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 assignment of classification of explosives
(other than fireworks)
 An information note for applicants is available from HSE and should be consulted before filling in this form.
Additional notes to assist in completion of the form are found in each section.
 The completed form, drawings and all documents submitted in support of the application, should be sent to:
Explosives Inspectorate
Health and Safety Executive
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 assignment of classification payable under CDG.
Details of the current fee can be obtained from the Explosives Inspectorate at 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 the work on the application, has been paid.
 This form is to be used for all explosives to be transported in Great Britain with the exception of:
o
Military explosives as defined;
o
Fireworks;
o
Explosives that have been classified by the Competent Authority of a country that is NOT a
Contracting Party to ADR;
o
Explosives that have been classified by the Competent Authority of a Contracting Party to ADR.
Separate forms are available for:
o
fireworks from whatever source;
o
explosives, other than fireworks, that have been classified by the Competent Authority of a country
that is NOT a Contracting Party to ADR.
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 on the Transport of Dangerous Goods/ADR and expected to be assigned on
classification to UN Nos 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.
 EXPLOSIVES THAT HAVE BEEN ASSIGNED A CLASSIFICATION BY THE COMPETENT AUTHORITY
OF A CONTRACTING PARTY TO ADR DO NOT REQUIRE A CLASSIFICATION TO BE ASSIGNED BY
HSE.
 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, provided the explosives are of
similar type, are expected to be assigned the same UN number, and the same quality requirements are to be
applied.
 All applications will be acknowledged on receipt and given an HSE file reference. It would be helpful if this
reference could be quoted on any future correspondence relating to the application.
LP71 (10.11)
 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.
This application is for: (Please check appropriate box and give HSE serial number of existing entry)
Classification of a new explosive substance or article.
Change to the packaging of an explosive substance or
article that is already classified with HSE Serial No.
Changes to specifications of an explosive substance or
article that is already classified with HSE Serial No.
Change to UN number and/or hazard code of an
explosive substance or article that is already classified
with HSE Serial No.
Part A
Particulars of applicant seeking assignment of classification
To be completed for all Explosives
1.
Company Name
Give name of Company or individual applying for 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 assignment 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
6.
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
CRITERIA AND SUPPORTING INFORMATION CHECK LIST FOR CLASSIFICATION PURPOSES
Notes:
 Completion of this Check list is required to be submitted along with the application form above. Please tick the
appropriate boxes as applicable.
 Supporting documentation to your application should be in an appropriate viewable format, clearly identified and
legible. English translations should be provided to assist in the assessment of non-English technical
information, including specifications, and Competent Authority approval certificates.
 Please refer to additional notes overleaf for a summary on UN Tests.
CRITERIA
ELEMENT
CRITERIA TO BE
ADDRESSED
EVIDENCE REQUIRED
Part A
Company details
Must be enclosed completed and signed
NAME OF
EXPLOSIVE
Does explosive have the
same name as the
explosive to be
classified?
Information to show the link between the explosive to be
classified and the explosive known under an alternative name
DETAILS
SUPPLIED IN
APPLICATION AT
PAGE
Tick if completed
YES/NO*
Part B
Details of the explosive
article / substance
Must be enclosed completed
Part C
Additional information for
Must be enclosed completed
Tick if completed
classification including
packaging
Please indicate the evidence you are submitting with your application from the Evidence Required selection
– ONLY ONE selection allowed per criteria
EXPLOSIVES
CRITERIA TO BE
ADDRESSED
THERMAL STABILITY
SAFE TO TRANSPORT
PACKAGING
HAZARD
CLASSIFICATION
PACKAGING MARK /
CERTIFICATE
PACKING INSTRUCTION
PACKAGING METHOD
Tick if completed
EVIDENCE REQUIRED
UN Test Series 3 Data
including Reports
Analogy v Previously Tested
Explosive Technical Case
Tick if applicable
Tick if applicable
UN Test Series 4 Data
including Video evidence and
Reports
Analogy v Previously Tested
Explosive Technical Case
Tick if applicable
Tick if applicable
UN Test Series 6 Data
including Video evidence and
Reports
Analogy v Previously Tested
Explosive Technical Case
Tick if applicable
Tick if applicable
Identification of the actual explosive on the Certificate or
Schedule to the Certificate.
Identification of the Packing Instruction that applies.
Uniquely referenced technical drawing, specification or
instructions showing how the contents are packed.
DETAILS
SUPPLIED IN
APPLICATION AT
PAGE
Additional Notes:
Please refer to the UN Recommendations on the Transport of Dangerous Goods: Manual of Tests and Criteria for
specific details relating to the Tests highlighted below:-
UN Test Series 3 Data
Test 3(a): Impact; Test 3(b): Friction; Test 3(c): Thermal Stability; Test 3(d): Response to
Fire.
Tests performed on the explosives substance to demonstrate that it is both stable, and
safe to transport in the form it was tested.
UN Test Series 4 Data
Test 4(a): Thermal Stability Test; Test 4(b): 12 metre Drop Tests.
Tests performed on the explosives article, or substance to demonstrate that it is safe to
transport when packaged or unpackaged.
Test 6(a): Single Package; Test 6(b): Stack Test; Test 6(c): External Fire (Bonfire) Test;
Test 6(d): Unconfined Package Test.
UN Test Series 6 Data
Tests performed on the explosives to determine the classification hazard division under
UN Class 1 (Divisions 1.1, 1.2, 1.3 and 1.4) that closely matches with the behaviour of
the explosives when subjected to a fire from an internal or external source, or an
explosion from an internal source. Data can also be used to justify explosives
assignment to Compatibility Group S of division 1.4, or whether it should be excluded
from Class 1.
Part B
Details of Explosive
7.
Name of explosive
The name given should be the Commercial Name by which the applicant wishes the explosive to be known and
which will be entered in LOCEF.
8.
Stock / Part Number
9.
Name and location of manufacturing site
Give the name and location of the site or the factory where the explosive is to be manufactured.
10.
Explosive substances only – if the explosive is an article proceed direct to Part 11
a)
If the substance is a single compound provide the proper chemical name, % purity and specification
reference. A copy of the specification should be enclosed.
If the substance is a mixture, full details of the composition with percentage and specified tolerance of
each ingredient should be given. The specification reference of the composition should be quoted and a
copy enclosed.
Chemical name / composition, % specification
b)
A number of explosive substances are too unstable to be transported. However, when diluted with water
or alcohol, or a phlegmatiser, may be transported as Class 1 explosives under UN entries. Similarly, a
number of explosives may be diluted with water or alcohol and classified outside Class 1. This means of
wetting or desensitisation should be indicated and % addition by mass stated.
Transport state – The substance is to be transported:
wet/desensitised
dry
If wet/desensitised, please give details
c)
A brief description of the substance should be given, including type of explosive (plastic, NG gelatine,
emulsion, double-based powder, etc). Details of the form in which it is packaged (powder, granules, gel,
etc) should be included.
Description of form and type of substance
11.
Explosive articles only – If the explosive is a substance proceed to Part 12
a)
A general arrangement drawing or specification is required sufficient to identify all component parts of the
article including explosive components. The unique reference number should be quoted and a copy of the
drawing / specification attached.
General drawing / specification reference number
b)
A description of the article should be given including dimensions, materials of construction, etc. The type
of article, eg detonator, fuse, primer, detonating cord, etc should also be indicated. The means of initiation
should be described. Where an initiation system is an integral part of the article or assembled to it and
includes safety features which are designed to prevent functioning of the article in the event of the
accidental functioning of the initiation system, a full description of the safety features must be given.
Description of article, including means of initiation, and if a rocket or rocket motor, what safeguards are in place to
prevent any significant flight in the event of an accident.
c)
Where an article comprises several explosive components each component should be listed and the
explosive substances in that component identified. The quantity of each explosive substance in the article
should also be given, together with the total weight of explosive in the article.
Explosive Component
Explosive Substance
Mass of Explosive (kg)
1
2
3
4
Please tab out of row 4 above to add extras rows if required.
Total mass of explosive in article
d)
Give the gross weight of a single article without packaging:
The gross mass of a single article is
e)
kg
Give the gross mass of transport packaging including contents:
Total gross mass of the transport packaging including contents is
12.
kg
Give the total mass of explosive in Transport packaging (NEM):
Total mass of explosive in Transport packaging (NEM) is
f)
kg
ALL explosives
State here the designed use of the explosive.
Use of explosive:
kg
Part C
Additional Information for Classification
13.
Classification
State the classification you consider best fits the properties of the explosive as packaged for transport. Indicate
with reference to the options given, the basis on which your request for classification assignment is made.
UN Number
Hazard Division
The basis of the claim is:
a) Analogy with explosive classification already assigned
HSE/ESTC Reference
This requires a detailed knowledge of the original tested explosive and its method of packaging. This route should
only be taken where the CAD for the tested explosive is held by the applicant requesting the assignment of the
classification of the new product or where they have the agreement in writing of the CAD holder.
You should provide a technical justification comparing the originally classified item with the analogous explosive.
Templates giving examples of the formats for a technical justification can be found at www.hse.gov.uk/explosives.
Where option (a) is chosen the HSE or ESTC reference of the currently classified item should be given.
b) Test results supplied
For option (b) results of the UN series, tests should be supplied (see section 16).
14.
Packaging
Information on the packaging of an article or substance is of key significance since classification is specific and
limited to the packaging described. Packaging should comply with the requirements stated in ADR.
14.1
Certification / Approval
a)
Packaged articles and substances
Packages need to be tested by an approved authority and allocated a UN Mark. Indicate which of the options
applies in your case.
i) The packaging has been certified and I enclose a copy of the certificate.
The UN Mark or Registration No is
ii) The packaging has not been tested and has been submitted for testing *.enlarge foot note
b)
Unpackaged articles
Unpackaged articles need to have successfully tested as negative in UN Test Series 4 as safe to transport.
Indicate below if this option applies. Enclose the unpackaged article test details including stabilising and handling
specification necessary for safe transportation.
I confirm the unpackaged article has been successful in UN Test Series 4, and I enclose copies of the test
report, video evidence, and specification for stabilising and handling the article during transport operations.
*
In the United Kingdom the certification authority is Vehicle Certification Agency VCA, Cleeve Road, Leatherhead,
Surrey KT22 7NF. Where option (ii) is indicated and VCA is to undertake the testing. HSE will assign a provisional
classification and inform VCA directly to enable them to identify the packaging method to be applied.
Additional Information for Classification
14.2
Packaging Description
a)
Packaging reference
The applicants own identifying reference for the packaging method should be given and a copy appended to the
application.
b) UN packing instruction
P
c) Applicable special packing provision
d)
Description
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 packagings permitted under the relevant Packing Instruction.
Inner
Intermediate
Outer
e)
Maximum mass of explosive in outer package (NEM)
f)
Maximum number of articles/assemblies in each package
kg
Inner package
Outer package
The gross mass of the package and contents should be shown. Gross mass of package:
15.
kg
Explosive type
This information is required to assist assignment of the UN compatibility group. This section should be completed
for all explosives manufactured in Great Britain, whether substances or articles. The explosive comprises/
contains:
a)
a primary explosive
a propellant or deflagrating explosive
a secondary detonating explosive
a pyrotechnic substance
black powder
an extremely insensitive detonating substance
b)
white phosphorous
flammable liquid or gel
toxic material
Additional Information for Classification
16.
UN Series Test Results
Indicate which test series results are to be presented as evidence for classification and append detailed
information and test reports to the application.
Evidence for the Series 6 tests is critical to assignment of hazard division. A test report together with video
evidence should be submitted. The video evidence provided must allow unambiguous assignment of the hazard
division to the satisfaction of HSE otherwise repeat testing may be required.
Test Series 1
Test Series 2 Revise to fit in with checklist
Test Series 3
Test Series 4
Test Series 5
Test Series 6
Test Series 7
Test Series 8
Where Test Series 3 and /or Test Series 4 evidence is not presented, a technical justification should be made to
show the explosive substance / article is thermally stable and safe to transport. This justification can be made by
providing alternative evidence to show the criteria in the flow charts at Figures 10.2 and 10.3 in the UN Manual of
Test and Criteria have been satisfied, and can include analogy to an item that has already been assigned a
classification.
17.
Type of Hazard
An indication of the hazard presented by the product as packaged for transport should be given. The explosive
presents the following type of hazard.
Mass explosion
Major projection
Fire
Minor blast
Minor projection
Not significant
Subsidiary hazard (list separately if required)
Additional Comments / Information
The area below can be used to add any tables, drawings or other information that could not be inserted
into the form, or which you feel will assist with the application. Where it is relevant to a particular section
of the form, please indicate the section reference (eg 14.2(a) for an alternative packing reference).