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NFIRS 7NFIRS 7 Haz-Mat ModuleHaz-Mat ModuleNFIRS 7NFIRS 7 Haz-Mat ModuleHaz-Mat Module

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Optional Haz-Mat ModuleOptional Haz-Mat ModuleOptional Haz-Mat ModuleOptional Haz-Mat Module

The Marshal will accept this dataThis reporting does not take the

place of mandated DEP or other Hazardous Materials reporting requirements

A unique to Massachusetts field, H1 allows the Marshal to track Haz-Mat team responses

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Purpose of HazMat ModulePurpose of HazMat ModulePurpose of HazMat ModulePurpose of HazMat Module

The purpose of the Hazardous Materials Module is to document REPORTABLE Haz-Mat incidents­ used when the Basic Module,

Block H, Hazardous Materials Release, indicates “other”

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Definition of Reportable Definition of Reportable Haz-Mat Incident Haz-Mat IncidentDefinition of Reportable Definition of Reportable Haz-Mat Incident Haz-Mat Incident

A REPORTABLE Hazmat Incident occurs when:Specialized haz-mat resources

were used or should have been used for managing the situation; or

Releases or spills of hazardous materials exceed 55 gallons; or

As otherwise required

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A - Header InformationA - Header InformationA - Header InformationA - Header Information

Identifies the responding department and incident being reported

Exposure - If haz-mat release was in connection with a fire and release was in an exposure property

Haz-Mat Number - A separate sequential number assigned to each material

Delete AChange

NFIRS - 7Hazmat

Haz No Station FDID Exposure Incident Date

MM DD YYYY

State Incident Number

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B - Haz-Mat IDB - Haz-Mat IDB - Haz-Mat IDB - Haz-Mat ID

Used to identify specific Haz-Mat involved in the incident

Several different identification systems, but not all needed to identify the Haz-Mat– In an automated system, many

elements are cross-referenced; entry of one may populate other fields

BUN Number CAS Registration Number

Hazmat ID DOT Hazard Classification

Chemical Name

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B - UN NumberB - UN NumberB - UN NumberB - UN Number

4-digit number assigned to HazMat (using United Nations standards)

Found in a variety of sources: North American Emergency Response Guidebook Hazardous Materials Guide for First Responders

A single UN Number can be assigned to multiple materials

BUN Number CAS Registration Number

Hazmat ID DOT Hazard Classification

Chemical Name

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B - DOT Hazard B - DOT Hazard ClassificationClassificationB - DOT Hazard B - DOT Hazard ClassificationClassification

Describes the primary hazard associated with various hazardous materials

DOT Hazard Class and Division combined into a two digit code

Does not identify a specific chemical - must be used with other identifier(s)

BUN Number CAS Registration Number

Hazmat ID DOT Hazard Classification

Chemical Name 1 0

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B - CAS Registration B - CAS Registration NumberNumberB - CAS Registration B - CAS Registration NumberNumber

Identification number assigned to a chemical by Chemical Abstract Service (CAS) of the Chemical Abstract Society Not all Haz-Mats have an

assigned CAS

BUN Number CAS Registration Number

Hazmat ID DOT Hazard Classification

Chemical Name 0

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B - Chemical Name B - Chemical Name B - Chemical Name B - Chemical Name

Standard chemical or trade name by which the hazardous material is known

Products from different manufacturers with similar chemical ingredients may have different trade names– proper entry is the chemical or trade

name of the hazardous material

BUN Number CAS Registration Number

Hazmat ID DOT Hazard Classification

Chemical Name

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CC11 - Container Type - Container TypeCC11 - Container Type - Container Type

Identifies the type or configuration of the container, equipment, or facility used to transport and/or store the hazardous material

C1 Container Type

More hazardous materials? Use

additional sheets.

Container Type

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CC2 2 - Estimated Container - Estimated Container CapacityCapacityCC2 2 - Estimated Container - Estimated Container CapacityCapacity

The amount of material the container was designed to hold

Reported as two data elements: Quantity Unit of Measure

C2 Estimated Container Capacity

, , Capacity: by volume or weight

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CC2 2 - Units: Capacity- Units: CapacityCC2 2 - Units: Capacity- Units: Capacity

The unit of measure that defines, by volume or weight, the capacity of the hazardous materials container

C3 Units: Capacity Check one box

VOLUME Ounces Gallons Barrels: 42 gal. Liters Cubic feet Cubic meters

11 12 13 14 15 16

WEIGHT Ounces Pounds Grams Kilograms

21 22 23 24

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DD1 1 - Estimated Amount - Estimated Amount Released Released

DD1 1 - Estimated Amount - Estimated Amount Released Released

The amount of material released from a container

Reported as two data elements: Quantity Unit of Measure

, ,

D1 Estimated Amount Released

Amount released: by volume or weight

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DD2 2 - Units: Released- Units: ReleasedDD2 2 - Units: Released- Units: Released

The unit of measure, by volume or weight, for the amount of the hazardous materials released from the container

D2 Units: Released Check one box

WEIGHTOunces Pounds Grams Kilograms

21222324

VOLUME Ounces Gallons Barrels: 42 gal. Liters Cubic feet Cubic meters

111213141516

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EE1 1 - Physical State When - Physical State When ReleasedReleasedEE1 1 - Physical State When - Physical State When ReleasedReleased

The simple physical state of the material during release or when it became hazardous

Physical StateWhen Released

Solid Liquid Gas Undetermined

123U

E1

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EE2 2 - Released Into- Released IntoEE2 2 - Released Into- Released Into

Describes the environment contaminated by the hazardous material after release (air, water, ground)

E2Released Into

Released into

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FF11 - Released From - Released FromFF11 - Released From - Released From

Identifies the physical location from which the Haz-Mat was released– above grade– below grade – inside or outside of a

structure

F1 Released From:

Inside/on structure

Story of release

Below grade

Outside of structure

Check all applicable boxes

1

2

3

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FF2 2 - Population Density- Population DensityFF2 2 - Population Density- Population Density

General description of the population density in the area adjacent to the hazardous materials release

F2 Population Density

Urban Suburban Rural

12 3

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GG11 - Area Affected - Area AffectedGG11 - Area Affected - Area Affected

Indicates the amount of area or space directly affected by the hazardous material release

G1 Area Affected

Blocks

Square Feet

Square Miles

Enter measurement

123

,

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GG2 2 - Area Evacuated- Area EvacuatedGG2 2 - Area Evacuated- Area Evacuated

Identifies the measure and size of the area evacuated as a result of the hazardous materials release (or potential release)

Enter Measurement

Area Evacuated G2

Blocks

Square Feet

Square Miles

None

,123

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GG33 - Estimated Number - Estimated Number of People Evacuated of People EvacuatedGG33 - Estimated Number - Estimated Number of People Evacuated of People Evacuated

The estimated number of people evacuated as a result of the hazardous materials release (or potential release)

G3 Estimated Number of People Evacuated

,

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GG44 - Estimated Number of - Estimated Number of Buildings Buildings

EvacuatedEvacuated

GG44 - Estimated Number of - Estimated Number of Buildings Buildings

EvacuatedEvacuated

The estimated number of buildings evacuated as a result of the hazardous materials release (or potential release)

G4 Estimated Number of Buildings Evacuated

, None

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HH1 1 Haz-Mat Additions Haz-Mat Additions HH1 1 Haz-Mat Additions Haz-Mat Additions

Unique to Massachusetts

Allows for an accounting of Haz-Mat team responses as well as the level of response

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II - Which Occurred First?- Which Occurred First?II - Which Occurred First?- Which Occurred First?

If fire or explosion is involved with a release - the indication of which occurred first

I If fire or explosion is involved with a release, which occurred first?

Ignition Release

Undetermined 12

U

Did the haz-mat release cause the fire or did the fire cause the haz-mat release?

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J - Cause of ReleaseJ - Cause of ReleaseJ - Cause of ReleaseJ - Cause of Release

Identifies the cause of the situation that created the release (or potential release) of a hazardous material

J Cause of Release

Intentional Unintentional release Container/containment failure Act of nature Cause under investigation Cause undetermined after investigation

12345U

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K - Factors Contributing to K - Factors Contributing to ReleaseReleaseK - Factors Contributing to K - Factors Contributing to ReleaseRelease

Identifies the factors present that contributed to the release (or potential release) of a hazardous material

Factor Contributing To Release (2)

Factors Contributing to Release K

Factor Contributing To Release (3)

Enter up to three contributing factors

Factor Contributing To Release (1)

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L - Factors Affecting L - Factors Affecting MitigationMitigationL - Factors Affecting L - Factors Affecting MitigationMitigation

Identifies factors present that affected management or mitigation of the release (or potential release) of a hazardous material

L Factors Affecting Mitigation

Factor or impediment (2)

Factor or impediment (3)

Enter up to three factors or impediments that affected the mitigation of the incident

Factor or impediment (1)

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MM - Equipment Involved in - Equipment Involved in ReleaseReleaseMM - Equipment Involved in - Equipment Involved in ReleaseRelease

Identifies equipment that failed or otherwise allowed the release (or potential release) of hazardous materials

Equipment involved in release

Year

MNone

Equipment Involved In Release

Brand

Model

SerialNumber

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NN - Mobile Property - Mobile Property Involved in ReleaseInvolved in ReleaseNN - Mobile Property - Mobile Property Involved in ReleaseInvolved in Release

Identifies mobile property that failed or otherwise allowed the release (or potential release) of hazardous materials

Mobile property type

License Plate Number State

Year

Mobile property make

Model

Mobile Property Involved in Release N None

DOT Number/ ICC Number

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O - Haz-Mat Disposition O - Haz-Mat Disposition O - Haz-Mat Disposition O - Haz-Mat Disposition

Identifies the individual or entity, if any, that assumes control of the incident from the fire department

Hazmat Disposition OCompleted by fire service only Completed w/ fire service present Released to local agency Released to county agency Released to state agency Released to federal agency Released to private agency Released to property owner or manager

12345678

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PP - Haz-Mat Civilian - Haz-Mat Civilian CasualtiesCasualtiesPP - Haz-Mat Civilian - Haz-Mat Civilian CasualtiesCasualties

The number of civilians injured or killed as a result of contact or exposure to a hazardous materials

Hazmat Civilian Casualties PDeaths Injuries

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SummarySummarySummarySummary

The purpose of the optional Haz-Mat Module is to document REPORTABLE Haz-Mat incidents:– Specialized hazmat resources were

used or should have been used for managing the situation; or

– Releases or spills of hazardous materials exceed 55 gallons

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Questions?Questions?Questions?Questions?