Get Application For Procurement Of Pre-owned X-ray Equipment - Aerb Gov

This guide provides a comprehensive overview of how to fill out the Application For Procurement Of Pre-owned X-ray Equipment from the Atomic Energy Regulatory Board. The process outlined here aims to assist users in completing the application accurately and submitting all necessary documentation online.

Follow the steps to complete your application effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part A, which requires you to provide the details of the institution. Fill in the name and address, including the city, state, postal code, telephone number, fax number, and email address.
3. Next, in the same Part A, provide the details of the head of the institution, including their name, designation, telephone number, mobile number, and email address.
4. Move to Part B to describe the pre-owned equipment. Select the type of equipment from the provided options, fill in the model name, maximum operating potential (kVp), maximum operating current (mA), name of manufacturer, country of manufacturer, and expected useful life of the equipment.
5. In Part C, provide details about the previous user of the equipment, including the name of the previous user institute, the country, the date of installation, dismantling date, and any incidents that occurred during its use.
6. Part D involves filling out the details of the supplier or service agency. You will need to provide the name, address, contact number, email ID, and AERB authorization reference number.
7. In Part E, provide layout details for the x-ray installation, including location specifics like room number, floor, department, wall identification, distance from the exposure area, material used for shielding, and occupancy behind the wall.
8. Ensure that the layout drawing is accurately represented. Confirm if the drawing indicates the gantry/C-arm, couch, control panel, as well as additional details. Answer the questions regarding the height of windows, shielding, and distances as prescribed.
9. Prepare for Part F by gathering the required attachments, such as layout drawing, type approval certificate, x-ray equipment design approval, supplier/ service provider authorization, QA reports, and a regulatory consent.
10. Finally, in Part G, provide your undertaking by certifying that all information is accurate and that you will comply with relevant regulations. Sign and date the form along with the seal of the institution.
11. Once all sections are completed, review the application for accuracy. Save changes, download the completed form, print it, or share as needed.

Complete your application online to support your procurement of pre-owned x-ray equipment.