Statistical Office of Montenegro- Monstat

code : STS_27 questionnaire: SA_T-11

STATISTICAL OFFICE OF Annual plan of official statistics MONTENEGRO- MONSTAT for 2016.

STATISTICAL SURVEY ON ROAD TRANSPORT OF GOODS

Department of business statistics short-term indicators Tel.: 020/231-004 Fax.: 020/230-837

Reporting unit Name:

Address:

Vehicle registration number: Week of observation (from - to): Whether the vehicle is registered tractor: YES - NO

Respected, In the preceding week of monitoring your vehicle with the specified registration number is one of the selected sample of vehicles for conducting survy on the transport of goods by road goods vehicle.

The information collected in this questionnaire will be used for evaluation of the work of all commercial vehicles, the total volume of transported goods and realized tonne kilometers.

Thank you for your cooperation.

The status of the selected vehicle for a week of observation (circle code):

a) The vehicle is available (it is understood and faulty vehicles)...... 1 b) A vehicle sold before 2 weeks of observation...... 2 c) The vehicle leased for a longer period of time (over a month) ...... 3 d) The vehicle written off before observed week 4 e) Other (write) ...... 5

For sold and rented vehicles required type in the name and address of the new owner or user: Name: Address:

Name of contact person: Signature: Phone:  For vehicle available, please fill out the questionnaire on the next page! SA/T-11 2

 Before completing the questionnaire, please read the instructions

1) Name of the activity they are engaged in your company:

2) Characteristics of selected vehicles (from vehicle registration):

Maximum weight Permitted payload, kg: Axles: allowed,kg: Year of manufacture: First Registration:

3) Characteristics of the most frequently used trailers respectively semitrailers if the selected vehicle tractor:

Maximum weight allma, kg: Permitted payload, kg: Axles: (Be sure to circle whether the data relating to the trailers!)

4) Shape bodywork selected vehicles or the use of semi-trailers, if the selected vehicle unit (circle code):

Open vehicle ...... 1 For the transport of live animals.. 6 Container transporter...... 10 The vehicle tilt...... 2 Tank...... liquid ...... 7 Revision of pasengers ...... 11 Closed box ...... 3 Tanker Bulk ...... 8 Concrete mixer ...... 12 Refrigerator ...... 4 To transport the car ...... 9 Other ...... 13 Tipper...... 5

5) Truck, trailer or semi-trailer specially designed or modified for combined transport (equipped for the transport of intermodal YES – NO loading units - containers or crates alternating) - circle the answer

6) Vehicle kilometers in the last 12 months or the period since the vehicle is in your possession (if it is a period less than 12 months): If the vehicle is in your possession of less than 12 months, enter the number of months:

7) The purpose of the selected transport vehicle during the week of observation (enter the code even if the vehicle is not used)

a) Mostly for public transport - the transport fee (code 1) b) Mostly for own use (code 2)

8) Auto-days selected vehicle during the week of observation (the sum of all the days of vehicle safety at rest must be "7")

a) The transport of goods in the observed week ......

The number of days a b) International transportation begin before the week of observation ...... vehicle at work

c) The transport of passengers ......

d) Due to repairs ......

e) Due to the lack of work ......

f) Due to the lack of drivers (driver on sick leave) ...... The number of days the vehicle is at a standstill g) Due to the lack of drivers (driver on vacation) ...... ,......

h) Due to the weekend or holidays ......

i) For other reasons......

9) Fuel (enter the amount poured into the tank of a vehicle in the respective week and if you did not pour the fuel, enter zero):

Gasoline, liter: Diesel, liters:  If the selected vehicle during the week of observation was, please record the work in the following tables! 10) Records of travel to four standing on one trip (recorded all travel started in the observed week, regardless of when they are finished) City The The (If the starting point and destination abroad, type the Combined Weight of Class of Type of purpose The Weight of degreeof name of the country and the city, below, indicate the Distance traveled km transport goods dangerou packaging of number of goods openness Date countries through which you passed in transit) (1 - YES, unloaded s goods of goods transport trips transporte, of the 2 - NO) at the Type of goods (enter the (enter the ation loaded loaded kg vehicle (rounds) starting point destination destination, code) code) 1 - public vehicle vehicle (write kg 2 - own code) 1 2 3 4 5 6 7 8 9 10 11 12 13 14

1) Is the vehicle loaded to another means of transport.

Codes class of dangerous goods (ADR): 5.1 -oxidising substances Codes of packaging goods: 1 -explosives 2 - gases, compressed, liquified or 5.2- organic peroxides 5-pre-slung goods 0 -liquid bulk goods (no cargo dissolved under pressure 6 -mobile, self-propelled units 6.1 -toxic substances unit) 3- flammable liquids 7 -other mobile units 6.2 -substances liable to 1 -solid bulk goods (no cargo 4.1- flammable solids 8 -(reserved) cause infections unit) 4.2 -substances liable to spontaneous 9 -other cargo types 7- radioactive material 2 -large freight containers combustion 8 -corrosives 3-other freight containers S

4.3 substances which, in contact with A 4 -palletised goods

water, emit flammable gases 9 -miscellaneous dangerous T

substances 1

1 10) Records of travel to four standing on one trip (recorded all travel started in the observed week, regardless of when they are finished) Codes degree of openness of the vehicle: 0 - empty vehicle 1 - not fully loaded vehicle: less than 90% of the available volume is taken up by at least the part of the journey 2 - fully loaded vehicle: more than 90% the available volume is utilized at least for part of the journey 9 - unknown S

/ 11) The records travel with five or more standing on single journey (for the delivery and collection of goods in the reference week) T

1 The 1 Distance traveled km The The City Numb The total Numbe Class of Type of purpose total degreeof The number er of weight r of dangerou packaging of weight openness of trips Date stops of the stops s goods of goods transport loaded loaded of the of the (rounds) to collected to Type of goods (enter the (enter the ation vehicle vehicle goods vehicle starting point destination deliver goods, collect code) code) 1 - public delivere (write kg 2 - own d, code) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Codes class of dangerous goods (ADR): 5.1 -oxidising substances Codes of packaging goods: 1 -explosives 0 -liquid bulk goods (no cargo unit) 2 - gases, compressed, liquified or 5.2- organic peroxides dissolved under pressure 6.1 -toxic substances 1 -solid bulk goods (no cargo unit) 3- flammable liquids 6.2 -substances liable to 2 -large freight containers 4.1- flammable solids cause infections 3-other freight containers 4.2 -substances liable to spontaneous 7- radioactive material 4 -palletised goods combustion 4.3 substances which, in contact with 8 -corrosives water, emit flammable gases 9 -miscellaneous dangerous s. 5-pre-slung goods 11) The records travel with five or more standing on single journey (for the delivery and collection of goods in the reference week) 6 -mobile, self-propelled units Codes degree of openness of 7 -other mobile units the vehicle: 8 -(reserved) 0 - empty vehicle 1 - not fully loaded vehicle: less 9 -other cargo types than 90% of the available volume is taken up by at least the part of the journey 2 - fully loaded vehicle: more than 90% the available volume is utilized at least for part of the journey 9 - unknown