Application For A Dangerous Goods Site Licence - Government Of Western Australia (Page 16 of 19) in pdf

Page 16 of 19

Application section – return to Resources Safety

5. Description of business operations

Which of the following best describes your business

How are dangerous goods used at your site?

type?

(tick one or more)

Bulk dangerous goods distributor

Blending

Gas cylinder distributors

Bulk filling

Chemical manufacturer — dangerous goods

Cylinder filling

Major hazard facility

High temperature storage

Chemical repacker

Liquid withdrawal

(e.g. filling cars)

Laboratory

Low temperature storage

Package filling

Co-operative

Reacting — high pressure

Educational

(e.g. school, university)

Reacting — normal pressure

Chemical manufacturer — non-dangerous goods

Commercial

Recirculating

(non-retail)

Engineering fabricator

Static storage

Farm

Vapour withdrawal

(e.g. LP gas for cooking)

Hospitality/entertainment

Other

________________________

(please describe)

Marine refuelling facilities

Medical facilities

What type of industry is it?

(tick one or more)

Mine site

Ports

AGSAFE

Private

Oil

Public or school swimming pool

Government

Retail trader

Electroplater

Rural supplier

Pool chemical

Self-service station

Fuel agent

Service stations

Gas agent

(attendant)

Unsupervised self-service station

Transport

Warehouse

Mining

Waste dangerous goods

Explosives

Water treatment

Gas

Other

________________________

Other

________________________

(please describe)

6. Site plans and supporting information

(only required for N and A type applications)

Review and tick if ‘yes’, or leave blank if ‘not applicable’

Are spill containment (bunding) details shown

(e.g. design details, capacity — with calculations, tank

Have you attached detailed site plans

to bund distances, material of construction, drainage,

(including location, ground plans and population details for

others)

service station LP Gas proposals)

Has segregation of incompatible goods been

Are all dangerous goods storage depots clearly

addressed?

identified on the plan(s)?

Are separation distances shown to other DG depots,

Are packages of flammable liquids opened in the

ignition sources, on-site facilities, off-site protected

store?

works, boundaries and fences?

Are construction details of the proposed storage

Are fire protection details provided?

and handling system included?

(steel frame with

Has an emergency plan been prepared

metal cladding or masonry walls with sheetmetal roof, floor

(and submitted for dangerous goods storage and handling

details, double-wall underground tank)

which is more than 10 times the manifest quantity)

Are fire resistance levels (FRL) of firewalls and

Have other significant features of the site been

doors shown

(if appropriate)

included in the submission

(e.g. open drains from gas

Are ventilation details provided

(e.g. vent sizes,

storages, steeply sloping sites, proximity to water bodies,

locations, fan capacity, elevation plan of building to show

stormwater drains, schools, hospitals and other sensitive

vent locations)

areas)

DGS REV 2

Application For A Dangerous Goods Site Licence - Government Of Western Australia Page 16

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