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Overview
Complete
HAZMAT Incident Checklist
19 Nov 2019 / Ben Gomez / Swamp road
Failed items
0
Created actions
1
Site
Swamp road
Conducted on

19th Nov, 2019

10:30 AM PST

Prepared by
Ben Gomez
Location
1458 NE Gum Swamp Rd, Lake City, FL 32055, USA
Actions
1
HAZMAT Incident Checklist
1
Incident Information
Incident Name
Oil spill from oil tanker
Start Time

12:55 PM PST

Comp. Time

1:15 PM PST

Weather Information
Present:
Time

1:00 PM PST

Wind Direction
WSW
Wind Speed
3 km/h
Rain/Snow
none
Temp. (°F)
65
1-Hour Forecast:
Time

2:00 PM PST

Wind Direction
WSW
Wind Speed
4 km/h
Rain/Snow
light rain
Temp. (°F)
62
Long Term Forecast:
Time

3:00 PM PST

Wind Direction
WSW
Wind Speed
3 km/h
Rain/Snow
none
Temp. (°F)
64
Resource Information
Resource Information / Resource Information 1
1
Name
Cleanup crew
Actions
To do
Cleanup crew needed for oil spill at swamp road on the address I mentioned on the phone earlier.
Assignment
Cleanup crew to take care of the oil spill
Checklist
Hot Zone
No
Warm Zone
No
Cold Zone
Yes
Evacuation
No
Diking
No
Diversion
Yes
Retention
No
Special Equip. Needed
Yes
Decon
Yes
Medical
No
Rehabilitation
No
Research
No
Resource
No
Safety Briefing
Yes
Post Critique
Yes
Agencies Contacted
Law Enforecement
Yes
Health Department
Yes
ChemTrec
Yes
EPA
Yes
ADEQ
No
Other
Yes
Identify Other
Nearby hospital to confirm status of truck driver
Termination Activities
Decontamination
Yes
Photos
Rehabilitation
Yes
Site Clean-up
Yes
Medical Screening
No
Exposure Reporting
No
Incident Debriefing
No
Completion
Notes
Oil spill caused no death. Driver is recovering in the hospital with no exposure to the motor oil. Spill is contained and didn't go beyond the road. Towing vendor on the way as of writing this report.
Conducted by: Name and Signature
Benedict Gomez
19th Nov, 2019 1:16 PM PST
Media summary
1 Media file