DO NOT MODIFY THE WORK SHEET.

FILL UP THE BLUE

Name of the Medical Physicist responsible for the measurements
Date of completion of the measurements
1 General Information of the Linear Accelerator unit
1.1 Manufacturer
1.2 Model
1.3 Sr. No.
1.4 Normal treatment distance (NTD)
1.5 Field size (Minimum in cm 2)
1.6 Field size (Maximum in cm 2)
1.7 Electron applicator(s) field sizes, if applicable
1.8 Radiation beam type ( Photon Only/Photon(s) and Electron (s))
1.8.1 Nominal flattened photon beam energies (MV)

1..8.2 Nominal un-flat photon beam energies(MV)

1.8.3 Nominal electron beam energies (MeV)
1.8.4 Dose rate ranges (flattened photon beam energies)
1.8.5 Dose rate ranges (un-flat photon beam energies)
1.8.6 Dose rate ranges (Electron beam energies)
1.9 Available Treatment options (Conventional /3D CRT/
IMRT/ IGRT/SRS/SRT/SBRT/VMAT/ Any Other)

1.10 Available imaging modality and energy (e.g. Portal Imaging, kVCT,
MVCT etc.)
1.10.1 Specify salient technical features of Imager (such as: EPID, Flat
Panel, FOV, any other)
1.11 Any other ionizing radiation based imaging/positioning system
1.12 Multileaf Collimator (MLC) ( Available/Not available)
1.12.1 Type of in-built MLC ( Secondary/ Tertiary)
1.12.1.1 Make and Model
1.12.1.2 Minimum definable field size at isocentre
1.12.1.3 Maximum definable field size at isocentre
1.12.1.4 Number of leaves
1.12.1.5 Projected leaf width at isocenter
1.12.1.6 Over travel distance
1.12.2 Details of add-on MLC
1.12.2.1 Make and Model
1.12.2.2 Minimum definable field size at isocentre
1.12.2.3 Maximum definable field size at isocentre
1.12.2.4 Number of leaves
1.12.2.5 Projected leaf width at isocenter
1.12.2.6 Over travel distance
1.13 Couch type (e.g. 4D/6D) and material
1.14 Any other technical information

2 Performance test results of the Conventional/3DCRT

Capable LINAC
Sr. No. Parameters

2.1 Mechanical Tests ( Couch)

2.1.1 Minimum Level of table top above floor
2.1.2 Longitudinal motion of couch
2.1.3 Vertical motion of couch from isocentre

2.1.4 Lateral motion of couch

2.1.5 Rotational motion of couch (----deg to -----deg)
2.1.6 Minimum Linear speed of table top
2.1.7 Maximum Linear speed of table top
2.1.8 Minimum Rotational speed of couch

2.1.9 Maximum Rotational speed of couch

2.1.10 Accuracy of longitudinal motion of couch/ table top

2.1.11 Accuracy of Lateral motion of couch/ table top

2.1.12 Accuracy of Vertical motion of couch/ table top

2.1.13 Accuracy of angular motion of couch

2.1.14 Table top sag at isocenter when loaded with 135kg distributed over
2m through isocenter
2.1.15 Shift in centre of optical field due to vertical motion of couch from
min. to max. position
2.1.16 Shift in Isocentre due to couch rotation
2.1.17 Couch Transmission

2.2 Mechanical Tests (Collimator)

2.2.1 Rotational Motion of collimator (----deg to -----deg)
2.2.2 Accuracy of angular scale of collimator

2.2.3 Gap between isocentre and end of accessory mount

2.2.4 Shift in Isocentre due to Collimator rotation
2.2.5 Minimum Rotational speed of collimator
2.2.6 Maximum Rotational speed of collimator
2.2.7 Minimum Jaw Speed
2.2.8 Maximum Jaw Speed

2.2.9 Orthogonality of the adjacent jaws

2.2.10 Symmetry of the jaws
2.2.11 Optical field intensity
2.2.12 Coincidence of MLC and secondary collimator axes

2.2.13 Reproducibility of leaf positions

2.2.14 Accuracy of Leaf positions
2.2.15 Congruence between MLC fields and beam’s eye view (BEV)

2.2.16 Accuracy of optical field size in the range of 5x5 to 40x40 cm2
(symmetrical field)

2.2.17 Accuracy of optical field size for a range of asymmetric field

2.3 Mechanical Tests (Gantry)

2.3.1 Accuracy of gantry angle calibration
2.3.2 Accuracy of gantry angular position during arc motion
2.3.3 Shift in isocentre due to gantry rotation
2.4 Other mechanical tests
2.4.1 Coincidence among the Mechanical front pointer, optical distance
indicator (ODI) and lasers
2.4.2 Accuracy of ODI in the range of ±20 cm from isocentre
2.4.3 Accuracy of laser alignment with isocentre
2.4.4 Positional reproducibility of physical wedges

2.4.5 Positional reproducibility for Tray

2.4.6 Positional reproducibility for electron applicator
2.4.7 Latching of wedges and blocking tray provided and working
2.5 Electrical test
2.5.1 Treatment room door interlock provided and working
2.5.2 Emergency OFF switches provided and working
2.5.3 Interrupt switch provided and working
2.5.4 Anti-collision system provided and working
2.5.5 Whether all movements of the table and accelerator are controlled
using the pendant
2.5.6 Are all operating parameters displayed on the console/in room
monitor and functional?
2.5.7 Are safety switches operable from control console?
2.5.8 Is arc / rotation switch start / terminate the rotation at the pre-
assigned angle?
2.5.9 Is mode selection switch/option provided?
2.5.10 Is irradiation feasible only after mode selection?
2.5.11 Does alteration of the mode during the irradiation cuts off the beam

2.5.12 Does primary dose monitoring system of a primary/secondary dose

monitoring system terminates irradiation when the selected number
of dose monitor units has been reached
2.5.13 Is secondary dose monitoring system terminates irradiation when the
pre-selected number of dose monitor units has been exceeded,
either by not more than l0% if a percentage margin is used, or by not
more than the equivalent of 0.25 Gy absorbed dose at NTD

2.5.14 Is irradiation possible only after having pre-selected monitor units on

the control console?
2.5.15 Is the number of monitor units continued to be displayed until reset
to zero?
2.5.16 Are residual monitor units displayed (at least for 20 min.) even after
accidental or intentional power cut off?
2.5.17 Are dose monitor systems functions independently?
2.5.18 Is each dose monitor system capable of terminating the irradiation
independently?
2.5.19 Is independent timer provided?
2.5.20 Does the timer start and stop simultaneously with the irradiation?

2.5.21 Is wedge filter integrated into unit head with pre-selected mode of
insertion and interlocked with console?
2.5.22 Whether angle/ orientation of the wedge filter displayed during use?

2.5.23 Is shielding tray interlock provided and functional?

2.5.24 Is it true that irradiation in photon mode is not possible, if
accessories of electron mode are in use and vice-versa?
2.5.25 Is radiation type displayed on control panel before, during and after
irradiation?
2.5.26 Is range of photon and electron energies displayed on panel?
2.5.27 Is selected energy displayed on panel during and after irradiation?

2.5.28 Whether no irradiation possible without wedge filter selection on

control panel?
2.6 Dosimetry Test (Photon Beam)
2.6.1 Congruence between optical and radiation fields (Symmetric
Fields:5x5 cm2, 10x10 cm2, 20x20 cm2, 30x30 cm2)
2.6.2 Congruence between optical and radiation fields (Asymmetric fields
defined by over travel option of the collimator) for most useful
clinically photon beam and for field sizes mentioned below: 10(X1=
- 5cm and X2= 15cm)*10 (Y)cm 10 (X)
cm*10(Y1= -5 cm and Y2= 15 cm

2.6.3 Overlapping between parallel opposed radiation fields defined by

jaws for 10x10 cm2 for most useful clinically photon beam
2.6.4 Overlapping between parallel opposed radiation fields defined by
MLC for 10x10 cm2 for most useful clinically photon beam
2.6.5 Accuracy of radiation isocentre
2.6.6 Flatness for symmetrical fields at 10 cm depth in isocentric set-up for
all available photon beam energies and for field sizes 5x5, 10x10
and 30x30 cm2

2.6.7 Symmetry for symmetrical fields at 10 cm depth in isocentric set-up

for all available photon beam energies and for field sizes 5x5, 10x10
and 30x30 cm2
2.6.8 Radiation beam penumbra for 10x10 cm2 at dmax for all available
photon beam energies
2.6.9 Output (cGy/MU) for all available photon beam energies for field size
10x10 cm2 under reference condition
2.6.10 Output Constancy at different times in a day for all available photon
beam energies and for field size 10x10 cm2
2.6.11 Output constancy at cardinal positions (00, 900, 2700 & 1800) of the
gantry for all available photon beam energies and for field size 10x10
cm2
2.6.12 dmax for available photon energies

2.6.13 PDD for 10x10 cm2 at 10 cm depth for available photon energies

2.6.14 Percent surface dose for 30x30 cm2 [(Ds=D0.5mm/Ddmax)*100] for

available photon energies 4 to 18 MV)

2.6.15 Quality Index (TPR20/10) for available photon energies

2.6.16 Energy stability (quality index) for available photon energies at

different times in a day
2.7 Dosimetry Test (Electron Beam)
2.7.1 Congruence between optical and radiation fields for 10x10 cm2
applicator and for most useful clinically electron beam
2.7.2 Flatness along major axes at the standard measurement depth (as
specified in IEC standard) as separation between 90% and 50%
dose points on either side of the beam profile for all available
electron beam energies:
i)10x10 cm2 applicator
ii) Maximum applicator size

2.7.3 Symmetry along major axes at depth of dose maxima in SSD set-up
(maximum ratio of absorbed doses at symmetrical points from
central beam axis and more than 1 cm inside the 90% isodose
contour ) for all available electron beam energies
2.7.4 Radiation field penumbra at dmax for 10x10 cm2 applicator size for all
available energies
2.7.5 dmax for 10x10 cm2 applicator size for following energies in MeV

2.7.6 X-ray contamination for all available energies for 10x10 cm2
applicator size
2.7.7 Most probable energy Ep,0 at phantom surface for 20x20 cm 2
applicator size for all available energies
2.7.8 R50 (cm) in water for all available energies for 10x10 cm 2 applicator
size
2.7.9 Energy stability for 10x10 cm2 applicator in terms of R50 for all
available energies at different times in a day
2.7.10 Output calibration (cGy/MU) for all available electron beam energies
using applicator of 10x10 cm2 in SSD set-up
2.7.11 Output Constancy at different times in a day for all available electron
beam energies and for 10x10 cm2 applicator size
2.8 Dose Monitoring System
2.8.1 Reproducibility for most useful clinically photon beam and most
useful clinically electron beam for 10x10 cm2 applicator size

2.8.2 Linearity for most useful clinically photon beam and most useful
clinically electron beam for 10x10 cm2 applicator size (for ≥ 5 MU )

2.8.3 Dependence of monitor response on gantry rotation for most useful

clinically photon beam and most useful clinically electron beams for
10x10 cm2 applicator size
2.8.4 Temporal stability of the monitor response at different times of the
day for most useful clinically photon beam and most useful clinically
electron beams for 10x10 cm2 applicator size
2.9 Radiation Safety
2.9.1 *Maximum Photon leakage radiation through beam limiting devices
(Secondary collimator) at NTD
2.9.2 *Average Photon leakage radiation through beam limiting devices
(Secondary collimator) at NTD
2.9.3 *Maximum Photon leakage radiation through MLC when either pair
of jaws is replaced with MLC
2.9.4 *Average Photon leakage radiation through MLC when either pair of
jaws is replaced with MLC
2.9.5 *Photon leakage radiation through MLC when MLC is used as
tertiary jaws
2.9.6 *Maximum Photon leakage radiation in the patient plane#
2.9.7 *Average Photon leakage radiation in the patient plane#
2.9.8 *Maximum Neutron leakage radiation in the patient plane#
2.9.9 *Average Neutron leakage radiation in the patient plane#
2.9.10 *Maximum percentage of photon leakage radiation at 1 m from the
target; path of electrons between electron gun and the target or
electron window in other than patient plane
2.9.11 *Maximum percentage of neutron leakage radiation at 1 m from the
target; path of electrons between electron gun and the target or
electron window in other than patient plane
2.9.12 The ambient dose equivalent due to induced activity in the
components of the accelerator$ at 5 cm from the surface
2.9.13 The ambient dose equivalent due to induced activity in the
components of the accelerator$ at 1 m from the surface

*Percentage leakage radiation is percentage of maximum absorbed dose for 10 cm x 10 cm radiation field size measured on
beam axis at NTD
# Circular plane of radius 2 m centred on radiation beam axis at NTD
$As per AERB safety code No. AERB/RF-MED/SC-1 (Rev. 1)

3 Performance test results of the Filtered Beam IMRT Linear

Accelerator
(Note: Following tests need to be carried out for IMRT capable LINAC in addition to the
tests for conventional LINAC)

Sr. No. Parameters

3.1 Mechanical Tests

3.1.1 Positional reproducibility of longitudinal motion of the couch
3.1.2 Positional reproducibility of lateral motion of the couch
3.1.3 Positional reproducibility of Vertical motion of the couch
3.1.4 Shift in centre of optical field with collimator axis of rotation

3.1.5 Laser alignment with isocentre

3.1.6 Leaf position accuracy (at 0° and 90° /270° gantry positions)
3.1.7 Leaf position reproducibility (at 0° and 90° /270° gantry positions)

3.1.8 Accuracy of Leaf speed (at 0° and 90° /270° gantry positions)

3.2 Dosimetry Tests

3.2.1 Output consistency for low MU settings (for 2-4 MU) at nominal dose
rate for 6 MV photon beam and for field size 10x10 cm2
3.2.2 Output consistency at lowest and highest dose rate settings for 6
MV photon beam and for field size 10x10 cm2
3.2.3 Output consistency at 0° and 90° /270° gantry positions for 6 MV
photon beam and for field size 10x10 cm2
3.2.4 Beam flatness consistency for field size 5x5 cm2 at 10cm depth for 6
MV photon beam
3.2.5 Beam symmetry consistency for field size 5x5 cm2 at 10cm depth for
6 MV photon beam
3.2.6 Consistency of PDD (10x10 cm2 at 10 cm depth) for 6 MV photon
beam
3.2.7 Consistency of TMR/ TPR (10x10 cm2 at a typical clinical depth) for
6 MV photon beam
3.2.8 Leaf positioning accuracy e.g. Garden fence test at different MLC
speeds and dose rate for 6 MV photon beam
4 Performance test results of the SRS/SRT/SBRT LINAC
(Note: Following tests need to be carried out for SRS/SRT/SBRT capable LINAC in
addition to the tests for conventional LINAC)
Sr. No. Parameters

4.1 Mechanical Tests

4.1.1 Accuracy of field size indicator with MLC used for SRS/SRT/SBRT
(for field size up to 5x5 cm2)
4.1.2 Accuracy of Laser alignment with isocentre
4.1.3 Shift in centre of optical field with collimator axis of rotation
4.1.4 Shift in centre of optical field with couch axis of rotation
4.1.5 Shift in centre of optical field with gantry axis of rotation
4.1.6 Accuracy of longitudinal position indicators of the couch
4.1.7 Accuracy of lateral position indicators of the couch

4.1.8 Accuracy of vertical position indicators of the couch

4.1.9 Accuracy of angular position indicator of the couch

4.2 Dosimetry Tests
4.2.1 Radiation isocenter accuracy e.g. Winston-Lutz test
4.2.2 Dependence of monitor response on gantry rotation for 6 MV photon
beam and for field size 3 x3 cm2
4.2.3 Beam flatness constancy for field size 3x3 cm2 at 10cm depth for 6
MV photon beam
4.2.4 Beam symmetry constancy for field size 3x3 cm2 at 10cm depth for
6 MV photon beam
4.2.5 Constancy of x-ray beam quality for 6 MV photon beam and for field
size 3 x3 cm2
4.2.6 Monitor unit linearity for 6 MV photon beam and for field size 3 x3
cm2
4.2.7 Reproducibility of PDD (10x10 cm2 at 10 cm depth) for 6 MV photon
beam
4.2.8 Reproducibility of TMR/ TPR (for 3x3 and 10x10 cm2 at a typical
clinical depth) for 6 MV photon beam
4.2.9 Reproducibility of output factors (SRS/SRT/SBRT for field sizes 1x1,
2x2, 3x3, 4x4 and 5x5 cm2) for 6 MV photon beam
5 Performance test results of the Volumetric Modulated Arc
Therapy (VMAT)@ Linear Accelerator
(Note: Following tests need to be carried out for VMAT capable LINAC in addition to the
tests for conventional LINAC + IMRT capable LINAC)

Sr. No. Parameters

5.1 Mechanical Tests

5.1.1 Accuracy of gantry angular position during arc motion
5.1.2 Maximum Leaf Speed
5.1.3 Maximum Gantry Speed

5.1.4 Accuracy of Leaf Speed

5.1.5 Accuracy of leaves position
5.2 Dosimetry Tests
5.2.1 Monitor chamber constancy during Arc mode of the gantry
5.2.2 Output constancy with varying dose rate and full Arc motion of the
gantry
5.2.3 Accuracy of dose with variation of dose rate and gantry speed
5.2.4 Beam flatness over full Arc motion of the gantry; detector attached
to gantry head

5.2.5 Beam flatness constancy over full Arc motion of the gantry
5.2.6 Beam Symmetry over full Arc motion of the gantry

5.2.7 Beam Symmetry constancy over full Arc motion of the gantry
5.2.8 Constancy of x-ray beam quality with full Arc motion of the gantry

@
Test pertaining to VMAT parameters are not comprehensive therefore additional tests needs to be carried out and
specifications/customer acceptance tests.

6 Performance test results of the Unflat (Flattening Filter Free) Photon Beam
[Note: (1) Following additional tests need to be carried out for operation of LINAC in Unflat (FFF) photon beam mode; (2) The tolera
indicated is the deviation of the parameter from its baseline value except for those indicated by *. Please refer AERB protocol “Acc
Test/QA/Un-flat beam” for Quality Assurance/Acceptance Test for Unflat (FFF) beam for further information] *The tolerance value is
on the survey conducted prior to implementation of the protocol

Sr. No. Parameters

6.1 Beam quality (TPR20/10)

6.2 Difference in % Surface Dose (PSD) between flat and unflat beams
of similar nominal photon beam energy

6.3 Off Axis Ratio (OAR) : Cross-plane (at ±3 cm from central axis at 10
cm depth)

6.4 Off Axis Ratio (OAR) : In-plane (at ±3 cm from central axis at 10 cm
depth)

6.5 Depth of dose maximum (dm) (mm)

6.6 Constancy of Percentage Depth Dose (PDD) at 10 cm depth

6.7 Constancy of symmetry (%)

6.8 Separation between IPL & IPR (cm) [Refer Fig.E.1 in sheet 2]

6.9 Lateral width at 90% dose level (X90%) (cm) [Refer Fig.E.2 in sheet 2]

6.10 Lateral width at 75% dose level (X75%) (cm) [Refer Fig.E.2 in sheet
2]

6.11 Lateral width at 60% dose level (X60%) (cm) [Refer Fig.E.2 in sheet
2]

6.12 Radiation beam Penumbra (Pb-Pa) (mm) [Refer Fig.E.1 in sheet 2]

7 Performance test results of the MV imaging system

(Note: Following tests need to be carried out for imaging system capable LINAC in addition to the tests for other treatment modalit
*Applicable for cone beam CT

Sr. No. Parameters

7.1 Collision interlocks provided and working

7.2 Positional/re-positional accuracy of imager
7.3 Coincidence of centre of imaging system and isocentre (vertical
gantry)
7.4 Geometric distortion*
7.5 Spatial (high contrast) resolution

7.6 Low Contrast resolution

7.7 Uniformity and noise

7.8 Accuracy of HU values*

7.9 Constancy of HU values*

8 Safety aspects of Accelerator installation

Sr. No. Parameters

8.1 Radiation Warning legend and symbol at the treatment room

entrance and at the entrance of the controlled and supervised areas
is provided
8.2 Radiation warning light at/or near the entrance to the treatment room
is provided and working
8.3 Audiovisual monitor provided and working
T. FILL UP THE BLUE CELLS ONLY
Tolerance Limit Observation ( Write Observation is Remarks, if any
“Yes/No or give values of meeting the
the measurement”, as the requirments
case may be)

≤ 80 cm
≥ 70 cm
˃40 cm below isocentre and ˃3 cm
above isocentre
± 20 cm
At least ±90 degree
Min ≤ 1 cm/sec
Max ≤ 10 cm/sec
Min: ≤ 1°/sec

Max: ≤ 7°/sec

0.3 cm for speed ≤2.5 cm /sec & 1 cm

for > 2.5 cm /sec
0.3 cm for speed ≤2.5 cm /sec & 1
cm for > 2.5 cm /sec
0.3 cm for speed ≤2.5 cm /sec & 1
cm for > 2.5 cm /sec
0.5° at ≤ 1°/sec & 3° for > 1°/sec
≤ 2 mm

≤ 2 mm

≤ 2 mm dia
Provide Manufacturer’s specified
Tolerance______

≥ ±100°
0.5 deg at ≤ 1°/sec and
3 deg for > 1°/sec
≥ 30 cm
≤ 2 mm dia.
Min ≤ 1°/sec
Max ≤ 7°/sec
Min: ≤ 1 cm/sec
Max: ≤ 10 cm/sec

±1°
±1 mm
≥ 40 Lux
1 mm (applicable for tertiary and add on
MLC only)
±1 mm
±1 mm
±2 mm (This test should be carried out
for regular and irregular fields)
(i) ±1 mm for Fs ≤ 10x10 cm2 (ii) ±1%
(not exceeding 2mm) of Fs, for Fs>
10x10 cm2
(i) ±1 mm for Fs ≤ 10x10 cm2 (ii) ±1%
(not exceeding 2mm) of Fs, for Fs>
10x10 cm2

≤ 0.5°
0.5° for ≤ 1°/sec and 3° for > 1°/sec
2 mm dia.

2 mm dia. sphere

± 2 mm
± 2 mm
2 mm or 2% change in wedge
transmission
2 mm
2 mm
± 2 mm

± 2 mm

3 mm

3 mm

2 mm dia sphere
Flatness for field sizes 5x5 cm2 to
30x30 cm2 : ≤ 106 % & for field size
>30x30 cm2: < 110 %

≤ 103 %

≤10 mm

2%
2%

Typical value with possible variations:

1.0±0.2 cm for 4 MV
1.5±0.2 cm for 6 MV
2.3±0.2 cm for 10MV
2.9±0.2 cm for 15 MV
3.2± 0.2 cm for 18 MV

Typical value with possible variations:

63.0%±2% for 4 MV
67.5%±2% for 6 MV
73.0%±2% for 10MV
77.0%±2.0% for 15 MV
79.0%±2.0% for18MV

≤ 70% for 4 MV
≤ 60% for 6 MV
≤ 50% for 8 to 18 MV
Typical value:
0.626±3% for 4 MV
0.677±3% for 6 MV
0.731±3% for 10MV
0.763±3% for 15 MV
0.775±3% for 18MV

± 1%

± 2 mm

≤ 10 mm

105%

≤15 mm

±2 mm of the manufacturer specified Manufacturer specified value……

value

<4% up to 6 MeV,
<5% for 6-15 MeV,
<10% for > 15 MeV
Quote the calculated values from beam
data
Provide Manufacturer’s specified value Manufacturer specified value……

± 4%

± 2%

CoV ≤ 0.5% CoV for X:

CoV for E:

CoL≤ 2 %
Linearity for X:
Linearity for E:

≤ 3%

≤ 2%

Maximum:2%

Average : 0.75%

Maximum: 2%

Average : 0.75%

5% (Maximum)

Maximum : 0.2%
Average : 0.1%
Maximum : 0.05%
Average : 0.02 %
0.5% ( Photon)

0.05% (Neutron)

200 µSv/h
 20 µSv/h

e for 10 cm x 10 cm radiation field size measured on central

Tolerance Limit Observation ( Write Observation is Remarks, if

“Yes/No or give values of meeting the any
the measurement”, as the requirments
case may be)

± 2 mm
± 2 mm
± 2 mm
1 mm

±1.5 mm
±1 mm
± 1 mm

± 0.5 cm/s

CoV ≤ 5%

≤ 2%

± 1%

± 1%

± 1%

1%

1%

0.5 mm
Tolerance Limit Observation ( Write Observation is Remarks, if
“Yes/No or give values of meeting the any
the measurement”, as the requirments
case may be)

± 1 mm

± 1mm
± 1 mm
± 1 mm
± 1 mm
± 1 mm
± 1 mm

± 1 mm

0.5°

1mm dia sphere

± 1%

± 1%

± 1%

1%

± 2% for MU ≥ 5,
± 5% for 2 - 4 MU
1%

1%

1%

Tolerance Limit Observation ( Write Observation is Remarks, if

“Yes/No or give values of meeting the any
the measurement”, as the requirments
case may be)

1° for speed >1°/sec

Manufacturer’s specified tolerance Manufacturer
specified
value…….
 Manufacturer’s specified tolerance Manufacturer
specified
value…….
≤ 2%
<0.5 mm

2%
≤ 2%

≤ 2%
≤ 2% difference with respect to static
beam flatness

± 1%
≤ 2% difference with respect to static
beam symmetry
± 1%
±1%

efore additional tests needs to be carried out and submitted as per manufacturers’

Filter Free) Photon Beam

LINAC in Unflat (FFF) photon beam mode; (2) The tolerance value
r those indicated by *. Please refer AERB protocol “Acceptance
FF) beam for further information] *The tolerance value is based

Energies (MV) Collimator opening Base Line Observed

(cm2) value value

6XFFF/7UF 10x10
10XFFF 10x10
6XFFF/7UF 10x10
20x20
10XFFF 10x10
20x20
6XFFF/7UF 10x10

10XFFF 10x10
6XFFF/7UF 10x10

10XFFF 10x10
6XFFF/7UF 5x5
10x10
20x20
10XFFF 5x5
10x10
20x20
 6XFFF/7UF 5x5
10x10
20x20
10XFFF 5x5
10x10
20x20
6XFFF/7UF 20x20
10XFFF 20x20
6XFFF/7UF 20x20

10XFFF 20x20
6XFFF/7UF 20x20

10XFFF 20x20
6XFFF/7UF 20x20

10XFFF 20x20
6XFFF/7UF 20x20

10XFFF 20x20
6XFFF/7UF 20x20

10XFFF 20x20

m
NAC in addition to the tests for other treatment modality)

Tolerance Limit Observation ( Write Observation is Remarks, if

“Yes/No or give values of meeting the any
the measurement”, as the requirments
case may be)

≤ 1 mm
≤ 1 mm

≤ 1 mm
Manufacturer’s specified tolerance Manufacturer
specified
value…….
Manufacturer’s specified tolerance Manufacturer
specified
value…….
Manufacturer’s specified tolerance Manufacturer
specified
value…….
Manufacturer’s specified tolerance Manufacturer
specified
value…….
Manufacturer’s specified tolerance Manufacturer
specified
value…….
Observation ( Write “Yes/No or give values
of the measurement”, as the case may be)
rks, if any
acturer specified value…….
acturer specified value…….
Deviation between Tolerance Limit Remarks, if
baseline value and any
observed value

2%
2%
≤10%*
≤10%*
≤10%*
≤10%*
2%

2%
2%

2%
±2 mm
±2 mm
±2 mm
±2 mm
±2 mm
±2 mm
2%
2%
2%
2%
2%
2%
2%
2%
±2 mm

±2 mm
±2 mm

±2 mm
±2 mm

±2 mm
±2 mm

±2 mm
±2 mm

±2 mm
Photon(s) only
Photon(s) & Electrons

Available

Not available

Secondary
Tertiary

Yes

No
Figure E.1: Schematic diagram
for determining inflection point
and penumbra

100

90

Relative dose (%)

80

70
P
a
60 1.6*RDV S
50
IP h
L 40
RDV IP
R
30

P 20
b
0.4*RDV E
10

0
-150 -100 -50 0 50 100 150
Distnace from central axis(mm)
 Figure E.2: Schematic diagram
for determining degree of
unflattenedness

1.6*RDV S

Relative dose (%)

h
RDV IP
R

0.4*RDV E

50 100 150
ral axis(mm) -150 -100 -50
Distnace from
 100
x90
90

80 x75
70
x60
60
Relative dose (%)

50

40

30

20

10

0
50 -100 -50 0 50 100 150
Distnace from central axis (mm)