Printable Dangerous Goods Check Sheet Form in PDF Customize Dangerous Goods Check Sheet Here

Printable Dangerous Goods Check Sheet Form in PDF

The Dangerous Goods Check Sheet is a vital document designed to ensure the safe handling and transport of non-radioactive hazardous materials. This checklist assists in verifying all necessary information before a shipment is accepted, promoting safety and compliance throughout the shipping process. By systematically reviewing each item, stakeholders can prevent potential risks associated with dangerous goods.

Customize Dangerous Goods Check Sheet Here
Overview

The Dangerous Goods Check Sheet form serves as a critical tool for ensuring the safe and compliant transport of hazardous materials. This checklist is specifically designed for non-radioactive shipments and outlines essential verification steps that must be completed at the point of origin. Each entry on the form requires careful attention to detail, beginning with the Shipper’s Declaration for Dangerous Goods (DGD), which must include two copies in English, the shipper and consignee's full names and addresses, and the Air Waybill number, among other vital details. The form also mandates the correct identification of dangerous goods through UN or ID numbers, proper shipping names, and packing group classifications. Furthermore, it addresses the quantity and type of packaging, ensuring that all items are compatible and that overpacks are properly labeled. Special provisions and authorizations must be verified, particularly for substances that pose additional risks. As shipments progress, the form requires that packaging conforms to safety standards and that all necessary markings and labels are accurately displayed. The checklist culminates in a comprehensive review to confirm compliance with both federal regulations and international shipping standards, underscoring the importance of meticulous documentation in the handling of dangerous goods.

Dos and Don'ts

When filling out the Dangerous Goods Check Sheet form, it is essential to follow certain guidelines to ensure accuracy and compliance. Here are five things to do and five things to avoid:

  • Do: Double-check that you have two copies of the Shipper's Declaration for Dangerous Goods (DGD) in English and in the correct format.
  • Do: Ensure that the full names and addresses of both the Shipper and Consignee are clearly stated.
  • Do: Verify that the UN or ID Number is included and correctly preceded by the appropriate prefix.
  • Do: Confirm that all required markings and labels are displayed correctly on the packages.
  • Do: Provide the name and telephone number of a responsible person for any infectious substance shipment.
  • Don't: Leave any sections blank; all relevant information must be filled out completely.
  • Don't: Use outdated forms or formats; always use the latest version of the Dangerous Goods Check Sheet.
  • Don't: Ignore any discrepancies; if any box is checked “NO,” do not accept the shipment.
  • Don't: Forget to include the necessary governmental authorizations if required for your shipment.
  • Don't: Overlook the importance of ensuring that all markings and labels are free from damage or obscured.

Misconceptions

  • Misconception 1: The Dangerous Goods Check Sheet is optional.
  • Many believe that using the Dangerous Goods Check Sheet is not mandatory. In reality, it is essential for verifying shipments at origin. This checklist helps ensure compliance with safety regulations and prevents potential hazards during transport.

  • Misconception 2: The form only needs to be filled out if shipping hazardous materials.
  • Some think that the checklist applies solely to shipments containing hazardous materials. However, it is crucial for all shipments classified as dangerous goods, regardless of the specific materials involved. This includes items that may not seem dangerous at first glance.

  • Misconception 3: Once the form is completed, it doesn’t need to be reviewed again.
  • There is a common belief that the Dangerous Goods Check Sheet only needs to be filled out once and can be submitted without further review. In truth, every entry must be verified for accuracy before acceptance of the shipment. This ensures that no critical information is overlooked.

  • Misconception 4: Any discrepancies can be corrected after the shipment is accepted.
  • Some individuals think that errors on the Dangerous Goods Check Sheet can be fixed after the shipment has been accepted. This is not the case. If any box is checked “NO,” the shipment should not be accepted at all. Proper procedures must be followed to address discrepancies prior to acceptance.

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Form Attributes

Fact Name Description
Purpose The Dangerous Goods Check Sheet is designed to verify shipments of non-radioactive dangerous goods at the point of origin.
Documentation Requirement Two copies of the Shipper's Declaration for Dangerous Goods must be provided, formatted in English and according to IATA standards.
Verification Process All items on the checklist must be checked before accepting or refusing a shipment. This ensures compliance and safety.
Special Provisions Verifiable special provisions must be checked, including any governmental authorizations related to the shipment.
Marking and Labeling Packages must be marked and labeled according to specific regulations, including UN numbers and hazard symbols, to ensure safe handling.

Document Preview Example

2015

DANGEROUS GOODS CHECKLIST FOR A NON-RADIOACTIVE SHIPMENT

The recommended checklist appearing on the following pages is intended to verify shipments at origin. Never accept or refuse a shipment before all items have been checked.

Is the following information correct for each entry?

SHIPPERS DECLARATION FOR DANGEROUS GOODS (DGD)

YES NO* N/A

1.Two copies in English and in the IATA format including the air certification

statement [8.1.1, 8.1.2, 8.1.6.12] ..................................................................................................................

2.Full name and address of Shipper and Consignee [8.1.6.1, 8.1.6.2] ...........................................................

3.If the Air Waybill number is not shown, enter it. [8.1.6.3] .............................................................................

4.The number of pages shown [8.1.6.4] ..........................................................................................................

5.The non-applicable Aircraft Type deleted or not shown [8.1.6.5] .................................................................

6.If full name of Airport or City of Departure or Destination is not shown, enter it. [8.1.6.6 and 8.1.6.7] Information is optional...................................................................................................................................

7.The word “Radioactive” deleted or not shown [8.1.6.8] ................................................................................

Identification

8.UN or ID Number, preceded by prefix [8.1.6.9.1, Step 1].............................................................................

9.Proper Shipping Name and the technical name in brackets for asterisked entries [8.1.6.9.1, Step 2] ........

10.Class or Division, and for Class 1, the Compatibility Group, [8.1.6.9.1, Step 3] ..........................................

11.Subsidiary Risk, in parentheses, immediately following Class or Division [8.1.6.9.1, Step 4]......................

12.Packing Group [8.1.6.9.1, Step 5].................................................................................................................

Quantity and Type of Packing

13.Number and Type of Packages [8.1.6.9.2, Step 6].......................................................................................

14.Quantity and unit of measure (net, or gross followed by “G”, as applicable) within per package

limit [8.1.6.9.2, Step 6] ..................................................................................................................................

15.When different dangerous goods are packed in one outer packaging, the following rules are complied with:

Compatible according to Table 9.3.A. ....................................................................................................

UN packages containing Division 6.2 [5.0.2.11(c)].................................................................................

“All packed in one (type of packaging)” [8.1.6.9.2, Step 6(f)] .................................................................

Calculation of “Q” value must not exceed 1 [5.0.2.11 (g) & (h); 2.7.5.6; 8.1.6.9.2, Step 6(g)] ...............

16.Overpack

Compatible according to Table 9.3.A. [5.0.1.5.1] ...................................................................................

Wording “Overpack Used” [8.1.6.9.2, Step 7].........................................................................................

If more than one overpack is used, identification marks shown and total quantity of dangerous goods [8.1.6.9.2, Step 7].........................................................................................................................

Packing Instructions

17.Packing Instruction Number [8.1.6.9.3, Step 8] ............................................................................................

18.For lithium batteries in compliance with Section IB, “IB” follows the packing instruction [8.1.6.9.3,

Step 8] ..........................................................................................................................................................

Authorizations

19.Check all verifiable special provisions. The Special Provision Number if A1, A2, A4, A5, A51, A81, A88, A99, A130, A190, A191 [8.1.6.9.4, Step 9]...................................................................................................

20.Indication that governmental authorization is attached, including a copy in English and additional approvals for other items under [8.1.6.9.4, Step 9] ......................................................................................

Additional Handling Information

21.The mandatory statement shown for self-reactive and related substances of Division 4.1

and organic peroxides of Division 5.2, or samples thereof, for PBE and for fireworks [8.1.6.11.1, 8.1.6.11.2, 8.1.6.11.3 and 8.1.6.11.5]...........................................................................................................

22.Name and Telephone Number of a responsible person for Division 6.2 Infectious Substance

shipment [8.1.6.11.4] ....................................................................................................................................

23.Name and Title (or Department) of Signatory, Place and Date indicated and Signature of

Shipper [8.1.6.13, 8.1.6.14 and 8.1.6.15] .....................................................................................................

24.Amendment or alteration signed by Shipper [8.1.2.6] .................................................................................

56th EDITION, 1 JANUARY 2015

969

YES NO* N/A

AIR WAYBILL–HANDLING INFORMATION

25.The statement: “Dangerous goods as per attached Shipper's Declaration” or “Dangerous Goods as per attached DGD” [8.2.1(a)] ..............................................................................................................................

26.“Cargo Aircraft Only” or “CAO”, if applicable [8.2.1(b)].................................................................................

27.Where non-dangerous goods are included, the number of pieces of dangerous goods shown [8.2.2] .......

PACKAGE(S) AND OVERPACKS

28.Packaging conforms with packing instruction and is free from damage or leakage [The relevant

PI and 9.1.3] .................................................................................................................................................

29.Same number and type of packagings and overpacks delivered as shown on DGD [9.1.3]........................

Markings

30.UN Specification Packaging, marked according to 6.0.4 and 6.0.5:

Symbol and Specification Code..............................................................................................................

X, Y or Z meets or exceeds Packing Group/Packing Instruction requirements......................................

Gross Weight within limits (Solids, Inner Packagings or IBCs [SP A179]) .............................................

Infectious substance package marking [6.5.3.1] ....................................................................................

31.The UN or ID number(s) [7.1.4.1(a)].............................................................................................................

32.The Proper Shipping Name(s) including technical name where required [7.1.4.1(a)]..................................

33.The full name(s) and Address(es) of Shipper and Consignee [7.1.4.1(b)] ...................................................

34.For consignments of more than one package of all classes (except ID 8000 and Class 7) the net quantity, or gross weight followed by “G”, as applicable, unless contents are identical, marked on the packages [7.1.4.1(c)] ....................................................................................................................................

35.Carbon Dioxide, Solid (Dry Ice), the net quantity marked on the packages [7.1.4.1(d)] ..............................

36.The Name and Telephone Number of a responsible person for Division 6.2 Infectious Substances shipment [7.1.4.1(e)].....................................................................................................................................

37.The Special Marking requirements shown for Packing Instruction 202 [7.1.4.1(f)] ......................................

38.Limited Quantities mark [7.1.4.2] ..................................................................................................................

39.The Environmentally Hazardous Substance Mark [7.1.5.3]..........................................................................

Labelling

40.The label(s) identifying the Primary risk as per 4.2, Column D [7.2.3.2; 7.2.3.3(b)].....................................

41.The label(s) identifying the Subsidiary risk, as per 4.2, Column D [7.2.3.2; 7.2.6.2.3].................................

42.Cargo Aircraft Only label [7.2.4.2; 7.2.6.3]....................................................................................................

43.“Orientation” labels on two opposite sides, if applicable [7.2.4.4].................................................................

44.“Cryogenic Liquid” labels, if applicable [7.2.4.3] ...........................................................................................

45.“Keep Away From Heat” label, if applicable [7.2.4.5] ...................................................................................

46."Lithium battery" label, if applicable [7.2.4.7]................................................................................................

47.All required labels are displayed correctly [7.2.6] and all irrelevant marks and labels

removed or obliterated [7.1.1; 7.2.1].............................................................................................................

For Overpacks

48.Packaging Use markings and hazard and handling labels, as required must be clearly visible or reproduced on the outside of the overpack [7.1.7.1, 7.2.7] ..........................................................................

49.The word “Overpack” marked if markings and labels are not visible [7.1.7.1]..............................................

50.If more than one overpack is used, identification marks shown and total quantity of dangerous

goods [7.1.7.2] ..............................................................................................................................................

GENERAL

51.State and Operator variations complied with [2.8]........................................................................................

52.Cargo Aircraft Only shipments, a cargo aircraft operates on all sectors ......................................................

53.For IB lithium batteries, one “lithium battery document” with the required information accompanying the consignment [8.1.6.11.7] ..............................................................................................................................

Comments:

Checked by:

Place:Signature:

Date:Time:

*IF ANY BOX IS CHECKED “NO”, DO NOT ACCEPT THE SHIPMENT AND GIVE A DUPLICATE COPY OF THIS COMPLETED FORM TO THE SHIPPER.

970

56th EDITION, 1 JANUARY 2015

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