Instructions for use This form is for use by owners/operators as a submission check and cover page for Independent Safety Case Review Report submissions to the CRU. Owners/operators should complete all parts as a checklist to ensure all items have been addressed/included as part of the submission. Both the scanned hard copy of this form and the electronic version should be included as part of the application. Part 1(a) Owner/Operator Details – Installation name: Owner/Operator of Installation: Postal Address: Owner/Operator Telephone: Email Address: Part 1(b) Owner/Operator Details Point of Contact – – Point of Contact Name: Address Telephone: Part 2 Safety Case Details – Type of Safety Case Date of Acceptance Safety Permit Reference Part 3 IRB Details – Name (legal and / or trading) Registered Address Tel Fax
Instructions for use This form is for use by owners/operators as a submission check and cover page for Independent Safety Case Review Report submissions to the CRU. Owners/operators should complete all parts as a checklist to ensure all items have been addressed/included as part of the submission. Both the scanned hard copy of this form and the electronic version should be included as part of the application. Part 1(a) – Owner/Operator Details Installation name: Owner/Operator of Installation: Postal Address: Owner/Operator Telephone: Email Address: Part 1(b) – Owner/Operator Details – Point of Contact Point of Contact Name: Address Telephone: Part 2 – Safety Case Details Type of Safety Case Date of Acceptance Safety Permit Reference Part 3 – IRB Details Name (legal and / or trading) Registered Address Tel Fax
CER16019-Independent-Safety-Case-Review-Report-Submission-Form.docx