SRF No.

: ABSRF/2023/11/10873
SRF Date: 08-Nov-23
ULR No. TC984323000002933F

Government of India, Atomic Energy Regulatory Board

Radiological Safety Division, Niyamak Bhavan, Anushaktinagar, Mumbai-400094

QA TEST REPORT FOR DIAGNOSTIC X-RAY EQUIPMENT

(Periodic Quality Assurance shall be carried out at least once in two years and also after any repairs having radiation safety implications.)

1. Name, Address and Contact Detail of Customer P L SHARMA DISTRICT HOSPITAL

JALI KOTHI,
MEERUT, UTTAR PRADESH 250 002

2. Customer Reference
2.1 SRF No. : ABSRF/2023/11/10873 Dated 08-Nov-23
2.2 Test Report No. : ABQAR231102933 Issue Date 17-Nov-23

3. Details Of Device Under Test.

1 Nomenclature : Fixed X-Ray
2 Make : M/s. REDECAL, Spain
3 Model : SHF 835
4 SI. No. : G-68711
5 Condition of Test Item : OK
6 Testing Procedure No. : ABPL/WI/01
7 QA Test Date : 09-Nov-23
8 QA Test Due Date : 09-Nov-25
9 Testing done at Location : Customer's Premises
10 Temperature : 24.8 ° C
11 Humidity in RH : 65%

4. Standards Used for Testing:

Sl. No. Nomenclature Make / Model Serial Number Range Certificate Validity
1 Multimeter RTI/Cobia Smart R/F CB3-22016677 35-155 kV 221A77018 11-Jan-24

2 Survey Meter Pulsecho / SMARTRAD-MICRO H-0742 0.01 mR/hr - 999 mR/hr NICC00706/13 25-Jul-25
(-50 TO 70⁰C) & 10 to 99%
3 Hygrometer HTC/288-ATH ABPL/HYG-03 AT23000007884 28-Jun-24
RH
Imaging NA NA
4 LEADS / PRO RF BASIC TOOL NA NA
Phantom

5. Note:
5.1. The Test Report relates only to the above item only.
5.2 Publication or reproduction of this Certificate in any form other than by complete set of the whole report & in the language, written, is not permitted without the written
consent of ABPL.
5.3. Corrections/erasing, invalidate the Test Report.
5.4. Refered standard for Testing: AERB Test Protocol 2016 - AERB/RF-MED/SC-3 (Rev. 2) Quality Assurance Formats.
5.5. Any error in this Report should be brought to our knowledge within 30 days from the date of this report.
5.6. Results Reported are valid at the time of and under the stated conditions of measurements.
5.7. Name, Address & Contact detail is provided by Customer.

ANTESO Biomedical OPC Pvt. Ltd.

2nd Floor, D-290, PKT-7, Sector – 6, Rohini, New Delhi - 110085
Ph.: 011-47069720. Mob. No. 08470809720, 08427349720, 08470809720
Email: antesobiomedical@gmail.com, info@antesobiomedicalopc.com

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 SRF No.: ABSRF/2023/11/10873
SRF Date: 08-Nov-23
ULR No. TC984323000002933F

6. TEST RESULTS

6.1. Radiation Safety Performance Test Report

Parameters Measured Values Tolerance Remarks
Sr.No. Specified Values
Tested

Congruence 0.80 Ι X Ι + Ι X’ Ι ≤ 2% of FFD Pass

1 of radiation &
Optical Field 1.10 Ι Y Ι + Ι Y’ Ι ≤ 2% of FFD Pass

Central Beam Central Beam Alignment

2 < 1.5° Pass
Alignment < 1.5°

Effective 1.2 mm X 1.2 mm 1.2 mm X 1.2 mm 1. + 0.5 f for f <0.8 mm

focal spot 2.+ 0.4 f for 0.8 <= f <=
3 Pass
measurement 1.5 mm
FFD= 60 cm 0.6 mm X 0.6 mm 0.6 mm X 0.6 mm 3. + 0.3 f for f >1.5 mm

0.10 0.103 Pass

Accuracy of 0.20 0.204 Pass
4 Irradiation 0.40 0.405 %Error < 10% Pass
Time(sec.) 0.80 0.806 Pass

60 62.40 Pass
70 71.56 Pass
Accuracy of
80 83.53 Pass
5 Operating ± 5 kV
90 92.67 Pass
Potential (kV)
100 103.5 Pass

Tolerance :
At 1.5 mm Al for kV <= 70
Total
6 3.00 mm of Al 2.0 mm Al for 70 < kV <= Pass
filtration 100
100
kVp 2.5 mm Al for kV > 100
Linearity of
mA/mAs 0.037 Pass
7 At 60 kV CoL<0.1
loading
Stations
60 0.010 Pass
Consistency
80 0.008 Pass
8 of radiation CoV < 0.05
100 0.002 Pass
output

kVp mA
Radiation Measured at
100 100
leakage level
at 1m from For Tube Housing 0.020 Tube Leakage < 1 mGy in
9 Pass
tube housing mGy in one one hour
and hour
Collimator For Collimator 0.024

Mr. Animesh Srivastava Mr. Sohan Lal Thakur

Testing Engineer Technical Manager

Group: Radiography Format No: ABPL/FF/25-01

ANTESO Biomedical OPC Pvt. Ltd.

2nd Floor, D-290, PKT-7, Sector – 6, Rohini, New Delhi - 110085
Ph.: 011-47069720. Mob. No. 08470809720, 08427349720, 08470809720
Email: antesobiomedical@gmail.com, info@antesobiomedicalopc.com

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 SRF No.: ABSRF/2023/11/10873
SRF Date: 08-Nov-23
ULR No. TC984323000002933F

1. CONGRUENCE OF RADIATION & OPTICAL FIELD

Operating parameters:

FFD (cm) 100 kV 45 mAs 10

Shift in the edges of the radiation field

Dimensions (cm) Observed Shift % of FFD Tolerance Remarks
Ι X Ι + Ι X’ Ι 0.2 0.6 0.80 2 % of FFD Pass
Ι Y Ι + Ι Y’ Ι 0.4 0.7 1.10 2 % of FFD Pass

2. CENTRAL BEAM ALIGNMENT

Operating parameters:

FFD (cm) 100 kV 45 mAs 10

Observe the images of the two steel balls on the radiograph and evaluate tilt in the central beam
Observed tilt < 1.50 Pass
0
Tolerance: Central Beam Alignment < 1.5

3. EFFECTIVE FOCAL SPOT MEASUREMENT FFD (cm) 60

Tolerance: 1. + 0.5 f for f < 0.8 mm
Stated value of Focal Spot Size (mm x Measured value of Focal Spot 2. + 0.4 f for 0.8 <= f <=1.5 mm
mm) Size (mm x mm) 3. + 0.3 f for f > 1.5 mm
Large Focus 1.2 mm X 1.2 mm 1.2 mm X 1.2 mm Pass
Small Focus 0.6 mm X 0.6 mm 0.6 mm X 0.6 mm Pass

4. TIMER TEST

Operating parameters:

FFD (cm) 100 kV 60 mA 100

Set Time (Sec.) 0.100 0.200 0.400 0.800

Measured Time 0.103 0.204 0.405 0.806
% Error 3.00 2.00 1.25 0.75

5. ACCURACY OF OPERATING POTENTIAL

6. TOTAL FILTRATION

Measured Values at mA Stations

Applied kVp 100 mA 200 mA 500 mA Remarks
Average kVp
kVp kVp kVp
60 62.35 62.74 62.10 62.40 Pass
70 71.56 71.23 71.89 71.56 Pass
80 83.47 83.59 - 83.53 Pass
90 92.56 92.78 - 92.67 Pass
100 103.6 103.4 - 103.5 Pass

Tolerance for kVp : ± 5 kV

Total Filtration is (at kVp) 100 3.00 mm of Al
Tolerance for Total Filtration: 1.5 mm Al for kV >70, 2.0 mm Al for 70< kV <=100, 2.5 mm Al for kV > 100
ANTESO Biomedical OPC Pvt. Ltd.
2nd Floor, D-290, PKT-7, Sector – 6, Rohini, New Delhi - 110085
Ph.: 011-47069720. Mob. No. 08470809720, 08427349720, 08470809720
Email: antesobiomedical@gmail.com, info@antesobiomedicalopc.com

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 SRF No.: ABSRF/2023/11/10873
SRF Date: 08-Nov-23
ULR No. TC984323000002933F

7. LINEARITY OF mA LOADING STATIONS

Operating parameters:

FFD (cm) 100 kV 60 Time (Sec) 0.10

Average
mGy /mAs Coefficient of
mA Applied Radiation Output (mGy) Output X MAX X MIN Remarks
(X) Linearity (CoL)
(mGy)

100 0.236 0.233 0.235 0.235 0.0235

200 0.498 0.499 0.496 0.498 0.0249
0.0249 0.0231 0.037 Pass
500 1.156 1.156 1.155 1.156 0.0231

Tolerance: COL < 0.1

8. OUTPUT CONSISTENCY FFD (cm) 100

mAs Radiation Output mGy Avg. Coefficient of

Applied kV Remarks
1 2 3 4 5 (X) Variation CoV
60 10 0.236 0.233 0.235 0.239 0.234 0.235 0.010 Pass
80 10 0.451 0.452 0.458 0.455 0.459 0.455 0.008 Pass
100 10 0.923 0.924 0.925 0.926 0.921 0.924 0.002 Pass

Tolerance : CoV < 0.05

9. TUBE HOUSING LEAKAGE

Operating parameters:

FDD (cm) 100 kV 100 mA 100 Time (Sec) 1.0

Location (at Exposure Level (mR/hr)

1.0 m from the Result Remarks
Left Right Front Back Top
focus)
Tube 63.4 75.6 58.9 51.7 42.7 2.268 mR in one hour Pass
Collimator 81.9 89.4 74.3 68.7 - 2.682 mR in one hour Pass

Work Load 180 mAmin in one hr

180 mAmin in 1 hr X 89.4 max Exposure Level (mR/hr)

Max Leakage 2.682 mR in one hour
60 X 100 mA used for measurement

Maximum Radiation Leakage from Tube Housing 0.020 mGy in one hour

Maximum Radiation Leakage from Tube Collimator 0.024 mGy in one hour
Tolerance: Maximum Leakage Radiation Level at 1 meter from the Focus should be < 1 mGy (114 mR) in one hour.

ANTESO Biomedical OPC Pvt. Ltd.

2nd Floor, D-290, PKT-7, Sector – 6, Rohini, New Delhi - 110085
Ph.: 011-47069720. Mob. No. 08470809720, 08427349720, 08470809720
Email: antesobiomedical@gmail.com, info@antesobiomedicalopc.com

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 SRF No.: ABSRF/2023/11/10873
SRF Date: 08-Nov-23
ULR No. TC984323000002933F

DETAILS OF RADIATION PROTECTION SURVEY OF THE INSTALLATION

Date of Radiation Protection Survey 09-Nov-23

Whether Radiation Survey Meter used for the Survey has Valid Calibration Certificate: YES

Equipment Setting:-

Applied Current (mA) 100

Applied Voltage (kV) 100
Exposure Time(s): 1.00
Workload (mA min/week) 500

Provide the measured Maximum Radiation Levels (mR/hr) at different Locations

Location Max. Radiation Level Result Remarks

Control Console (Operator Position) 0.13 mR/hr 0.011 mR/week Pass

Outside Lead Glass/ View Window 0.14 mR/hr 0.012 mR/week Pass
Behind Chest Stand(if applicable) 0.00 NA 0.000 NA NA
Service Door (Technician Entrance) 0.00 NA 0.000 NA NA
Outside Patient Entrance Door 0.10 mR/hr 0.008 mR/week Pass
Patient Waiting Area 0.03 mR/hr 0.003 mR/week Pass

Maximum Radiation level/week (mR/wk) = Work Load X Max. Radiation Level (mR/hr)
60 X mA used for measurement

Maximum Radiation Level/week (mR/wk) For Radiation Worker 0.012 mR/week Pass

Maximum Radiation Level/week (mR/wk) For Public 0.008 mR/week Pass

Permissible Limit :
For Location of Radiation Worker: 20 mSv in a year (40 mR/week)
For Location of Member of Public: 1 mSv in a year (2 mR/week)

I hereby undertake that all the information provided above is correct and in accordance with the detailed Quality Assurance Report enclosed herewith.

Place: MEERUT Signature:

Date: 09-Nov-23 Name of the Service Engineer:
Name of Service Agency:
Seal of Service Agency:

Signature of Institution’s Representative:

Name of Institution:
Seal of the Institution:

ANTESO Biomedical OPC Pvt. Ltd.

2nd Floor, D-290, PKT-7, Sector – 6, Rohini, New Delhi - 110085
Ph.: 011-47069720. Mob. No. 08470809720, 08427349720, 08470809720
Email: antesobiomedical@gmail.com, info@antesobiomedicalopc.com

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