Hazardous waste collection record: free blank PDF
Download a printable hazardous waste collection record for England, Wales. The PDF contains the record sections shown below and writing space for the actual findings.
Download the blank printable PDF for free.
Free blank Hazardous waste collection record form
Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.
Blank Hazardous Waste Consignment Note form
Record scope and contents
England, Wales. Each named producer, carrier and consignee completes their part at the relevant stage.
- Part A — producer or holder: Record number, Consignment note code (XXXXXX/YYYYY), Remove from — name, Remove from — address, Remove from — postcode, Remove from — telephone, Remove from — email, Consignee name, Taken to — address, Taken to — postcode, Producer, if different
- Work location: Work jurisdiction
- Registered business: Company name, Company address, Company postcode, Phone
- Customer or duty-holder: Customer or duty-holder name, Customer address, Customer postcode
- Site: Installation or site address, Site postcode
- Part B — process: Process producing the waste, SIC code
- Waste types
- Part C — carrier: Carrier name, Carrier registration, Vehicle registration, Carrier checked Parts A-B
- Part D — consignor confirmations: Parts A-C correct, Carrier is registered, Carrier advised of precautions, Packaged and labelled, Special handling passed on, Waste-hierarchy duty applied, On behalf of, Time of collection (24-hour)
- Named person: Named person, Carrier or consignor reference, Signature, Date signed
Primary source for this record · checked 2 October 2026
What the Hazardous waste collection record covers
Record the producer, waste classification and hazards, carrier and collection transfer in Parts A–D. Keep the actual completed prescribed consignment note and consignee Part E return with this collection record. This download does not include the consignee return or replace the complete consignment paperwork.
Who needs one
- Each named producer, carrier and consignee completes their part at the relevant stage.
- Record scope: England, Wales.
- Keep the completed record with the source documents, findings and job reference.
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