Model for report on occurrences during the carriage of dangerous goods

 

Report on occurrences during the carriage of dangerous goods in accordance with RID/ADR section 1.8.5

 

 

 

 

 

Report on occurrences during the carriage of dangerous goods in accordance with RID/ADR section 1.8.5

 

 

 

 

 

Carrier/Railway infrastructure operator:

............................................................................................................................………………………………………….

 

Address:

............................................................................................................................................................….…………………

 

Contact name: .......................................…………   Telephone: ............................   Fax: ................................…….….

 
  Carrier/Railway infrastructure operator:............................................................................................................................………………………………………….Address:............................................................................................................................................................….…………………Contact name: .......................................…………   Telephone: ............................   Fax: ................................…….….
 

 

 

(The competent authority shall remove this cover sheet before forwarding the report)

 
  Carrier/Railway infrastructure operator:............................................................................................................................………………………………………….Address:............................................................................................................................................................….…………………Contact name: .......................................…………   Telephone: ............................   Fax: ................................…….….

 

 

 

(The competent authority shall remove this cover sheet before forwarding the report)

 

1. Mode

Rail

Wagon number (optional)

.........................................................………………………

Road

Vehicle registration (optional)

............................................................…………………...

2. Date and location of occurrence

Year: …………………..       Month: ………………….         Day: ………………….   Time: …………………………...

Rail

  • Station
  • Shunting/marshalling yard
  • Loading/unloading/transhipment site

Location / Country: …………………………………… or

  • Open line:

Description of line: …………………………………… Kilometres: ………………………………….………...

Road

  • Built-up area
  • Loading/unloading/transhipment site
  • Open road

Location / Country: ……………………………….…

3. Topography

Gradient/incline

  • Tunnel
  • Bridge/Underpass
  • Crossing

4. Particular weather conditions

Rain

  • Snow
  • Ice
  • Fog
  • Thunderstorm
  • Storm

Temperature: ..... °C

5. Description of occurrence

  • Derailment/Leaving the road
  • Collision
  • Overturning/Rolling over
  • Fire
  • Explosion
  • Loss
  • Technical fault

 

Additional description of occurrence:

..........................................................................................................................................………………….......................

.............................................................................................................................................................................................

.............................................................................................................................................................................................

.............................................................................................................................................................................................

.............................................................................................................................................................................................

.............................................................................................................................................................................................

............………………………………………………………………………………………………………………….…

………………………………………………………………………………………………………………………….…

…………………………………………………………………………………………………………………………….

 

 

 

6. Dangerous goods involved

UN Number (1)

Class

Packing Group

Estimated quantity of loss of products (kg or l)

(2)

Means of containment

(3)

Means of containment material

Type of failure of means of containment (4)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) For dangerous goods assigned to collective entries to which special provision 274 applies, also the technical name shall be indicated.

(2) For Class 7, indicate values according to the criteria in 1.8.5.3.

(3)    Indicate the appropriate number

  1. Packaging
  2. IBC
  3. Large packaging
  4. Small container
  5. Wagon
  6. Vehicle
  7. Tank-wagon
  8. Tank-vehicle
  9. Battery-wagon
  10. Battery-vehicle
  11. Wagon with demountable tanks
  12. Demountable tank
  13. Large container
  14. Tank-container
  15. MEGC
  16. Portable tank

(4)    Indicate the appropriate number

  1. Loss
  2. Fire
  3. Explosion
  4. Structural failure

7. Cause of occurrence (if clearly known)

  • Technical fault
  • Faulty load securing
  • Operational cause (rail operation)
  • Other:

.............................................................................................................................................................................................

...............................................................................................................................................……………………………..

…………………………………………………………………………………………………………………………….

8. Consequences of occurrence

Personal injury in connection with the dangerous goods involved:

  • Deaths (number: ......)
  • Injured (number: ......)

Loss of product:

  • Yes
  • No
  • Imminent risk of loss of product

Material/Environmental damage:

  • Estimated level of damage £ 50,000 Euros
  • Estimated level of damage > 50,000 Euros

Involvement of authorities:

  • Yes           □          Evacuation of persons  for  a  duration of at  least  three  hours  caused  by the   dangerous goods involved

□          Closure of public traffic routes for a duration of at least three hours caused by the dangerous goods involved

  • No
               

If necessary, the competent authority may request further relevant information.

Administrative controls for application of the conformity assessments, periodic inspections, intermediate inspections and exceptional checks described in 1.8.7

Approval of inspection bodies

The competent authority may approve inspection bodies for conformity assessments, periodic inspections, intermediate inspections, exceptional checks and surveillance of the in-house inspection service as specified in 1.8.7.
 

Operational obligations for the competent authority, its delegate or inspection body

The competent authority, its delegate or inspection body shall carry out conformity assessments, periodic inspections, intermediate inspections and exceptional checks in a proportionate manner, avoiding unnecessary burdens. The competent authority, its delegate or inspection body shall perform its activities taking into consideration the size, the sector and the structure of the  undertakings involved, the relative complexity of the technology and the serial character of production.

Nevertheless the competent authority, its delegate or inspection body shall respect the degree of rigour and the level of protection required for the compliance of the transportable pressure equipment by the provisions of parts 4 and 6 as applicable.

Where a competent authority, its delegate or inspection body finds out that requirements laid down in parts 4 or 6 have not been met by the manufacturer, it shall require the manufacturer to take appropriate corrective measures and it shall not issue any type approval certificate or certificate of conformity.

Delegation of inspection tasks

Contracting Parties to ADR shall publish their national procedures for the assessment, appointment and monitoring of inspection bodies and of any changes to that information.

Delegation of inspection tasks

NOTE:  In-house inspection services according to 1.8.7.6 are not covered by 1.8.6.4.

Where an inspection body uses the services of any other entity (e.g. subcontractor, subsidiary), to carry out specific tasks connected with the conformity assessment, periodic inspection, intermediate inspection or exceptional checks, this entity shall be included in the accreditation of the inspection body, or it shall be accredited separately. In the case of separate accreditation, this entity shall be duly accredited according to standard EN ISO/IEC 17025:2005 and shall be recognised by the inspection body as an independent and impartial testing laboratory in order to perform testing tasks in accordance with its accreditation, or it shall be accredited according to standard EN ISO/IEC 17020:2012 (except clause 8.1.3). The inspection body shall ensure that this entity meets the requirements set out for the tasks given to it with the same level of competence and safety as laid down for inspection bodies (see 1.8.6.8) and the inspection body shall monitor it. The inspection body shall inform the competent authority about the above mentioned arrangements.

The inspection body shall take full responsibility for the tasks performed by such entities wherever the tasks are performed by them.

The inspection body shall not delegate the whole task  of  conformity  assessment,  periodic  inspection, intermediate inspection or exceptional checks. In any case, the assessment and the issue of certificates shall be carried out by the inspection body itself.

Activities shall not be delegated without the agreement of the applicant.

The inspection body shall keep at the disposal of the competent authority the relevant documents concerning the assessment of the qualifications and the work carried out by the above mentioned entities.

Information obligations for inspection bodies

Any inspection body shall inform the competent authority, which had approved it, of the following:

(a)    Except when the provisions of 1.8.7.2.4 apply, any refusal, restriction, suspension or withdrawal of type approval certificates;

(b)    Any circumstance(s) affecting the scope of and conditions for the approval as granted by the competent authority;

(c)    Any request for information on conformity assessment activities performed which they have received from competent authorities monitoring compliance according to 1.8.1 or 1.8.6.6;

(d)    On request, conformity assessment activities performed within the scope of their approval and any other activity performed, including delegation of tasks.
 

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