Get Uniform Hazardous Materials Reporting Form

Filling out the Uniform Hazardous Materials Reporting Form accurately is essential for ensuring public safety and compliance with regulations. This guide provides clear, step-by-step instructions to help you complete the form online efficiently.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin with the incident number; input the number as issued by the appropriate authority.
3. Indicate the parish where the incident occurred in the designated field.
4. Fill in the caller’s name, ensuring it is the person reporting the incident.
5. Provide the caller’s phone number so authorities can return contact if needed.
6. Record the date and time when the incident was notified to authorities.
7. Enter the date and time when the incident occurred, as given by the reporting facility.
8. Specify the exact location of the incident, including street address, latitude, and longitude.
9. Input the name of the company or responsible party associated with the incident.
10. Provide the complete mailing address of the company responsible for the incident.
11. Indicate the chemical involved in the incident using its complete name without abbreviations.
12. Enter the total quantity of the chemical released or provide an estimate, if exact figures are unavailable.
13. Fill in the reportable quantity as designated by federal and state regulations.
14. Classify the hazard of the chemical involved according to the relevant safety classifications.
15. If applicable, input the identification number from the Department of Transportation shipping documents.
16. Indicate if the chemical involved is classified as an extremely hazardous substance.
17. Specify the physical state of the chemical at the time of the release (solid, liquid, or gas).
18. Answer whether the material escaped offsite by selecting yes or no.
19. Indicate where the release has occurred, such as land, water, or air.
20. Describe any off-site protective actions taken in response to the incident.
21. Indicate if there were road closures, sheltering, or evacuations required.
22. Provide the wind direction relevant to the incident when applicable.
23. Record the wind speed at the time of the release.
24. Input the temperature during the incident.
25. Specify any precipitation occurring at the time of the release.
26. Indicate if any injuries resulted from the incident and provide details.
27. Note whether there were any fatalities associated with the release.
28. Complete any additional details regarding the incident as necessary.
29. Once all fields are completed, you can save your changes, download, print, or share the completed form as needed.

Complete your Uniform Hazardous Materials Reporting Form online to ensure compliance and safety.