Application To Atomic Energy Regulatory Board (Aerb) For Safety Status Report
Application To Atomic Energy Regulatory Board (Aerb) For Safety Status Report
Application To Atomic Energy Regulatory Board (Aerb) For Safety Status Report
Part A
Equipment Details:
Equipment Identification Last Operational Status Last Operational Status Status Updated in last 6
no. Date month
E-IRED-001991 Working 02/07/2021 Yes
Part B
Source Details:
Source Identification Isotope Last Operational Last Operational Status Updated in last
no. Status Status Date 6 month
Part C
Institute Details:
Name : ACOUSTICS INDIA PRIVATE LIMITED
Permanent Address : 377, ,RAJARAM SALAI ,
Landmark : K.K.NAGAR,
City : TIRUCHIRAPPALLI
State : TAMIL NADU
Postal Code : 620021
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Reference Number: 21-762640(09/07/2021)
Part C
Employee Details:
SRL Name Date of Birth Designation Qualification Experience PMS No.
No
1 MOHAMMED ARIEF 10/07/1985 CERTIFIED Training 7.25 016040C0006
M RADIOGRAP Course on
HER Radiography
Testing Level-1
(RT-1)
2 PARTHASARATHY 13/10/1970 RADIOLOGIC B. Sc 23.17 0160400004
RANGASWAMY AL SAFETY
OFFICER
3 PARTHASARATHY 13/10/1970 RADIOLOGIC Training 23.17 0160400004
RANGASWAMY AL SAFETY Course on
OFFICER Radiography
Testing Level-2
(RT-2)
4 SURESH KUMAR V 26/08/1994 Certified Training 4.42 0160400005
Radiographer Course on
Radiography
Testing Level-1
(RT-1)
Part E
Safety Tool Details:
SRL Instrument ID Instrument Make Model Type Of Sr. No. Availability Last
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Reference Number: 21-762640(09/07/2021)
Part D
Upload Safety Status Report Details:
Whether trained/certified staff member(s) declared : Yes
in eLORA is/are adequate and available in your
institute?
Whether functional radiation measuring tool(s), : Yes
monitoring tool(s), QA tools and safety tool(s)
is/are available as declared in eLORA?
Whether all the Radioactive source(s), equipment(s) : Yes
and installation(s) are safe and secured from
radiation safety standpoint?
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Reference Number: 21-762640(09/07/2021)
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Reference Number: 21-762640(09/07/2021)
devices
Reporting of the unusual incidents, if any and its Yes NA
investigation and implementation of remedial
action are carried out.
The transport of disused/decayed source for its Yes NA
disposal were carried out with the permission of
AERB.
Whether appropriate vehicle is used for transport Yes NA
of IGREDs and transport regulations are
followed
Excessive exposure has been reported in the Yes NA
institute during this reporting period.
The reported excessive exposure case(s) are Yes NA
investigated properly and report submitted to
AERB
Unusual incidents/excessive exposure have not Yes NA
been occurred in the institute during this calendar
year.
Part
Undertaking:
I/We hereby certify that the particulars provided in this application are true and correct to the best of my knowledge
and belief. I understand that if at any stage it is found that the information provided by me/us is/are false or not
authentic, appropriate regulatory action may be initiated against me/us and my/our institution.
----------------------------------------------End of Application---------------------------------------------
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