HAZMAT PLAN HAZMAT POSITIONS
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1 HAZMAT PLAN HAZMAT POSITIONS HAZMAT BRANCH The following is the role of the Hazmat Branch Saginaw Fire Department Hazardous Materials Team The Hazmat Branch is composed of the following functional positions IC - Hazmat Branch - Hazmat Safety - Entry Group - Hazmat EMS - Decon Group - Research Group - 1
2 HAZMAT Hazmat Branch Command (designation Hazmat) Provides Command of the entire Hazmat Branch Including: 1. Coordination and Recommendation with the IC after obtaining briefing from the IC 2. Provide strategic and tactical command within the Branch including assessment of first responder actions and zones and recommend appropriate modifications to the IC 3. Provide assistance and coordination with the local authorities 4. Work with hazmat groups to determine and implement appropriate plan of action 5. Insure Completion of Incident Reports, Plan of Action Form, and Notification Form 6. Assures the Site Safety Plan is maintained and documented a. Ensure the Site Safety Plan is completed and implemented b. Ensure pre-entry briefing and safety assessment are performed prior to any entry into the hot zone c. Ensure that appropriate PPE, decontamination and EMS actions are chosen and used. With the assistance of the other involved agencies, assures appropriate recovery and termination activities are completed including; a. Review and oversight of on scene and operational recovery b. Post incident and debriefing c. Hazard communication debriefing d. Critique e. Completion of the after action report and follow up 2
3 PLAN OF ACTION Incident Number Prepared by: ISOLATION: [] Establish Perimeter [] Establish Zones [] Deny Entry [] Initial Public Protection [] Withdrawal NOTIFICATION: [] Notify Appropriate Authorities [] Notify Hazmat [] Request Mutual Aid [] Contact CHEMTREC [] Contact NRC [] Provide Status Report [] Establish Staging IDENTIFICATION: [] Use Documentation [] Placards and Labels [] Reconnaissance [] Interview [] Review Plans [] Monitoring PROTECTION: [] Decontamination [] PPE [] Secondary Evacuation / In Place [] EMS and First Aid [] Safety Assessment [] Pre-entry Briefing [] Pre-entry Medical Monitoring SPILL CONTROL [] RELEASE TYPE, [] GAS/AIR, [] LIQUID/SURFACE, [] LIQUID/WATER, [] SOLID/SURFACE GAS/AIR [] Ventilation [] Dispersion [] Dissolution [] Blanketing 3
4 LIQUID / SURFACE; [] Diking [] Absorption [] Adsorption [] Retention [] Neutralization LIQUID/WATER; [] Damming [] Diversion [] Booming [] Absorption SOLID/SURFACE [] Blanketing LEAK CONTROL [] Remote Shut-offs [] Emergency Shut-off [] Plugging [] Patching [] Product Transfer [] Over-pack [] Crimping [] Other FIRE CONTROL [] Extinguishment [] Controlled Burn [] Exposure Protection Specify [] Withdrawal RECOVERY TERMINATION [] Clean-Up Oversight [] Product Transfer Oversight [] Container Righting/Removal [] Release of Callbacks/Mutual Aid [] Debriefing [] Hazcom [] Critique [] After Action Analysis [] After Action Report [] After Action Follow-up PREPARED BY DATE 4
5 NOTIFICATION SHEET INCIDENT # PREPARED BY. INCIDENT LEVEL [] Level I, [] Level II, [] Level III, [] Level IV Notifications Initiated by First Responders Prior to Arrival [] TX DOT, [] SFD, [] EMS, [] SPD, [] CHEMTREC, [] EMO Additional Notifications Required (requested through OPS or IC) [] Fire; specify [] EMS; specify [] PD; specify [] Other; specify [] TNRCC, [] Federal Rail Administration, [] FAA CONTACT NUMBERS; [] CHEMTREC, [] SPD [] ENVIRONMENTAL MANAGEMENT Notify public works during buisness hours; after hours notify SPD for on call person [] TEXDOT ( , ) [] TNRCC ( ) [] Burlington Northern and Santa Fe Railway ( ) [] Union Pacific Railway ( ) Federal Agencies when applicable [] DOT National Response Center ( ) [] Federal Aviation Administration ( ) [] Federal Railroad Administration ( ) [] Department of Defense DOD- ( ) EMO/Office of Emergency Management (Notify Saginaw Fire Marshal) [] General Notification [] Public Protection Needed [] Activation of CD sirens [] Activation of EBS [] Poison Control Center ( ) 5
6 [] Center for Disease Control CDC ) [] Agency for Toxic Substances and Disease Registry,ATSDR, ( ) [] EMS Council ( ) [] SHIPPER Number Time. Contact Person. [] CARRIER Number Time. Contact Person. [] MANUFACTURER Number Time. Contact Person. CHEMTREC DATA SHEET ( ) 6
7 Caller s Name Call Back Number INCIDENT DATA Parties Involved Carrier Shipper Consignee Manufacturer Facility Owner/Operator Responsible Party Type of Incident Transportation [] Highway [] Rail [] Air [] Water [] Pipeline Fixed Specify Nature of the Incident Location Time: Weather Sky Precip. Humidity Wind Speed Wind Dir. Products Involved Name UN ID CAS Name UN ID CAS Name UN ID CAS Containers Type Identification Numbers SAGINAW FIRE DEPARTMENT 7
8 HAZMAT INCIDENT REPORT FORM INCIDENT NUMBER PREPARED BY. TIMES Dispatch Time, Return to Service Time: Initial Response Companies Additional Companies INCIDENT LOCATION Fire Department or District Facility Name or Street Address Address RESPONSIBLE PARTY/S Name Address Telephone Number Driver Tractor Lic Number and State VIN Number Fleet / Owner Number Tractor Lic Number and State VIN Number Fleet / Owner Number Additional Information NATURE OF THE PROBLEM TRANSPORTION [] Vehicle Accident, [] Rail Accident, [] Pipeline, [] Air, [] Terrorism FIXED FACILITY [] Residential, [] Production, [] Shipping, [] Health Care, [] Bulk Storage, [] Mercantile, [] Agricultural, [] Educational, [] Assembly, [] Motel, Hotel PROBLEM ACTIONTAKEN 8
9 SUBSTANCE/S INVOLVED [] Gasoline, [] Diesel Fuel, [] Fuel Oil, [] Natural Gas [], Propane [], Other PPE REQUIRED Intervention Thermal []Bunker Gear, [] Bunker Gear with Splash, [] Proximity Chemical / Etiologic [] Level A, [] Level B, [] Level C, [] Level D Decon Thermal []Bunker Gear, [] Bunker Gear with Splash, [] Proximity Chemical / Etiologic [] Level A, [] Level B, [] Level C, [] Level D EQUIPMENT / MATERIALS USED AND FOR BILLING Absorbent and Quantity [] Pads [] Booms [] Clay []Other. Adsorbent Specify Gloves; Specify Chemical Protective Equipment Specify Other Diagram of Scene: (use back if necessary) 9
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