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Read about the latest regulatory and policy news from ARPANSA
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For more information please get in touch with Operation Services
- Phone Number+61 2 9541 8333
- Fax Number+61 2 9541 8348
- email ARPANSA
Regulatory Forms
This Page:
- Accident Notification Form
- Disposal Request Form
- Instrument of Authorisation Template
- Nuclear Installation Licence Application Form
- Prescribed Radiation Facility Licence Application Form
- Quarterly Report Proforma
- Regulation 51 Request for Approval
- Source Inventory Book
- Source Licence Application Form
- Transfer Notification Form
Accident Notification Form
The Regulatory Guide: Reporting an Accident is provided to assist licence holders in their compliance with regulation 46. The document defines an 'accident' for the purposes of regulation 46 and provides information on when and how such accidents must be reported.
Accidents should be reported using the Accident Notication Form (Doc 57 kb) - updated July 2010
Disposal Request Proforma (Regulation 53(1))
This form is to be used to seek approval from the CEO of ARPANSA to destroy or otherwise dispose of controlled apparatus or controlled material. Disposal includes the transfer of controlled apparatus or controlled material to a person or organisation outside Commonwealth jurisdiction. Please refer to the Regulatory Guide for further information.
Disposal Request Proforma (Regulation 53(1))(DOC 89 kb) - updated July 2010
Instrument of Authorisation Template
This basic template has been developed to assist with the delegation of responsibility pursuant to
regulation 39(4)(b)(ii). Licence Holders should modify as required.
Instrument of Authorisation Template (DOC 35 kb) - February 2012
Nuclear Installation Licence Application
Applicants who wish to apply for a licence for a nuclear installation should refer to the Regulatory Guide: Applying for a Facility Licence for a Nuclear Installation for guidance on how to complete a Nuclear Installation Facility Licence Application Form.
Prescribed Radiation Facility Licence Application
Applicants who wish to apply for a facility licence for a prescribed radiation facility should refer to the Regulatory Guide: Applying for a facility licence for a Prescribed Radiation Facility for guidance on how to complete this form.
Facility Licence Application: Prescribed Radiation Facility
PDF 263 kb | DOC 106 kb - updated March 2012
Quarterly Reporting Proforma
This proforma has been developed to assist licence holders in fulfilling their quarterly reporting commitments to the CEO of ARPANSA. It is designed for use by holders of a source or prescribed radiation facility licence.
Regulation 51 Request for Approval
This form is to be used to seek approval from the CEO of ARPANSA to make a relevant change that will have significant implications for safety under regulation 51.
(Please note this document contains hidden text to guide completion of the form. It appears as information only and does not print. To view, the ‘Hidden Text’ box must be checked in Word Options)
Source Inventory Book
The Source Inventory Workbook (SIW) is the form approved by the CEO for licence applicants/holders to record details of all controlled material and controlled apparatus to be dealt with under an ARPANSA licence. An explanation of terms and required information is provided on the first worksheet.
Source Inventory Workbook (EXCEL 314 kb)
Please note: The Source Inventory Workbook must retain its original format, Microsoft Office 97-2003 worksheet (FILENAME.xls). Please do not save in .xlsx or .xlsm formats.
Source Licence Application Form
Applicants who wish to apply for a source licence should refer to the Regulatory Guide: Applying for a Source Licence for guidance on how to complete a Source Licence Application Form.
Source Licence Application
PDF 212 kb | DOC 105 kb - updated March 2012
Transfer Notice Proforma (Regulation 53(2))
This form is to be used to advise the CEO about the transfer of controlled apparatus or controlled material to another organisation within the Commonwealth. This form must be received within 7 days of the transfer. Transfer of sources outside Commonwealth jurisdiction is deemed disposal and requires the prior approval of the CEO.
Transfer Notice Proforma (Regulation 53(2)
PDF 35 kb | DOC 63 kb - updated June 2011
The CEO invites feedback on the usefulness of any of ARPANSA's regulatory documents. Comments may be made via email to licenceadmin@arpansa.gov.au or mail to:
Head,
Operations Services
ARPANSA
PO Box 655
Miranda NSW 1490
If you experience difficulty completing any form please call (02) 9541 8330 for assistance.
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