Guidelines On Using Waste Consignment Notes

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 (NOTE
WASTE CONSIGNMENT
1.
 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
1.
 Non-Hazardous waste chemicals  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 here  Oily sludge  Scrap Metal  Waste Lubricants  Pigging sludge
 Domestic Waste (kitchen refuse)  DomesticOily sand
waste / 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
HAZARDOUS WASTE TYPE  Tyres (used)  Other
colour forms
 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
If other please describe waste3.accurately here
 Hazardous waste chemicals  Sewage Please give
sludge  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:
Copy: Originator
Yellow Operator
4. Signature of Waste Disposal 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)

NON-HAZARDOUS WASTE TYPE

 Waste wood materials  Plastic Drums (non-hazardous)
 Construction material
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
HAZARDOUS WASTE TYPE
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:

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)

Please tick one ( )

The Waste Generator 2. Location of Destination:
should complete Return white copy to Originator by. a) Fax/Fax No

returns
b) Mail c) Driver. d) monthly waste
Section A and B
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 WasteA:
Section (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 Empty Drumsthe type NOTE
of waste
(non  Electrical Cable
you are transferring
hazardous) Number:
 WasteNON-HAZARDOUS
wood materials WASTE
(Separate Waste  TYPE
consignment
PlasticNotes
Drums for Hazardous & Non- Hazardous
(non-hazardous)  Construction
Wastes) material
 Domestic
If other please describeWaste
waste(kitchen refuse)
accurately here  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous1.
waste chemicals  Empty Drums (non hazardous)
 Waste wood materials
NON-HAZARDOUS WASTE  Plastic
TYPE Drums (non-hazardous)  Construction material
If other please describe waste
 Domestic WASTE CONSIGNMENT
accurately here
Waste (kitchen refuse)  DomesticNOTE waste (tree cuttings)  Office waste  Scrap MetalNumber:
 Oily sand / soil  Non-Hazardous  Oily
waste chemicals
sludge  Empty Drums (non  Waste Lubricants  Electrical
hazardous)  Pigging
Cable sludge
 Waste wood
 Hazardous waste chemicals Section A:Sewage
materials WASTE DETAILS
sludge  Plastic Drums (non-hazardous)
 Batteries  Construction
 material
Clinical 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
NON-HAZARDOUS (hazardous) TYPE  NORM  OBM & or OBM Cuttings
 Tyres  Oily sand / soil
(used)  Domestic  Other  Oily sludge
WASTE CONSIGNMENT
Waste (kitchen refuse)  Domestic waste
 Waste Lubricants
NOTE (tree cuttings)
 Pigging sludge
 Office waste  Scrap Metal Number:
 Hazardous
If other please describewaste
wastechemicals
accurately here (Separate  Sewage sludge  Batteries  Clinical waste
 Non-Hazardous wasteWaste consignment Notes for Hazardous
chemicals  Empty Drums (non&hazardous)
Non- Hazardous Wastes)
 Hazardous HAZARDOUS
lab. Chemicals WASTE TYPE  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Waste woodSection A: WASTE DETAILS
materials  Plastic Drums (non-hazardous)  Construction material
 Tyres (used)  Oily sandIf/ other Please
soil please1.describe Other
waste (
Oily
tickaccurately
) boxsludge
here  Waste
below to indicate the type of waste Lubricants
you are transferring  Pigging sludge
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(kitchen
Empty
any refuse)
Drums
problems may
(hazardous)
your waste Domestic
present, 
waste (tree
NORM
that cuttings)
will affect  Office
containment,  OBMwaste
transport,  Scrap Metal
& or OBM Cuttings

treatment or disposal of the waste by any subsequent
 Tyres (used)  Non-Hazardous
holder, e.g. type of premises
waste
Other chemicals waste comes Empty
from, full analysis,
Drums  Electrical
process that produced
(non hazardous) the waste:
Cable
HAZARDOUS WASTEhere TYPE
2. Quantity: If other please describe  Waste wood materials
waste accurately  Plastic Drums (non-hazardous)  Construction material
 Oily sand
3. Please give any other additional /Ifsoil
other please
information describe
including waste
details  Oily sludge
accurately
of any problemshere
your waste may present, that will
Waste Lubricants
affect  Pigging sludge
containment, transport,
treatment or disposal of the waste by any
Hazardous subsequent
waste chemicalsholder, e.g. type ofSewage
premises  Batteries
waste comes from, full analysis,
sludge process that produced thewaste:
Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)
 NORM  OBM & or OBM Cuttings
2. Quantity:
 Tyres (used)
3. Please give any other additional information including
 details
Other
of any problems your waste may present, that will affect containment, transport,
If other pleaseHAZARDOUS WASTE
describe waste accurately hereTYPE
PleaseSection ( treatment
tick one B1: )WASTEorORGINATOR
disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
 Oily (Asset
sand /) soil  Oily sludge  Waste Lubricants  Pigging sludge
2. Location of
 Hazardous waste chemicals  Sewage sludge
Destination:
 Batteries  Clinical waste
Please tick one ( ) 2. Quantity:
Section B1:
Return white copy to Originator by. WASTE
a) Fax/Fax
3. Please
any
ORGINATOR
giveNo
Tyres (used) (Asset ) b) Mail 
other additional information including
Other
details of anyc)problems
Driver. your waste
d) monthly waste that will affect containment, transport,
may present,
returns 1 PDO Asset (Marmul, Nimr,
If otherQarn Alam,
please Bahja-Rima,Yibal,Fahud-Lekhwair,
describe waste accuratelyholder, OETS,TWM,XGB,OIM,HES, other)
here e.g. type of premises
2. Location of treatment or disposal of the waste by any subsequent Destination: 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 ( waste
returnsoriginator) Date:
Section 4.
C:Full
WASTE 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
4. Full Namereturns
(Please print)
1. Company Name: Please tick one ( )
2. Signature of Driver: 2. Location of Destination:
Section D: WASTESection DISPOSAL FACILITY
C:3.Signature
WASTE (TRANSPORTER
waste originator) Date:
3. Full name 1. Driver
of Company Name:
(Please print):
4. Full Name returns
(Please print)
Section C: WASTE
3.SignatureTRANSPORTER
( waste originator) Date:
2. Name of Waste Disposal1. Site Operator:
Company Name:
3.Date& time1.Waste 4. Full Name (Please print)
disposal Location/Site:
waste received:
Distribution:
2.Waste
4. Signature of Name Disposal
of WasteOperator
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: Originator
4. Signature 2. Signature
Blue
of Waste Disposal Copy: 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 Disposal Site White Copy : Waste Contractor Return to Originator
Section D: Blue Copy:
WASTE DISPOSAL FACILITY
(MESC Number 93.55.81.500.9)

Distribution:
3.Date&
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 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.
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.


 Hazardous
 Domestic Waste (kitchen refuse)  waste chemicals  Sewage
Domestic waste (tree cuttings)
sludge
 Office waste  Batteries
Scrap Metal
 Clinical waste
 Hazardous
 Non-Hazardous waste chemicals  lab. Chemicals
Empty Drums (non hazardous)
 EmptyDrums (hazardous)
Electrical Cable
 Waste wood materials  Tyres (used)
 Plastic Drums (non-hazardous)  Other Construction material
If other please
If other please describe waste accurately here describe waste accurately here
2. Quantity:
 Oily sand / soil treatment or Oily sludge
disposal of the waste by any subsequentholder,
Waste e.g. type of premises
Lubricants Pigging
waste comessludge
from, full analysis, process that produced the waste:
Section here
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:
returns

Return white copy to OriginatorSection C: WASTE

by. a) Fax/Fax No TRANSPORTER b) Mail c) Driver. d) monthly waste
returns 1. Company Name:
3.Signature ( waste originator) 3. Full name of Driver (Please print): Date:


1. Company Name:


Distribution:
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)
 Non-Hazardous waste chemicals
 Domestic waste (tree cuttings)
 Empty Drums (non hazardous)
 Plastic Drums (non-hazardous)

 Oily sand / soil  Oily sludge
 Office waste
 Construction material
Number:
 Scrap Metal
 Pigging sludge
The blue WCN is retained at the

2. Quantity:

returns
Waste Management Facility


1. Company Name:


Distribution:
(MESC Number 93.55.81.500.9)
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


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

to Originator

tick one (by. ) a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns
2. Location of 2. Quantity: Destination:
4. Full Name (Please print) 1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
3.Signature ( returns
Section 4.C:Full
WASTE TRANSPORTER
Name (Please print)
1. Company Name: 2. Location ofSection B1: WASTE ORGINATOR (Asset ) Destination:
2. Signature of Driver: Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns
4. Full Name
1. Company Name: (Please print)
Section D: WASTESection DISPOSAL FACILITY
C:3.Signature
WASTE (TRANSPORTER
3. Full name 1. Driver
of Company Name:
(Please print):
4. Full Name returns
(Please print)
Section C: WASTE
3.SignatureTRANSPORTER
( waste originator) Date:
2. Name of Waste Disposal1. Site Operator:
Company Name:
3.Date& time1.Waste 4. Full Name (Please print)
disposal Location/Site:
waste received:
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: Originator
4. Signature Blue
of Waste Disposal Copy:
2. Signature Disposal
of
Operator Driver: Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
3.Date&
Originator Disposal Site White Copy : Waste Contractor Return to Originator
Section D: Blue Copy:
(MESC Number 93.55.81.500.9)

Distribution:
3.Date&
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
Notes for
Waste
Hazardous
consignment
& Non-
Notes
Hazardous
for Hazardous
Wastes)& Non- Hazardous Wastes)

1. Please tick ( ) box1.
belowPlease tick (
to indicate the )type
boxof
below
waste
toyou
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
waste (tree cuttings)  Office
(treewaste
cuttings)  Office
 Scrapwaste
Metal  Scrap Metal
 Non-Hazardous waste chemicals
 Non-Hazardous
 waste
Emptychemicals  Empty Drums
Drums (non hazardous)  Electrical
(non hazardous)
Cable  Electrical Cable
 Waste wood materials  Waste wood materials
 Plastic Drums (non-hazardous)
 Plastic Drums
 Construction material  Construction material
(non-hazardous)
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. Pleaseinformation
give any other
including
additional
details
information
of any problems
including
your
details
wasteofmay
anypresent,
problems that
your
willwaste
affectmay
containment,
present, that
transport,
will affect containment, transport,
treatment or disposal of thetreatment
waste by or
anydisposal
subsequent
of the
holder,
waste e.g.
by any
typesubsequent
of premises
holder,
wastee.g.
comestypefrom,
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)

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
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: Originator Blue Originator
Yellow Copy: Copy: Disposal Site
Blue Copy: Disposal
White CopySite
: Waste Contractor
White CopyReturn
: 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.

Guidelines On Using Waste Consignment Notes

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Guidelines On Using Waste Consignment Notes

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Waste Consignment Notes

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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. Name of Waste Disposal Site Operator:

Section B1: WASTE ORGINATOR (Asset )

Please tick one ( )

should complete Return white copy to Originator by. a) Fax/Fax No

4. Full Name (Please print)

Well Engineering - June 2001

HAZARDOUS WASTE TYPE

Well Engineering - June 2001

Section A: WASTE DETAILS

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

Well Engineering - June 2001

WASTE CONSIGNMENT NOTE Number:

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 ( )