MUNDRA MULTIMODAL Dangerous Goods Form

SHIPPER'S DECLARATION (refer to box 22 below) I hereby declare that the contents of this consignment are fully and accurately described below by the proper shipping name(s), and are classified, packaged, marked and labelled/placarded, and are in all respects in proper condition for transport according to the applicable international and national governmental regulations

CONTAINER/VEHICLE PACKING CERTIFICATE I hereby declare that the goods described above have been packed/loaded into the container/vehicle identified above in accordance with the applicable provisions† Must be completed and signed for all container/ vehicle loads by person responsible for packing/loading.

Received the above number of packages/containers/trailers in apparent good order and condition unless stated hereon.

Please note the following :

  • Note: When this form is used as a container/vehicle packing certificate only, not a combined document, a dangerous goods declaration signed by the shipper or supplier must have been issued/received to cover each dangerous goods consignment packed in the container. The container/vehicle packing certificate is not required for tanks.
  • * DANGEROUS GOODS: You must specify - proper shipping name, hazard class, UN No, packing group (where assigned) marine pollutant and observe the mandatory requirements under applicable national and international governmental regulations. For the purposes of the IMDG Code see (see note 1 on notes page).
  • † For the purpose of the IMDG Code, see 5.4.2 (see also note 2 on notes page).


Note 1: Description of Dangerous Goods

This information is provided as a guidance only, persons should refer to Chapter 5.4 of the Code for specific requirements. The basic items of information necessary, in addition to the number and kind of packages, and the total quantity (by volume or mass and, in the case of goods of Class 1, by the net explosive mass of the contents), in the description of each dangerous substance, material or article offered for shipment are:

  1. The UN number shown for the goods in the IMDG Code preceded by the letters "UN".
  2. The proper shipping name, including the technical name enclosed in parenthesis, as applicable.
  3. The primary hazard class or, when assigned, the division of the goods, including the compatibility group letter for class 1.
  4. Where assigned subsidiary hazard class or division number(s) shall be entered following the primary class hazard or division and shall be enclosed in parenthesis.
  5. Where assigned, the packing group for the substance or article which may be preceded by "PG" (e.g. "PG II").The words "Class" or "Division" may be included preceding the primary or subsidiary hazard class or division numbers.

The five elements of the dangerous goods description shall be shown in the order listed above (i.e. 1, 2, 3, 4, and 5) with no information interspersed, except as provided in the Code. Unless permitted or required by the Code, additional information shall be placed after the dangerous goods description. See of the Code.

The proper shipping name shall be supplemented as required by the Code (see of the Code), this includes (as applicable):

  • Technical names for "n.o.s" and other generic descriptions. Proper shipping names that are assigned special provision 274 shall be supplemented with their technical or chemical group names.
  • The words "EMPTY UNCLEANED" or "RESIDUE LAST CONTAINED" before or after the proper shipping name for empty packagings, including portable containers or bulk packagings, which contain the residues of dangerous goods of classes other than Class 7.
  • The word "WASTE" before the proper shipping name for waste dangerous goods (other than radioactive materials) being transported for disposal or processing for disposal, unless this is already a part of the Proper Shipping Name.
  • If the Proper Shipping Name of a substance which is transported or offered for transport in a liquid state at a temperature equal to or exceeding 100 °C, or in a solid state at a temperature equal to or exceeding 240°C, does not convey the elevated temperature condition (for example, by using the term "MOLTEN" or "ELEVATED TEMPERATURE" as part of the Proper Shipping Name), the word "HOT" shall immediately precede the Proper Shipping Name.
  • If the goods to be transported are marine pollutants the goods shall be identified as "Marine Pollutant". (see of the Code) and for generic or not otherwise specified (N.O.S.) entries the Proper Shipping Name shall be supplemented with the recognised chemical name of the marine pollutant (see of the Code). The term "Marine Pollutant" may be supplemented with the term "Environmentally Hazardous"
  • If applicable, the minimum flashpoint if 60oC or below (in oC closed cup (c.c.)). For class 5.2 organic peroxides which are also flammable the flashpoint need not be declared. See of the Code. The dangerous goods description shall be supplemented as required by the Code (see of the Code), this includes (as applicable):
  • Except for empty and uncleaned packages, the total quantity of dangerous goods bearing a different Proper Shipping Name, UN Number or packing group. For class 1 dangerous goods the quantity shall be the net explosive mass. For dangerous goods transported in salvage packagings an estimate of the quantity of dangerous good shall be given. The number and kind (e.g. drum, box, etc.) of packages shall also be indicated. UN packaging codes may only be used to supplement the description of the kind of package (e.g., one box (4G)). Abbreviations may be used to specify the unit of measurement for the total quantity. Note: The number, type and capacity of each inner packaging within the outer packaging of a combination packaging is not required to be indicated.
  • Where dangerous goods are transported according to the exceptions for dangerous goods packed in limited quantities provided for in column 7a of the Dangerous Goods List and Chapter 3.4 of the Code , the words "limited quantity" or "LTD QTY" shall be included.
  • Where dangerous goods are transported according to the exceptions for dangerous goods packed in excepted quantities provided for in column 7b of the Dangerous Goods List and chapter 3.5 of the Code, the words "dangerous goods in excepted quantities" shall be included.
  • Where salvage packaging has been used, the words "SALVAGE PACKAGING" shall be included in the description of the goods.

For other additional information that may be required see of the Code.

Examples of dangerous goods descriptions are provided at of the Code.

Extra information is needed for certain goods of Class 1, 4.1, 5.2, 6.2, 7. See 5.4.1 of the Code.

In certain circumstances special certificates are required. See 5.4.4 of the Code.

Cargo transport units under fumigation (UN 3359) containing no other dangerous goods shall be transported in accordance with the special provisions in Chapter 5.5. of the Code. Transport documents associated with the carriage of such cargo transport units shall be completed in accordance with of the Code and shall include:

  1. the UN number preceded by the letters "UN"; and
  2. the Proper Shipping Name followed by the words "AS COOLANT" or "AS CONDITIONER", as appropriate. For example: UN 1845, CARBON DIOXIDE, SOLID, AS COOLANT.

Note 2: Container/Vehicle Packing Certificate (not required for portable tanks)

The signature given overleaf in Box 20 must be that of the person controlling the container/vehicle operation, who certifies that:

  • The container/vehicle was clean, dry and apparently fit to receive the goods.
  • If the consignments include goods of Class 1, other than division 1.4, the container is structurally serviceable in accordance with 7.1.2. of the IMDG Code.
  • No incompatible goods have been packed into the container/vehicle unless specially authorized by the Competent Authority.
  • All packages have been externally inspected for damage and only sound packages have been loaded.
  • Drums have been stowed in an upright position, unless otherwise authorized by the Competent Authority.
  • All packages have been properly packed and secured in the container/vehicle.
  • When materials are transported in bulk packagings the cargo has been evenly distributed in the container/vehicle.
  • The packages and the container/vehicle have been properly marked, labelled and placarded. Any irrelevant mark, labels and placards have been removed.
  • When solid Carbon Dioxide (CO2 - dry ice) is used for cooling purposes, the vehicle or freight container is externally marked with a warning mark at each access point where it can be easily seen by persons opening or entering the cargo transport unit, in accordance with of the IMDG Code.
  • A dangerous goods transport document, as indicated in 5.4.1 of the Code, has been received for each dangerous goods consignment loaded in the container/vehicle.