24-Hour Emergency Contact: 303-xxx-xxxx

Transcription

1 Company Logo Pipeline Name of Company or Operator Enter Date 24-Hour Emergency Contact: 303-xxx-xxxx

2 South Area Gas Pipeline Table of Contents E.1 Company Name... 1 E.2 South Area Gas Pipeline Location Narrative... 1 Pipeline,... 1 Pipeline,... add the name of the pipeline and edit as needed 3 E.3 Surrounding Occupancies and Land Use... 6 E.4 Emergency Telephone Numbers... 7 Company Personnel Notifications... 7 Local Notifications... 8 State Notifications... 9 Federal Notifications E.5 Notification Checklist E.6 Qualified Individual Duties E.7 Spill Report Information E.8 Personal Protective Equipment (PPE) Available E.9 Emergency Equipment and Supplies E.10 Location and Types of Water Supplies E.11 Transportation Routes E.12 Action Items and Response E.13 Coordination with First Responder Agencies E.14 Safety and Training Review Appendix A Appendix B Pipeline USR Location Map Detailed Pipeline Route Maps i

3 E.1 Company Name E.2 Location Narrative describe the location of the pipeline, where it starts and what sections it crosses, include Section Township and range numbers, this should correlate to the maps in the appendixes. There is an Econode on parcel (in the NE quarter of the NW quarter of Section 22, Township 2 North, Range 64 West). A 12-inch pipeline originates from this Econode. The pipeline crosses under WCR 20 and travels north about 1-mile to a combination point just north of WCR 22 unmaintained Section Line ROW on parcel (in Section 10, Township 2 North, Range 64 West). Sample information 1

4 South Area Gas Pipeline Rev 2# 5

5 Pipeline E.3 Surrounding Occupancies and Land Use The pipeline travels through a rural area primarily dedicated to farming. The following table lists structures near the pipeline and their coordinates. The Structure Numbers are shown on the Pipeline Route Maps in Appendix B. Structure Number Type of Structure Address Distance from Pipeline (feet) Latitude Longitude Map Number 1 Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential Residential

6 E.4 Emergency Telephone Numbers Company Personnel Notifications Mobile: Office: Office Address: Mobile: Office: Office Address: Mobile: Office: Office Address: Mobile: Office: Office Address: Mobile: Office: Office Address: 7

7 Local Notifications Edit list as needed 911 must always be used for Emergency Services Type Spill Response Add the companies you use Fire / EMS Law Enforcement LEPC Other Organization Custom Environmental Services Clean Harbors (Denver Office) LaSalle Fire Protection District POC: Bear Hulsey Platte Valley Fire Protection District POC: Barry Schaefer SE Weld Fire Protection District POC: Tom Beach Good Samaritan Medical Center Platte Valley Medical Center University of Colorado Hospital North Colorado Medical Center North Colorado MED EVAC (Air Ambulance) *Provide GPS Coordinates Weld County Sheriff POC: Alan Caldwell Weld County Office of Emergency Management POC: Roy Rudisill Weld County Regional Communications Center Contact Number(s) (303) (303) (800) (970) (970) (303) (303) (303) (720) (970) (800) (970) (970) (970) Person Contacted Time Contacted 8

8 Rev 2 State Notifications Feel free to edit these pages in a list type of contacts ENVIRONMENTAL RELEASE & INCIDENT REPORTING LINE CDPHE REPORTING REQUIREMENTS (877) A release of any chemical, oil, petroleum product, sewage, etc., which may enter waters of the state of Colorado (which include surface water, ground water and dry gullies and storm sewers leading to surface water) must be reported immediately. COLORADO OIL & GAS CONSERVATION COMMISSION MAIN NUMBER (BUSINESS HOURS) (303) WELD COUNTY CONTACT (Rick Allison) Office: (970) Cell: (970) General: Spills/releases of E&P waste, including produced fluids, shall be controlled and contained immediately upon discovery to protect the environment, public health, safety, and welfare, and wildlife resources. Impacts resulting from spills/releases shall be investigated and cleaned up as soon as practicable. The Director may require additional activities to prevent or mitigate threatened or actual significant adverse environmental impacts on any air, water, soil or biological resource, or to the extent necessary to ensure compliance with the concentration levels in Table 910-1, with consideration to WQCC ground water standards and classifications. 9

9 Pipeline COLORADO OIL & GAS CONSERVATION COMMISSION COGCC REPORTING REQUIREMENTS Spills/releases of E&P waste or produced fluid exceeding five (5) barrels, 1 including those contained within lined or unlined berms, shall be reported on COGCC Spill/Release Report, Form 19. (SEE PAGE 2-9) Spills/releases which exceed twenty (20) barrels of an E&P waste shall be reported on COGCC Spill/Release Report, Form 19, and shall also be verbally 2 reported to the Director as soon as practicable, but not more than twenty-four (24) hours after discovery. Spills/releases of any size which impact or threaten to impact any waters of the state, residence or occupied structure, livestock, or public byway shall be 3 reported on COGCC Spill/Release Report, Form 19, and shall also be verbally reported to the Director as soon as practicable, but not more than twenty-four (24) hours, after discovery. COGCC REPORTING REQUIREMENTS (CON T) Spills/releases of any size which impact or threaten to impact any surface water supply area shall be reported to the Director and to the Environmental 4 Release/Incident Report Hotline ( ). Spills and releases that impact or threaten a surface water intake shall be verbally reported to the emergency contact for that facility/pipeline immediately after discovery. For all reportable spills, operators shall submit a Spill/Release Report, Form 19, within ten (10) days after discovery. An 8 1/2 x 11 inch topographic map showing 5 the governmental section and location of the spill shall be included. Such report shall also include information relating to initial mitigation, site investigation, and remediation. The Director may require additional information. Chemical spills and releases shall be reported in accordance with applicable state and federal laws, including the Emergency Planning and Community Rightto-Know Act, the Comprehensive Environmental Response, Compensation, and 6 Liability Act, the Oil Pollution Act, and the Clean Water Act, as applicable. 10

10 Rev 2 Federal Notifications NATIONAL RESPONSE CENTER USCG HEADQUARTERS WASHINGTON, D.C. 24 Hour Phone (800) The NRC is the sole federal point of contact for reporting oil and chemical spills which enter or threaten to enter the navigable waters of the United States. If you have a spill to report, contact the NRC via the toll-free number or visit the NRC Web Site ( for additional information on reporting requirements and procedures. For those without 800 access, please contact the NRC at All notifications to the National Response Center must be made at the earliest practicable moment following discovery but no later than one hour after confirmed discovery. ENVIRONMENTAL PROTECTION AGENCY REGION 6 DALLAS, TEXAS Region 8 Spill Hotline via NRC Region 8 Denver Office Calls to the National Response Center will automatically be forwarded to the appropriate EPA Regional Office. However, a courtesy notification can be made directly to the applicable region. The Environmental Protection Agency must be notified of the following: 1. Any unanticipated bypass exceeding effluent limitation by permit. 2. Any upset condition, which exceeds any effluent limitation in permit. 3. Violation of maximum daily discharge limitation or daily minimum toxicity limitation. 4. Chemical spills of a reportable quantity. Oral notification is required within 24 hours of the incident. No written report is required. 11

11 Rev 2# E.5 Notification Checklist Edit as needed Priority Notification Time Check Weld County Sheriff (if necessary) 6 Weld County Emergency Management 12

12 E.6 Qualified Individual Duties 1. Activate internal alarms and hazard communication systems to notify all pipeline personnel, 2. Notify all response personnel, as needed, Identify the character, exact source, amount and extent of the release, as well as the other items needed for notification, Notify and provide necessary information to the appropriate Federal, State and local authorities with designated response roles, including the National Response Center, State Emergency Response Commission and Local Emergency Planning Committee, Assess the interactions of the discharged substance with water and/or other substances stored at the facility/pipeline and notify response personnel at the scene of that assessment, Assess the possible hazards to human health and the environment due to the release. This assessment must consider both the direct and indirect effects of the release (i.e. the effects of any toxic, irritating, or asphyxiating gases that may be generated or the effects of any hazardous surface water runoffs from water or chemical agents used to control fire and heatinduced explosion.), Assess and implement prompt removal actions to contain and remove the substance released, Coordinate rescue and response actions as previously arranged with all response personnel, Use authority to immediately access company funding to initiate clean-up activities; and 10 Direct cleanup activities until properly relieved of this responsibility. 13

13 E.7 Spill Report Information The following information should be provided in the initial and each follow-up notification: REPORTING PARTY REPORTER S NAME POSITION PHONE NUMBER DAY EVENING COMPANY ADDRESS NAME OF PIPELINE DATE OF INCIDENT INCIDENT DESCRIPTION TIME OF INCIDENT INCIDENT ADDRESS / LOCATION NEAREST CITY LATITUDE LONGITUDE TYPE OF MATERIAL CAUSE OF DISCHARGE DISCHARGE TO WATER YES NO DESCRIPTION OF SLICK BARELY VISIBLE ESTIMATED QUANTITY: BBL OR GAL LIGHT SHEEN RAINBOW DULL DARK WEATHER CONDITIONS RESPONSE ACTIONS TAKEN OR PLANNED 14

14 E.8 Personal Protective Equipment (PPE) Available Type of PPE Location Flame resistant clothing (FRC) Hard hat Safety glasses Safety shoes Hearing protection Company vehicles E.9 Emergency Equipment and Supplies Type of Equipment and Supplies Location Fire extinguishers Company vehicles E.10 Location and Types of Water Supplies Type of Water Non-potable water Location E.11 Transportation Routes what type of vehicle travel will be needed for inspections or maintenance. 15

15 E.12 Action Items and Response provide a description of the type of product the pipeline carries and any connection locations to compressor station or PIG drops. Sample information please edit as needed Scenario #1: Pipeline Release without Fire 1. Call 911, if necessary, and report the release to Pipeline Foreman. 2. Evacuate personnel from the immediate area to the designated assembly area or to a location upwind of the release. 3. Account for personnel. 4. Engage emergency shutdown systems and/or manually isolate release from a safe distance. 5. Establish a secure perimeter around the area to prevent unauthorized entry. 6. Notify Pipeline Supervisor and make other internal notifications as appropriate. 7. Assess the threat to the public and notify public officials as appropriate. 8. Initiate evacuation of surrounding homes, businesses, etc. with assistance from local law enforcement officials, if necessary. 16

16 Scenario #2: Pipeline Release with Fire This is an example edit as needed 1. Discontinue all tasks in progress. 2. Attempt to extinguish incipient stage fires, if trained to do so. 3. Call Report the condition to the Pipeline Foreman and take further defensive actions as instructed. 5. Evacuate personnel to designated assembly areas. 6. Account for personnel. 7. Engage emergency shutdown systems and/or manually (from a safe distance) isolate fuel sources, shut down engines and heaters. 8. Initiate rescue activities as necessary, if properly trained. 9. Notify Pipeline Supervisor and make appropriate notifications to local fire and EMS. Make other internal management contacts as appropriate. 10. Establish a secure perimeter around the area to prevent unauthorized entry. 11. Initiate ERAP. 12. Continue measures to contain the fire, apply water from a safe distance to protect adjacent equipment, if necessary. 13. Make appropriate government agency notifications. 14. Conduct post-incident activities. 17

17 Pipeline Scenario #3: Pipeline Damage without Release This is an example edit as needed 1. Report the release to Pipeline Foreman. 2. Evacuate personnel from the immediate area to the designated assembly area or to a location upwind of the release. 3. Account for personnel. 4. Engage emergency shutdown systems and/or manually isolate release from a safe distance. 5. Establish a secure perimeter around the area to prevent unauthorized entry. 6. Notify Pipeline Supervisor and make other internal notifications as appropriate. 7. Assess the threat to the public and notify public officials as appropriate. 8. Initiate evacuation of surrounding homes, businesses, etc. with assistance from local law enforcement officials, if necessary. E.13 Coordination with First Responder Agencies A Company Name representative and first responders met on [Date] to review emergency plan. The pipeline right-of-way was also reviewed at this meeting. A Tier II report is not required for the pipeline, and hazardous materials storage is not part of the operation of this pipeline. Edit as needed 18

18 South Area Gas Pipeline E.14 Safety and Training Review Each year, all employees are provided with all necessary information concerning the proper handling of a pipeline emergency. This information shall be in the form of a review sheet detailing proper procedures, which shall be signed and dated by each employee when all items are understood. Also, proper use of cleanup and containment tools and procedures will be demonstrated, if necessary. Any new or updated information or procedures will be taught to employees immediately when applicable. Operations Manager: Fire Dept. Official: Weld County OEM: Date: Date: Date: 19

19 Rev Appendix A: Pipeline USR Location Map Appendix B: Detailed Pipeline Route Maps Disclaimer: These maps depict approximate pipeline locations only and should only be used for general reference. You should not rely upon the information presented in these maps for any other purposes, including one-call locates. You must contact the local One-Call Notification Center before commencing excavation and construction activities. Any unauthorized use of these maps is illegal. 20

20 Appendix A USR Location Map 21

21 Appendix B Detailed Pipeline Route Maps 22