COMPLIANCE INFO_2018 - Laserfiche WebLink

Home Browse Search

i CFM Consolidated Emergency Response / Contingency Plan INTERNAL FACILITY EMERGENCY COMMUNICATIONS OR ALARM NOTIFICATION WILL OCCUR BY (Check all that apply): ell , (4 . VERBAL WARNINGS ; Pft PUBLIC ADDRESS OR INTERCOM SYSTEM; 14 3. TELEPHONE; ❑ 4. PAGERS; Fk . ALARM SYSTEM; JaOi. PORTABLE RADIO NOTIFICATIONS TO NEIGHBORING FACILITIES THAT' MAYBE AFFEC'T'ED BY AN OFF-SITE RELEASE WILL OCCUR BY (Check all that apply): C12. `K1 . VERBAL WARNINGS; �& 2. PUBLIC ADDRESS OR INTERCOM SYSTEM; 3. TELEPHONE; ❑ 4, PAGERS; 5. ALARM SYSTEM; 6, PORTABLE RADIO EMERGENCY COORDINATOR CONTACT INFORMATION: C13. PRIMARY EMERGENCY COORDINATOR NA\3E: PHONE NO . : �09 D PHONE NO. :/ ALTERNATE EMERGENCY COORDINATOR NAME. PHONE NO.2- .( *6HONE NO . : ❑ Check if additional Emergency Coordinator contact and address infomnation is available onsite or by calling PHONE NO . : Note: If more than one alternate emergency coordinator is designated, attach a list in order of responsibility. D. EMERGENCY CONTAINMENT AND CLEANUP PROCEDURES Check the applicable boxes to indicate your facility's procedures for containing spills and preventing and mitigating releases, fires and/or explosions. �1 , MONITOR FOR LEAKS, RUPTURES, PRESSURE BUILD-UP, ETC. ; Dl . 24 PROVIDE STRUCTURAL PHYSICAL BARRIERS (e.g., Portable spill containment walls, built-inn berms); �. . PROVIDE ABSORBENT PHYSICAL BARRIERS (e.g., Pads, spilt pigs, spill pillows); CK4. COVER OR BLOCK FLOOR AND/OR STORM DRAINS; CK5, LINED TRENCH DRAINS AND/OR SUMPS ; W. AUTOMATIC FIRE SUPPRESSION SYSTEM; (&7. ELIMINATE SOURCES OF IGNITION FOR FLAMMABLE HAZARDS ; 048. S'T'OP PROCESSES AND/OR OPERATIONS ; a9. AUTOMATIC / ELECTRONIC EQUIPMENT SHUT-OFF SYSTEM ; in 10. SHUT OFF WATER, GAS, ELECTRICAL UTILITIES; at 1 . CALL 9- 1- 1 FOR PUBLIC EMERGENCY RESPONDER ASSISTANCE AND/OR MEDICAL AID; JC�i* 1.2, NOTIFY AND EVACUATE PERSONS IN ALL THREATENED AND/OR IMPACTED AREAS; � 13. ACCOUNT FOR EVACUATED PERSONS IMMEDIATELY AFTER EVACUATION; 14, PROVIDE PROTECTIVE EQUIPMENT FOR ON-SI'Z'E EMERGENCY RESPONSE TEAM ; 15 . REMOVE CONTAINERS AND/OR ISOLATE AREAS ; 16, HIRE LICENSED HAZARDOUS WASTE CONTRACTOR; IT USE ABSORBENT MATERIAL FOR SPILL CONTAINMENT, IS. VACUUM SUCTION USING APPROPRIATE VACUUM (e.g., Intrinsically safe) FOR SPILL CONTROL AND/OR CLEANUP; k2190 . DECONTAMINATE PERSONNEL AND EQUIPMENT WITHIN DESIGNATED AREA AND DISPOSE OF WASTEWATER AS HAZARDOUS WASTE; 2 . PROVIDE SAFE TEMPORARY STORAGE OF HAZARDOUS WASTE GENERATED DURING EMERGENCY ACTIONS; 1 . OTHER (Specify): D2. E . FACILITY EVACUATION THE FOLLOWING ALARM SIGNALS) WILL BE USED TO BEGIN EVACUATION OF THE FACILITY (Check all that apply): Et . 1. BELLS; E2, 2. HORNS/SIRENS ; , VERBAL (i.e., Shouting); 4. OTHER (Specify): THE FOLLOWING LOCATION(S) WILL BE USFOIZ ErRGENCY Sr# SE vIBLY AREAS) (e.g., Parking lot, street comer): E3• Note: 'The Emergency Coordinator must account f8r all onsite employees hfid visii�orCsa'ffti-r evacuation. act anon. EVACUATION ROUTE S AND ALTERNATE EVACUATION ROUTES ARE DESCRIBED AS FOLLOWS : E4. L WRITTEN PROCEDURES DESCRIBING ROUTES, EXIT'S , AND ASSEMBLY .AREAS ; ' 2. EVACUATION MAP(S) DEPICTING IZOUTES, EXITS, AND ASSEMBLY AREAS; ❑ 3. OTHER (Specify): E5. Note: Evacuation procedures and/or maps should be posted in visible facility locations and must be included in the Contingency Plan, F. ARRANGEMENTS FOR EMERGENCY SERVICES ADVANCE ARRANGEMENTS FOR LOCAL EMERGENCY SERVICES (Check one of the following): rt . ❑ 1. HAVE BEEN DETERMINED NOT NECESSARY; r` 2. THE FOLLOWING ARRANGEMENTS HAVE BEEN MADE (Specify): ts. Note : Advance arrangements with local Lire and police departments, hospitals, state and local emergency response teams, and/or emergency services contractors should be trade for your facility, if necessary. Large Quantity Generators must describe arrangements in the Contingency Plan. i I Rev. 03/07/17 Page 2 of 4 i 1