FORM – 11

[See Rule 20 (2)]

TRANSPORT EMERGENCY (TERM) CARD

1. Characteristics of Hazardous Wastes:

Sr. Type of Waste Physical Chemical Exposure First Aid
No. Properties Constituents Hazardous Requirements

2. Procedure to be followed in case of Fire:

3. Procedure to be followed in care of

spillage/ accident/ explosion

4. For expert services, please contact

Name and Address
Telephone No.

(Name and Signature of Occupier/ Authorized representative)