HSE Logo

Health and Safety

Executive

RA1 - Research Application Form

Details of what you are applying for

*What type of application is this?

Applicant Details - Details of person supplying the active product

(eg building name)

(eg street)

(eg district)

Page 1 of 5


HSE Logo

Health and Safety

Executive

RA1 - Research Application Form

Organisation(s) receiving and testing the active product

(eg building name)

(eg street)

(eg district)

Test location(s) and testing details

(Enter each location and relevant details separately and select Add button to add to list of test locations)

(eg building name)

(eg street)

(eg district)

Page 2 of 5


HSE Logo

Health and Safety

Executive

RA1 - Research Application Form

Active substance details

Page 3 of 5


HSE Logo

Health and Safety

Executive

RA1 - Research Application Form

Other information on the product/formulation

*Product type - select all that apply

*Who could be exposed?

*Purpose of Research

Page 4 of 5


HSE Logo

Health and Safety

Executive

RA1 - Research Application Form

Attachments and Declaration

Summary of files attached to this application

Declaration

Note: On submission, you will be sent an email confirming that HSE have received your application along with a copy of

your completed form. This is NOT confirmation that you can start testing.

Important note: You may experience intermittent issues using the 'Add Attachments' feature. Please bear with us, we are currently investigating and hope to implement a solution as soon as we can.

 

In the meantime, if you do experience issues, please send your attachment(s) separately to to the following email address(es). (1) If a BPR item is chosen from the Permit Type dropdown list, please send your attachments to pa.biocides@hse.gsi.gov.uk . (2) If a COPR item is chosen from the dropdown list, please send your attachments to pa.copr@hse.gsi.gov.uk . Please quote the name of your company and the date you submitted this form.

Page 5 of 5

Online
Offline