Single_Community_Hazmat_Plan.doc

Part 5

This plan contains pre-populated generic response procedures intended to guide the local planning process. Communities are encouraged to supplement this plan with unique policies and procedures germane to their jurisdiction.

HAZARDOUS MATERIALS

EMERGENCY PLAN

State Emergency Response Commission City/Town of ******, Massachusetts R E C O R D O F A M E N D M E N T S

A record of changes to the plan will be noted on the record of amendments, which will contain the following:

· Date of change

· Page number of change

· Recording signature

A complete list of plan users will be maintained in a central location specified by the LEPC.

DATE OF CHANGE

CHANGE

L I S T O F P E R S O N S / O R G A N I Z A T I O N

W I T H A C O P Y O F T H I S P L A N

NAME

1)

2)

3)

4)

5)

6)

7)

8)

9)

10)

11)

12)

13)

14)

P R E F A C E

This Hazardous Materials Emergency Plan (HMEP) was prepared in accordance with the provisions of Section 303, The Emergency Planning and Community Right-to-Know Act, Massachusetts General Law c. 21E, 310 CMR 40.0000 (The Massachusetts Contingency Plan), the Massachusetts Comprehensive Emergency Management Plan, Chapter 639 Acts of 1950 and E.O. 242.

The Massachusetts State Emergency Response Commission (SERC) and the local Emergency Planning Committee (LEPC) adopt this plan to provide for the protection of the public located within CITY/TOWN, Massachusetts in the event of a hazardous chemical emergency.

DATED: _____________________________

CHIEF OF FIRE - IF NECESSARY

DATED: _____________________________

DATED: ______________________________

CHIEF OF POLICE – (IF NECESSARY)

DATED: ______________________________

Note: Add additional signatories if necessary. Ex. Fire Chief, Police Chief, EMD

T A B L E O F C O N T E N T S

H A Z M A T R E L E A S E F O R M 5-1

T I T L E P A G E 5-3

R E C O R D O F A M E N D M E N T S 5-5

L I S T O F H O L D E R S 5-7

P R E F A C E 5-9

T A B L E O F C O N T E N T S 5-11

I N T R O D U C T I O N 5-15

PURPOSE

5-15

OBJECTIVES

5-16

ORGANIZATION

5-16

B A S I C P L A N 5-17

INCIDENT SUMMARY INFORMATION

5-17

PROMULGATION

5-17

AUTHORITY

5-17

LIST OF ABBREVIATIONS

5-19

ASSUMPTIONS

5-23

Local Conditions 5-23

Necessity of a HAZMAT Plan 5-24

CONCEPT OF OPERATIONS

5-24

Response Level Criteria 5-24

ORGANIZATIONS AND RESPONSIBILITIES

5-25

P L A N U P D A T I N G 5-27

PLAN DEVELOPMENT AND MAINTENANCE

5-27

UPDATE POLICY

5-27

P L A N N I N G R E Q U I R E M E N T S C H E C K L I S T 5-29

H A Z A R D A N A L Y S I S 5-31

A. HAZMAT Facilities 5-31

Hazard Analysis Map 5-37

B. Special Needs Facilities 5-39

C. Highways 5-41

D. Railroads 5-42

E. Waterways 5-42

F. Pipelines 5-42

A N N E X A (NOTIFICATION AND ALERTING)

5-A-1

Appendix 1 – Emergency Assistance Telephone Roster 5-A-5

A N N E X B (DIRECTION AND CONTROL)

5-B-1

Figure 1 – Incident Command System 5-B-2

Attachment 1 – Community Direction and Control 5-B-7

A N N E X C (CONTAINMENT)

5-C-1

A N N E X D (ASSESSMENT AND EVAULATION)

5-D-1

Attachment 1 – HAZMAT Release Form 5-D-5

Attachment 2 – Hazardous Materials Data Sheet 5-D-7

A N N E X E (PUBLIC WARNING AND EMERGENCY INFORMATION)

5-E-1

Attachment 1 – Sample Emergency Alert System Messages 5-E-5

A N N E X F (PROTECTIVE ACTIONS)

5-F-1

Attachment 1 – In-Place Sheltering Instructions 5-F-7

A N N E X G (EMERGENCY MEDICAL SERVICES)

5-G-1

Attachment 1 – Ambulance Services/Hospitals with HAZMAT Treatment 5-G-3

A N N E X H (TRAINING)

5-H-1

A N N E X I (EXERCISES)

5-I-1

A N N E X J (EMERGENCY RESOURCES)

5-J-1

A N N E X K (FACILITY PROFILES)

5-K-1

STANDARD OPERATING PROCEDURES

5-SOP-1

I N T R O D U C T I O N

PURPOSE

The City/Town, Massachusetts Hazardous Materials Emergency Plan (HMEP) has been prepared to meet both Federal and State statutory planning requirements, and to provide for a higher degree of preparedness to respond to incidents involving hazardous chemicals. Congress passed the Emergency Planning and Community Right-to-Know Act (EPCRA) of 1986, which requires local and state governments to plan for chemical emergencies. Massachusetts General Law c. 21E, Ch. 639 Acts of 1950 and E.O. 242 require emergency planning by communities for chemical emergencies. The primary purpose of this plan, however, is to provide the framework and methodology to efficiently respond to hazardous materials emergencies within City/Town, Massachusetts so as to protect lives, property and the environment.

In order to meet the emergency planning requirements, local City/Town government will either develop or maintain a community hazardous materials response plan, which will become an annex to this district plan or Town/city governments will adopt this district plan.

The Plan has been specifically designed to serve as an Annex to the Comprehensive Emergency Management Plan (CEMP) and supplements that document. Every effort has been made to integrate the Hazardous Material Annex with the CEMP. In that regard the Plan is consistent with existing authorities, planning assumptions, systems and procedures.

OBJECTIVES

The objectives of the City/Town, Massachusetts Hazardous Materials Emergency Plan are to:

1.

Describe courses of action that will minimize hazards to life and result in adverse impacts upon the environment from the release of a hazardous material.

2.

Establish procedures to provide for a coordinated effort by the state municipalities and private industry in response to a hazardous materials emergency.

3.

Identify emergency response organizations, equipment and other resources, that can be utilized during a hazardous materials incident.

4.

Provide a mechanism to integrate community and facility response procedures.

ORGANIZATION

A.

The basic plan describes general information about the purpose and scope of this hazardous materials emergency plan and system.

B.

The hazard analysis portion describes the known hazardous chemical facilities and transportation routes within City/Town, Massachusetts.

C.

The plan is then divided into functional Annexes that describe different components of an emergency response for hazardous materials incidents.

B A S I C P L A N

City/Town, Massachusetts is organized with a Local Emergency Planning Committee (LEPC), which provides the Hazardous Materials Emergency Plan (HMEP). City/Town, Massachusetts will use this plan for emergency response to a hazardous materials incident. The following are the jurisdictions/municipalities to which this plan applies:

Facilities affected by this plan may range from small “mom and pop” operations to large national corporations. Their endorsements of this plan are filed along with municipal approvals. Letters of agreement between affected facilities and local jurisdictions shall reside in prevention and response plans developed by the facilities.

INCIDENT SUMMARY INFORMATION

Incident reporting has been standardized by use of the documents provided in Annex A “Notification and Alerting”. A reporting form is located at the front of this plan and in Annex A.

PROMULGATION

The City/Town, Massachusetts LEPC will direct the promulgation of the Hazardous Materials Emergency Plan (HMEP) by executing an appropriate document under the delegated authority of the Commonwealth of Massachusetts State Emergency Response Commission (SERC).

AUTHORITY

This HMEP is authorized and regulated under the Emergency Planning and Community Right-to-Know Act (EPCRA) of 1986, Public Law 99-499, Massachusetts General Law c. 21E, 310 CMR 40.0000 (The Massachusetts Contingency Plan) and the Massachusetts Comprehensive Emergency Management Plan. Other supporting legislation exists in the Clean Water Act, the Clean Air Act section 112 R, the National Contingency Plan, and Disaster Relief Programs. Chapter 639 Acts of 1950 and E.O. 242 requires emergency planning at the community level.

LIST OF ABBREVIATIONS

ARC

American Red Cross

ATSDR

Agency for Toxic Substances & Disease Registry

CAMEO

Computer Aided Management for Emergency Operations

CDC

Center For Disease Control

CEPP

Chemical Emergency Preparedness Program

CERCLA

Comprehensive Environmental Response, Compensation

& Liability Act of 198- (PL 96-510)

CFR

Code of Federal Regulations

CHEMTRC

Chemical Transportation Emergency Center

CHRIS

Chemical Hazards Response Information System

CMA

Chemical Manufacturers Association

CMED

Centralized Medical Dispatch Center

CWA

Clean Water Act

DECON

Decontamination

DEP

Department of Environmental Protection

DOD

U.S. Department of Defense

DOE

U.S. Department of Energy

DOT

U.S. Department of Transportation

DPH

Department of Public Health

EBS/EAS

Emergency Broadcast System/Emergency Alert System

EHS

Extremely Hazardous Substance

EMA

Emergency Management Agency

EMI

Emergency Management Institute

EOC

Emergency Operation Center

EOP

Emergency Operations Plan

EPA

U.S. Environmental Protection Agency

EPCRA

Emergency Planning & Community Right-to-Know Act

FAA

Federal Aviation Administration

FEMA

Federal Emergency Management Agency

FWPCA

Federal Water Pollution Control Act

GIS

Geographical Information System

HAZMAT

Hazardous Materials

HHS

U.S. Department of Health and Human Services

HMEP

Hazardous Materials Emergency Plan

HMRT

HAZMAT Response Team

IC

Incident Commander

ICS

Incident Command System

IEMS

Integrated Emergency Management System

JIC

Joint Information Center

LEPC

Local Emergency Planning Committee

MEMA

Massachusetts Emergency Management Agency

MSDS

Material Safety Data Sheet

NACA

National Agricultural Chemicals Association

NCP

National Contingency Plan

NCRIC

National Chemical Response & Information Center

NETC

National Emergency Training Center

NFA

National Fire Academy

NFPA

National Fire Protection Association

NIOSH

National Institute of Occupational Safety and Health

NOAA

National Oceanic and Atmospheric Administration

NRC

National Response Center/Nuclear Regulatory Commission

NRT

National Response Team

NRT-1

Hazardous Materials Emergency Planning Guide

NRT-1A

Criteria for Review of Hazardous Materials Emergency Plans

OHMTADS

Oil and Hazardous Materials Technical Assistance Data System

OSC

On Scene Coordinator

PIO

Public Information Officer

RQs

Reportable Quantities

RRT

Regional Response Team (State or Federal)

SARA

Superfund Amendments and Reauthorization Act of 1986 (PL 99-499)

SCBA

Self Contained Breathing Apparatus

SERC

State Emergency Response Commission

SLG 101

Guide for all-hazard Emergency Operations Planning

SOP

Standard Operating Procedure

TPQ

Threshold Planning Quantity

USCG

U.S. Coast Guard (DOT)

USDA

U.S. Department of Agriculture

USGS

U.S. Geological Survey

ASSUMPTIONS

1.

Hazardous Materials incidents of varying degrees of severity will occur within the

City/Town, Massachusetts jurisdiction. Such an incident can occur at a fixed facility or on a transportation route or a combination of the two.

Assistance will be provided from adjoining localities, mutual aid agreements, the

City/Regional HAZMAT Team, the Commonwealth of Massachusetts and the Federal

Government, depending upon the magnitude of the incident.

The community has appointed a Community Emergency Coordinator. The Coordinator’s name and contact information will be on file with the LEPC chairperson and MEMA.

4.

Depending upon the magnitude of an incident, this plan or portions of it will be implemented to coordinate actions, conserve resources and expedite mitigation of that incident.

Local Conditions

Area Description:

Major Employers:

Industry:

Economy:

Infrastructure:

Population:

Special Needs Facilities:

Schools:

Necessity of a HAZMAT Plan

The LEPC, the local Fire Department and the State Emergency Response Commission receive Tier II reports from Facilities that have hazardous substances as required by EPCRA, Section 302 (c). Review of these Tier II reports indicate that several chemical hazards exist in City/Town, Massachusetts.

Additional information supplied by railroad companies in Massachusetts also confirmed the presence of some quantities of EHS’s transported through City/Town, Massachusetts on the railroads.

Although no qualitative or quantitative information is available regarding the presence of EHS’s on the transportation routes, the LEPC assumes that hazardous chemicals are transported on nearly all City/Town and state roads in the area.

CONCEPT OF OPERATIONS

The protection of the health and welfare of the residents of City/Town, Massachusetts must be managed at the local level. Assistance from the State will be provided when requested, or in cases where a hazardous material emergency exceeds the capability of local response resources. City/Town, Massachusetts should develop its own concepts within existing emergency procedures.

Hazardous materials emergencies can range from small fuel spills to large-scale releases requiring major evacuations and other problems. For purposes of consistency, the following response level definitions have been developed for this plan:

Response Level Criteria

Level 1 – Controlled Emergency Condition

· Incident that can be controlled by the primary first response agencies of a local jurisdiction

· Single jurisdiction and limited agency involvement

· Does not require evacuation, except for the structure or affected facility

· Confined geographic area

· No immediate threat to life, health or property

Level 2 – Limited Emergency

· Potential threat to life, health or property

· Expanded geographic scope

· Limited evacuation of nearby residents or facilities

· Involvement of one, two, three, or more jurisdictions

· Limited participation or mutual aid from agencies that do not routinely respond to emergency incidents in the area

· Specialist or technical team is called to the scene

· Combined emergency operation such as fire fighting and evacuation, or containment and emergency medical care Level 3 – Full Emergency Condition

· Serious hazard or severe threat to life, health and property

· Large geographic impact

· Major community evacuation

· Multi-jurisdictional involvement

· State and Federal involvement

· Specialists and technical teams deployed

· Extensive resource management and allocation

· Multiple emergency operations

ORGANIZATION AND RESPONSIBILITIES

1.

The Local Emergency Planning Committee will perform the following functions:

· Establish rules by which the LEPC will function

· Establish provisions for public notification, comments, etc

· Develop and maintain the HAZMAT Plan

· Assist the jurisdiction, departments and agencies with HAZMAT plan development

· Coordinate HAZMAT exercises as required

· Conduct HAZMAT training as required

2.

Departments and agencies with responsibilities under this plan will develop and maintain procedures for implementing this hazardous materials plan. Facilities with EHS will develop and maintain procedures for implementing this hazardous materials plan. Facilities with EHS will develop plans specific to the chemicals they use and the area they may affect. These plans will be kept at the Fire Department, which serves the facility.

3.

The Commonwealth of Massachusetts shall provide assistance to the LEPC as provided for in the Commonwealth of Massachusetts Comprehensive Emergency Management Plan and the Massachusetts Contingency Plan.

P L A N U P D A T I N G

PLAN DEVELOPMENT AND MAINTENANCE

The Local Emergency Planning Committee (LEPC) developed this Hazardous Materials Response

Plan with assistance from the Massachusetts State Emergency Response Commission (SERC).

The Plan will be updated as necessary but in no case, less than annually. Updating of the plan will be preceded by a review of its contents and/or a test and critique of the plan. Execution of the plan in response to an actual event will be considered as a test and will require a critique and after-action report to be submitted to the Chairman of the LEPC.

Those items which are subject to frequent change and shall be reviewed annually for possible updating include, but are not limited to, the following:

Community and facility notification and alerting lists, including identity and phone numbers of response personnel.

Facilities subject to the provisions of EPCRA, Section 302( c), and the name of the Facility

Emergency Coordinator (FAC).

Facility Hazard Analysis and Maps.

4.

Transportation routes for hazardous materials, including pipelines.

5.

Inventories of critical equipment, supplies, and other resources.

In addition, facility and community-specific functions and procedures should be reviewed and revised as appropriate.

UPDATE POLICY

The following policies apply to the review and updating of the Hazardous Materials Emergency Plan:

It is the responsibility of the Local Emergency Planning Committee Chairperson to coordinate the review and update of the plan. The departments, agencies, communities, facilities, and others who have a role in hazardous materials response under the plan will provide support. It is the responsibility of the Chief Executive of each community to delegate update responsibility of community information.

2.

The plan shall be updated as necessary on an annual basis. The plan must have been completed or reviewed within the past year.

3.

Departments, agencies and facilities that maintain annexes and/or procedures that are a part of this plan shall review that portion of the plan pertaining to their function on an annual basis.

4.

The Chair of the LEPC shall maintain a list of plan holders, to ensure changes are sent to all plan holders.

Comments, corrections or suggestions on any aspect of this plan should be forwarded to:

Chair, LEPC

City/Town Town Hall

City/Town, Massachusetts P L A N N I N G R E Q U I R E M E N T S C H E C K L I S T

Section 303 (c) of SARA Title III stipulates nine (9)-planning provisions, which must be adequately addressed in this Plan. The plan also meets requirements found in NRT1 & 1A Documents. The following chart lists the nine provisions and cites their location(s) in the City/Town, Massachusetts Hazardous Materials Emergency Plan:

ANNEX K – Facility Profiles

ANNEX B – Direction and Control

ANNEX D – Assessment and Evaluation

ANNEX B – Direction and Control

ANNEX C – Containment

ANNEX E – Public Warning and

Emergency Information

Emergency Information

ANNEX F – Protective Actions

ANNEX I – Exercises

ANNEX I - Exercises

H A Z A R D A N A L Y S I S

This section contains a list of all facilities that have reported chemical inventories to the Local Fire Department, the State Emergency Response Commission, and the LEPC in compliance with EPCRA, Sections 302 & 312 (c); as well as those facilities considered a risk by the LEPC (NOTE: Refer to ANNEX K of this plan for details on EHS facilities). The hazard analysis includes the facility name and address and hazardous substances reported. The hazard analysis is updated annually after the deadline for submission of Tier II reports. Additionally, information on highways and railroads is included.

An asterisk (*) indicates facilities that have chemicals in the Threshold Planning Quantity (TPQ).

The following list reflects the status of reporting as of:

*Enter Date Updated….

A. HAZMAT Facilities (Should be alphabetical by facility and match profiles in resource manual)

HAZMAT FACILITY

NAME

CONTACT

Person/Address

PHONE

NUMBER

SUBSTANCE

HAZMAT Facilities (cont’d)

HAZMAT FACILITY

NAME

CONTACT

Person/Address

PHONE

NUMBER

SUBSTANCE

It is important to note that the proximity of some of these facilities to major transportation routes and/or adjacent facilities may in fact compound the effects of a hazardous materials incident. The possible permutations are too numerous to list here. Recent efforts to review and update facility plans will take this into consideration. All City/Town, Massachusetts facility plans will be included in ANNEX K of this plan.

If available, the CAMEO database and MARPLOT mapping programs allow for simulations of releases from these facilities. Plotting the contaminant plumes on maps of the area show what population would be affected from a specific release. Maps downloaded from the eCEMP program can be used for the purposes of this plan.

The following is an example of the type of information that should be available on the map that belongs in this section of the plan. Included on the map are the facilities that could have a release; special needs facilities, such as: schools, hospitals, and nursing homes; areas where large crowds would gather such as: malls, stadiums, and arenas; critical infrastructure such as: courthouse, fire department, police department.

Figure 5.0

H A Z A R D A N A L Y S I S M A P

(Hazard Facilities, Transportation Routes, Special Needs Facilities)

B. Special Needs Facilities (Should be alphabetical by facility and match attached profiles)

SPECIAL NEEDS FACILITY

NAME/ADDRESS

CONTACT

PHONE

NUMBER

C. Highways The major portions of hazardous chemicals transported by highways are petroleum-based products such as gasoline and heating fuels. Major highway routes used to transport hazardous materials through City/Town, Massachusetts include: (Give Highway information)

The following chart is an example of the type of information that should be included in the highway/transportation hazard analysis. Information that should be included is: Location/route name, name of hazardous material, quantity.

TRUCKS

Insecticide

Liquid Carbon Dioxide

Class A Explosives and

Blasting Caps

Flammable Gas

47,000 lbs. Wet Cell

Batteries

TOTAL

These traffic counts were completed during one 8 hour period but are considered representative of the types and quantities of hazardous materials transported through City/Town, MA. Seasonal factors could affect the relative proportion of these materials.

D. Railroads

The following is an example of the type of information that should be included in the railroad hazard analysis. Information that should be included is: route name, name of hazardous material and quantity.

1. The following hazardous materials are transported through City/Town on the

(XXXX) Railroad:

2. The following hazardous materials are transported to City/Towm from Anothertown on the (XXXX) Railroad:

3. The following hazardous materials are transported from City/Town to Anothertown on the (XXXX) Railway:

4. In addition to the above, AMTRAK/MBTA PASSENGER SERVICE travels through

Thistown, MA from Othertown to Othertown.

E. (Waterways)

F. (Pipelines) A N N E X A

(NOTIFICATION AND ALERTING)

PURPOSE

To provide for the initial notification to the local 24-hour point of contact, the State 24-hour Point of Contact (Massachusetts Department of Environmental Protection) the State coordinating agency, the Massachusetts Emergency Management Agency (MEMA) and the National Response Center (NRC) of a hazardous material emergency and the subsequent alerting of other local and State response personnel.

SITUATION

Timely, informative and accurate notification of a hazardous material emergency is critical for an effective emergency response operations. Section 304 of EPCRA requires the immediate notification of the community emergency coordinator and the State when a release of an extremely hazardous substance or hazardous chemical in an amount above the Reportable Quantity (RQ) occurs. Specific information is required by the notification such as chemical name, method of release, health effects, medical attention and protective actions.

The Commonwealth of Massachusetts State Emergency Response Commission (SERC) believes that the direct notification through the local point of contact is critical. The Release Report Form (Attachment 1) provides for notification to the local point of contact. Requirements set forth by the Commonwealth of Massachusetts Department of Environmental Protection also require the responsible party to report the release of oil or hazardous material to DEP. The Release Report Form (Attachment 1) should be used when calling the 24-hour contact point (888-304-1133). Under Federal requirements the NRC must also be notified (800-424-8802).

NOTE: The local point of contact is the local fire department through the 911 dispatch Center. The nature and extent of the incident will dictate the order and number of phone calls to be placed.

In addition to notifications required by statute, City/Town, MA must immediately notify the Massachusetts Emergency Management Agency of any hazardous materials emergency that meets Level 2 or Level 3 criteria. MEMA can be reached at 800-982-9846.

This procedure details the notification information required from the emergency site to the selected local point of contact and the State and the subsequent alerting of State HAZMAT response personnel.

This procedure reflects the belief that both local and State response personnel must be notified immediately of a release.

PARTICIPATING AGENCIES

A.

Primary Local point of Contact (i.e.: 911 Dispatch Center)

Alternate Local Point of Contact (i.e.: Police or Fire Dispatch Center)

The Massachusetts Department of Environmental Protection (DEP) (888-304-1133)

D.

The Massachusetts Emergency Management Agency (MEMA) (800-982-6846)

E.

The Federal Government should be contacted through the NRC (800-424-8802)

STATE RESPONSE PROCEDURES

A.

Upon notification of a hazardous material emergency, the State Coordination Agency (MEMA) shall record all emergency notification information.

The State Coordinating Agency (MEMA) shall receive and act upon requests for State assistance.

The State Coordinating Agency (MEMA) shall notify the appropriate State agencies of the

HAZMAT emergency as specified in the Commonwealth of Massachusetts, Comprehensive

Emergency Management Plan.

D.

State agencies will provide assistance as described in the Massachusetts Hazardous Materials

Incident Response Plan and/or the Massachusetts Comprehensive Emergency Management Plan.

Appendix 1

EMERGENCY ASSISTANCE TELEPHONE ROSTERS

Agency for Toxic Substances &

Disease Control

Railroad

National Weather Service

Poison Control

Red Cross

Utilities

* Resource Manual contains Media Listings

Newspaper

Newspaper

Newspaper

TV Station

TV Station

TV Station

Radio Station

Radio Station

Radio Station

(Should be alphabetical by facility and match attached profiles)

TITLE III HAZARDOUS FACILITIES AND FACILITY COORDINATORS

FACILITY NAMES

(Alphabetical)

CONTACT PERSON /

Emergency Coordinator 24hr TELEPHONE

TITLE III HAZARDOUS FACILITIES AND FACILITY COORDINATORS (cont’d)

FACILITY NAMES

(Alphabetical)

CONTACT PERSON /

Emergency Coordinator 24hr TELEPHONE

H A Z A R D O U S M A T E R I A L S R E L E A S E F O R M

Locally Dial 911 NRC Dial 1-800-424-8802

Massachusetts Department of Environmental Protection 1-888-304-1133

1. Caller Name:

Call Date:

2. Affiliation:

Time:

3. Telephone:

Ref #:

Yes / No

4. Material Released:

EHS:

DOT# / CAS #:

5. Amount Released:

Gals/Lbs:

6. Date of Release:

Duration:

Hrs

Min

7. Release Medium:

Air __________Water__________Land

(include height and direction of plume) (--------------------------describe terrain---------------------------)

8. Weather Conditions:

(Direction, MPH, Temperature, etc.)

9. Location of Release:

(address – street, building #, City, County, etc)

10. Facility Name:

Address:

11. Facility Emergency Contact:

(Name)

(Address)

12. Incident Description:

(Color, odor, solid, liquid, gas)

13. Nearby Populations:

14. Other Hazardous Materials Nearby:

15. Additional Notifications Made:

Local Fire Department

Community Emergency Coordinator

MA DEP

Federal National Response Center

16. Number of Dead / Injured:

17. Dead / Injured taken to:

18. Action Taken:

19. Form Completed by:

(Print Name and Title)

(Signature) A N N E X B

(DIRECTION AND CONTROL)

PURPOSE

To provide for effective leadership, coordination and unified on-scene command of emergency response forces in the event of a hazardous material emergency.

SITUATION

A hazardous material emergency may require a broad range of on-scene response organizations including emergency service personnel from all levels of government, industry representatives, private contractors, and the media. The need for specialized equipment and technical knowledge during response may also be extensive, as are the number of critical decisions that must be made in areas of release containment, emergency worker safety, public protective actions, and environmental protection.

It is recognized that response organizations are typically trained to operate within their agency command structure, but they are rarely called upon to perform their duties as part of a unified and integrated multi-organizational response, such as that required for a major hazardous materials emergency. Therefore, this plan calls for implementation of a strong system of direction and control.

Direction and Control begins with the initial local response, but is expanded as the emergency escalates to a larger, multi-jurisdictional response which may possibly need to be coordinated or directed by the State.

PARTICIPATING AGENCIES (See Attachment 1)

· Chief Executive

· Fire Department

· Emergency Management Coordinators (City/Town and facility)

· Emergency Medical Services

· Health Officer

· Police Department

· Public Works Department

· Public Information (Designee)

· Volunteer Groups

INCIDENT COMMAND SYSTEM

Incident Command System (ICS) is the combination of facilities, equipment, personnel, procedures and communications operating within a common organizational structure with responsibility for the management of assigned resources to effectively accomplish stated objectives pertaining to the incident.

In accordance with OSHA regulation 29CFR 1910.120 and EPA regulation 40CFR 311, the Incident Command System must be used when dealing with any Hazardous Materials Incident.

RESPONSE PROCEDURES

Unified Command

This plan addresses the need to ensure Direction and Control for a multi-jurisdiction/multi-agency response to hazardous materials emergency, which highlights the demand for a unified command structure among responding organizations under the direction of one Incident Commander. The concept of Unified Command simply means that all agencies that have jurisdictional responsibilities and authority at an incident will contribute to the process of:

· Determining overall response objectives

· Selection of response strategies

· Ensuring joint planning and application of tactical activities

· Ensuring integrated planning and application of operational requirements; including emergency protective measures, containment, safety and security

· Maximizing use of available resources

Incident Commander (Local)

Upon notification of hazardous material emergency, the ranking fire officer, or his/her designee, with local jurisdiction and authority will act as Incident Commander.

Command Post

The Incident Commander will assess the emergency situation, establish a Command Post and institute the “Incident Command System” (example: Figure 1 – previous page). The Incident Commander should also declare a Response Level according to the Response Level Criteria listed in this section.

Responding State Agency

Upon notification by the State Coordinating Agency (MEMA) of a hazardous material emergency the appropriate responding State agency may contact the Incident Commander to assess the situation. This contact can be made by the assignment of an official to the scene or by radio or telephone.

Response Level Criteria

Level 1 – Controlled Emergency Condition

· Incident that can be controlled by the primary first response agencies of a local jurisdiction

· Single jurisdiction and limited agency involvement

· Does not require evacuation, except for the structure or affected facility

· Confined geographic area

· No immediate threat to life, health or property

Level 2 – Limited Emergency Condition

· Potential threat to life, health or property

· Expanded geographic scope

· Limited evacuation of nearby residents or facilities

· Involvement of one, two, three, or more jurisdictions

· Limited participation or mutual aid from agencies that do not routinely respond to emergency incidents in the area

· Specialist or technical team is called to the scene

· Combined emergency operations such as fire fighting and evacuation, or containment and emergency medical care

Level 3 – Full Emergency Condition

· Serious hazard or severe threat to life, health and property

· Large geographic impact

· Major community evacuation

· Multi-jurisdictional involvement

· State and Federal involvement

· Specialists and technical teams deployed

· Extensive resource management and allocation

· Multiple emergency operations Declaring a Response Level

The Incident Commander should declare a Response Level. If a response level has not been declared, the responding State agency should recommend that the Incident Commander declare a Response Level.

If necessary, the responding State agency may declare a Response Level for the purpose of activating and coordinating the State response. In all cases, the responding State agency should coordinate with the Incident Commander in declaring a Response Level.

Authority Dynamics and Transfer

Just as the dynamics of on-scene Direction and Control operations expand and change as an incident escalates leadership and authority may also have to be transferred as an emergency expands. In this regard, the following criteria could be used to determine where Direction and Control authority should be centered:

· Geographic area involved

· Single or multi-jurisdictions affected

· Number of response agencies

· Resource commitments

· Response operational requirements (i.e. fire fighting, environmental contamination, public health impacts, evacuation, containment, and emergency medical)

· State and/or local statutes/ordinances

Based on these criteria, authority, unified command and the designation of an Incident Commander could change as a hazardous material emergency expands.

Responsibilities

Response Level 1 – Controlled Emergency Condition

· Responding local agency(s) designate Incident Commander

· Command Post established, incident Command System implemented

· Incident Commander establishes liaison with the Facility Emergency Coordinator

· Incident Commander ensures the appropriate local emergency organization(s) are notified and briefed

· Notify State DEP (888-304-1133)

· Incident Commander evaluations the need to declare a higher response level, if appropriate

· Continue evaluation of incident Response Level 2 – Limited Emergency Condition

· Identify Incident Commander

· Command Post established, Incident Command System implemented

· Incident Commander evaluates the need for a Deputy or other on-scene assistants

· Incident Commander designates a Safety Officer

· Unified command established

· Notify State DEP (888-304-1133) and MEMA (800-982-6846)

· Incident Commander evaluates the need to declare higher or lower Response Level

· Local chief executive notified and briefed

· Public Information Officer notified or appointed by Incident Commander

· Local Chief Executive evaluates the need to declare a Local State of Emergency

· Local Emergency Manager or Incident Commander determines the need for activation of the local Emergency Operations Center

· Continue evaluation of incident and make adjustments as necessary

Response Level 3 – Full Emergency Condition

· NOTE: If the incident begins at this level, response activities must include all functions designated at the previous level (Limited Emergency Condition above)

· Chief Executive declares a Local State of Emergency and notifies MEMA (800-982-6846)

· Emergency Manager activates the Emergency Operations Center

A full Emergency Condition Response level could be of a magnitude that requires resources from State and Federal agencies and other national sources. The Commonwealth of Massachusetts Emergency Management Agency (MEMA) coordinates the application of the state’s resources in an emergency, in support of local government. At this response level, unified command would likely include State and possibly, Federal resources. Local and State officials should re-examine response requirements and designations of the Incident Commander at this time based upon the scope, technical complexity and State and local statutes and ordinances.

NOTE: Response Levels may be given designations (titles) by agreement between planning authorities. As plans and procedures are developed (with the district) it is recommended that specific response levels be given standard titles, (i.e. Level One, Two, and Three) or some comparable designations. Such titles should be consistent within and between adjacent districts.

Attachment 1

COMMUNITY DIRECTION AND CONTROL

DEPARTMENT /

AGENCY

TELEPHONE

Chief Executive

Fire Department

Emergency Management

Coordinators

Emergency Medical

Services

Health Officer

Police Department

Public Works

Department

Public Information (Designee)

Volunteer Groups

(Other)

A N N E X C

(CONTAINMENT)

PURPOSE

Provide for the control of a hazardous material release or spill into the environment.

SITUATION

The fixed-facility or transporter, or other organization, responsible for a spill of a hazardous material is liable for the spill.

The EPCRA Section 302( c) facilities in each community have designated a Facility Emergency Coordinator (FEC) to act as liaison to the Community Emergency coordinator (CEC) in a hazardous materials emergency. The FEC will arrange for the use of containment material provided by the facility in a mutual aid situation.

The Incident Commander will make determinations regarding the need for resources and assistance. The DEP and/or MEMA will coordinate the provision of state containment resources. The responding State agency will determine if Federal assistance is required and contact the Regional Response Team (RRT).

LOCAL PARTICIPATING AGENCIES

· Local Fire Department

· Facility Response Coordinator(s)

· Department of Public Works

· Health Officer

· Incident Commander

· Watershed (water supply, private water company or municipal (well fields, etc)

· Clean-up Contractors

· Massachusetts DEP

· HAZMAT Response Team(s)

RESPONSE PROCEDURES

Response Level Criteria

Level 1 – Controlled Emergency Condition

· Incident Commander will assess the impact of the release, the need for containment operations and clean up. DEP, facility personnel and the responsible party may assist

· Fire Chief monitors containment assistance and resource requirements

· Safety Officer monitors health impact of all containment activities on emergency w3orkers and nearby residents. Health Officer and EMS may assist.

Level 2 – Limited Emergency Condition

· Incident Commander, in consultation with DEP, facility personnel and responsible party takes appropriate containment action

· Local Fire Chief activates Facilities Emergency Coordinator (see Attachment 1) and coordinates containment resources and assistance

· Facilities Emergency Coordinator advises Fire Chief of facilities’ containment resources situation

· Fire Chief assesses need for State resources to assist with containment

· Safety Officer monitors health impact of all containment activities on emergency workers and nearby residents. Health Officer and EMS may assist

Response Level 3 – Full Emergency Condition

· Incident Commander, in consultation with DEP, HAZMAT Team and other technical specialist, will determine if appropriate containment actions can be implemented without State assistance. If State assistance is requested, the State responding agency will determine if Federal assistance will be requested through the Federal Regional Response Team

· Incident Commander should coordinate containment resources and assistance providing responding personnel are qualified and have received appropriate containment training and adequate protective equipment is available

· Facilities emergency Coordinator continues to provide support to Incident Commander

· Safety Officer continues to monitor health impact of containment activities on emergency workers and nearby residents and request assistance from the Massachusetts Department of Public Health, if appropriate.

A N N E X D

(ASSESSMENT AND EVALUATION)

PURPOSE

To obtain and analyze hazardous material release information in order to determine the threats and impact of the emergency on people and the environment and to recommend protective actions to decision makers.

SITUATION

A release or threatened release of hazardous material could result in serious and quickly escalating threats to the public. The physical or chemical characteristics of hazardous materials may include toxicity, flammability or reactivity. These factors require technical analysis by qualified and approved specialists in order to determine existing hazards, the anticipated course of the incident and any new hazards if things go wrong. Because the situation may change rapidly, it is important the analysis be done thoroughly by specialists in order to ensure public safety.

Responders arriving at the scene without knowledge of the hazardous materials involved will attempt to determine at a distance what material is involved, ensuring utmost regards for personal safety and staying upwind of the incident scene. Binoculars should be used to read placard identification numbers and responders should then contact their emergency communications dispatcher. After referring to the North American Emergency Response Guidebook and other sources (i.e.: CAMEO) for information on hazards from the material involved, responders will cautiously determine if any victims require rescue and take appropriate action.

Few communities in the Commonwealth of Massachusetts have the extent of expertise to analyze the wide range of hazardous material emergencies that can occur and would need to request technical assistance for many types of emergencies. A critical element of assessment and evaluation is to recognize when additional expertise is needed and how to obtain it. Local Fire Departments can directly request local (if available) or State Regional Hazardous Materials Response Teams.

The process of assessment and evaluation (A&E) takes place at several levels. At the emergency site, the Incident Commander must have expertise available that can provide technical guidance. Local or state Response Teams may provide this technical guidance. Determination of the type of hazard involves knowing what hazardous material is involved and it’s potential impact and containment status.

State assistance should be requested through the DEP AT 888-304-1133 and/or MEMA at 800-982-6846. Federal assistance will be requested by the responding State agency by contacting the Federal Regional Response Team (RRT).

Assessment priorities may include:

· Identifying the material involved

· Determining its hazard potential

· Measuring the magnitude of release of material into the environment

· Assessing health impact of the release on emergency workers, the public and environmental resources

As the incident continues, it may be appropriate for an in-depth analysis to be performed at a location where experts can assemble in the proper analytical environment, such as the on-scene Command Post or the local Emergency Operating Center (EOC). In this situation, all appropriate information from the scene should be provided to the assessment and evaluation specialists.

The A&E specialist must also determine what additional information is needed. Inquiries will be directed to individuals at the scene and to the owners of the material, or to other experts involved.

A compilation for the information about the incident that may be needed is found in the Hazardous Materials Release Form (Attachment 1). A Hazardous Materials Data Sheet (Attachment 2) may also be completed at this time.

Other sources of information that may be used include:

· North American Emergency Response Guidebook (Orange Book)

· NIOSH Pocket Guide to Chemical Hazards

· National Fire Protection Association (NFPA) Handbooks

· CHRIS Manual

· CHEMTREC 800-424-9300

· Material Safety Data Sheets (MSDS) which are filed with the local Fire Department, LEPC, and SERC

· Computer Aided Management of Emergency Operations (CAMEO)

· EPA Chemical Profiles (for Extremely Hazardous Substances)

· Chemical Industries or Laboratories nearby

· Farm and Related Industry

· Institutions of Higher Learning

· Hazard Simulation Models (CAMEO, EIS/C, etc)

· Private Consultants

· Local Contractors (State Contractors) In certain cases, the physical characteristics of a material may be important. For example, if a toxic gas is heavier than air, responders should be advised to avoid low areas. If a material reacts violently with water, fire fighters should not use water. Attachment 2, Incident Technical Data Form is used to record important information.

Meteorology may be of significant importance and should be factored into the assessment. The wind direction may indicate areas or people at risk. Wind speed may help to predict the amount of warning time that will be available in the event of a sudden spill or explosion producing toxic by-products. Atmospheric dispersion will depend on meteorological conditions. Analysts also need to evaluate the weather forecast to prepare for changing conditions, such as precipitation, which may react with materials.

A&E analysts must evaluate the potential impact by area and its population. Special consideration must be given to additional facilities, which would contribute to the problem, those which are subjected to additional risk due to their proximity to the emergency site and the nature of their activities, and those with a special role in emergency response.

PARTICIPATING AGENCIES AND/OR PERSONNEL

· Local Health Officers

· Fire Departments

· Facility Emergency Coordinators

· Industry Specialists

· Police Departments

· Emergency Medical Services

· Emergency Management

· Massachusetts Department of Environmental Protection

· Regional Response Team (Federal)

· Local/State Emergency Response Team

RESPONSE PROCEDURES

Response Level Criteria

Response Level 1 – Controlled Emergency Condition

· Incident Commander conducts joint assessment with the Facility Emergency Coordinator

· Incident Commander provides facility assessment technical information to the Local Emergency Manager, if appropriate

· Local Emergency Manager provides facility assessment technical information to the Health Officer or Commissioner of Health, if appropriate

Response…