Annex - PPR Product Data Reporting Form

Properties and characteristics of products proposed for bulk marine transport

1 Product identity

The product name shall be used in the shipping document for any cargo offered for bulk shipments. Any additional name may be included in parentheses after the product name.

It is important that for mixtures, a clear indication be made as to whether the properties are for the mixture as a whole (as should be the case) or for a component (or components) within the mixture. Unless otherwise indicated, the data provided is assumed to be for the mixture as a whole.

1.1 Other names and identification numbers

Main trade name:
Main chemical name:
Chemical formula:
CAS Number:
GESAMP EHS Number:
Molecular structure:

1.2 Associated synonyms

Synonym name	Type

1.3 Composition

Component name	%	Type

2 Physical properties


Property		Qual	Value or range	References and comments
Molecular weight
Density @ 20ºC	(kg/m³)
Flash point (cc)	(°C)
Boiling point	(°C)
Melting point/Pour point	(°C)
Water solubility @ 20ºC	(mg/l)
Viscosity @ 20ºC	(mPa.s)
Vapour pressure @ 20ºC	(Pa)
Vapour pressure @ 40ºC*	(Pa)
SVC @ 20ºC	(mg/l)
SVC @ 40ºC*	(mg/l)
Autoignition temperature	(°C)
Explosion limits	(% v/v)
Carriage temperature	(ºC)
Unloading temperature	(ºC)
MESG	(mm)
Notes: .1 If values are not available at 20ºC, please provide the reference temperature. .2* SVC values at 40ºC are optional. If the vapour pressure and SVC values are not available at 40ºC, values at a higher temperature are acceptable. If the carriage temperature is higher than 40ºC, then the vapour pressure and SVC should be calculated at that temperature.

3 Relevant chemical properties


Water reactivity (0 – 2)	⁰	^{Any chemical which, in contact with water, would not undergo a reaction to justify a value of 1 or 2.}
	¹	^{Any chemical which, in contact with water, may generate heat or produce a non-toxic, non-flammable or non-corrosive gas.}
	²	^{Any chemical which, in contact with water, may produce a toxic, flammable or corrosive gas or aerosol.}

Details


Does the product react with air to cause a potentially hazardous situation? (Y/N)


If so, provide details

Reference

Is an inhibitor or stabilizer needed to prevent a hazardous reaction? (Y/N)

If so, provide details

Reference

Is refrigeration needed to prevent a hazardous reaction? (Y/N)


If so, provide details

Reference

4 Mammalian toxicity

4.1 Acute Toxicity


		Qualifier	Value or range	Species	Reference/ Comments
Oral LD₅₀	(mg/kg)
Dermal LD₅₀	(mg/kg)
Inhalation LC₅₀	(mg/l/4h)

4.2 Corrosivity and irritation


Is this product corrosive to skin? (Y/N)

If yes:
	Value or range	Reference/comments
Skin corrosion exposure time

Options: ≤ 3 min., > 3 min. ≤ 1 hour, > 1 hour ≤ 4 hours, unknown/unspecified


	Resultant observation	Species	Reference/ comments
Skin irritation (4h exposure)
Options: not irritating, mildly irritating, moderately irritating, severely irritating or corrosive

4.3 Sensitization


	Y/N	Reference/ comments
Respiratory sensitizer
Skin sensitizer

4.4 Other specific long-term effects


	Y/N	Reference/comments
Carcinogenic
Mutagenic
Toxic to reproduction
Specific Target Organ Toxicity
Neurotoxicity
Immunotoxicity

5 GESAMP Hazard Profile

GESAMP Hazard Profile information for products (or components, as appropriate) should be included below, where available.

Column	Property	Value
A1	Bioaccumulation
A2	Biodegradation
B1	Acute aquatic toxicity
B2	Chronic aquatic toxicity
C1	Acute oral toxicity
C2	Acute dermal toxicity
C3	Acuteinhalation toxicity
D1	Skin irritation/corrosivity
D2	Eye irritation/corrosivity
D3	Specific health concerns
E1	Tainting and odour
E2	Wildlife and seabeds
E3	Beaches and amenities