Volume 2 - Atomic Energy Regulatory Board

(APPENDICES 5B,5D, 5E, 5F REFER TO MEDICAL
CYCLOTRON FACILITY)
APPENDIX-5B
(Refer section 3.4.1.3)
FORMAT OF THE PRELIMINARY SAFETY ANALYSIS REPORT (PSAR)
FOR MEDICAL CYCLOTRON FACILITIES
[PSAR should be submitted to AERB in this format, duly signed by Head of
the organisation (employer) along with the application for the layout and
construction approval of Medical Cyclotron Facility]
INTRODUCTORY INFORMATION
1. Name and address of the applicant :
Institution profile :
Purpose and scope of the project :
2. Details of Supplier :
Name and address of the applicant/local
supplier with PIN code (in block letters) :
3. Details of System Parameters
Model/Type designation of the medical
cyclotron :
Year and country of manufacture :
Type of the medical cyclotron
(shielded/non self- shielded) :
Maximum beam energy : MeV
Maximum beam current : μA
Number of targets :
Operational life of the device (in hours) :
Radiation levels at a distance
of one metre from the cyclotron
under beam ‘ON’ condition (specify
for maximum energy and mode) :
(Please attach dose contours around
the cyclotron and cyclotron vault)
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