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NAME: ERAP NO: DATE: |
ADDRESS: CONTACT(S): |
| Schedule I Column 7 Dangerous Goods Requiring an ERAP: |
| Y/N | COMMENTS / DOCUMENTARY EVIDENCE | |
| 1.1 INTERNAL ALERTING MECHANISM | ||
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24 hour number(s) |
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Non 24 hour number(s) |
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Answering Service |
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Radio call activation |
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Staff trained to process emergency calls |
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Staff identified to receive internal notification |
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Shipping documents |
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Activation tested by RMS (details) |
| 1.2 SITUATION APPRAISAL | ||
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Addressed as part of planning |
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Reporting forms with standard questions |
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Person(s) assigned to complete form |
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Initial Assessment |
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On site assessment feasible |
| 1.3 MOBILIZATION | ||
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Procedures written and clear |
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Notification to staff for mobilization |
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Flowchart/checklist available |
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Responsibility assigned to cause mobilization |
| 1.4 AUTHORITY | ||
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Response organization described in writing |
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Person responsible overall identified |
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Person in charge of accident site operations identified |
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Chain of command apparent |
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Description of duties of plan participants |
| 2.1 EXTERNAL ALERTING | ||
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Incident reporting to authorities addressed |
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Internal resources to be used only |
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External resources identified in plan |
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Procedures for obtaining external resources |
| 2.2 EMERGENCY ACTION | ||
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Response tasks identified in writing |
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Technical advice to local authorities addressed |
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Evacuation advice addressed in plan |
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Damage assessment of container |
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Technical information on containers , available |
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Ambient air monitoring / area survey |
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Treatment options identified |
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Standard Procedures for chemical treatment for each dangerous good covered by the plan |
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Containment options identified |
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Standard Procedures for containment options |
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Transfer/recovery systems identified |
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Transfer procedures |
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TC to TC |
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TC to TT |
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Other |
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Product(s) technical information available |
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Neutralization |
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Decontamination |
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Standard Procedures for decontamination options included |
| 3.1 CONTACTS | ||
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Staff |
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Regulatory |
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Other Gov't Depts. |
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Local emergency services |
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Response contractors |
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Equipment rentals |
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Mutual aid sources |
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Air charters |
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Vehicle rentals |
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Material suppliers |
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Dangerous good(s) supplier or manufacturer |
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Other |
| 3.2 COMMUNICATIONS | ||
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Regular phone |
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Radio |
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Radio phone |
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Cellular |
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Site radio communications between responders |
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Pager(s) |
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Electronic data transmission at site |
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Fax |
| 3.3 LOGISTIC SUPPORT | ||
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Transportation from mobilization point to accident site |
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Alternate means of transportation for Dangerous Goods |
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Accommodations for extended response |
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Response staff replenishment, replacement |
| 3.4 EQUIPMENT/MATERIALS | ||
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Checklist or inventory of equipment in plan |
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Alternate transport containers |
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Type |
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Sources |
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Packaging and repair materials available |
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Personal protection for responders |
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Level A |
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Level B |
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Level C |
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Monitoring/detection equipment |
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Flammable gas detector(s) |
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Drager or Gastech with appropriate tubes (list tubes) |
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HNU or other photo ionization detector |
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Portable gas chromatographer |
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Radiation detector/ survey meter (list types) |
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pH paper or meter |
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Other (specify) |
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Containment equipment (specify) |
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Patching equipment (specify) |
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Treatment chemicals for neutralization |
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Treatment apparatus for chemical treatment |
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Decontamination equipment and materials |
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Transfer /recovery equipment and supplies |
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Pumping capability |
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Compressor |
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Hoses |
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Fittings for all alternative containers |
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Flaring/Venting |
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Clean up |
| 3.5 PERSONNEL | ||
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Sufficient staff to respond and maintain |
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Contractor or others to augment internal resources |
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Designated response team for operations |
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Management involvement |
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Supervisory - OSC for team |
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Technical advisors available (specify sources) |
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Names and Qualifications |
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Medical Advisor |
| 3.6 MUTUAL AID | ||
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Informal arrangements |
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Formal Arrangements |
| 4.1 HAZARD ANALYSIS | ||
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Potential Accident Assessment |
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Modes of transport considered |
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Geographical area of shipping D.G. |
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Scenarios for accidents developed |
| 4.2 TRAINING | ||
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Training Certificates issued |
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ERAP awareness to ERT and others |
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Critical tasks (specify) |
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Site Assessment |
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Transfer and recovery |
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Technical advice |
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Disposal |
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Treatment and neutralization |
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Monitoring/detection |
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Personal protection equipment |
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Policy on use of personal protection |
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Containers (specify) |
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Damage assessment on containers |
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Team meetings |
| 4.3 EXERCISES AND FOLLOW UP | ||
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Activation procedures |
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Notification procedures |
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Desk top scenarios |
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Full scale field exercises |
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Exercise with mutual aid or association |
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Exercise with first responder |
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Frequency |
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Accidents/response critical review |
| 4.4 MAINTENANCE OF RESPONSE EQUIPMENT | ||
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Responsible person(s) identified |
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System for this: |
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Calibration records and Maintenance records |
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Maintenance programs |
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General equipment (tools, etc.) |
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Monitoring equipment |
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Pumps, compressors and generators |
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Personal protection (SCBA and Level A) |
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Communication equipment |
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Response truck/trailer |
| 4.5 UPDATING MECHANISM | ||
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Assigned |
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Procedure |
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Frequency |
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Amendment list |
| 4.6 PLAN DISTRIBUTION | ||
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Formal listing |
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Other |
| 5. GENERAL COMMENTS: |
| 6. RECOMMENDATIONS: |
| 7. ERAP may (or may not) be approved in accordance with TDG Act Part 7 |