Ref. No.		
Which Approved Location?	
	
 Approved Location:			
	
Description details  -  refer to the Explanatory Notes on the reverse of this form	
	
	Building Name & Room Name/No.	Unclassified description of activities conducted in the building

Information may be expanded upon in attachments if necessary.	Brief description of nuclear material contents (where applicable)

Information may be expanded upon in attachments if necessary.	How many hot cells and glove boxes? 		
				In use	Inactive OR
Decommissioned	Planned OR under construction		

								

								

								

Signature and permit details	
	
Name :			
	
Position:			
	    Signature:	_____________________________________	Date:	____/____/________	
	
Permit Holder:		Permit No:			

Explanatory Notes

ASO316 (this form)		Use as many consecutively numbered forms as required.  Upon request, ASNO may at its discretion, provide the permit holder with an alternative pre-filled proforma(s). 	
Ref.No.		A sequential reference number is required for each form of this type submitted by the Permit Holder (eg, 001, 002, 003, etc).  Where amendments are made to a previously submitted form, please use the same reference with a sequential revision number (eg, 003-Rev.1).	
Description details		This information is required to enable ASNO to meet Australia’s reporting obligations under Articles 2a(iii) of the International Atomic Energy Agency’s Additional Protocol (INFCIRC/540).
The details provided must describe the most up to date situation—as at 31 December for the previous year—emphasising any changes that have taken place since the previous report.
This information must be provided to ASNO by 15 March every year.
If there are no changes to either a building description, or an activity description from the previous year’s report, then the word “unchanged” may be entered into the relevant field(s) in this report.	
Building name, etc		Provide descriptions for every building within the Approved Location where nuclear material is used or stored. 
Where available, descriptions should also be included of buildings where nuclear material has been used or stored in the past. 
The permit holder is to provide a map showing the location of each building within the Approved Location.  Maps must be of a sufficient clarity to identify the location of each building described on this form, and where possible, provided in electronic form.
Each building description should also include the following:
•	Room numbers/names where nuclear material is used/stored.
•	Numbers of floors and approximate footprint area of each building.	
Brief description of nuclear material contents		
This may include natural uranium (N), enriched uranium (E), depleted uranium (D), Thorium (T), Plutonium (P), heavy water (W) or graphite (G).	
Signature		This form must be signed by a representative of the Permit Holder (i.e. the organisation) who will take responsibility and sign documents on behalf of the organisation.	

This form replaces the following form 	ASO316 (Version 3 issued 22 December 2005)