F-SG27 Puntos de Control de entrada (Gate check) : - Ludwigshafen ...

F-SG27 Puntos de Control de entrada (Gate check) :
Access Control – AUTHORIZATION OF ENTRY
IF THE PRODUCT IS ADR, THE SECTIONS C, D, E MUST BE FILLED IN, TOO
A Minimum equipment required
1. Work clothes and safety shoes
(Put on before access to the site)
Remarks: Yes No
2. Helmet / Goggles / Gloves: Yes No
3. Warning vest. Yes No
4.
Safety harness (to dispose of in case of working or operating
the vehicles at more thatn 1.5 m height)
Remarks: NP Yes No
5.
A wheel chock per vehicle (the dimensions adequate for the
max. mass of the vehicle and the diameter of the wheels)
Remarks: NP Yes No
B State of the vehicle
1. Wheels: in good condition, without faults/cracks/failure, required pressure. Yes No
2. Cabin and chassis: in good condition, no bumps, no loss of oil or fuel Yes No
3. Tank: in good condition, no bulges, no product escape NP Yes No
C Identification of the risks of the ADR product
Hazardous substances:
!
Toxic gas
(2.3)
Toxic
(6.1)
Other ADR products/labels
Inflammable
liquid (3)
Corrosive (8)
Flammable solid
(4.1)
With water release of inflammable gas
(4.3)
Other hazards
(9)
Anyone who can come in contact with the product or possibly its inhalation, must meet ALL the Personal Protective Equipment
indicated in the Safety Data Sheet Product (MSDS), leaving the person under their own responsibility if they suffer an incident /
accident by failing to comply with these instructions.
D Equipment for vehicles with ADR goods
1.
1.1
Necessary equipment
Two self-supporting warning signs (triangle)
1.2 Mobile lighting device / Toolbox Remarks:
Yes No 3. If marked toxic (2.3 or 6.1) Sí No
3.1
Oxygen mask with filter: ABEK-
P1/P2/P3
2.
Equipment necessary for all products except
(1, 1.4, 1.5, 1.6, 2.1, 2.2 y .2)
4.
If marked Flammable (3, 4.1, 4.3),
Corrosive (8) or Other hazards (9)
2.1
Eye wash liquid
(for each crew member)
4.1 A shovel
4.2 Obturador de entrada al alcantarillado
4.3 A plastic collecting receptacle
MUST BE CARRIED THE WRITTEN INSTRUCTIONS ACORDING ADR, IN THE CABIN. IN CASE OF AN INCIDENT/ACCIDENT
E Fire-fighting equipment for vehicles with ADR goods
Sí No
1. Extinguisher of 2 kg (for cabin)
2. ADDITIONAL (depending on truck mass) Remarks
2.1
Superior a 7.5 Toneladas: 1 o varios extintores de
capacidad mínima total de 12Kg*
(at least 1 of them with a min. capacity of 6 kg)
2.2
3.5 < x < 7 Toneladas: 1 o varios extintores de
capacidad mínima total de 8Kg*
(at least 1 of them with a min. capacity of 6 Kg)
2.3
Inferior or equal to 3.5 T: 1 or various extinguishers of a
min. total capacity of 4 kg*
If something unforeseen happens / Non conformance, notify to the responsible Unit
F Further remarks / not adequate behaviour
G Implementation of safety measures and check acceptance
1. 1 st Signature Date and name of the person responsible for the revision: 2. 2 nd Signature Forwarder
3 3ª Signature and name (person of BASF responsible for the operation)** Name:
Accordance (see reverseo)

For any non-conformance, the Receiving and Purchasing / Sales Unit will be informed for reclamation.
The carrier accepts that personal data are stored and processed for purposes related to itsr habitual activity
(transport or other) according to Law 15/1999 of 13 December, Personal Data Protection.
In accordance with the provisions of Law 15/1999, BASF ESPAÑOLA. S.L. informs you that the personal data
provided, may be added to a database aimed at accountability and record of them in case of non conformance and
make relevant claims to the company responsible.
You can exercise your rights of correction and opposition to the processing of personal data, in terms and
conditions provided in the LOPD.
**The responsible of the operation (in the tankfarm or loading/unloading area) should assure that the necessary equipment
described in this form is used.