Certificate that vehicle is safe before testing form
RSA/ADR 4 CERTIFICATION THAT VEHICLE IS SAFE BEFORE TESTING To be handed in when a goods vehicle used for the carriage of dangerous goods arrives at the Vehicle Test Station for testing. Before completing this certificate, please read all the notes overleaf Identification of the vehicle and load Vehicle registration No. or Trailer Identification Mark UN Number Placards UN Number and classification (see overleaf of last or Current substance carried on the Vehicle/Trailer Now complete either DECLARATION A or DECLARATION B DECLARATION A I declare that the information given above (information on Vehicle and Load is correct. I certify that the vehicle referred to above has been purged and rendered safe, for examination by the Vehicle Examiner Signed ______________________ Name (Print) ________________________ Company ____________________________________ Date _____________ Position in Company ___________________________ Tel No. ___________ DECLARATION B I declare that the information given above (information on Vehicle and Load is correct. I certify that I have read the notes overleaf and have taken all reasonable precautions with respect to the vehicle referred to above, to render it safe for examination by the Vehicle Examiner Signed ______________________ Name (Print) ________________________ Company ____________________________________ Date _____________ Position in Company ___________________________ Tel No. ___________ CERTIFICATION THAT VEHICLE IS SAFE BEFORE TESTING I. Before sending your vehicle for examination at a Vehicle Test Station, please read the following notes and carry out the necessary preparatory work to make the vehicle safe for examination. The nature of the preparatory work will depend on the class of substance carried by the vehicle. In this connection, it is important to note that Vehicle Testing staff will have to be underneath the vehicle at certain stages during the goods vehicle test/examination and the preparation of the vehicle and any necessary sealing or cleaning should take this into account. 2. If a load is required it should be of a non-hazardous nature. 3. If, in your opinion, the substance to be carried during the test has some unusual characteristics which requires special precautions to be taken you should inform the Test Station at which your test has been booked. 4. In all cases, the UN number, and classification of the substance carried should be stated overleaf. The vehicle should also be accompanied by a person with a relevant training qualification (ADR Training Certificate) applicable to the goods normally carried. 5. Make sure that the certificate on the reverse of this Form is signed by a responsible officia1 when the preparations have been completed. This is necessary in all cases, even if the vehicle has not carried any hazardous goods immediately prior to the test and will not do so at the test. The signed certificate must be presented on arrival at the Test Station. Without these documents, the test will not be conducted. 6. Authorised Testers/Exaniiners will not accept under any circumstances vehicles submitted for test which are loaded or partially loaded with dangerous goods in receptacles ( e.g. corrosives in carboys, drums, bags) or with loose loads.. 7. Information on the UN. numbers and classification of substances and packaging and labelling of dangerous goods is contained in Volume I and Volume II of the European Agreement concerning the International Carriage of Dangerous Goods by Road.(ADR) HAZARD CLASSES Class 1 - Explosives creating large and sudden forces Class 2 - Gases and toxic. Class 3 - Flammabie liquids Class 4.1-Flammable solids Class 4.2 - Spontaneously Combustible Class 4.3 - Dangerous when wet Class 5.1 - Oxidising Agents Class 5.2 - Organic Peroxides Class 6.1 -Toxics Class 6.2 - Infectious Substances Class 7 - Radioactives Class 8 - Corrosives Class 9 - Miscellaneous Can change their state instantaneously into gas, thereby Dangerous because of the pressure, but also can be flammable Vaporise readily, and can then explode or burn with air. Ignite and burn easily when heated. Ignite and burn immediately in contact with air Produce flammable gas in contact with water Break down easily to provide oxygen to support burning Unstable compounds, can cause fires or explosions Can be swallowed, breathed in, or absorbed through skin Can transmit disease if absorbed through skin. Emit radiation capable of damaging the human body. Attack many materials, very damaging to human tissue. Other hazardous materials, e.g. asbestos, PCB's, environmentally hazardous substances etc.
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Proposed commercial vehicle roadworthiness reforms as relates to registered owners, operators and drivers