Fumigation Procedure Template

• Company

• Location
  Address

• Officer in Charge

• Conducted on

  Date

Suitability Verification

• Did you obtain a written statement from the certified fumigant applicator that the vessel is suitable for fumigation?

  Yes

  No

  N/A

Pre-fumigation Conference

• Did you attend the pre-fumigation conference conducted by the certified fumigant applicator?

  Yes

  No

  N/A

• Did you receive a copy of EPA-registered label for the fumigant to be used?

  Yes

  No

  N/A

• Did the certified fumigant applicator identify holds or tanks to be fumigated?

  Yes

  No

  N/A

• Did the certified fumigant applicator state the intended fumigant dosage to be applied?

  Yes

  No

  N/A

• Did the certified fumigant applicator describe the method of fumigant application?

  Yes

  No

  N/A

• Did officer in charge of the vessel state voyage length?

  Yes

  No

  N/A

• Did the certified fumigant applicator discuss safety precautions including symptoms of fumigant exposure, first aid procedures, instruct two crew members in the use of respiratory protection equipment and phosphine detection equipment, and holds or tanks under fumigation must be closed for the entire voyage length?

  Yes

  No

  N/A

• Did the certified fumigant applicator provide the officer in charge of the vessel instructions for aerating the holds or tanks upon arrival at the discharge port?

  Yes

  No

  N/A

• Did the certified fumigant applicator provide the officer in charge of the vessel instructions for the retrieval and disposal of residue retention device (bags, belts, ropes) at the discharge port?

  Yes

  No

  N/A

Fumigant Application

• Is the recirculation method used?

  Yes

  No

• Did you verify that the blower motor has the capability to move the fumigant at a minimum rate of 300 cubic feet per minute?

  Yes

  No

  N/A

• Did you have the certified applicator demonstrate the fan/blower is moving air in the proper direction?

  Yes

  No

  N/A

• Did you verify that the 4 inch (minimum) solid tubing is securely attached to the output side of the blower motor housing with a semi-permanent method such as a bolt, screw, clamp, etc.?

  Yes

  No

  N/A

• Did you verify that the 4 inch perforated/slotted tubing was placed on the bottom of the hold and attached to the 4 inch (minimum) solid tubing?

  Yes

  No

  N/A

• Did you verify that the 6 inch perforated/slotted tubing is securely attached to the input side of the blower motor housing with a semi-permanent method such as a bolt, screw, clamp, etc.?

  Yes

  No

  N/A

• Did you observe the application of the fumigant?

  Yes

  No

  N/A

• Did you verify accurate fumigant dosage was applied?

  Yes

  No

  N/A

• Did you verify that certified fumigant applicator removed fumigant from factory sealed containers?

  Yes

  No

  N/A

• Did you verify that the certified fumigant applicator removed the containers from sealed cartons and contain the appropriate formulation?

  Yes

  No

  N/A

• Did the certified fumigant applicator apply the fumigant by the method stated in the pre-fumigation conference?

  Yes

  No

  N/A

Post-fumigation Safety

• Were all openings to holds or tanks closed and sealed after application of the fumigant including main hatch or tank openings, manways, wing tank openings, butterworth plates, weep bales, and vent openings?

  Yes

  No

  N/A

• Did the certified fumigant applicator install or have warning placards installed on all entrances to the fumigated holds or tanks?

  Yes

  No

  N/A

• Did each warning placard contain the date of fumigant application, fumigant formulation used, the minimum fumigant retention period as indicated in attachment 4, and the holds or tanks must be kept closed for the entire length of the voyage?

  Yes

  No

  N/A

Recordkeeping and Monitoring

• Did the certified fumigant applicator provide a list of areas that are judged to be safe and those judged to be unsafe for crew members during the voyage and checklist of areas that must be monitored daily for phosphine leaks?

  Yes

  No

  N/A

• Did you receive a written statement of fumigant application compliance from the certified applicator?

  Yes

  No

  N/A

Sign Off

• Additional Recommendations

• Officer in Charge Name & Signature

  Sign

• Certified Fumigant Applicator Name & Signature

  Sign