Form ASO224 NOTIFICATION of a DEVELOPMENT BEARING on an INDIVIDUAL Ref. No. Details about the Incident Refer to Explanatory Notes on the reverse of this form When was the development first detected? Date: Time: Description of the development: Potential impact of development: Actions already taken in response: Details about the Individual Refer to Explanatory Notes on the reverse of this form Name: Title: Position: Most recent ASO122 Ref.No for this individual: Signature and permit details Name : Position: Signature: Permit Holder: F.ASO224.1-21Jan2011 _____________________________________ Date: ____/____/________ Permit No: Form ASO224 NOTIFICATION of a DEVELOPMENT BEARING on an INDIVIDUAL Explanatory Notes Ref. No. ........................ When was the development first detected ....................... Actions already taken in response .................. Most recent ASO122 Ref.No for this individual ..................... Signature ..................... This form replaces the following forms F.ASO224.1-21Jan2011 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). Developments must be notified to ASNO within 24 hours of the Permit Holder becoming aware of the development. The permit hold should take appropriate actions (e,g restrict further access to nuclear material and/or associated items) ensure ongoing protection of nuclear material and/or associated items. Not applicable if the Access Authorisation (ASO122) has not reached its first renewal date. This form must be signed by a representative of the Permit Holder (ie, the organisation) who will take responsibility for, and sign documents on behalf of, the organisation. ASO224 (Original issued 1 January 2002)