Laserfiche WebLink
CERS Consolidated Emergency Response/Contingency Plan <br /> INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY(Check all that apply): C11. <br /> ❑1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> NOTIFICATIONS TO NEIGHBORING FACILITIES THAT MAY BE AFFECTED BY AN OFF-SITE RELEASE WILL OCCUR BY(Check all that apply): C2. <br /> ❑1.VERBAL WARNINGS; ❑2.PUBLIC ADDRESS OR INTERCOM SYSTEM; ❑3.TELEPHONE; <br /> ❑4.PAGERS; ❑5.ALARM SYSTEM; ❑6.PORTABLE RADIO <br /> EMERGENCY COORDINATOR CONTACT INFORMATION: C13. <br /> PRIMARY EMERGENCY COORDINATOR NAME: PHONE NO.: PHONE NO.: <br /> ALTERNATE EMERGENCY COORDINATOR NAME: PHONE NO.: PHONE NO.: <br /> ❑Check if additional Emergency Coordinator contact and address information is available onsite or by calling PHONE NO.: <br /> Note:If more than one alternate emergency coordinator is designated,attach a list in order of responsibility. <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 /> Dl. <br /> ❑1. MONITOR FOR LEAKS,RUPTURES,PRESSURE BUILD-UP,ETC.; <br /> ❑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 /> ❑6. AUTOMATIC FIRE SUPPRESSION SYSTEM; <br /> ❑7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS; <br /> [:18. STOP PROCESSES AND/OR OPERATIONS; <br /> ❑9. AUTOMATIC/ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM; <br /> [110.SHUT OFF WATER,GAS,ELECTRICAL UTILITIES; <br /> ❑11.CALL 9-1-1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; <br /> ❑12.NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; <br /> ❑13.ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; <br /> ❑14.PROVIDE PROTECTIVE EQUIPMENT FOR ON-SITE EMERGENCY RESPONSE TEAM; <br /> ❑15.REMOVE CONTAINERS AND/OR ISOLATE AREAS; <br /> ❑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 /> ❑19.DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; <br /> ❑20.PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; <br /> ❑21.OTHER(Specify): D2. <br /> E. FACILITY EVACUATION <br /> THE FOLLOWING ALARM SIGNALS)WILL BE USED TO BEGIN EVACUATION OF THE FACILITY(Check all that apply): Et. <br /> ❑1. BELLS; E2. <br /> ❑2. HORNS/SIRENS; <br /> ❑3. VERBAL(i.e.,Shouting); <br /> ❑4. OTHER(Specify): <br /> THE FOLLOWING LOCATION(S)WILL BE USED FOR AN EMERGENCY ASSEMBLY AREA(S)(e.g.,Parking lot,street comer): E3. <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: Fs. <br /> ❑1.WRTPI'EN 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): Ft. <br /> ❑1. HAVE BEEN DETERMINED NOT NECESSARY; <br /> [12. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE(Specify): F2• <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 Generator must describe arrangements in the Contingency Plan. <br /> Rev.03/07/17 Page 2 of 4 <br />