Establishment Name |
Name of Operator |
|
Trade Name |
|
Establishment location and contact details |
Address |
|
Town |
|
Post Code |
|
Region |
|
E-mail |
|
Telephone |
|
Safety officer name and contact details |
|
Information on establishment |
Activity |
|
|
Dangerous Substances Information |
Hazard Categories / Named Dangerous Substances |
|
Hazard Statement |
|
Emergency Information |
Information on the procedure of warning the public in case of a major accident |
|
Actions of public in case of major accident |
|
Inspections |
Date of last inspection |
|
Information related to the inspection |
|
Miscellaneous information |
Information on neighboring establishments or sites with possible domino effects (location, address, P.C.) |
|
|
External Emergency Plan |
|
Potential Major Accident Scenario (1)
|
Major Accident information |
|
Potential hazards to human health |
|
Potential Hazards to the environment |
|
Scenario description |
|
Scenario description |
|
Emergency actions on site |
|
External emergency actions |
|
Potential Major Accident Scenario (2)
|
Major Accident information |
|
Potential hazards to human health |
|
Potential Hazards to the environment |
|
Scenario description |
|
Scenario description |
|
Emergency actions on site |
|
External emergency actions |
|
Potential Major Accident Scenario (3)
|
Major Accident information |
|
Potential hazards to human health |
|
Potential Hazards to the environment |
|
Scenario description |
|
Scenario description |
|
Emergency actions on site |
|
External emergency actions |
|