Laserfiche WebLink
STATE OF CALIFORNIA <br />DEPARTMENT OF CALIFORNIA HIGHWAY PATROL <br />INCIDENT ACTION PLAN/SITE SAFETY PLAN <br />CHP 4071 (New 5-15) OPI 062 Refer to HPM 84.2, Chapter 2 <br />INCIDENT DATE (MM/DD/YYY19 <br />08/14/2018 <br />OES CONTROL NUMBER <br />18-5480 <br />INCIDENT TIME (HOURS) <br />0710 <br />INCIDENT OCCURRED ON <br />1-580 W/B <br />11 AT INTERSECTION WITH <br />Z OR East of <br />Chrisman Road <br />AREA DESCRIPTION <br />Two lane westbound freeway, bordered by a dirt and grass shoulder with a center median of same composition. <br />INCIDENT COMMANDER <br />SITE SAFETY OFFICER <br />Sergeant Lecce, CHP <br />Juan Armendarez, CALTRANS <br />INCIDENT ACTION PLAN <br />GENERAL INFORMATION: • PROTECT LIFE, ENVIRONMENT, AND PROPERTY. <br />COMPLY WITH SECTION 5192(q), TITLE 8, CALIFORNIA CODE OF REGULATIONS. <br />IDENTIFY THE INCIDENT COMMANDER AND SAFETY OFFICER. <br />PROCEDURES FOR HANDLING EMERGENCY INCIDENTS: <br />Z Identify all hazardous substances or conditions present. <br />Z Based upon identification, implement appropriate operations, and assure use of proper personal protective equipment. <br />Z Ensure personnel exposed to inhalation hazard wear a self contained breathing apparatus. <br />Z Limit the number of personnel on-site, but use the buddy system. <br />El Ensure back-ups and standby emergency medical services are available. <br />Z Designate a safety officer with knowledge of safety operations. <br />Z Implement appropriate decontamination. <br />SITE SAFETY PLAN <br />GENERAL INFORMATION: • PROTECTION OF LIFE IS THE HIGHEST PRIORITY. <br />ENSURE ALL PERSONNEL ARE BRIEFED ON OPERATIONS AND SAFETY BEFORE WORK BEGINS. <br />NO PERSON SHALL EXCEED THEIR LEVEL OF TRAINING, CAPABILITIES, OR RESOURCES. <br />CHEMICAUTRADE NAME <br />Diesel Fuel <br />UN <br />NUMBER <br />1993 <br />DOT HAZARD <br />CLASS <br />2.1 <br />QUANTITY RELEASED <br />(LBS . GAL., ETC.) <br />20 Gal <br />EXTENT OF RELEASE <br />Outside vehicle <br />PHYSICAL <br />STATE STORED <br />Liquid <br />PHYSICAL STATE <br />RELEASED <br />Liquid <br />CONTAINER TYPE <br />Vehicular fuel tank <br />CONTAINER CAPACITY (LBS , GAL., ETC.) <br />75 Gal <br />CONTAINER MATERIAL <br />Aluminum/Aluminum alloys <br />LEVEL OF CONTAINER <br />Above ground <br />CHEMICAUTRADE NAME UN <br />NUMBER <br />DOT HAZARD <br />CLASS <br />QUANTITY RELEASED <br />(LBS , GAL., ETC.) <br />EXTENT OF RELEASE PHYSICAL <br />STATE STORED <br />PHYSICAL STATE <br />RELEASED <br />CONTAINER TYPE CONTAINER CAPACITY (LBS , GAL., ETC.) CONTAINER MATERIAL LEVEL OF CONTAINER <br />MEDICAL SIGNS OF EXPOSURE: <br />E Nausea/Vomiting E Coughing <br />Z Dehydration Tingling/Numbness of extremities <br />Z Trouble breathing Diarrhea <br />Z Skin irritation E Unconsciousness <br />E Dizziness El Anxiety <br />0 Confusion E Blurred/Double vision <br />Lii Other symptoms: <br />An Internationally Accredited Agency Chp4071_0315.pdf Page 1 of 2