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