QSA Global, Inc.
40 North Avenue Burlington, MA 01803
888.272.2242
781.272.2000
qsa-global.com
Operations Manual
MAN-038 March 2019
Page 85 of 100
10.
Shipper’s certification: ‘
This is to certify that the above-named materials are properly
classified, described, packaged, marked and labeled, and are in proper condition for
transportation according to the applicable regulations of the Department of
Transportation.
’ [49 CFR 172.204(a)(1)].
NOTE:
For shipments in company vehicles to and from job sites, the shipper’s certification is not
required.
11.
The shipping papers must indicate your company's emergency telephone number. The telephone
number must have 24-hour coverage in case of an emergency concerning your shipment. The
telephone number must be clearly visible on the shipping paper and must be answered by a
person that can provide immediate emergency response information. Beepers and pagers are not
acceptable.
p.
For air shipments, the shipping papers must meet the requirements specified in IATA for a Shipper's
Declaration for Dangerous Goods. In addition to the information listed in Step 5.3(o) of this part, the
following information needs to be specified:
1
Air waybill number: Enter the number of the air waybill to which the declaration form will be
attached. (This may be amended by the carrier.)
2
Aircraft limitations: Specify that the shipment is within the limitations for
‘Cargo aircraft only.’ A notation can be added in the handling information box of the Shipper's
Declaration which states ‘This shipment may be carried on passenger aircraft outside U.S.
jurisdiction’.
3
Airport of departure: Enter the full name of the airport of city of departure, which may be amended
by the carrier.
4
Airport of destination: Enter the full name of the airport or city of destination, which may be
amended by the carrier.
5
Shipment type: Specify the shipment type as ‘Radioactive’.
6
Under quantity and type of dangerous goods, specify the number of packages (of same type and
content), their type of package and activity in Becquerels or multiples thereof (units used must be
clearly indicated) in each package, including packages in overpacks.
(If relevant) Indication of use of overpack and dimensions of the overpack (including dimensional
units). When an overpack is used, the wording ‘
Overpack used
’ must be inserted on the
declaration form immediately after all the relevant entries relating to the packages within the
overpack. In such cases, packages within overpacks must be listed first. Dimension units must be
in sub-multiples of meters.
q. The 24-hour emergency number required by Step 5.3(o) of this part, must appear in the ‘Additional
Handling Information’ section of the Declaration for Dangerous Goods.
For air shipments within the USA, the following statement must be included:
“This shipment is within the limitations prescribed for cargo aircraft only.”
r. For shipment of special form radioactive material, the Special Form Certificate of Competent Authority
for the radioactive source must be included. (e.g. USA/0377/S). For shipment of Type B packages
also include the certificate of Competent Authority (e.g., USA/9357/B(U)-96).
s. The shipper’s certification must be as follows:
‘
I hereby certify that the contents of this consignment are fully and accurately described
above by the proper shipping name, and are classified, packaged, marked and
labeled/placarded, and are in all respects in proper condition for transport according to
applicable International and National governmental regulations. I declare that all of the
applicable air transport requirements have been met.
’
