PERIODIC

INSPECTION PROFORMA – 20__

40 SEATS
(All Points and parameters are to be verified and established in person by the designated Inspectors. All
necessary documents to be verified by the Principal/Dean for submission along with the report)

DCI Ref/ Letter No: DE-________________________ Dated: ________________

Date of Inspection : ________________________________________

Name and Address of Inspectors

1. ___________________________________________________________

___________________________________________________________

___________________________________________________________

2. ___________________________________________________________

___________________________________________________________

___________________________________________________________
3.
___________________________________________________________

___________________________________________________________

___________________________________________________________

VERY IMPORTANT POINTS FOR INSPECTORS AND PRINCIPAL

Note:-
The institution details to be duly typed and filled and duly signed by the Principal/Dean. The
Inspector(s) should fill the “Available/Remarks/Observation Column” in his/her own handwriting with
ink PEN.
o Proforma should be submitted to the Inspectors on their arrival.
o Inspector should verify all the contents of the proforma and dispatch the same alongwith their observation
to the Council within 24 hours of Inspection and the same should be submitted in the digital format by
midnight on last day of the inspection.
o All documents should be submitted to the DCI in English or translated in English and certified by the
Competent Authority.
o Requirement of Medical subjects (with respect to space and equipments) is applicable on those colleges
which do not have attachment with Medical Colleges.
o Departments having Postgraduate Courses should provide additional functional requirements as
per MDS regulations.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 1 of 34 Signature of Inspector-2

I. SCRUTINY OF REQUISITE PERMISSIONS

Name & Postal Address of the Proposed :

Dental College

Email Address for Correspondence :

Telephone & Fax No. :

Status (mark tick appropriate columns) : Government Private

Registration details of the : _________________________________________

Society/Trust:

State Government Essentiality/

Permission Certificate : Issued By:

No. & Date:

Valid Upto:

University Affiliation : Issued By:______________________________

(Deemed/Govt./Private) Name of University:
Status of University Affiliation (mark tick ________________________________________
appropriate columns)
Consent Provisional

No. & Date:

Valid Upto: ______________

(should be valid for current Academic Session)

II. (a). MEDICAL COLLEGE ATTACHMENT:

Private Medical Govt. Medical College

College

Name & Address of the Medical College _____________________________________________

______________________________________________________________________________
Name of the Principal/Dean: _______________________________________________________
Email address and contact number:__________________________________________________

a. Medical College duly approved/recognized by National Medical Council : Yes / No

(NMC).
b. Distance from Dental College to Medical College by road : ____kms.
(please clarify as to whether you have physically verified /taking the reading
of Taxi/Car Meter) : Yes / No

c. Whether MOU is signed by Competent Authorities between Medical and : Yes / No

Dental College for teaching purpose (copy to be attached).*
d. Validity period of MOU (should be valid for 5 years prospectively) : ____yrs.

e. NMC’s Notification /LOP No. & Date : ______

*Not more than one Dental College should be attached to one Medical College at a given time and vice
versa.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 2 of 34 Signature of Inspector-2

II(b). Hospital**: Requirement of the 100 bedded General Hospital for clinical teaching of BDS students
drawn up in accordance with the parameters prescribed by NABH.

Own Hospital Private Hospital Govt. General Hospital

Whether the permission of the attached 100 bedded : Yes / No

hospital is issued by the Competent Authority?

Name and full address of Hospital:

Name of the CMO with Tel No. & Mobile No.:

Whether MOU is signed by Competent Authorities between Yes / No

Hospital and Dental College for teaching purpose (copy to
be attached)

Distance of the Hospital from the Dental College By Road : ____kms.

(please clarify as to whether you have physically

verified/taking the reading of Taxi/Car Meter) Yes / No

Number of Beds in Hospital : Total: ___________________

** Applicable to Dental College which do not have affiliation to Medical College

Department Required Allotted Occupancy Remarks of

Inspector

During On the day

last 6 of inspection
months
General Ward – Medical 30
including allied specialities
General Ward –Surgical 30 (25+5*)
including allied specialities
Private Ward (A/C & Non 9
A/c)
Maternity Ward 15
Paediatric Ward 6
Intensive Care Services 4
(4% of bed strength)
Critical Care Services (6% 6
of bed strength)

* Minimum 5 number of beds should be earmarked for OMFS department.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 3 of 34 Signature of Inspector-2

Area Requirements (As per BIS/NABH)

Required Available Remarks of

Inspector
Covered Area 20 sq.m./bed
Inpatient Services 40%
Outpatient Services 35%
Department and supportive services 25%

Manpower Requirement (As per NABH/NMC Guidelines)

Medical Staff

Department Required Available Remarks of

Inspector
General Surgery 2
General Medicine 2
Obstetrics & Gynaecology 2
ENT 2
Paediatrics 2
Anaesthesia 2
Orthopaedics 2
Pharmacologist 1
Radiologist 1
GDMO 1
Community Medicine 1
Hospital Administration 1

Nursing Staff

Designation Required Available Remarks of

Inspector
Matron 1
Sister Incharge 6
O.T. Nurses 6
General Nurses 20
Labour Room Nurses 4

Health Staff

Designation Required Available Remarks of

Inspector
Female Health Assistant 1
Extension Educator Paramedical Staff 1
Lab Technician/Blood Bank Tech 4
ECG Technician 1
Pharmacist 4
Sr. Radiographer 1
CSSD 2
Medical Records 1
Engineering Staff

Designation Required Available Remarks of

Inspector
Civil 2
Mechanical 2
Electrical 2
Engineering Aid 4

Other Staff

Designation Required Available Remarks of

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 4 of 34 Signature of Inspector-2

 Inspector
Drivers 2
Carpenter 1
Cooks 2
Barber 1
Class IV including chowkidars 55

Administrative Staff

Designation Required Available Remarks of

Inspector
Office Superintendent 1
Head Clerk 1
Cashier 1
Stenographer 1
UDC 2
LDC 4

Satellite Dental Clinics:

All the Dental Colleges should establish minimum two satellite centers with all the infrastructural facilities
within 50 kms. distance to train and expose students in Community Oral Health Care Programmes.

III. CLINICAL MATERIAL (No. of patients) to be checked at the end of the OPD and filled by the
Inspectors:

a. ATTACHED HOSPITAL : During Inspection: _____________________

Attendances
(For Medical College as per
NMC Guidelines i.e. 4 to 8
patients per annual intake)

Average (Last 6 months): _____________________

b. DENTAL COLLEGE : During Inspection: _____________________

HOSPITAL* Attendances
Average (Last 6 months): _____________________

(Attendance Register to be checked & signed at the beginning and end of OPD).

*There shall be at least 60 to 80 New Patients on an average each day in Colleges with 40 Admissions.

(IV) LAND & INFRASTRUCTURE DETAILS*

LAND DOCUMENTS : Sale Deed/Lease Deed (verification of

copies translated in English)
Total Area of Land
(Minimum 5 acres of land) :

Year of Lease :

Lease Valid Till :

Survey Numbers :

Is the land contiguous and makes a single piece : Yes / No

of land

Approval Plans/ Land Use Conversion (Approved

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 5 of 34 Signature of Inspector-2

 by LDA/ Municipality/ Competent Authority) : Yes / No

Verification of Ownership from Land Records

: Yes / No

Total Constructed Area :

All approved building layout to be submitted

in indexed and spiral binding.

Whether Completion Certificate furnished from the : Yes / No

Competent Authority

*Whether Pollution Control board norms are : Yes /Applied for/ No

followed

*Whether Sewage Treatment Plant is available. : Yes / No

*Whether Bio-Waste management is followed as : Yes / No

per PCBI

*Whether Bio-Waste incinerator is available : Yes / No

*Whether Fire and Safety Certificate obtained : Yes / No

from the Competent Authority
:Yes/No
Whether Anatomical Act has been obtained from
Competent Authority
(DME of concerned State) applicable for Colleges
which are not attached to Medical College

* Kindly enclose proof for each.

Please ensure that all the land documents duly certified by the Land Revenue Authority have been
checked by you

(V) INFRASTRUCTURE & FUNCTIONAL REQUIREMENTS

60% of the total constructed area should be completed before the start of college & total construction
should be completed before the start of 3rd year)

Infrastructure Requirement Availability Remarks of

Inspector
Administrative block : consisting of – 1600 sq. ft.
(a) Dean’s room,
(b) Administrative officer’s room
(c) Meeting room
(d) Office
(e) Office stores
(f) Pantry etc.
Staff rooms:

H.O.Ds Room 180 sq.ft.

Readers’ Room 150 sq.ft.

Lecturers’ Room 200 sq.ft.

Undergraduate clinic adequate to accommodate Adequate OR
the prescribed number of dental chairs and units Inadequate

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 6 of 34 Signature of Inspector-2

 Lecture Halls – 4 2600 sq. ft.
Each hall to accommodate 10% more of
admission strength with proper seating
arrangement, blackboard, microphone and
facilities for slide, overhead and multi-media
projection.
Seminar room 200 sq. ft.
A. Central Stores 400 sq. ft.
With proper storing facilities like racks,
refrigerator, preferably compact storage
systems.
B. Small department stores 100 sq. ft.
per
department
Maintenance Room 500 sq. ft.
Equipped with proper facilities to maintain and
repair dental chairs and units and various other
equipments in the college and hospital.
Photography and Artist Room 250 sq. ft.
With proper studio facilities for clinical
photography, developing, preparation of slides,
charts, models etc.
Medical Stores 200 sq. ft.
Stocked with all the necessary drugs usually
prescribed in a dental hospital.
Sterilization room where central sterilization 150 sq. ft.
facilities are not provided

Amenities Area: 1600 sq. ft.

(a) Boys’ and Girls’ locker rooms
(b) Boys’ and Girls’ common rooms
(c) Common room for non-teaching staff
(d) Common room for teaching staff
(e) Change room for men
(f) Change room for women
Room for Gas Cylinder (ventilated) 100 sq. ft.
Compressor Room 100 sq. ft.
Pollution Control Measures:
All the dental institutions shall take adequate
pollution control measures by providing
incineration plant, sewage water treatment plant,
landscaping of the campus etc.
Cafeteria: 700 sq. ft.
With accommodation for 100 people with
kitchen, stores, washing area etc.
Examination Hall: 1500 sq. ft.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 7 of 34 Signature of Inspector-2

 A separate hall for university and other
examination furnished with chairs and individual
tables.
Hostels:
The hostel accommodation shall be provided
based on number of admissions for all the boys
and girls in the Dental College campus itself. The
accommodation may be increased in a phased
manner over a period of 4 years.(50% of total
intake capacity as per 2006 regulations)

Staff Quarters:
All the staff members, teaching and non-teaching
working in the institution shall be provided
adequate accommodation in the 5 acres land
earmarked for the college. The staff quarters
may be built in a phased manner over a period of
4 years.
Play Ground:
There shall be facilities for both indoor and out-
door games in the premises.
Auditorium: 2500 sq. ft.
To accommodate at least 300 people consisting
(approx.)
of – Proper seating arrangements, reception
counter, green rooms, lobby, fitted with sound
system, slide and multimedia presentation
facility.
Laboratories:
I. Dental Subjects:
(a) Pre-Clinical Prosthodontics and Dental 1200 sq.ft.
Material Lab
(b) Pre-clinical Conservative Lab – 1100 sq.ft.
(c) (i)Oral Biology and Oral Pathology Lab – 900 sq.ft.
(Fitted with granite tables to seat 50 students).
(c) (ii) Staff Room (for Lecturer/Tutors) 200 sq.ft
d) Laboratory for Orthodontics and Pedodontics 700 sq.ft
–
II. Medical Subjects*:
(a) Anatomy Dissection Hall, Museum, 1200 sq.ft.
Cadaver Room, Osteology & Demonstration
Room, Histology Room, Staff Room etc.
(b) Laboratory for Physiology with stores and 1200 sq.ft.
preparation rooms, Hematology Lab, Clinical
Lab, Staff Room etc.
(c) Laboratory for General Pathology & 1200 sq.ft.
Microbiology with stores, Clinical Lab,
Preparation Rooms, Staff Room etc
(d) Laboratory for Biochemistry with store, 1200 sq.ft.
Clinical Lab, Preparation Rooms & Instrument
Room, Staff Room etc.
(e) Laboratory for Pharmacology with store, 1200 sq.ft.
Clinical Lab, Staff Room etc.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 8 of 34 Signature of Inspector-2

* Requirement of Medical Subjects (with respect to space and equipments) is applicable on those
Colleges which do not have attachment with Medical Colleges.

DENTAL CLINICAL SPACE REQUIREMENT

(a) Prosthodontics - Plaster Room, 1100 sq.ft.
Polymers Room
Wax Room
Casting Laboratory
Ceramic Lab
(b) Conservative Dentistry – Plaster Room 250 sq.ft.
Casting & Ceramic Laboratories
(c) Oral Pathology for Histopathology 300 sq.ft.
(d) Haematology and Clinical Biochemistry: a 200 sq.ft.
Laboratory for Routine Blood and Biochemical
Investigation and Urine analysis.

STAFF QUARTERS (SEPARATE FROM HOSTEL)

Available/Not Available

Principal/Dean’s Bungalow
Staff Quarters

HOSTEL FOR BOYS & GIRLS

a Whether the building of Hostels for Boys & Girls is separate from the Dental Yes / No
College building and staff quarters
b Whether Hostels for Boys & Girls are within the Campus Yes / No
c Whether Hostel is shared by other Colleges/ Institutions Yes / No
d Whether Warden Room in Boys Hostel available. Yes / No
e Whether Warden Room in Girls Hostel available. Yes / No
f Hostel facility is available for minimum 50% of total intake Yes / No

Dwelling Single Twin Triple % of No of No of Remarks

Seater Seater Seater Accom equipped messes
against Common
total Rooms
strength

Boys

Girls

Note: Hostel accommodation in separate blocks for Boys and Girls and accommodation for Staff, to
the extent of 50 % of the strength, should be available at any given time in the same plot of
land in addition to the built-up area.

CONSTRUCTED AREA

DENTAL COLLEGE BUILDING

Total Carpet Area required in the constructed building: 40,000 Sq.ft.

FLOOR AREA CLINICAL ACADEMIC ADMIN / MAJOR

(sq.ft.) FACILITIES DEPARTMENTS LOGISTICS / FACILITIES
SUPPORT

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 9 of 34 Signature of Inspector-2

 Basement
Ground
First
Second
Third
Fourth
Other
TOTAL AREA (sq.ft.)

“Note: Minimum built up are of the Dental College building other than Hostels and Staff Quarters
should not be less than 25,000 sq. ft. in 1st Year and 40,000 sq. ft. in 3rd Year.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 10 of 34 Signature of Inspector-2

VI.(a) DENTAL TEACHING STAFF

Designatio Require Availabl Nam DOB DCI Adhaar No. Colleg Joining Total Form 16 Affidavit Inspecto
n d e e (dd/mm/yy) Faculty e Date Experience Uploade Uploade r
ID Name (Designation d d Remarks
-wise)-as
on__
Principal

Prosthodontics and Crown & Bridge

Designation Require Availabl Faculty DOB DCI Adhaar College Joining Relivin Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ Faculty No. Name Date g Date e (years & Experience Uploade Uploade r
yy) ID month) (Designation d d Remarks
-wise)-as
on__
Professor 1
Reader 2
Reader

Oral & Maxillofacial Pathology and Oral Microbiology

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on 15th d d Remarks
) June of
current
year
Professor 1
Reader 1

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 11 of 34 Signature of Inspector-2

Conservative Dentistry and Endodontics

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on 15th d d Remarks
) June of
current
year
Professor 1
Reader 2
Reader

Oral & Maxillofacial Surgery

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on 15th d d Remarks
) June of
current
year
Professor 1
Reader 1

Periodontology

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on 15th d d Remarks
) June of
current
year
Professor 1
Reader 1

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 12 of 34 Signature of Inspector-2

Orthodontics & Dentofacial Orthopedics

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on __ d d Remarks
)

Professor 1
Reader 1

Paediatric and Preventive Dentistry

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on __ d d Remarks
)

Professor
Reader 1

Oral Medicine & Radiology

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto
d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on d d Remarks
) ____

Professor
Reader 1

Public Health Dentistry

Designation Require Availabl Faculty DOB DCI UID Adhaar College Joining Reliving Experienc Total Form 16 Affidavit Inspecto

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 13 of 34 Signature of Inspector-2

 d e Name (dd/mm/ (if No. Name Date Date e (years & Experienc Uploade Uploade r
yy) available month) e as on __ d d Remarks
)

Professor
Reader 1

Signature of Principal/Dean with seal

LECTURERS MDS (6): ________

Sl. No. MDS with Facult DOB Original DCI UID Adhaa Colleg Joinin Relivin Experienc Total Form 16 Affidavit Inspecto
Specialit y (dd/mm/ Affidavi (if r No. e g Date g Date e (years & Experienc Uploade Uploade r
y Name yy) t with available Name month) e as on ___ d d Remarks
date )

1.
2.
3.
4.
5.
6.

TUTORS BDS (18): ________

Sl. No. Year of Facult DOB Original DCI UID Adhaa Colleg Joinin Relivin Experienc Total Form 16 Affidavit Inspecto
Passing y (dd/mm/ Affidavi (if r No. e g Date g Date e (years & Experienc Uploade Uploade r
BDS Name yy) t with available Name month) e as on __ d d Remarks
Course date )

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 14 of 34 Signature of Inspector-2

 1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.

Note:- All affidavits of the teaching staff and their requisite documents should be in the same order as mentioned above
*If the teaching staff is on leave, than attach the sanctioned leave by the college authority.
* Less than one year teaching experience will not be considered.
1. Faculty UID No. issued by the Dental Council of India available in www.dciindia.gov.in
2. The appointment of faculty in private Dental Colleges should be made through proper selection committee (as per University Act of the concerned State).
3. Experience of BDS Tutor will NOT be considered as teaching experience for any higher post in the Institute/ College etc.

VI (b)(i) MEDICAL TEACHING STAFF *

Departments Professor Reader Available Lecturer Available

Anatomy 1 2

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 15 of 34 Signature of Inspector-2

 Physiology 1 2

Biochemistry 1 2

Pharmacology 1 2

General Pathology 1 2

Microbiology 1 2

General Medicine 1 2

General Surgery 1 2

Anesthesia 1 1

TOTAL 9 17

* Applicable to Dental College affiliated with Medical College only.

VI (b)(ii) MEDICAL TEACHING STAFF *

Anatomy

Designation Required Available Faculty DOB DCI UID (if Adhaar Degree Year of University College Designation Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/ available) No. (Subject) Passing Name Date Date (years & Experience Uploaded Uploaded Remarks
mm/ month) as on ___
yy)
Reader 1
Lecturer 2
Lecturer

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 16 of 34 Signature of Inspector-2

Physiology
Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 2
Lecturer

Biochemistry

Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 2
Lecturer

Pharmacology

Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 2
Lecturer

General Pathology

Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 2
Lecturer

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 17 of 34 Signature of Inspector-2

Microbiology

Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 2
Lecturer

General Medicine

Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 2
Lecturer

General Surgery

Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 2
Lecturer

Anaesthesia

Designation Required Available Faculty DOB DCI UID (if Adhaar College Joining Reliving Experience Total Form 16 Affidavit Inspector
Name (dd/mm/ available) No. Name Date Date (years & Experience Uploaded Uploaded Remarks
yy) month) as on ___
Reader 1
Lecturer 1

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 18 of 34 Signature of Inspector-2

* Applicable to Dental College attached with 100 bedded hospital only.

Note:- (i) All affidavits of the teaching staff and their requisite documents should be in the same order as mentioned above
(ii) If the teaching staff is on leave, attach the sanctioned leave certificate.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 19 of 34 Signature of Inspector-2

VI (c). NON-TEACHING STAFF *:

Requirement Available Remarks of

Inspector
1 Administrative Officer 1
2 Secretary to Dean 1
3 Public Relation officer 1
4 Managers/ Office Suptd 4
5 Assistants 7
6 Receptionist 7
7 Librarian 1
8 D.S.A. (Chair side Attendant) 8
9 Dent. Tech. (Dental Mechanic) 5
10 Dent. Hygst. 3
11 Radiographer 2
12 Photographer 1
13 Artist 1
14 Computer Programmer 1
15 Data Entry Operators 1
16 Physical Director 1
17 Engineer 1
18 Electricians 2
19 Plumber 1
20 Carpenter 1
21 Mason 1
22 A.C. Tech. 1
23 Helpers Electrical 1
24 Sweepers & Scavengers 8
25 Attenders 15
26 Security Personal 5
27 Dept. Secretaries 4
28 Driver 4
29 Nurses 3
30 Lab. Technicians 3
Total 95

*Note: Identity proof and documents/certificate of the staff to be submitted which should be duly
counter signed by the Head of the Institution.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 20 of 34 Signature of Inspector-2

VII. CENTRAL LIBRARY
Total required area 4000 sq. ft. should consist of –
Sl. Amenities Available/ Not Sq. Ft.
No. Available
1 Reception & waiting
2 Property counter
3 Issue counter
4 Photocopying area
5 Total Seating Capacity should be minimum 50% of total
students strength
6 Postgraduates & staff reading room
7 Journal room
8 Audio-visual room
9 Chief librarian room
10 Stores and stocking area.
11 E-Consortium provision to be provided in the College Library
connected with the National Medical Library
Total Area

Available Remarks
of
Inspector
Total Number of Books:- : ______ _________

Atleast 5 Titles & 5 Volumes of Latest Edition for all Dental, Medical and Allied
specialties/subjects

Total Number of Journals:- : _________ _________

: _________ _________
Atleast 1 National Journal in each subject of the 9 Dental specialties, 1 National : _________ _________
Journal in each subject of the 8 basic medical science subjects and 1 International : ________ _________
Journals for each 9 Dental specialties. : ________ ________

Atleast 5 years Back Volumes of National/International Journal(s) of 9 Dental

Specialties

Details of facilities for E- Journals:- : ______ _________

All the journals of the speciality and allied subjects shall be available out of which
50% should be in print form.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 21 of 34 Signature of Inspector-2

VIII. MAJOR EQUIPMENTS
Specification of Dental Chairs and Units for different Departments is as follows:

* Essential Specification for Dental Chair: Electrically Operated, attached Spittoon, Halogen Light
with 2 intensity, High Power Evacuation System, 3 way Syringe, X-ray viewer, attachment for
Airrotor, Micromotor with straight and contrangle Handpiece, Instrument Tray, Dental Operator
Stool with height adjustment.

(Light Cure Unit, Ultrasonic Scaler etc. as per requirement of concerned Department)

Note: Total approximate area for all U.G. clinics (40 admissions) – 10,000 sq. ft.
Electrical Dental Chairs Installed with all the attachments thereon :
(Required: *80 Dental Chairs)

Whether all the Chairs and Units are functioning and electrically : Yes / No
operated?

Total No. of functional Chairs : / 80

(As per Specifications mentioned above)

IX. DENTAL DEPARTMENTS:

PROSTHODONTICS AND CROWN & BRIDGE

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Units (As per Specifications 13

mentioned above)
Semi adjustable articulator With face bow 2

Extra Oral/intra Oral Tracer 2

Dewaxing unit 2
Light Cure unit 1
Dental casting machine 1
(Centrifugal)
Wax burnout furnace 1
Pre heating furnace 1
Surveying unit 1
Heavy duty hand piece Lab micromotors 3
Autoclave Having wet and dry cycle, 1
which can achieve 135°C
with minimum capacity of
20 liters
Needle burner with syringe 1
cutter
Plaster dispenser (a) for plaster 1
(b) for stone plaster 1
Model Trimmer with 1
Carborandum Disc
Model Trimmer with Diamond 1
Disc
Acrylizer 2
Lathe 1
Flask Press 4
Deflasking Unit 4

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Signature of Inspector-1 Page 22 of 34 Signature of Inspector-2

Hydraulic Press 2
Mechanical Press 1
Vacuum Mixing Machine 1
Lab Micro Motor With heavy duty 3
handpiece
Curing Pressure Pot 1
Porcelain furnace 1
Vibrator 1
Sand Blasting Unit 2
Ultrasonic Cleaner 1
Hot Water Sterilizer 1
Geyser Compound bath 1
H.P. Grinder with Suction 2
Heavy Duty Lathe 2
Phantom Heads 20

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Signature of Inspector-1 Page 23 of 34 Signature of Inspector-2

CERAMIC AND CAST PARTIAL LABORATORY

NAME SPECIFICATIONS Required Available Remarks of

Inspector
Plaster Dispenser (a) for plaster 1
(b) for stone plaster 1
Duplicator 1
Pindex System 1
Circular Saw 1
Burn out Furnace 1
Sandblasting Machine With two containers 1
Electro-Polisher 1
Model Trimmer with 1
Carborandum Disc

Model Trimmer with 1

Diamond Disc
Induction Casting 1
Machine
Programmable Porcelain 1
furnace with Vacuum
Pump with Instrument Kit
and Material Kit

Spot Welder with 1

Soldering, attachment of
Cable
Vacuum Mixing Machine 1
Steam Cleaner 1
Spindle Grinder 24,000 1
RPM with Vacuum
Suction
Wax Heater 1
Wax Carver 1
Curing Pressure Pot 1
Milling Machine 1
Heavy Duty Lathe with 1
Suction
Preheating Furnace 1
Palatal Trimmer 1
Ultrasonic Cleaner 5 liters capacity 1
Composite Curing Unit 1
Micro Surveyor 1

PRE-CLINICAL PROSTHETICS LABORATORY

Work table preferably 25
complete stainless steel
fitted with light, Bunsen
Burner, Air Blower,
working stool.

Adequate number of Lab 20

Micro Motor with attached
Hand Piece

PLASTER ROOM FOR PRE-CLINICAL WORK

Plaster Dispenser for plaster 1

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Signature of Inspector-1 Page 24 of 34 Signature of Inspector-2

Plaster Dispenser for stone plaster 1
Vibrator 2
Lathe 2
Model Trimmer 1
Carborandum Disc 1
Diamond Disc 1

CONSERVATIVE DENTISTRY AND ENDODONTICS

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Units (As per Specifications 14

mentioned above)
Rubber Dam Kits 4
Restorative instruments 5
kits
R.C.T. Instrument Kits 5
Autoclaves Having wet and dry cycle, which 2
can achieve 135°C with
minimum capacity of 20 liters
Ultrasonic Cleaner Minimum capacity 13 liters with 1
mesh bucket
Needle Burner with 3
Syringe Cutter
Amalgamator With Auto proportion, Auto 2
dispenser
Pulp Tester-Digital 2
Apex Locator 1
Glass Bead Sterilizers 4
Intra-Oral X-Ray Unit Proper radiation safety AERB 1
Automatic Developer 1
Radiovisiography RVG with Computer 1
Endo Motor With torque control Hps 1
Bleaching Unit 1
Magnification Loops 1
Injectable Gutta Percha 1
PHANTOM LAB UNIT Phantom Table fitted with 25
Halogen Operating Light
Phantom Head body type neck
joint for all the movement, TMJ
movement. Modular with Air
rotor, Micro motor with contra
angle Hps, 3-way syringe, jaw
with ivorine teeth, preferably
soft gingival, dental operator’s
stool (not to use extracted or
cadaver teeth).

CLINICAL LABORATORY

Plaster Dispenser for plaster 1

Plaster Dispenser for stone plaster 1

Model Trimmer Carborandum disc 1

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Signature of Inspector-1 Page 25 of 34 Signature of Inspector-2

Model Trimmer Diamond disc 1
Lathe Heavy Duty 1
Lab Micromotor With heavy duty handpiece 2
Ultrasonic Cleaner Minimum capacity 5 liters 1
Spindle Grinder 1
Vibrator 1
Burnout Furnace 1
Porcelain Furnace 1
Sandblasting Machine 1
Lab Airrotor 1
Pindex System 1
Circular Saw 1
Vacuum Mixer 1
Pneumatic Chisel 1
Casting Machine Motor cast/induction casting 1
preferred
CAD CAM Desirable 1

DENTAL ANATOMY, EMBRYOLOGY, ORAL HISTOLOGY AND ORAL PATHOLOGY

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Unit (As per Specifications 1

mentioned above)
Microscopes 15
Microtome 1
Wax Bath 1
Water Bath 1
Knife Sharpner 1
Hot Plate 1
Spencer Knife 1
Television With USB port For displaying 1
slide
Teaching slides set with Oral pathology and oral 2 Sets (with
Box histology including ground minimum of
sections 50 slides in
each set)
Education Model 3

HISTOPATHOLOGY ROOM

Disposable Blade 1 set

Hot Air Oven 1
Organic Tissue Capsule Small 1
Distilled Water Plant 1
Diamond Tip Pencil 1
Glass Dropper Bottle 3
Glass Bottle With Lid 3
Wide Mouth Bottles 3
Glass Funnel 3
Glass Pipette 3
Glass Measuring Jar 3

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Signature of Inspector-1 Page 26 of 34 Signature of Inspector-2

 Petri Dish 4” Glass 3
L Blocks 2
Loop Holder 2
Magnifying Glass 1
Toothed Forceps 2
Plastic Dropper 2
Petri Dish 50mm Glass 2
Gas burner/Spirit Lamp 1
Processing Bottles 3
Slide Warming Table 1
Slide Drying Tray 1
Slide Carrying Tray 1
Staining Basket SS 1
Staining Trough SS Stainless steel 1
Staining Trough Glass 1
Slide Staining Rack SS Stainless steel 1
Slide Box 2
Slides Storage Cabinet 1
Wax Block Storing 1
Cupboard
Stop Watch 1
ORAL PATHOLOGY REPORTING STATION
With all attachments 1
Microscope –Trinocular
Colour Printer 1
Desktop Computer With Minimum basic 1
specification (not below core i3
processor)

ORAL & MAXILLOFACIAL SURGERY

A) EXODONTIA

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Units As per Specifications 12

mentioned above)
Autoclaves Front loading having wet and 2
dry cycle, which can achieve
135°C with minimum capacity of
20 liters
Ultrasonic Cleaner Minimum capacity 13 liters with 1
mesh bucket
Needle Burner with 4
Syringe Cutter
Extraction Forceps Sets Complete Set 10
Dental elevators Complete Set 5
Minor Oral Surgery Kits 3
Emergency Drugs Tray 1
Oxygen Cylinder with 1 each
Adult and Pediatric Mask
X-ray Viewers 2
Computer With Minimum basic 1
specification (not below core i3
processor)
Pulse Oxymeter 1
BP Appartus 1
Stethoscope 1

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Signature of Inspector-1 Page 27 of 34 Signature of Inspector-2

Thermometer 1
Glucometer 1
Impaction kit 1
Lab 28micromotor with 1
Hand Piece
Trauma Kit 1
High Volume Suction 1
Surgical Straight Hand 1
Piece

B) MINOR SURGERY

Dental Chairs and As per Specifications mentioned 3

Units above

PERIODONTOLOGY

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Units As per 14

Specifications
mentioned above
Hand Scaling Instrument Sets Supragingival 4
Subgingival 4
Surgical Instrument Sets 3
Set of Curettes Set of 14 1
Autoclave Having wet and dry 2
cycle, which can
achieve 135°C with
minimum capacity of
20 liters
Ultrasonic Cleaner Minimum capacity 13 1
liters with mesh
bucket
Electro Surgical Cautery 1

Needle burner with syringe cutter 3

LASER Soft Tissue Laser 1
Surgical Motor with Physio 1
Dispenser

ORTHODONTICS & DENTOFACIAL ORTHOPEDICS

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Units As per Specifications 7

mentioned above
Unit Mount Scaler 3

Autoclave Having wet and dry cycle, which 1

can achieve 135°C with
minimum capacity of 20 liters
Ultrasonic Cleaner Minimum capacity 13 liters with 1

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 28 of 34 Signature of Inspector-2

 mesh bucket with digital timer
ORTHO LAB
Plaster Dispenser (a) for plaster 1
(b) for stone plaster 1
Vibrator 1
Model Trimmer 1
Micromotor – Heavy Duty 2
Lathe 1
X-ray Viewers 2
OPG with Cephalostat If available in Radiology it’s 1
adequate.
Blow Torch 1
Base Formers 2
Set of Pliers 5
Soldering Torch 1
Spot Welder 1
Hydro Solder 1
Typodont Articulator With Metal Teeth Wax Rim of 3
Class I, II, III
Pressure Molding 1
Machine
PAEDIATRIC AND PREVENTIVE DENTISTRY

Name Specification Quantity

Required Available Remarks
of
Inspector

Dental Chairs and Units As per Specifications mentioned 8

above
Autoclaves Having wet and dry cycle, which can 1
achieve 135°C with minimum capacity of
20 liters.
Ultrasonic Cleaner Minimum Capacity 13 liters with Mesh 1
Bucket with Digital Timer
Needle Burner with Syringe 2
Cutter
Amalgamator 1
Pulp Tester-Digital 1
Rubber Dam Kit for Pedo 3
Apex Locator 1
Endo Motor With torque control HPs 1
Injectable Gutta Percha 1
with Condensation
Radiovisiography Digital Intra X-Ray system with Pedo 1
Sensor and Software
Intra Oral Camera With High Resolution 1
Scaling Instruments 5
Restorative Instruments 5
Extraction Forceps Pedo Forceps Complete Sets 5
Intra-oral X-Ray 1
Automatic Developer 1
Computer With Minimum Basic Specification (not 1
below core i3 Processor)
RCT Instruments Kits 2
PEDO LAB
Plaster Dispenser (a) for plaster 1

(b) for stone plaster 1

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 29 of 34 Signature of Inspector-2

Model Trimmer (a) Diamond Disc 1
(b) Carborandum Disc 1
Welder with Soldering 1
attachments
Vibrator 2
Lab Micro Motor With Heavy duty with Hand Piece 2
Dental Lathe 1
Steam Cleaner 1
Pressure Moulding 1
Machine

ORAL MEDICINE AND RADIOLOGY

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Units As per Specifications 5

mentioned above
Panoramic X-Ray with Preferably Digital AERB 1
Cephalometric Certified
(Orthopentmogram)
Intra Oral X-ray Unit AERB Certified 70 KV , 8mA, 2
high frequency preferably Digital
Timer
Pulp testers Digital 2
Automatic periapical X- 1
ray Developer
Automatic Panoramic 1
with Cephalometric X-ray
Developer
X-Ray Viewer For Panoramic and 2
Cephalometric Films
Radiovisiography Digital intra X-ray system with 1
one Sensor and Software

General X-ray Unit 1

Ortho Pantmograph Preferably Digital 1
Automatic As per AERB norms 1
Developers/Dark Room
Lead Aprons 2
Lead Gloves 1
Lead Collar 1
X-ray Hangers 6
X-ray Viewers 2
Diagnostic Kits Mouth Mirror, Dental Probe, 15
College Tweezers
Lead Screen 1
Biopsy Kit 1
Autoclave Having wet and dry cycle, which 1
can achieve 1350C with
minimum capacity of 20 liters
Computers With Minimum Basic 1
Specification (not below core i3
Processor)
Intra Oral Camera With High Resolution 1

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Signature of Inspector-1 Page 30 of 34 Signature of Inspector-2

Needle Burner with 2
Syringe Cutter
CBCT Desirable 1

PUBLIC HEALTH DENTISTRY

Name Specification Quantity

Required Available Remarks of
Inspector

Dental Chairs and Units As per Specifications 6

mentioned above
Autoclaves Having wet and dry cycle, which 1
can achieve 135°C with
minimum capacity of 20 liters.
Ultrasonic Cleaner Minimum capacity 13 liters with 1
mesh bucket with digital timer
Needle Burner with 2
Syringe Cutter
MOBILE CLINIC

Mobile Dental Van Mobile Dental van with two 1

Dental Chairs with all the
attachments and adequate
sitting space
Dental Chair with Unit As per Specifications 2
mentioned above
Autoclaves Having wet and dry cycle, which 1
can achieve 135°C with
minimum capacity of 20 liters.
Intraoral X-Ray Portable 1
Glass Bead Sterilizers 1
Compressor 1.25HP 1
Metal Cabinet With wash basin 1
Portable Dental Chair Suitcase unit with Airrotor, 2
Micromotor, Scaler and
Compressor 0.25HP
Stabilizer 4KV 1
Generator 4KV 1
Water Tank 400ltrs 1
Oxygen Cylinder 1
Public Address System 1
TV and Video Cassette 1
Player (pendrive)
Demonstration Models 5

Whether all the above-mentioned equipments are functioning? : Yes / No

Note: - A copy each of the audited balance sheet (By Charted Accountants) of the Trust/Society is
to be furnished.

We hereby declare that all the documents regarding Land / Building / Essentiality
Certificate/University Affiliation/Medical College and 100 Bedded General Hospital / Teaching Staff
etc. have been physically verified by us.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 31 of 34 Signature of Inspector-2

OBSERVATIONS:

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Signature of Principal/Dean with seal

Signature of Inspector-1 Page 32 of 34 Signature of Inspector-2

 Check list for the Inspectors:

S.No Yes No

1. Is the Inspection Proforma filled Completely and each page signed by the Inspectors?

2. Has the University affiliation been checked and found in order? (copy should be attached
with the inspection proforma)
3. Has the Essentiality Certificate been checked and found in order for BDS Course?

4. Has the infrastructure and equipment with the vouchers for clearance of payment to the
suppliers been checked and verified as per the prescribed DCI norms?
5. Is the attached Hospital (100 bedded) as per the norms and located within 10 kms from the
Dental College?
6. Are the teachers posted as per DCI/NMC norms and the updated registration certificate
from respective State Councils attached?
7. Medical College / Hospital Attached

a) NMC Approved / Recognised Medical College.

b) 100 Bedded General Hospital.

c) Authority of attachment

d) Medical Teaching Staff for BDS/MDS

e) Bed Occupancy

8. Is the list of teaching staff as per DCI format enclosed?

9. Have the Dental and Medical faculty been checked for the following?

a) Affidavit (Appointment, Relieving certificates from the previous institutions,

Teaching experience, Form 16, Aadhaar Card etc.)
b) Any staff on Notice Period (not to be considered after submission of resignation)

10. Has the details of students been checked?

11. Have you checked Clinical Material at the end of the OPD and patient inflow as per norms?
(given in the inspection proforma)
CLINICAL MATERIAL (NEW PATIENTS PER DAY) REQUIREMENT FOR BDS
COURSE:-
WITH 40 SEATS – Minimum 60 to 80

12. Has the clinical material till the end of both the days and patient inflow, as per norms,
been checked?
13. Has the E-library/Library been checked for Journals/Books and other facilities?

14. Have the detailed comments been submitted along with the Inspection Report? (Strengths
and Shortcomings).
15. Have the details of the Publications as given in the format of the Inspection Proforma been

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Signature of Inspector-1 Page 33 of 34 Signature of Inspector-2

 verified?
16. Has the list of special cases treated with details in the speciality for the last three years
(In case of increase of seats only) been checked?
17. a) Anti Ragging Committee Details

b) Any case of Ragging in the institution in the last one year has been reported?

18. Have the Satellite Clinics been checked?

19. Have the Bio Medical waste disposal and Management details been checked?

20. Have the Fire and Safety Certificate been obtained and renewed annually?

21. Has the CCTV Camera been checked and found in order?

22. Has the details regarding “Establishment of Tobacco Cessation Centers in Dental
Institution – An Integrated Approach in India - Operational Guidelines 2018” in the
institution been checked?

23. List of Research Activities (Desirable)

24. Details of Ethical Committee (Desirable)

- Registration No. valid upto

- Agency registered with
(Registry for Biomedical and Health Research (NECRBHR) OR DHR/CDSCO)

25. Details of Prevention of Sexual Harassment Committee

26. DCI Biometric Attendance System Installed & Functional

27. AERB Certification

28. NAAC Accreditation Certificate (As per Rule 9 of DCI Misc. Regulations 2007)

29. Whether College has participated in NIRF Ranking System

Note: Please retain one copy of the Inspection Report duly signed by the Inspectors for future
eventualities for a period of 06 (six) months.

Signature of Principal/Dean with seal

Signature of Inspector-1 Page 34 of 34 Signature of Inspector-2