upto 2 km radius covering details given in
(iv) Proof from local/state govt. authorities that the land/plot for
installation of the facility is in the name of the applicant and falls in
industrial zone.
(v) Other supporting documents.
PART C
UNDERTAKING

and belief.
in this form.
from AERB.
331
at any time.
(viii) all stipulations and recommendations made from time to time by the
duly implemented.
facility.
(xi) AERB will be kept informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
332
ANNEXURE-18
Form ID: AERB/RSD/IFRT/L&CA
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LAYOUT AND CONSTRUCTION APPROVAL

OF INTEGRATED FACILITY FOR RADIATION TECHNOLOGY (IFRT)
2004.
to be rejected.
www.aerb.gov.in).
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
333
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
$
#
PART B
B.1 Particulars of the agencies involved in design and construction of IFRT :

B.1.1 Name and address of the designer(s) :
Fax No.
Mobile No.
E-mail
B.1.2 Name and address of the manufacturer:
Fax No.
Mobile No.
E-mail
B.1.3 Name and address of the designer of sources handling system:
334
Fax No.
Mobile No.
E-mail
B.1.4 Name and address of the local vendor agency, if any;
Fax No.
Mobile No.
E-mail
B.2 Layout and civil engineering drawings attached : Yes/ No :
B.3 Class and Category of IFRT [specify class as per AERB Safety Standard No.
AERB/RF-IRRAD/SS- 6( Rev-1)]
B.4 Objective/purpose of the facility:
B.5 Radiation Source proposed to be handled:
(a) Type of radionuclide : may be β, γ, α

(c) Maximum design source strength
to be handled: —— PBq (—— kCi)
(d) Source handling mechanism
B.6 Device/equipment handling system:
(i) Copy of the AERB site approval
(ii) Preliminary safety analysis report (as per format prescribed in
Appendix-6B)
(iii) Quality assurance during construction (as per format prescribed in
Appendix-6F)
(iv) Detailed layout of the facility with peripheral occupancy
(v) Architectural authenticated blue print of the complete design
drawings including the details of radiation processing cell, wall
thicknesses and labyrinth access if applicable.
(vi) Security Plan for the facility as per AERB Safety Guide on ‘Security
SG-1) and AERB Safety Guide on ‘Security of Radioactive Material
during Transport’ (AERB/NRF-TS/SG-10).
(vii) Other supporting documents.
335
PART C
UNDERTAKING

and belief.
in this form.
(iii) the construction activities shall not be commenced without the
approval from AERB.
at any time.
(vii) no radiation source of this facility will be transported without the
implemented.
(x) duly qualified/experienced radiological safety officer(s)/operator(s)
facility.
(xi) the procedures approved by AERB regarding decommissioning/
(xii) AERB will be kept informed about any changes in the information
furnished above.
336
Place: Signature:
Designation:
Signature:
Designation:
(Seal of the Head of the Institution)
337
ANNEXURE-19
Form ID: AERB/RSD/IFRT/LCO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LICENCE FOR COMISSIONING/OPERATION OF

INTEGRATED FACILITY FOR RADIATION TECHNOLOGY (IFRT)
2004.
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
338
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.5 Name and designation of the Radiological Safety Officer (RSO)*:
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
$
#
339
PART B
S.No. Designation of Name *Academic Type of When and Duration

1 Operator(s)
2 Radiological
safety officer
(RSO)
*Attached proofs of qualification and training/experience

B.2 Class and Category of IFRT :
[Specify class as per AERB Safety Standard No. AERB/RF-IRRAD/
SS-6 (Rev-1)]
B.3 Radiation source details:
(a) Type of radionuclide: may be β, γ, α
(c) Maximum design source strength
to be handled: PBq (————kCi)
(d) Source handling mechanism

Make
Model
RSM S. No.
Functional status of RSM/Area
monitor (s)

340

(Yes/No)
Servicing /maintenance manual
Quality assurance manual for Operation
Security plan for the facility as per AERB safety guide on ‘Security
of Radioactive Sources in Radiation Facilities’, AERB/RF-RS/
SG-1-under preparation)

(a) Final safety analysis report (FSAR) (as per Appendix-6D)
(b) Radiation protection manual (as per Appendix-6E)
(c) Quality assurance manual for Operation (as per Appendix-6F)
(d) Security plan for the facility as per AERB safety guide on ‘Security
of Radioactive Sources in Radiation Facilities’, (AERB/RF-RS/
during Transport’, (AERB/NRF-TS/SG-10)
(e) Other documents.
PART C
UNDERTAKING

and belief.
341
at any time.
implemented.
(x) duly qualified/experienced radiological safety officer(s)/operator(s)
facility.
(xi) the requirements regarding decommissioning, disposal of decayed
(xii) in case of any unforeseen situations such as bankruptcy, damage to
the facility and other such situations, the sources will be returned to
its supplier at my/our cost without jeopardising safety and security
requirements.
(xiii) AERB will be kept informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Name of Head of the institution
Designation:
342
ANNEXURE-20
(Refer section 3.5.1.2 (Teletherapy)
Refer section 3.5.2.2 (MLA)
Refer section 3.8.2 (Brachytherapy)
Refer section 3.12.4.2 (Simulator)
Form ID: AERB/RSD/RT/ SLA
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR SITE AND LAYOUT PLAN APPROVAL OF

RADIOTHERAPY FACILITIES
(a) This Application would be considered by the competent authority for issuance
2004.
Division, (RSD) AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-400094
to be rejected.
www.aerb.gov.in
(f) This Application format covers all the types of radiotherapy facilities (viz.
Teletherapy, Simulator, Gamma Knife, remote manual after loading
Brachytherapy and Accelerator); however, the Applicant may fill the relevant
applicable portions of the form.
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
343
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.5 Technical Expert (medical physicist) of the applicant, who was involved in
the planning of the proposed facility(ies), to be contacted regarding the
application
Name and address for correspondence:
Telephone No. (O); (R):
Fax No.
Mobile No.
E-mail
#
Applicant is the person in whose name the consent may be issued, under
AE(RP)R, 2004, and would have the responsibilities of ‘licensee’ prescribed
in AE(RP)R, 2004 and should be a full time employee of the institution.
$
PART B

(All the boxes as applicable should be ticked)
B.1 Status of the Layout Plans**:

(a) New plans submitted for the first time
(b) Plans modified and submitted as suggested
(c) Plans already approved but needs modification
(d) Modification of the plans of the existing installation
**In case of
(b) copy of suggested layout plans,
344
(c) original approved layout plans and
(d) copy of approved layout plan of existing installation
are to be attached along with the new set of layout
plans sent for Approval.
B.3 Institution No. allotted by AERB (for existing facility):
B.4 Brief description of the facility covering the following aspects:
(a) Type of facility
(b) Purpose of the facility
(c) Technical Details (fill as applicable)
B.5 Layout plan submitted for approval of (tick the applicable box)
A. TELECOBALT
(i) Number of telecobalt unit(s):
(ii) Radiation source to isocentre distance: ____________cm
(iii) Maximum field size at isocentre : _____cm x_____cm
(iv) Typical radiation leakage* through the head: _____%
(v) Whether unit will have beam stopper:
(vi) If yes, typical radiation leakage* through the beam stopper ___ %
* (Leakage radiation as per manufacturer)
B. GAMMA KNIFE SYSTEM
(i) Radiation source to be used in the

Gammaknife:
(ii) Whether dose mapping around the
unit is enclosed: Yes No
C. SIMULATOR
Maximum tube potential: ____________ kVp
345
D. ACCELERATOR
(i) Number of accelerator(s):

(ii) Nominal photon energies: _____________ MV
(iii) Target to isocentre distance: ____________cm
(iv) Maximum field size at isocentre :_____cm x_____cm
(v) Typical radiation leakage* through the head:__________ %
(vi) Typical neutron head leakage*
per 1 cGy photon dose at 1 m: ____ μSv
(vii) Whether unit will have beam stopper:
(If yes, typical radiation leakage* through the beam stopper:
_______%)
(viii) Whether unit will have provision such as
SRS, SRT, IMRT, IGRTetc. Yes No
* (Leakage radiation as per manufacturer)
E. REMOTE AFTERLOADING (RAL) BRACHYTHERAPY
(i) Number of remote afterloading Brachytherapy unit(s):

(ii) Radiation source to be used: ______________
(iii) Maximum activity to be used for patient treatment: __________ GBq
F. MANUAL AFTERLOADING (MAL) BRACHYTHERAPY

(i) Radiation source(s) to be used: ______________
(ii) Maximum activity to be used for patient treatment: __________ MBq
(iii) No. of patients to be treated simultaneously: _________________
(i) Two copies of detailed Layout drawing of the facility (to scale 1:200),
along with the filled in check list as given in Annexure to this form.
(ii) Two copies of Radiotherapy Room drawing (to scale 1:50)
(iii) Two copies of cross-sectional (elevation) room drawings (to scale
1:50) along length, breadth and maze area of the room.
(iv) Security plan for the facility as per AERB safety guide on ‘Security
SG-1).
346
(v) In case of radiotherapy facility based on new technology which is
yet to be commissioned in India, guidelines for room layout design
and shielding calculations as per manufacturer’s manual.
CHECK LIST
(Drawings should indicate the following items)
I. In the site layout drawings

(a) Radiotherapy room and the associated
facilities indicated Yes No
(b) Occupancies all around the Radiotherapy
room clearly indicated Yes No
(c) Facilities in the vicinity of Radiotherapy
room (at least up to 20 meters from all
the walls of Radiotherapy room) clearly
indicated Yes No
II. In the Radiotherapy Room layout drawings
(a) Isocentre incase of Teletherapy or Source
and Bed position in case of Brachytherapy
is clearly indicated Yes No
(b) Central beam axis and axis of rotation
clearly indicated Yes No
(c) Distances of all the walls from isocentre/
source are clearly indicated Yes No
(d) Occupancies all around the Radiotherapy
(e) Wall Materials and the density of the
walls are clearly indicated Yes No
(f) Dimensions of all the walls are clearly
indicated Yes No
(g) Control panel location is shown in the
drawing Yes No
(h) Door Interlocked with the unit is shown
in the drawing Yes No
(i) Nursing station, in case of manual
Brachytherapy facility shown in the
drawing Yes No
347
III. In the Cross-sectional (elevation) Room layout drawings
(a) Isocentre incase of Teletherapy or Source
and Bed position incase of Brachytherapy
(b) Distances of all the walls, ceiling and
floors from isocentre/source are clearly
indicated Yes No
(c) Occupancies all around the Radiotherapy
(d) Wall materials and its density to be used
for construction are clearly indicated Yes No
(e) Dimensions of all the walls are clearly
indicated Yes No
(f) Conduit (incase of teletherapy/remote
afterloading Brachytherapy unit) is
clearly indicated Yes No
(g) Baffle (incase of window air-conditioner)
PART C
UNDERTAKING

and belief.
in this form.
(iii) site and layout activities shall be taken only after receipt of approval
from AERB.
at any time.
348
authority in respect of radiation safety and physical security measures
will be duly implemented.
(ix) duly qualified and trained manpower (viz. radiation oncologist,
medical physicist, and radiation therapy technologist) including
radiological safety officer shall be appointed before the
commencement of operation of the facility.
furnished above.
false and/ or not authentic, then I/we hereby accept that appropriate regulatory
Place: Signature:
Designation:
Signature:
Designation:
349
ANNEXURE-21
(Refer section 3.5.1.4, (teletherapy)
Refer section 3.5.2.4 (medical linear accelerator)
Refer section 3.8.4 (brachytherapy)
Refer section 3.12.1.3) (simulator)
Form ID: AERB/RSD/RT/RGE-RS/PROC
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR CONSENT FOR PROCUREMENT/ IMPORT OF

RADIATION GENERATING EQUIPMENT/RADIOACTIVE SOURCE
FOR RADIATION THERAPY FACILITY
(a) The duly filled-in form should be sent to The Director/Head, Radiological
Safety Division (RSD), AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-
400094 with the necessary documents
(b) This application would be considered by the AERB for issuance of relevant
consents under the Atomic Energy (Radiation Protection) Rules, 2004.
to be rejected.
(d) For all the forms pertaining to this facility, AE(RP)R, 2004 and other
(f) This Application format covers all the types of radiotherapy facilities (viz.
Telegamma equipment, Radiotherapy Simulator, Gamma Knife, Remote and
manual after loading Brachytherapy and Accelerator); however, the
Applicant may fill the relevant applicable portions of the form.
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
350
A.2 Name, designation and address of the Head of the institution$
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Approval reference No. :
Approval valid up to :
A.5 Institution No. allotted by AERB (for existing facility):
#
the source may be issued, under RPR- 2004, would have the responsibilities
of ‘licensee’ prescribed in AE(RP)R, 2004 and should be a full time employee
of the institution.
$
PART B
DETAILS OF THE EQUIPMENT/SOURCE

B.1 Procurement of (tick ‘9’ the applicable box):
(Fill in the appropriate forms given in Parts [B.1 (i)-B.1(viii)] below and
attach along with this application form)
(i) Telecobalt source - attach filled in FORM-AERB/
RT/TCS
351
(ii) Gamma knife source(s) - attach filled in FORM- AERB/
RT/GKS
(iii) Medical linear accelerator - attach filled in FORM- AERB/
RT/MLA
(iv) Remote afterloading brachy-
therapy source - attach filled in FORM-AERB/
RT/RAL
(v) Manual aterloading brachy-
therapy source(s) - attach filled in FORM- AERB/
RT/MAL
(vi) CT-simulator/simulator - attach filled in FORM- AERB/
RT/SIM
(vii) Check source - attach filled in FORM- AERB/
RT/CHK
(viii) Unit containing depleted
uranium (DU) - attach filled in FORM-AERB/
(without source) RT/DU
B.2 Details of existing Radiation Therapy Facilities in the institution (if applicable)
(a) Number of Telecobalt units
(b) Number of medical linear accelerators
(c) No. of beds for manual afterloading brachytherapy (MAL)
application:
(d) Number of remote after loading (RAL) brachytherapy units:
(e) Any unused radioactive sources/non-functional teletherapy/
brachytherapy/radiation generating equipment available in the
Radiation Therapy Department :
Yes No
If yes, give details of:
(i) such radioactive sources/ non-functional Teletherapy/brachytherapy/
radiation generating equipment below.
(ii) action taken for disposal of above disused radioactive sources and
decommissioning of non-functional Teletherapy/brachytherapy/
radiation generating equipment.
B.3 Details of staff in Radiation Therapy Department [Consent for procurement
shall not be given in case of adequate staff (working full-time) are not available
i.e. radiation oncologist(s), medical physicist(s) and radiotherapy
technologist(s)]
352
Name Date Date of Desig- Basic and Duration Personnel Full-time/
of joining nation of professional and monitoring Part-
birth the personnel qualifica- name of service time**
present tion institution No.
institution* where
worked
* If staff is yet to join, enclose the copy of appointment letter and their
consent of joining without which the permission shall not be issued.
** If any of the above staff works at other radiotherapy institution, please
inform separately.
(i) Copy of the appointment and acceptance letters if radiotherapy staff
is yet to join.
(ii) Security Plan for the facility as per AERB safety guide on ‘Security
of Radioactive Sources in Radiation Facilities’, (AERB/RF-RS/
SG-1).
(iii) Documentary evidence from local and state/central govt. authorities
that the facility is in the name of the applicant. If the location does
not belong to applicant, give documentary proof for lease/loan etc.
from the owner of land.
(iv) Radiation protection manual as per Appendix 7E (for teletherapy
and brachytherapy units only)
(v) Any other documents.
PART C
UNDERTAKING

and belief.
in this form.
(iii) no procurement shall be made prior to receipt of Consent/NOC from
AERB.
353
(v) the unit /radioactive source shall not be transported/ transferred/sold/
rented by me/us to any other party without the prior permission of
any time.
(ix) installation, commissioning, servicing and maintenance of the
(x) the requirements regarding decommissioning, disposal of
contaminated/decayed sources and reuse of the unit will be strictly
complied with.
(xi) any incident/accident such as fire, theft, damage etc., involving
ionising radiation source shall be promptly reported (within 24 hours)
to AERB.
(xii) In case of any unforeseen situations such as bankruptcy, damage to
the facility/source and other such situations, the sources will be
returned to its supplier at my/our cost without jeopardising safety
and security requirements.
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
354
PART B.1(i)
Form-AERB/RT/TCS
PROCUREMENT OF TELECOBALT SOURCE

(This form is a part of Form ID : AERB/RSD/RT/RGE-RS/PROC form,
hence must be submitted along with the Main Application Form)
1. Application for: First Source Replacement source

2. Source specifications:
Radioisotope Specifications Total Activity in

TBq (RMM)
3. Specify name and postal address of

the original supplier of the source:
4. Whether a copy of the undertaking furnished : Yes No
by the original supplier of the imported source
to take back the disused/decayed source is
attached ? (In the absence of such under-
taking, permission shall not be issued)
5. Source shall be used in the installation,
which is: New Modified Existing
(a) In case of new/modified installation
(i) whether the installation is approved: Yes No
(if yes, attach a copy of the approval letter)
(ii) whether construction completed as
per approved plan : Yes No
6. Source shall be used in: New Unit Existing Unit
(a) Make and model of the unit:
(b) S. No. of the existing unit:
(c) Whether unit contains depleted
uranium (DU): Yes No
(i) If yes, specify:
(A) the parts of the unit containing DU:
(B) quantity of DU in each part (in kg):
355
(ii) In case of new unit, whether filled-in
form AERB/RT/DU is attached : Yes No
7. In case of a new unit
(a) Whether **NOC/Type Approval for the unit has been obtained by
the supplier from AERB: Yes No
(b) Whether the unit is already installed: Yes No
(c) Whether the source will be transported to institution:
in a flask in the source head
8. In case of the existing unit
(a) The date of last source loading:
(b) The RMM value of the source at the time of loading:
(c) The present output at the normal treatment distance
(in cGy/minutes):
(d) Whether, performance test report of the unit is
carried out Yes No
9. Name of the medical physicist, who shall be responsible for supervision of
source transfer operation :
Whether the medical physicist was ever involved in source transfer
operation: Yes No
If yes, permission for source transfer operation should be obtained from AERB
by submitting the filled in prescribed proforma AERB/RSD/RT/SSA given
after Part B.1 (ii), 15 days prior to the actual date of source transfer operation.
If no, assistance for supervision of source transfer operation should be taken
from a medical physicist from any other radiotherapy centre having experience
in source transfer supervision. Permission should be obtained from AERB
after Part B.1 (ii), 15 days prior to the actual date of source transfer operation
along with a letter of consent from the medical physicist endorsed by his/her
employer.
10. Availability of Associated Equipment for the Telecobalt Installation**
(a) Instruments for absolute dose measurement devices (secondary
standard dosimeters)
** If any of the above equipment is not available, attach the copy of confirmation letter from the
supplier about supply of the above equipment, without which permission shall not be issued.
356
(i) Calibrated and working appropriate
Thimble chamber calibrated for
Co-60 energy Available Not available
If available,
Make and model : S.No.: Date of last calibration:
(ii) Calibrated and working Electrometer:
Available Not available
If available,
Make and model : S. No.: Date of last calibration:
(b) Calibrated and working survey meter:
If available,
Type of detector : Available ranges:
(c) Calibrated and working Gamma Zone Monitor:
in the telecobalt room Available Not available
If available,
Make and model : S. No.:
(d) Working thermometer (factory calibrated):
If available,
Make and model : Type: Mercury Digital Any other
(e) Working barometer Available Not available
(inter compared with any standard lab):
If available,
Make and model : Type: Mercury Aneroid
Digital Any other
(f) Water phantom for absolute dosimetry:
11. Documents to be attached with this Application:

(i) Copy of the undertaking furnished by the original supplier of the
imported source to take back the disused/decayed source.
357
(ii) Copy of the AERB site and layout plan approval letter in case of
new/modified installation.
(iii) Filled in Application Form- AERB/RT/DU, in case, DU is used in
new unit.
(iv) Copy of the NOC/Type Approval for the unit/equipment, as
applicable.
(v) An undertaking by the local supplier, from whom the applicant
proposes to procure, that in the case of NOC, the local supplier would
not supply the unit/equipment to any other user, till the unit/equipment
is type approved by AERB.
Signature of the Applicant Signature of the Head of the institution

Name : Name:
Designation: Designation:
PART B.1(ii)
Form-AERB/RT/GKS
PROCUREMENT OF SOURCE FOR GAMMA KNIFE UNIT
1. Application for: First sources Replacement sources

Radio- Specifi- Activity of No. of Total activity

isotope cations each source sources (TBq)
(GBq)
3. Specify name and postal address of the original supplier of the sources:
4. Whether a copy of the undertaking furnished by the original supplier of the
imported source to take back the disused/decayed source is attached (in the
absence of such undertaking, authorisation shall not be issued)
Yes No
5. Sources shall be used in the installation, which is:
New Modified Existing
358
In case of new/modified installation
(i) whether the installation is approved : Yes No
(ii) whether construction completed
as per approved plan : Yes No
6. Sources shall be used in: New Unit Existing Unit
(c) Whether unit contains depleted uranium(DU): Yes No
(i) If yes, specify:
A. the parts of the unit containing DU:
B. quantity of DU in each part (in kg):
(ii) In case of new unit, whether filled in
form AERB/RT/DU is attached: Yes No
7. In case of new unit
(a) whether the unit is type approved by AERB: Yes No
(If Yes, attach a copy of Type Approval letter issued by AERB to the
supplier and if No (i) attach copy of NOC letter issued by AERB to
the supplier and (ii) an undertaking from the supplier that they shall
not supply the unit to any other institution till the unit is type approved
by AERB)
(b) whether the unit is already installed: Yes No
8. In case of existing unit
(a) The date of last source loading:
(b) Number of sources available:
(c) The total activity of the present sources:
(d) Whether, performance test report of the
unit is attached : Yes No
9. Name of the Medical Physicist, who shall be responsible for supervision of
source transfer operation:
Whether the Medical Physicist was ever involved
in source transfer operation: Yes No
359
If yes, permission for source transfer operation should be obtained from AERB
after Part B.1 (ii), 15 days prior to the actual date of source transfer operation.
If no, assistance for supervision of source transfer operation should be taken
from a Medical Physicist from any other Radiotherapy Centre having
experience in source transfer supervision. Permission should be obtained
from AERB by submitting the filled in prescribed proforma AERB/RSD/RT/
SSA given after Part B.1 (ii), 15 days prior to the actual date of source transfer
operation along with a letter of consent from the Medical Physicist endorsed
by his/her employer.
10. Availability of associated equipment for the Gamma Knife installation:
(i) Calibrated and working appropriate Thimble Chamber:
Calibrated for appropriate beam energy:
(ii) Calibrated and working Electrometer:
(c) Working gamma zone monitor in gamma knife room:
Make and model : Type:
Alcohol Mercury Digital Any other
(e) Working barometer (intercompared with any standard lab):
360
Mercury Aneroid Digital Any other
(f) Appropriate phantom for absolute dosimetry:
(If any of the above equipment is not available, attach the copy of the firm
purchase order, without which authorisation shall not be issued)
11. Any other information:
12. Documents to be attached with the Application
imported source to take back the disused/decayed source
(ii) Copy of the layout approval letter in case of new/modified installation
(iii) Filled in application form, AERB/RT/DU, in case, DU is used in
new unit.
(iv) Copy of the NOC/type approval for the unit, as applicable.
In case of NOC, an undertaking from the supplier that they shall not
supply the unit to any other institution till the unit is type approved
by AERB.
(v) In case of the existing unit, performance test report of the unit carried
out as per manufacturer’s protocol.
PART B.1(iii)
Form-AERB/RT/MLA
PROCUREMENT OF RADIATION GENERATING EQUIPMENT
(MEDICAL ACCELERATOR)
1. Specifications of the unit

(b) Nominal photon energies (MV) (specify all beam energies):
(c) Available dose rates:
(d) Nominal electron energies (MeV) (specify all beam energies):
(e) Available dose rates:
(f) Whether unit contains depleted uranium(DU): Yes No
361
(i) If yes, specify : A, the parts of the unit
containing DU:
(ii) Quantity of DU in each part (in kg):
(g) In case of new unit, whether filled-in form
AERB/RT/DU is attached: Yes No
(h) Other accessories:
(i) MLC: (ii) Micro-MLC:
(iii) X-knife cones: (iv) Portal imaging:
(v) kVCT: (vi) MVCT:
(vii) Gating: (viii) Others (specify):____________
(If any other radiation source such as low energy X-ray (kV) beam
is used along with the accelerator in the same room, filled in FORM-
AERB/RT/SIM also to be submitted)
(i) Special treatment techniques
(i) 3D CRT: (ii) IMRT: (iii) IGRT: (iv) SRS:
(v) SRT: (vi) Any other, specify:
2. Specify name and postal address of the original supplier of the Accelerator:
3. Unit shall be used in the installation,
which is: New Modified Existing
(If yes, attach a copy of the approval letter)
(ii) whether construction completed as per
approved plan : Yes No
(a) Whether the unit is type approved by AERB: Yes No
(If Yes, attach copy of Type Approval letter issued by AERB to the
supplier and if No, (i) attach copy of NOC letter issued by AERB to
by AERB)
362
5. Availability of associated equipment for the medical accelerator installation:
(i) Calibrated and working appropriate Thimble Chamber:
Make and model: S. No.: Date of last calibration:
(ii) Calibrated and working Parallel Plate Chamber:
Make and model: S. No.: Date of last calibration:
(iii) Calibrated and working Electrometer:
Make and model: S .No.: Date of last calibration:
(b) Working radiation field analyser:
(c) Calibrated and working sensitive ionisation/scintillation/detector
based survey meter
Make and model : S .No.: Date of last calibration:
Alcohol Mercury Digital Any other
(e) Working barometer (intercompared with any standard lab):
363
(f) Water phantom for absolute dosimetry of photon beam(s):
(g) Solid phantom for absolute dosimetry of electron beam(s):
(h) D10/D20 phantom for daily output/energy constancy check:
purchase order, without which authorisation shall not be issued: [a(ii) and
(g) are not essential, if only photon beams are available]
7. Documents to be attached with the Application
(i) Copy of the layout approval letter in case of new/modified installation
(ii) Filled in application form, AERB/RT/DU, in case, DU is used in
new unit.
(iii) Copy of the NOC/type approval for the unit, as applicable.
(iv) In case of NOC, an undertaking from the supplier that they shall not
by AERB.
PART B.1(iv)
Form-AERB/RT/RAL
PROCUREMENT OF REMOTE AFTERLOADING (RAL)
BRACHYTHERAPY SOURCE
1. Application for: First source Replacement source

Radioisotope Specifications Activity of each No. of sources

source (GBq) required per year
364
Yes No
(if Yes, attach a copy of the approval letter)
(ii) whether construction completed as per approved plan :
Yes No
6. Sources shall be used in: New Unit Existing Unit
(c) Whether unit contains depleted uranium(DU): Yes No
(i) If Yes, specify:
(ii) In case of new unit, whether filled
in form AERB/RT/DU: Yes No
is attached
(a) whether the unit is Type Approved by AERB: Yes No
(If Yes, attach a copy of Type Approval letter issued by AERB to the
supplier and if No (i) attach copy of NOC letter issued by AERB to
by AERB)
8. In case of existing unit
(a) the date(s) of last source loading during last one year:
365
(b) whether, performance test report of the
unit is attached : Yes No
9. Availability of associated equipment for the remote after loading
brachytherapy installation:
(i) Calibrated and working large volume/well type ion
chamber: for the energy of brachytherapy source to be used
(e.g. Ir-192)
(ii) Calibrated and working appropriate Thimble Chamber:
calibrated for energy of Brachytherapy Source to be used
(e.g. Ir-192)
Make ane model : S .No.: Date of last calibration:
(iii) Calibrated and working Electrometer:
Make and model S .No.: Date of last calibration:
(b) Special jig for output measurement:
Make and model :
(c) Calibrated and working Survey Meter:
(d) Working gamma zone monitor in the Brachytherapy room:
Make and model : S .No.:
(e) Working thermometer (factory calibrated):
Make and model :
366
(f) Working barometer (intercompared with any standard lab):
(g) Emergency storage container: Available Not available
[If any of the above equipment is not available, attach the copy of the firm
purchase order, without which authorisation shall not be issued: either {a(i)}
or {a(ii) and (b)} must be available]
11. Documents to be attached with the Application:
imported source to take back the disused/decayed source.
(ii) Copy of the AERB site and layout plan approval letter in case of
new/modified installation.
(iii) Filled in Application form- AERB/RT/DU, in case, DU is used in
new unit.
(iv) Copy of the NOC/Type Approval for the unit/equipment, as
applicable.
(v) In case of the existing unit/equipment, performance test report of
the unit/equipment (with the existing source)
PART B.1(v)
Form-AERB/RT/MAL
PROCUREMENT OF MANUAL AFTERLOADING (MAL)
BRACHYTHERAPY SOURCE(S)
1. Application for: First source Replacement source

Radio- Type of Specifications Activity No. of

isotope source (wire/ (Dimension/ per consignments
seed etc.) Linear consignment (per year)
activity etc.) (MBq)
367
Yes No
(ii) whether construction completed as
per approved plan : Yes No
6. Availability of associated equipment for the manul afterloading Brachytherapy
installation:
(a) Working isotope calibrator calibrated for the energy of brachytherapy
source (e.g. Ir-192)
(c) Calibrated and working contamination monitor:
(d) Working gamma zone monitor for Brachytherapy installation:
(e) Permanent storage container for the Brachytherapy sources:
(f) Transport container for the Brachytherapy sources:
368
(g) Long forceps for handling the Brachytherapy sources:
(h) Lead bed shields for loading the sources to the patient:
(i) In case there is a requirement for brachytherapy source preparation,
whether
(i) L-bench with viewing system: Available Not available
(ii) Source cutter : Available Not available
(iii) Source loader : Available Not available
imported source to take back the disused/decayed source
(ii) Copy of the AERB site and layout plan aproval letter in case of new/
modified installation.
PART B.1(vi)
Form-AERB/RT/CHK
PROCUREMENT OF CHECK SOURCE
Radioisotope Specifications Activity of each No. of sources

source (MBq)
2. Specify name and postal address of the original supplier of the source:
369
3. Whether a copy of the undertaking furnished by
the original supplier of the imported source to
take back the disused/decayed source is attached Yes No
(In the absence of such undertaking, authorisation shall not be issued)
4. Source shall be used for (thimble chamber, parallel plate chamber, survey
meter etc.):
Copy of the undertaking furnished by the original supplier of the imported
source to take back the disused/decayed source
PART B.1(vii)
Form-AERB/RT/SIM
PROCUREMENT OF RADIATION GENERATING
EQUIPMENT(SIMULATOR)
1. Specifications of the unit

(b) Maximum tube potential:
(c) Maximum tube current:
2. Specify name and postal address of the original supplier of the simulator:
3. Unit will be used in the installation, which is:
(If yes, attach a copy of the approval letter)
(ii) whether construction completed as per
approved plan : Yes No
(a) whether the unit is type approved by AERB: Yes No
370
(If Yes, attach copy of Type Approval letter issued by AERB to the supplier
and if No, (i) attach copy of NOC letter issued by AERB to the supplier and
(ii) an undertaking from the supplier that they shall not supply the unit to any
other institution till the unit is type approved by AERB)
(b) whether the unit is already installed : Yes No
5. Availability of associated equipment for the simulator installation:
Calibrated and working ionisation/scintillation survey meter:
(ii) Copy of the NOC/type approval for the unit, as applicable.
(iii) In case of NOC, an undertaking from the supplier that they shall not
by AERB.
PART B.1(viii)
Form-AERB/RT/DU
DETAILS REGARDING THE USE OF DEPLETED URANIUM IN
RADIATION THERAPY UNIT BEING PROCURED
1. Specifications of the unit containing depleted uranium (DU)

(b) Parts containing DU and quantity of DU in each part (in kilogram):
(c) Total weight (in kilogram):
2. Specify name and postal address of the original supplier of depleted uranium
371
(ii) Copy of the NOC/type approval for the unit, as applicable.
(iii) In case of NOC, an undertaking from the supplier that they shall not
by AERB.
(The form AERB/RSD/RT/SSA, which is given below is referred in

PART B1.(i) and B1.(ii))
AERB/RSD/RT/SSA
APPLICATION TO AUTHORISE MEDICAL PHYSICIST/

RADIOLOGICAL SAFETY OFFICER FOR SUPERVISION OF
SOURCE TRANSFER OPERATION IN RADIOTHERAPY
(a) This form need to be sent to Director/Head, Radiological Safety Division

(RSD), AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-400094, 15 days
prior to the actual date of source transfer operation
(b) Attach extra sheets wherever required.
1. Institution No. allotted by AERB :

2. (a) Name of the applicant# :
Designation :
(b) Name of the approved RSO of
the institution :
(c) Name and address of the institution :
(d) Telephone No.(with STD code) :
(e) Fax No. :
(f) E-mail :
3. Whether applicant was ever involved in
source transfer operation : Yes No
3.1 If YES, Number of times source transfer operation supervised:
372
3.2 If No, details of the medical physicist, who will assist the applicant
(a) Name of the assisting medical physicist :
(b) Institution Address :
(c) Telephone No.(with STD code) :
(d) E-mail :
(e) No. of times source transfer operation
supervised :
(f) Letter of consent of the medical physicist
endorsed by his/her employer is attached : Yes No
# Applicant is the Medical Physicist/Radiological Safety Officer, who will be supervising

the source transfer operation alone or with the assistance of Medical Physicist from
other centre experienced in source transfer operation
4. Details of the telecobalt unit

4.1 Make and model of the unit:
4.2 S. No. of the unit:
4.3 Present activity (in RMM):
5. Tentative date for source transfer:
6. Source transfer operation is for:
Loading telecobalt source after installation
Replacement of telecobalt source in existing unit
Decommissioning of an existing telecobalt unit
7. Calibrated and working GM type survey meter available: Yes No
8. Calibrated and working ionisation based survey meter: Yes No
(eg. gun monitor) available
9. Working gamma zone monitor available in the
telecobalt room: Yes No
10. Number of calibrated and working pocket dosimeters available:
373
I hereby certify that the information furnished above is correct to the best of
my knowledge and belief.
Place: Signature of the applicant
Date: Name :
Designation:
Forwarded by
Signature of Head of the institution:
Name:
Designation:
374
ANNEXURE-22
Form ID: AERB/RSD/RT/combined consent/CO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR LICENCE/AUTHORISATION/REGISTRATION

FOR COMMISSIONING AND OPERATION OF RADIATION
THERAPY FACILITY
(a) This application would be considered by the AERB for issuance of relevant
consents under the Atomic Energy (Radiation Protection) Rules, 2004
[AE(RP)R, 2004].
(c) This form is intended to enable AERB to assess the suitability of the institution
generating equipment (hereinafter referred to as ‘source’)
(d) Incomplete applications and those without all relevant documents are liable
to be rejected
(e) For all the forms pertaining to this facility, AE(RP)R, 2004 and other
(f) Facilities /equipments granted License are: Telegamma equipment, Medical
Linear Accelerator Facilities/equipment granted Authorisation are:
Brachytherapy equipment
Facilities/equipment granted Registration are: CT Simulator/RT simulator
(g) Attach extra sheets wherever required
375
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
A.3 Name and designation of the applicant# :
Fax No.
Mobile No.
E-mail
A.4 Name and designation of the radiological safety officer (RSO)* :
Fax No.
Mobile No.
E-mail
Valid up to
#
$
* RSO is the person who is so designated by employe, approved by competent
authority and have the responsibilities of ‘Radiological Safety Officer’
prescribed in AE(RP)R, 2004).
376
PART B
B.1 Commissioning of new/existing facility:

B.2 Make and model of the unit:
B.3 Source specification (as applicable):
B.3.1 For brachytherapy :
(i) Source used : ___________
(ii) Maximum activity of the source : __________ GBq
B.3.2 For Telegamma:
(i) Source(s) used in the unit:
(ii) Total activity of the source(s): __________TBq; ___________RMM
B.3.3 For Linear Accelerator:
(i) Nominal photon energies (MV) (specify all beam energies):
(ii) Available dose rates:
(iii) Nominal electron energies (MeV) (specify all beam energies):
(iv) Available dose rates:
(v) Whether unit contains depleted uranium (DU): Yes No
If Yes, specify :
(vi) Other accessories:
(i) MLC: (ii) Micro-MLC: (iii) X-knife cones:
(iv) Portal imaging: (v) kVCT: (vi) MVCT:
(vii) Gating: (viii) Others (specify):________________
(vii) Special treatment techniques
(i) 3D CRT: (ii) IMRT: (iii) IGRT: (iv) SRS:
(v) SRT: (vi) Any other, specify:
377
B.3.4 For Simulator:
(i) Maximum tube potential (kV):
(ii) Maximum tube current (mA):
(iii) Special imaging feature (if any):
B.4 In case Radiation Therapy Facility already exists in the institution
(a) Number of medical linear accelerators:
(b) Number of telecobalt units :
(c) Number of Gammaknife units:
(d) Number of Remote After loading brachytherapy units :
(e) No. of beds for Manual brachytherapy application:
B.5 Radiation measuring, monitoring instruments and protection accessories:
(Please mention Available/Not available/Not applicable as the case may be):
B.5.1 Dose measuring and associated devices for Teletherapy/Brachytherapy:
(a) Instruments for absolute dose measurement (secondary standard
dosimeters)
(i) Calibrated and working appropriate Thimble Chamber
calibrated for appropriate beam energy
Available Not available Not applicable
Make and model :
S .No.:
Date of last calibration:
Chamber volume(cc):
Calibration beam energy
(ii) Calibrated and working Parallel Plate Chamber calibrated for
appropriate beam energy:
Make and model :
S .No.:
Chamber volume(cc):
(iii) Calibrated and working large volume/well type ion chamber
for the energy of Brachytherapy source to be used (e.g. Ir-
192)
378
Make and model :
S .No.:
Chamber volume (cc):
(iv) Calibrated and working electrometer:
Make and model :
S .No.:
(b) Working thermometer (factory calibrated):
Make and model: Type:
Mercury Digital Any Other
(c) Working barometer (intercompared with any standard lab)
Mercury Aneroid Digital Any Other
(d) Jig for output measurement of HDR source:
Make and model:
(e) Appropriate phantom(s) for dosimetry of teletherapy beam:
Water Solid Any Other _______________
(f) D10/D20 phantom for daily output/energy constancy check:
for accelerator: Available Not available Not applicable
(g) Working radiation field analyser for accelerator:
B.5.2 Area monitoring devices for Teletherapy/Brachytherapy:
(i) Calibrated and working survey meter:
379
Make and model :
S. No.:
Type of detector :
Available ranges:
(ii) Calibrated and working Contamination Monitor:
Make and model :
S. No.:
Type of detector :
Available ranges
(iii) Working gamma zone monitor for the installation to be
commissioned:
Make and model :
S. No.:
(iv) Pocket dosimeter for instant dose measurement
B.5.3 QA/other associated accessories:
(i) Working treatment planning system for teletherapy/brachytherapy:
Make & model : S. No.:
(ii) Therapy verification film for field congruence test:
for teletherapy
(iii) Isodose charts (in case of telecobalt unit) are supplied:
(iv) Mechanical front pointer(s) (in case of teletherapy unit):
(v) QA gadgets for special techniques like 3DCRT/IMRT etc.:
380
(vi) Emergency source storage container for remote afterloading
brachytherapy
(vii) Permanent source storage container for manual brachytherapy
(viii) Transport container for the sources for manual brachytherapy
(ix) Long forceps for handling the brachytherapy sources:
(x) Lead bed shields for manual brachytherapy:
(xi) In case there is a requirement for source preparation in manual
brachytherapy
(a) L-bench with viewing system:
(b) Source cutter:
(c) Source loader:
(xii) Closed circuit TV for patient viewing in the installation to be
commissioned:
B.6 Staff details.
Details of staff in Radiation Therapy department (Permission for
commissioning shall not be issued in case adequate number of radiotherapy
staff (working full-time) i.e. Radiation Oncologists, Medical Physicists and
Radiotherapy Technologists are not available)
Name Date of Date of Desig- Basic and Duration Personnel Full-

birth joining nation of pro- and name monitoring time/
the the fessional of service Part-
present personnel qualifi- institution No. time*
institution cations where
worked
* If any of the above staff works at other Radiotherapy Institution,

please inform separately.
381
B.7 Any unused radioactive sources/ non-functional teletherapy/
brachytherapy/ radiation generating equipment available
in the radiation therapy department: Yes No
If yes, give details of:
(i) such radioactive sources/non-functional teletherapy/brachytherapy/
radiation generating equipment below.
(ii) action taken for disposal of above disused radioactive sources and
decommissioning of non-functional teletherapy/brachytherapy/
radiation generating equipment.
(i) Sketch/layout of installation indicating radiation levels (photon/
neutron) at different operating conditions (eg: photon energies and
their dose rates etc) and at various elevations/rooms including control
console, door etc.
(ii) Copies of letter of correspondence for action taken for disposal of
disused radioactive sources and decommissioning of non-functional
Teletherapy/Brachytherapy/Radiation generating equipment, if
available.
(iii) Radiation Protection Manual as per Appendix 7E (for teletherapy
and brachytherapy units only)
(iv) Security plan for the facility as per AERB safety guide on ‘Security
SG-1) and safety guide on ‘Security of Radioactive Material during
Transport’ (AERB/NRF-TS/SG-10)
PART C
UNDERTAKING

and belief.
in this form.
(iii) the facility/equipment shall be made operational only after obtaining
the license/authorisation/ registration from AERB.
382
(v) the unit/radioactive source shall not be transported/ transferred/sold/
rented by me/us to any other party without the prior permission of
any time.
all persons engaged in radiation work as required by the Competent
Authority will be duly carried out at my/our expense.
Competent Authority in respect of radiation safety and physical
(ix) installation, commissioning, servicing and maintenance of the
(x) the rules regarding decommissioning, disposal of contaminated/
decayed sources and reuse of the unit will be strictly complied with.
(xi) any incident/accident such as fire, theft, damage etc., involving
ionising radiation source shall be promptly reported (within 24 hrs-
to AERB.
(xii) in case of any unforeseen situations such as bankruptcy, damage to
the facility/source and other such situations, the sources will be
returned to its supplier at my/our cost without jeopardising safety
and security requirements.
(xiii) all other necessary approvals from the concerned State/Central
Government have been obtained by our institution.
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
383
ANNEXURE-23
Form ID: AERB/RSD/MDX-CT-CATH/

SLA & PROC
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR SITE AND LAYOUT PLAN APPROVAL

AND PROCUREMENT OF MEDICAL X-RAY EQUIPMENT
[COMPUTED TOMOGRAPHY (CT)/INTERVENTIONAL
RADIOLOGY (CATH LAB)]
(a) This Application would be considered by the competent authority for issuance
2004.
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
A.2 Name, designation and address of the Head of the institution$
Fax No.
Mobile No.
E-mail
384
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
#
under AE(RP)R, 2004 and should be a full time employee of the institution.
$
PART B

B.2 Whether the layout approval is for: New/Modified facility
B.3 Address of the proposed installation:
B.4 Details of the unit to be installed:
(a) Proposed date of installation:
(b) Type of unit: Computed Tomography/Interventional Radiology
(c) Model Name :
(d) Make:
(e) NOC/Type Approval No.:
(f) Maximum operating tube potential:
(g) Maximum operating tube current:
B.5 Name and address of the supplier:
B.7 Details of existing units in the facility
385
(a) Date and year of installation:
(b) Whether the equipment has been licenced: (Yes/No)
(If No, please attach application for layout approval/licence)
B.8 Documents to be attached:
(i) Copy of the NOC/type approval certificate for the unit, as applicable.
(ii) In case of NOC, an undertaking from the supplier that they shall not
by AERB.
(iii) Two duly signed and stamped copies of the layout plan (scale 1:50)
indicating the location of the gantry/X-ray unit, control panel/ control
room, windows, doors with appropriate lead lining, wall thickness,
dimensions and material of the walls are enclosed.
(iv) Two duly signed and stamped copies of the floor plan (scale 1:100)
indicating the location of the CT/Cath Lab rooms, waiting area etc.
are enclosed.
(v) Proof from local state govt. authorities that the land/plot for
installation of facility is in the name of the applicant.
PART C
UNDERTAKING

and belief.
in this form.
(iii) site and layout activities shall be taken only after receipt of approval
from AERB.
at any time.
386
(viii) the facility shall be put into operation only after obtaining Licence
from the competent authority.
(x) duly qualified and trained manpower including radiological safety
officer, shall be appointed before the commencement of operation
of the facility.
(xii) AERB will be kept informed about any changes in the information
furnished above.
false and/or not authentic, then I/we hereby accept that appropriate regulatory
Place: Signature:
Designation:
Signature:
Designation:
(To be filled by the manufacturer/supplier)
Our company will supply a ___________________ unit, which is having a valid NOC/
type-approval certificate from AERB. After installation of the said unit, its performance/
acceptance test will be demonstrated to the AERB and/or user’s representative as the
case may be.
Signature of the Service Engineer

Place : Name :
Date: Designation:
Company:
(Seal of the company)
387
ANNEXURE-24
Form ID: AERB/RSD/MDX-CT-CATH/LCO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.

MEDICAL DIAGNOSTIC X-RAY EQUIPMENT
[COMPUTED TOMOGRAPHY (CT)/ INTERVENTIONAL
RADIOLOGY (CATH LAB)]
2004.
for Commissioning and Operation of radiation generating equipment
(hereinafter referred to as ‘source’)
Division (RSD),AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-400094
to be rejected.
(e) All the forms pertaining to this facility can be downloaded from the website
www.aerb.gov.in
(f) Attach extra sheets wherever required.
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Institution personnel monitoring service (PMS) number
388
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Valid up to:
Fax No.
Mobile No.
E-mail
#
Applicant is the person in whose name the licence to handle the source may
be issued, under AE(RP)R, 2004, would have the responsibilities of ‘licensee’
prescribed in AE(RP)R, 2004 and should be a full time employee of the
institution.
$
389
PART B
DETAILS OF THE EQUIPMENT
B.1 Type of equipment

(i) Computed tomography
(ii) Interventional radiology
B.2 Details of equipment:
(a) Manufacturer of the equipment:
(b) Supplier of the equipment:
(c) Model name:
(d) AERB type approval No.:
(e) Maximum rated operating potential (kV):
(f) Maximum rated current (mA):
(g) Date of installation:
B.3 Workload:
Type of Average No. of mA/slice kV No. of slices per

examination examinations/week examination
(approximate)
B.4 Availability of radiation measuring and monitoring instruments and radiation

protection accessories
(a) Mobile protective barrier/ceiling mounted
lead glass Yes/No
(b) Lead apron Yes/No
(d) Personnel monitoring badges (TLD) Yes/No
(e) Quality assurance kit (for testing purpose ) Yes/No
(f) Availability of phantom for CT: Yes/No
(g) Red light, X-ray caution symbol and
warning placards: Yes/No
390
B.5 Staff details
Name Designation Academic/ Experience Personnel Full-time/

Professional in the field monitoring Part-time
qualification (PMS) No.

(i) Test report containing quality assurance checks as per
Appendix-8C-I and Appendix-8C-II as appropriate
(ii) Copy of letter for layout approval issued by AERB
(iii) Details of QA kit and phantom details
(iv) Radiation protection manual as per Appendix 8E
(v) RSO approval certificate/nomination form
(vi) Copy of the NOC/Type Approval certificate for the unit.
PART C
UNDERTAKING

and belief.
in this form.
(iii) the equipment shall be put into operation only after obtaining Licence
(v) all provisions of AERB Safety Code on ‘Medical Diagnostic X-ray
Equipment and Installations’, [AERB/SC/MED-2 (Rev.1)] or the
revised version thereof currently in force shall be complied with.
(vi) the equipment shall be stored, installed and safeguarded so as to
prevent unauthorised access, operation, removal and theft.
(vii) the installation/maintenance of the equipment would be done by
authorised and trained persons.
(viii) the equipment shall not be transferred/sold/ rented by me/us to any
other user without the prior permission from the competent authority.
391
representatives of the competent authority to inspect the equipment
at any time.
(xi) all recommendations made from time to time by the competent
implemented.
(xii) all the radiation survey meters/safety instruments will be maintained
and regularly sent for calibration.
(xiii) periodic quality assurance tests shall be conducted and records
maintained.
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
(To be filled by the manufacturer/supplier)
Our company has supplied a ___________________ unit, which is a type-approved

unit. I have installed the said unit, and demonstrated its performance/acceptance test
to the user’s representative. I hereby undertake that the unit satisfy all the test results
as per our company’s protocol and are at par with the test results carried out during
type-approval of the said unit.
Signature of the Service Engineer

Place : Name :
Date: Designation:
Company:
(Seal of the company)
392
ANNEXURE-25
Form ID: AERB/RSD/IR/PROC
Government of India
Niyamak Bhavan
Anushaktinagar
Mumbai-400094.
APPLICATION FOR CONSENT FOR PROCUREMENT OF INDUSTRIAL

GAMMA RADIOGRAPHY EXPOSURE DEVICE(S) (IGREDs)/
INDUSTRIAL X-RAY MACHINE(S)
2004.
to be rejected.
(e) All the forms pertaining to this facility can be downloaded from the
website www.aerb.gov.in
(f) Attach extra sheets wherever required
PART A
GENERAL PARTICULARS

Telephone No
Fax No.
Institution personnel monitoring service No:
E-mail
393
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.5 Details of RSO*/ Site-in-charge only for proposed site
Telephone No. (O): (M)
Fax No.
E-mail
Valid up to:
A.6. Address for correspondence with PIN code:
#
Applicant is the person in whose name the relevant consent for procurement
of IGRED/industrial X-ray machine/radiography source, may be issued,
under AE(RP)R, 2004, and should be a full time employee of the institution.
$
Officer’ prescribed in Atomic Energy (Radiation Protection) Rules, 2004.
PART B
PARTICULARS OF THE DEVICE
B.1 Purpose of the device:

B.2 This application is for procurement of: IGRED without source/IGRED with
source/Industrial X-ray machine
394
B.3 Details of the IGREDs
Make, Quantity Shielding Radio Name and Name Reference

model and material isotope address of and of NOC/
serial No. provided and its manu- address Type
and its activity facturer of approval
weight (Ci/Bq) authorised issued by
(kg) agent AERB.
B.4 Details of the industrial X-ray machine(s):
Make, Qua- Mobile/ Name and Name and Maximum Out put Radiation Reference
model ntity Portable address of address of rating of the leakage of NOC/
and /Fixed manu- authorised kV, mA machine level of Type
serial facturer supplier at maxi- machine approval
No. mum issued by
rating (in AERB.
RMM)
B.5 Particulars of IGRED(s)/industrial X-ray machines, if any, already in the

possession of the institution
IGRED model and Present Details of X-ray machine

s. No. strength of
Make and S. No. kV and mA
source
model
(Ci/Bq)
B.6 Details of radiography personnel
Name Designation (Site- Certificate No. and its PMS No.

in-charge/ validity/AERB approval
radiographer) ref. No.
B.7 Particulars of the radiation monitoring and measuring devices

B.7.1 Radiation survey meter(s) (RSM)
395
RSM* 1 2 3
Make
Model
RSM S. No.
Functional status
* There shall be atleast one RSM for each IGRED /X-ray machine
B.7.2 Particulars of pocket dosimeter(s) (PD) :
Pocket dosimeters 1 2 3
Make
Model
PD S. No.
Functional status
B.8 Details of proposed radiography work :

(a) Nature of job :
(b) Maximum job thickness in mm :
(c) No. of exposures per day : Panaromic: Collimated:
(d) Average time of each exposure in minutes/mA-minutes :
(e) The shift hours when radiography work will be carried out:
(f) Cordon-off area available (radial) in meter :
B.9 Particulars of radiography site(s) where IGREDs/ industrial X-ray machine(s)
are proposed to be handled.
B.9.1 Name and address of the radiography site (s):
Telephone No. (O):
Fax No.
E-mail
B.9.2 Name and address of the contract awarding party :
Telephone No. (O):
Fax No.
E-mail
396
B.9.3 Name of the contact person with designation at radiography site:
Fax No.
Mobile No.
E-mail
B.9.4 Details of source storage facility at site:
B.9.5 Whether the radiography site is approved by AERB, (if yes provide approval
ref. no.:) (if no, give reasons)
B.9.6 If the IGREDs/industrial X-ray machine is to be used in an enclosure, whether
the enclosure is approved by AERB/BARC, (if yes provide approval ref.
no.:) (if no, give reasons)
B.9.7 Any other relevant information:
(a) Registration of radiography agency with state/central govt. as a
company (for first time procurement of radiation source by the
institution)
(b) Declaration of legal status of applicant (corporation/partnership/
others), if applicable.
(c) Partnership deed with signature of notary on a stamp paper, if
applicable.
(d) Undertaking of all the partners in the institution’s letter head as per
enclosed format, if applicable.
(e) The following documents are to be submitted for approval of certified
radiography personnel:
(i) Duly filled in personal data form (Form No. TLD-4)
(ii) Undertaking as per requirements of AERB/SC/IR-1
(iii) Certificate issued by BARC/AERB
(iv) The cumulative radiation dose received
(f) Duly filled in personnel monitoring service form (Form No.:
PMS-2) with the names of the persons required to be monitored
monthly with their personal data (PD) form. [The PMS-2 and PD
forms (TLD-4) are available with the laboratory accredited by BARC,
if applicable].
(g) The documentary proof of availability of radiation safety accessories
(such as area zone monitor, radiation survey meter (RSM), red
flashing light, red lights, pocket dosimeter with charger, lead pot,
397
C.V. tong, lead collimators, radiation warning placards, cordoning
ropes etc.)
(h) Copy of certificate of type approval of IGREDs/X-ray machine.
(i) Copy of certificate of approval of sealed source (including Serial
No), classification and leak test certificates as per applicable national/
international standards
(j) Undertaking from source(s) supplier for acceptance of decayed/
disused source for disposal.
(k) Copy of the photographs of safe and secure storage facility
authenticated by the contract awarding agency and applicant/
licensee.
(l) Copy of work order for radiography work and site feasibility report
for radiography work.
(m) Security Plan for the facility as per AERB safety guide on ‘Security
during Transport’ (AERB/NRF-TS/SG-10), if applicable.
(n) Emergency response plan and preparedness preferably in consultation
with the principle contract awarding agency.
(o) Any other supporting documents.
PART C
UNDERTAKING

and belief.
(ii) no activity will be carried out for the purpose other than those
specified in his form:
(iii) no procurement shall be made prior to receipt of approval from
AERB.
(v) the device shall be put into operation only after obtaining Licence
(vi) the radiography exposure device (IGRED) shall be transported, as
per AERB/SC/TR-1, as an item of cargo and declared as such in the
398
applicable transport documents. It shall not be transported in the
passenger cabin of any conveyance (e.g. bus/train/aircraft). However,
it may be transported by road in an exclusive vehicle.
(vii) the radiography source(s) shall be used only at the radiography sites
duly approved by AERB.
(viii) radiation survey meter(s) shall be kept in operable condition at the
site all times and shall be regularly used during radiography work.
Direct reading dosimeter (pocket dosimeter) shall be made available
for use by each radiographer and it would be used regularly in addition
to the personnel monitoring badges.
(ix) the radiography source(s) shall not be moved from one authorised
site to another without obtaining prior permission from AERB.
(x) radioactive source storage facility duly approved by AERB shall be
provided at the site for safe storage of source(s).
(xi) at least one qualified RSO/site-in-charge shall be posted at each site
and all radiography operations shall be undertaken by the certified
radiographer under his supervision.
(xii) the safety and security of the radiography exposure device(s) shall
be ensured all the time during use, store, transport and safeguarded
so as to prevent unauthorised access, operation, removal and theft.
(xiii) the installation/maintenance of the device containing radiation source
would be done by authorized and trained persons.
(xiv) the device shall not be transferred/sold/ rented by me/us to any other
user without the prior permission from the competent authority.
(xv) full facility will be accorded by me/us to any authorised
representatives of the competent authority to inspect the device at
any time.
(xvi) radiation surveillance of the installation and health surveillance of
(xvii) all stipulations/recommendations made from time to time by the
competent authority in respect of radiation safety measures and
physical security measures will be duly implemented.
(xviii) the decayed/unused radiation sources shall be returned to the original
supplier.
(xix) the procedures approved by AERB regarding decommissioning/
399
(xx) AERB will be kept informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
400
ANNEXURE-26
Form ID: AERB/RSD/IR/SLCA-ER
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR CONSENT FOR SITE LAYOUT PLAN/

CONSTRUCTION OF ENCLOSED RADIOGRAPHY FACILITY
2004).
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
401
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.6 Address with pin code of proposed site for radiography enclosure:
#
Applicant is the person in whose name the consent may be issued, under
AE(RP)R, 2004, and should be a full time employee of the institution.
$
PART B
PARTICULARS OF RADIOGRAPHY ENCLOSURE
B.1 Status of the layout plans: (Put ‘X’ mark in appropriate box)
B.1.1 New plan(s), submitted for the first time
B.1.2 Plan(s) modified and submitted based on AERB review
B.1.3 Plan(s) already approved but needs modification
B.1.4 Modification of the plan(s) of the existing enclosure
B.2 Type of enclosure: Enclosure with ceiling/Enclosure without ceiling (open
top)/Pit type
B.3 The proposed location for construction of radiography enclosure belongs to:
(Radiography agency/contract awarding agency/others)
B.4 Type approval details of IRGED/X-ray machine:
B.5 Details of radiation sources:
B.5.1 Radiation source to be used: Radioactive source (indicate name)/X-ray
402
B.5.1.1 In case of radioactive source:
Name of Maximum R.H.M of the Maximum Remarks

radioactivity to be radioactive workload
isotope used Ci(Bq) source (Ci-hours/ week)
B.5.1.2 In case of industrial X-ray machine:
Make Manufacturer/ Maximum Out put of Maximum Remarks

and Supplier rating of the the machine workload
model of X-ray (in RMM or (mA -
the X- machine (kV, mGy/h at minutes/
ray mA) 1m) week or
machine hours/week)
B.6 Details regarding nature of radiography work:

B.6.1 Type of the objects to be radiographed :
(type of material, overall dimensions and thickness)
B.6.2 Average No. of exposure(s)/shift/week :
Collimated : Panoramic:
B.6.3 Average duration of each exposure :
B.6.4 Mode of transportation of objects :
into the radiography enclosure ( trolley,
fork lift or overhead cranes, etc.)
B.6.5 If the objects to be brought by overhead cranes :
kindly indicate the position of the operator’s
cabin with respect to the radiography room
(height from the floor level and the lateral
distance from the room)
B.7 Details regarding the source storage: Pit type/others
B.8 Additional information, if any:
(a) Two copies of duly signed and stamped (authenticated) documents
on the following
403
(i) Site layout drawing (to scale 1:500) indicating location of
radiography enclosure room, associated facilities and
occupancies around the enclosure.
(ii) Cross-sectional view of radiography enclosure room drawing
(to scale 1:50) indicating source/target position, distances of
all the walls from source/target, location of operators room,
density of materials, distance and dimensions of all the walls.
(iii) Elevation view of enclosure room drawings (to scale 1:50)
indicating source/target position, ceiling and floors from
source/target, occupancies around the enclosure, density of
material, distance and dimensions of all the walls, location of
conduit, ventilation system and height of the enclosure
(b) Attachments as per status of the layout plans (see item B.1)
(i) In case of modified plans based on AERB review, copy of
suggested layout plans (see item B.1.2)
(ii) In case of plan(s) already approved but needs modification, a
copy of original approved layout plans (see item B.1.3)
(iii) In case of modification of the plan(s) of the existing enclosure,
a copy of approved layout plan of existing installation (see
item B.1.4)
(c) Report on evaluation of shielding adequacy of the enclosure.
(d) Photographs of the source storage room with pit (all view) duly
authenticated by the applicant and contract awarding agency and
ownership details of the place where the storage room is constructed.
(e) Documentary evidence from local and state/central govt. authorities
that the land/plot of installation of the radiography enclosure is in
the name of the applicant. If the location does not belong to applicant,
give documentary proof for lease/loan etc. from the owner of land.
(f) The supportive documents of the density of the materials used for
the construction.
(g) Security Plan for the facility as per AERB safety guide on ‘Security
(h) Any other supporting documents.
404
PART C
UNDERTAKING

and belief.
in this form.
(iii) the siting and construction activities shall be taken up only after
receipt of approval from AERB.
user without the prior permission of the competent authority.
at any time.
(viii) all recommendations that may be made from time to time by the
duly implemented.
facility.
furnished above.
405
Place: Signature:
Designation:
Signature:
Designation:
. (Seal of the Head of the institution)
406
ANNEXURE-27
Form ID: AERB/RSD/IR/SA&M-OFR
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR SITE APPROVAL AND MOVEMENT OF

IGRED/X-RAY DEVICE FOR CONDUCTING OPEN FIELD
RADIOGRAPHY WORK
2004 [AE(RP)R, 2004].
to be rejected.
www.aerb.gov.in
(f) Attach extra sheets wherever required
.
PART A
GENERAL PARTICULARS

Telephone No (O):
Fax No.
E-mail
Institution No. for personnel monitoring services (PMS):
407
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.6 Site details of existing radiography operations
A.6.1 Address
Telephone No.
Fax Nos.
E-mail
A.6.2 Contact person at the radiography site:
Telephone No. : (O): (R)
Fax No. :
Mobile No. :
E-mail :
A.7 Details regarding proposed site of the radiography operations:
A.7.1 Address:
Telephone No.:
Fax No.:
E-mail:
A.7.2 Name and designation of person responsible for routine radiography
operations at proposed site:
Telephone Nos.: (O): (R)
Fax Nos.:
Mobile No.:
E-mail :
408
A.8 Contract awarding party for proposed site
A.8.1 Name and address:
Telephone Nos. :
Fax No.:
E-mail:
A.8.2 Name and designation of person responsible for radiography operations at
site :
Telephone No.: (O): (R)
Mobile:
Fax No.:
E-mail:
A.9 Details of RSO*/Site-in-charge for proposed site
Telephone No. (O): (M):
Fax No.
E-mail
RSO Approval reference No. :
Valid up to :
#
$
Applicant is the person in whose name the site approval may be issued,
under AE(RP)R, 2004 and should be a full time employee of the institution.
PART B
PARTICULARS OF PROPOSED RADIOGRAPHY WORK
B.1 Type of radiography device: Industrial gamma radiography exposure device

(IGRED)/Industrial X-ray equipment
B.1.1 Particulars of industrial gamma radiography exposure device (IGRED):
Make and S. IGRED type Radioisotope Maximum Remarks

model of No. approval ref. and its activity workload
IGRED No. in Ci (Bq) (Ci-hours /
(as on date) week)
409
B.1.2 Particulars of industrial X-ray equipment:
Make S. X-ray Maximum Out put of Maximum Remarks

and No. machine rating of the machine workload
model of NOC/Type the X-ray (in RMM or (mA-min/
X-ray approval machine mGy/h at week or
machine ref. No. (kV, mA) 1m) hours/week)
B.2 Details of the radiography personnel
Name Designation Certificate no. PMS No.

( RSO/ Site-in-charge/
Radiographer)
B.3 Details of radiation survey meters (RSM) and pocket dosimeter(s) :
Particulars of RSM Particulars of pocket

dosimeter
1 2 1 2
Make & type
Model
S. No.
Functional status
B.4 Details of the safety/emergency accessories available at the site:

B.4.1 Lead pot and C.V. Tongs : Available/Not available
B.4.2 Collimators : Available/Not available
B.4.3 Lead shots, lead sheets or other
shielding materials : Available/Not available
B.4.4 Cordoning ropes, warning lights and
radiation symbols : Available/Not available
B.5 Details of the source storage room available at the site:
410
B.5.1 Particulars of source storage room at the proposed site.
B.5.2 Whether the source storage room was inspected
by representative of AERB : Yes/No
(If yes, date of inspection)
B.6 Details of proposed radiography work:
(a) Nature of job :
(b) Maximum job thickness in mm :
(c) No. of exposures per day Panaromic : Collimated:
(d) Average time of each exposure in minutes:
(e) The shift hours when radiography work will be carried out:
(f) Cordoned-off area available (radial) in meter :
B.7 Proposed date of movement of the radiography device to the site:
B.8 Duration of the proposed radiography work :
B.9 Location and address where the radiography exposure device is proposed to
be returned after completion of radiography work:
B.10 Proposed mode of transport of the radiography
device*: Rail/road/air/sea
B.10.1 If transported by road provide vehicle details (such as vehicle type,
registration number, colour etc.) :
B 10.2 If transported by rail provide details (such as train name and number):
(*The IGRED shall be transported as an item of cargo and declared as such
in the applicable transport documents and it shall not be transported in the
passenger cabin of any conveyance e.g. bus/train/aircraft.. However, it may
be transported by road in an exclusive vehicle)
B.11. Any other relevant information:
(i) Authenticated layout plan of radiography site including sketch of
the site, type of occupancy around the immediate vicinity of the
radiography site including occupancies around the proposed open
field radiography site.
(ii) Copy of the letter and work order along with site assessment from
and the contract awarding agency/client for radiography work.
(iii) Particulars of the type approved IGRED to be operated and maximum
radiography work load.
411
(iv) Photographs of the source storage room with pit (all views) duly
authenticated by the applicant and contract awarding agency and
ownership details of the place where the storage room is constructed.
(v) Emergency preparedness plans and procedures specific to the
radiography sites preferably in consultation with the principle
contract awarding agency.
(vi) Security plan for the facility as per AERB safety guide on ‘Security
(vii) Any other supporting documents.
PART C
UNDERTAKING

and belief.
specified in his form.
(iii) the radiography source(s) will be used only after obtaining the
movement and site approval from AERB.
(iv) the radiography source(s) will not be moved from one approved site
to another site without obtaining prior permission from AERB.
(vi) the facility shall not be transferred/sold/ rented by me/us to any other
at any time.
(viii) all stipulations/recommendations that may be made from time to
time by the competent authority in respect of radiation safety
measures will be duly implemented.
412
(ix) the procedures approved by AERB regarding decommissioning/
(x) the device would display the radioactivity label and also labels
indicating the category of the package. It would be ensured by us
that the particulars regarding the contents of the package displayed
in the labels are correct. Names and addresses of the consignor and
the consignee would be properly displayed on the exterior of the
package.
(xi) radiation survey meter(s) shall be kept in operable condition at the
site all times and shall be regularly used during radiography work.
Direct reading dosimeter (pocket dosimeter) shall be made available
for use by each radiographer and it would be used regularly in addition
to the personnel monitoring badges.
(xii) at least one qualified RSO/Site-in-charge will be posted at each site
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
413
ANNEXURE-28
(Refer section-3.7.5)
Form ID: AERB/RSD/IR/LCO
Government of India
Niyamak Bhavan
Anushaktinagar
Mumbai-400094.
APPLICATION FOR LICENCE FOR COMMISSIONING AND

OPERATION OF RADIOGRAPHY FACILITY
2004 [AE(RP)R, 2004].
to be rejected.
www.aerb.gov.in
(f) Attach extra sheets wherever required .
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Institution No. for personnel monitoring services (PMS):
414
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.6 This application is for
First time
Modification AERB Ref No. Date: Valid till

Renewal AERB Ref No. Date: Valid till
#
Applicant is the person in whose name the Licence for commissioning and
operation of the facility, may be issued, under AE(RP)R, 2004 should be a
$
PART B
B.1 Details of the industrial gamma radiography exposure device(s) (IGRED)/

Radiography Source(s):
Make and S. Shielding Radio Maximum activity AERB type

model of No. material isotope Ci (Bq) of the approval for
IGRED(s) provided radiography source IGRED
permitted by AERB (Ref . No) :
415
B.2. Details of the industrial X-ray equipment(s):
Make Type of X- Name and Name and Maxi- Reference Output

and ray address of address of mum of NOC/ of the
model machine the authorised rating type machine
of X- [mobile (M) manufa- supplier (kV, approval at maxi-
ray portable (P) cturer of mA) issued by mum
machine fixed (F)] the X-ray AERB rating (in
machine RMM)
B.3 Details of certified radiography personnel available in the institution

B.3.1 Certified radiography personnel* :
Name Designation Year of Passing Certificate No. and PMS No.

RT-1/RT-2/IRG-1 its Validity/AERB
approval ref. No.
*Radiography personnel should be duly approved by AERB.

B.3.2 Radiological Safety Officer (RSO):
S. No Name Ref: No. of AERB approval Valid till
B.3.3 Name of RSO (s) who is entrusted with management of radiation protection
in the department and responsible in case of emergency
Telephone No : (O): (R)
Mobile
E-mail:
B.4 Particulars of the radiation survey meter(s) (RSM) and pocket dosimeter(s)
(PD) :
B.4.1 Particulars of RSM
416
Radiation survey monitor* 1 2 3
Make and type
Model
RSM S. No.
Functional status
*There should be at least one RSM for each IGRED/X-ray machine
B.4.2 Particulars of PD
Pocket dosimeters 1 2 3
Make and type
Model
PD S. No.
Functional status
B.5 Details of radiography operation

B.5.1 Open field radiography:
Name and address of radiography Site(s) AERB site approval ref. No.
B.5.2 Enclosed radiography:
Name and address of enclosed AERB approval ref. No.

radiography site(s)
B.6 Any other relevant information:

(i) Leakage radiation levels around the IGRED.
(ii) Report on trial operation of the IGRED.
417
(iii) Report on the radiation protection survey around radiography
enclosure and open field radiography site
(iv) Radiation protection manual as per Appendix-9E
(v) Emergency response plan and preparedness.
(vi) Security Plan for the facility as per AERB safety guide on ‘Security
during Transport’ (AERB/NRF-TS/SG-10), if applicable, if not,
attach at the time of procurement of radiography source.
(vii) Any other supporting documents.
PART C
UNDERTAKING

and belief.
specified in his form.
(iii) commissioning/operation shall be carried out only after receipt of
licence from AERB.
(v) the radiography source(s) shall not be moved from one authorised
site to another site without obtaining prior permission from AERB.
(vi) storage facility duly approved by AERB shall be provided at the site
for safe storage of source(s).
(vii) at least one qualified RSO/Site-in-charge shall be posted at each site
(viii) the safety and security of the radiography exposure device(s) shall
be ensured all the time during use, store, transport and safeguarded
so as to prevent unauthorised access, operation, removal and theft.
(ix) the installation/maintenance of the device-containing radiation source
would be done by authorised and trained persons.
(x) the device shall be put into operation only after obtaining licence
for use from the competent authority.
418
(xi) the device shall not be transferred/sold/ rented by me/us to any other
(xii) full facility will be accorded by me/us to any authorised
any time.
(xiii) radiation surveillance of the installation and health surveillance of
(xiv) all stipulations/recommendations made from time to time by the
(xv) the decayed/unused radiation sources shall be returned to the original
supplier.
(xvi) the procedures approved by AERB regarding decommissioning/
(xvii) AERB will be kept informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Designation
419
ANNEXURE-29
Form ID. AERB/RSD/IAF/SLCA
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR SITING, LAYOUT AND CONSTRUCTION

APPROVAL OF INDUSTRIAL ACCELERATOR
FACILITY FOR NDT (IAF)
2004 [AE(RP)R, 2004]
Division (RSD), AERB, NiyamakBhavan, Anushaktinagar, Mumbai-400094
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
Telephone No. (O) (R):
Fax No.
Mobile No.
E-mail
420
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
#
responsibilities of ‘licence’ prescribed in AE(RP)R, 2004 and should be a
$
PART B
B.1 Proposed location of facility

B.2.2 Maximum level of ground water and maximum flood level for the past hundred
years as per the central/state govt. records along with documentary evidence.
B.2.3 Distance of site of installation of facility from
(a) ammunition storage and explosive dumps
(b) storage of inflammable materials
(c) direction of runway of civilian/military airfield
(d) residential and public places
(e) rivers/dams/lake/water reservoir
421
(i) Type of accelerator to be installed:
(ii) Purpose of facility:
(iii) Category of device (mobile/fixed):
(iv) Beam specification (current, energy, power)
B.4 Layout and civil engineering drawings attached: Yes/No
Diagrams for electrical circuit and other Available/Not available

interlocks
Quality assurance manual for construction Available/Not available

occupancy
(ii) Map of the site region upto 2 km radius covering details given in
(iii) Proof from local state govt. authorities that the land/plot for
installation of PARF is in the name of the applicant and falls in
industrial zone.
(iv) Layout and Civil Engineering drawings
(v) Preliminary Safety Analysis Report (PSAR) (As per Appendix-
3B-III)
PART C
UNDERTAKING

and belief.
in this form.
(iii) siting and construction activities shall be taken up only after receipt
of approval from AERB.
422
(v) the facility shall not be transferred/sold/rented by me/us to another
at any time.
implemented.
facility.
furnished above.
Place: Signature:
Date: Name of the applicant
Designation:
Signature:
Designation:
423
ANNEXURE-30
Form ID: AERB/RSD/IAF/LCO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.

INDUSTRIAL ACCELERATOR FACILITY FOR NDT (IAF)
2004 [AE(RP)R, 2004].
generating equipment (hereinafter referred to as “source”)
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O)
Fax No.
E-mail
Personnel monitoring services number (PMS) of institution
424
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
A.7 Name and designation of the Radiological Safety Officer(s) (RSO)* :
Fax No.
Mobile No.
E-mail
Approval valid up to:
#
$
425
PART B
S. Designation Name **Academic Type of When Duration Experience

No. of perso- qualifi- training/ and of in
nnel cation Experience where training working
certifica- trained with
tion particle
accelerator
1 Operator(s)
2 Radiological
safety officer
(RSO)
** Attach proofs of qualification and training/experience certificate related
to radiation safety
(a) Type of accelerator:
(c) Purpose of the facility :
(d) Beam specifications : (current, energy, power)
(e) Types of objects to be radiographed :
in working condition

Make and type
Model
RSM S. No.

426

(Yes/No)
Shielding design and of installation survey (along with drawings
and layout)

(i) Final safety analysis report (FSAR) (As per Appendix 3D-III)
(ii) Radiation protection manual (As per Appendix 3E)
(iii) QA manual for operation (As per Appendix 3F)
(iv) Pre-commissioning acceptance test report with results (As per
Appendix 3C)
(v) Any other document.
PART C
UNDERTAKING

and belief.
427
(iv) the facility shall not be transferred/sold/rented by me/us to another
(v) no radiation source of this facility will be transported without the
at any time.
implemented.
facility.
(x) the requirements regarding decommissioning, disposal of decayed
furnished above.
Place: Signature:
Date: Name of the applicant
Designation:
Signature:
Designation:
428
ANNEXURE-31
Form ID: AERB/RSD/GIC/PROC
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) FOR

IMPORT/CONSENT FOR PROCUREMENT OF GAMMA
IRRADIATION CHAMBER (GIC)
2004) AE(RP)R, 2004.
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
429
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Telephone No. (O); (R)
Fax No.
Mobile No.
E-mail
#
Applicant is the person in whose name the no objection certificate to import/
procure the source may be issued, under AE(RP)R, 2004, and should be a
$
PART B
PARTICULARS OF THE DEVICE
B.1 Purpose of the gamma irradiation chamber (GIC)

B.2 Type of GIC Gamma chamber/Blood irradiator/
Gamma cell
B.3 Number of devices
B.4 Technical details
B.4.1 Make, model and S. No
B.4.2 Name of radioisotope
B.4.3 Maximum activity Bq (Ci)
B.4.4 Number of integrated source units
(ISU)/source pencils incorporated
in GIC
430
B.4.5 Sealed source classification no.:
(As per relevant national/international
standards)
B.4.6 Reference of AERB NOC/
Type approval certificate for the GIC
B.5 Name and address of manufacturer
of GIC Telephone No. Fax No.E-mail
B.6 Name and address of the supplier
of GIC Telephone No. Fax No.
Mobile No. E-mail
B.7 Whether a copy of the undertaking
furnished by the supplier of the
source to take back the disused/
decayed source is attached ? Yes/No
B.8 In case of replacement of source,
furnish the following details
B.8.1 Whether permission for disposal
of decayed source has been
obtained from AERB ? Yes/No
B.8.2 If yes, reference number of AERB
approval/permission for disposal
B.9 Department and location where the GIC will be installed:

B.10 Objective of studies for which the GIC is procure:
B.11 Particulars of GIC already in the possession of the institution
(Attach additional sheets if necessary)
S. Description, Name of Ref No. Name Installation Purpose/

No. make, model isotope and date and location Application
and S. No. of and of address of GIC and
GIC initial authori- of its current
activity sation supplier status (In use
with issued by or not in use)
date AERB
B.12 Details of training and experience, if any, in ‘Radiation Safety Aspects of

GIC’ (Attach additional sheets if necessary)
431
B.12.1 Particulars of trained personnel
Name(s)
Designation
Academic qualifications
Training course on radiation safety
aspects of GIC
Year of passing
Experience in handling of GIC
Whether the person who has If yes, furnish the following details :
undergone training on radiation (i) Approval ref. No. :
safety aspects of GIC, has obtained (ii) Date of issuance :
the Radiological Safety Officer (iii) Approval valid till:
(RSO) approval from AERB If No, the institution should nominate the
person who has successfully completed the
training course on ‘Radiation safety aspects of
GIC’ for RSO approval to AERB.
B.12.2 If there is no individual who has undergone the required training to qualify
for RSO, please furnish the following undertaking. (Please delete the following
undertaking, if not applicable)
I hereby undertake to
(a) get one of our personnel trained on radiation safety aspects of GIC
before the procurement of the radiation sources, and
(b) obtain RSO approval from AERB, before commissioning and
operation of GIC.
Signature of Applicant
(Seal of Institution)
B.13 Particulars of persons who will handle GIC:
S. No. Name of the person Qualification and Personnel

experience in monitoring service
handling GIC (PMS) details
432
B.14 Whether a radiation survey meter (RSM) is available
in working condition: Yes / No
B.14.1 If ‘Yes’, (Please furnish the following particulars relating to the RSM)
Particulars of RSM 1 2 3
Make and type
Model
RSM S. No.
Functional status
B.14.2 If ‘No’, please furnish an undertaking as given below.

(Please delete the following undertaking, if a monitoring instrument is
available.)
I hereby undertake to procure a suitable radiation survey meter before the
procurement of the GIC for which this application is being made.
Signature of applicant
(Seal of institution)
(a) Two copies of duly signed and stamped document on layout plan
(scale 1:100) of GIC installation room indicating the following :
(i) Size of the room
(ii) Thickness of the walls and shielding material details
(iii) Location of entrance door, position of windows (if any) along
with height from ground level
(iv) Pit size (as applicable)
(v) Occupancy in the immediate vicinity of the installation room
(vi) Floor loading capacity as prescribed by GIC supplier.
(b) Copy of certificate of approval of sealed source (including Serial
No.), classification and leak test certificates as per applicable
national/international standard
(c) Copy of the AERB Type Approval certificate for the GIC
433
(d) Copy of the document of the institution registration with the local/
state/central Government authorities.
(e) Security plan for the facility as per AERB Safety Guide on ‘Security
(f) A copy of the undertaking furnished by the supplier of the source to
take back the disused/decayed source
(g) Nomination of personnel in the standard format of application form
for training in radiation safety aspects of GIC (in case the personnel
trained in radiation safety are not available)
(h) Any other relevant documents.
PART C
UNDERTAKING

and belief.
in this form.
(iii) no procurement shall be made prior to receipt of NOC/Consent from
AERB.
(v) the device shall be put into operation only after obtaining
authorisation from the competent authority.
(vi) the device shall be stored, installed and safeguarded so as to prevent
unauthorised access, operation, removal and theft.
(vii) the installation/maintenance of the device containing radiation source
would be done by authorized and trained persons.
(viii) the device shall not be transferred/sold/rented by me/us to another
any time.
434
(xi) all stipulations/recommendations made from time to time by the
(xii) the decayed/unused radiation sources shall be returned to the original
supplier.
(xiii) the procedures approved by AERB regarding decommissioning/
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
435
ANNEXURE-32
Form ID. AERB/RSD/GIC/ACO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400 094.
APPLICATION FOR AUTHORISATION FOR COMMISSIONING AND

OPERATION OF GAMMA IRRADIATION CHAMBER (GIC)
2004) [AE(RP)R, 2004].
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No (O):
Fax No.
E-mail
Fax No.
436
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
Valid up to:
#
Applicant is the person in whose name authorisation for use of the device
may be issued, under AE(RP)R, 2004, would have the responsibilities of
‘licensee/consentee’ prescribed in AE(RP)R, 2004 and should be a full
time employee of the institution
$
PART B
PARTICULARS OF DEVICE
B.1 This application is for:
First time Authorisation
Renewal of Authorisation Ref No.: Date: Valid till:
437
B.2 Purpose of the gamma irradiation
chamber (GIC)
B.3 Type of GIC Gamma chamber/Blood irradiator/
Gamma cell
B.4 Technical details of GIC
B.4.1 Make, model and S. No.
B.4.2 Name of radioisotope
B.4.3 Isotope physical and chemical form
B.4.4 Maximum activity Bq (Ci)
B.4.5 Number of integrated source
units (ISU)/source pencils
incorporated in the GIC
B.4.6 S. No(s). of the each source(s)
B.4.7 Classification of the sealed
source(s); if not submitted earlier:
(As per relevant national/
international standards)
B.4.8 Reference of AERB NOC/Type
Approval certificate for GIC
B.5 Name and address of manufacturer
GIC:
Telephone No.
Fax No.
E-mail
B.6 Name and address of the supplier
of GIC:
Telephone No.
Fax No.
Mobile No.
E-mail
438
B.7 Particulars of the radiation survey meter (RSM) available in working condition
Particulars of RSM 1 2 3
Make
Model
RSM S. No.
Functional status
B.8 Availability of personnel monitoring services (PMS) : Yes / No

B.9 Additional information, if any
(i) Copy of the layout plan approval
(ii) Installation report along with results of trial operation of GIC
(iii) Report on radiation protection survey indicating stray radiation levels
at accessible locations around the GIC.
(iv) Copy of certificate of approval of sealed source (including Serial
No), classification and leak test certificates as per applicable national/
international standard, in case not attached at the time of procurement.
(v) Security plan for the facility as per AERB Safety Guide on ‘Security
PART C
UNDERTAKING

and belief..
439
(iii) the device shall be put into operation only after obtaining
Authorisation from AERB.
(v) the device shall be stored, installed and safeguarded so as to prevent
unauthorised operation, removal and theft.
(vi) the device containing radiation source would be installed/maintained
by authorized and trained persons.
(vii) the device shall not be transferred/sold/ rented by me/us to another
any time.
(ix) radiation surveillance of the installation and health surveillance of
(x) all recommendations made from time to time by the competent
authority in respect of radiation safety measures and physical security
(xi) the periodic status report of all devices in the possession of the
institution shall be submitted to AERB.
(xii) all the radiation survey meters/safety instruments will be maintained
in functional condition all the time and will be calibrated periodically.
(xiii) the decayed/unused radiation sources shall be returned to the original
supplier.
(xiv) the procedures approved by AERB regarding decommissioning/
(xv) any incident/accident such as fire, theft, damage etc., involving
ionising radiation source and/or GIC shall be promptly reported to
AERB.
(xvi) an emergency response manual prescribing specific action plans to
identified persons for specific emergency scenarios shall be prepared
and periodically updated.
(xvii) AERB will be kept informed about any changes in the information
furnished above.
440
Place: Signature:
Designation:
Signature:
Designation
441
ANNEXURE-33a
(Refer section.3.10.1.2)
Form ID: AERB/RSD/NMF/SLA
Government of India
Niyamak Bhavan,
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR APPROVAL OF SITE AND LAYOUT PLAN FOR

NUCLEAR MEDICINE FACILITY
2004) [AE(RP)R, 2004].
(b) The duly filled-in form should be sent to Head, Radiological Safety Division
(RSD), AERB, Niyamak Bhavan, Anushaktinagar, Mumbai-400094 with the
necessary documents.
to be rejected.
www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No: (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
442
A.3 Name and designation of the Applicant#:
Fax No.
Mobile No.
Email
$
#
Applicant is the person in whose name relevant consents may be issued,
under AE(RP)R, 2004, would have the responsibilities of ‘licensee’ prescribed
in AERPR-2004 and should be a full time employee of the institution
PART B
B.1 Location of the proposed facility (commercial/hospital):

(Nuclear medicine facilities are not allowed in residential buildings)
B.2.1 Make and model of the proposed imaging device(s):
B.2.2 Type of radioactive sources to be handled:
(i) Mo99-Tc99m generator : Column/solvent generator
(ii) Iodine : Liquid/capsule
(iii) List other isotopes.
B.2.3 Thickness and material of the walls, floors, ceiling of the nuclear medicine
department.
(a) Proof from local state govt. authorities that the land/plot for
installation of facility are in the name of the applicant.
(b) NOC from other local bodies with regard to permission for
installation.
(c) Following drawing(s) in duplicate:
(1) Diagnostic Facility
443
(i) Location of facility drawing indicating the floor, nature
of occupancy around, above and below, if any.
(ii) Layout plan of the facility (with dimensions on B3
size paper, i.e. 353 X 500 mm2) indicating required
facilities such as hot lab, radiopharmacy, source
storage area, injection room, gamma camera/PET-CT
room, control console, radioactive waste storage and
decontamination, general patient waiting area, post
administration waiting area with attached toilet facility,
doctor’s room, staff room, work station etc. location
of doors, windows, workbenches, sink, fume hood (if
applicable) and exhaust in the rooms.
(2) Therapy Facility
(i) Location drawing of isolation ward, indicating the
floor, nature of occupancy around, above and below,
if any.
(ii) Layout plan of isolation ward (with dimensions on
B3 size paper, i.e. 353 X 500 mm2) indicating nursing
station, dose administration area with fumehood
location, linen storage area, and rooms for
hospitalisation of patients with toilet facility giving
patient bed position.
(iii) Delay tank drawing (with dimensions on B3 size paper,
i.e. 353 X 500 mm2), its location (underground/over
ground) and capacity.
(d) Security plan as per AERB safety guide ‘Security of Radioactive
Sources in Radiation Facilities’ (AERB/RF-RS/SG-1).
(e) Any other supporting documents.
PART C
UNDERTAKING

and belief.
under item of this form.
444
(iii) layout and construction activities shall be carried out only on
obtaining approval from the competent authority.
(v) the facility shall not be transferred/sold/ rented by me/us to another
at any time.
authority in respect of radiation safety and physical protection
facility.
(x) AERB will be kept informed about any changes in the information
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
445
ANNEXURE-33b
(Refer section.3.10.1.2)
Form ID: AERB/RSD/NM/PROC
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR PROCUREMENT OF RADIOISOTOPES

FOR NUCLEAR MEDICINE FACILITIES
of permission for procurement of radioisotopes for the facility, under the
Atomic Energy (Radiation Protection) Rules, 2004), [AE(RP)R, 2004]
with necessary documents
to be rejected
(d) All the forms pertaining to nuclear medicine facilities can be downloaded
from the website www.aerb.gov.in)
PART A
GENERAL PARTICULARS

Telephone No:
Institution personnel monitoring number:
Fax No.
Mobile No.
E-mail
Fax No.
Mobile No.
E-mail
446
Fax No.
Mobile No.
E-mail
A.4 Layout approval of the facility:
(Give AERB reference no.)
#
under AE(RP)R, 2004, would have the responsibilities of ‘licensee’ prescribed
in AE(RP)R, 2004, and should be a full time employee of the institution.
$
PART B
PARTICULARS OF RADIOACTIVE SOURCES
B.1 Purpose for procurement:

B.2 Details of radioisotopes
B.2.1 Procurement from BRIT (tick where applicable)
(a) BRIT, Mumbai
(b) Regional centre BRIT, INMAS, Delhi
(c) Regional centre BRIT, Bangalore
TABLE-A
S.No. Radiolotope Specification Code Activity Frequency

(Bq/MBq/ (weekly/
GBq) monthly etc.)
B.2.2 Procurement from abroad
447
TABLE-B
S. Rdiolotope Specification Activity Frequency

No. (Bq/MBq/GBq) (weekly/monthly etc.)
Note: Table- A is to be filled in only when radioactive material is procured

from BRIT.
Table-B is to be filled in only when radioactive material is imported.
B. 3 Name, qualification and experience of personnel
S. Category of Name Academic Radiological Personnel Authorisa-

No. personnel qualifi- safety monitoring tion
cation training service reference
details No. No.
1 Nuclear Medicine
Physicians
2 Nuclear Medicine
Technologist(s)
3 Radiological Safety
Officer (RSO)
4 Other auxiliary staff,
in nuclear medicine
facility
PART C
UNDERTAKING

(i) all the statements made above are correct to the best of my/our
knowledge and belief.
in this form.
(iii) the sources shall be procured only after obtaining Approval from
the cmpetent authority.
448
(iv) the sources shall be used only after obtaining Authorisation for
commissioning and operation of the facility from the cmpetent
authority.
(vi) all provisions of the AERB Safety Code on ‘Nuclear Medicine
Facilities’ [(AERB/RF-MED/SC-2 (Rev. 2)] shall be strictly complied
with.
(vii) the sources shall be handled by authorized and trained persons.
(viii) the sources shall not be transferred/sold/ rented by me/us to another
representatives of the competent authority to inspect the facility at
any time.
all persons engaged in radiation work as required by AERB will be
(xi) the periodic status report of radiation safety of the facility shall be
submitted to AERB.
(xii) all the radiation survey meters /safety instruments will be maintained
in functional condition all the time and will be calibrated periodically.
(xiii) all recommendations made from time to time by the competent
(xiv) duly qualified/experienced radiological safety officer(s)/operator(s),
shall be appointed prior to the procurement of the sources.
(xv) the procedures approved by AERB regarding decommissioning/
(xvi) the decayed/unused radiation sources shall be disposed safely as per
procedures approved by AERB.
(xvii) AERB shall be informed about the absence of any qualified
manpower immediately.
(xviii) any incident/accident such as fire, theft, damage etc., involving
radioactive sources shall be promptly reported to AERB.
(xix) AERB will be kept informed about any changes in the information
furnished above.
449
actions may be initiated against me/us and our institution in accordance with
Place: Signature:
Designation:
Signature:
Name of the Head of institution:
450
ANNEXURE-34
(Refer section 3.10.1.4 )
Form ID: AERB/RSD/NMF/ACO
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR AUTHORISATION FOR COMMISSIONING AND

OPERATION OF NUCLEAR MEDICINE FACILITY
of relevant consent for the facility, under the Atomic Energy (Radiation
Protection) Rules, 2004), [AE(RP)R, 2004].
with necessary documents
to be rejected
(d) All the forms pertaining to nuclear medicine facilities can be downloaded
from the website www.aerb.gov.in
PART A
GENERAL PARTICULARS

Telephone No: (O):
Fax No.
E-mail
Fax No.
Mobile No.
E-mail
451
A.3 Name and designation of the Applicant# :
Fax No.
Mobile No.
E-mail
A.4 Name and designation of the Radiological Safety Officer (RSO)*:
Fax No.
Mobile No.
E-mail
Valid up to
$
#
responsibilities of ‘licencee’ prescribed in AE(RP)R, 2004 and should be a
PART B
This application is for
First regulatory Licence

Additional** Ref No. Date: Valid till:
Renewal Ref No. Date: Valid till:
** In case of approved site and layout plan

B.1 Details of proposed radioactive sources to be used
452
B.1.1 In-vivo diagnosis
S. Radiosotope Radiopharma- Maximum proposed Maximum

No. ceutical activity to be proposed activity
procured from BRIT to be imported per
per week week
B.1.2 Radionuclide therapy (Low and high dose)
S. Radiosotope Radiopharma- Maximum proposed Maximum

No. ceutical activity to be proposed activity
procured from BRIT to be imported per
per week week
B.1.3 List of sealed source(s) if any (to be used for calibration/quality assurance)
used in the facility with the radionuclide, activity, date of procurement,
purpose, supplier/manufacturer details
B.2 Equipments details
B.2.1 Imaging equipment
Name of the Make and Date of Working (Yes/No)

equipment model installation
B.2.2 Non-imaging equipment
Name of the Make and Date of Working status

equipment model installation
B.3 Isolation wards for therapy patients (undergoing treatment with high doses)
No. of isolation Total No. of Average No. of Delay tank capacity

wards beds patients planned to and dimensions
be treated/month
453
B.4 Monitoring and measuring instruments (survey instruments and dose
calibrator)
Name of the Make, model Measurement Working Date of last
instrument and serial No. range status calibration
B.5 Handling and general facilities
Fume hoods (F.H.) No. of functioning Used for:

F.H. available:
L-benches No. of L-benches Used for:
Lead bricks/lead pots for
shielding
Drainage system
Radioactive waste storage Solid waste:
facility Liquid waste:
S. Designation Name Academic Type of When Duration Personnel Authori

No. of qualifi- training and of monito sation
personnel cation experience where training ring refe
trained service rence
No. No. (if
any)
1 Operator(s)
2 Nuclear
Medicine
Technologists
3 Radiological
Safety
Officer
(RSO)
4 Other
auxiliary
staff, in
nuclear
medi-cine
facility
B.7 Details of Local Safety Committee constitution.
454
B.8 Procedures for disposal of radioactive waste
Radioisotope Nature of waste Method of disposal Activity disposed

generated MBq/week
Solid Liquid Solid Liquid Solid Liquid

(i) Copy of approval of layout plan of the nuclear medicine laboratory
issued by BARC/AERB
(ii) Copy of RSO approval letter or a duly filled in application for
approval of nomination of RSO in medical institution
(iii) Personnel monitoring services details
(iv) Copy of appointment and acceptance letters for the radiation workers
(v) Security plan for the facility as per AERB safety guide on ‘Security
SG-1)-under preparation.
PART C
UNDERTAKING

and belief.
in this form.
(iii) the facility shall not be commissioned/operated until the authorisation
is obtained from the competent authority.
(v) all provisions of the AERB Safety Code on ‘Nuclear Medicine
Facilities’ [(AERB/RF-MED/SC-2 (Rev. 2)] shall be strictly complied
with.
(vi) the facility shall not be transferred/sold/ rented by me/us to another
455
at any time.
(x) duly qualified/experienced radiological safety officer(s)/operator(s),
facility.
(xii) AERB shall be informed about the absence of any qualified
manpower (as given in table B.6) immediately.
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
456
ANNEXURE-35
Form ID: AERB/RSD/NG/Mfg-AUTH
Government of India
Niyamak Bhavan
Anushaktinagar,
Mumbai-400094.
APPLICATION FOR AUTHORISATION FOR FACILITIES ENGAGED IN

COMMERCIAL PRODUCTION OF IONISING RADIATION GAUGING
DEVICES (IRGDs)/NUCLEONIC GAUGES (NGs)
of authorisation for (the testing as part of) commercial production of radiation
devices /radiation generating equipment, under the Atomic Energy (Radiation
Protection) Rules, 2004, [AE(RP)R, 2004].
for commercial production of radiation devices/ radiation generating
equipment.
(c) The duly completed form should be sent to Director/Head, Radiological Safety
to be rejected
PART A
GENERAL PARTICULARS

Telephone No. (O):
Fax No.
E-mail
A.2 Name and address of the Head of the institution :
Fax No.
Mobile No.:
E-mail
457
A.3 Representative of the applicant to be contacted regarding the application# :
Fax No.
Mobile No.
E-mail
Telephone No. (O) (M):
Fax No.
E-mail
RSO Approval reference No. :
Approval valid up to:
#
Applicant is the person in whose name Authorisation to handle the radiation
generating equipment may be issued, under Atomic Energy (Radiation
Protection) Rules, 2004 [AE(RP)R, 2004], would have the responsibilities
of ‘Licensee’ rescribed in AE(RP)R, 2004 and should be a full time employee
of the institution.
PART B
PARTICULARS OF THE FACILITY AND DEVICE
B.1 Details of device

(a) Model(s) of the device
(b) Purpose for its use
(c) Radiation source(s) to be used in the device:
(d) Maximum activity of the source: —————Bq ( mCi)
B.2 Ref. No. and validity of Type Approval certificate(s) :
B.3 Production capacity:
B.4 Details of test facilities available for Type Approval
in accordance with national/international standards :
B.5 Availability of accessories/tools for handling radiation sources:
458
B.6 Particulars of emergency handling accessories:
(a) Emergency handling tools
(b) Shielding container (Type-A package)
(c) Auxiliary shielding material
B.7 Details of systems available in source handling room:
(Area monitor, red warning light, radiation caution symbol, warning placards
etc.):
B.8 Physical security measures provided for facility:
B.9 Particulars of the radiation monitoring and measuring instruments:
Particulars of monitor 1 2 3
Make and model
Model
S. No.
Functional status

If Yes:
(a) Institution PMS number:
(b) No. of personnel availing PMS:
B.11 Details of registration of institution with state/central authority as an industrial
unit
(a) Two copies of duly signed and stamped document on layout plan
(scale 1:100) of the manufacturing facility indicating the following
(i) Layout of radiation source storage room indicating thickness
of the walls and shielding material details
(ii) Source handling area/fume hood
(iii) Calibration room
(iv) Control panel/control room, if applicable
459
(v) Location of windows, doors along with height from ground
(vi) Occupancy around the source storage room and calibration
room
(b) Copy of the Type Approval certificates issued for all models of
IRGDs/NGs.
(c) Copy of the registration certificate issued by state/central authority
as an industrial unit
(d) Security plan for the facility as per AERB safety guide on ‘Security
(e) Any other relevant document
PART C
UNDERTAKING

and belief.
in this form.
(iii) the commercial production of devices shall commence only after
obtaining authorisation from AERB.
(v) the device shall not be transported/transferred/sold/rented by me/us
to another user without the prior permission of the competent
authority.
(vi) the user shall be provided, along with the equipment (i) technical
specifications; (ii) operating, servicing and maintenance manuals.
(vii) the user shall be provided, with detail procedures for quality
assurance tests and checks to be carried out periodically to verify
correct performance of the device/equipment.
any time.
460
(ix) radiation surveillance of the installation and health surveillance of
(x) all stipulations/recommendations made from time to time by the
(xi) the installation, commissioning, servicing and maintenance of the
equipment shall be carried out by our authorised service personnel.
(xii) any incident/accident such as fire, theft, damage etc., involving
radiation generating equipment shall be promptly reported to AERB.
furnished above.
Place: Signature:
Designation:
Signature:
Designation:
461
BIBLIOGRAPHY
1. ATOMIC ENERGY ACT, 1962 (33 of 1962)

2. ATOMIC ENERGY(RADIATION PROTECTION ) RULES G.S.R. 303,
(2004).
3. ATOMIC ENERGY (SAFE DISPOSAL OF RADIOACTIVE WASTES)
RULES, G.S.R. 125, (1987).
4. ATOMIC ENERGY (CONTROL OF IRRADIATION OF FOOD) RULES,
G.S.R. 253, (1996).
5. ATOMIC ENERGY (FACTORIES) RULES, G.S.R. 254, (1996).
6. INDUSTRIAL RADIOGRAPHY (RADIATION SURVEILLANCE)
PROCEDURES G.S.R. 735, (1980)
7. RADIATION SURVEILLANCE PROCEDURES FOR TRANSPORT OF
RADIOACTIVE MATERIALS, (1987)
8. RADIATION SURVEILLANCE PROCEDURES FOR MEDICAL
APPLICATIONS OF RADIATION, G.S.R. 388, (1989).
9. ORDER CONSTITUTING ATOMIC ENERGY REGULATORY BOARD,
S.O. 4772, (1983).
10. ATOMIC ENERGY REGULATORY BOARD, Regulation of Nuclear and
Radiation Facilities, AERB Safety Code No. AERB/SC/G, Mumbai, India
(2000).
11. ATOMIC ENERGY REGULATORY BOARD, Safety Code on Emergency
Response Planning and Preparedness for Transport Accidents Involving
Radioactive Material. AERB/SC/TR-3, Mumbai, India (1990).
12. ATOMIC ENERGY REGULATORY BOARD, Safety Standard on ‘Industrial
Gamma Radiography Exposure Devices and Source Changers’, AERB Safety
Standard No. AERB/RF-IR/SS-1 (Rev. 1), Mumbai, India (2007).
13. ATOMIC ENERGY REGULATORY BOARD, Safety Standard on ‘Design
and Construction of Industrial Ionising Radiation Gauging Devices’, AERB
Safety Standard No. AERB/SS/2, Mumbai, India (2001).
14. ATOMIC ENERGY REGULATORY BOARD, Safety Standard on ‘Testing
and Classification of Sealed Radioactive Sources’, AERB Safety Standard
No. AERB/SS/3 (Rev. 1), Mumbai, India (2001).
15. ATOMIC ENERGY REGULATORY BOARD, Safety Standard on
‘Radiological Safety in the Design and Manufacture of Consumer products
Bi
Containing Radioactive Substances’, AERB Safety Standard No. AERB/SS/
4, Mumbai, India (1991).
16. ATOMIC ENERGY REGULATORY BOARD, Safety Standard on
‘Radiological Safety in the Design and Manufacture of X-ray Analysis
Equipment’, AERB Safety Standard No. AERB /SS/5, Mumbai, India (1992).
17. ATOMIC ENERGY REGULATORY BOARD, Safety Standard on ‘Land
Based Stationary Gamma Irradiators’, AERB Safety Standard No. AERB/
RF-IRRAD/SS-6 (Rev. 1), Mumbai, India (2007).
18. INTERNATIONAL COMMISSION ON RADIOLOGICA PROTECTION,
ICRP-103, (2007).
19. INTERNATIOANL ATOMIC ENERGY AGENCY(IAEA), Safety Series No.
115, International Basic Safety Standards for Protection against Ionising
Radiation and for the Safety of Radiation Sources, Vienna (1996).
20. INTERNATIOANL ATOMIC ENERGY AGENCY (IAEA), Standards Series
No. TS-R-1, Regulations for the Safe Transport of Radioactive Material,
Vienna (2009).
21. INTERNATIONAL ELECTROTECHNICAL COMMISSION (IEC),
Medical Electrical Equipment- Part-1: General Requirements for Basic Safety
and Essential Performance; IEC 60601-1 (2005)
Medical Electrical Equipment- Part-2-1: Particular Requirements for Safety
of Electron Accelerators in the Range of 1 MeV to 50 MeV IEC-60601-2-
1 (1998)
23. INTERNATIONAL ELECTROCHEMICAL COMMISSION (IEC), Medical
Electrical Equipment- Part-2 : Particular Requirements for the Safety of
Gamma Beam Therapy Equipment: IEC-60601-2-11 (1997).
Medical Electrical Equipment- Part-2: Particular Requirements for the Safety
of Automatically-Controlled Brachytherapy Afterloading Equipment; IEC-
60601-2-17 (2005).
Medical Electrical Equipment- Part 2-7: Particular Requirements for the
Safety of High-Voltage Generators of Diagnostic X-Ray Generators; IEC-
60601-2-7 (1998).
Medical Electrical Equipment- Part-2: Particular Requirements for the Safety
of Associated Equipment of X-Ray Equipment; IEC-601-2-32 (1994).
Bii
27. BUREAU OF INDIAN STANDARDS (BIS), Specifications for Diagnostic
Medical X-ray Equipment, Part-1: General and Safety Requirements, IS-7620
(1986).
Medical X-ray Equipment, Part-2: Performance Requirements, IS-7620
(1986).
Medical X-ray Equipment, Part-3: Radiation Safety Requirements, IS-7620
(1991).
30. BUREAU OF INDIAN STANDARDS (BIS), Specifications for Dental X-
ray Equipment, Radiation Safety Requirements, IS-13709 (1993).
31. NATIOANAL BUREAU OF STANDARDS, NBS Handbook-127, American
National Standards N433.1, Safe Design and Use of Self Contained, Dry
Source Storage Gamma Irradiators (Category-I) (1979).
32. NATIOANAL BUREAU OF STANDARDS, NBS Handbook-142, American
National Standards N43.10, Safe Design and Use of Panoramic, Wet Source
Storage Gamma Irradiators (Category-IV) (1984).
33. INTERNATIONAL STANDARD, Sealed Radioactive Sources - General
Requirements and Classification; ISO 2919:1999 (E) (1999).
34. INTERNATIONAL STANDARD, Radiation Protection – Sealed Radioactive
Sources - Leakage Test Methods; ISO 9978:1992 E (1992).
35. INTERNATIONAL STANDARD, Apparatus for Gamma Radiography-
Specification ISO 3999 (2000).
36. INTERNATIONAL STANDARD, Radionuclide Gauges - Gauging Designed
for Permanent Installation, ISO-7205 (1986).
Biii
LIST OF PARTICIPANTS
DRAFT DOCUMENT PREPARED BY (1994-2006)
Late Dr. I.S. Sundara Rao : AERB (Former)

Shri K.D. Pushpangadan : AERB (Former)
Shri T.N. Krishnmurthi : AERB (Former)
DRAFT DOCUMENT FULLY REVISED (2008-2009)
WORKING GROUP
Dates of meeting: August 21, 25, 26, 2008

September 8, 9, 15, 25, 30, 2008
October 1, 2008
November 6, 7, 2008
December 1, 2, 3, 4, 5, 8, 11, 12, 29, 2008
January 13, 27, 2009
February 3, 4, 5, 11, 12, 13, 17, 18, 2009
March 2, 3, 2009
April 11, 12, 13, 2009
May 7, 8, 13, 14, 15, 18, 19, 21, 22, 2009
Shri S.T. Swamy (Convenor) : AERB

Dr. R.M. Nehru : AERB
Shri A.U. Sonawane : AERB
Shri R. Kannan : AERB
Shri R.P. Gupta : AERB
Dr. P.K. Dash Sharma : AERB
Shri R.K. Singh : AERB
Shri Suneet K. : AERB
Smt. Bharati I. : AERB
Smt. Anuradha V. (Member-Secretary) : AERB
Li
LIST OF PARTICIPANTS
ACKNOWLEDGEMENTS (2008-2010)
(for contributions in revision of document)
Shri S.A. Hussain : AERB

Shri V.K. Shirva : AERB (Retd.)
Smt B. Nagalakshmi (Retd) : AERB (Retd.)
Dr. P.K. Tandon : AERB
Shri V.S. Iyer : AERB
Shri Brijesh K. Singh : AERB
Shri Dinesh M. Rane : AERB
Shri Ghanshyam Sahani : AERB
Shri Pravin Patil : AERB
Shri Soumen Sinha : AERB
Shri M.Senthil Kumar : AERB
Smt. Manisha Inamdar : AERB
Shri Nidhip M. Chodankar : AERB
Shri Amit Sen : AERB
Kum. Arti Kulkarni : AERB
Shri Neeraj Dixit : AERB
Shri R.K. Chaturvedi : AERB
Shri Bibek Mishra : AERB
CONSISTENCY CHECK (APRIL - JULY 2010)
Shri K. Srivasista : AERB
Lii
ADVISORY COMMITTEE ON PREPARATION OF CODES,
ORGANISATION FOR NUCLEAR AND RADIATION
FACILITIES (ACCGORN)
Dates of meeting: January 23, 1998 February 10, 1998

June 17, 1999 July 12, 1999
October 5 & 6, 2000 October 17, 2000
April 1, 2005 August 4, 2006
September 25 & 26, 2006 October 5, 2006
November 24, 2007 July 4, 2008
August 7 & 8, 2008 November 28, 2008
Chairman, Members and Invitees of ACCGORN:
Late Dr. S.S. Ramaswamy, Chairman : Director General, Factory Advice

(till January 2003) Director General, Factory Advice
Service and Labour Institute
(FASLI) (Former)
Shri G.R. Srinivasan, Chairman : Vice Chairman, AERB (Former)
(Since February 2003)
Shri G.V. Nadkarny : NPCIL (Former)
Shri A.K. Asrani : AERB (Former)
Shri T.N. Krishnamurthi : AERB (Former)
Late Dr. I.S. Sundara Rao : AERB (Former)
Shri N.K. Jhamb : AERB (Former)
Dr. K.S. Parthasarthy : AERB (Former)
Shri P.K. Ghosh : AERB (Former)
Shri G.K. De : AERB (Former)
Shri Deepak De : AERB (Former)
Shri P. Hajra : AERB (Former)
Shri R. Venkataraman : AERB (Former)
Liii
ADVISORY COMMITTEE ON PREPARATION OF CODES,
ORGANISATION FOR NUCLEAR AND RADIATION
FACILITIES (ACCGORN) (Contd.)
Chairman, Members and Invitees of ACCGORN (Contd.):
Shri S.P. Agarwal : AERB (Former)

Shri S.K. Chande : AERB
Dr. S.K. Gupta : AERB
Dr. P.C. Basu : AERB
Shri R.I. Gujrathi : AERB
Dr. Ompal Singh : AERB
Shri R. Bhattacharya : AERB
Shri Y.K. Shah (Member Secretary) : AERB
Shri S.T. Swamy (Permanent Invitee) : AERB
Smt. V. Anuradha (Permanent Invitee) : AERB
Liv
PROVISIONAL LIST OF CODES, GUIDES AND MANUALS
FOR REGULATION OF NUCLEAR AND RADIATION
FACILITIES
Safety Series No. Titles
AERB/SC/G Regulation of Nuclear and Radiation Facilities

AERB/NPP&RR/ Consenting Process for Nuclear Power Plants and
SG/G-1 Research Reactors
AERB/NF/SG/G-2 Consenting Process for Nuclear Fuel Cycle Facilities and
Related Industrial Facilities other than Nuclear Power
Plants and Research Reactors
AERB/RF/SG/G-3 Consenting Process for Radiation Facilities
AERB/SG/G-4 Regulatory Inspection and Enforcement in Nuclear and
Radiation Facilities
AERB/SG/G-5 Role of AERB with respect to Emergency Response and
Preparedness at Nuclear and Radiation Facilities
AERB/SG/G-6 Codes, Standards and Guides to be Prepared by the AERB
for Nuclear and Radiation Facilities
AERB/SG/G-7 Regulatory Consents for Nuclear and Radiation Facilities:
Contents and Formats
AERB/SG/G-8 Criteria for Regulation of Health and Safety of Nuclear
Power Plant Personnel, the Public and the Environment
AERB/NPP&RR/ Regulatory Inspection and Enforcement in Nuclear
SM/G-1 Power Plants and Research Reactors
AERB/NF/SM/G-2 Regulatory Inspection and Enforcement in Nuclear Fuel
Cycle and Related Industrial Facilities other than
Nuclear Power Plants and Research Reactors
AERB/RF/SM/G-3 Regulatory Inspection and Enforcement in Radiation
Facilities
Pi
AERB SAFETY GUIDE NO. AERB/RF/SG/G-3 (Vol. 3 of 4)
Published by : Atomic Energy Regulatory Board

Niyamak Bhavan, Anushaktinagar
Mumbai - 400 094
INDIA. BCS

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GUIDE NO. AERB/RF/SG/G-3 (Vol.

AERB SAFETY GUIDE

ATOMIC ENERGY REGULATORY BOARD

Atomic Energy Regulatory Board

Order for this guide should be addressed to:

Chief Administrative Officer

Activities concerning establishment and utilisation of nuclear facilities and use of

DEFINITIONS ....................................................................... iii

SPECIAL DEFINITIONS ....................................................................... xi

2. CLASSIFICATION OF CONSENTS AND CONSENTING

3. INFORMATION REQUIREMENTS FOR CONSENTING .... 15

4. REVIEW AND ASSESSMENT PROCESS ............................. 78

APPENDIX-1 INDUSTRIAL SAFETY ............................... 87

APPENDIX-2A FORMAT OF SITE ASSESSMENT

APPENDIX-2B FORMAT OF THE PRELIMINARY

APPPENDIX-2C FORMAT FOR THE ACCEPTANCE

APPPENDIX-2D FORMAT OF THE FINAL SAFETY

APPENDIX-2E RADIATION PROTECTION MANUAL

APPENDIX-2F QUALITY ASSURANCE MANUAL

APPENDIX-3B-I FORMAT OF THE PRELIMINARY

APPENDIX-3B-II FORMAT OF THE PRELIMINARY

APPENDIX-3B-III FORMAT OF THE PRELIMINARY

APPENDIX-3C FORMAT FOR ACCEPTANCE TEST

APPENDIX-3D-I & II FORMAT OF THE FINAL SAFETY

APPENDIX-3E FORMAT FOR RADIATION

APPENDIX-3F QUALITY ASSURANCE MANUAL

APPENDIX-4A FORMAT FOR SITE EVALUATION

APPENDIX-4B, 4D FORMAT FOR (PRELIMINARY/

APPENDIX-4C FORMAT FOR THE ACCEPTANCE

APPENDIX-4F QUALITY ASSURANCE (QA)

APPENDIX-5B FORMAT OF THE PRELIMINARY

APPENDIX-5D FORMAT OF THE FINAL SAFETY

APPENDIX-5F QUALITY ASSURANCE MANUAL

APPENDIX-6A FORMAT FOR SITE ASSESSMENT

APPENDIX-6B FORMAT OF THE PRELIMINARY

APPENDIX-6D FORMAT OF THE FINAL SAFETY

APPENDIX-6E RADIATION PROTECTION MANUAL

APPENDIX-6F QUALITY ASSURANCE MANUAL

APPENDIX-7E RADIATION PROTECTION MANUAL

APPENDIX-8E RADIATION PROTECTION MANUAL

APPENDIX-9E RADIATION PROTECTION MANUAL

APPENDIX-10 LIST OF AERB, STANDARDS,

ANNEXURE-1 APPLICATION FOR CONSENT FOR

ANNEXURE-2 APPLICATION FOR LAYOUT AND

ANNEXURE-3 APPLICATION FOR LICENCE FOR

ANNEXURE-4 APPLICATION FOR OBTAINING

ANNEXURE-5 APPLICATION FOR SITING,

ANNEXURE-6 APPLICATION FOR LICENCE FOR

ANNEXURE-7 APPLICATION FOR CONSENT FOR

ANNEXURE-8 APPLICATION FOR CONSENT FOR

ANNEXURE-9 FORMAT FOR APPLICATION FOR

ANNEXURE-11 APPLICATION FOR LICENCE FOR

ANNEXURE-13 APPLICATION FOR CONSENT FOR

ANNEXURE-14 APPLICATION FOR LICENCE FOR

ANNEXURE-15 APPLICATION FOR LAYOUT PLAN