(please attach firmly)
No. of Way Bill
declaration of dangerous goods
Date:
Recipient
Weight/Vol. Gross
Net (kg/l) Weight (kg)
The limit according to subsection 1.1.3.6 is exceeded.
x The transport stays within the Quantity per Category
limit according to 1.1.3.6
Quantity Factor Points
1
2
3
4
Please attach the following documents:
For Air Freight: IATA-DGR Shipper's Declaration for Dangerous Goods
For Sea Freight: IMO Declaration / Declaration of the Sender Responsible Maritime
Herewith I confirm the regularity and completeness of the specifications given above.
Name in Capital Letters Signature of Sender
Effective 01.01.2011
UN-Code, Description, Label, Packaging ClassQuantity
UN 3480 Lithium-Ion-Battery, 9, II, (E)
Packaging
On Yer Bike Cycles
Martin
Queens Lancashire Way
BB11 1AT Burnley, Lancashire
GB
Robert Bosch GmbH
Bosch eBike Systems
AE-EB/QMM
RT 053/E
Gerhard-Kindler-Strasse 3
Outer packaging
C
B
A
145
5.10 Transport of Hazardous Materials according to ADR 5.10 Transport of Hazardous Materials according to ADR5.10 Transport of Hazardous Materials according to ADR
5.10 Transportation of dangerous
goods transport in accordance
with ADR
Those involved in transportation
based on ADR
X Packer and Shipper (Distributor), Carrier, Driver,
Unloader, Receiver must be instructed based on
their work and areas of responsibility in accordance
with chapter 1.3. ADR.
X Training must be provided before relevant duties are
assumed; otherwise supervision by trained person-
nel is required
X Written records of the submission must be kept and
submitted to the responsible authorities upon
request.
X Compliance is strictly enforced by commercial
regulatory authorities. Severe fines are imposed for
violations.
Duties of unloading
according to chap. 7.5 ADR
X Transfer of transport documents to vehicle drivers
X Inspection of the transport vehicle before loading:
– Apparently good condition and clean
– Sufficient load securing ensured (the goods will
not move when being shipped)
– Minimum of 2-kg ABC fire extinguishers available
which are sealed with current test date and easily
accessible
▶ No smoking during loading!
▶ Do not load if there are defects!
Transport documents
in accordance with ADR
X The dealer receives this completed in advance from
Bosch eBike Service team:
– (A) Complete address of the sender and recipient
– (B) Complete and correct description of the
contents in the exact order specified
– (C) Name and signature of the packer
Copy must be kept for 3 months!
MachineHeadz/iStock.com
5
SERVICE
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