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Volume 2 - Atomic Energy Regulatory Board

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APPENDIX-5D<br />

(Refer section 3.4.1.4)<br />

FORMAT OF THE FINAL SAFETY ANALYSIS REPORT (FSAR) FOR<br />

MEDICAL CYCLOTRON FACILITIES<br />

[FSAR should be submitted to AERB in this format, duly signed by Head of the<br />

organisation (employer) along with the application for the commissioning and operation<br />

of Medical Cyclotron Facility]<br />

A. INTRODUCTORY INFORMATION<br />

1. Name and address of the applicant :<br />

Head of Institution :<br />

2. Institution profile :<br />

3. Purpose and scope of the project :<br />

4. Details of Supplier :<br />

Name and address of the applicant/local<br />

supplier with PIN code (in block letters) :<br />

5. Details of AERB Site Approval<br />

Ref. No. :<br />

Date of issue :<br />

Valid up to :<br />

6. Details of AERB Layout and Construction<br />

Approval<br />

Ref. No. :<br />

Date of issue :<br />

Valid up to :<br />

7. Detail of System Parameters :<br />

Model/Type designation of<br />

the medical cyclotron :<br />

Year and country of manufacture :<br />

Type of the medical cyclotron<br />

(shielded/non shielded) :<br />

Maximum beam energy - : MeV<br />

Maximum beam current - : μA<br />

Number of targets - :<br />

180

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