ADOPTS WITH AMENDMENTS:

International Fire Code 2009 (IFC 2009)

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- 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 H occupancies, control areas, and exterior storage and use areas.
    9. Show emergency exits.
Facilities with the maximum allowable quantities or less per control area in Tables 2703.1.1(1) through 2703.1.1(4) of the International Fire Code and where the threshold planning quantities at EPA 40 CFR Part 355, Sections 302 and 304 are not exceeded, shall be allowed to file a short-form HMMP which shall include all of the following components:
  1. General facility information.
  2. A simple line drawing of the facility showing the location of storage facilities and indicating the hazard class or classes and physical state of the hazardous materials being stored.
  3. Information that the hazardous materials will be stored and handled in a safe manner and will be appropriately contained, separated and monitored.
  4. Assurance that security precautions have been taken, employees have been appropriately trained to handle the hazardous materials and react to emergency situations, adequate labeling and warning signs are posted, adequate emergency equipment is maintained and the disposal of hazardous materials will be in an appropriate manner.
  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 2703.11.1 and 3404.3.4.1 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.
EPA 40 CFR
Part 355—2008
Emergency Planning and Notification H101.4
ICC IBC-09 International Building Code H102.1
ICC IFC-09 International Fire Code H101.4, H102.1


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 ___________________________

Name ___________________________ Title ___________________________ Home Number ___________________________Work Number ___________________________

Name ___________________________ Title ___________________________ Home Number ___________________________Work Number ___________________________ 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

FIGURE 4
SECTION II — HAZARDOUS MATERIALS INVENTORY STATEMENT (HMIS) HMIS SUMMARY REPORTa
(Storageb Conditions)c
IBC/IFC HAZARD CLASS HAZARD CLASS INVENTORY AMOUNT IBC/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 C2   5     120  
  C3A         330  
  C3B   6     13200  
               
Combustible Fiber Loose Baled            
Cryogenics, Flammable CryO-Flam         45  
Cryogenic, Oxidizing CryO-OX         45  
               
Flammable Gas FLG            
(Gaseous)       150     1000
(Liquefied)           30  
               
Flammable Liquid F1A         30  
  F1B & F1C   5     120  
Combination (1A, 1B, 1C)   5     120  
               
Flammable Solid FLS       125    
               
Organic Peroxide OPU       0    
  OP1       5    
  OP2       50    
  OP3       125    
  OP4       NL    
  OP5       NL    
               
Oxidizer OX4       0    
  OX3       10    
  OX2       250    
  OX1       4000    
  1. Complete a summary report for each control area and H occupancy.
  2. Storage = storage + use-closed + use-open systems
  3. Separate reports are required for use-closed and use-open systems
  4. Include increases for sprinklers 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
Number
Locationa Container
> 55 galb
Haz Class 1 Haz Class 2 Haz Class 3 Stored (lbs) Stored (gal) Stored (gas)d Closed (bls) Cloxed (gal) Closed gasd Open (lbs) Open (gal)
                             
ACETYLENE (Acetylene gas) 74-86-2 Control Area 1   FLG UR2       150          
                             
BLACK AEROSOL SPRAY PAINT (Mixture) Mixture Control Area 1   A-L3     24              
                             
GASOLINE,
UNLEADED

(Gasoline-Mixture)
8006-61-9 Control Area 1             F1B                 5                      
Methyl-t-Butyl-Ether-
15%
1634-04-4
Disopropyll Ether-7% 108-20-3
Ethanol-11% 64-17-5
Toluene-12% 108-88-3
Xylene-11% 1330-20-7
                             
MOTOR OIL-10W40
(Hydrotreated Heavy Paraffinic Distillate-85%; Additives-20%)
64742-54-7 Mixture Control Area 1   C3B       3            
                             
DIESEL
(Diesel-99-100%; Additives)
68476-34-6 Proprietary Control Area 2 Yes C2       225            
                             
TRANSMISSION FLUID
(Oil-Solvent-Neutral; Performance Additives)
64742-65-0 Control Area 2   C3B       3            
                             
OXYGEN, GAS (Oxygen) 7782-44-7 H-3   OXG         5000          
  1. Identify the control area or, if it is an H occupancy, provide the classification, such as H-2, H-3, etc.
  2. If the product container, vessel, or tank could exceed 55 gallons, indicate yes in the column.
  3. Specify percentages of main components if available.
  4. In cubic feet, gallons, or pounds.
(This is an example; add additional hazard classes as needed.)

FIGURE 6
HAZARDOUS MATERIALS MANAGEMENT PLAN
SECTION III: EMERGENCY PLAN

1. In the event of an emergency, the following shall be notified:

a. Facility Liaison

Name ______________________Title ______________________ Home Phone ______________________ Cell Phone ______________________

Name ______________________Title ______________________ Home Phone ______________________ Cell Phone ______________________

Name ______________________Title ______________________ Home Phone ______________________ Cell Phone ______________________

Name ______________________Title ______________________ Home Phone ______________________ Cell Phone ______________________

Name ______________________Title ______________________ Home Phone ______________________ Cell Phone ______________________



b. Agency

Agency Contact Phone Number

Fire Department _______________ _______________


LEPC _______________ _______________

Other _______________ _______________

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