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CERS Consolidated Emergency Response/Contingency Plan <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): C 1 1 <br /> E] 1.VERBAL WARNINGS; 2.PUBLIC ADDRESS OR INTERCOM SYSTEM; E 3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; F!]6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY(Check all that apply): C 12 <br /> ❑ 1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; [J 3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> <br /> <br /> <br /> <br /> . <br /> D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES <br /> Check the applicable boxes to indicate your facility's procedures for containing spills and preventing and mitigating releases,fires and/or explosions. <br /> DI. <br /> Q 1. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; <br /> El 2. PROVIDE STRUCTURAL PHYSICAL BARRIERS(e.g.,Portable spill containment walls,built-in berms); <br /> 3. PROVIDE ABSORBENT PHYSICAL BARRIERS(e.g.,Pads,spill pigs,spill pillows); <br /> 4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; <br /> ❑5. LINED TRENCH DRAINS AND/OR SUMPS; <br /> [_16. AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> F!]7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br /> [j]8. STOP PROCESSES AND/OR OPERATIONS; <br /> F!]9. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> [E] 10.SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; <br /> 0 11.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> El 12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br /> F!] 13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br /> 0 14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br /> ❑ 15.REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br /> [E] 16.HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; <br /> ❑ 17.USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT; <br /> ❑ 18.VACUUM SUCTION USING APPROPRIATE VACUUM(e.g.,Intrinsically safe)FOR SPILL CONTROL AND/OR CLEANUP; <br /> El 19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; <br /> [j]20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; <br /> [121.OTHER(Specify): D2. <br /> E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNAL(S)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): EI. <br /> ❑ 1. BELLS; El <br /> E 2. HORNS/SIRENS; <br /> E 3. VERBAL(i.e.,Shouting); <br /> [14. OTHER(Specify): <br /> THE FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(e.g.,Parking lot,street corner): E3 <br /> Primary assembly area:Entrance Gate--Alternate assembly areas:Exit Gate or Track Gate. <br /> Note:The Emergency Coordinator must account for all onsite employees and visitors after evacuation. <br /> EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS: E4 <br /> Q I.WRITTEN PROCEDURES DESCRIBING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> ❑2.EVACUATION MAP(S)DEPICTING ROUTES,EXITS,AND ASSEMBLY AREAS; <br /> ❑3. OTHER(Specify): E5. <br /> Note:Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan. <br /> F. ARRANGEMENTS FOR EMERGENCY SERVICES <br /> ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES(Check one of the following): F i <br /> ❑ 1. HAVE BEEN DETERMINED NOT NECESSARY; <br /> 2. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify): NFPA sign&Knox-box posted at both entrances.Information has been F2 <br /> provided to local Fire Dept,of all Hazardous Materials on site. <br /> Note:Advance arrangements with local fire and police departments,hospitals,state and local emergency response teams,and/or emergency services <br /> contractors should be made for your facility,if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan. <br /> Rev.03/07/17 Page 2 of 4 <br />