Form for Importation of Non-EC Explosives, Deemed Explosives and Pyrotechnics other than fireworks Explosives Act, 1875 Application to the Minister for Justice and Equality for a Licence to import Explosives NOT subject to S.I. 115 of 1995 (Placing on the Market and Supervision of Explosives for Civil uses

1. Applicant’s Details a. Name:______b. Company:______c. Address:______d. Phone:______e. Fax:______f. E Mail:______2. Description of Explosives (If multiple articles, attach a tabular schedule showing following details) a. Trade/Commercial Name:______b. Proper Shipping Name:______c. UN Number:______d. UN Class and Division:______e. UN Compatibility Group:______f. Total Quantity of Explosives (Kg):______g. Total number of articles______h. Total Net Explosive Weight (Kg):______3. Manufacturer Details a. Company Name:______b. Address:______4. Consignor Details: a. Name:______b. Company:______c. Address:______5. Consignee Details a. Name:______b. Company:______c. Address:______

Page 1 of 3 Form for Importation of Non-EC Explosives, Deemed Explosives and Pyrotechnics other than fireworks 6. Purpose of Importation: a. Proposed use (e.g.Mine/quarry/construction use, sale, etc:______b. Proposed place of use:______7. Place of importation a. Place of departure (Port, airport, etc)______b. Place of arrival (Port, airport, etc)______c. Expected date of arrival:______8. Road Transport arrangements a. Haulier/Carrier Name:______9. Storage Arrangements a. Location of Storage:______b. Type of storage licence:______c. Name of Issuing authority:______d. Date issued or last renewed:______e. Type/s of explosive permitted:______f. Explosive limit (kg/lbs) on storage licence:______10. Supporting Documents Attached (where applicable): a. Competent Authority Document. (Yes/No/NA)______b. Certificate of Composition (Yes/No/NA)______c. Certificate of Detonation Resistance Test (DRT) (Yes/No/NA)______d. Garda Certificate. (Yes/No/NA)______

Signature of Applicant______Date:______

Page 2 of 3 Form for Importation of Non-EC Explosives, Deemed Explosives and Pyrotechnics other than fireworks N O T E S 1. Making Application a. Form to be submitted to Department at least 1 month before date of importation. b. Form to be completed in Block or Type apart from signature. c. Supporting documentation must be legible. d. Completed application to be forwarded to : The Firearms and Explosives Unit, Department of Justice and Equality, 94 St Stephen’s Green, Dublin 2

2. Description of explosives: a. Trade/commercial name must be exactly as used by the manufacturer and must be consistent with the name given in the supporting documents, (e.g. competent authority document mentioned below.) b. Proper shipping name is a name unique to each UN Number and is the name used in all international transport documents to identify the type of goods. c. Net explosive weight or content (sometimes abbreviated to NEQ or NEC), is the weight of explosives within the package or articles. (This weight is used to calculate explosive limits and safety distances). 3. Storage Arrangements. a. This section is used by the importer to certify that he has an appropriate storage facility and current storage licence for the explosives he is importing. b. In the event of the applicant NOT having a licensed or registered place or places of storage capable of receiving the whole quantity to be imported, the application must be accompanied by a certificate from the occupier of a licensed or registered place of storage that he is prepared to receive and store such amount as cannot be stored by the applicant. Such extra storage must not infringe the terms of a licence or exceed permitted quantities in a registered premises. 4. Supporting Documents a. Competent Authority Document. (CAD) This is a referenced signed and dated document (issued usually to the manufacturer by a competent licensing authority in the country of manufacture or test), which classifies and authorises the named explosive for transport. (In the UK, the competent authority is the Health and Safety Executive (HSE)). b. Certificate of Composition: This is a quality conformity certificate from the manufacturer. c. Detonation Resistance Test Certificate Required for imports of ammonium nitrate (>28% Nitrogen) imported for blending or use as fertiliser. d. Police Certificate If the importer intends selling the deemed explosive for immediate use for industrial or agricultural purposes he should include a copy of Garda Certificate (C 49), issued under S.I. No 364 of 1997, Sale of Explosives Order, to the purchaser, which specifies the amount and type permitted. This applies to all “deemed explosives”, e.g. ammonium nitrate, sodium chlorate, sodium nitrate, potassium Nitrate and nitrobenzene.

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