Document e7oxeBB5JQ7X99KjBz276eLMm
1996 CONSOLIDATED AUDIT HAZARDOUS MATERIALS TRANSPORTATION REVIEW
TEAM LEADER - HELEN CAUSEY FUNCTIONAL LEADERS - DEAN SMITH
DO A 043051 CONFIDENTIAL
Hazardous Materials Transportation Review HMTR Questionnaires
Review Date
9/10/96
Location/Division: LAD
Plant/Facilitv:
Chlorine
Plant Address:
Superintendent: (Process leader)
Major Author:
J.J. Hiemenz Helen Causev
Review Team Members: Dean Smith. Helen Causev. Wallv Cutrer. Todd Boken
Chemicals Reviewed: Chlorine Sulfuric Acid
DRI:
This document has been developed solely for use within The Dow Chemical Company, and is thus marked as "Dow Restricted". Sharing of this document with persons not employed by or affiliated with The Dow Chemical Company must be cleared through the North America Safety, Loss Prevention, and Security Department.
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HMTR Questionnaires
Introduction Purpose
This collection of questionnaires is a part ofthe Review Package for the Hazardous Materials Transportation Review (HMTR) which will be discussed in the Formal Review during die Consolidated Audit. Complete only the questionnaires that apply to your plant.
To provide a basis for discussion, at the Formal Review, of the plant's awareness and understanding of its distribution responsibilities.
Responsibility
Deciding which questionnaires to complete
The plant superintendent/process leader is ultimately responsible for completing the questionnaires and distributing them when completed. The superintendent/process leader may designate a knowledgeable person to complete and distribute the questionnaires.
Use this table to decide which questionnaires you must complete.
If you... Are preparing for a HMTR
Then Till in the...
Emergency Response Questionnaire and Equipment Construction Questionnaire
AND...
If you...
Then fill in the...
Ship bulk materials
Outbound Bulk Questionnaire
Receive purchased materials
Inbound Bulk Questionnaire
Ship or receive materials by marine vessel Marine Questionnaire
Ship bulk waste materials
Waste Questionnaire
What to do with the completed questionnaire
Distribute to the appropriate Review Committee members, at least three weeks prior to the Consolidated Audit.
Note: Contact your HMTR focal point for the names and numbers of copies to distribute.
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Hazardous Materials Transportation Review HMTR Questionnaires
Name of Material
A *= based on government regulations, corporate minimum requirements, and area/division safety standards. B = based on established good practices, internal and external guidelines, and to stimulate discussion or training. C = based on identifying hazards and hazard mitigation.
EMERGENCY RESPONSE QUESTIONNAIRE
Resource - Operations, Distribution Emergency Response, Site Emergency Services
Responsible Care Distribution Code compliance for Element 5.1 B 1. Who are the Dow "Knowledgeable Plant Contacts" (KPCs) for an en route emergency?
Name Wally Cutrer Name Glenn Wisdom Name
24 Hr Phone 504-353-8443 24 Hr Phone 504-353-8443 24 Hr Phone
Name
24 Hr Phone
Responsible Care Distribution Code compliance for Element 5.1 B 2. How do you document that these contacts are trained and familiar with their role in a distribution
emergency response?
Dow training records
Responsible Care Distribution Code compliance for Element 5.1 B 3. Are E/R responders with HAZMAT Technician or NFPA Level A training available to respond to
transportation emergencies with your material?
Yes [ x ]
No [ ]
Not Apply
[]
Responsible Care Distribution Code compliance for Element 5.1 B 4. For purchased materials, who are "knowledgeable" contacts for an en route emergency?
Supplier Name : Sulfuric Acid/Cytec / Joan Adair 24 Hr Phone: 1-800-537-2649
Supplier Name________________________
24 Hr Phone
B 5. Are ALL inbound raw materials F.O.B. Dow? (i.e, Dow accepts ownership when it arrives at Dow's gate.)
Yes [ x ]
No [ ]
Not Apply
[]
Responsible Care Distribution Code compliance for Element 5.2 B 6. Do the plant's KPCs have a Distribution Emergency Response (E/R) information packet, notebook, or
briefcase for the materials both shipped and received by the plant?
Yes [ x ] No [ ]
If" No", why not?_______________ _________ ______ ___
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Hazardous Materials Transportation Review HMTR Questionnaires
Name of Material____________________________________________ ,_______________________________
A = based on government regulations, corporate minimum requirements, and area/division safety standards. B = based on established good practices, internal and external guidelines, and to stimulate discussion or training. C - based on identifying hazards and hazard mitigation.
EMERGENCY RESPONSE QUESTIONNAIRE
Responsible Care Distribution Code compliance for Element 5.2 C 7. What special properties of your material should be made known?
___ DOT Corrosive, Poison
Responsible Care Distribution Code compliance for Element 5.2 C 8. What "specialized" equipment and/or resources would be necessary in a transportation incident?
Consider: Drager or GasTec sample pump and tubes, explosimeters, absorbent materials, neutralizers, materials of construction, and clean-up and disposal information.
C-Kit. Drager Tubes, neutralization techniques
Responsible Care Distribution Code compliance for Element 5.1 A 9. What system do you have to verily that the driver or conductor has the required papers and
emergency response information? Ref: 49 CFR 172.600 - 604
Provided bv railroad on shipping paperwork
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Hazardous Materials Transportation Review HMTR Questionnaires
Name of Material___________________________________
A = based on government regulations, corporate minimum requirements, and area/division safety standards. B = based on established good practices, internal and external guidelines, and to stimulate discussion or training. C = based on identifying hazards and hazard mitigation.
EQUIPMENT CONSTRUCTION QUESTIONNAIRE
Resource - Distribution Emergency Response, Distribution Regulatory Affairs, Tech Centers
t Care Distribution Code compliance for Element 4.1
the acceptable Dow or Department of Transportation (DOT) equipment specifications?
PTR 172 & 173, Global Hazardous Materials Distribution Guidelines, Distribution ; Standards
Not Known [ ]
Drum (like UN 1A1): ________________________
Not Apply [ ]
Cylinder (like DOT 3A): _____________________
Not Apply [ ]
Tank Truck (like MC 307); ___________________
Not Apply [ ]
IMO Bulk Tank (like IM 101): ________________
Not Apply [ ]
Rail Car (like DOT 111A100): _DOT 1005500W.
Not Apply [ ]
Other: ______ ______________________________
Not Apply [ ]
Responsible Care Distribution Code compliance for Element 4.1 A 2. Can this material be transported without requiring special local, state, or federal permits or approvals
(like: DOT Exemptions or special approvals)? Ref: 49 CFR 107 Subpart B
Yes [ x ]
No [ ]
If" No", please attach copies of the exemptions or approvals.
Responsible Care Distribution Code compliance for Element 4.1 A 3. How is the container material of construction verified for compatibility before loading?
Ref: 49 CFR 173.22
Dedicated fleets under direction of North American rail fleet organization
Responsible Care Distribution Code compliance for Element 4.1 C 4. How is the gasket material verified for compatibility before loading?
Plant Procedures/specifications
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Hazardous Materials Transportation Review HMTR Questionnaires
Name of Material_______________________ _____________________________________________
A = based on government regulations, corporate minimum requirements, and area/division safety standards. B = based on established good practices, internal and external guidelines, and to stimulate discussion or training. C = based on identifying hazards and hazard mitigation.
OUTBOUND BULK QUESTIONNAIRE
Resource - Manufacturing, Distribution/Traffic, Distribution Regulations, Industrial Hygiene, Product Tech Center, Distribution Emergency Response
C 1 Jh\st any special concerns for this material while in transit?
Like: Anhydrous HC1 - Extended time will result in excessive pressure.
Responsible Care Distribution Code compliance for Element 4.1
A 2. Do you have a process to verify?
49 CFR 171-174
Correct unit number
Yes [x] No [ J Not Apply [ ]
Correct DOT vehicle specification
Yes [x] No [ ] Not Apply [ ]
Container integrity
Yes [X] No [ ) Not Apply [ ]
Analysis of heels
Yes [] No [x ] Not Apply [ ]
Note: analysis not done, but process in place to investigate large heels
Final securement
Yes [x] No [ ] Not Apply [ ]
Carrier has appropriate personal protective equipment Yes [] No [ ] Not Apply [x ]
Responsible Care Distribution Code compliance for Element 3.1 B 3. Are you satisfied with the safety, service, and emergency preparedness of the companies transporting
your materials?
Yes [ x ] Yes [ ]
No [ ] No[ ]
Not Apply [ ] for Rail Not Apply [ x] for Truck
Responsible Care Distribution Code compliance for Element 3.2 B 4. Do you have a system to provide input to those evaluating carrier performance?
Yes [ x] Yes[ ]
No[ 1 No[ ]
Not Apply [ ] for Rail Not Apply [x ] for Truck
Responsible Care Distribution Code compliance for Element 2.3 B 5. For truck transportation, is product specific driver training provided by Dow personnel?
Yes [ ]
No [ ]
Not Apply [ x]
A 6. Has personal protective equipment required for loading this product been tested or approved by the Industrial Hygiene Department? Ref: 29 CFR 1910.133-134
Yes [ x ]
No [ ]
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Hazardous Materials Transportation Review HMTR Questionnaires
Responsible Care Distribution Code compliance for Element 4.2 A 7. Do you have a written procedure to prevent incompatible materials from being loaded on the same
vehicle or in adjacent compartments? Ref: 49 CFR 173.24(e)4 and Global Hazardous Materials Distribution Guidelines
Yes [ ]No[ ] Not Apply [x ]
for Rail
Yes [ ]No[ ] Not Apply [x]
for Truck
A 8. List the methods used to assure that the container is not overloaded: Ref: 49 CFR 173.24, 173.314
For Rail Scale with automatic cutoff]
For Truck ________________________________________________________ ________ Not Apply [ x ]
Responsible Care Distribution Code compliance for Element 4.2 B 9. Is the vapor space prevented from passing through the flammable range during loading?
Yes [ ] No [ ] Not Apply [ x ] for Rail
Yes [ ] No [ ] Not Apply [ x ] for Truck
C 10. Are only Dow personnel involved in loading this product?
Yes [ ] No [ x ] Not Apply [ ] for Rail
Yes [ ]No[ ] NotApply[x] for Truck
Responsible Care Distribution Code compliance for Element 2.3 B 11. Have non-Dow personnel been trained in the proper handling of this material?
Yes [ x ]
No [ ]
Not Apply [ ]
Responsible Care Distribution Code compliance for Element 2.3 A 12. How do you assure the non-Dow loader uses the proper protective equipment during the loading
operation? Ref: 29 CFR 1910.133 - 134
______Enforcement of operating procedures_______________________________
Not Apply [ ]
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Hazardous Materials Transportation Review HMTR Questionnaires
Responsible Care Distribution Code compliance for Element 2.3 C 13. How are special Dow procedures and requirements for specific products communicated to carriers?
(For example: we require dry disconnects for Epichlorohydrin.)
Responsible Care Distribution Code compliance for Element 2.4 B 14. Is there a documented process in place for determining and recording carrier compliance with
special procedures and requirements?
Yes [ ]No[ ] Not Apply [x] for Rail
Yes f ]No[ ] Not Apply [x] for Truck
Responsible Care Distribution Code compliance for Element 3.1 C 15. Do you decide which carriers will be used for your shipments?
Yes [ ] No [ ] Not Apply [ x ] for Rail
Yes [ ] No [ ] Not Apply [ x ] for Truck
If yes, how?__
If no, what is the process of identifying carriers for your shipments?
Responsible Care Distribution Code compliance for Element 4.4 C 16. Where are instructions for proper cleaning of distribution containers documented?
MSDS [ ]
TEDER [ ]
Product Handbook [ ]
Other_________
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Hazardous Materials Transportation Review HMTR Questionnaires
Name of Material
A - based on government regulations, corporate minimum requirements, and area/division safety standards. B = based on established good practices, internal and external guidelines, and to stimulate discussion or training. C = based on identifying hazards and hazard mitigation.
INBOUND BULK QUESTIONNAIRE
Responsible Care Distribution Code compliance for Element 4.3 - Whole section
Resource - Product Prime Buyer (through division Purchasing), Distribution Regulations, Distribution Emergency Response, Industrial Hygiene
B 1. Do you have a "system" to report supplier defects to the purchasing department?
Yes [ x ]
No [ ]
C 2. List any concerns you have for this material while in transit?
Like: Anhydrous HC1 - Extended time will result in excessive pressure.
A3. Has personal protective equipment required for unloading this product been tested or approved by the Industrial Hygiene Department? Ref; 29 CFR 1910.133-134
Yes [ x ] No [ ]
C 4. Are only Dow personnel involved in unloading this product in your plant?
Yes [ x ] No [ ]
A 5. Has the non-Dow unloader been trained in proper unloading procedures in your plant? Ref: 49 CFR 174.67 and 177.834
Yes [ ] No [ ] Not Apply [ x )
A 6. Who documents the training? _____
A 7. How do you assure the non-Dow unloader uses the proper protective equipment during the unloading operation? (Like: cooling tower chemicals, compressed gases, and other raw materials.) Ref: 29 CFR 1910.133 -134
_______ _______ ___________ ____________________________________________
Not Apply [ x ]
B 8. Is the material analyzed for positive identification before unloading begins?
Yes [x ]
No [ ]
B 9. Is the vapor space prevented from passing through the flammable range during unloading?
Yes [ x ]
No [ ]
Not Apply [ ]
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Hazardous Materials Transportation Review HMTR Questionnaires
t Name of Material
A *= based on government regulations, corporate minimum requirements, and area/division safety standards. B based on established good practices, internal and external guidelines, and to stimulate discussion or training. C * based on identifying hazards and hazard mitigation.
MARINE QUESTIONNAIRE -- Does
Resource - Marine Technology Center (Freeport, TX), Marine Chartering (Houston, TX), YoucJ&al Marine Dept.
C 1. Are Dow personnel the only ones directly involved with the marine transfer (loading/unloading) operations for the material being shipped into or out of your facility?
Yes [ ]No [ ]
A 2. If" No", how is training and/or licensing verified for the other people involved with the marine transfer? Ref: 46 CFR, Parts 10 and 12
A3. Is the training documented? Ref: 46 CFR, Parts 10 and 12
Yes [ ]No [ ] Not Apply []
B 4. Have the facilities of the department performing the transfer been audited via the Marine Tech Center or the Terminal Tech Center?
Yes [ ]No [ ]
Date of last Review
C 5. If "YES", attach a copy of the recommendations and response/action plans from the last Marine Tech Center or Terminal Tech Center audit.
Not Apply [ ] A 6. Does your facility Emergency Response Plan include contingency plans for marine emergencies
which comply with the Dow Marine E/R Guidelines. Ref: 33 CFR, Parts 150 and 154
Yes [ ]No [ ] If "NO", what are your plans to achieve compliance? A 7. Is your Marine E/R plan periodically tested? Ref: 33 CFR, Parts 150 and 154
Yes [ ] No [ ] Not Apply [ ] A 8. Is the testing of your Marine E/R plan documented? Ref: 33 CFR, Parts 150 and 154
Yes [ ]No[ ] Not Apply [ ]
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Hazardous Materials Transportation Review HMTR Questionnaires
Name of Material_____________________________________ __ _____________________________
A = based on government regulations, corporate minimum requirements, and area/division safety standards. B = based on established good practices, internal and external guidelines, and to stimulate discussion or training. C " based on identifying hazards and hazard mitigation.
MARINE QUESTIONNAIRE
B 9. Does the department responsible for loading check for the cleanliness and compi ship/barge tank prior to loading?
the
Yes [ ]No [ ]
C 10. Are compartments analyzed for "last contents," if you load on product heels.
Yes [ ]Nof ]
Responsible Care Distribution Code compliance for Element 4.2
All. Do you have a written procedure to prevent incompatible materials from being loaded on the same
vessel in adjacent tanks?
Ref. 46 CFR Part 150, Table 1
Yes [ ] No [ ]
A 12. List the methods used to assure that the vessel tank/container is not overloaded: Ref. 46 CFR 151.45-6,46 CFR 150.500
B 13. Is the vapor space prevented from passing through the flammable range during loading/unloading?
Yes [ ]No[ ] Not Apply [ ]
A 14. Are all personnel within the cargo area or involved in the cargo transfer (including sampling or measuring) required to use specified protective equipment and clothing? Ref: 46 CFR 150.455
Yes [ ) No [ ]
B 15. Has personal protective equipment, utilized by personnel working on behalf of Dow, been tested or approved by the Industrial Hygiene Department? (NOTE: Ships crew are not considered working on behalf of Dow.)
Yes [ 3 No [ ]
A 16. How are carrier personnel informed of the hazards of the material being transported? Ref: 46 CFR 150.500
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Hazardous Materials Transportation Review HMTR Questionnaires
Name of Material
A = based on government regulations, corporate minimum requirements, and area/division safety standards. B *= based on established good practices, internal and external guidelines, and to stimulate discussion or training. C *= based on identifying hazards and hazard mitigation.
WASTE QUESTIONNAIRE
Resource - Environmental Services, Environmental Operations
B 1. Has Environmental Services reviewed your materials within the last 3 years?
Yes [ ]No [ ] When?
B 2. What modes of transport are used to ship this material?
Package truck [ ] Bulk truck [ ] Vacuum truck [ ] Rail [ ] Other [ ]
C 3. Are only Dow personnel involved in loading/unloading this material?
Yes [ ] No [ ] Not Apply [ ] B 4. Have non-Dow personnel been trained in the proper handling of this material?
Yes [ ]No [ ] Not Apply [ ]
A 5. How do you assure the non-Dow unloader uses the proper protective equipment during the unloading operations? Ref: 29CFR 1910.133 - 134
______
Not Apply [ ]
A 6. Do you have a process to verify? Ref: 49 CFR 171-174
Correct unit number
Yes [] No [ ] Not Apply [ 1
Correct DOT vehicle/container specification Yes [] No [ ] Not Apply [ 1
Container integrity
Yes ] No [ ] Not Apply [ ]
Analysis of heels
Yes [] No [ ] Not Apply [ 1
Proper Blocking and Bracing
Yes [] No [ ] Not Apply [ ]
Final securement
Yes [] No ] Not Apply t ]
Marking, labeling, and placarding
Yes [] No [ ] Not Apply [ ]
B 7. Is the vapor space prevented from passing through the flammable range?
Yes [ ]No [ ] Not Apply [ ]
A 8. What process do you have to assure that container is not overloaded? Ref: 49 CFR 173.24 and 173.314
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