NEW ZEALAND HAZARDOUS SUBSTANCES

DANGEROUS GOODS DECLARATION

PROPER SHIPPING NAME

HAZARD CLASS

UN No

HAZCHEM

PACKING GROUP

DGLQ

Number and type of packages

Gross Weight

Flash Point

Shipper:

Consignee: Name

                          Address

                          Phone Number

TRANSPORT DETAILS

Carried By

`

Pickup

Drop Off

EMERGENCY INFORMATION

In Case of an emergency please contact: 

Person signing as signatory

Place & Date

Name / Title of Signatory

I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name and are classified, packaged, marked, labelled, and are in all respects in proper condition for transport according to the international and national rules, regulations and legislation.

Signature

In an emergency dial 111 - Fire or Police

Immediate Action:

Keep unnecessary people away. Mark road and warn road users.

Isolate Hazard area.

Send messenger to inform police and fire brigade. Tell them substance involved.

Keep upwind. Avoid breathing fumes or smoke. Avoid contact with skin or eyes.

Shut off engine and any electrical equipment. No smoking. No naked lights.

Avoid moving vehicle if movement could cause or increase spillage.