RADIOACTIVE MATERIAL, Tracking Number EXCEPTED...
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Tracking Number ________________________________ Date _________________ RADIOACTIVE MATERIAL, EXCEPTED PACKAGE Acceptance Checklist - 2013 EFFECTIVE: 01/01/2013_v2 Page 1 of 1 This document is an uncontrolled, reference-only, copy. The continued offering of non-compliant dangerous goods packages may result in the embargo of your dangerous goods shipments by FedEx Express. 1. Package is in good condition and free of leakage, odor, or external damage. [5.0.2] 2. Complies with all applicable government and FedEx variations. [2.8] 3. Destination serviced (including AK and HI). [SRG] 4. If 023 AWB (IP1, IXF, or ATA), correct statement(s) in the Handling Information box. [10.8.8.3] 5. Shipper and consignee name and address marked on the package. [10.7.1.3.2] 6. Radioactive Material, Excepted Package label on the package. [10.7.4.4.3.1] 7. UN number marked on the label. [10.7.1.3.2] 8. Gross weight (in metric units) marked if the package exceeds 50 kg (110 lb). [10.7.1.3.2] 9. All dry ice marking, labeling, and documentation entries complied with. [Packing Instruction 954; 7.1.5.1 (d); 8.2.4; FX-19] 10. Shipper and consignee name and address on the Declaration. For 023 shipments, shipper’s address includes country name. [10.8.3.1; 10.8.3.2] 11. Page of Pages. [10.8.3.4] 12. Typewritten or computer–generated. Some fields may be handwritten. [FX-12] 13. Radioactive indicated. [10.8.3.8] 14. “RQ” before or after the basic description. (e.g.: RQ, UN number, Radioactive Material, Excepted Package, 7; or Radioactive Material, Excepted Package, 7, RQ. [USG-04] 15. UN number, preceded by prefix.[10.8.3.9.1, Step 1] 16. Proper shipping name. [10.8.3.9.1, Step 2] 17. Class number 7. [10.3.10.1; 10.8.3.9.1, Step 3] 18. Activity of radionuclide(s) in Becquerels (e.g., Bq, MBq, GBq, TBq, etc). [10.8.3.9.2, Step 7] 19. “OVERPACK USED” [10.8.3.9.2, Step 8] 20. 24-hour emergency response telephone number. [USG-12] 21. Name, title, place, date, and shipper’s signature (may be typewritten for US domestic shipments, including US Territories). [8.1.4.1; 8.1.6.13-15] Y N Radioactive Material, Excepted Package Only (UN2908, UN2909, UN2910, UN2911) [10.5.8.2.1; 10.5.8.2.2]: Y N Y N N/A Y N Y N Y N Y N N/A Y N N/A Y N Y N If RQ, the following must be on the Declaration N/A Tracking number may be completed by the shipper or the Dangerous Goods Specialist. Y N Y N Y N Y N Y N Y N Y N Y N N/A Y N Y N Y N 22. Passenger and Cargo Aircraft or Cargo Aircraft Only limitations correctly indicated. For Passenger and Cargo Aircraft, medical or research certification not required. [10.8.3.5; 2.8.2; USG-10] 23. Name or symbol of radionuclide(s) (e.g., Ir-192, Iridium 192). [10.8.3.9.2, Step 6 (a)] 24. Description of the physical and chemical form (e.g., liquid sodium iodide, solid metal, etc.) or “Special Form” [10.8.3.9.2, Step 6 (b)] 25. Number of packages and type of packaging (e.g., 1 Excepted Package or 1 fibreboard box, etc.). [10.8.3.9.2, Step 7] 26. “RQ” marked on the package. [USG-04] 27. “OVERPACK” is marked on the package if all markings and labels are not visible. [10.7.1.4.1] Y N If RQ and UN2908, UN2909, UN2911, the following additional information must be on the Declaration N/A Skip if N/A Y N Y N Y N Y N If RQ, the following must be on the Package N/A Skip if N/A N/A Y N For further assistance, call 1-800-Go-FedEx (1-800-463-3339), then press 81 to be connected to the DG Hotline. EFFECTIVE: 01/01/13 © 2013 FedEx Express - All rights reserved. Inspected By __________________________________ Emp # _________________ Shipment does not comply and has been rejected. Due to the regulatory discrepancies indicated, your shipment cannot be transported by FedEx. Returned to shipper using DOT-SP 14691 Shipper Contact Name: _______________________________________ Shipper Contact Phone Number: _______________________________________ N/A Yes No Directions: Check (ü) N/A, Y or N for each checklist item. • Y: Shipment complies. • N: Shipment does not comply and is rejected. • N/A: Not Applicable
Transcript of RADIOACTIVE MATERIAL, Tracking Number EXCEPTED...
Tracking Number ________________________________
Date _________________
RADIOACTIVE MATERIAL, EXCEPTED PACKAGE
Acceptance Checklist - 2013
EFFECTIVE: 01/01/2013_v2 Page 1 of 1 This document is an uncontrolled, reference-only, copy.
The continued offering of non-compliant dangerous goods packages may result in the embargo of your dangerous goods shipments by FedEx Express.
1. Package is in good condition and free of leakage, odor, or external damage. [5.0.2]
2. Complies with all applicable government and FedEx variations. [2.8]
3. Destination serviced (including AK and HI). [SRG]4. If 023 AWB (IP1, IXF, or ATA), correct statement(s)
in the Handling Information box. [10.8.8.3]5. Shipper and consignee name and address marked
on the package. [10.7.1.3.2] 6. Radioactive Material, Excepted Package label on
the package. [10.7.4.4.3.1]7. UN number marked on the label. [10.7.1.3.2]8. Gross weight (in metric units) marked if the
package exceeds 50 kg (110 lb). [10.7.1.3.2] 9. All dry ice marking, labeling, and documentation
entries complied with. [Packing Instruction 954; 7.1.5.1 (d); 8.2.4; FX-19]
10. Shipper and consignee name and address on the Declaration. For 023 shipments, shipper’s address includes country name. [10.8.3.1; 10.8.3.2]
11. Page of Pages. [10.8.3.4]12. Typewritten or computer–generated. Some fields
may be handwritten. [FX-12] 13. Radioactive indicated. [10.8.3.8]14. “RQ” before or after the basic description. (e.g.:
RQ, UN number, Radioactive Material, Excepted Package, 7; or Radioactive Material, Excepted Package, 7, RQ. [USG-04]
15. UN number, preceded by prefix.[10.8.3.9.1, Step 1]16. Proper shipping name. [10.8.3.9.1, Step 2] 17. Class number 7. [10.3.10.1; 10.8.3.9.1, Step 3]18. Activity of radionuclide(s) in Becquerels (e.g., Bq,
MBq, GBq, TBq, etc). [10.8.3.9.2, Step 7]19. “OVERPACK USED” [10.8.3.9.2, Step 8]20. 24-hour emergency response telephone number.
[USG-12] 21. Name, title, place, date, and shipper’s signature
(may be typewritten for US domestic shipments, including US Territories). [8.1.4.1; 8.1.6.13-15]
Y NY N
Radioactive Material, Excepted Package Only (UN2908, UN2909, UN2910, UN2911) [10.5.8.2.1; 10.5.8.2.2]:
Y N
Y NN/A Y N
Y N
Y N
Y NN/A Y N
N/A Y N
Y N
If RQ, the following must be on the Declaration N/A Tracking number may be completed by the shipper or the Dangerous Goods Specialist.
Y NY N
Y NY N
Y NY NY NY N
N/A Y NY N
Y N
22. Passenger and Cargo Aircraft or Cargo Aircraft Only limitations correctly indicated. For Passenger and Cargo Aircraft, medical or research certification not required. [10.8.3.5; 2.8.2; USG-10]
23. Name or symbol of radionuclide(s) (e.g., Ir-192, Iridium 192). [10.8.3.9.2, Step 6 (a)]
24. Description of the physical and chemical form (e.g., liquid sodium iodide, solid metal, etc.) or “Special Form” [10.8.3.9.2, Step 6 (b)]
25. Number of packages and type of packaging (e.g., 1 Excepted Package or 1 fibreboard box, etc.). [10.8.3.9.2, Step 7]
26. “RQ” marked on the package. [USG-04]27. “OVERPACK” is marked on the package if all
markings and labels are not visible. [10.7.1.4.1]
Y N
If RQ and UN2908, UN2909, UN2911, the following additional information must be on the Declaration N/A Skip if N/A
Y N
Y N
Y N
Y N
If RQ, the following must be on the Package N/A Skip if N/A
N/A Y N
For further assistance, call 1-800-Go-FedEx (1-800-463-3339), then press 81 to be connected to the DG Hotline. EFFECTIVE: 01/01/13 © 2013 FedEx Express - All rights reserved.
Inspected By __________________________________
Emp # _________________
Shipment does not comply and has been rejected. Due to the regulatory discrepancies indicated, your shipment cannot be transported by FedEx. Returned to shipper using DOT-SP 14691 Shipper Contact Name: _______________________________________ Shipper Contact Phone Number: _______________________________________
N/A Yes No
Directions:Check (ü) N/A, Y or N for each checklist item.• Y: Shipment complies. • N: Shipment does not comply and is rejected. • N/A: Not Applicable
Dangerous Goods Acceptance ChecklistSample Package- 2013
EFFECTIVE: 01/01/2013 This document is an uncontrolled, reference-only, copy
Page 1 of 1
The highlighted numbers correspond to those found on the 2013 FedEx Express Radioactive Material, Excepted Package Acceptance Checklist.
A Shipper’s Declaration and additional markings are required if the shipment is a
Reportable Quantity (RQ).
51 6, 7
Need to monitor the status of your shipment? Ask your account executive for information about FedEx Insight®. Want immediate notification of status? Ask about FedEx Priority Alert® service.
FedEx Express offers IATA-endorsed seminars to help you understand dangerous goods regulations and avoid costly fines. Refer to our seminar schedule at http://www.fedex.com/us/hazardous-materials/training/index.html for more information.
