Get Application To Add Medical Linear Accelerators To An Existing Cnsc Licence

This guide provides comprehensive instructions on completing the APPLICATION TO ADD MEDICAL LINEAR ACCELERATORS TO AN EXISTING CNSC LICENCE online. Following these steps will ensure that the application process is efficient and straightforward for users of all experience levels.

Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to access the APPLICATION TO ADD MEDICAL LINEAR ACCELERATORS TO AN EXISTING CNSC LICENCE. This will allow you to open the form in the designated editor.
2. In Section A, provide your applicant information. Include the language of the licence (English, French, or Both), your current operating licence number, your Canadian head office address, and mailing address if different.
3. In Section B, outline the prescribed equipment and locations. Enter the principal location of use and/or storage detailing building, street, city, province, and postal code. Then provide details for each medical accelerator that does not currently appear on a licence, including room number, manufacturer, model name and number, serial number, types of beam, and output energies.
4. Section C addresses facility safety systems. Append a schematic drawing of the accelerator bunker and control area that identifies important safety features in the respective locations. This should include the Last Person Out button, Emergency Stop buttons, and irradiation status indicators.
5. In Section D, provide design and dose estimation details. Append schematics for adjacent areas and radiation surveys. Document your annual photon workload and estimate annual whole body dose and maximum instantaneous dose for persons in adjacent areas.
6. In Section E, describe any differences in the radiation protection program. If there are none, a statement indicating similarity should be provided.
7. In Section F, complete the signing authority section. Certify that all information submitted is true and correct, and provide the name, title, signature, and date for both the signing authority and applicant authority.
8. Finally, review all completed sections, ensure all relevant documentation is appended, and then save changes. You may choose to download, print, or share the form electronically. Ensure the application is submitted to the Canadian Nuclear Safety Commission as indicated.

Begin your document submission process online today.