NSW Environmental Protection Agency NSW Government
 

Application for accreditation - radiation security assessor

Use this form if you are seeking to be accredited by the EPA as a radiation security assessor to:

  • review security plans or amended security plans to assess whether the plans are made or amended in accordance with section 14 of the Radiation Control Act 1990 (the Act)
  • endorse on security plans that the plan, or plan as amended, satisfies the requirements of section 14 of the Act.

To find out more about security of sealed radioactive sources and Radiation Security Assessor accreditation:

Applicant details








Note: In making this application, you agree to have your name, suburb/postcode and contact number published on the EPA’s website, if you are approved as a radiation security assessor. Please indicate which details you prefer for publication.
 



Qualifications and experience
Please attach qualifications, including any relevant registration, accreditation or training courses, to support your application. You will need to have copies of qualifications certified by one of the following:
  • Justice of the Peace
  • Notary Public
  • Commissioner of the Court
  • solicitor with a current practising certificate.

Application for accreditation as a radiation security assessor under mutual recognition

See the EPA webpage Radiation user licence: application for user licence under mutual recognition arrangements for information on this topic.


To apply for a NSW radiation security assessor accreditation under mutual recognition, complete this application form and attach:

  • a statutory declaration
  • a copy of your current accreditation gained in another Australian state or territory, or in New Zealand. This must be certified as described under Qualifications and experience above
  • the applicable application fee.


Fit and proper persons
Has the applicant ever:




If you answered ‘yes’ to any of the above questions you must attach a statement setting out the specific circumstances and why those circumstances should not prevent you from holding an accreditation. In determining whether a person is a fit and proper person, the EPA may take into consideration any or all of the factors listed in section 5(1) of the Protection from Harmful Radiation Act 1990.


Note 1: 'Relevant legislation' means:

  1. the Protection from Harmful Radiation Act 1990 and Regulations
  2. legislation of any other Australian jurisdiction relating to radiation control or protection, and
  3. legislation (including legislation that has been repealed or legislation of another jurisdiction) prescribed by the Regulations.

Declaration

I declare that the information I have supplied in this application is not false or misleading in a material particular.



Application fees

You must send an application fee with this form. The fee is exempt from GST (goods and services tax).

Accreditation application fee

$527 (for 2024–25)

This fee applies if you provide us with all the required information and meet all the relevant criteria for the accreditation.

Non-standard (complex) application fee

$790 (for 2024–25)

This fee applies if your application is referred to the Radiation Advisory Council.
Payment details

Payment can be made by electronic funds transfer (EFT). Payment must be in Australian dollars. 


Payment by EFT must be deposited to the following account:

Bank

Westpac Banking Corporation

Account Name   

EPA Operating Account

BSB

032 001

Account No.

170 737

Reference

Please quote your name

We need the remittance advice to able to process your application. Please email the remittance advice on the day you make the payment to [email protected].


The information you provide in this form will only be used for the purpose for which it was collected. By submitting, you consent to storage, use, and disclosure of your personal information in accordance with our privacy policy. You can request access to and amendment of your personal information.

Notes:

  1. If we approve the application we will send you a user licence with the variation.
  2. Your ‘personal information’ is collected and held by the EPA. The information is collected in order to process and consider your application. If you don’t supply all the information we ask for, we can’t process your application. The information may be used for other purposes relating to the administration and enforcement of the Protection from Harmful Radiation Act 1990. You have a right to access or correct your ‘personal information’ in accordance with the provisions of the Privacy and Personal Information Protection Act 1998.