Guideline Waste MGMT

Guidelines on using
Waste Consignment Notes
Just view the slide show...

Waste Consignment Notes (WCN)
should accompany all types
of waste transported
The WCN is the documentary
evidence which is used to
demonstrate that the waste has
been managed in a responsible
manner
Well Engineering - June 2001
The WCN
WASTE CONSIGNMENT NOTE Number:
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
Section A: WASTE DETAILS

1. Please tick () box below to indicate the type of waste you are transferring
comprises of
WASTE CONSIGNMENT NON-HAZARDOUS NOTE WASTE TYPE Number:
(Separate Waste consignmentNotes
Domestic Waste (kitchen
for Hazardous & Non-refuse)  Domestic waste (tree cuttings)
Hazardous Wastes)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
Please tick (
WASTE CONSIGNMENT
1. NOTE  Waste wood materials  Plastic Drums (non-hazardous)
) box below to indicate the type of waste you are transferring Number:  Construction material
If other please describe waste accurately here
NON-HAZARDOUS
(Separate Waste consignment WASTE
Notes for Hazardous TYPE Wastes)
& Non- Hazardous
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
3 different
 Non-Hazardous waste chemicals
1.
 Empty Drums (non hazardous)
Please tick () box below to indicate the type of waste you are transferring
 Electrical Cable
NON-HAZARDOUS  Waste
WASTE wood materials
TYPE HAZARDOUS  Plastic
WASTE TYPE
Drums (non-hazardous)  Construction material
If other please describe wasteaccurately  Oily sludge  Scrap Metal  Waste Lubricants  Pigging sludge
 Domestic Waste (kitchen refuse)  DomesticOily sand
waste
here
/ soil
(tree cuttings)  Office waste
 Non-Hazardous waste chemicals  EmptyDrums
Hazardous
(non waste chemicals  Electrical
hazardous) Sewage sludge
Cable  Batteries  Clinical waste
 Waste wood materials  PlasticDrums
Hazardous lab. Chemicals  Construction
(non-hazardous)  Empty Drums (hazardous)
material  NORM  OBM & or OBM Cuttings
 
colour forms
If other please describe waste accurately here Tyres (used) Other
HAZARDOUS WASTE TYPE
 Oily sand / soil  Oily sludge
 Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
HAZARDOUS WASTE  Hazardous
TYPElab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Oily sand / soil  Tyres (used) 2. Quantity:  Other
 Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage
If other please describe waste3.accurately
sludge
here
Please give
 Batteries  Clinical waste
any other additional information including details of any problems your waste may present, that will affect containment, transport,
treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
2. Quantity:
3. Please give any other additional information
Section B1: WASTEincluding details of any problems
ORGINATOR (Asset )your waste may present, that will affect containment, transport,
White
treatment or disposal of the waste
1 PDObyAsset
any subsequent
(Marmul,holder,
Nimr, e.g.
Qarn type of premises
Alam, waste comes from, full analysis,OETS,TWM,XGB,OIM,HES,
Bahja-Rima,Yibal,Fahud-Lekhwair, process that produced the waste:other)
2. Quantity: Please tick one ()

3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,
Section B1: WASTE ORGINATOR 2. Location of (Asset ) Destination:
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
Please tick one () returns
Section B1: WASTE ORGINATOR (Asset )
2. Location of Destination:
Please tick one ()Return white copy to Originator

3.Signature ( waste originator)
by. a) Fax/Fax No b) Mail c) Driver.
Date:
d) monthly waste
returns
2. Location of 4. Full Name (Please print) Destination:
Blue
returns 3.Signature ( waste originator)
Section C: WASTE TRANSPORTER Date:
1. Company Name:
4. Full Name (Please print)
2. Signature of Driver:
3.Signature ( waste originator) Date:
Section C: WASTE TRANSPORTER
3. Full name of Driver (Please print):
1. Company Name:
Section D: WASTE DISPOSAL FACILITY

2. Signature of Driver: 1.Waste disposal Location/Site:
1. Company Name: 3. Full name of Driver (Please
2.print):
Name of Waste Disposal Site Operator:
3.Date& time waste received:
1.Waste disposal Location/Site:
4. Signature of Waste Disposal Operator
Yellow
2. Name of Waste Disposal Site Operator:
3.Date& time waste received:Distribution:
Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
YellowOperator
4. Signature of Waste Disposal Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
(MESC Number 93.55.81.500.9)

1. Please tick ( ) box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE

 Waste wood materials  Plastic Drums (non-hazardous)
 Construction material
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
2. Quantity:

Please tick one ()
2. Location of Destination:  Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
returns
3.Signature ( waste originator) Date: If other please describe waste accurately here

1. Company Name:
Section D: WASTE DISPOSAL FACILITY 2. Quantity:


3.Date& time waste received: treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
Distribution:
(MESC Number 93.55.81.500.9)

The Waste Generator

Please tick one ( )
should complete Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
Section A and B
returns
of the WCN 3.Signature ( waste originator) Date:

A separate WCN should be completed for
Hazardous and Non Hazardous Waste


When completing the WCN it is important to clearly
identify the waste type and any additional details
such as problems the waste may present that will
affect: WASTE CONSIGNMENT NOTE
Number:
• containment
• transport
• treatment
2. Quantity:
• disposal
returns

1. Company Name:

Distribution:
(MESC Number 93.55.81.500.9)

When completing the WCN you must identify how you wish to
receive the signed white WCN
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste returns


1.
WASTE CONSIGNMENT NOTE
Number:
(Separate Waste consignment
NON-HAZARDOUS WASTE TYPE Notes for Hazardous & Non- Hazardous Wastes)
 Domestic Waste
Section A:(kitchen
WASTE refuse)
DETAILS  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous
1. Please tick
waste () box below
WASTE
chemicals indicate
CONSIGNMENT
to the type
Empty Drums NOTE
of waste
(non  Electrical Cable
you are transferring
hazardous) Number:
 WasteNON-HAZARDOUS
wood materials WASTE
(Separate Waste TYPE
consignment
PlasticNotes
Drums for(non-hazardous)
Hazardous & Non- Hazardous Construction
Wastes) material
 Domestic
If other please describe waste
Waste accurately
(kitchen here
refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-HazardousSection A: WASTE DETAILS
1.
waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials
NON-HAZARDOUS WASTE Plastic Drums (non-hazardous)
TYPE  Construction material
WASTE
accurately CONSIGNMENT NOTE Number:
 Domestic  Domestic waste (tree cuttings)  Office waste  Scrap Metal
If other please describe waste here
HAZARDOUS WASTE TYPE Waste (kitchen refuse)
 Oily sand / soil  Non-Hazardous waste  Oily
chemicals
sludge  Empty Drums (non  Waste Lubricants  Electrical
hazardous)  Pigging
Cable sludge

 Hazardous waste chemicals 1.
Waste Section
wood  Sewage
A: WASTE DETAILS
materials  Plastic Drums  Batteries
(non-hazardous)   Clinical waste
Construction material
If other Pleasewaste
please describe sludge
tick (accurately
) box below
here to indicate the type of waste you are transferring
 Hazardous
HAZARDOUS
lab. Chemicals WASTE TYPE  Empty DrumsWASTE
NON-HAZARDOUS (hazardous) TYPE  NORM  OBM & or OBM Cuttings
 Tyres(used)
Oily sand / soil
 Domestic  Other (kitchen
WASTE
Waste
Oily sludge
CONSIGNMENT
refuse)
 Waste
 Domestic waste
NOTE Lubricants
(tree cuttings)
 Pigging
 Office waste
sludge
 Scrap MetalNumber:
 Hazardous
If other please describewaste
 Non-Hazardouswaste
wastechemicals
accurately here (Separate Sewage
Waste sludge
 Empty
consignment Notes
chemicals
 (non
for Drums Non- Hazardous
Batteries
Hazardous &hazardous)  Clinical waste
Wastes)
Electrical Cable
 HazardousHAZARDOUS  Waste
lab. Chemicals WASTE
wood
 Empty Drums (hazardous)
TYPE
materials  Plastic Drums (non-hazardous)
NORM  OBM & material
 Construction or OBM Cuttings
 Tyres (used)  Oily sandIf/ other Please
soil please1.describeOther
waste (
Oily
tickaccurately
) box here
sludge  Waste
below to indicate the type of waste Lubricants
you are transferring  Pigging sludge
 Hazardous waste chemicals
2. Quantity:
NON-HAZARDOUS  Sewage WASTE
sludge TYPE  Batteries  Clinical waste
 Hazardous  Domestic Waste (kitchen refuse) may
Domestic 
waste (tree cuttings)  Office
 OBMwaste  Scrap Metal

3. Please give any other additional information including
lab. Chemicals details of any problems
Empty Drums your waste
(hazardous) present, that
NORMwill affect containment, transport, & or OBM Cuttings
 Tyres (used)
treatment or disposal of the waste by any subsequent Non-Hazardous waste
holder, e.g. type of premises
Otherchemicalswaste comes Empty
from, Drums
full analysis,  Electrical
process that produced
(non hazardous) the waste:
Cable
2. Quantity: If other please Oily sand /soil  Oily sludge Plastic Drums (non-hazardous)  Construction material
describe waste accurately
wood here
Waste
If other please describe
materials
waste accurately here
 Waste Lubricants  Pigging sludge
 waste
treatment or disposal of the Hazardous
by anywaste chemicals
subsequent holder, e.g. typeofSewage sludge
premises  Batteries
waste comes from, full analysis, process that produced thewaste:
Clinical waste
 Hazardous
lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
2. Quantity: Tyres (used)  Other
3. Please give any other
If other additional
please describe information
HAZARDOUS including
WASTE
waste accurately details of any problems your waste may present, that will affect containment, transport,
TYPE
here
()treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
PleaseSection
tick oneB1: WASTE ORGINATOR  Oily(Asset
sand /)soil  Oily sludge  Waste Lubricants  Pigging sludge
2. Location of
 Hazardous waste chemicals  Sewage sludge
Destination:
Please tick one () 2. Quantity:
Return white copy to Section
OriginatorB1:
3. WASTE
by. give
a) Fax/Fax
Please ORGINATOR
Tyres
No
any (used)
other (Asset
additional )
information b) Mail
including Otherof anyc)problems
details Driver. your waste
d) monthly waste that will affect containment, transport,
may present,
returns 1 PDO Assettreatment
(Marmul, Nimr,
If otherQarn
or disposal of theAlam,
please Bahja-Rima,Yibal,Fahud-Lekhwair,
describe
waste by waste accuratelyholder,
any subsequent OETS,TWM,XGB,OIM,HES,
here e.g. type of premises waste comes from, full other)
analysis, process that produced the waste:
Return white copyPlease

to Originator ) a) Fax/Fax No
tick one (by. b) Mail c) Driver. d) monthly waste
returns
Section B1:2.WASTE
2. Location of Quantity:ORGINATOR (Asset ) Destination:
1 PDO Asset 3. Please give
(Marmul, any Qarn
Nimr, other additional information including details of any OETS,TWM,XGB,OIM,HES,
Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, problems your waste may present, that will affect containment, transport,
other)
4. Full Name (Please print) treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
3.Signature ( returns
waste originator) Date:
Section4.C: WASTE
Full TRANSPORTER
Name (Please print)
1. Company Name: 2. Location of Destination:
2. Signature of Driver: Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns
1. Company Name: Please tick one ()
2. Signature of Driver: 2. Location of Destination:
Section D: WASTE DISPOSAL
Section FACILITY
C:3.Signature
WASTE (TRANSPORTER
1.Waste 3.
disposal Location/Site:
Full name 1. Driver
of Company Name:
(Please print):
4. Full Name returns
(Please print)
2. Name of Waste Disposal 1. Company 3.Signature ( waste originator)
Name:
Site Operator: Date:
4. Signature of Waste Section
Disposal D:
Operator
WASTE DISPOSAL FACILITY
3.Date& time1.Waste disposal
waste received: 4. Driver:
Full Name (Please print)
Location/Site:
2. Signature of
Distribution:
2. Waste
4. Signature of Name Disposal
of Waste Disposal
3. FullOperator Site Operator:
name of Driver (Please print):
(MESC Number 93.55.81.500.9) 1. Company Name:
Distribution: Section D: WASTE DISPOSAL FACILITY
Yellow Copy: Originator
4. Signature Blue
of Waste Disposal Copy:
2. Signature of
OperatorDisposal
Driver: Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
Yellow Copy: OriginatorSection D: Blue
WASTE Copy: Disposal Site
DISPOSAL White Copy : Waste Contractor Return to Originator
FACILITY
(MESC Number 1.Waste
Waste disposal
93.55.81.500.9)
4. Signature of DisposalLocation/Site:
Operator

Distribution:
3.Date& Blue Copy: Disposal Site
time waste received: White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
(MESC Number 93.55.81.500.9)



The Waste Transporter signs

2. Quantity:

Section C of the WCN in the

returns
presence of the Waste

Generator
1. Company Name:

Distribution:
(MESC Number 93.55.81.500.9)

1. Company Name: A1 Waste Co.
2. Signature of Driver: Waste Transporter

3. Full name of Driver (Please print): W TRANSPORTER

The Waste Transporter then takes the white and
blue forms to the Waste Management Facility
The Waste Generator retains the yellow



form and puts it into a WCN file.

2. Quantity:

returns

1. Company Name:

Distribution:
(MESC Number 93.55.81.500.9)

At the Waste Management Facility the Waste
Transporter gives both WCN (white and blue) to
be signed.



1. Please tick () box below
toOily
indicate
sand /the  Oily sludge
type of waste you are transferring
soil  Waste Lubricants  Pigging sludge
 Waste wood materials  Plastic
If other please Drums
describe (non-hazardous)
waste accurately here  Construction material
2. Quantity:
 Oily sand / soil disposal
treatment or Oily sludge
of the waste by any subsequentholder, e.g. type of premises
Waste Lubricants Pigging
waste sludge
comes from, full analysis, process that produced the waste:
Sectionhere
If other please describe waste accurately B1: WASTE ORGINATOR (Asset )

2. Quantity:
3. Please give any other additional information
2. Location of including details of any problems your waste may present, that will affectDestination:
containment, transport,
returns



1. Company Name:
returns
3.Signature ( waste originator) 3. Full name of Driver (Please print): Date:
4. Full Name (Please print) Section D: WASTE DISPOSAL FACILITY


1. Company Name:
Section D: WASTE DISPOSAL Distribution:

FACILITY
1.Waste disposal Location/Site: Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
(MESC Number 93.55.81.500.9)
The Waste Management Facility checks that

everything is in order, signs the WCN and then
hands back the white WCN. WASTE CONSIGNMENT NOTE

 Domestic Waste (kitchen refuse)

 Domestic waste (tree cuttings)
 Empty Drums (non hazardous)
 Plastic Drums (non-hazardous)
 Office waste
 Electrical Cable
 Construction material
Number:
 Scrap Metal

The blue WCN is retained at the

2. Quantity:

returns
Waste Management Facility


1. Company Name:

Well Engineering - June 2001 Distribution:

(MESC Number 93.55.81.500.9)
Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
The white WCN is then returned to the Waste
Generator to show that the waste has been handled
(or disposed) correctly
This can be done in the following ways:
• Waste Transporter returns the white WCN to

the waste generator


2. Quantity:

returns

1. Company Name:

Distribution:
(MESC Number 93.55.81.500.9)

• the white WCN can be:
Faxed to the Waste Generator
WASTE CONSIGNMENT NOTE Number: WASTE CONSIGNMENT NOTE Number:

(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes) (Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
Section A: WASTE DETAILS Section A: WASTE DETAILS

1. Please tick () box below to indicate the type of waste you are transferring 1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal  Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable  Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material  Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here If other please describe waste accurately here
HAZARDOUS WASTE TYPE HAZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge  Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste  Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings  Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other  Tyres (used)  Other
If other please describe waste accurately here If other please describe waste accurately here
2. Quantity: 2. Quantity:
3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport, 3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,
treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste: treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
Section B1: WASTE ORGINATOR (Asset ) Section B1: WASTE ORGINATOR (Asset )
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other) 1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
Please tick one () Please tick one ()
2. Location of Destination: 2. Location of Destination:
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns returns
3.Signature ( waste originator) Date: 3.Signature ( waste originator) Date:
4. Full Name (Please print) 4. Full Name (Please print)
Section C: WASTE TRANSPORTER Section C: WASTE TRANSPORTER

1. Company Name: 1. Company Name:
2. Signature of Driver: 2. Signature of Driver:
3. Full name of Driver (Please print): 3. Full name of Driver (Please print):
Section D: WASTE DISPOSAL FACILITY Section D: WASTE DISPOSAL FACILITY

1.Waste disposal Location/Site: 1.Waste disposal Location/Site:
2. Name of Waste Disposal Site Operator: 2. Name of Waste Disposal Site Operator:
3.Date& time waste received: 3.Date& time waste received:
4. Signature of Waste Disposal Operator 4. Signature of Waste Disposal Operator
Distribution: Distribution:
 
Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9) (MESC Number 93.55.81.500.9)

sent by mail to the Waste Generator



2. Quantity:

returns

1. Company Name:

Distribution:
(MESC Number 93.55.81.500.9)

Sent monthly through monthly waste returns


 Domestic Waste A:
Section (kitchen
WASTE refuse)
DETAILS  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous
1. Please tick
waste () box below
WASTE
chemicals to Empty
indicateDrums
CONSIGNMENT the type
(non of hazardous)
waste
NOTE  Electrical Cable
you are transferring Number:
 Waste wood materials  PlasticNotes
(Separate Waste consignment Drums for  Construction
Hazardous & Non- Hazardous
(non-hazardous) Wastes)
material
 Domestic
If other please describeWaste
waste(kitchen
accuratelyrefuse)
here  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous
Section A:chemicals
waste WASTE DETAILS  Empty Drums (non hazardous)  Electrical Cable
NON-HAZARDOUS WASTE  Plastic
TYPEDrums (non-hazardous)  Construction material
If other please describe waste accurately CONSIGNMENT
WASTE here
HAZARDOUS WASTE  Domestic
TYPE Waste (kitchen refuse)  DomesticNOTE waste (tree cuttings)  Office waste  Scrap Metal Number:
 Oily sand / soil  Non-Hazardous waste chemicals
sludge  Empty Drums (non  Waste Lubricants  Electrical
 Oily hazardous)  Pigging
Cablesludge
 Waste wood
 Hazardous waste chemicals 
materials
Section A:Sewage
WASTE DETAILS
sludge  Plastic Drums (non-hazardous)
 Batteries  Construction
 Clinical
material
waste
HAZARDOUS If other please
WASTE 1. describe
Pleasewaste
TYPE ) box below
tick (accurately here to indicate the type of waste you are transferring
 Hazardous lab. Chemicals  Empty Drums WASTE (hazardous)  NORM  OBM & or OBM Cuttings
 Oily sand / soil NON-HAZARDOUS  Oily sludge TYPE  Waste Lubricants  Pigging sludge
 Tyres (used)  Domestic  Other WASTE CONSIGNMENT NOTE
 Domestic waste  Office  Scrap MetalNumber:
 Hazardous
waste chemicals
accurately here
Waste
(kitchen refuse)
Sewage sludge  Batteries
(tree cuttings)
 Clinical
waste
waste
 HazardousHAZARDOUS  Non-Hazardous
lab. Chemicals
chemicals
Empty Drums (hazardous)
 Empty Drums
waste  NORM
(non hazardous)  Electrical
 OBMCable& or OBM Cuttings
WASTE TYPE
 Tyres (used)  Waste wood
 Other
materials
Section A: WASTE DETAILS Plastic Drums (non-hazardous)  Construction material
 Oily sandIf/ other  Oily sludge  Waste Lubricants  Pigging sludge
here Please tick () box below to indicate the type of waste you are transferring
soil please1. describe waste accurately here
If other please describe waste accurately
2. Quantity:
 Hazardous waste chemicals NON-HAZARDOUS  Sewage WASTE
sludge TYPE  Batteries  Clinical waste
3. Please give any other additional
Hazardousinformation
lab. Chemicals  Domestic
including Waste
details ofany
(kitchen
Empty refuse)
Drums
problems wastemay
(hazardous)
your Domestic
present, 
waste (tree
NORM
that cuttings)
will affect  Office
containment,  OBMwaste
transport, & or OBM Cuttings Scrap Metal
 Tyres (used)  Non-Hazardouswaste  Empty Drums (non hazardous)
Otherchemicals  Electrical Cable
HAZARDOUSaccurately WASTE TYPE
2. Quantity: If other please describe waste  Waste woodhere materials  Plastic Drums (non-hazardous)  Construction material
 Oily sand
3. Please give any other additional / If
soil
information including
other please details
describe 
of any
waste Oily sludge
problems
accurately your waste may present, that
here will
Waste Lubricants
affect  Pigging sludge
containment, transport,
treatment or disposal of the Hazardous
waste by any subsequent
waste chemicals holder, e.g. type ofSewage
premises  Batteries
waste comes from, full analysis,
sludge process that produced the waste:
Clinical waste
 Hazardous lab. Chemicals  Empty
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other) Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  details
2. Quantity:
Other
3. Please give any other additional
HAZARDOUS information including
WASTE TYPE of any problems your waste may present, that will affect containment, transport,
Ifdisposal
other please describe waste accurately here
Please tick ) WASTE ORGINATOR
one (B1:
Section treatment or of the waste
 Oily
by
(Asset any
) subsequent
sand / soil
holder, e.g. type of premises
 Oily sludge
waste comes from, full analysis, process that
 Waste Lubricants
produced the waste:
 Pigging sludge
2. Location of
 Hazardous waste chemicals  Sewage sludge
Destination:
Please tick one ()  Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 b) Mail  Other
2. Quantity:
Section B1:
Return white copy to Originator by. WASTE
a) Fax/FaxORGINATOR
NoTyres (used) (Asset ) c) Driver. d) monthly waste
3. Please give any other additional information including details of any problems your waste may present,other)
that will affect containment, transport,
returns 2. Location of1 PDO Asset (Marmul, Nimr, Qarn
If other Alam,
please Bahja-Rima,Yibal,Fahud-Lekhwair,
describe waste accuratelyholder,
here e.g. OETS,TWM,XGB,OIM,HES,
Destination:
treatment or disposal of the waste by any subsequent type of premises waste comes from, full analysis, process that produced the waste:
Return white copyPlease

to Originator ) a) Fax/Fax No
tick one (by. b) Mail c) Driver. d) monthly waste
returns
2. Location of 2. Quantity: Destination:
4. Full Name (Please print) 1 PDO Asset 3. Please give
(Marmul, anyQarn
Nimr, other Alam,
additional information including details of anyOETS,TWM,XGB,OIM,HES,
Bahja-Rima,Yibal,Fahud-Lekhwair, problems your waste may present, that will affect containment, transport,
other)
3.Signature ( returns
Section C: WASTE
4. Full TRANSPORTER
Name (Please print)
1. Company Name: 2. Location of Destination:
2. Signature of Driver: Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
1. Company Name:
4. Full Name returns
(Please print)
3. Full name of Driver (Please print): Please tick one ()
Section D: WASTESection DISPOSAL FACILITY
C:3.Signature
WASTE TRANSPORTER
( waste originator) Date:
3. Full name 1. Company
of Name:
Driver (Please print):
returns print)
4. Full Name (Please
Section D: 2. Signature
WASTE of Driver:
DISPOSAL FACILITY
2. Name of Waste Disposal Site Operator: Date:
1. Company Name:
4. Signature of Waste Disposal
SectionOperator
D: WASTE DISPOSAL FACILITY
3.Date& time1.Waste disposal Location/Site:
waste received: 4. Full Name (Please print)
Distribution:
2. Waste
4. Signature of Name Disposal
of Waste Operator
Disposal Site Operator:
Yellow Copy: Originator 3. Full
Bluename of Driver
Copy: (Please
Disposal print):
Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9) 1. Company Name:
Distribution: Section D: WASTE DISPOSAL FACILITY
Yellow Copy: 1.Waste disposal
Originator Blue Location/Site:
Copy: Disposal
4. Signature 2. Signature
of Waste Disposal of
Operator Driver: Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
3.Date&
Yellow Copy: time waste received:
Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)

Distribution:
3.Date&
Yellow Copy: time waste received:
Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
(MESC Number 93.55.81.500.9)

When the Waste Generator receives the
white WCN it should be placed with the
yellow WCN and placed in the WCN file.
WASTE CONSIGNMENT
WASTE CONSIGNMENT
NOTE NOTE Number: Number:
(Separate Waste consignment
(Separate
Notes for
Waste
Hazardous
consignment
& Non-
Notes
Hazardous
for Hazardous
Wastes)& Non- Hazardous Wastes)

1. Please tick () box1.
belowPlease
to indicate )type
tick (the boxof
below
wastetoyou
indicate
are transferring
the type of waste you are transferring
NON-HAZARDOUS WASTE
NON-HAZARDOUS
TYPE WASTE TYPE
 Domestic Waste (kitchenrefuse)  Domestic
Domestic Waste (kitchen refuse)  Domestic 
waste (tree cuttings) waste
Office
(tree
waste
cuttings)  Office
 Scrapwaste
Metal  Scrap Metal
 Non-Hazardous
 Empty
waste chemicals  Empty Drums
Drums (non hazardous)  Electrical
(non hazardous)
Cable  Electrical Cable
 Waste wood materials  Waste wood materials
 Plastic Drums (non-hazardous)
 Plastic Drums
 Construction
(non-hazardous)
material  Construction material
If other
accurately
pleasehere
describe waste accurately here
HAZARDOUS WASTE
HAZARDOUS
TYPE WASTE TYPE
 Oily sand / soil  Oily sand / soil
 Oily sludge  Oily sludge
 Waste Lubricants  Waste
 Pigging
Lubricants
sludge  Pigging sludge
 Hazardous waste chemicals
 Hazardous waste
 Sewage
chemicals
sludge  Sewage sludge
 Batteries  Batteries
 Clinical waste  Clinical waste
 Hazardous lab. Chemicals
 Hazardous lab.Chemicals  Empty Drums
Empty Drums (hazardous)  NORM
(hazardous)  NORM
 OBM & or OBM Cuttings
 OBM & or OBM Cuttings
 Tyres (used)  Tyres (used)  Other  Other
If other
accurately
pleasehere
describe waste accurately here
2. Quantity: 2. Quantity:
3. Please give any other additional
3. Please
information
give any other
including
additional
details
information
of any problems
including
your
details
wasteofmay
anypresent,
problemsthat
your
willwaste
affectmay
containment,
present, that
transport,
will affect containment, transport,
treatment or disposal of the treatment
waste by or
anydisposal
subsequent
of the
holder,
wastee.g.
by any
typesubsequent
of premises
holder,
waste e.g.
comestype
from,
of premises
full analysis,
wasteprocess
comes from,
that produced
full analysis,
the waste:
process that produced the waste:
Section B1: WASTE ORGINATOR

Section B1: WASTE
(Asset )ORGINATOR (Asset )
1 PDO Asset (Marmul, Nimr,
1 PDOQarn
Asset
Alam,
(Marmul,
Bahja-Rima,Yibal,Fahud-Lekhwair,
Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair,
OETS,TWM,XGB,OIM,HES, OETS,TWM,XGB,OIM,HES,
other) other)
Please tick one () Please tick one ()
2. Location of 2. Location of Destination: Destination:
Return white copy to Originator

Returnby.
white
a) Fax/Fax
copy to Originator
No by. a) Fax/Fax No b) Mail c) Driver.
b) Mail d) monthly
c) Driver.
waste d) monthly waste
returns returns

3.Signature ( waste originator) Date: Date:
4. Full Name (Please print) 4. Full Name (Please print)

1. Company Name: 1. Company Name:
2. Signature of Driver: 2. Signature of Driver:
3. Full name of Driver (Please

3. Full
print):
name of Driver (Please print):
Section D: WASTE DISPOSAL

Section D:FACILITY
WASTE DISPOSAL FACILITY
2. Name of Waste Disposal2.

Site
Name
Operator:
of Waste Disposal Site Operator:

4. Signature of Waste Disposal

4. Signature
Operatorof Waste Disposal Operator
Distribution: Distribution:
Yellow Copy:
Blue Copy:
Originator
Disposal Site
Blue Copy:
White
Disposal
CopySite
: Waste Contractor
White Copy
Return
: Waste
to Originator
Contractor Return to Originator
(MESC Number 93.55.81.500.9)
(MESC Number 93.55.81.500.9)

By using the WCN correctly
you can now demonstrate
that the waste has been
handled appropriately.

Guideline Waste MGMT

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Waste Consignment Notes

Just view the slide show...

Section A: WASTE DETAILS

2. Quantity: Please tick one ()

Please tick one ()Return white copy to Originator

Section D: WASTE DISPOSAL FACILITY

Well Engineering - June 2001

Section A: WASTE DETAILS

 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable

 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste

Please tick one ()

Section C: WASTE TRANSPORTER

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY 2. Quantity:

2. Name of Waste Disposal Site Operator:

Section B1: WASTE ORGINATOR (Asset )

The Waste Generator

of the WCN 3.Signature ( waste originator) Date:

4. Full Name (Please print)

Well Engineering - June 2001

HAZARDOUS WASTE TYPE

Well Engineering - June 2001

Please tick one ()

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Well Engineering - June 2001

Please tick one ()

3.Signature ( waste originator) Date:

4. Full Name (Please print)

WASTE CONSIGNMENT NOTE Number:

Section A: WASTE DETAILS

Return white copyPlease

2. Name of Waste Disposal Site Operator:

Well Engineering - June 2001

Section A: WASTE DETAILS

HAZARDOUS WASTE TYPE

The Waste Transporter signs

Section B1: WASTE ORGINATOR (Asset )

Section C of the WCN in the

presence of the Waste

4. Full Name (Please print)

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Section C: WASTE TRANSPORTER

2. Signature of Driver: Waste Transporter

Well Engineering - June 2001

The Waste Generator retains the yellow

Section A: WASTE DETAILS

HAZARDOUS WASTE TYPE

form and puts it into a WCN file.

Section B1: WASTE ORGINATOR (Asset )

Please tick one ()

3.Signature ( waste originator) Date: