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Hent ADR-konventionen her - Cantell

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Del 1 – Generelle bestemmelser <strong>ADR</strong> 2013<br />

1. Transportform<br />

□ Jernbane<br />

Vognnr. (valgfrit) ............................................................<br />

2. Tid og sted for hændelsen<br />

□ Vej<br />

Køretøjets registreringsnr. (valgfrit) ................................<br />

År: ........................... Måned: .............................. Dag: .................................. Klokkeslæt: ................................<br />

Jernbane<br />

□ Station<br />

□ Rangerbanegård<br />

□ Pålæsnings-/aflæsnings-/omladningssted<br />

Sted/land: .......................................................................<br />

eller<br />

□ Åbent spor<br />

Sporbeskrivelse: ..............................................................<br />

Km: ................................................................................<br />

3. Topografi<br />

□ Skråning/bakke<br />

□ Tunnel<br />

□ Bro/underføring<br />

□ Kryds/overskæring<br />

4. Særlige vejrforhold<br />

□ Regn<br />

□ Sne<br />

□ Is<br />

□ Tåge<br />

□ Torden<br />

□ Kraftig storm<br />

Temperatur: ..... °C<br />

5. Beskrivelse af hændelsen<br />

□ Afsporing/køretøj kørt af vejen<br />

□ Kollision<br />

□ Væltning<br />

□ Brand<br />

□ Eksplosion<br />

□ Tab af indhold<br />

□ Teknisk fejl<br />

Nærmere beskrivelse af hændelsen:<br />

Vej<br />

□ Bebygget område<br />

□ Pålæsnings-/aflæsnings-/omladningssted<br />

□ Åben vej<br />

Sted/land: .......................................................................<br />

...................................................................................................................................................................................<br />

...................................................................................................................................................................................<br />

...................................................................................................................................................................................<br />

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