Case File Number: WB RF-XR-009 Issuance Date: 04/08/2016 Document Number: 16-LOEE Expiry Date: 04/08/2021 REGISTRATION FOR OPERATION OF M
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14 Case File Number: WB RF-XR-009 Issuance Date: 04/08/2016 Document Number: 16-LOEE Expiry Date: 04/08/2021 REGISTRATION FOR OPERATION OF MEDICAL DIAGNOSTIC X-RAY EQUIPMENT In exercise of powers conferred under Section 16 and 17 as applicable of Atomic Energy Act, 1962 read in conjunction with Rule (3) of the Atomic Energy (Radiation Protection) Rules {AE(RP)R}, 2004, the Atomic Energy Regulatory Board (AERB) hereby issues Registration in favour of Dr. KALYAN KUMAR PAL to operate the following medical diagnostic x-ray equipment located at ESIC HOSPITAL AND ODC EZ JOKA, DIAMOND HARBOUR ROAD, ESIC HOSPITAL AND ODC EZ JOKA KOLKATA, WEST BENGAL for medical diagnostic purpose. Type of Equipment Manufacturer Model Equipment ID C-Arm PHILIPS INDIA LIMITED Surgico 60D HF G-XR The MEDICAL SUPERINTENDENT, ESIC HOSPITAL AND ODC EZ JOKA, KOLKATA and DR. KALYAN KUMAR PAL are hereby identified as the Employer and licensee respectively, for the purpose of assigning the responsibilities specified in the Atomic Energy (Radiation Protection) Rules, 2004, in respect of radiation protection of workers, public and environment because of operation of the above equipment. The Employer and Licensee are responsible for, I. Ensuring compliance with the relevant provisions of the i. Atomic Energy Act, 1962 ii. Atomic Energy (Radiation Protection) Rules, 2004; iii. AERB Safety Code (AERB/SC/Med-2), 2001, Amendment 2012, and the revisions thereof iv. All applicable Safety Codes, Guides issued by AERB for the above practice and regulatory documents issued by AERB from time to time. v. Directives issued by Competent Authority from time to time. II. Ensuring compliance with terms and conditions stated overleaf. Note: This Registration is issued ONLY from the RADIATION SAFETY VIEW POINT. All other clearances shall be obtained from concerned state/central/local authorities as applicable. DR. KALYAN KUMAR PAL ESIC HOSPITAL AND ODC EZ JOKA DIAMOND HARBOUR ROAD, ESIC HOSPITAL AND ODC EZ JOKA KOLKATA, WEST BENGAL Copy to: MEDICAL SUPERINTENDENT, ESIC HOSPITAL AND ODC EZ JOKA, KOLKATA Dr. Avinash U. Sonawane Head, RSD Note: This document is also available at
15 TERMS AND CONDITIONS 1. No activity will be carried out by your institute for purposes other than those specified in this Licence. 2. The regulatory responsibilities of the employer, licensee and RSO as laid down in the Atomic Energy (Radiation Protection) Rules, 2004 or the latest revision of AERB Safety Code (AERB/SC/Med-2) shall be adhered to. 3. Availability of qualified and trained personnel and personnel monitoring service for radiation workers shall be ensured all the time. 4. Availability of services of a qualified radiologist or related medical practitioner, with adequate knowledge of radiation protection for interpretation and reporting shall be ensured all the time. 5. Full facilities shall be accorded to any authorised representatives of the competent authority to inspect the facility at any time. Records on manufacturing/supply/quality Assurance Tests /Type Approvals shall be made available. 6. The periodic safety status report of x-ray equipment in the possession of the institution shall be submitted to AERB. 7. The x-ray shall not be sold or otherwise transferred to another person without obtaining the specific permission from AERB. 8. In case of change in layout/change in positioning/change in location of x-ray equipment prior permission shall be obtained from regulatory body. 9. Any incident involving radiation exposure to person from this x-ray equipment shall be immediately intimated to AERB. 10. Licence shall be renewed before its expiry. 11. A copy of this Licence shall be displayed in a prominent location in the control room of x-ray equipment. 12. This license may be suspended, modified or withdrawn as specified in the Atomic Energy (Radiation Protection) Rules, 2004, in the event of contravention of the provisions of the above Act / Rules / Codes or terms and conditions of the Licence. Where deemed appropriate, AERB may also initiate penal action against the Employer/licensee in such an event. 13. In case there is change in information contained in this licence after its issuance, such as change of Licensee, Employer, name of institution, address etc., and changes such as addition/ decommissioning of Medical X-ray equipment it shall be ensured by licensee that the necessary amendment to this effect to the licence is obtained from the Competent Authority. Xxxxxxxxxxxxxxxxxx
16 Case File Number: WB RF-XR-009 Issuance Date: 04/08/2016 Document Number: 16-LOEE Expiry Date: 04/08/2021 म ड ड कल ड इग न स ट क स ट क एक स र ड उपकरण क ड प रच लन ह ड त प ज करण परम ण ऊर ज र ज अध ध न नयम, 1962 क ध न र 16 तथ 17 ज स ट क ल ग ह स ट, क ड स थ प ठ त परम ण ऊर ज र ज ( व क करण स रक षण) नयम [एई (आरप )आर], 2004 क ड नयम (3) क ड अधध न न प रदत त शक त क त य क प रय स टग करत ड ह ए, परम ण ऊर ज र ज नय मक प रषद (एईआरब ) एतद द व र Dr. KALYAN KUMAR PAL क ड पक ष म ESIC HOSPITAL AND ODC EZ JOKA, DIAMOND HARBOUR ROAD, ESIC HOSPITAL AND ODC EZ JOKA KOLKATA, WEST BENGAL कस थत नम न ल कख त म ड ड कल ड इग न स ट कस ट क एक स-र ड उपकरण क म ड ड कल ड इग न स ट कस ट क उद द डश य ह डत प रच लन करन ड क ड लए प ज करण ज र करत ह उपकरण क प रक र व क नम र ज त म ड ल उपकरण क आईड C-Arm PHILIPS INDIA LIMITED Surgico 60D HF G-XR उपर स टक त उपकरण क ड प रच लन क ड क रण क मर ज क, जनत तथ पय र ज व करण क ड व क करण स ड स रक षण क ड स ब ध न म परम ण ऊर ज र ज ( व क करण स रक षण) नयम, 2004 म व क न दर ज ष ट कजम म डद रय क स ट स पन ड क ड उद द डश य ह डत MEDICAL SUPERINTENDENT, ESIC HOSPITAL AND ODC EZ JOKA, KOLKATA तथ DR. KALYAN KUMAR PAL क स ट क रमशक त: नय स टक त तथ अधन ज ञप त प त कत र ज क ड र प म पहच न गय ह नय स टक त तथ अधन ज ञप त प त कत र ज नम न क ड लए उत तरद य ह, I. नम न ल क ख त क ड स गत प र व कध न न स हत अधन प लन स न क श च त करन i.परम ण ऊर ज र ज अध ध न नयम, 1962 ii. परम ण ऊर ज र ज ( व क करण स रक षण) नयम, 2004; iii. एईआरब स रक ष स हत (एईआरब /एसस /एमईड -2), 2001, स शक त स ट ध नत 2012 तथ इसक ड स शक त स टध नन समय- iv. उपर स टक त क य क ड स ब ध न म एईआरब द व र ज र कय ड गय ड सभ स रक ष स हत ए, दशक त नद शक त तथ एईआरब द व र समय पर ज र कय ड गय ड व क नम यक दस त व क डज Note: This document is also available at
17 v. सक षम प र ध नक र द व र समय-समय पर ज र कय ड गय ड दशक त नद शक त II. पछल ड प ष ठ पर दशक त र ज य ड गय ड नब ध नन एव क शक तत क अधन प लन स न क श च त करन न स टट :- यह प ज करण क ड व कल व क करण स रक ष क ड म द द ड क स ट ध य न म रख त ड ह ए ज र कय गय ह अधन य सहम तय स ब ध नत र ज य/क द/स थ न य प र ध नकरण स ड प र प त करन ह ग ( ड. अध व कन शक त स स टनव कण ड) प रभ ग ध यक ष, आरएसड DR. KALYAN KUMAR PAL ESIC HOSPITAL AND ODC EZ JOKA DIAMOND HARBOUR ROAD, ESIC HOSPITAL AND ODC EZ JOKA KOLKATA, WEST BENGAL Copy to: MEDICAL SUPERINTENDENT, ESIC HOSPITAL AND ODC EZ JOKA, KOLKATA
18 नब ध नन तथ शक तत 1. इस प ज करण म व क न दर ज ष ट उद द डश य क ड अधल व क कस अधन य उद द डश य क ड लए स स थ न द व र ग त व क ध नय नह क ज न ह 2. परम ण ऊर ज र ज ( व क करण स रक षण) नयम, 2004 अधथव क एईआरब स रक ष स हत (एईआरब /एसस /एमईड -2) म द गई नय स टक त, अधन ज ञप त प त कत र ज तथ आरएसओ क व क नम यक क जम म डद रय क प लन करन ह स टग 3. व क करण क मर ज क क ड लए य स टग यत प र प त एव क प र शक त क क षत क मर ज क तथ क मर ज क म नट र ग स डव क क सभ समय क ड लए उपलब ध नत स न क श च त करन ह स टग 4. व य ख य और रप स ट ट र ट गक ड लएअधहर ज त प र प त र ड ड य स टल क जस ट अधथव क स ब ध नत च कत सक, क जसक स ट व क करण स रक ष क पय र ज प त ज नक र ह स ट, क स डव क ओ क सभ समय क ड लए उपलब ध नत स न क श च त करन ह स टग 5. सक षम प र ध नक र द व र प र ध नक त कय ड गय ड प र त न ध नय क स ट कस भ समय नर क षण करन ड ह डत सम प णर ज स व कध न ए द ज न च हए व क नम र ज ण/आप तर ज /ग णव कत त आश व क सन पर क षण /ट इप अधन म स टदन क अध भल डख उपलब ध न करव क न ह स टग 6. स स थ न क ड स व क मत व क व क ल ड एक स-र ड उपकरण क स व क ध नक स रक ष क स थ त रप स टट र ज एईआरब क स ट प रस त त क ज न च हए 7. एईआरब स ड व कशक त डष अधन म त लय ड बन एक स-र ड उपकरण क स ट न ब डच ज ए और नह इस ड कस अधन य व य क त क स ट अध त रत कय ज ए 8. ल डआऊर ट म क स टई प रव कतर ज न/एक स-र ड उपकरण क क स थ त/स थ न म क स टई प रव कतर ज न करन ह स ट त स ट व क नम यक नक य क प व क र ज न म त ल डन ह स टग 9. इस एक स र ड उपकरणस ड कस प रक र क ड व क करण उद भ सन क क स टई घट न ह स टत ह त स ट इसक स चन त र त एईआरब क स ट द डन ह 10. प ज करण क ड सम प त ह स टन ड क ड प व कर ज इसक नव क करण कर न ह स टग 11. इस प ज करण क एक प र त एक स-र ड उपकरण/स स थ पन क ड प स स पष ट दख ऐस जगह पर प रद शक तर ज त क ज न ह स टग 12. परम ण ऊर ज र ज ( व क करण स रक षण) नयम, 2004 म व क न दर ज ष ट क ड अधन स र इस अध ध न नयम/ नयम/स हत क ड कस प र व कध न न अधथव क अधन ज ञप त प त क ड नब ध नन एव क शक तत म कस प रक र क ड उल ल घन क कस थ त म यह अधन ज ञप त प त नल बत, आशक त स ट ध नत क ज सकत ह अधथव क व क पस ल ज सकत ह ऐस कस घट न म, जह सम चत प र तत ह स टत ह स ट, एईआरब उक त नय स टक त /अधन ज ञप त प त कत र ज क ड व कर द ध दण ड क क रर ज व क ई भ कर सकत ह 13. इस प ज करण क ड ज र ह स टन ड क ड ब द कस स चन ज स ड अधन ज ञप त प त कत र ज, नय स टक त, स स थ न क न म, पत आ द म प रव कतर ज न अधथव क म ड ड कल एक स-र ड उपकरण क स ख य म व क द ध/ व ककम शक तनन आ द क ड स ब ध न म क स टई प रव कतर ज न ह स टन ड क कस थ त म अधन ज ञप त प त कत र ज द व र यह स न कश च त कर लय ज ए क इस ब र ड म प ज करण म आव कश यक स शक त स टध नन ह डत सक षम प र ध नक र स ड अधन म स टदन लय गय ह
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