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Nuclear Substance Regulation
Annual Compliance Reporting Forms

The following Annual Compliance Reporting (ACR) forms pertain to licences issued by the Directorate of Nuclear Substance Regulation (DNSR) of the Canadian Nuclear Safety Commission (CNSC).

The ACR forms listed below are grouped by category and customized for the licensed activity authorized by the licence. The licensed activity name and number (e.g. “industrial radiography (812)”), can be found on each licence.

Each licence has a licence condition specifying the due date when the ACR must be submitted. To view the applicable ACR form, simply select it from the list below. The form may be downloaded and completed as a hard copy or electronically using word processing software.

The completed ACR can be submitted to the CNSC in one of four ways:

The ACR form groups are:

Class II Nuclear Facilities, Prescribed Equipment And Associated Activities
Number
Licensed Activity
Word
PDF
504 Operate a geophysical logging accelerator
516 Operate a PET cyclotron facility
519 Operate a research or an industrial particle accelerator facility
522 Operate a medical accelerator facility
524 Operate a consolidated medical accelerator facility, with servicing
525 Operate a consolidated medical accelerator facility, without servicing
532 Operate a calibration irradiator facility
535 Operate an irradiator facility
538 Operate a pool type irradiator facility
542 Operate a radioactive source teletherapy facility
552 Operate a low dose rate brachytherapy facility
555 Operate a high dose rate brachytherapy facility
558 Operate other brachytherapy prescribed equipment
561 Operate a radioactive source stereotactic teletherapy facility
566 Service Class II prescribed equipment (servicing by possessor of the prescribed equipment)
566 Service Class II prescribed equipment (service by third party)
912 Manual brachytherapy
Consolidated Licences And Processing Unsealed Nuclear Sources
Number
Licensed Activity
Word
PDF
815 Consolidated uses of nuclear substances
847 Processing: total unsealed source possession limit of more than 10 GBq
849 Consolidated licence: between 11 and 50 locations, inclusive, where radioisotopes are used
851 Manufacturing of nuclear substances
857 Consolidated licence: between 1 and 10 locations
863 Processing: total unsealed source possession limit of 10 GBq or less
Industrial Field Uses
Number
Licensed Activity
Word
PDF
812 Industrial radiography
816 Logging - sealed source
844 Subsurface zone location
846 Subsurface tracer studies
858 Tracer studies
861 Logging: sealed source use with 1 to 5 storage locations, inclusive
868 Borehole tube tagging
Servicing And Manufacturing Radiation Devices
Number
Licensed Activity
Word
PDF
817 Development and testing
822 Servicing, installation and dismantling of devices – basic servicing
823 Servicing, installation and dismantling of devices – complex servicing
864 Device manufacturing
Calibration, Irradiation, Teaching Or Research
Number
Licensed Activity
Word
PDF
827 Calibration: less than 740 MBq
828 Calibration: 740 MBq or more
867 Neutron activation
873 Research: maximum sealed source size of more than 50 MBq
878 Irradiation: self-shielded type
879 Calibration
889 Research: maximum sealed source size of 50 MBq
894 Teaching: more than 50 MBq
907 Teaching: maximum sealed source size of 50 MBq
Gauges: Fixed And Portable
Number
Licensed Activity
Word
PDF
811 Portable gauges
814 Fixed gauges
886 Beta backscatter gauging
908 Demonstration
970 Portable gauges: 5 to 14 devices
990 Portable gauges: 2 to 4 devices
993 Portable gauges: 1 device
Nuclear Medicine
Number
Licensed Activity
Word
PDF
862 Diagnostic nuclear medicine procedures
872 Therapeutic nuclear medicine
875 Human research studies
Laboratories And Other Non-Human Uses
Number
Licensed Activity
Word
PDF
813 Laboratory studies
836 Laboratory studies: 10 or more laboratories
837 Laboratory studies: 3 - 9 laboratories
838 Laboratory studies: 1 to 2 laboratories
885 Repair of components containing radioactive luminous compounds
888 Electronic component testing
901 Display or use of components containing radioactive luminous compounds
915 Veterinary nuclear medicine
916 Possession of deuterium
Distribution
Number
Licensed Activity
Word
PDF
824 Distribution – drop shipment
825 Distribution – less than 740 MBq
826 Distribution – 740 MBq or more
Storage
Number
Licensed Activity
Word
PDF
906 Storage
918 Temporary possession – no use
Other Radiation Devices
Number
Licensed Activity
Word
PDF
880 X-ray fluorescence analysis
881 Electron capture detection
883 Bone mineral analysis
884 Low energy imaging
895 Fuel gauges on board aircraft
896 Dew point detection
897 Static elimination
898 Static detection
899 Radioluminescence
900 Surge voltage protection
902 Remote blade inspection
903 Smoke detection
904 Lightning warning
919 Radioactive check sources
940 Liquid scintillation counters


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