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MONSANTO COMPANY TRANSPORTATirN ACCIDENT EMERGENCY CHECK SHEET
PLAINTIFFS I EXHIBIT
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NOTE: Get information only. Don't give advice unless authorized by plant
manager.
PRODUCT
1. Person Calling_____________________________________________________________________
2. His Position and Company_________________.
3. Location of Party Calling___________________________________________________________
4. Telephone Number
-:
______________';
5. Material Emission - Liquid Vapor
6. Nature of Emergency^_______ - ~ ------------ ------------------ - __________;
7. Extent of Emergency - Fire Explosion Dhmage
8. Physical.;Location-_of Emergency
A. Pipeline Right-Of-Way Marker No. _ ,, .
'
B. Is Location Near
1) RR Line
---------------2)--Waterway- 3) Highway -
4) Homes ......................................-______________________________________________
5) Well-Travelled Highway
""
~
________
6) Near Open Area(Well Travelled)________________________________
7) Near Open Area(Not Well Travelled)__________________________________________
8) Town
9. Cause-of Emergency________________________________________- ___________________
10. Name of Carrier If Not Monsanto Owned________________________________
11. Have local police, state police and fire departments been informed of
hazard?______________________________________________
12. Are local authorities taking action to keep area clear of people and
vehicles?__________
13. Is assistance from Monsanto required?________________________________
14. Other useful information _______________________________________________
15. If Monsanto needs further information who can we call?
Name Phone City
Date of Call_______________________________________________ Time____________
16. Information Received by (Name)______________________________________________ (Time)(Date)
17. Notification:
Time
Date
Distribution
.;_______
________________
Shift Coordinator
_____________________
________________
Scheduling
_____________________
______________
Safety
_____________________
________________
28. Action taken
i-r3~ ---------------
20451
SAFETY PROCEDURE MANUAL
MONSANTO COMPANY
SP-023
CHOCOLATE BAYOU PLANT
MONSANTO COMPANY TRANSPORTATION ACCIDENT
EMERGENCY CHECK SHEET
NOTE: Get information ONLY. Don' t give advice unless authorized by plant manager
1. Person calling
2. His position & company
3. Location of party calling
4. Telephone number
5. Type Container: Pipeline Tank Truck
Barge Drum
Tank Car
6. Material
7. Natuure of emergency
8. Who is carrier's representative in charge?
Name________________________________________ Phone No.
9. Have local police, state police and fire departments been informed of hazard?
10. Are local authorities taking action to keep area clear of people and vehicles?
11. Location of emergency: RR Line Waterway Highway_________________________________
12. Is accident near homes?____________________________________
13. Is accident near well-traveled highway?____________ 14. Is accident near open area (well-traveled)?______ 15. Is accident near open area (not well-traveled)?
6113 20452
ORIGINAL
//
ISSUE __1^9 "3 By F.H.Dupre
I REVISED / / By_________________ PAGE 4 OF 6REVIEWED 4/1/77 B&*. L. Thompson ATTACHMENT
SAFETY PROCEDURE MANUAL
MONSANTO COMPANY
MONSANTO COMPANY TRANSPORTATION ACCIDENT
EMERGENCY CHECK SHEET
16. Is accident near town?_______________________________ 17. Does carrier need assistance from Monsanto? 18. Other useful information
SP-028
CHOCOLATE BAYOU PLANT
19. If Monsanto needs further information whom can we call? Name___________ Phone City
20. Date of call Time of call Information received by________________________________________________
Plant Manager Notified:
Date: Time:
Distribution Supervision Notified: Date: Time:
ORIGINAL ISSUE
/ 9/6 3 By F. H. Dupre
6113 20453
REVISED / / By____________________ PAGE 5 OF 6
REVIEWED 4/1/7 7 By F.L. Thompson ATTACHMENT