Get Annual Compliance Reporting Form. Annual Compliance Reporting Form

The Annual Compliance Reporting Form is essential for documenting activities related to portable gauges. This guide will provide you with step-by-step instructions to complete the form accurately and efficiently.

Follow the steps to successfully complete your Annual Compliance Reporting Form

1. Click ‘Get Form’ button to access the Annual Compliance Reporting Form online. This will open the document for you to begin filling out.
2. Enter the CNSC Licence Number in the designated field to identify your licensed activity.
3. Indicate the reporting period end date by entering the year, month, and day in the format yyyy/mm/dd.
4. Fill in the Licensee Information section by providing your name, head office address, city, province/state, country, and postal/zip code.
5. Complete the Radiation Safety Officer/Licence Contact Person section by providing their name, mailing address (if different), city, province/state, country, postal/zip code, phone number, fax number, and email address.
6. If applicable, list the Alternate Contact Person’s details, including name, phone number, fax number, and email address.
7. For the Financial Contact Person, provide their name, position title, mailing address (if different), city, province/state, country, postal/zip code, phone number, fax number, and email address.
8. In the Inventory section, list all radiation devices and sealed sources, detailing the location, reference date, nominal activity, nuclear substance, serial number, model, manufacturer, and other required information.
9. Summarize any changes made to the radiation protection program on a separate sheet and attach it to the report.
10. Document all incidents and unusual occurrences that were not reported previously during the reporting period, including the date of the event and related details.
11. Provide information on worker qualifications, detailing the number of workers with different levels of training at each location.
12. Complete the summary of annual effective whole body radiation doses received by Nuclear Energy Workers and non-NEWs, specifying the number of workers in each effective dose category.
13. For portable gauge licensees, enter operational details regarding workers and density tests conducted during the reporting period.
14. The Radiation Safety Officer/Licence Contact Person must print their name, title, and date, certifying that all statements made in the report are accurate.
15. Once all sections are complete, save your changes, and choose to download, print, or share your completed form as needed.

Complete your Annual Compliance Reporting Form online today to ensure compliance with regulations.