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Custom HAZCHEM Sign Request Form
We can easily create your customised HAZCHEM signage
1. Complete the online custom sign request form below
2. Select the size, material and options required
3. Upload an image or photo to illustrate your sign design and/or a logo file that you would like to include
4. We will review your request and come back to you with a quote and/or request for further information
Please note: Once you have confirmed the order, please allow up to 5 days production time for custom sized signage, up to 3 days production time for standard sized custom signage
If you need help please email custservice@nzsafetyblackwoods.co.nz
Custom Hazardous Substance Signs
A calculator to help you determine what is required and other useful information can be found at:
www.hazardoussubstances.govt.nz
Please note: Customised signage is non-returnable and non-refundable.
Custom Request Number
Type of Request
Quote
Order
Size (mm) - Entrance
*
600 x 600 (1-3 Diamonds) - code 424776
600 x 800 (4-8 Diamonds) - code 424777
Other
Size (mm) - Bulk Storage
*
1220 x 800 (1 Diamond) - code 424792
1220 x 1220 (2-3 Diamonds) - code 424793
Other
Size (mm) - Mixed Storage
*
800 x 800 (1-3 Diamonds) - code 424794
1220 x 600 (4-8 Diamonds) - code 424795
1220 x 800 (9-11 Diamonds) - code 424796
Other
Size (mm) and material - Emergency Information Panel
*
400 x 600 POLY - code 188212S
400 x 600 SAV - code 500695S
300 x 420 SAV - code 406619
Other
What orientation or shape?
*
Landscape
Portrait
Square
Other
Please specify the orientation or shape
What type of sign?
*
Entrance Sign - required at every pedestrian and vehicular entrance to the site
Bulk Storage Sign - required at the storage location of a single product
Mixed Storage Sign - required at the storage location of multiple products
Emergency Information Panel - for bulk transport
Hazchem Code Sign - 250 x 150 POLY, Code 188026S
Hazchem Code & Class(es) Sign - 450 x 150 POLY, Code 188131S
Other
Custom Size (mm)
*
Tell us your custom size (W mm x H mm)
Bulk Storage Signs - 1220mm x 800mm (example)
Bulk Storage Signs - 1220mm x 1220mm (example)
Bulk Storage Signs - Custom Size (example)
Entrance Signs - 600mm x 600mm (example)
Entrance Signs - 600mm x 800mm (example)
Entrance Signs - Custom Size (example)
Mix Storage Signs - 800mm x 800mm (example)
Mix Storage Signs - 1220mm x 600mm (example)
Mix Storage Signs - Custom Size (example)
Emergency Information Panel (example)
Hazchem Code Sign - 250 x 150 POLY, Code 188026S (example)
Hazchem Code & Class(es) Sign - 450 x 150 POLY, Code 188131S (example)
We need to know:
1. HSNO classifications
2. HAZCHEM code
3. UN number
4. Product name
5. Precautionary information
6. 24 hour company contact (optional)
7. Council or pollution response contact (optional)
8. Maximum quantity stored and container size
Provide details in the next box. Note that ticking 1. HSNO classifications will show a list of options to select.
Tell us what you need on your custom HAZCHEM/HSNO sign?
*
Provide as much detail as you can here. Note that you can also upload a file below.
1. HSNO Classifications - Note that signs with class 1 substances the heading will be "EXPLOSIVES" all other signs the heading will be "HAZCHEM"
*
Flammable Gas - D05 & D07
Flammable - D06, D11 & D15
Compressed Gas - D08
Toxic Gas - D09 & D25
Flammable Liquid - D10 & D12
Flammable Solid - D13, D14 & D16
Spontaneously Combustible - D17
Dangerous When Wet - D18
Oxidising Substances - D19
Organic Peroxide - D21 & D22
Organic Peroxide - D23
Toxic Substance - D24
WARNING - Toxic - D26 & D28
Infectious Substance -D27
Chronic Toxic - D29
Radioactive I - D30
Radioactive II - D31
Radioactive III - D32
Fissile - D33
Corrosive Substances - D34
Eye Corrosive - D35
Ecotoxic - D36
Miscellaneous Dangerous Goods - D37
Tracking - D38
Explosive - D1.1
Explosive - D1.2
Explosive - D1.3
Explosive - D02
Explosive - D03
Explosive - D04
Explosive - D20
D20 Explosive
Explosive
D1 - 1.1 Explosive
Explosive (UN Division 1.1)
D1 - 1.2 Explosive
Explosive (UN Division 1.2)
D1 - 1.3 Explosive
Explosive (UN Division 1.3)
D02 - 1.4 Explosive
Explosive (UN Division 1.4)
D03 - 1.5 Explosive
Explosive (UN Division 1.5)
D04 - 1.6 Explosive
Explosive (UN Division 1.6)
D05 - 2.1.1A Flammable gases
D07 - 2.1.2A Flammable aerosols
Flammable Gas (UN class 2.1)
D06, D11 & D15
Flammable
D08
Compressed Gas
D09 & D25
Toxic Gas
D10 & D12
Flammable Liquid
D13, D14 & D16
Flammable Solid
D17
Spontaneously Combustible
D18
Dangerous When Wet
D19
Oxidising Substances
D21 & D22
Organic Peroxide
D23
Organic Peroxide
D24
Toxic Substance
D26 & D28
WARNING - Toxic
D27
Infectious Substance
D29
Chronic Toxic
D30
Radioactive I
D31
Radioactive II
D32
Radioactive III
D33
Fissile
D34
Corrosive Substances
D35
Eye Corrosive
D36
Ecotoxic
D37
Chronic Miscellaneous Dangerous Goods
D38
Tracking
__________________________________________________________________________________________________________
2. 24 hour company contact (optional)
This could be your security company
2. HAZCHEM Code
*
2. Combined HAZCHEM Code
*
If combined code is not known then list all individual codes.
3. UN No.
*
3. Precautionary Information
*
4. 24 hour company contact (optional)
This could be your security company
4. Product Name
*
5. Precautionary Information
Let us know if any site specific precautionary information is required otherwise we'll use the standard information.
5. Council or pollution response contact (optional)
6. 24 hour company contact (optional)
For example your security company.
7. Council or pollution response contact (optional)
Which material? (600 x 600)
*
Please select
POLY - Rigid plastic 1.6mm - Code 419803 (+ setup fee 419845)
ACM - Aluminium Composite Material
SAV - Self Adhesive Vinyl - Code 419805 (+ setup fee 419845)
Which material?
*
Please select
POLY - Rigid plastic 1.6mm
ACM - Aluminium Composite Material
SAV - Self Adhesive Vinyl
Which material? (600 x 800)
*
Please select
POLY - Rigid plastic 1.6mm - Code 419807 (+ setup fee 419845)
ACM - Aluminium Composite Material - code 424777
SAV - Self Adhesive Vinyl - Code 419809 (+ setup fee 419845)
Which material? (1220 x 800)
*
Please select
ACM - Aluminium Composite Material
SAV - Self Adhesive Vinyl - Code 419829 (+ setup fee 419846)
Which material? (1220 x 1220)
*
Please select
ACM - Aluminium Composite Material
SAV - Self Adhesive Vinyl - Code 419837 (+ setup fee 419846)
Which material? (1220 x 600)
*
Please select
ACM - Aluminium Composite Material
SAV - Self Adhesive Vinyl - Code 419825 (+ setup fee 419846)
Which material? (800 x 800)
*
Please select
POLY - Rigid plastic 1.6mm - Code 419815 (+ setup fee 419845)
ACM - Aluminium Composite Material
SAV - Self Adhesive Vinyl - Code 419817 (+ setup fee 419845)
How many do you require?
*
File Upload
Add File
This could be a sketch, scan or photo that
will help us know what you want (max. 10Mb).
Things to note about proofs:
Proofs carry an additional one-off fee of $20. This charge covers the creation of the proof template, one amendment (if required) and the admin processes required to track your proofs status until sign-off is achieved.
Do I need a proof?
This online form is designed to provide our team with all the information we need to complete most signage requests without the need for a proof.
Name
*
First
Last
Company Name
Delivery Address
Please provide your complete delivery address.
Account Number
Contact Phone No.
*
Contact Email
*
Order Reference
*
Purchase order number or reference?
Is a proof required?
NO
YES
