\documentclass[a4paper,12pt]{article}

\usepackage{latexsym}
\usepackage{amssymb}
\usepackage{multirow}
\usepackage{longtable}

\sloppy

\setlength{\parindent}{0mm}
\setlength{\textheight}{23cm}
\setlength{\textwidth}{16cm}
\setlength{\hoffset}{-1.5cm}
\setlength{\voffset}{-1.5cm}

\begin{document}

%\vspace*{2.7cm}
\centerline{\bf EUROPEAN ORGANIZATION FOR NUCLEAR RESEARCH}
\vspace*{0.1cm}


\begin{center}

%\vspace*{20mm}

{\bf [Proposal/Letter of Intent/Addendum ...] to the ISOLDE and Neutron Time-of-Flight Committee}\\[5mm]

\vspace*{15mm}

{\large\bf Title}\\[4mm]

\begin{flushright}
\begin{minipage}[b]{5cm}
\today\\
\end{minipage}
\end{flushright}


Author1$^1$, Author2$^2$, ...

\end{center}

\vspace*{5mm}

{\small
{\it $^1$Affiliation1}\\
{\it $^2$Affiliation2}\\
}

\begin{center}
{\bf Spokesperson:} [name] [email]\\
{\bf Technical coordinator:} [name] [email]

\vspace{1cm}


{\bf Abstract:}
\\6 pages maximum
...
\end{center}


\vspace{2cm}

{\bf Requested protons:} [x] protons on target, (split into [y] runs over [z] years) \\
{\bf Experimental Area:} [EAR1, EAR2 or NEAR Station] \\

\newpage

%\section{Section1}
[main text of the proposal .....]
...

%\section{Section2}

...\\
6 pages maximum

{\bf Summary of requested protons:} ...... .


\begin{thebibliography}{}

\end{thebibliography}

\newpage
\section*{Appendix}

{\bf DESCRIPTION OF THE PROPOSED EXPERIMENT}

Please describe here below the main parts of your experimental set-up:
\vspace{1cm}

\small
\begin{tabular}{|p{6.4cm}|p{8.7cm}|} \hline

Part of the experiment      &Design and manufacturing\\ \hline

If relevant, write here the name of the \underline{fixed} installation you will be using 
[Name \underline{fixed/present n\_TOF installation}: e.g. TAC, C6D6, SIMON, uMegas, HPGe, GEAR-HPGe]
 & $\boxtimes$ To be used without any modification \hspace{3cm}    $\Box$ To be modified \\  \hline
 
If relevant, describe here the name of the \underline{flexible/transported} equipment you will bring to CERN from your Institute

[Part 1 of experiment/ equipment] 

 &  $\Box$ Standard equipment supplied by a manufacturer \hspace{2cm} $\Box$ CERN/collaboration responsible for the design and/or manufacturing \\  \hline
 
[Part 2 of experiment/ equipment] 

 &  $\Box$ Standard equipment supplied by a manufacturer \hspace{2cm} $\Box$ CERN/collaboration responsible for the design and/or manufacturing \\  \hline
 
 [insert lines if needed] 

 &   \\  \hline

 \end{tabular}

	
\vspace{1cm}
\normalsize
HAZARDS GENERATED BY THE EXPERIMENT \\
Additional hazard from \underline{flexible or transported} equipment to the CERN site:

\vspace{0.5cm}

\small
% Please add the following required packages to your document preamble:
% \usepackage{multirow}
% \usepackage{graphicx}
% Please add the following required packages to your document preamble:
% \usepackage{multirow}
% \usepackage{graphicx}
% Please add the following required packages to your document preamble:
% \usepackage{multirow}
% \usepackage{longtable}
% Note: It may be necessary to compile the document several times to get a multi-page table to line up properly
\begin{longtable}[c]{|l|ll|l|}
\hline
Domain &
  \multicolumn{2}{l|}{Hazards/Hazardous Activities} &
  Description \\ \hline
\endfirsthead
%
\endhead
%
\multirow{5}{*}{Mechanical Safety} &
  \multicolumn{1}{l|}{Pressure} & $\Box$
   &
  {[}pressure{]} {[}bar{]}, {[}volume{]}{[}l{]} \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Vacuum} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Machine tools} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Mechanical energy (moving parts)} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Hot/Cold surfaces} & $\Box$
   &
   \\ \hline
Cryogenic Safety &
  \multicolumn{1}{l|}{Cryogenic fluid} & $\Box$
   &
  {[}fluid{]} {[}m3{]} \\ \hline
\multirow{2}{*}{Electrical Safety} &
  \multicolumn{1}{l|}{Electrical equipment and installations} & $\Box$
   &
  {[}voltage{]} {[}V{]}, {[}current{]} {[}A{]} \\ \cline{2-4} 
 & 
  \multicolumn{1}{l|}{High Voltage equipment} & $\Box$
   &
  {[}voltage{]} {[}V{]} \\ \hline
\multirow{6}{*}{Chemical Safety} &
  \multicolumn{1}{l|}{\begin{tabular}[c]{@{}l@{}}CMR (carcinogens, mutagens and toxic \\ to reproduction)\end{tabular}} & $\Box$
   &
  {[}fluid{]}, {[}quantity{]} \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Toxic/Irritant} & $\Box$
   &
  {[}fluid{]}, {[}quantity{]} \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Corrosive} & $\Box$
   &
  {[}fluid{]}, {[}quantity{]} \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Oxidizing} & $\Box$
   &
  {[}fluid{]}, {[}quantity{]} \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{\begin{tabular}[c]{@{}l@{}}Flammable/Potentially explosive \\ atmospheres\end{tabular}} & $\Box$
   &
  {[}fluid{]}, {[}quantity{]} \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Dangerous for the environment} & $\Box$
   &
  {[}fluid{]}, {[}quantity{]} \\ \hline
\multirow{3}{*}{\begin{tabular}[c]{@{}l@{}}Non-ionizing \\ radiation Safety\end{tabular}} &
  \multicolumn{1}{l|}{Laser} & $\Box$
   &
  {[}laser{]}, {[}class{]} \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{UV light} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Magnetic field} & $\Box$
   &
  {[}magnetic field{]} {[}T{]} \\ \hline
\multirow{4}{*}{Workplace} &
  \multicolumn{1}{l|}{Excessive noise} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Working outside normal working hours} & $\Box$
   & 
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{\begin{tabular}[c]{@{}l@{}}Working at height (climbing platforms, \\ etc.)\end{tabular}} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Outdoor activities} & $\Box$
   &
   \\ \hline
\multirow{3}{*}{Fire Safety} &
  \multicolumn{1}{l|}{Ignition sources} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Combustible Materials} & $\Box$
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{Hot Work (e.g. welding, grinding)} & $\Box$
   &
   \\ \hline
\multirow{2}{*}{Other hazards} &
  \multicolumn{1}{l|}{} &
   &
   \\ \cline{2-4} 
 &
  \multicolumn{1}{l|}{} &
   &
   \\ \hline
\end{longtable}
 	
\vspace{1cm}
\normalsize


\end{document}
