Rotterdam Convention
on the Prior Informed Consent Procedure for Certain
Hazardous Chemicals and Pesticides in International Trade


FORM FOR NOTIFICATION OF FINAL REGULATORY ACTION TO BAN OR SEVERELY RESTRICT A CHEMICAL

Country:  


SECTION 1. IDENTITY OF CHEMICAL SUBJECT TO THE FINAL REGULATORY ACTION
1.1   Common name  
1.2  

Chemical name according to an internationally recognized nomenclature (e.g. IUPAC), where such nomenclature exists

 

1.3 Trade names and names of preparations  
1.4 Code numbers
1.4.1 CAS number  
1.4.2 Harmonized System customs code  
1.4.3 Other numbers (specify the numbering system)  
1.5 Indication regarding previous notification on this chemical, if any
 
1.5.1   This is a first time notification of final regulatory action on this chemical.
1.5.2
  This notification replaces all previously submitted notifications on this chemical.

       Date of issue of the previous notification:


SECTION 2. FINAL REGULATORY ACTION  

2.1 The chemical is:     banned      or       severely restricted  
 
2.2 Information specific to the final regulatory action
2.2.1 Summary of the final regulatory action  
2.2.2 Reference to the regulatory document, e.g. where decision is recorded or published  
2.2.3 Date of entry into force of the final regulatory action     
 
2.3 Category or categories where the final regulatory action has been taken
 
2.3.1 All Use or uses of the chemical in your country prior to the final regulatory action  
 
2.3.2 Final regulatory action has been taken for the category      |   Industrial
 
Use or uses prohibited by the final regulatory action  
Use or uses that remain allowed (only in case of a severe restriction)  
 
2.3.3 Final regulatory action has been taken for the category      |   Pesticide   
 
Formulation(s) and use or uses prohibited by the final regulatory action  
Formulation(s) and use or uses that remain allowed (only in case of a severe restriction)  
 
2.4 Was the final regulatory action based on a risk or hazard evaluation?    

 

  Yes 

  No
  (If no, you may also complete section 2.5.3.3)
 
2.4.1 If yes, reference to the relevant documentation, which describes the hazard or risk evaluation  
   
2.4.2 Summary description of the risk or hazard evaluation upon which the ban or severe restriction was based
   
2.4.2.1 Is the reason for the final regulatory action relevant to human health?      Yes    No
 
  If yes, give summary of the hazard or risk evaluation related to human health, including the health of consumers and workers   
   
 
Expected effect of the final regulatory action   
   
2.4.2.2 Is the reason for the final regulatory action relevant to the environment?    Yes    No
 
If yes, give summary of the hazard or risk evaluation related to the environment  
    
 
Expected effect of the final regulatory action   
    

 
2.5 Other relevant information regarding the final regulatory action     
   
2.5.1 Estimated quantity of the chemical produced, imported, exported and used.
 
  Quantity per year (MT) Year
produced
imported
exported
used
2.5.2 Indication, to the extent possible, of the likely relevance of the final regulatory action to other states and regions   
   
 
2.5.3 Other relevant information that may cover:    
   
2.5.3.1 Assessment of socio-economic effects of the final regulatory action
   
2.5.3.2 Information on alternatives and their relative risks e.g. IPM, chemical and non-chemical alternatives
   
2.5.3.3 Basis for the final regulatory action if other than hazard or risk evaluation
   
2.5.3.4 Additional information related to the chemical or the final regulatory action, if any
   


SECTION 3. PROPERTIES
 
3.1 Information on hazard classification where the chemical is subject to classification requirements   
 
 
International classification systems
e.g. WHO, IARC, etc.
Hazard class
 
 
Other classification systems
e.g. EU, USEPA
Hazard class
 
 
3.2 Further information on the properties of the chemical
 
3.2.1 Description of physico-chemical properties of the chemical
   
  Reference:
 
   
3.2.2 Description of toxicological properties of the chemical
   
  Reference:
 
   
3.2.3 Description of ecotoxicological properties of the chemical
   
  Reference:
 


SECTION 4. DESIGNATED NATIONAL AUTHORITY
Institution  
Address  
Name of person in charge   
Position of person in charge   
Telephone   
Telefax   
E-mail address   



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Definitions for the purposes of the Rotterdam Convention according to Article 2:

(a)   'Chemical' means a substance whether by itself or in a mixture or preparation and whether manufactured or obtained from nature, but does not include any living organism. It consists of the following categories: pesticide (including severely hazardous pesticide formulations) and industrial;

(b)    'Banned chemical' means a chemical all uses of which within one or more categories have been prohibited by final regulatory action, in order to protect human health or the environment. It includes a chemical that has been refused approval for first-time use or has been withdrawn by industry either from the domestic market or from further consideration in the domestic approval process and where there is clear evidence that such action has been taken in order to protect human health or the environment;

(c)   'Severely restricted chemical' means a chemical virtually all use of which within one or more categories has been prohibited by final regulatory action in order to protect human health or the environment, but for which certain specific uses remain allowed. It includes a chemical that has, for virtually all use, been refused for approval or been withdrawn by industry either from the domestic market or from further consideration in the domestic approval process, and where there is clear evidence that such action has been taken in order to protect human health or the environment;

(d)    'Final regulatory action' means an action taken by a Party, that does not require subsequent regulatory action by that Party, the purpose of which is to ban or severely restrict a chemical;