J-0200000-08(e) MBQ Spill Emergency Notification Response Proced.pdf

MCINCR-MCBQ Form 5090/2 March 2017 (Previous Versions Obsolete)

PART A: Spill Emergency Notification and Response Procedures

Any individual causing or discovering oil, hazardous substance (OHS) spill, waterline break, or sewage overflow, or a situation that may lead to a spill, will immediately take the actions outlined below. The sequence of the following actions will depend on the site and situation specific conditions. Spills do not include incidental releases associated with work processes that are controlled, contained, and not released into the environment.

EVACUATE To a safe distance upwind and upgrade from the spill.

RESTRICT Ignition sources, motors, electric currents, open flames etc.

PASS THE WORD To people in adjacent spaces.

INFORM Your supervisor, the supervisor of the nearest facility, or

Unit Operational Level responder.

REPORT Spill immediately to:

1. MCB Quantico PMO/Fire Department: 911.

2. MCB Quantico NREA: 784-4030.

3. MCB Quantico CDO (after duty hours): 784-2707

*Only If you are a trained Unit

Operational Level

Responder and you are certain that it is SAFE, take steps to control

(stop the source, shut off valves, upright the spilling container, etc.)

and/or contain

(apply sorbent materials, block drains, etc.) the spill.

WHENEVER POSSIBLE : Give the following information or that which can reasonably be determined:

(DO NOT wait until ALL information on the spill is available to report.)

Your name and telephone number

Location of the spill (Building Number)

Number and type of injuries

Identify the type and estimate amount of the spilled material

Source of spill (e.g., container, equipment, vehicle, etc.)

Behavior of spilled material (e.g., reactions, leak, spill, or fire observed) Anticipated movement of spill

What has the spill contaminated (soil, concrete, water, etc.)

Actions being taken to control or contain spill

Estimated time when spill occurred

DO NOT Allow unauthorized persons to enter the spill area.

WAIT For the response team to arrive and direct them to the spill.

PROVIDE Information and assistance as instructed.

COMPLETE Submit SPILL REPORT (Part B) after the cleanup of a spill and submit through your chain of command to the NREA within 24 hours of the spill. A spill reporting form is required for all hazardous substance spills, regardless of location, and all petroleum spills into the environment. A written report is not required for petroleum spills less than one (1) gallon onto concrete, does not enter a sanitary sewer or storm drain, and is immediately cleaned up.

Your trained Unit Operational Level Responders are:

CONTACT THE NREA SPILL RESPONSE COORDINATOR AT 784-4030 TO SUBMIT SPILL

REPORT MCINCR-MCBQ Form 5090/2 March 2017 (Previous Versions Obsolete)

PART A: Spill Report (Report Accomplished by Unit)

Unit responsible for spill:

Responders: Fire Department

Unit

Response Contractor

Unit POC Name: Responder’s

POC

Information:

POC Phone #:

Spill

Location:

Date/Time of Spill:

TYPE SPILL (Check appropriate box): Estimated Amount of

Material Spilled:

Jet-A Haz Mat/Haz Waste Did Spill Enter a

Drainage System:

No: Yes

Gasoline Amount:

Used Oil

Diesel Fuel

DISCRIBE WHAT HAPPENED

Antifreeze

Waterline

Other:

CLEAN UP:

Date/time start:

Date/time end:

TYPE OF SURFACE SPILL WAS ON

(Check appropriate box):

SPILL CAUSED BY (Check appropriate box):

Water Asphalt Equipment failure

Grass Gravel Human error

Soil Concrete This is a recurring problem

Other: Other

Factors:

NOTIFICATIONS

Required ired

Name of Person Contacted

PMO/Fire Department: 911

NREA: 703-784-4030

CDO (after normal duty hours):

703-784-2707

Additional comments: (Include spill cleanup actions)

Unit POC

Signature and Date:

Sewage