# Hazardous waste consignment note Fill in parts A to E, each person signs their own part, then share the PDF. Free, for England and Wales. > Hazardous waste consignment note on your phone: parts A to E, the code made for you, each person signs on screen. Or download the template. England and Wales. > Web page: https://complyonsite.com/tools/hazardous-waste-consignment-note - Free, no account - Schedule 4 of the Hazardous Waste Regulations 2005 ## Hazardous waste consignment note template A blank note to print and fill in by hand: Parts A to E in the order and wording of Schedule 4, for waste moved in England. [Download the template PDF, 3 pages](https://complyonsite.com/samples/hazardous-waste-consignment-note-template.pdf) ## Hazardous waste consignment note example The same note filled in and signed for asbestos cement roof sheets taken to a landfill. The names and numbers are made up. Hazardous waste consignment note Example Part A Notification details - **A1Consignment note code**: EXAMPL/A0001 - **A2The waste described below is to be removed from (name, address, postcode, telephone, e-mail, facsimile)**: Example Roofing Ltd, 12 Sample Road, Exampletown, EX1 2AB, tel 01234 567890, email office@example.com, fax N/A - **A3The waste will be taken to (name, address & postcode)**: Example Landfill Ltd, Quarry Lane, Exampletown, EX9 8ZZ - **A4The waste producer was (if different from 2) (name, address, postcode, telephone, e-mail, facsimile)**: As A2 Part B Description of the waste - **B1The process giving rise to the waste(s) was**: Removing an asbestos cement garage roof - **B2SIC for the process giving rise to the waste**: 43910 Roofing activities B3The waste(s) is - **Description of waste**: Asbestos cement roof sheets, whole, wrapped - **List of Wastes (EWC) code (6 digits)**: 17 06 05* - **Quantity (kg)**: 1200 - **Chemical/biological components and their concentrations (% or mg/kg)**: Chrysotile asbestos 12%; Cement 88% - **Physical form**: Solid - **Hazard code(s)**: HP5, HP7 - **Container type, number & size**: 1 x lockable 8-yard skip, sheets double-wrapped in polythene The information given below is to be completed for each EWC identified - **EWC code**: 17 06 05* - **UN identification number(s)**: N/A - **Proper shipping name(s)**: N/A - **UN class(es)**: N/A - **Packing group(s)**: N/A - **Special handling requirements**: Keep wrapped. Do not break sheets. Part C Carrier’s certificate - **Schedule of carriers attached**: No I certify that I today collected the consignment and that the details in A2, A3 and B3 are correct and I have been advised of any specific handling requirements. - **Where this consignment forms part of a multiple collection, the round number and collection number are**: N/A - **C1Carrier name**: Alex Morgan - **On behalf of (name, address, postcode, telephone, e-mail, facsimile)**: Example Haulage Ltd, Unit 4, Model Way, Exampletown, EX3 4CD, tel 01234 000000, email N/A, fax N/A - **C2Carrier registration no./reason for exemption**: CBDU000000 - **C3Vehicle registration no. (or mode of transport, if not road)**: EX26 ABC Carrier’s signature Signed on the phone Part D Consignor’s certificate I certify that the information in A, B and C above has been completed and is correct, that the carrier is registered or exempt and was advised of the appropriate precautionary measures. All of the waste is packaged and labelled correctly and the carrier has been advised of any special handling requirements. I confirm that I have fulfilled my duty to apply the waste hierarchy as required by regulation 12 of the Waste (England and Wales) Regulations 2011. - **D1Consignor name**: Sam Carter - **On behalf of (name, address, postcode, telephone, e-mail, facsimile)**: As A2 Consignor’s signature Signed on the phone Part E Consignee’s certificate Where more than one waste type is collected all of the information given below must be completed for each EWC - **Individual EWC code(s) received**: 17 06 05* - **Quantity of each EWC code received (kg)**: 1180 - **EWC accepted/rejected**: Accepted - **Waste management operation (R or D code)**: D1 - **E1I received this waste at the address given in A3 on (date) at (hrs)**: 30/09/2026 at 14:20 - **E2Vehicle registration no. (or mode of transport, if not road)**: EX26 ABC - **E3Where waste is rejected please provide details**: N/A - **I certify that waste management licence/permit/authorised exemption no(s). … authorises the management of the waste described in B at the address given in A3.**: EPR/AB1234CD - **Where the consignment forms part of a multiple collection, as identified in Part C, I certify that the total number of consignments forming the collection are**: N/A - **Name**: Jo Patel - **On behalf of (name, address, postcode, telephone, e-mail, facsimile)**: Example Landfill Ltd, Quarry Lane, Exampletown, EX9 8ZZ, tel 01234 111111, email N/A, fax N/A Consignee’s signature Signed on the phone [Download the example PDF, 2 pages](https://complyonsite.com/samples/hazardous-waste-consignment-note-example.pdf) ## How to fill in a hazardous waste consignment note ### What is a waste consignment note? The note that goes with hazardous waste every time it moves, including between two sites of the same business. It is filled in before the waste leaves and stays with it until it reaches the site that takes it. Waste that isn’t hazardous goes on a [transfer note](https://complyonsite.com/tools/waste-transfer-note) instead. [Regulation 35](https://www.legislation.gov.uk/uksi/2005/894/regulation/35), [Schedule 4](https://www.legislation.gov.uk/uksi/2005/894/schedule/4) and the [Environment Agency’s guidance](https://www.gov.uk/guidance/hazardous-waste-consignment-note-supplementary-guidance) ### Who fills in which part? 1. **A and B:** the producer or holder, before the waste is moved. Where it is now, where it’s going, and what it is. 2. **C:** the carrier checks A and B, adds their details and vehicle, and signs. 3. **D:** the consignor checks A to C and signs. They must be there when the waste is collected. 4. **E:** the receiving site weighs the waste, accepts or rejects each code, gives the R or D code and signs. Source: [regulation 36](https://www.legislation.gov.uk/uksi/2005/894/regulation/36) ### How is the consignment note code made? It reads XXXXXX/YYYYY. The first six are the first six letters or numbers of the company name in A2, with no spaces or symbols. A name with fewer than six is filled with Q. The last five are yours to choose, and change for every consignment from that address. CJ Tiles Ltd’s first note could be CJTILE/A0001. Ships’ waste, fly-tipped waste, piped waste and consignee return derogations add a letter at the end. This page doesn’t make those. Source: [EA supplementary guidance, A1](https://www.gov.uk/guidance/hazardous-waste-consignment-note-supplementary-guidance) ### Which hazard codes go on it? Every hazardous property the waste has, and none it hasn’t. They come from classifying the waste, usually by lab results and the [WM3 guidance](https://www.gov.uk/government/publications/waste-classification-technical-guidance), or from your waste contractor. Write POP for persistent organic pollutants. | HP1 | Explosive | | --- | --- | | HP2 | Oxidising | | HP3 | Flammable | | HP4 | Irritant | | HP5 | Specific target organ toxicity or aspiration toxicity | | HP6 | Acute toxicity | | HP7 | Carcinogenic | | HP8 | Corrosive | | HP9 | Infectious | | HP10 | Toxic for reproduction | | HP11 | Mutagenic | | HP12 | Release of an acute toxic gas | | HP13 | Sensitising | | HP14 | Ecotoxic | | HP15 | Can show a hazardous property later | | POP | Persistent organic pollutant | Source: [Annex III, Waste Framework Directive](https://www.legislation.gov.uk/eudr/2008/98/annex/III) ### How long do you keep a consignment note? 3 years for the producer, the holder and the consignor, kept in a register. Carriers keep their records for at least 12 months. There is one copy each for the producer or holder (if not the consignor), the consignor, the carrier and the receiving site. Source: [regulation 36](https://www.legislation.gov.uk/uksi/2005/894/regulation/36) and [regulation 49](https://www.legislation.gov.uk/uksi/2005/894/regulation/49) ### Does asbestos need a consignment note? Yes, even from a house. Householders don’t need a note for other hazardous waste taken to a collection point, but asbestos always needs one. A contractor removing it fills in the note as the producer, with their business name and the home’s address in A2. Source: [EA supplementary guidance](https://www.gov.uk/guidance/hazardous-waste-consignment-note-supplementary-guidance) ### Can a note be changed after signing? No. Parts A to C can’t change once the carrier signs, and nothing in A to D once the consignor signs or the waste leaves. On this page, changing a part clears the signatures on it, so it is signed again before the waste goes. A receiving site that finds a mistake rejects the waste; it doesn’t correct the note. ### Wales, Scotland and Northern Ireland Wales still registers premises. Choose Wales beside the steps and the code starts with your premises code, as on the [Natural Resources Wales form](https://naturalresources.wales/guidance-and-advice/environmental-topics/waste-management/how-to-complete-a-hazardous-waste-consignment-note/?lang=en). Waste going from England to Wales uses the English note. Scotland calls it special waste and uses SEPA’s special waste consignment note. Northern Ireland has its own note, with a code from DAERA and at least 72 hours’ notice before the waste moves. Not sure of the code? [Find it in the EWC code finder](https://complyonsite.com/tools/ewc-code-finder), where codes with an asterisk (*) are hazardous. ### Questions people ask - **Is there a hazardous waste transfer note?**: Not in England or Wales. Hazardous waste moves on a consignment note, the one on this page. A transfer note is only for waste that isn’t hazardous. [Consignment notes on GOV.UK](https://www.gov.uk/dispose-hazardous-waste/consignment-notes) - **Can a consignment note be signed on a phone?**: The Regulations allow any form that asks for the same information in substantially the same format as Schedule 4. This note keeps its Parts, numbering and wording. Check the carrier and the receiving site accept an electronic note before the day. [Regulation 35](https://www.legislation.gov.uk/uksi/2005/894/regulation/35) - **Is there a premises code?**: Not in England. Premises registration there ended on 1 April 2016, so the code is made from the company name. Wales still registers premises: choose Wales beside the steps and the code starts with your premises code. [Natural Resources Wales](https://naturalresources.wales/guidance-and-advice/environmental-topics/waste-management/how-to-complete-a-hazardous-waste-consignment-note/?lang=en) - **Does digital waste tracking replace consignment notes?**: Not yet. Receiving sites record waste on the digital service from October 2026, and consignment notes carry on alongside it until further notice. [Digital waste tracking on GOV.UK](https://www.gov.uk/guidance/digital-waste-tracking-check-if-you-need-to-report-the-waste-you-receive) - **Does ComplyOnSite keep my note?**: No. Your notes stay in this browser on this device, and only you save or share the PDF. If someone signs on their own phone, the note is locked on your phone first, so our server holds a copy it can’t read, for 30 days. The page checks that every item is filled in, not that it’s right. It never decides whether your waste is hazardous or which HP codes apply.