Title 40

PART 112 APPENDIX F



Appendix F to Part 112 - Facility-Specific Response Plan

40:24.0.1.1.7.4.6.3.6 : Appendix F

Appendix F to Part 112 - Facility-Specific Response Plan Table of Contents 1.0 Model Facility-Specific Response Plan 1.1 Emergency Response Action Plan 1.2 Facility Information 1.3 Emergency Response Information 1.3.1 Notification 1.3.2 Response Equipment List 1.3.3 Response Equipment Testing/Deployment 1.3.4 Personnel 1.3.5 Evacuation Plans 1.3.6 Qualified Individual's Duties 1.4 Hazard Evaluation 1.4.1 Hazard Identification 1.4.2 Vulnerability Analysis 1.4.3 Analysis of the Potential for an Oil Spill 1.4.4 Facility Reportable Oil Spill History 1.5 Discharge Scenarios 1.5.1 Small and Medium Discharges 1.5.2 Worst Case Discharge 1.6 Discharge Detection Systems 1.6.1 Discharge Detection By Personnel 1.6.2 Automated Discharge Detection 1.7 Plan Implementation 1.7.1 Response Resources for Small, Medium, and Worst Case Spills 1.7.2 Disposal Plans 1.7.3 Containment and Drainage Planning 1.8 Self-Inspection, Drills/Exercises, and Response Training 1.8.1 Facility Self-Inspection 1.8.1.1 Tank Inspection 1.8.1.2 Response Equipment Inspection 1.8.1.3 Secondary Containment Inspection 1.8.2 Facility Drills/Exercises 1.8.2.1 Qualified Individual Notification Drill Logs 1.8.2.2 Spill Management Team Tabletop Exercise Logs 1.8.3 Response Training 1.8.3.1 Personnel Response Training Logs 1.8.3.2 Discharge Prevention Meeting Logs 1.9 Diagrams 1.10 Security 2.0 Response Plan Cover Sheet 3.0 Acronyms 4.0 References 1.0 Model Facility-Specific Response Plan

(A) Owners or operators of facilities regulated under this part which pose a threat of substantial harm to the environment by discharging oil into or on navigable waters or adjoining shorelines are required to prepare and submit facility-specific response plans to EPA in accordance with the provisions in this appendix. This appendix further describes the required elements in § 112.20(h).

(B) Response plans must be sent to the appropriate EPA Regional office. Figure F-1 of this Appendix lists each EPA Regional office and the address where owners or operators must submit their response plans. Those facilities deemed by the Regional Administrator (RA) to pose a threat of significant and substantial harm to the environment will have their plans reviewed and approved by EPA. In certain cases, information required in the model response plan is similar to information currently maintained in the facility's Spill Prevention, Control, and Countermeasures (SPCC) Plan as required by 40 CFR 112.3. In these cases, owners or operators may reproduce the information and include a photocopy in the response plan.

(C) A complex may develop a single response plan with a set of core elements for all regulating agencies and separate sections for the non-transportation-related and transportation-related components, as described in § 112.20(h). Owners or operators of large facilities that handle, store, or transport oil at more than one geographically distinct location (e.g., oil storage areas at opposite ends of a single, continuous parcel of property) shall, as appropriate, develop separate sections of the response plan for each storage area.

1.1 Emergency Response Action Plan

Several sections of the response plan shall be co-located for easy access by response personnel during an actual emergency or oil discharge. This collection of sections shall be called the Emergency Response Action Plan. The Agency intends that the Action Plan contain only as much information as is necessary to combat the discharge and be arranged so response actions are not delayed. The Action Plan may be arranged in a number of ways. For example, the sections of the Emergency Response Action Plan may be photocopies or condensed versions of the forms included in the associated sections of the response plan. Each Emergency Response Action Plan section may be tabbed for quick reference. The Action Plan shall be maintained in the front of the same binder that contains the complete response plan or it shall be contained in a separate binder. In the latter case, both binders shall be kept together so that the entire plan can be accessed by the qualified individual and appropriate spill response personnel. The Emergency Response Action Plan shall be made up of the following sections:

1. Qualified Individual Information (Section 1.2) partial 2. Emergency Notification Phone List (Section 1.3.1) partial 3. Spill Response Notification Form (Section 1.3.1) partial 4. Response Equipment List and Location (Section 1.3.2) complete 5. Response Equipment Testing and Deployment (Section 1.3.3) complete 6. Facility Response Team (Section 1.3.4) partial 7. Evacuation Plan (Section 1.3.5) condensed 8. Immediate Actions (Section 1.7.1) complete 9. Facility Diagram (Section 1.9) complete 1.2 Facility Information

The facility information form is designed to provide an overview of the site and a description of past activities at the facility. Much of the information required by this section may be obtained from the facility's existing SPCC Plan.

1.2.1 Facility name and location: Enter facility name and street address. Enter the address of corporate headquarters only if corporate headquarters are physically located at the facility. Include city, county, state, zip code, and phone number.

1.2.2 Latitude and Longitude: Enter the latitude and longitude of the facility. Include degrees, minutes, and seconds of the main entrance of the facility.

1.2.3 Wellhead Protection Area: Indicate if the facility is located in or drains into a wellhead protection area as defined by the Safe Drinking Water Act of 1986 (SDWA). 1 The response plan requirements in the Wellhead Protection Program are outlined by the State or Territory in which the facility resides.

1 A wellhead protection area is defined as the surface and subsurface area surrounding a water well or wellfield, supplying a public water system, through which contaminants are reasonably likely to move toward and reach such water well or wellfield. For further information regarding State and territory protection programs, facility owners or operators may contact the SDWA Hotline at 1-800-426-4791.

1.2.4 Owner/operator: Write the name of the company or person operating the facility and the name of the person or company that owns the facility, if the two are different. List the address of the owner, if the two are different.

1.2.5 Qualified Individual: Write the name of the qualified individual for the entire facility. If more than one person is listed, each individual indicated in this section shall have full authority to implement the facility response plan. For each individual, list: name, position, home and work addresses (street addresses, not P.O. boxes), emergency phone number, and specific response training experience.

1.2.6 Date of Oil Storage Start-up: Enter the year which the present facility first started storing oil.

1.2.7 Current Operation: Briefly describe the facility's operations and include the North American Industrial Classification System (NAICS) code.

1.2.8 Dates and Type of Substantial Expansion: Include information on expansions that have occurred at the facility. Examples of such expansions include, but are not limited to: Throughput expansion, addition of a product line, change of a product line, and installation of additional oil storage capacity. The data provided shall include all facility historical information and detail the expansion of the facility. An example of substantial expansion is any material alteration of the facility which causes the owner or operator of the facility to re-evaluate and increase the response equipment necessary to adequately respond to a worst case discharge from the facility.

Date of Last Update: ___ Facility Information Form Facility Name: Location (Street Address): City: ___ State: ___ Zip: ___ County: ___ Phone Number: ( ) ___ Latitude: ___ Degrees ___ Minutes ___ Seconds Longitude: ___ Degrees ___ Minutes ___ Seconds Wellhead Protection Area: Owner: Owner Location (Street Address):

(if different from Facility Address)

City: ___ State:___ Zip: ___ County: ___ Phone Number: ( ) ___ Operator (if not Owner): Qualified Individual(s): (attach additional sheets if more than one) Name: Position: Work Address: Home Address: Emergency Phone Number: ( ) Date of Oil Storage Start-up: Current Operations: Date(s) and Type(s) of Substantial Expansion(s): (Attach additional sheets if necessary) 1.3 Emergency Response Information

(A) The information provided in this section shall describe what will be needed in an actual emergency involving the discharge of oil or a combination of hazardous substances and oil discharge. The Emergency Response Information section of the plan must include the following components:

(1) The information provided in the Emergency Notification Phone List in section 1.3.1 identifies and prioritizes the names and phone numbers of the organizations and personnel that need to be notified immediately in the event of an emergency. This section shall include all the appropriate phone numbers for the facility. These numbers must be verified each time the plan is updated. The contact list must be accessible to all facility employees to ensure that, in case of a discharge, any employee on site could immediately notify the appropriate parties.

(2) The Spill Response Notification Form in section 1.3.1 creates a checklist of information that shall be provided to the National Response Center (NRC) and other response personnel. All information on this checklist must be known at the time of notification, or be in the process of being collected. This notification form is based on a similar form used by the NRC. Note: Do not delay spill notification to collect the information on the list.

(3) Section 1.3.2 provides a description of the facility's list of emergency response equipment and location of the response equipment. When appropriate, the amount of oil that emergency response equipment can handle and any limitations (e.g., launching sites) must be described.

(4) Section 1.3.3 provides information regarding response equipment tests and deployment drills. Response equipment deployment exercises shall be conducted to ensure that response equipment is operational and the personnel who would operate the equipment in a spill response are capable of deploying and operating it. Only a representative sample of each type of response equipment needs to be deployed and operated, as long as the remainder is properly maintained. If appropriate, testing of response equipment may be conducted while it is being deployed. Facilities without facility-owned response equipment must ensure that the oil spill removal organization that is identified in the response plan to provide this response equipment certifies that the deployment exercises have been met. Refer to the National Preparedness for Response Exercise Program (PREP) Guidelines (see appendix E to this part, section 13, for availability), which satisfy Oil Pollution Act (OPA) response exercise requirements.

(5) Section 1.3.4 lists the facility response personnel, including those employed by the facility and those under contract to the facility for response activities, the amount of time needed for personnel to respond, their responsibility in the case of an emergency, and their level of response training. Three different forms are included in this section. The Emergency Response Personnel List shall be composed of all personnel employed by the facility whose duties involve responding to emergencies, including oil discharges, even when they are not physically present at the site. An example of this type of person would be the Building Engineer-in-Charge or Plant Fire Chief. The second form is a list of the Emergency Response Contractors (both primary and secondary) retained by the facility. Any changes in contractor status must be reflected in updates to the response plan. Evidence of contracts with response contractors shall be included in this section so that the availability of resources can be verified. The last form is the Facility Response Team List, which shall be composed of both emergency response personnel (referenced by job title/position) and emergency response contractors, included in one of the two lists described above, that will respond immediately upon discovery of an oil discharge or other emergency (i.e., the first people to respond). These are to be persons normally on the facility premises or primary response contractors. Examples of these personnel would be the Facility Hazardous Materials (HAZMAT) Spill Team 1, Facility Fire Engine Company 1, Production Supervisor, or Transfer Supervisor. Company personnel must be able to respond immediately and adequately if contractor support is not available.

(6) Section 1.3.5 lists factors that must, as appropriate, be considered when preparing an evacuation plan.

(7) Section 1.3.6 references the responsibilities of the qualified individual for the facility in the event of an emergency.

(B) The information provided in the emergency response section will aid in the assessment of the facility's ability to respond to a worst case discharge and will identify additional assistance that may be needed. In addition, the facility owner or operator may want to produce a wallet-size card containing a checklist of the immediate response and notification steps to be taken in the event of an oil discharge.

1.3.1 Notification Date of Last Update: Emergency Notification Phone List Whom To Notify Reporter's Name: Date: Facility Name: Owner Name: Facility Identification Number: Date and Time of Each NRC Notification:
Organization Phone No.
1. National Response Center (NRC): 1-800-424-8802
2. Qualified Individual:
Evening Phone:
3. Company Response Team:
Evening Phone:
4. Federal On-Scene Coordinator (OSC) and/or Regional Response Center (RRC):
Evening Phone(s):
Pager Number(s):
5. Local Response Team (Fire Dept./Cooperatives):
6. Fire Marshall:
Evening Phone:
7. State Emergency Response Commission (SERC):
Evening Phone:
8. State Police:
9. Local Emergency Planning Committee (LEPC):
10. Local Water Supply System:
Evening Phone:
11. Weather Report:
12. Local Television/Radio Station for Evacuation Notification:
13. Hospitals: