Regulatory forms

The Australian Radiation Protection and Nuclear Safety Regulations were remade in December 2018 and the former 1999 Regulations repealed. Regulatory forms that refer to the 1999 Regulations are being progressively updated.

Notification of a serious radiation incident

Serious incidents should be reported using this form:  File Notification of a serious incident

See Regulatory Guide: Reporting a serious incident to see what must be reported and what other actions must be taken if a serious incident occurs. 

Annual report form

This template is the 'approved form' that licence holders should use if their licence requires an annual report of compliance.

File Annual Report for source license holders
May 2021

Biannual report form

This template is the 'approved form' that licence holders should use if their licence requires a biannual report of compliance.

File Biannual Report for source licence holders

May 2021

Construction of an item important for safety - request for approval

This form is used to seek approval from the CEO of ARPANSA under section 66 of the Regulations to construct an item important for safety.

File Request for approval - Construct an item important for safety

May 2021

Disposal or transfer request form

This form should be used to seek approval from the CEO of ARPANSA to destroy or otherwise dispose of controlled apparatus or controlled material or to transfer controlled apparatus or controlled material out of Commonwealth jurisdiction. Please refer to the Regulatory Guide for further information.

File Request for approval to transfer or dispose of a source
October 2021

Instrument of authorisation template

This basic template has been developed to assist with the delegation of responsibility under paragraph 45(b) of the Regulations. Licence holders should modify as required.

File Instrument of Authorisation
February 2019

Licence application form – low hazard source

Applicants who wish to apply for a source licence for a low hazard source, that is, a group 1 source in section 4 of the Regulations, should use this form. Applicants should refer to the Regulatory Guide: How to Apply for a Source Licence for guidance on how to complete this form or to confirm whether this is the most appropriate application form.

File Source licence application form - Low hazard sources

November 2020

Licence application form – medium hazard source

Applicants who wish to apply for a source licence for a medium hazard source, that is, a group 2 source in section 4 of the Regulations, should use this form. Applicants should refer to the Regulatory Guide: How to Apply for a Source Licence for guidance on how to complete this form or to confirm whether this is the most appropriate application form.

File Source licence application form - Medium hazard sources

November 2020

NOTE: Applicants who have sources in group 2 AND sources in group 1 should use the medium hazard form. 

Licence application form – high hazard source

Applicants who wish to apply for a source licence for a high hazard source, that is, a group 3 source in section 4 of the Regulations, should use this form. Applicants should refer to the Regulatory Guide: How to Apply for a Source Licence for guidance on how to complete this form or to confirm whether this is the most appropriate application form.

File Source licence application form - High hazard sources

November 2020

NOTE: Applicants who have sources in group 3 AND sources in group 2 and /or group 1 should use the high hazard form. 

Licence application form – nuclear installation

Applicants who wish to apply for a licence for a nuclear installation should refer to the Regulatory Guide: How to Apply for a Facility Licence for a Nuclear Installation for guidance on how to complete this form.

File Facility licence application form - Nuclear installation
June 2021

Licence application form – prescribed radiation facility (PRF)

Applicants who wish to apply for a facility licence for a prescribed radiation facility should refer to the Regulatory Guide: How to Apply for a facility licence for a Prescribed Radiation Facility for guidance on how to complete this form.

File Facility licence application - Prescribed radiation facility
February 2019

Quarterly report form

This template is the 'approved form' that licence holders should use if their licence requires a quarterly report of compliance.

Office spreadsheet icon Quarterly Report form

May 2021

Request for approval to make a change with significant implications for safety

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 section 63 of the Regulations.

File Request for approval to make a change with significant implications for safety
March 2021

Request to surrender a facility licence

This form is for facility licence holders seeking permission to surrender the licence and have the site released from regulatory control. It should be completed in conjunction with the associated Regulatory Guide: Surrender of a facility licence and release from regulatory control.

File Request to surrender a facility licence
March 2021

Request for approval to transfer Security Category 1, 2 or 3 source to another Commonwealth licence holder

This form is to be used by licence holders seeking approval to transfer security category 1, 2 or 3 sources to another Commonwealth licence holder. Such transfers require prior approval by the CEO of ARPANSA under the Code of Practice for the Security of Radioactive Sources (RPS11).

File Request for approval to transfer Security Category 1, 2 or 3 source to another Commonwealth licence holder

April 2021

Source inventory workbook

The Source Inventory Workbook (SIW) is the form approved by the CEO for applicants and licence holders to record details of all controlled material and controlled apparatus held under an ARPANSA licence. An explanation of terms and required information is provided on the first worksheet.

File Source Inventory Workbook
March 2019

Source transfer notice

This form is to be used to advise the CEO about the transfer of controlled apparatus or controlled material within the Commonwealth. This form must be received within seven days of the transfer. Transfer of sources outside Commonwealth jurisdiction requires the prior approval of the CEO using the Disposal or Transfer Request Form.

File Source transfer notice

April 2021

Transport of radioactive material

Use these checklists when seeking approval from ARPANSA in relation to the transport of radioactive material.


 

The CEO invites feedback on the usefulness of any of ARPANSA's regulatory documents. Comments may be made via email to licenceadminatarpansa.gov.au or mail to:

Chief Inspector
Regulatory Services
ARPANSA
PO Box 655
Miranda NSW 1490

If you experience difficulty completing any form please call (02) 9541 8330 for assistance.