Imo Declaration Form PDF Details

Navigating the complexities of transporting dangerous goods by sea requires adherence to stringent regulations, highlighted by the critical importance of the International Maritime Organization (IMO) Dangerous Goods Declaration form. This document is not just a piece of paperwork; it embodies the multi-layered approach to safety and compliance in maritime transport. It requires the accurate and full description of the consignment, ensuring that dangerous goods are correctly classified, packaged, marked, labelled, and placarded, conforming to the International Maritime Dangerous Goods (IMDG) Code. Key elements of the form include detailed sections for the shipper, consignee, and carrier information, alongside specifics such as the ship's name, voyage number, port of loading and discharge, and the precise nature of the goods being shipped, including their hazard classes, UN numbers, and packing groups. Crucially, it mandates declarations by the packer and shipper that all regulations have been followed, underscoring the legal and safety obligations of all parties involved in shipping hazardous materials. The form also outlines requirements for training certificates for individuals involved in the packing and shipping processes, illustrating the comprehensive approach taken to ensure that every step, from packing to transport, meets rigorous international standards.

QuestionAnswer
Form NameImo Declaration Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesimo form online, imo dangerous goods declaration pdf editable, imo form download online, imo template

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IMO DANGEROUS GOODS DECLARATION

9.

Shipper

 

1

Reference number(s)

 

 

2

section

 

 

 

 

 

 

 

 

 

 

 

Introduction,General

 

 

 

 

 

 

 

 

Consignee

 

3

Carrier

 

 

4

 

 

 

 

 

 

 

 

 

Code,

Container packing certificate/vehicle declaration

 

Name/status, company/organisation of signatory

 

5

DECLARATION

 

 

 

 

 

 

 

IMDG

It is declared that the packing of the container/vehicle has

 

 

 

 

 

 

 

 

 

 

 

 

 

the

been carried out in accordance with the General Introduction,

 

Place and date

 

 

 

IMDG Code, paragraph 12.3.7 or 17.7.7.

 

 

 

 

 

 

4; and

 

 

 

 

 

 

 

 

TO BE COMPLETED FOR SHIPMENTS

 

Signature on behalf of packer

 

 

regulation

 

 

 

IN CONTAINERS OR VEHICLES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loader Training Certificate No:

 

 

 

 

 

 

III,

Packager Training Certificate No:

 

 

 

 

 

 

73/78, Annex

Ship's name and voyage no.

Port of loading

6

Text, instructions or other matter

 

7

 

 

 

 

 

 

 

 

5;MARPOL

Port of discharge

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

regulation

Marks & nos.

Number and kind of packages, proper

shipping name*,

Gross mass (kg),

Goods delivered as

9

if applicable,

IMO hazard class/division, UN Number, packaging group

net quantity/mass†

 

 

 

 

 

 

identification or

(where assigned), flashpoint (in oC c.c.), control and

 

Breakbulk cargo

 

VII,

registration number(s)

emergency temperatures†, identification of the goods as

 

 

 

of the unit

MARINE POLLUTANT†, EmS No. and MFAG Table No.

 

Unitized cargo

 

chapter

 

 

 

 

 

 

 

 

Bulk packages

 

74,

Proper Shipping Name:

 

 

 

 

Type of unit (con-

 

SOLAS

 

 

 

 

 

 

 

 

 

 

 

tainer, trailer, tank

 

 

 

 

 

 

 

 

 

of

Class & Division:

 

 

Sub Class (If applicable):

 

vehicle, etc):

 

 

 

 

 

 

 

 

 

requirements

UN No:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Packing Group:

 

 

 

 

 

 

 

the

(If applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

meetsform

Number & kind of Packages:

 

Weight:

 

Open

 

 

 

 

 

This

If Class 1, Net Explosive content:

 

 

 

 

Closed

 

 

 

 

 

 

 

Insert "X" in appro-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

priate box

 

 

*Synonyms should not be used. Proprietary/trade names alone are not sufficient. If applicable, (1) the word

 

 

 

 

 

 

"WASTE" should precede the name; (2) "EMPTY UNCLEANED" OR "RESIDUE - LAST CONTAINED" should

 

 

 

be added; (3) "LIMITED QUANTITY" should be added.

 

 

 

 

 

 

 

† When required in 9.3 of the General Introduction to the IMDG Code.

 

 

 

 

‡ When required.

 

 

 

 

 

 

 

 

ADDITIONAL INFORMATION

 

 

 

 

 

10

 

 

 

 

 

 

 

 

 

 

Vehicle/vagon/Container Reg No::

 

 

Carrier Training Certificate No:

 

 

 

 

 

 

 

Driver Training Certificate No:

 

 

 

In certain circumstances special information/certificates are required; see IMDG Code, General Introduction, paragraphs 9.7.1, 9.7.2, 9.9.1 and 9.10.1.

 

 

 

 

 

Name/status, company/organization of signatory

 

11

 

DECLARATION

 

 

 

 

 

 

 

 

I hereby declare that the contents of this consignment are fully and

 

 

 

 

 

 

 

accurately described above by the proper shipping name(s), and are

 

Place and date

 

 

 

 

classified, packaged, marked and labelled/placarded, and are in all

 

 

 

 

 

 

 

respects in proper condition for transport according to applicable

 

 

 

 

 

 

 

international and national governmental regulations.

 

Signature on behalf of shipper

 

 

 

 

 

 

 

 

 

 

 

 

 

Sender/ Consignor/Shipper Training Certificate No:

 

 

 

 

 

 

 

 

 

 

 

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2. Soon after filling out the previous step, go to the next step and fill out all required particulars in all these blanks - i t, a u g e r I I, r e p a h c, S A L O S, s t n e m e r i u q e r, e h, t s t e e m m r o, f s h T, Marks nos if applicable, Number and kind of packages proper, Proper Shipping Name, Class Division, UN No, Packing Group If applicable, and Sub Class If applicable.

imo form conclusion process shown (step 2)

3. Within this stage, check out Synonyms should not be used, VehiclevagonContainer Reg No, Carrier Training Certificate No, In certain circumstances special, Namestatus companyorganization of, DECLARATION, I hereby declare that the contents, accurately described above by the, Place and date, classified packaged marked and, respects in proper condition for, international and national, Signature on behalf of shipper, and Sender ConsignorShipper Training. All of these need to be completed with utmost accuracy.

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