CT Scan Unit (whether standalone or in-house hospital) needs stricter approvals than X-ray, because CT uses much higher radiation doses.

CT Scan Unit (whether standalone or in-house hospital) needs stricter approvals than X-ray, because CT uses much higher radiation doses.

📋 Documents & Approvals for CT Scan Unit in India

🔹 1. Hospital / Business Legal Documents

• Hospital/Diagnostic Center Registration Certificate (under Clinical Establishments Act or State Health Authority).

• PAN, GST, Trade License.

• Fire NOC + Building Safety Certificate.

• Shops & Establishment License (if standalone).

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🔹 2. AERB (Atomic Energy Regulatory Board) Mandatory Approvals

All CT installations must be registered on AERB’s eLORA portal.

You need:

1. Site & Layout Plan Approval – Room design (shielding, walls, control area) submitted for AERB clearance.

2. Equipment Type Approval – Only AERB-type approved CT machines can be installed.

3. Installation & Commissioning Report – From supplier / service engineer.

4. Radiation Safety Officer (RSO) – Must be appointed. (Radiological physicist or radiographer with RSO training).

5. License to Operate CT Unit – Final approval from AERB before starting patient scans.

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🔹 3. Radiation Protection & Safety Documents

• Radiation Protection Program (RPP) for hospital/center.

• Room Radiation Survey Report (by authorized agency).

• Leakage Test Reports.

• Personnel Monitoring (TLD badges for all staff).

• Annual Quality Assurance (QA) Report of CT scanner.

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🔹 4. Staff Documents

• Radiologist – MBBS + MD/DNB Radiology, registered with MCI/NMC/State Council.

• Radiographer – Diploma/Degree in Radiography + registration.

• RSO Certificate – Approved person responsible for radiation safety.

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🔹 5. Other Compliance

• Biomedical Waste Management Authorization (must include radiology chemicals if applicable).

• Consent from State Pollution Control Board (covered under hospital’s overall consent if in-house).

• Insurance – Equipment + liability.

• AMC/CMC agreement for CT machine maintenance.

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✅ Key Differences – CT Scan vs X-Ray

Requirement	X-ray	CT Scan
AERB Approval	Needed	Stricter, mandatory before installation
Shielding	Basic lead-lined walls	Thicker walls, specialized shielding
QA Testing	Annual QA	Annual QA + dose calibration
RSO	Radiographer with short RSO course may qualify	Usually needs Medical Physicist / higher-level RSO
Radiation Dose	Low	High – strict monitoring

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👉 In short:
For CT Scan, the most critical part is AERB layout approval before machine installation, then RSO appointment, then QA & safety compliance.