Notification of commissioning of hazardous substance location or transit depot

The Health and Safety at Work (Hazardous Substances) Regulations 2017 require a Person Conducting a Business or Undertaking (PCBU) with management or control of a hazardous substance location (HSL) or transit depot to notify us of the HSL or transit depot before it is commissioned (i.e. before receipt of the hazardous substances that are required to be at a HSL or transit depot).

Note: If you are, or may be, a Major Hazard Facility, please also complete the Major Hazard Facility Notification Form.

Notification time frames

Hazardous Substance Location (excluding LPG) or Transit Depot: At least 30 working days prior to commissioning

Hazardous Substance Location (where LPG is to be located): At least 5 working days prior to commissioning

1. Site and contact details

Name of PCBU: (required)

Address of PCBU: (required)

Phone number of PCBU: (required)

PCBU email address (a copy of this notification will be emailed to you and must be retained): (required)

Name of person submitting the notification: (required)

Submitter's email address: (required)

Physical address of the place where the HSL or transit depot is located: (required)

Compliance certifier (if one contracted by the PCBU)

Is this site a:

Hazardous Substance Location

Transit Depot

2. Summary of hazardous substances

For each class of substance, specify the maximum quantity to be held.

Please state the metric unit for the quantity of each class and where there are a variety of units ensure that they are listed separately. ie: L – liquids, kg – solids and non-permanent gases, m3 – permanent gases.

Please note: where certification for a location is triggered by more than one classifications, eg: substance/s may be both a class 3.1B and a 6.1C, you are required to enter the appropriate information under each relevant classification in the form.

Substance Class 1 (Kg):

Explosives

Substance Class 2.1.1A (Kg/m3)

Flammable gas

Substance Class 2.1.1B (Kg/m3)

Flammable gas

Substance Class 2.1.2A (L - aggregate water capacity)

Flammable aerosol

Substance Class 3.1A (L)

Flammable liquid

Substance Class 3.1B (L)

Flammable liquid

Substance Class 3.1C (L)

Flammable liquid

Substance Class 3.2 (L)

Liquid desensitised explosive

Substance Class 4 (Kg):

Readily combustible (4.1.1), self reactive substance (4.1.2), solid desensitised explosive (4.1.3), spontaneously combustible (4.2), dangerous when wet (4.3)

Substance Class 5 (Kg/L/m3)

Oxidising liquid or solid (5.1.1), oxidising gas (5.1.2), organic peroxide (5.2)

Substance Class 6.1A (Kg/L)

Acutely toxic

Substance Class 6.1B (Kg/L)

Acutely toxic

Substance Class 6.1C (Kg/L)

Acutely toxic

Substance Class 8.2A (Kg/L)

Skin corrosive

Substance Class 8.2B (Kg/L)

Skin corrosive

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Notification of commissioning of hazardous substance location or transit depot

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