Surveillance protocol no.	     	
to surveillance visit report no.	     	

1 Review of the company’s self-monitoring by the surveillance assessor
(tests and test frequencies according to BAM-GGR 001)	
The self-monitoring documentation was checked at random:	
Design type/s/
approval certificate no/s.:	     	
Production period/s:	     	
Tests	Testing frequency	Result	
	Minimum	Actual	(see footer)	OK	
Materials, i.e. paper	1/delivery	     	     
(0, 1, 2, 3)		
only in case of external supplier:
Finished and semi-finished goods, e.g. closures	1/delivery	     	     
(0, 1, 2, 3)		
Dimensions
(e.g. functional dimensions, wall thickness)	1/1000 or
1/lot	     	     
(only 1, 2, 3)		
Visual checks
(gluing of end seam)	each	     	     
(only 1, 2, 3)		
Gaskets/closures/valves
(correct assembly and function)	1/1000 or
1/lot	     	     
(only 1, 2, 3)		
Mass of finished packaginga	1/1000 or
1/lot	     	     
(only 1, 2, 3)		
Marks
(correctness, readability, durability)	1/1000 or
1/lot	     	     
(only 1, 2, 3)		
Drop test	1/monthb or
1/100c or
1/(24 months)c	     	     
(only 1, 2, 3)		
Stacking test	1/monthb or
1/100c or
1/(24 months)c	     	     
(only 1, 2, 3)		
Notes:
a = calculation of overall mass by summing up the mass of the individual parts allowed
b = per drum diameter
c = special regulation for smallest batches: production of a design type < 100 pieces/year	
Comment:      	
2 Tests (according to ADR)
by the company in presence of the surveillance assessor	
 Tests (according to ADR) are carried out completely or in part by an external body
(please complete 2.1a in this case)	
2.1 Testing facilities and measuring equipment for internal tests (according to ADR)	
Were there any changes to the testing facilities since last surveillance visit?	 yes	 no	
Comment:      	
Review of the …	(see footer)	OK	
testing facilities (availability and suitability)	     
(only 1, 2, 3)		
measuring equipment (availability and suitability [type and calibration range])	     
(only 1, 2, 3)		
air conditioning (availability)	     
(only 1)		
Comment:      	
2.1a External testing (according to ADR), if applicable	
Which external body (name, place) is carrying out tests (according to ADR) on behalf of the company?	
     	
Is this external body named in the recognized QAP?	 no	 yes	
Comment:      	
2.2 Drop test	
Testing internally in course of the surveillance visit		
Testing externally (see 2.1a)		
internal test: Was the testing instruction revised since last surveillance visit?	 yes	 no	
internal test: Does the company follow this instruction in course of this visit?	 no	 yes	
	Target	Actual	Result	
			(see footer)	OK	
Gross mass / kg	≥	     	     	     
(only 1, 2, 3)		
Filling good	     	     	     
(only 0, 1)		
Degree of filling / %	≥ 95	     	     
(only 0, 1)		
Drop height / m	≥	     	     	     
(only 1, 2, 3)		
Drop orientation	     	     	     
(only 1, 2, 3)		
Loss of filling good	no	     	     
(only 3)		
UN mark/s or design type/s/
approval certificate no/s.	     	
Number and source of samples
	   pieces from running production/quality control,
   pieces of retained samples,    pieces from stock	
Comment:      	
2.3 Stacking test	
Testing internally in course of the surveillance visit		
Testing externally (see 2.1a)		
internal test: Was the testing instruction revised since last surveillance visit?	 yes	 no	
internal test: Does the company follow this instruction in course of this visit?	 no	 yes	
	Target	Actual	Result	
			(see footer)	OK	
 Stacking load / kg	≥	     	     	     
(only 1, 2, 3)		
Loss of filling good	no	     	     
(only 3)		
UN mark/s or design type/s/
approval certificate no/s.	     	
Number and source of samples
	   pieces from running production/quality control,
   pieces of retained samples,    pieces from stock	
Comment:      	
3 Verification of design type conformity
by the surveillance assessor (for one design type)	
3.1 UN mark (and requirements as stated in the approval, if applicable)	Result	
(alternatively, photographs can be submitted, marking height shall be stated)	(see footer)	OK	
UN mark	     	     
(only 1, 2, 3)		
   font height / mm	     	     
(only 1)		
Comment:      	
3.2 Verification of the specification of this design type
(e.g. design (according to the technical drawing incl. drawing number and incl. revision date/status), material thickness, closure (incl. clamping ring), dimensions incl. tolerances, tare mass)	
Characteristic checked	Target	Actual	Result	
	as per approval		(see footer)	OK	
Design
drawing/sample/type comparison	     	     	     
(only 1, 2, 3)		
Design closure
Drawing/sample comparison	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
     	     	     	     
(only 1, 2, 3)		
Additionally used documents:	
Approval certificate no.
incl. revision date/status	     	
Design type test report no.	     	
Comment:      	
Which documentation is provided by the company to the user of this design type, e.g. packaging or closing instruction?	
Description: