UK RFFS (WG 5) Basic Non HMEPO Hazmat Risk Assessment arriving on Scene 2020

• Document No.

• Weather

  Select Dry Sunny Wet raining Drizzle light wind windy Strong Wind Snow, Ice, Frost Other detail in Notes

  • Dry Sunny
  • Wet raining
  • Drizzle light wind
  • windy
  • Strong Wind
  • Snow, Ice, Frost
  • Other detail in Notes

• Ambient Temperature estimate if know

• Incident Address

• Conducted on

  Date

• Completed by:

• Exact Location on site of Incident
  Address

• Are you in a safe position and correctly dressed for the incident, confirm Wind Direction and slope of ground at scene?

  Yes

  No

  N/A

• Has WISER been accessed for information?

  Yes

  No

  N/A

• Have you consulted ERG 2016?

  Yes

  No

  N/A

• Has a safe direction of approach been identified for all responders?

  Yes

  No

  N/A

• State the safe approach route and identify RVP

METHANE message sent?

• Guidance on JESIP principles aide memoire

  

Brief description of known properties based on guidance

• Toxic

  Yes

  No

  N/A

• Asphxyiant

  Yes

  No

  N/A

• Flammable

  Yes

  No

  N/A

• Explosive

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Describe Other

• Notes

• What is identified as the Upper and Lower Flammable/ explosive limits?

• Product Behaviours

  Select Heavier than Air, vapour density > 1 Lighter than Air, vapour density< 1 Floats in/on Water Sinks in Water Immiscible, does not mix with another liquid Miscible, does mix with other liquid to form a mixture

  • Heavier than Air, vapour density > 1
  • Lighter than Air, vapour density< 1
  • Floats in/on Water
  • Sinks in Water
  • Immiscible, does not mix with another liquid
  • Miscible, does mix with other liquid to form a mixture

• what is the Boiling point? If Below ambient temp product should be Liquid, Above ambient temp product should be gaseous.

  Select Heavier than Air, vapour density > 1 Lighter than Air, vapour density< 1 Floats in/on Water Sinks in Water Immiscible, does not mix with another liquid Miscible, does mix with other liquid to form a mixture

  • Heavier than Air, vapour density > 1
  • Lighter than Air, vapour density< 1
  • Floats in/on Water
  • Sinks in Water
  • Immiscible, does not mix with another liquid
  • Miscible, does mix with other liquid to form a mixture

• What is the Auto ignition temperature and flash point?

• Is there an Environmental Risk?

  Select Significant Enviromental exposure Moderate Environmental Exposure Slight Envirnomental Exposure None

  • Significant Enviromental exposure
  • Moderate Environmental Exposure
  • Slight Envirnomental Exposure
  • None

• What measures have been taken?

• Have the Environment Agency have been requested? Brief details sent as information

  Yes

  No

  N/A

What can be seen, information known?

• UN number or ADR enter the number

• Hazard class or multi load description

• Contact detail, emergency advice numbers

• Emergency action code known?

• If it is safe take a photograph of the scene, product information

  Media

• Hazmat officer requested

• Assessment shared to other Agencies

• JESIP principles

  

• Incident Commander aware of the content of the Assessment

• Is the Incident scene safe with current control measures, tick if Safe? If not Specify additional Control measures needed below

• Control measures:

• Are all persons on scene wearing the correct level of PPE, tick for Yes.

• Sign the form when complete, review and consider a more in depth ARA for developing incidents or complicated issues arising at scene, hand over to HMEPO on arrival all known details.

  Sign