APPLICATION FOR DANGEROUS GOODS TRAINING PROGRAMME APPROVAL Flight Operations Department APPLICATION FOR DANGEROUS GOODS TRAINING PROGRAMME APPROVAL The form should be submitted together with all necessary appendices and documents to: CROATIAN CIVIL AVIATION AGENCY Flight Operations Department HR-10000 ZAGREB, Ulica grada Vukovara 284 1. APPLICANT 1.1 Name of applicant (Training provider) 1.2 Business Address MBS: OIB: 2. PERSON WITH OVERAL RESPONIBILITY FOR DANGEROUS GOODS TRAINING 2. Name and surname 2.2 Phone 2.3 Fax 2.4 E-mail 2.5 Internet: 3. INSTRUCTOR 3.1 Name: 3.2 Mobitel: 3.3 Telephone: 3.4 E-mail: 3.5 Signature: PUB Page 1 of 5
4. TRAINING PROGRAMME DETAILS 4.1 Title of training programme: DANGEROUS GOODS REGULATIONS CATEGORY 4.2 Type of programme: Initial Recurrent Initial and Recurrent 4.3 Method of Delivery: Classroom E- learning CBT Self-study 4.4 Category of personal who will use the training programme: 5. APPLICABLE REGULATIONS (tick appropriate) ICAO Technical Instructions for the Safe Transport of Dangerous Goods by Air (Doc 9284 AN/905) or IATA Dangerous Goods Regulations or other (please specify) 6. OTHER APPLICABLE REQULATIONS (tick appropriate and other if applicable please specify) ICAO Emergency Response Guidance for Aircraft Incidents Involving Dangerous Goods (Doc 9481 AN/928) COMMISSION REGULATION (EU) No 965/2012 of 5 October 2012 laying down technical requirements and administrative procedures related to air operations pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council Dangerous Goods Transport Act Ordinance on the terms and conditions for transport of dangerous goods by air 7. AREAS OF TRAINING (Complete below checklist with the reference in column of checklist where each topic appears in the Training Programme. If the topic is not applicable N/A should be inscribed) Aspects of transport of dangerous goods by air with which they should be familiar, as minimum General Philosophy 1. Purpose of dangerous goods training programme References ICAO TI IATA DGR Training program 1;4, Introductory Note, 1;4.1 PUB Page 2 of 5
General Philosophy (continued) 2. Applicable regulatory materials Foreword;1;1, 1;2 3. Use of the Technical Instructions 1;1.1 4. Definitions used in air transportation of dangerous goods 1;3.1 5. General transportation requirements 1;2 6. Transport by aircraft 1;1.1.1 7. Training requirements and record-keeping 1;4 8. Dangerous goods security 1;5 Limitations 1. Dangerous goods forbidden on aircraft 1;2.1 2. Exceptions for dangerous goods 3. Dangerous goods carried by passengers or crew 8;1.1 General requirements for shippers 1. Shippers specific responsibilities and compliance to regulations 2. Identify and recognize dangerous goods COMAT 1;2.2 3. Specific dangerous goods COMAT exceptions 1;2.2 Classification 1. Classes and divisions 2;0.2 1;1.1.5, 1;2.2, 1;2.4, 1;2.5 1;1.1, 1;1.2, 5;1.4 2. Complete list of classes, divisions and definitions 2;1 to 2;9 3. Packing groups 2;0.2.4 4. UN number and proper shipping name 3;2.1.1 and 3.1.2 5. Classification of substances and articles with multiple hazards 6. Transport of samples 2;0.5 List of dangerous goods 1. Purpose and use of the dangerous goods table 3;2 2;0.2.5, 2;0.2.7, 2;0.4 and Table 2-1 2. Proper shipping names 2;0.3, 3;1.2 3. Hazard class (definition) 2;0.2 4. UN/ID Numbers 2;0.3 5. Packing group 2;0.2.4 Packing requirements 1. Shippers responsibilities 5;1.4 2. General packing requirements 5;1.1 3. Packing instructions and assignments 4;2 4. Excepted quantity exceptions 3;5.1 5. Limited quantity exceptions 3;4.1 PUB Page 3 of 5
Labelling and marking 1. Markings required on packages containing dangerous goods 5;2 2. Labels required on packages containing dangerous goods 5;3 Dangerous goods transport document and other relevant documentation 1. Shipper s certification requirements for dangerous goods 5;4.1.6 2. Transport document requirements 5:4, 7;4.11 3. Description of dangerous goods required on transport documents 4. Provision of information 7;4 Acceptances procedures 1. Acceptance and rejection procedures and requirements for dangerous goods 2. Passenger and cargo provision of information requirements 5;4.1.4, 5;4.2 7;1 7;4.8, 7;5.1 3. Unit load device and package inspection 7;1.3, 7;1.4, 7;3.1 Recognition of undeclared dangerous goods 1. Hidden shipment indicators 7;6.1 2. Suspicious cargo and baggage awareness 7;6.1, 7;5.2.2 3. Reporting of accidents and incidents and undeclared or misdeclared dangerous goods Storage and loading procedures 7;4.4, 7;4.5, 7;4.6, 7.4.7 1. Unit load device and package inspection 7;2.8, 7;3.1.2 2. Stowage compatibility 7;2.2 3. Orientation of packages 7;2.3, 5;3.5.2 4. Securing packages 7;2.4.2 5. Location of packages 7;2.4.1 6. Damages from shipments of dangerous goods 7;3 Pilot s notification 1. Notification to pilot-in-command 7;4.1 2. Emergency response information 7;4.2, 7;4.3, 7;4.7 Provision for passengers and crew 1. Dangerous goods exceptions 1;2.4, 1;2.5, 8;1.1 Emergency procedures 1. Use of the Emergency Response Guidance for Aircraft Incidents Involving Dangerous Goods (Doc 9481) or similar guidance 7;4.9 PUB Page 4 of 5
8. APPENDICES (copy of): TRAINING PROGRAMME (The training provider shall submit the complete dangerous goods training programme as a controlled document ensuring that: every page is identified with page number and date of revision; has a list of effective pages; has a list of subjects to be covered, has an estimate of the time necessary to complete the training program; has training objectives and method of achieving it, etc.) Workbook; Presentation; Tests and answers with marking details; Other (please specify) INFORMATION GIVEN IN THIS APPLICATION FORM AND APPENDICES ARE CORRRECT TO THE BEST OF MY KNOWLEDBE AND BELIEF Name: Signature: Position: Date PUB Page 5 of 5