Transportation_Docs.pdf

Transportation Checklist No. 13

5 May 2015

DLA Energy

INSPECTION CHECKLIST FOR DINITROGEN TETROXIDE IN

4BW CYLINDERS AT: SHIPPING ACTIVITIES

1. Please use the Commercial Bill of Lading (CBL) furnished by this office for this ____________ shipment. Have carriers agent sign and date CBL, making a copy for your Initials files and faxing a copy to this office. The driver keeps the original CBL.

Also furnish driver with a copy of the Emergency Response Guide (ERG 124).

2. Complete the origin portion of a DD Form 626 “Motor Vehicle Inspection ____________

(Transporting Hazardous Materials)” report Sections I and II.

(a) Request the carrier (driver) for a copy of the vehicle mechanical inspection performed at the carrier’s terminal. Annotate in block 15 (remarks) that the

“Carrier performed the vehicle mechanical inspection” and attach a copy of the vehicle mechanical inspection

(b) If the carrier (driver) does not have a copy of the vehicle mechanical inspection, annotate in block 15 (Remarks) “The vehicle mechanical inspection was performed by the carrier” and have the driver sign the DD Form 626.

3. Complete the “Transport Equipment Delay Certificate” to show time and ____________ date(s) carrier arrived and departed and reason(s) thereof. This form must be signed by both the driver and the loading personnel.

4. Check for leaks at each valve, plug and weld using a vapor leak detector. Check _____________ for leaks before and after cylinder is loaded on the transport vehicle. Ensure any product spill is washed off.

5. Ensure that valves and plugs on each cylinder are secure. _____________

6. Verify if bonnet is properly secured. _____________

7. Ensure that each cylinder is properly marked, labeled, color-coded and _____________ the carrier van is placarded as stipulated below:

Marking: Dinitrogen Tetroxide, UN1067

Labeled: Poison Gas with subsidiary risks Oxidizer and Corrosive

Placards: Poison Gas with subsidiary risks Oxidizer and Corrosive

Color Coded: Brown and Green band (stripe) on the top part of the cylinder

8. Verify that two drivers are assigned to each vehicle and ensure trailer is a closed van. _____________

9. Ensure drivers are informed of characteristics of material being transported and _____________ procedures to follow in the event of an emergency (Telephone numbers annotated on shipping papers (CBLs), ERG are attached to shipping papers.).

10. Cylinders are blocked, braced and secured in van before van departure. ____________ ____________

Driver Shipper

11. Ensure cylinders are shipped in accordance with DOT-SP 11580, if applicable. ____________

12. Ensure a current copy of DOT-SP 11580 is aboard the motor vehicle, as applicable to the shipment. ____________

DLA Energy

5 May 2015

13. CORRECTIVE ACTIONS AND REPORTING PROCEDURES:

(a). Immediately report any cylinder discrepancy by calling the Transportation Point of Contact (POC) Joseph Bresnok at:

210-925-4656 or 210-413-0911. No corrective action is to be taken to repair the cylinders without prior approval from the

Transportation POCs.

(b) Provide a “Report of Shipment” by telephone to the Transportation POC on the date action occurs.

(c) A copy of this completed checklist shall be provided to DLA Energy prior to releasing the drivers by one of the following options.

MAIL TO: DLA-QEMC

1014 Billy Mitchell Blvd, Bldg 1621

San Antonio, TX 78226

(d) FAX TO: (210) 925-8048 or ALTERNATE FAX: (210)925-1319

(e) EMAIL TO: Joseph.Bresnok@dla.mil

(f) Please include copies of:

(1) The signed CBL including Page 2,

(2) Signature & Talley (DD Form 1907)

(3) Completed DD Form 626 and H14.

(4) Completed form H14

(g) In addition, a copy of this checklist must be retained at the inspection facility for at least two years.

Transportation Checklist No. 14

11 May 2015

INSPECTION CHECKLIST FOR DINITROGEN TETROXIDE IN 4BW

CYLINDERS AT RECEIVING ACTIVITIES

1. Complete the destination portion of the DD Form 626 “Motor Vehicle Inspection ___________

(Transporting Hazardous Materials)”. Initials

2. Complete the, “Transport Equipment Delay Certificate” to show ___________ time and date carrier arrived and departed and reason(s) thereof. This form must be signed by both the driver and the loading personnel.

3. Within two (2) workdays after cylinders are received check each valve and welds ___________ for leaks using appropriate means.

4. Verify each cylinder is properly marked, labeled, color-coded and the carrier van is placarded as stipulated below: ___________

Marking: Dinitrogen Tetroxide, UN1067

Labeled: Poison Gas with subsidiary risks Oxidizer and Corrosive

Placards: Poison Gas with subsidiary risks Oxidizer and Corrosive

Color Coded: Brown and Green band (stripe) on the top part of the cylinder

Emergency Response Guide (ERG): 124

5. Verify that the drivers have a copy of DOT-SP 11580 if applicable to the shipment and that two drivers were assigned . ___________

CORRECTIVE ACTIONS AND REPORTING PROCEDURES:

6. Immediately report any cylinder discrepancy by calling the Transportation Point of Contact (POC)

Joseph Bresnok @ 210- 925-4656 or cell 210-413-0911. If there is a cylinder discrepancy, note the reasons why and immediately notify the Transportation POC. No corrective action is to be taken to repair the cylinders without prior approval from the above Transportation POC.

7. Provide a “Report of Shipment” by telephone to the Transportation POC on the date action occurs.

8. A copy of this completed checklist shall be provided to DLA Energy prior to releasing the drivers by one of the following options.

MAIL TO: DLA-QEMC

1014 Billy Mitchell Blvd, Bldg 1621

San Antonio, TX 78226-1859

9. FAX TO: (210) 925-8048 or ALTERNATE FAX: (210)925-1319

10. EMAIL TO: joseph.bresnok@dla.mil, Phone: 210-925-4656

11. Please include copies of the signed CBL including Page 2, Signature & Talley (DD Form 1907), checklist, DD Form 626 and H14.

12. In addition, a copy of this checklist must be retained at the inspection facility for at least two years.

mailto:joseph.bresnok@dla.mil

Transportation Checklist No. 20

7 July 2015

INSPECTION CHECKLIST FOR DINITROGEN TETROXIDE IN DOT 110 CYLINDERS

AT SHIPPING ACTIVITIES

1. Please use the Commercial Bill of Lading (CBL) furnished by this office for this ____________ shipment. Have carriers agent sign and date CBL, making a copy for your Initials files and faxing a copy to this office. The driver keeps the original CBL.

Also furnish driver with a copy of the Emergency Response Guide (ERG 124).

2. Complete the origin portion of a DD Form 626 “Motor Vehicle Inspection ____________

(Transporting Hazardous Materials)” report Sections I and II.

(a) Request the carrier (driver) for a copy of the vehicle mechanical inspection performed at the carrier’s terminal. Annotate in block 15 (remarks) that the

“Carrier performed the vehicle mechanical inspection” and attach a copy of the vehicle mechanical inspection (b) If the carrier (driver) does not have a copy of the vehicle mechanical inspection, annotate in block 15 (Remarks) “The vehicle mechanical inspection was performed by the carrier” and have the driver sign the DD Form 626.

3. Complete the “Transport Equipment Delay Certificate” to show time and ____________ date(s) carrier arrived and departed and reason(s) thereof. This form must be signed by both the driver and the loading personnel.

4. Check for leaks at each valve, plug and weld using a vapor leak detector. Check _____________ for leaks before and after cylinder is loaded on the transport vehicle. Ensure any product spill is washed off.

5. Ensure that valves and plugs on each cylinder are secure. _____________

6. Verify if bonnet is properly secured. _____________

7. Ensure that each cylinder is properly marked, labeled, color-coded and _____________ the carrier van is placarded as stipulated below:

Marking: Dinitrogen Tetroxide, UN1067

Labeled: Poison Gas with subsidiary risks Oxidizer and Corrosive

Placards: Poison Gas with subsidiary risks Oxidizer and Corrosive

Color Coded: Brown and Green band (stripe) on the top part of the cylinder

8. Verify that two drivers are assigned to each vehicle and ensure trailer is a closed van. _____________

9. _____________ Ensure drivers are informed of characteristics of material being transported and procedures to follow in the event of an emergency (Telephone numbers annotated on shipping papers (CBLs), ERG are attached to shipping papers).

10. Cylinders are blocked and braced in van before departure. ____________ ____________

Driver Shipper

11. Ensure cylinders are shipped in accordance with DOT-SP 14333 as applicable. ____________

12. Ensure a current copy of DOT-SP 14333 is aboard the motor vehicle, as applicable to the shipment. ____________

7 July 2015

CORRECTIVE ACTIONS AND REPORTING PROCEDURES:

1. Immediately report any cylinder discrepancy by calling the Transportation Point of Contact (POC)

Joseph. Bresnok 210-925-4656 or 210-413-0911. If there is a cylinder discrepancy, note the reasons why and immediately notify the Transportation POCs. No corrective action is to be taken to repair the cylinders without prior approval from the Transportation POCs.

2. Provide a “Report of Shipment” by telephone to the Transportation POC on the date action occurs.

3. A copy of this completed checklist shall be provided to DLA Energy prior to releasing the drivers by one of the following options.

MAIL TO: DLA-QEMC

1014 Billy Mitchell Blvd, Bldg 1621

San Antonio, TX 78226

FAX TO: (210) 925-8048 or ALTERNATE FAX: (210)925-1319

EMAIL TO: joseph.brersnok@dla.mil

4. Please include copies of the signed CBL including Page 2, Signature & Talley (DD Form

1907), completed DD Form 626 and H14.

5. In addition, a copy of this checklist must be retained at the inspection facility for at least two years.

7 July 2015

COLOR-CODING:

1. Contractor shall ensure that all government owned cylinders are color-coded. Color-coding shall apply to the over pack as well as the cylinder. Colors shall conform in hue, value, and chrome to the requirements identified by numbers specified in Federal Standard No. 595, or substantially equal colors. The color codes for dinitrogen, tetroxide shall be as follows:

Primary Warning Color Secondary

BROWN GREEN

Brown, No. 10080 Toxic and Poisonous liquids. All liquid propellants extremely hazardous to life or health under normal conditions as toxic or poisons, predominantly by inhalation.

Green, No. 14260 Oxidizing liquids. All liquid propellants which readily furnish oxygen combustion and fire producers which react explosively or with the evolution of heat in contact with may other materials.

1.a. A primary color warning is the color assigned to the class into which the product is classified in accordance with its primary hazard from a safety standpoint. The color appears as the top color band on the container.

1.b. A secondary color warning is the color assigned as a warning of a secondary hazard possessed by the product having a type hazard distinctly different from that identified by its primary color warning.

This color appears as the next lower color band on the container.

1.c. Bands shall be located on the top of the cylindrical portion of the container perpendicular to the longitudinal axis entirely around the container whenever feasible. When not feasible due to location of valves, vents, ports, etc., the color bands shall extend around the containers as far as it is feasible.

1.d. Color code stripes on over pack containers indicating primary hazard and secondary hazard shall be applied at two diagonally opposite corners on the upper one-third portion of the sides (or ends and sides, as applicable) and parallel to the top of such containers. Their width shall be between 1 ½ and 2 inches and extend 4 inches along each adjacent side (or end and side, as applicable).

1.e. When possible, coloring media whose properties are compatible with dinitrogen, tetroxide shall be used for color-coding. Any property, which is toxic, flammable, anesthetic, corrosive, or explosive in contact with the contents of the container, shall be considered incompatible.

Transportation Checklist No. 21

7 July 2015

INSPECTION CHECKLIST FOR DINITROGEN TETROXIDE IN DOT 110 CYLINDERS

AT RECEIVING ACTIVITIES

1. Complete the destination portion of the DD Form 626 “Motor Vehicle Inspection

(Transporting Hazardous Materials)”. Initials

2. Complete the, “Transport Equipment Delay Certificate” to show ime and date carrier tarrived and departed and reason(s) thereof. This form must be signed by both the driver and the loading personnel.

3. Within two (2) workdays after cylinders are received check each valve and welds for leaks using appropriate means.

4. Verify each cylinder is properly marked, labeled, color-coded and the carrier van is placarded as stipulated below:

Marking: Dinitrogen Tetroxide, UN1067 Labeled: Poison Gas with subsidiary risks Oxidizer and Corrosive

Placards: Poison Gas with subsidiary risks Oxidizer and Corrosive

Color Coded: Brown and Green band (stripe) on the top part of the cylinder

Emergency Response Guide (ERG): 124

5. Verify that the drivers have a copy of DOT-SP 14333 for DLA Energy DOT 110 cylinder(s) as applicable to the shipment and that two drivers were assigned.

CORRECTIVE ACTIONS AND REPORTING PROCEDURES:

Immediately report any cylinder discrepancy by calling the Transportation Point of Contact (POC)

Joseph Bresnok 210- 925-4656 or cell 210-413-0911. If there is a cylinder discrepancy, note the reasons why and immediately notify the Transportation POC. No corrective action is to be taken to repair the cylinders without prior approval from the Transportation POC.

Provide a “Report of Shipment” by telephone to the Transportation POC on the date action occurs.

A copy of this completed checklist shall be provided to DLA Energy prior to releasing the drivers by one of the following options.

2.a. MAIL TO: DLA-QEMC 1014 Billy Mitchell Blvd, Bldg 1621

San Antonio, TX 78226-1859

2.b. FAX TO: (210) 925-8048 or ALTERNATE FAX: (210)925-1319

2.c. EMAIL TO: Joseph Bresnok 210-925-4656 or 210-413-0911

Please include copies of the signed CBL including Page 2, Signature & Talley (DD Form 1907), checklist, DD Form 626 and H14.

In addition, a copy of this checklist must be retained at the inspection facility for at least two years.

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POTENTIAL HAZARDS

HEALTH

• TOXIC; may be fa ta l i f inhaled or absorbed through sk in .

• F i re wi l l produce i r r i ta t ing, corros ive and/or tox ic gases.

• Contact wi th gas or l iquef ied gas may cause burns, severe in jury and/or f rostb i te.

• Runoff f rom f i re control may cause pol lut ion.

FIRE OR EXPLOSION

• Substance does not burn but wi l l support combust ion.

• Vapors from l iquef ied gas are in i t ia l ly heavier than air and spread along ground.

• These are s t rong ox id izers and wi l l react v igorous ly or exp los ive ly w i th many mater ia ls including fuels.

• May ignite combustibles (wood, paper, oi l , clothing, etc.).

• Some wi l l react v io lent ly wi th a i r , mois t a i r and/or water .

• Cyl inders exposed to f i re may vent and re lease tox ic and/or corros ive gas through pressure re l ie f devices.

• Conta iners may explode when heated.

• Ruptured cy l inders may rocket .

PUBLIC SAFETY

• CALL Emergency Response Telephone Number on Shipping Paper f i rs t . I f

Shipping Paper not avai lable or no answer , re fer to appropr ia te te lephone number l is ted on the ins ide back cover .

• As an immediate precaut ionary measure, isolate spi l l or leak area for at least 100 meters (330 feet) in al l direct ions.

• Keep unauthor ized personnel away.

• Stay upwind.

• Many gases are heavier than a i r and wi l l spread a long ground and col lect in low or conf ined areas (sewers, basements, tanks) .

• Keep out of low areas.

• Venti late closed spaces before entering.

PROTECTIVE CLOTHING

• Wear posit ive pressure self-contained breathing apparatus (SCBA).

• Wear chemical protect ive c lothing that is speci f ical ly recommended by the manufacturer.

I t may provide l i t t le or no thermal protect ion.

• Structural f i ref ighters' protect ive clothing provides l imited protect ion in f i re si tuat ions

ONLY; i t is not ef fect ive in spi l l s i tuat ions where di rect contact wi th the substance is possible.

EVACUATION

S p i l l

• See the Table of Ini t ial Isolat ion and Protect ive Act ion Distances.

F i r e

• I f tank, ra i l car or tank t ruck is involved in a f i re, ISOLATE for 800 meters (1/2 mi le) in a l l d i rect ions; a lso, consider in i t ia l evacuat ion for 800 meters (1/2 mi le) in a l l d i rect ions.

GASES - TOXIC AND/OR CORROSIVE - OXIDIZING

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EMERGENCY RESPONSE

FIRE

Smal l F i res: Water on ly ; no dry chemica l , CO 2 o r Ha lon ® .

• Contain f i re and let burn. I f f i re must be fought, water spray or fog is recommended.

• Do not get water inside containers.

• Move conta iners f rom f i re area i f you can do i t wi thout r isk.

• Damaged cy l inders should be handled only by specia l is ts .

Fire involv ing Tanks

• Fight f i re f rom maximum distance or use unmanned hose holders or moni tor nozzles.

• Cool containers with f looding quant i t ies of water unt i l wel l af ter f i re is out.

• Do not d i rect water a t source of leak or safety dev ices; ic ing may occur .

• Withdraw immediate ly in case of r is ing sound f rom vent ing safety devices or discolorat ion of tank.

• ALWAYS stay away f rom tanks engul fed in f i re.

• For massive f i re , use unmanned hose holders or moni tor nozzles; i f th is is impossib le, withdraw from area and let f ire burn.

SPILL OR LEAK

• Fully encapsulating, vapor protective clothing should be worn for spil ls and leaks with no fire.

• Do not touch or walk through spil led material.

• Keep combustibles (wood, paper, oi l , etc.) away from spil led material.

• Stop leak if you can do it without r isk.

• Use water spray to reduce vapors or divert vapor cloud drift. Avoid allowing water runoff to contact spil led material.

• Do not direct water at spil l or source of leak.

• If possible, turn leaking containers so that gas escapes rather than l iquid.

• Prevent entry into waterways, sewers, basements or confined areas.

• Isolate area unti l gas has dispersed.

• Venti late the area.

FIRST AID

• Move vict im to fresh air. • Call 911 or emergency medical service.

• Give art i f ic ia l respirat ion i f v ict im is not breathing.

• Do not use mouth- to-mouth method i f v ic t im ingested or inhaled the substance;

give ar t i f ic ia l respirat ion wi th the a id of a pocket mask equipped wi th a one-way valve or other proper respiratory medica l device .

• Administer oxygen i f breathing is di f f icul t .

• Clothing frozen to the skin should be thawed before being removed.

• Remove and isolate contaminated clothing and shoes.

• In case of contact wi th substance, immediate ly f lush sk in or eyes wi th running water for at least 20 minutes.

• Keep v ic t im warm and quiet . • Keep v ic t im under observat ion.

• Effects of contact or inhalat ion may be delayed.

• Ensure that medical personnel are aware of the mater ia l (s) involved and take precaut ions to protect themselves.

GASES - TOXIC AND/OR CORROSIVE - OXIDIZING