2020-185 - Laserfiche WebLink

Home Browse Search

A TRUE COPY CERTIFICATION ON LAST PAGE J.R. SMITH, CLERK Attachment J Hazard Analysis Contract Checklist and CAMEOfm Guide Facility Information: CAMEOfm Facility Page Facility Name {per Attachment H) (Facility Page) Department field is where the SERC number goes. Do not add the SERC acronym just the number. Enter the current Tier II report year (Top right-hand corner main facility page) Facility Physical Address (Facility Page) Latitude and Longitude in Decimal Degrees {ex. 30.197, -84.3621) (Map Data Tab on Facility Page) Facility Phone Number (Facility Phones Tab on Facility Page) Facility Emergency Coordinator Name, Title and 24-hour Emergency Phone Number (Contact Tab on Facility Page) Transportation Route(s) from County Line to the Facility. (Notes Tab on Facility Page) Evacuation Route(s) to exit the Vulnerable Zone. (Notes Tab on Facility Page) Historical Accident Record - If none, please note. (Notes Tab on Facility Page) Facility Maximum Occupancy - a minimum of one is required for unmanned facilities. (ID Codes Tab on facility Page) Facility Page (ID and Regs Tab) Mark correct 112(r) and Section 302 check boxes, max occupancy, facility manned or unmanned. Hazard Identification: CAMEOfm Chemical in Inventory Page for each Extremely Hazardous Substance on-site Update Chemical in Inventory page for each Extremely Hazardous Substance Present over the TPQ (Chemical in Inventory Page(s)) Enter Chemical Abstract Service (CAS) Number and Proper Chemical Name (Chemical in Inventory Page{s)) Type/Design, Pressure and Temperature of Container(s) cylinder, battery, ambient etc. (Chemical in Inventory Page(s), Location Tab) Physical State in Storage {ex. mixture, pure, liquid, gas) (Chemical in Inventory Page{s), Physical State and Quantity Tab) Enter max daily, average daily amount in lbs. (Chemical in Inventory Page(s), Physical State and Quantity Tab) Enter amount in Largest Container or Interconnected Containers (Chemical in Inventory Page(s), Physical State and Quantity Tab) This is the amount to be used in the scenario release. Nature of the Hazard {ex. acute, chronic, fire, pressure, etc.) Chemical in Inventory Page(s), Physical State and Quantity Tab- Hazards _Vu nerability Analysis: CAMEOfm Scenario Page for each Extremely Hazardous Substance on-site Enter maximum amount in largest container or interconnected containers in the Amount Released field (Scenario Description tab) (This amount must be the same as the Chemical in Inventory page Maximum amount in largest container tab amount) Enter the concentration percentage in the Concentration field (Scenario Description tab) Enter Release Duration - 10 minutes for gases, solids in solution or powders; no entry for liquids is required. (Scenario Description tab) Determine the natural Physical State specified in CAMEOfm Chemicals, and enter in the Physical State field (Scenario Description tab) Weather Information - Use the weather default settings or enter average wind speed. Do not enter a value in the Wind from field, Urban or Forest is recommended in the Ground Roughness field. (Scenario Description tab) Risk Assessment - Rate the Risk, Consequences and Overall Risk of a release occurring (based upon release history etc.). (Scenario Description tab) Extent of Vulnerable Zone - CAMEOfm automatically calculates Threat Zone Radius when Edit button and Estimate Threat Zone Radius buttons are used. (Scenario Description tab) Enter estimate of Total Exposed Population (Notes Tab on Scenario Page(s)) Enter Critical Facilities {name of critical facility(s) and max occupancy for each; if none, state No Critical Facilities) (Notes Tab on Scenario Page{s)) On -Site Visits, Statements of Determination, and Site Plans For each Facility within the Agreement Period. Site Visit Certification (SV) Form (Upload to Site Plan Tab on Facility Page). File name must contain at minimum the SERC number if applicable and SV — if SERC number is not available facility name and SV. Phone call updates for the Sulfuric Acid Battery Exemption Facilities must indicate who made the call, the name of the facility representative spoken to, and the date of call. Statement of Determination (SOD) if applicable (Upload to Site Plan Tab on Facility Page). File name must contain at minimum SERC number if applicable and proper acronym SOD - if SERC number is not available facility name and SOD, if applicable. Site Plan (SP) (Upload to Site Plan Tab on Facility Page) File name must contain at minimum the SERC number if applicable and SP — if SERC number is not available the facility name and SP — additional info encouraged but not required. Sufficient Detail to Identify: North Arrow Location of Major Buildings Name and Location of Extremely Hazardous Substance(s) if Extremely Hazardous Substances are co -located, noting EHS is acceptable. Name and Location of Street(s) - List the street the facility is on and at a minimum one cross street. Identify Pertinent Access and Egress Points and other features pertinent to Emergency Response. 37