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Radiation Protection and Nuclear Safety Regulations were remade in December 2018 and the former 1999 Regulations repealed.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.
Reporting a notifiable incident
Notifiable incidents should be reported using this form:
See Regulatory Guide: Radiation incidents to see what must be reported and what other actions must be taken if an 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.
April 2023
Biannual report form
This template is the 'approved form' that licence holders should use if their licence requires a biannual report of compliance.
April 2023
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.
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.
November 2023
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.
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.
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.
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.
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.
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.
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.
April 2023
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.
May 2023
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.
September 2024
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.
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.
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 licenceadmin@arpansa.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.
