Explosives road transport document Consignor Prime contractor Consignee Company name Company name Company name Address Address Address 24 hours phone Contractor phone 24 hours phone Dangerous goods Driver dangerous Consignee dangerous security card goods security card goods security card Explosives licence Explosives licence Explosives licence Document prepared by Driver’s full name Received by (full name) (name) Document date Date signed Date received Signature Signature Signature UN Proper shipping Authorised Class, Packing Gross Net Aggregate Type of Number of Weight Weight number name of name of mass mass NEQ package or packages per per Division group dangerous explosive container or Package Package Compatibility goods containers NEQ mass Explosives vehicle registration number
Explosives road transport document Consignor Prime contractor Consignee Company name Company name Company name Address Address Address 24 hours phone Contractor phone 24 hours phone Dangerous goods security card Driver dangerous goods security card Consignee dangerous goods security card Explosives licence Explosives licence Explosives licence Document prepared by (name) Driver’s full name Received by (full name) Document date Date signed Date received Signature Signature Signature UN number Proper shipping name of dangerous goods Authorised name of explosive Class, Division Compatibility Packing group Gross mass Net mass Aggregate NEQ Type of package or container Number of packages or containers Weight per Package mass Weight per Package NEQ Explosives vehicle registration number