RSF 6.18.03_01 Issue 2 02/2014 Page 1 of 2 Transport of LA-LLW / VLLW Questionnaire LLWR Reference: The above reference to be generated by LLWR DGSA Section A: Customer / Consignor General Information: Company Name: Contact Address: Site Name: Contact Telephone number: Contact e-mail address: Contact name: Section B: General information of waste: WEN or WCI reference and brief description of material: Section C: Top level Transport of Dangerous Goods (inc RAM) Quality Manual or Policy: 1 2 3 4 5 6 7 8 9 10 11 Procedural Structure for Dangerous Goods management arrangements Procedures / instructions for the classification/ consignment of dangerous goods Consignment process package preparation (primary transport containment) Consignment process – document production Consignment process – marking and labelling Consignment process final dispatch / loading Records Management arrangements Transport Emergency Arrangements Event reporting and investigation arrangements Change Control arrangements Any specific VLLW / LALLW consignment arrangements Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Referenced document (s) Documents referenced in Part C above should be sent the LLWR Logistic Services Team with this completed form. Section D: Key roles for dispatch of LA-LLW / VLLW: RSF 06.18.03_01 Issue 2 March 2014 A company owned by UK Nuclear Waste Management Ltd Page 1 of 2 Produced by Document Production Team, LLWR RSF 6.18.03_01 Issue 2 02/2014 Page 2 of 2 Transport of LA-LLW / VLLW Questionnaire 1 2 3 4 Name of DGSA (s) (Internal or external) Role title or Name of Site Consignors / dispatchers and appointment requirements Role title/ Employee’s responsible for loading waste into packages (department) Role title / Employee’s responsible for Loading of packages to conveyance (department) For the people named, roles declared in Part D above - evidence of training / competence should be sent to the LLWR Logistic Services Team with this completed form. Section E: Control arrangements for packages identified for LA-LLW / VLLW: 1 Package Approvals Certificates or declaration of Package Conformity control for waste 2 Packing and Handling instructions for waste WLP reference 3 Documents referenced in Part E above should be sent the LLWR Logistic Services Team with this completed form. Section F: Control arrangements for lifting equipment for loading packages of LA-LLW / VLLW to conveyance: 1 2 Management arrangements for lifting equipment Checks on lifting equipment prior to use Documents referenced in Part F above should be sent the LLWR Logistic Services Team with this completed form. Completed by: Position: Date: E mail: transportandlogistics@llwrsite.com Post: Logistic Services Department, F36, Pelham House, Calderbridge, Cumbria CA20 1DB Note: It is the discretion of the LLWR DGSA to visit the Customers site to witness the dispatch of LA-LLW / VLLW. RSF 06.18.03_01 Issue 2 March 2014 A company owned by UK Nuclear Waste Management Ltd Page 2 of 2 Produced by Document Production Team, LLWR