AMMONIA RELEASE REPORTING GUIDELINES - Salinas Valley ...

More documents

Recommendations

Info

AMMONIA RELEASE REPORTING GUIDELINES ALL FACILITIES Significant Release SIGNIFICANT AMMONIA RELEASE EVACUATE ROOM OR AREA NOTE: Applies to all areas! (All personnel who do not have the appropriate PPE or emergency response training) NOTE: If the administering and responding agencies are familiar with the facility policies and personnel, downtime may be minimized. Activate Facility Emergency Response Plan. Consider Life Safety, Alert your Response team, Notify 911, Contain the release and Evacuate upwind or Shelter in Place. REPORT TO LOCAL CUPA DIAL 911 REPORT TO STATE OES DIAL 1-800-852-7550 IF OVER 100 LBS IS RELEASED IN 24 HRS OR IF ANY SIGNIFICANT AMOUNT GOES OFFSITE REPORT TO NRC DIAL 1-800-424-8802) After release mitigated, in consultation with the Incident Commander and CUPA or administering agency, reenter evacuated areas. Document re-entry on Form EPR-2 Disclaimer: This table is intended to comply with OES requirements as defined in the OES Booklet California Hazardous Material Spill/Release Notification Guidance and Monterey County Health Dept. interpretation. Defer to OES requirements if there is a discrepancy.
FORM: EPR-1 EMERGENCY NOTIFICATION INFORMATION TO HAVE WHEN MAKING THE REPORT CALLS 1. Your Name: 2. Date: 3. Company/Responsible Operation Name: 4. Site Address: 5. Duration of the release (not total time of incident but total spill time): 6. Medium or Media: AIR WATER GROUND 7. Number of injured (if any): 8. Number hospitalized (if any): 9. Number of persons evacuated from neighboring facilities or residences (if any) 10. Estimate the quantity lost. From most equipment, relief valves are set at less than 60 Lb per minute of Ammonia (equivalent to 81 Lb per minute of Air) release rate). A rough estimate would be 1 Lb per second of ammonia released. (Field verify for greater accuracy) ____________Seconds X 1 LB/Second = ________________ Lb Approximate Quantity Released. 11. Do you have a completed Form EPR-2 in hand? MAKE THE FOLLOWING CALLS 12. Document the name of person on the other end of the telephone line. • State Office of Emergency Services (OES) (1-800-852-7550) • Name: Date: Time Case # • Local Administering Agency (AA / CUPA) (831 755 4511 – Monterey County) Name: Date: Time Case # • National Response Center: (1-800-424-8802) Name: Date Time Case (Standard Form used with permission of WPS) DISCLAIMER: This form is intended to serve as a reference for facility personnel in their development of facility reporting policy
Page 1 and 2: AMMONIA RELEASE REPORTING GUIDELINE
Page 7: Any employee that expresses discomf
Page 11: Important Contacts: Specialists and

AMMONIA RELEASE REPORTING GUIDELINES - Salinas Valley ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?