Reference Number: 22-905248(18/04/2022)

APPLICATION TO ATOMIC ENERGY REGULATORY BOARD (AERB) FOR

SAFETY STATUS REPORT

Reference Number : 22-905248

Date of Application : 18/04/2022

Part A
Equipment Details:

Equipment Identification Last Operational Status Last Operational Status Status Updated in last 6
no. Date month
G-IRED-078865 Working 17/04/2022 Yes

E-IRED-125358 Working 17/04/2022 Yes

Part B
Source Details:

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

S-IRED-024714 Ir-192 Working 17/04/2022 Yes

Part C
Institute Details:
Name : KAY BOUVET ENGINEERING LIMITED
Permanent Address : N3, ADDITIONAL M.I.D.C, SATARA ,
Landmark :
City : SATARA
State : MAHARASHTRA
Postal Code : 415004
Telephone Number : 02162240630
Fax Number : 02162240554
Email Id : qa.unit1@kaybouvet.com
Head of the Institute Details:

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 Reference Number: 22-905248(18/04/2022)

Name : NIRAJ CHANDRA

Designation : JOINT MANAGING DIRECTOR
Telephone Number(Office) : 02162240630
Mobile Number : 9067147468
Email Id : mujaffar.s@kaybouvet.com
Licensee Details:
Name : NIRAJ CHANDRA
Designation : JOINT MANAGING DIRECTOR
Telephone Number(Office) : 02162240630
Mobile Number : 9067147468
Email Id : mujaffar.s@kaybouvet.com

Part C
Employee Details:
SRL Name Date of Birth Designation Qualification Experience PMS No.
No
1 RANA PRABHAT 12/02/1989 Training 5.75 024047W0007
PRATAP SINGH Course on
Radiography
Testing Level-2
(RT-2)
2 VITTHAL 03/11/1985 RSO and Training 5.33
CHANDRAKANT welding Course on
DEOKATE engineer Radiography
Testing Level-2
(RT-2)

Part E
Safety Tool Details:
SRL Instrument ID Instrument Make Model Type Of Sr. No. Availability Last
No Type Detector Calibration
Date
1 SE-0110633 Lead NA NA NA NA Available
pots/Source
Changer
2 SE-0110632 Lead bed NA NA NA NA Available
shields
3 SE-0110630 CV Tongue NA NA NA NA Available
4 SE-0110001 Survey Eastwest SM-5000 GM 3E/SM- Available 05/04/2022
meter Enfineerin Counter 5000/H-
g and 00022
Electronics

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 Reference Number: 22-905248(18/04/2022)

Pvt. Ltd.
5 SE-0076894 Survey Eastwest SM-5000 GM 3E/ Available 05/04/2022
meter Engineerin Counter SM5000/
g and H - 00002
Electronics
Pvt Ltd
6 SE-0055776 Fence NA NA NA NA Available
7 SE-0055775 Intrusion NA NA NA NA Available
Alarm
8 SE-0055774 Thermomet JRM floating NA KBEL/ Available
er Type TM/2
9 SE-0055773 Thermomet JRM Wall NA KBEL- Available
er Thermomet TM-1
er
10 SE-0055771 Pocket RADAX DM5000 GM 3E/ Available 05/04/2022
dosimeter Counter DM5000/
F-00013
11 SE-0055770 Pocket RADAX DM5000 GM 3E/ Available 05/04/2022
dosimeter Counter DM5000/
F-00012
12 SE-0055768 Protective NA NA NA NA Available
Apron

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 : 17/11/2021
To Date : 17/04/2022
Other attachment (if any specific matter need to be : Safety status Report -IU-6.xlsx
reported to AERB)

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 Reference Number: 22-905248(18/04/2022)

Questions Answers Comments

The address of the Institute is same as mentioned Yes NA

in eLORA
The employer, licensee and institute details are Yes NA
same as mentioned in eLORA
The contact details of Institute, Employer, Yes NA
Licensee and all the RSO(s), Site-In-Charge and
Radiographer of the Institute are updated in e-
LORA.
RSO approval is valid Yes NA
Adequate numbers of Site In- charge and Yes NA
Radiographers are available in the institution
All the radiography personnel i.e. Site In- charge Yes NA
and Certified radiographers details are updated in
eLORA and approvals are obtained
All the IGRED/ Industrial Yes NA
X-ray/Accelerators/self-shielded X-ray devices,
available the institution are listed in e-LORA
Personal monitoring badges (TLD badge etc.) are Yes NA
provided to all the radiation professional,
radiation workers and dose records are up to
date.
Whether all the radiation workers i.e RSO, Site Yes NA
In Charge, Radiographer, Intern etc. are informed
regularly about the dose report
Proper use and storage (kept in radiation free Yes NA
area and not left in the exposure area/tool kit) of
personal monitoring badges by the radiation
workers are ensured.
Whether licence for operation has been obtained Yes NA
and valid for all IGREDs*/Radiation Generating
Equipment?
Whether IRED movement approvals has been Yes NA
obtained from AERB before the IRED was
moved to the work Site?
Whether Location Details of IREDs are as per Yes NA
eLORA records?
Whether any modification has been made to the Yes NA
approved layout and modification of enclosure, if
any were carried out only after obtaining prior
approval from AERB.
There is no active non-compliances pending in Yes NA
the industrial radiography profile in e-LORA
against the institution.

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 Reference Number: 22-905248(18/04/2022)

Adequate numbers of required radiation Yes NA

monitoring instruments with valid calibration are
available.
Whether all the radiation monitoring instruments Yes NA
are calibrated from recognised calibration
laboratories
Radiological protection survey around the Yes NA
installations are carried out periodically and the
radiation levels are found to be within
permissible limits.
Emergency preparedness plan is prepared as per Yes NA
the prescribed format and submitted to AERB
Emergency handling procedures and emergency Yes NA
contact details are displayed at appropriate
places in the radiation facility.
Emergency handling tools details are updated in Yes NA
eLORA
Radiation warning symbol as per the Safety Yes NA
Directive of AERB are displayed at appropriate
places in the radiation facility.
Maintenance and repair of IGREDs are Yes NA
performed only by certified service engineers of
the supplier
Whether logbook for IGRED movement has Yes NA
been maintained (i.e. A) Log book is maintained
for issues pertaining to performance, breakdown,
servicing and maintenance of Industrial
Radiography Equipment. B)Whether the
performance of safety interlocks of the IRED are
satisfactory
Security plan is prepared as per AERB Safety Yes NA
Guide for IGREDs and submitted to AERB and
the same security arrangements are available as
per the security plan.
Whether radiation warning sign and metal tag Yes NA
contains the information of emergency contact
has been fixed on all the gamma radiography
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
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 Reference Number: 22-905248(18/04/2022)

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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