Reference Number: 20-576301(12/02/2020)

APPLICATION TO ATOMIC ENERGY REGULATORY BOARD (AERB) FOR

SAFETY STATUS REPORT

Reference Number : 20-576301

Date of Application : 12/02/2020

Part A
Equipment Details:

Equipment Identification Last Operational Status Last Operational Status Status Updated in last 6
no. Date month
E-IRED-068837 Working 09/01/2020 Yes

E-IRED-086412 Working 09/01/2020 Yes

Part B
Source Details:

Source Identification Isotope Last Operational Last Operational Status Updated in last
no. Status Status Date 6 month

S-IRED-019849 Ir-192 Working 09/01/2020 Yes

S-IRED-021036 Ir-192 Working 23/01/2020 Yes

Part C
Institute Details:
Name : KHARAGPUR METAL REFORMING INDUSTRIES PVT
LTD
Permanent Address : UNIT IV KHATARANGA ,CHENNAI HIGHWAY NH 60
Landmark : KHARAGPUR
City : PASCHIM MEDINIPUR
State : WEST BENGAL
Postal Code : 721149

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 Reference Number: 20-576301(12/02/2020)

Telephone Number : 03326886283

Fax Number : 03222255588
Email Id : kgpmetals@gmail.com
Head of the Institute Details:
Name : SWAPAN GHOSH
Designation : MANAGING DIRECTOR
Telephone Number(Office) : 03326886283
Mobile Number : 9830073870
Email Id : kgpmetals@gmail.com
Licensee Details:
Name : SWAPAN GHOSH
Designation : MANAGING DIRECTOR
Telephone Number(Office) : 03326886283
Mobile Number : 9830073870
Email Id : kgpmetals@gmail.com

Part C
Employee Details:
SRL Name Date of Birth Designation Qualification Experience PMS No.
No
1 ARNAB BANERJEE 30/10/1976 Radiographer Training 20 017032/0002
Course on
Radiography
Testing Level-1
(RT-1)
2 ASIT BARAN 12/01/1968 Site Incharge Training 30.83 017032/0001
KARMAKAR RSO Course on
Radiography
Testing Level-2
(RT-2)
3 BUDDHA DEB 02/07/1978 Radiographer Radiographers 12.83 017032/0004
CHATTAPADHYAY Certification
Course

Part E
Safety Tool Details:
SRL Instrument ID Instrument Make Model Type Of Sr. No. Availability Last
No Type Detector Calibration
Date
1 SE-0071331 Pocket Arrow W 138 GM QC- Available 05/07/2018
dosimeter Tech Counter 317662

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 Reference Number: 20-576301(12/02/2020)

2 SE-0071330 Survey APT X- Minirad GM R-0717 Available 05/07/2018

meter Ray Pvt Counter
Ltd
3 SE-0059185 Gamma EASTWES ZM 100 GM E-15 Available 02/07/2019
zone T Counter
monitor ELECTRO
NICS
AND
ENGINEE
RING PVT
LTD
4 SE-0059183 Survey PULSE MINIRAD GM R-0478 Available 03/04/2018
meter ECHO Counter
5 SE-0059142 Dose Meter Arrow W138 GM QA Available 17/03/2018
Tech Counter 316651
6 SE-0059131 Lead bed NA NA NA NA Available
shields
7 SE-0059130 Lead NA NA NA NA Available
pots/Source
Changer
8 SE-0059129 CV Tongue NA NA NA NA Available

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?
Whether Operational Status of Radioactive : Yes
source(s), equipment(s) and installation(s) declared
in eLORA is/are updated?
From Date : 01/01/2020
To Date : 31/01/2020
Safety Status Report : IU 6 January 2020.pdf
Any Other Attachment : NA

Questions Answers Comments

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 Reference Number: 20-576301(12/02/2020)

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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