Request for approval to transfer or dispose of a source

Under ARPANS Regulations 1999, regulation 53

This form should be used to seek approval from the CEO of ARPANSA to:
  1. Destroy or otherwise dispose of controlled apparatus or controlled material
  2. Transfer controlled apparatus or controlled material to a person or organisation outside Commonwealth jurisdiction

Refer to the Regulatory guide: Disposal of controlled apparatus and controlled materialfor more information.

Note: One form may be used for disposal of multiple items only where the method of disposal and disposal pathway is the same.

Applicant information
Licence holder
Licence number
Name and position of person making the request
Date of application
Controlled apparatus
Kind of controlled apparatus / Description / Serial no. / LAD source ID no. (from SIW)
Controlled material
Kind of controlled material / Radio-nuclide / Physical form / Activity (Bq) / Serial no. / Item no. (from SIW)

Indicate action for which approval is sought:

  1. Disposal (includes destruction) Complete partA
  2. Transfer to another jurisdiction Complete partB

A. Disposal

The following information must be provided for disposal of controlled apparatus:

How the apparatus will be rendered incapable of being repaired
How the apparatus will be physically disposed of

The following information must be provided for disposal of controlled material:

How the controlled material will be disposed of
Details of disposal pathway and final destination of the source
How receipt of controlled material at final destination will be confirmed and recorded
Transport arrangements as per RPS2 (if applicable)
Security arrangements as per RPS11 (for category 1, 2, 3 sealed sources)
Disposal by user as per RHS13 (if applicable)
Where a contractor is being used details MUST include:
  • Name and address
  • Relevant authorisations (e.g. licence and/or permit number and name of issuing Authority)
Note: Authorisation may be required for transport or disposal in some jurisdictions

B. Transfer outside the Commonwealth

If approval is sought to transfer controlled apparatus or controlled material to the control of a person/organisation licensed in another jurisdiction, the following information must be provided:

Name and address of the person or organisation receiving the source
Relevant authorisations issued to the person or organisation receiving the source (e.g. licence and/or permit number and name of issuing Authority)
Note: Some non-ionising apparatus are not regulated in other jurisdictions
Transport arrangements if applicable
Security arrangements (for category 1, 2, 3 sealed sources)

References

Code of Practice for the Safe Transport of Radioactive Material (RPS C-2)
Code of Practice for the Security of Radioactive Sources (RPS 11)
Disposal of Radioactive Material - Amendment 7 of the NDRP

Australian Radiation Protection and Nuclear Safety Regulations 1999(ARPANS Regulations)


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