non-radioactive us dangerous goods tracking...

of 2EFFECTIVE: 08/05/2013_v6

NON-RADIOACTIVE US Dangerous Goods

Acceptance Checklist - 2013Tracking Number ________________________________

Date _________________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 good condition and free of leakage, odor, or external damage. [5.0.2]

2. Shipment not forbidden. [4.2] 3. Complies with all applicable government and FedEx

variations. [2.8]4. Destination serviced (including AK and HI). [SRG]5. If 023 AWB (IP1, IXF, or ATA), correct statement(s) in

the Handling Information box. [8.2.1; 8.2.3]

6. Shipper’s Declaration prepared per FX-18 (does not apply to 023 shipments or shipments originating in US Territories): ~ The automation label indicates either CAFE, FSMS, FXRS, PLUS, or WSXI. If CAFE, must use open-format (no columns) Declaration, [FX-18] OR

~ Vendor name on the “FX-18 Recognized 3rd Party Vendor Software” list, OR

~ Company name on the “FX-18 Recognized “Company” Proprietary List”

7. Shipper and consignee name and address. For 023 shipments, shipper’s address includes country name.[8.1.6.1; 8.1.6.2]

8. Page of Pages. [8.1.6.4] 9. Passenger and Cargo Aircraft or Cargo Aircraft

Only correctly indicated. [8.1.6.5]10. Non-Radioactive correctly indicated. [8.1.6.8]11. UN or ID number, preceded by the prefix.

[8.1.6.9.1, Step 1]12. Proper shipping name (for ★ entries, either

the technical name in parentheses, or the word “SAMPLE”). For UN2814 or UN2900, technical name in parentheses or “suspected category A infectious substance” in parentheses. [3.11.2; 4.1.2.2; 8.1.6.9.1, Step 2; A140]

13. Class or Division number(s). [4.2 Column C; 8.1.6.9.1, Step 3]

14. Subsidiary Risk(s) in parentheses, immediately following class or division. [4.2 Column C; 8.1.6.9.1, Step 4]

15. Packing group (I, II, III). [8.1.6.9.1, Step 5]16. “RQ” before or after the basic description. [USG-04]17. Number of packages and type of packaging.

[8.1.6.9.2, Step 6]18. Net quantity or gross weight (G) per package.

[8.1.6.9.2, Step 6 (a - e)]19. Packing Instruction number. [8.1.6.9.3, Step 8] 20. DOT-SP/E approval number.

Y N

Y NY N

Y NN/A Y N

Section A - On the DeclarationTracking number may be completed by the shipper or the Dangerous Goods Specialist.

N/A Y N

Y N

Y NY N

Y NY N

Y N

Y N

N/A Y N

N/A Y NN/A Y N

Y N

Y N

Y NN/A Y N

21. UN0503: the EX#, CA# or Product Code. [USG-16]22. 24-hour emergency response telephone number

(not required for Limited Quantity, or UN1845, UN2807, UN2857, UN2969, UN3166, UN3171, UN3358, or ID8000). [USG-12]

23. 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]

24. “I declare that all of the applicable air transport requirements have been met” statement. [8.1.6.12.2]

25. Shipper’s signature next to amendments and alterations. [8.1.2.6.1; 8.1.2.6.2]

26. Shipper and consignee name and address. [7.1.5.1 (b)]

27. UN or ID number, preceded by the prefix. [7.1.5.1 (a)]

28. Proper shipping name (for ★ entries, either the technical name in parentheses, or the word “SAMPLE”). For UN2814 and UN2900, technical name not required on package. [SP A140; 3.11.2; 7.1.5.1 (a)]

29. “RQ” marked on package. [USG-04]30. Dry Ice: the net weight (in metric units).

[7.1.4, 7.1.5.1 (d); FX-19]31. Package is permitted by the Packing Instruction.

[Section 5; 6.0.4]32. If more than one package, the net quantity or gross

weight (G) marked on the package. Not applicable for ID8000 or when the contents are the same UN #, PSN, packing group, and quantity. [7.1.5.1 (c)]

33. packaging: strength rating (X, Y, or Z) corresponds with the packing group (X for PG I, II, or III; Y for PG II or III; or Z for PG III only); unless further limited by the packing instruction, Special Permit, or Special Provision. [6.0.4.2.1(c)]

34. DOT-SP/E approval number (if required).35. UN3356: package marked “DOT31FP” [USG-18]36. Primary hazard label (matching column D): on same

surface as the proper shipping name, when package dimensions are adequate. [4.2 Column D, 7.2.6.2.1]

37. Subsidiary risk label(s) (matching column D): on the same surface of the package near the primary hazard label. [4.2 Column D, 7.2.6.2.3]

38. Cargo Aircraft Only label: on the same surface of the package near the primary hazard label(s). [7.2.4.2; 7.2.6.3]

39. Labels correctly applied, not obscured, not covering required markings. Irrelevant markings and labels removed or obliterated. [7.1, 7.2]

40. Package is large enough for all required markings, labels, and documentation; not applied to bottom of package. [FX-11]

N/A Y NN/A Y N

Y N

Y N

N/A Y N

Section B - On the Package

Y N

Y N

Y N

N/A Y NN/A Y N

Y N

N/A Y N

N/A Y N

N/A Y NN/A Y NN/A Y N

N/A Y N

N/A Y N

Y N

Y N

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

ORM-D-Air shipments are prohibited.These shipments must be prepared using the IATA Dangerous Goods Regulations. [HM-215K]

This document is an uncontrolled, reference-only, copy.

EFFECTIVE: 08/05/2013_v6

NON-RADIOACTIVE US Dangerous Goods

Acceptance Checklist - 2013The continued offering of non-compliant dangerous goods packages may result in the embargo of your dangerous goods shipments by FedEx Express.

Tracking Number ________________________________

Date _________________

57. Name and telephone number of person responsible for the shipment on the Declaration and package. [7.5.1 (e); 8.1.6.11.4]

58. “ (package type code) Class 6.2” marked on package. [6.5.3.1.2(c)]

59. Dangerous goods are compatible. [5.0.2.11 (a) and (b); Title 49 CFR, Section 177.848]

60. “ALL PACKED IN ONE” and packaging type on the Declaration. [8.1.6.9.2, Step 6 (f)]

61. Q-value (to one decimal place) on the Declaration, and does not exceed 1.0 Not applicable to all commodities. See 5.0.2.11 (h) for exceptions. [2.7.5.6(e) and (f); 5.0.2.11 (g) and (h)].

62. The dangerous goods are compatible. [5.0.1.5.1; Title 49 CFR, Section 177.848]

63. “OVERPACK USED” on the Declaration. [8.1.6.9.2, Step 7]

64. “OVERPACK” on the package if all markings and labels are not visible. [7.1.4.1]

65. Dry Ice: the net quantity marked on the outside of the overpack. [FX-19]

66. If multiple overpacks: a unique identification mark on the Declaration and on each overpack (tracking number may be used).

67. Cargo Aircraft Only: overpack restrictions met. [5.0.1.5.3.]

Y N

Section G - Infectious Substances (Div. 6.2) N/A If N/A, skip to Section H. Label size may be reduced by 50%

Y N

Section H - All Packed in One N/A If N/A, skip to Section I

Y N

Y N

N/A Y N

Section I - Overpacks N/A If N/A

Y N

Y N

N/A Y N

N/A Y N

N/A Y N

N/A Y N

41. Limited Quantity marking (Y marking) on the package or overpack. [7.1.5.3]

42. Gross weight does not exceed 30 kg (66 lb) (unless overpacked). [2.7.4.2]

43. Approval number (not required for ammunition, including Cartridges, Small Arms). [8.1.6.9.4; USG-05]: ~ IHC, NSN or DOT-SP/E: approval number is on

the Declaration and package. The paperwork accompanies the shipment. OR

~ CA or EX: approval number on the Declaration and/or the package.

44. Compatibility Group letter (B,C,D,E,G,S) is on the Declaration and the hazard label. [7.2.3.3 (b)]

45. Fireworks 1.4G or Fireworks 1.4S: shipper on the Fireworks Shipper Approval list.

46. Net Explosive Mass (NEM, NEW, NEQ, NEC) is shown on the Declaration. [8.1.6.9.2, step 6(i)]

47. Packing Instruction 101 - a Competent Authority statement similar to that shown in the packing instruction is on the Declaration.

48. Compressed gas cylinder specification markings are stamped, engraved, or etched. [6.4.2.7.1]

49. Packing Instruction 202 - the following are the package [7.1.5.1(f) and 7.2.4.3]: ~ Cryogenic Liquid label. ~ The words “DO NOT DROP - HANDLE WITH

CARE”. ~ “KEEP UPRIGHT” marked at 120-degree intervals

around a cylinder or on each side of a package. ~ Package Orientation labels on opposite sides. ~ Instructions to be followed in the event of

emergency, delay, or if the shipment is unclaimed.

50. UN1072: in ATA Specfication 300/Category l container and marked “DOT31FP” [FX-13]

51. UN1070, UN2451, UN3156, UN3157: in rigid outer packaging and marked “DOT31FP” [USG-18; FX-13]

52. UN1057: approval is on the Declaration and package. [USG-07]

53. 6.1 domestic shipments, packing group I or II (except UN1230, Methanol): DOT-SP/E approval number is on the Declaration and package. A copy of the DOT-SP/E letter is provided.

54. Net quantity or gross weight (in metric units), as allowed per the DOT-SP/E.

55. 6.1 international shipments, packing group I or II (except UN1230, Methanol): package is “ V-rated.”

56. Packing group III: “PG III” written adjacent to the label.

Y N

Section C - Limited Quantity N/A If N/A, skip to Section D“Y” marking size may be reduced by 50%.

Y N

N/A Y N

Section D - Explosives (Class 1) N/A If N/A, skip to Section E

Y N

N/A Y N

Y N

N/A Y N

Section E - Gases (Class 2) N/A If N/A, skip to Section F Labels of reduced size may be affixed to the shoulder of a compressed gas cylinder.

N/A Y N

N/A Y N

N/A Y N

N/A Y N

N/A Y N

Section F - Toxics (Division 6.1) N/A If N/A, skip to Section G Primary or Subsidiary Risk [FX-02, 2.8.4]

N/A Y N

N/A Y N

N/A Y N

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: _______________________________________

of 2 This document is an uncontrolled, reference-only, copy.

of 2Dangerous Goods Acceptance ChecklistSample Declaration- 2013

EFFECTIVE: 01/01/2013 This document is an uncontrolled, reference-only, copy

The highlighted numbers correspond to those found on the 2013 FedEx Express Non-Radioactive Acceptance Checklist.

Air Waybill No.

NATURE AND QUANTITY OF DANGEROUS GOODS

FOR RADIOACTIVE MATERIAL SHIPMENT ACCEPTABLE FOR PASSENGER AIRCRAFT, THE SHIPMENT CONTAINS RADIOACTIVE MATERIAL INTENDED FOR USE IN OR INCIDENT TO RESEARCH, MEDICAL DIAGNOSIS, OR TREATMENT. ADR EUROPEAN TRANSPORT STATEMENT: CARRIAGE IN ACCORDANCE WITH 1.1.4.2.1

Emergency Telephone Number

Additional Handling Information

WARNING

I hereby declare that the contents of this consignment are fully andaccurately described above by the proper shipping name, and areclassified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicableInternational and National Governmental Regulations. I declare thatall of the applicable air transport requirements have been met.

Name/Title of Signatory

Place and Date

Signature(see warning above)

Shipment type: (delete non-applicable)

NON-RADIOACTIVE RADIOACTIVEAirport of Destination

Airport of DepartureThis shipment is within thelimitations prescribed for:(delete non-applicable)

TRANSPORT DETAILS

Two completed and signed copies of this Declaration mustbe handed to the operator

Shipper

Consignee

(Provide at least three copies to the airline.)

Page of Pages

Shipper’s Reference Number(optional)

Failure to comply in all respects with the applicableDangerous Goods Regulations may be in breach ofthe applicable law, subject to legal penalties.

PASSENGERAND CARGOAIRCRAFT

CARGOAIRCRAFTONLY

UN or ID Number, Proper Shipping Name, Hazard Class, Packing Group //

Number and Type of package x quantity //

Packing Instruction //

Authorizations

Shipper name and address

Consignee name and address

1 17

7

8

9

10

11 12 15

1817

19

20, 21

22 24

23

13, 14

of 2Dangerous Goods Acceptance ChecklistSample Package- 2013

EFFECTIVE: 01/01/2013 This document is an uncontrolled, reference-only, copy

The highlighted numbers correspond to those found on the 2013 FedEx Express Non-Radioactive Acceptance Checklist.

1, 39 26 28 27

31, 33, 34, 35, 50, 51, 58

36, 37, 38, 39, 41

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.

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