ARNF_HM_Reporting_Guide.pdf

HAZARDOUS MATERIALS REPORTING ACTION GUIDE

Although reporting requirements vary depending on the type of incident, the responsibility of the employee(s) in the field is limited to collecting appropriate information and relaying it to the proper level of the organization in a timely manner.

Following is a list of the information that should be collected, if possible; however, IT IS

MORE IMPORTANT TO MAINTAIN PERSONAL SAFETY AND REPORT IN A

TIMELY MANNER THAN TO COLLECT ALL INFORMATION.

1. Date: Time of Release:

Time Discovered:

Time Reported:

Duration of Release:

2. Location: (Include State, county, route, milepost, etc.)

3. Chemical name:

Chemical identification number:

Other Chemical Data:

NOTE: For transportation related incidents, this information may be available from the driver, placards on the vehicle, and/or shipping papers.

4. Known health risks:

5. Appropriate precautions if known:

6. Source and cause of release:

7. Estimate quantity released: gallons Quantity reaching water: gallons Name of affected watercourse:

8. Number and type of injuries:

9. Potential future threat to health or environment:

10. Your name:

Phone number for duration of emergency:

Permanent phone number: FTS Commercial

11. Name and address of carrier:

If there is any doubt whether an incident is a true emergency, or whether reportable quantities of hazardous materials or petroleum products are involved, or whether a responsible party has already reported the incident, ALWAYS REPORT THE

INCIDENT.