ADOPTS WITH AMENDMENTS:

International Fire Code 2012 (IFC 2012)

Heads up: There are no amended sections in this chapter.
The provisions contained in this appendix are not mandatory unless specifically referenced in the adopting ordinance.
(See Example Format in Figure 1).
  1. Fill out items and sign the declaration.
  2. Part A of this section is required to be updated and submitted annually, or within 30 days of a process or management change.
(See Example Format in Figure 2).
1. Provide a site plan on 81/2 by 11 inch (215 mm by 279 mm) paper, showing the locations of all buildings, structures, outdoor chemical control or storage and use areas, parking lots, internal roads, storm and sanitary sewers, wells and adjacent property uses. Indicate the approximate scale, northern direction and date the drawing was completed.
(See Example Format in Figure 3).
  1. Provide a floor plan of each building identified on the site plan as containing hazardous materials on 81/2-inch by 11-inch (215 mm by 279 mm) paper, identifying the northern direction, and showing the location of each storage and use area.
  2. Identify storage and use areas, including hazard waste storage areas.
  3. Show the following:
    1. Accesses to each storage and use area. 
    2. Location of emergency equipment.
    3. Location where liaison will meet emergency responders.
    4. Facility evacuation meeting point locations.
    5. The general purpose of other areas within the building.
    6. Location of all aboveground and underground tanks to include sumps, vaults, below-grade treatment systems, piping, etc.
    7. Show hazard classes in each area.
    8. Show locations of all Group H occupancies, control areas, and exterior storage and use areas.
    9. Show emergency exits.
  1. HMIS Summary Report (see Example Format in Figure 4).
    1. Complete a summary report for each control area and Group H occupancy.
    2. The storage summary report includes the HMIS Inventory Report amounts in storage, use-closed and use-open conditions.
    3. Provide separate summary reports for storage, use-closed and use-open conditions.
    4. IBC/IFC Hazard Class.
    5. Inventory Amount. [Solid (lb), Liquid (gal), Gas (cu ft, gal or lbs)].
    6. IBC/IFC Maximum Allowable Quantity per control area (MAQ). (If applicable, double MAQ for sprinkler protection and/or storage in cabinets. For wholesale and retail sales occupancies, go to Tables 5003.11.1 and 5704.3.4.1 of the International Fire Code for MAQs.).
  2. HMIS Inventory Report (see Example Format in Figure 5).
    1. Complete an inventory report by listing products by location.
    2. Product Name.
    3. Components. (For mixtures specify percentages of major components if available.)
    4. Chemical Abstract Service (CAS) Number. (For mixtures list CAS Numbers of major components if available.)
    5. Location. (Identify the control area or, if it is a Group H occupancy, provide the classification, such as H-2, H-3, etc.)
    6. Container with a capacity of greater than 55 gallons (208 L). (If product container, vessel or tank could exceed 55 gallons, indicate yes in column.)
    7. Hazard Classification. (List applicable classifications for each product.)
    8. Stored. (Amount of product in storage conditions.)
    9. Closed. (Amount of product in use-closed systems.)
    10. Open. (Amount of product in use-open systems.)
Facilities which have prepared, filed and submitted a Tier II Inventory Report required by the U.S. Environmental Protection Agency (USEPA) or required by a state which has secured USEPA approval for a similar form shall be deemed to have complied with this section.
  1. Emergency Notification. (See Example Format in Figure 6.)
  2. Where OSHA or state regulations require a facility to have either an Emergency Action Plan (EAP) or an Emergency Response Plan (ERP), the EAP or ERP shall be included as part of the HMMP.
ICCIBC—12International Building CodeH102.1
ICCIFC—12International Fire CodeH102.1

FIGURE 1
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION I: FACILITY DESCRIPTION

1. Business Name:__________________________Phone:_________
Address:_________________________________________
2. Person Responsible for the Business
Name:Title:Phone:
___________________________________________________
3. Emergency Contacts:
Name:Title:Home Number:Work Number:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
4. Person Responsible for the Application/Principal Contact:
Name:Title:Phone:
___________________________________________________
5. Principal Business Activity:
____________________________________________
____________________________________________
____________________________________________
6. Number of Employees:_____
7. Number of Shifts: _______
a. Number of Employees per Shift:
___________________________________________
___________________________________________
___________________________________________
8. Hours of Operation: ______

FIGURE 2
HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION I: FACILITY DESCRIPTION

FIGURE 3
HAZARDOUS MATERIALS MANAGEMENT PLAN SECTION I: FACILITY DESCRIPTION PART C—FACILITY MAP

Business NameDate
AddressPage of

FIGURE 4
SECTION II—HAZARDOUS MATERIALS INVENTORY STATEMENT (HMIS) HMIS SUMMARY REPORTa (Storageb Conditions)c

IBC/IFC HAZARD CLASSHAZARD CLASSINVENTORY AMOUNTIBC/IFC MAXIMUM ALLOWABLE QUANTITYd
(Abbrev)Solid (lb)Liquid (gal)Gas (cu ft, gal, lb)Solid (lb)Liquid (gal)Gas (cu ft, gal lb)
Combustible
Liquid
C25120
C3A330
C3B613,200
Combustible Fiber Loose/Baled
Cryogenics, FlammableCryo-Flam45
Cryogenic, OxidizingCryo-OX45
Flammable GasFLG
(Gaseous)1501,000
(Liquefied)30
Flammable LiquidF1A30
F1B & F1C5120
Combination (1A, 1B, 1C)5120
Flammable SolidFLS125
Organic PeroxideOPU0
OP15
OP250
OP3125
OP4NL
OP5NL
OxidizerOX40
OX310
OX2250
OX14,000
a. Complete a summary report for each control area and Group H occupancy.
b. Storage = storage + use-closed + use-open systems.
c. Separate reports are required for use-closed and use-open systems.
d. Include increases for sprinklefrs or storage in cabinets, if applicable.
(This is an example; add additional hazard classes as needed.)

FIGURE 5
SECTION II — HAZARDOUS MATERIALS INVENTORY STATEMENT (HMIS) HMIS INVENTORY REPORT
(Sort Products Alphabetically by Location of Product and then Alphabetically by Product Name)

Product Name
(Components)c
CAS NumberLocationaContainer
> 55 galb
Haz Class 1Haz Class 2Haz Class 3Stored (Ibs)Stored (gal)Stored (gas)dClosed (bls)Closed (gal)Closed gasdOpen (Ibs)Open
(gal)
ACETYLENE
(Acetylene gas)
74-86-2Control Area 1FLGUR2150
BLACK AEROSOL
SPRAY PAINT

(Mixture)
MixtureControl Area 1A-L3 24
GASOLINE,
UNLEADED

(Gasoline-Mixture)
Methyl-t-Butyl-Ether-15%
Diisopropyl Ether-7%
Ethanol-11%
Toluene-12%
Xylene-11%

8006-61-9

1634-04-4
108-20-3
64-17-5
108-88-3
1330-20-7
Control Area 1F1B 5
MOTOR OIL-10W40
(Hydrotreated Heavy
Paraffinic Distillate-85%;
Additives-20%)
64742-54-7
Mixture
Control Area 1C3B 3
DIESEL
(Diesel-99-100%;
Additives)
68476-34-6 ProprietaryControl Area 2YesC2 225
TRANSMISSION FLUID
(Oil-Solvent-Neutral;
Performance Additives)
64742-65-0Control Area 2C3B 3
OXYGEN, GAS
(Oxygen)
7782-44-7H-3OXG 5,000
a. Identify the control area or, if it is a Group H occupancy, provide the classification, such as H-2, H-3, etc.
b. If the product container, vessel or tank could exceed 55 gallons, indicate yes in the column.
c. Specify percentages of main components if available.
d. In cubic feet, gallons or pounds.

(This is an example; add additional hazard classes as needed.)

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