Annual Mineral Production Survey Establishment Schedule

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

Introduction

Survey Purpose

The Annual Mineral Production Survey provides information on the performance of the mining sector in Canada and presents estimates on annual production and inventories of mineral and metal products. Please access the link Annual Mineral Production Survey (http://www23.statcan.gc.ca/imdb/p2SV.pl?function=getSurvey&SDDS=5246) for more information on this survey and to consult the reporting guides.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Security of emails and faxes

Statistics Canada advises you that there could be a risk of disclosure during facsimile or email. However upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Note: Our online applications are secure; there is no risk of data interception when responding to Statistics Canada online surveys.

Confidentiality

The Statistics Act protects the confidentiality of information collected by Statistics Canada.

Data sharing Agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Information on confidentiality, data-sharing agreements and record linkages can be found on the last page of this questionnaire.

Reporting Instructions

Report on your operations during the twelve months ended December 31.
Note: This is a standard form. Some lines may not apply to your industry.

Reports should be submitted before March 31st. If you are unable to complete by March 31st OR if you need help, call us at 1-877-949-9492 or TTY 1-800-363-7629.

Additional Information

Estimates are acceptable where data are not readily available.

Please enter this business' reporting period.
: Start date (YYYY-MM-DD)
: End date (YYYY-MM-DD)

Operations

1.3 Operations

1.3.1 Did this establishment operate in the calendar year under review?
a. Yes
b. No

1.3.2 Did this establishment go out of business in the year under review?
a. Yes
b. No
If "Yes", give date (YYYY, MM, DD) and complete this form for the period in operation.

1.3.3 Did any change in ownership occur during the year under review?
a. Yes
b. No
If "Yes", give date (YYYY, MM, DD) and complete this form for the full reporting year. (If this is not possible, provide information for the period before change of ownership.)
Please provide the name, address and telephone number of the new owner in the respondent's comment section on the last page of the questionnaire.

1.7 Nature of business of this establishment

1.7.1 Major activity (describe briefly):

Other related activities:

1.8 Head offices and ancillary units

1.8.1 If this establishment has a Canadian Head Office or Executive Office whose operations can be reported separately, please provide:
Name
Address

2. Inventory of this establishment
For the Period Covered by this report

2.1.5 Goods in process (if applicable)
a. Opening $
b. Closing $

2.1.6 Finished products (see guide)
a. Opening $
b. Closing $

2.2 Goods purchased for resale
a. Opening $
b. Closing $

2.3 Other inventory
a. Opening $
b. Closing $

2.5 Total (2.1.5 to 2.3)
a. Opening $
b. Closing $

5. Consumption of fuel and electricity

5.1 Coal
a. Quantity Used (tonnes)
b. Cost at this Establishment $

5.2 Natural gas (excluding liquefied)
a. Quantity Used (000 m3)
b. Cost at this Establishment $

5.3 Gasoline (including aviation)
a. Quantity Used (litres)
b. Cost at this Establishment $

5.4 Kerosene (excluding jet fuel)
a. Quantity Used (litres)
b. Cost at this Establishment $

5.5 Diesel fuel
a. Quantity Used (litres)
b. Cost at this Establishment $

5.6 Light fuel oil (nos.2 and 3)
a. Quantity Used (litres)
b. Cost at this Establishment $

5.7 Heavy fuel oil (nos. 4, 5 and 6)
a. Quantity Used (litres)
b. Cost at this Establishment $

5.8 Liquefied petroleum gases (propane, butane, natural gas, etc.)
a. Quantity Used (litres)
b. Cost at this Establishment $

5.9 Electricity purchased (include service charges)
a. Quantity Used (000 kWh)
b. Cost at this Establishment $

5.10 Steam
a. Quantity Used (gigajoules)
b. Cost at this Establishment $

5.10.1 Other fuel purchased and used (please specify)
a. Unit of measure (please specify)
b. Quantity Used (gigajoules)
c. Cost at this Establishment $

5.11 Total (5.1 to 5.10.1)
a. Cost at this Establishment $

6. Selected mining inputs (used in operations)

6.2 Purchased raw materials used in operations, including semi-processed materials
a. Cost at this Establishment $

6.4 Containers and other shipping and packaging materials
a. Cost at this Establishment $

6.5.1 Explosives and blasting supplies
a. Cost at this Establishment $

6.5.2 Collecting reagents for concentrating ores
a. Cost at this Establishment $

6.5.2.1 Water treatment chemicals (excluding boiler compounds)
a. Cost at this Establishment $

6.5.3 Lumber and timber (building, supporting, etc.)
a. Cost at this Establishment $

6.5.4 Lubricating oils and greases
a. Cost at this Establishment $

6.5.5 Grinding balls and rods
a. Cost at this Establishment $

6.5.6 Rock drill steel rods and bits
a. Cost at this Establishment $

6.5.7 Steel (bars, structurals, plates, galvanized sheets, etc.)
a. Cost at this Establishment $

6.5.8 Valves and plumbing supplies
a. Cost at this Establishment $

6.5.9 Repair and/or replacement parts for trucks, tractors and other automotive equipment
a. Cost at this Establishment $

6.5.10 Repair and/or replacements parts for other operating machinery and equipment
a. Cost at this Establishment $

6.5.99 all other supplies
a. Cost at this Establishment $

6.6 Total (6.5.1 to 6.5.99)

6.8.1.1 Amount paid to domestic smelters and/or refineries (if applicable)
a. Cost at this Establishment $

6.8.1.2 Amount paid to foreign smelters and/or refineries (if applicable)
a. Cost at this Establishment $

6.8.1.9 Amount paid out to others for work done on materials owned by this establishment (see guide)
a. Cost at this Establishment $

6.8.2 Total (6.8.1.1 to 6.8.1.9)
a. Cost at this Establishment $

6.9 Total (6.2 + 6.4 + 6.6 + 6.8.2)
a. Cost at this Establishment $

6.8.4 Amount paid out to others for non-capitalized repairs and maintenance
a. Cost at this Establishment $

7. Selected non-mining inputs (see guide)

7.1 Purchases of goods from other establishments for resale in same condition as purchased
a. Cost at this Establishment $

7.2 Materials and supplies used in new construction produced by own labour force for own use
a. Cost at this Establishment $

7.3 Materials and supplies used in the production and/or installation of any machinery/equipment by own labour force for own use
a. Cost at this Establishment $

7.4 Office supplies purchased and used
a. Cost at this Establishment $

7.5 All other purchased materials and supplies used by this establishment
a. Cost at this Establishment $

7.6 Total (7.1 to 7.5)
a. Cost at this Establishment $

8. Shipments of goods of own production (see guide)

DO NOT INCLUDE: sales taxes, excise duties and excise taxes, outward transportation charges by common or contract carriers, and any sales discounts, sales allowances, etc.

8.1.170 Total revenue (see guide)
a. Value of Shipments $ (including containers)

8.1.171 Other products shipped
a. Value of Shipments $ (including containers)

8.1.200 Please specify subsidies received:
a. Value of Shipments $ (including containers)

8.2 Total (8.1.170 to 8.1.200)
a. Value of Shipments $ (including containers)

8.3 Were the following items EXCLUDED at 8.2? Indicate "yes" or "no" and amounts.

8.3.1 Total payments for outward transportation charges by common or contract carriers
a. Yes
b. No
c. Amount ($)

8.3.2 Total payments of sales taxes, and excise duties taxes
a. Yes
b. No
c. Amount ($)

8.3.3 Total amount of discount, sales allowance and returned sales
a. Yes
b. No
c. Amount ($)

8.4 Total (8.3.1 to 8.3.3)
a. ($)

8.6 Amount received in payments for work done on materials and products owned by other establishments
a. ($)

8.7 Total (8.2 to 8.6)
a. ($)

9. Selected non-mining outputs (see guide)

9.1 Value of shipments of goods purchased and sold in same condition as purchased
a. ($)

9.2 Book value of new construction by own labour force for own use
a. ($)

9.3 Book value of machinery and equipment manufactured by own labour force for own use
a. ($)

9.4 Revenue from sale of electricity
a. ($)

9.5 Revenue from lease or rental of machinery and equipment manufactured by this establishment
a. ($)

9.6 All other revenue from products and services
a. ($)

9.6.1 Deductions from payroll for board and/or lodging
a. ($)

9.6.2 Value of board and lodging when provided in lieu of salaries and wages (excluding amounts reported at 9.2 and 9.3)
a. ($)

9.7 Total (9.1 to 9.6.2)
a. ($)

Supplementary information

11. Revenue from lease or rental property (lands, buildings, offices, etc.)
a. $

12. Revenue from lease or rental of machinery and equipment other than that included in 9.5
a. $

13.7.6 Royalties paid to governments
a. $

13.7.19 Royalties paid to other
a. $

13.8.1 Aggregate cost of structures, roads, machinery, etc., chargeable to Fixed Assets Accounts
a. $

13.8.2 Other capital expenditures
a. $

14. Employment
Employees at this location

14.1.1 Administrative, sales, etc., employees
Executive, administrative office, sales and distribution staff
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

Production and related employees

14.1.1.2 Mine, quarry, pit or bog
a. Salaries and Wages ($)
Average Number Employed
a. Male Surface
b. Male Underground
c. Female Surface
d. Female Underground
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.1.1.3 Mill, plant, kiln, etc.
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.1.2 Total (14.1.1.2 + 14.1.1.3)
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.1.3.1 Employees in new construction
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.1.3.2 Other production and related workers
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.1.4 Total (14.1.3.1 + 14.1.3.2)
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

Employees at Other Locations

14.2.1.1 Administrative, sales, etc., employees
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.2.1.2 Other
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.2.2 Total (14.2.1.1 + 14.2.1.2)
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

14.3.1 Total (14.1.1 + 14.1.2 + 14.1.4 + 14.2.2)
a. Salaries and Wages ($)
Average Number Employed
a. Male
b. Female
Person-Hours
a. Hours Worked
b. Total Hours Paid

Supplementary Information

14.4.1 Average hourly rate of pay (dollars and cents)
a. Operations (see 14.1.2)
b. Admin., etc. (see 14.1.1)

14.4.2 Number of hours in standard work week
a. Operations (see 14.1.2)
b. Admin., etc. (see 14.1.1)

14.4.3 Average paid vacation (number of weeks per year) or line 14.4.4
a. Operations (see 14.1.2)
b. Admin., etc. (see 14.1.1)

14.4.4 Vacation pay as % of earnings
a. Operations (see 14.1.2)
b. Admin., etc. (see 14.1.1)

Purchased services expenses

40.1 Purchased transportation, shipping (contracted out), warehousing, storage, postage and courier expenses
a. $

40.2 Rental and leasing expenses
a. $

40.5.6 Professional and business services (e.g., legal, accounting, architectural and technical service fees)
a. $

40.6 Consulting fees
a. $

40.7 Contract drilling services
a. $

40.8 Management fees
a. $

40.10 Purchased repair and maintenance service expenses
a. $

40.11 Payments to employment agencies or personnel suppliers
a. $

40.12 Research and development fees (contracted out)
a. $

40.13 Insurance premiums
a. $

40.14 Advertising and promotion expenses
a. $

40.15 Travel, meal and entertainment expenses
a. $

40.16 All other purchased services expenses not specified elsewhere (include financial service fees, and telephone and communication expenses)
a. $

40.17 Total all purchased services (40.1 to 40.16)
a. $

Contact Information

: Name of person to contact (please print)
: Title
: Date (YYYY-MM-DD)
: Telephone number (area code and number) + extension
: Facsimile
: E-mail address

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: Hours
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General Information

Confidentiality

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act.

Statistics Canada will use information from this survey for statistical purposes only.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon. The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Manufacturing and Wholesale Trade Division
150 Tunney's Pasture Driveway
Ottawa, ON
K1A 0T6

For surveys in the Minerals and Metals Production Statistics Program, there are Section 12 agreements with Natural Resources Canada, Environment and Climate Change Canada, the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut as well as with the Newfoundland and Labrador Department of Natural Resources, the Nova Scotia Department of Natural Resources, the ministère de l'Énergie et des Ressources naturelles du Québec, the Ontario Ministry of Energy, Northern Development and Mines, the Alberta Department of Treasury Board and Finance, Alberta Energy Regulator, the Alberta Department of Transportation, the British Columbia Ministry of Energy, Mines and Petroleum Resources, the Northwest Territories Department of Industry, Tourism and Investment and the Nunavut Department of Economic Development and Transportation.

For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Record linkages

To enhance the data from this survey and to minimize the reporting burden, Statistics Canada may combine it with information from other surveys or from administrative sources.

Publication by Natural Resources Canada (NRCan)

NRCan will continue to publish the results of this survey under the authority of the Resources and Technical Surveys Act on the Mineral Production page of the Natural Resources Canada website (http://www.nrcan.gc.ca/mining-materials/statistics/8850). You may refuse to allow publication of your information by writing a letter of objection to the Chief Statistician and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Manufacturing and Wholesale Trade Division
150 Tunney's Pasture Driveway
Ottawa, ON
K1A 0T6

Thank you for completing this questionnaire.
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Visit our website, www.statcan.gc.ca

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