Health and Safety
Executive
Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2009 (as amended) (CDG)
European Agreement Concerning the International Carriage of Dangerous Goods by Road (ADR)
Application for recognition of explosives classified by the Competent
Authority of a country that is NOT a Contracting Party to ADR

Information note for applicants is available from HSE website www.hse.gov.uk and should be consulted before
filling in this form. Additional notes to assist in completion of the form are found in each section, the attached
checklist should be completed and sent in with the application.
The completed form, drawings and all documents submitted in support of the application, should be sent to:

Explosives Inspectorate
Health and Safety Executive
5S.2 Redgrave Court
Merton Road
Bootle
Merseyside, L20 7HS
Email: cad.explosives@hse.gsi.gov.uk

A fee is charged in connection with each application for recognition of assignment of classification payable
under CDG. Details of the current fee can be obtained from the Explosives Inspectorate
www.hse.gsi.gov.uk/explosives. The Competent Authority Document will not be issued, or the explosives which
are the subject of the application added to the List of Classified Explosives and Fireworks (LOCEF)
(http://webcommunities.hse.gov.uk/inovem/inovem.ti/explosives/grouphome), until the total fee, which will be
advised on completion of work on the application, has been paid.

This form is to be used for all explosives and desensitised explosives with the exception of:
o
military explosives as defined;
o
fireworks conforming to the UN default table;
that are to be carried by road in Great Britain, where recognition of explosives classified by the Competent
Authority of a country that is NOT a Contracting Party to ADR is required. Separate forms are available for
fireworks conforming to the UN default table from whatever source and for explosives, other than fireworks, that
do not have a competent authority document.

Forms may be obtained from the Explosives Inspectorate at the address shown above or from the HSE
website (www.hse.gov.uk). In this context, fireworks are articles designed for entertainment purposes as defined
in the UN Recommendations for the Transport of Dangerous Goods / ADR and expected to be assigned on
classification to UN No’s 0333 – 0337.

If the explosives for which recognition of assignment of classification is required are military explosives as
defined under the CDG, application should be made to the Secretary ESTC, Abbeywood, Bristol, BS34 8JH from
whom application forms are available.

Please ensure that all the relevant sections of this form are fully completed. Where insufficient space is
provided on the form additional information may be appended on a separate sheet which should clearly indicate
to which section of the form it refers.

Applications for more than one explosive may be made on the same form.

All applications will be acknowledged and given an HSE file reference. Please quote this reference on any
future correspondence relating to the application.

The Data Protection Act 1998 requires the Health and Safety Executive (HSE) to inform you that this form
may include information about you (this is called ‘personal data’ in the Act) and that we are a ‘data controller’ for
the purposes of the Act. HSE will process the data for health, safety and environmental purposes. HSE may
disclose these data to any person or organisation for the purposes for which it was collected or where the Act
allows disclosure. As data subject, you have the right to ask for a copy of the data and to ask for any inaccurate
data to be corrected.
LP82 (10.11)
Part A
Particulars of applicant seeking recognition of assignment of classification
To be completed for all Explosives
1.
Company Name
Give name of Company or individual applying for recognition of assignment of classification. This will be the name
in which the Competent Authority Document (CAD) will be issued.
2.
Companies House Number
If you are a limited company, give your Companies House number, which can be found at
www.companieshouse.gov.uk.
3.
Address
The address which should appear on the CAD is to be given. For a company or other body corporate, the
registered address should be given. The address for correspondence, if different, should be given at Section 5
below.
Telephone No
Fax No
Email
4.
Declaration
(i)
The declaration should be signed by the applicant, or an official of the company named in Section 1. This
applies even where an application is being handled by an agent or consultant. Unsigned applications will
not be processed but returned to sender.
(ii)
I hereby apply for the recognition of classification of the explosive(s) named and confirm that the
information given is correct.
(iii)
The applicant’s signature is regarded as agreement to pay the statutory charges involved.
Signature
Date
Name
Position in company
(block capitals)
5. Address, telephone, fax and email address (if different from above) - This should be the address for communication
and to which the competent authority document will be sent
Telephone No
Fax No
Company’s reference - To assist in tracing correspondence, it is beneficial if a specific reference can be given by
the company relating to the application
Checklist to be completed before you send off your Classification Application:Please complete the form below and submit along with the application form above.
Applications without the supporting evidence below will not be processed, but returned to sender
You should ensure that you enclose the supporting evidence, for every article / substance whose classification you
want to be recognised by HSE. We need to be able to identify that the explosives on your application form are the
same as the explosives on your supporting evidence, so please mark each document to identify what the evidence
you have supplied is in relation to the check list below e.g. US DoT.
If a number of explosives are listed on the same document, please highlight which item relates to the numbered
item on the application form e.g. write Item 1 etc next to the correct explosive item, thus clearly identifying your
supporting evidence.
If the names or part numbers are different to those shown on the classification document to be recognised you
should provide alternative auditable evidence to prove that the explosives on your application are those referred to
on the National CAD issued by the non Contracting Party to ADR.
APPLICATION FORM
Part A
Part B
The ‘name of explosive’, is the commercial name of
the article/substance you are importing NOT the
‘proper shipping name’ or the ‘explosive’ within the
article.
Part C
ACTION
Must be enclosed completed and
signed
All boxes completed
Tick box
All boxes completed
SUPPORTING EVIDENCE
Identify the
Annex
Number
Enclosed
A copy of the Competent Authority Document (CAD)
for which recognition is being sought.
Enclosed (with English translation, if
necessary)
A packaging specification document, which states
how the items are to be packaged together. This
can also be in the form of a drawing, or photograph
if it clearly shows the layout of the explosives and
packaging material within the box etc, and has been
given a unique identifying reference.
Enclosed (with English translation, if
necessary)
Enclosed
Drawing of the item. This will allow HSE to ensure
that the item you have applied for the recognition of,
is that referred to in the CAD.
Enclosed
Enclosed
Part B
Details of Explosives
Item No1
Name of Explosive2
Stock / Part No3
Manufacturer’s Details4
1
2
3
4
5
6
7
8
Item No1
UN Number5
Hazard Code6
National Competent
Authority7
CAD Reference8
1
2
3
4
5
6
7
8
Notes
1. Application may be made on this form for the recognition of assignment of classification of any number of
explosives including those of different UN numbers. The explosives should be consecutively numbered to
provide a cross-table reference. Where the number of items exceeds the space available additional lines can
be added by “tabbing” from the last cell of the table.
2. The name given should be the name under which the explosives will be placed on to the market or otherwise
supplied for transport. The name should be the one that appears on the competent authority document (CAD)
to be recognised and on the exterior of any outer packaging. Please list any alternative names on a separate
sheet in order to provide an auditable trail.
3. The stock, part number or other identifying reference under which the explosives will be placed on to the market
or otherwise supplied for transport should be given. Together with the name this will uniquely identify the
explosive. Please list any alternative part numbers on a separate sheet in order to provide an auditable trail.
4. The name and address of the manufacturer of the explosive should be given.
5. & 6. Give the UN number and classification code to be recognised. This should be that assigned by the
national competent authority of a non Contracting Party to ADR and recorded in the official classification
document (CAD) which should be attached to this application together with an English translation where
necessary.
7. The national competent authority issuing the document claimed as the basis for classification should be
indicated by use of the ISO international code for countries unstats.un.org/unsd/methods/m49/m49alpha.htm.
8. The official classification document reference number should be given and a copy included with the application.
Classification will not be recognised unless a copy of the document is received.
Part C
Packaging Information
Information on the packaging of an article or substance is essential since classification is packaging dependent
and often specific and limited to the packaging described.
Section C1 - A brief description of the packaging under the headings inner, intermediate and outer as
appropriate should be included.
Item
No
Packing
instruction1
Applicable
special
packing
provision1
Inner2
Intermediate2
Outer2
Number of
Articles Per
Inner3
1
2
3
4
5
6
7
8
Item
No
Number of
Articles Per
Intermediate3
Number of
Articles Per
Outer3
UN Packaging
mark4
Gross mass of
the package
and contents
(kg)5
Max mass of
explosive in
outer package
(kg)6
Manufacturers
Packaging
Specification
Reference7
1
2
3
4
5
6
7
8
Notes
1. Applicable Packing instruction and special packing provision as per ADR paragraph 4.1.4 eg P130
2. A brief description of the inner packaging, intermediate and outer packaging i.e. plastic bag (inner), polystyrene
(intermediate), Fibreboard box (4G) (outer). You should ensure that these descriptions correspond to those
Inner, Intermediate and Outer packaging’s permitted under the relevant Packing Instruction
3. Maximum number of articles/assemblies in each package, as well as any restrictions imposed on the quantity for example if the Competent Authority have said ‘not more than 25 articles per box’.
4. Where safety to transport or the hazard division has been assessed as being dependant upon a particular outer
packaging the UN packaging mark for that packaging should be provided. The packaging mark is the UN mark
referred to in Chapter 6 in ADR. A copy of the packaging certificate should be attached to this application
together with an English translation where necessary.
5. Total mass in kilograms of the whole package and contents, including mass of packaging.
6. Total net explosive mass or content in kilograms in the outer package.
7. Explosives classification is often packaging dependant. Where safety to transport or the hazard division has
been assessed as being dependent upon how articles are packed within the inner intermediate and outer
packaging’s, the unique reference or specification for that packing method should be listed.