Federal Halocarbon Regulations templates

Under the FHR 2022, activity logs, notices, release reports and permits are required for certain activities related to specified systems. Any questions on the templates can be submitted to the Halocarbons Management Team

Section 11 – Halocarbon Charging Report

Information requirements in Part 1 of Schedule 2

*Should any inconsistencies be found, the Canadian Environmental Protection Act, 1999 (CEPA) and its regulations prevail over this information. This information does not supersede or modify the Act or the regulations nor does it remove or override a person's or company's obligation to comply with other legislation.

Owner

item 2 of Part 1 of Sch. 2

  • Name
  • Address

Responsible person

  • Name
    item 3 of Part 1 of Sch. 2

Description of equipment

  • Type of equipment
    item 1 of Part 1 of Sch. 2
  • Specific location
    item 4 of Part 1 of Sch. 2
  • Serial Number or unique identifier
    item 5 of Part 1 of Sch. 2
  • Type of halocarbon contained in equipment
    item 6 of Part 1 of Sch. 2
  • Charging Capacity (kg)
    item 7 of Part 1 of Sch. 2

Charge

  • Date of charge (yyyy/mm/dd)
    item 8 of Part 1 of Sch. 2
  • Quantity charged (kg)
    item 9 of Part 1 of Sch. 2
  • Nature of immediate danger
    item 10 of Part 1 of Sch. 2
  • Circumstances that justify charge
    item 11 of Part 1 of Sch. 2
  • Date of repair of leak or recovery (yyyy/mm/dd)
    item 12 of Part 1 of Sch. 2
Section 16 – Notice of permanent withdrawal from use

Information requirements in Part 2 of Schedule 2

* Should any inconsistencies be found, the Canadian Environmental Protection Act, 1999 (CEPA) and its regulations prevail over this information. This information does not supersede or modify the Act or the regulations nor does it remove or override a person's or company's obligation to comply with other legislation.

Owner of System or Container Responsible Person for System or Container

Name:

Name:

Address:

Description of Equipment

Type of equipment:

Serial number or unique identifier

Specific location before withdrawal from use:

Charging capacity (kg):

Recovery of Halocarbon

Date of recovery (yyyy/mm/dd):

Name of certified person or person who recovered the halocarbon:

Type of halocarbon recovered:

Certificate number of the certified person (if applicable):

Quantity of halocarbon recovered (kg):

Name of employer of certified person or person who recovered the halocarbon (if applicable):

Comments:

Subsection 20(1) - Permits
Section 22 – Inventory of large Systems and Containers

Information requirements in Part 4 of Schedule 2

* Should any inconsistencies be found, the Canadian Environmental Protection Act, 1999 (CEPA) and its regulations prevail over this information. This information does not supersede or modify the Act or the regulations nor does it remove or override a person's or company's obligation to comply with other legislation.

Owner

item 1(b) of Part 4 of Sch. 2

  • Name
  • Address

Responsible person

item 1(c) of Part 4 of Sch. 2

  • Name
  • Title or position

Description of equipment

  • Type of equipment
    item 1(a) of Part 4 of Sch. 2
  • Specific location
    item 1(d) of Part 4 of Sch. 2
  • Serial Number or unique identifier
    item 1(e) of Part 4 of Sch. 2
  • Type of halocarbon contained in equipment
    item 1(f) of Part 4 of Sch. 2
  • Charging Capacity (kg)
    item 1(g) of Part 4 of Sch. 2
Section 23 – Activity log

Information requirements in Part 5 of Schedule 2

* Should any inconsistencies be found, the Canadian Environmental Protection Act, 1999 (CEPA) and its regulations prevail over this information. This information does not supersede or modify the Act or the regulations nor does it remove or override a person's or company's obligation to comply with other legislation.

Owner

item 2 of Part 5 of Sch. 2

  • Name
  • Address

Responsible person

  • Name
    item 3 of Part 5 of Sch. 2

Description of equipment

  • Type of equipment
    item 1 of Part 5 of Sch. 2
  • Specific location at the time of service
    item 4 of Part 5 of Sch. 2
  • Serial Number or unique identifier
    item 5 of Part 5 of Sch. 2
  • Type of halocarbon contained in equipment
    item 6 of Part 5 of Sch. 2
  • Charging Capacity (kg)
    item 7 of Part 5 of Sch. 2

Service

  • Date of activity (yyyy/mm/dd)
    item 8(a) of Part 5 of Sch. 2
  • Type of activity
    item 8(b) of Part 5 of Sch. 2
  • Description of service (if any)
    item 8(c) of Part 5 of Sch. 2

Halocarbon recovered (if applicable)

item 8(f) of Part 5 of Sch. 2

  • Type
  • Amount (kg)

Halocarbon charged (if applicable)

item 8(g) of Part 5 of Sch. 2

  • Type
  • Amount (kg)

Service technician

  • Name
    item 8(d) of Part 5 of Sch. 2
  • Employer
    item 8(d) of Part 5 of Sch. 2
  • Certificate number (if applicable)
    item 8(e) of Part 5 of Sch. 2
Paragraph 24(a) – Halocarbon Release Report (Release of 100 kg or more)

Information requirements in Part 6 of Schedule 2

*Should any inconsistencies be found, the Canadian Environmental Protection Act, 1999 (CEPA) and its regulations prevail over this information. This information does not supersede or modify the Act or the regulations nor does it remove or override a person's or company's obligation to comply with other legislation.

Owner

item 2 of Part 6 of Sch. 2

  • Name
  • Address

Responsible person

  • Name
    item 3 of Part 6 of Sch. 2

Description of system

  • Type of equipment
    item 1 of Part 6 of Sch. 2

Release

  • Date of detection of release (yyyy/mm/dd)
  • Type of halocarbon released
    item 4 of Part 6 of Sch. 2
  • Quantity released (kg) (known or estimated)
    item 4 of Part 6 of Sch. 2
Paragraph 24(b) and Section 25 – Halocarbon Release Report

Information requirements in Part 7 of Schedule 2

* Should any inconsistencies be found, the Canadian Environmental Protection Act, 1999 (CEPA) and its regulations prevail over this information. This information does not supersede or modify the Act or the regulations nor does it remove or override a person's or company's obligation to comply with other legislation.

Owner

item 2 of Part 7 of Sch. 2

  • Name
  • Address

Responsible person

  • Name
    item 3 of Part 7 of Sch. 2

Description of equipment

  • Type of equipment
    item 1 of Part 7 of Sch. 2
  • Specific location
    item 4 of Part 7 of Sch. 2
  • Serial Number or unique identifier
    item 5 of Part 7 of Sch. 2
  • Type of halocarbon released
    item 6 of Part 7 of Sch. 2
  • Charging Capacity (kg)
    item 7 of Part 7 of Sch. 2

Release

  • Date of the release (yyyy/mm/dd)
    item 8(a) of Part 7 of Sch. 2
  • Quantity released (kg)
    item 8(b) of Part 7 of Sch. 2
  • Circumstances leading to release
    item 8(c) of Part 7 of Sch. 2
  • Corrective actions taken
    item 8(d) of Part 7 of Sch. 2
  • Preventive actions to be taken
    item 8(e) of Part 7 of Sch. 2

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