Radiation (Safety Control) Regulations (NT)
NORTHERN TERRITORY OF AUSTRALIA
Radiation (Safety Control) regulations
As in force at 21 March 2007
NORTHERN TERRITORY OF AUSTRALIA
This reprint shows the Regulations as in force at 21 March 2007. Any amendments that commence after that date are not included.
Radiation (Safety Control) regulations
Regulations under the Radiation (Safety Control) Act
These Regulations may be cited as the
A reference in these Regulations to a form by number is a reference to the form so numbered in Schedule 1.
For the purposes of sections 11(2) and 12(3)(b) of the Act an application for a licence or for the renewal of a licence shall –
(a) be in accordance with Form 1; and
(b) subject to regulation 8, be accompanied by a fee of 50 revenue units.
For the purposes of section 11(2) of the Act, a licence granted by the Chief Health Officer shall be in accordance with Form 2.
For the purposes of section 15(1) of the Act, a notice of an appointment of a Radiation Safety Officer and notice of employment of a radiation worker shall be in accordance with Form 3.
For the purposes of section 30(1) of the Act, an application for registration of an irradiating apparatus shall –
(a) be in accordance with Form 4; and
(b) subject to regulation 8, be accompanied by a fee of 20 revenue units.
For the purposes of section 31(1) of the Act a certificate of registration of an irradiating apparatus shall be in accordance with Form 5.
No fee shall be payable on an application for a licence or certificate of registration by a person in the service of the Territory or an authority of the Territory where the application is made in the course of the person’s service to the Territory or the authority.
If the Chief Health Officer does not grant a licence or certificate of registration to an applicant the Chief Health Officer shall refund to the applicant any fee accompanying the application.
The Chief Health Officer may, for the purpose of imposing conditions on a licence granted under section 11(2) of the Act or a certificate of registration issued under section 31(1) of the Act, refer in the licence or certificate to a sign in Schedule 2 by the use of the number of the sign in the Schedule.
FORM 1
Regulation 3
NORTHERN TERRITORY OF AUSTRALIA
APPLICATION FOR LICENCE
TO: CHIEF HEALTH OFFICER,
DEPARTMENT OF HEALTH
NAME OF APPLICANT: | DATE OF BIRTH / / | |||||||
ADDRESS OF APPLICANT | TELEPHONE No. | |||||||
NAME OF EMPLOYER: | TELEPHONE No. | |||||||
POSTAL ADDRESS: | TELEX No. | |||||||
POSITION HELD BY APPLICANT: | ||||||||
RELEVANT EXPERIENCE AND QUALIFICATIONS OF APPLICANT: | ||||||||
SECTION 1. APPLICATION FOR A LICENCE/RENEWAL* OF LICENCE to: (Please tick [ ] as applicable) | ||||||||
1.1 POSSESS [ ] SELL [ ] | MANUFACTURE [ ] HANDLE [ ] RADIOACTIVE [ ] |
| USE [ ] | |||||
1.2 POSSESS [ ] SELL [ ] | MANUFACTURE [ ] HANDLE [ ] IRRADIATING [ ] |
| USE [ ] | |||||
1.3 CARRY OUT MAINTENANCE ON IRRADIATING APPARATUS [ ] | ||||||||
1.4 General nature of business requiring radioactive substances and/or irradiating apparatus: | ||||||||
1.5 Principal premises where radioactive substances/and irradiating apparatus* are to be used: | ||||||||
1.6 Location within premises (1.5) of radioactive substances storage rooms: | ||||||||
1.7 Location within premises (1.5) of other radioactive substances handling facilities | ||||||||
| ||||||||
SECTION 2. PARTICULARS OF RADIOACTIVE SUBSTANCES: | ||||||||
Radioactive Substance | Maximum Radioactivity | Physical Form | Principal Purpose | Proposed delivery Date or Frequency | ||||
Particulars of further radioactive substances accompany this application as ATTACHMENT B. YES [ ] NO [ ]
______________________________________________________________DETAILS OF PROPOSED DISPOSAL PROCEDURES FOR ABOVE MENTIONED RADIOACTIVE SUBSTANCES
______________________________________________________________ ______________________________________________________________SECTION 3. PARTICULARS OF ALL IRRADIATING APPARATUS
______________________________________________________________NUMBERHELD MANUFACTURER & MODEL/TYPE PRINCIPAL PURPOSE
______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________
Particulars of further irradiating apparatus accompany this application as ATTACHMENT C. YES [ ] NO [ ]
______________________________________________________________SECTION 4. PARTICULARS OF RADIATION MEASURING INSTRUMENTS & EQUIPMENT
______________________________________________________________DETAILS OF PERSONNEL MONITORING ARRANGEMENTS:
______________________________________________________________DETAILS OF RADIATION MEASURING INSTRUMENTS:
______________________________________________________________MANUFACTURER & MODEL/TYPE* NUMBER HELD DETECTOR TYPE PRINCIPAL PURPOSE
______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________*delete if inapplicable
______________________________________________________________The prescribed fee of 50 revenue units must accompany this application.
(Cheques/Money Orders to be made payable to "The Receiver of Territory Moneys".)
EMPLOYEES OF N.T. GOVERNMENT DEPARTMENTS AND AUTHORITIES EXEMPTED FROM PAYING FEE.
______________________________________________________________Dated this day of
–OFFICE USE ONLY–
Date received | Value | Receipt No | R.T.M. |
…….......................………..
(Signature of Applicant)
Licence No. | Date Issued | Licence Officer |
FORM 2
Regulation 5
Licence No.
NORTHERN TERRITORY OF AUSTRALIA
LICENCE
This licence authorizes
of
to
the radioactive substances and the irradiating apparatus described hereunder or on attachments hereto, subject to the provisions of the
PARTICULARS OF RADIOACTIVE SUBSTANCES
RADIOACTIVE SUBSTANCE | MAXIMUM ACTIVITY | PHYSICAL FORM (if applicable) | PRINCIPAL PURPOSE |
PARTICULARS OF IRRADIATING APPARATUS
Manufacturer & Model Type Purpose | Number Held | Principal |
PREMISES TO WHICH LICENCE APPLIES
______________________________________________________________ ______________________________________________________________CONDITIONS
______________________________________________________________ ______________________________________________________________This licence remains in force until
Dated
.....................…………………
(CHIEF HEALTH OFFICER)
FORM 3
regulation 6
NORTHERN TERRITORY OF AUSTRALIA
LICENCE
TO: CHIEF HEALTH OFFICER
DEPARTMENT OF HEALTH
NOTIFICATION OF EMPLOYMENT OF RADIATION WORKER or RADIATION SAFETY OFFICER
______________________________________________________________NAME OF LICENSEE: LICENCE No. (if known)
______________________________________________________________ADDRESS OF LICENSEE:
______________________________________________________________NAME OF RADIATION WORKER [ ]
RADIATION SAFETY OFFICER [ ]
______________________________________________________________RELEVANT QUALIFICATIONS (IF ANY):
______________________________________________________________DETAILS OF RELEVANT EXPERIENCE:
______________________________________________________________PROPOSED COMMENCEMENT DATE:
______________________________________________________________for NOTIFICATION REGARDING RADIATION SAFETY OFFICERS ONLY:
______________________________________________________________PRIVATE ADDRESS OF RADIATION SAFETY OFFICER:
______________________________________________________________TELEPHONE No.
______________________________________________________________PRIVATE ADDRESS OF LICENSEE:
______________________________________________________________TELEPHONE No.
Dated
.....................………….
(Signature of Licensee)
FORM 4
regulation 6
NORTHERN TERRITORY OF AUSTRALIA
APPLICATION FOR REGISTRATION OF IRRADIATING APPARATUS
TO: CHIEF HEALTH OFFICER
DEPARTMENT OF HEALTH
______________________________________________________________NAME:
______________________________________________________________ADDRESS: TELEPHONE No. TELEX No.
______________________________________________________________CURRENT LICENCE NUMBER: DATE OF ISSUE: / /
______________________________________________________________(If licence number not known)
DATE OF LODGEMENT OF APPLICATION FOR LICENCE / /
______________________________________________________________PARTICULARS OF IRRADIATING APPARATUS
______________________________________________________________MANUFACTURER:
______________________________________________________________MODEL: TYPE:
______________________________________________________________MAXIMUM TUBE VOLTAGE: MAXIMUM TUBE CURRENT:
______________________________________________________________
MINIMUM PERMANENT TOTAL FILTRATION:
______________________________________________________________DATE OF MOST RECENT CALIBRATION:
______________________________________________________________NAME OF PERSON PERFORMING CALIBRATION:
______________________________________________________________DEPARTMENT or COMPANY (of person performing calibration):
______________________________________________________________LICENCE NUMBER OF DEPARTMENT or COMPANY PERFORMING CALIBRATION (if known):
______________________________________________________________ ______________________________________________________________LOCATION OF IRRADIATING APPARATUS ON PREMISES NOMINATED IN LICENCE APPLICATION:
______________________________________________________________Rough plans of location orientation & shielding details accompany this application as ATTACHMENT A. YES [ ] NO [ ]
______________________________________________________________PRINCIPAL PURPOSE or USES OF THE IRRADIATING APPARATUS:
______________________________________________________________The prescribed fee of 20 revenue units must accompany this application.
(Cheques/Money Orders to be made payable to "The Receiver of Territory Moneys".)
EMPLOYEES OF N.T. GOVERNMENT DEPARTMENTS AND AUTHORITIES EXEMPTED FROM PAYING FEE.
______________________________________________________________–OFFICE USE ONLY–
Date received | Value | Receipt No | R.T.M. |
Dated
No. | Date Issued | Certificate Officer |
......................………….
(Signature of Applicant)
FORM 5
regulation 9
NORTHERN TERRITORY OF AUSTRALIA
CERTIFICATE OF REGISTRATION
This certificate certifies that the irradiating apparatus described hereunder is hereby duly registered, subject to the provisions of the
PARTICULARS OF IRRADIATING APPARATUS:
______________________________________________________________MANUFACTURER:
______________________________________________________________MODEL: TYPE:
______________________________________________________________MAXIMUM TUBE VOLTAGE: MAXIMUM TUBE CURRENT:
______________________________________________________________MINIMUM PERMANENT FILTRATION:
______________________________________________________________PRINCIPAL PURPOSE OR USE OF IRRADIATING APPARATUS:
______________________________________________________________ ______________________________________________________________CONDITIONS:
______________________________________________________________ ______________________________________________________________Dated
.....................…………………
(CHIEF HEALTH OFFICER)
regulation 10
RADIATION WARNING SIGNS
SIGN 1(a)
______________________________________________________C A U T I O N
TREFOIL
(DIAGRAM)
THIS APPARATUS EMITS
R A D I A T I O N
WHEN ENERGISED
______________________________________________________SIGN 2(a)
______________________________________________________C A U T I O N
TREFOIL
(DIAGRAM)
R A D I O A C T I V E S U B S T A N C E (S)
______________________________________________________SIGN 3(a)
______________________________________________________C A U T I O N
TREFOIL
(DIAGRAM)
R A D I A T I O N
______________________________________________________(a) Radiation warning signs shall be printed in black letters on a yellow background. The trefoil shall be shown in black.
1 KEY
Key to abbreviations
2 LIST OF LEGISLATION
Notified | 18 January 1980 |
Commenced | 1 February 1980 (r 1, s 2 |
Assent date | 11 April 1997 |
Commenced | s 16: 10 December 1997; rem: 1 May 1997 ( |
Notified | 21 March 2007 |
Commenced | 21 March 2007 |
3 LIST OF AMENDMENTS
r 3 amd No. 6, 2007, r 2
r 4 amd Act No. 17, 1997, s 18
r 6 amd No. 6, 2007, r 2
rr 9 – 10 amd Act No. 17, 1997, s 18
sch 1 amd Act No. 17, 1997, s 18; No. 6, 2007, r 2
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