(EHSs) and to establish

2.1 Classification of the substance or mixture

SIC) code and the Dun & 29 of the Code of Federal Regulations at chemicals that were present at your Bradstreet number of your facility. The § 1910.1200. facility at any time during the previous financial officer of your facility should This form does not have to be calendar year at levels that equal or be able to provide the Dun & Bradstreet submitted if all of the chemicals located exceed these thresholds. For number. If your firm does not have this at your facility are excluded under instructions on threshold determinations information, contact the State or Section 311(e) of Title III or if the weight for components of mixtures, see "What regional office of Dun & Bradstreet to of each covered hazardous chemical About Mixtures?" on page 3 of these obtain your facility number or have one never equals or exceeds the minimum instructions. assigned. threshold listed in Title III Section 312 during the reporting year. When To Submit This Form Owner/Operator What Chemicals Are Included Owners or operators of facilities that Enter the owner's or operator's full have hazardous chemicals on hand in name, mailing address, and phone You must report the information quantities equal to or greater than set number. required on this form for every threshold levels must submit either Tier Emergency Contact hazardous chemical for which you are One or Tier Two Forms by March 1. required to prepare or have available an Enter the name, title, and work phone MSDS under the Hazard Communication Where to Submit This Form number of at least one local person or Standard, unless the chemicals are Send one completed inventory form to office that can act as a referral If excluded ulder Section 311 (e) of Title III each of the followLig organizations: emergency responders need assistance Federal Register / Vol. .55, No. 144 / Thursday, July. 26, 1990 / Rules and Regulations 30649 in responding to a chemical accident at to weight in pounds, multiply by an on any single day of the reporting the facility. appropriate density factor. period. Provide an emergency phone number where such emergency information will 3. For each hazard type-beginning Instructions with Fire and repeating for all physical be available 24 hours a day, every day. Please Read These Instructions and health hazard types... This requirement is mandatory. The Carefully. Print or Type all Responses facility must make some arrangement to a. Add the maximum weights of all *What about mixtures? ensure that a 24 hour contact is chemicals you indicated as the If a chemical is part of a mixture, you available. particular hazard type. have the option of reporting either the b. Look at the Reporting Ranges at the Identical Information weight of the entire mixture or only the bottom of the Tier One form. Find the portion of the mixture that is a appropriate range value code. Check the box indicating identical particular hazardous chemical (e.g., if a information, located below the emergency contacts on the Tier One hazardous solution weighs 100 lbs. but is c. Enter this range value as the Maximum AmounL form, if the current information being composed of only 5% of a particular Example: You are using the Tier Two hazardous chemical, you can indicate reported is identical to that submitted last year. Chemical descriptions, form as a worksheet and have listed raw either 100 lbs. of the mixture of 5 lbs. of weights in pounds for each of your the hazardous chemical). amounts, and locations must be The provided in this year's form, even if the hazardous chemicals. You have marked option used for each mixture must be consistent with the option used in an X in the immediate (acute) hazard information is identical to that submitted last year. your Section 311 reporting. column for phenol and sulfuric acid. The Because E -HSs are important to maximum amount raw weight you listed Physical and Health Hazards Section 303 planning, EHSs have lower were 10,000 lbs. and 500 lbs. Descriptions, Amounts, and Locations thresholds. The amount of an EHS at a respectively. You add these together to This section requires aggregate facility (both pure EHS substances and reach a total of 10,500 lbs. Then you look EHSs in mixtures) must be aggregated at the Reporting Range at the bottom of information on chemicals by hazard for purposes of threshold determination. your Tier One form and find that the categories as defined in 40 CFR 370.2. It is suggested that the aggregation value of 04 corresponds to 10,500 lbs. The two health hazard categories and calculation be done as a first step In Enter 04 as your Maximum Amount for three physical hazard categories are a Immediate (acure) hazards materials. making the threshold determination. consolidation of the 23 hazard Once you determine whether a You also marked an X in the Fire categories defined in the OSHA Hazard threshold has been reached for an ElIS, Communication Standard, 29 CFR hazard box for phenol. When you 1910.1200. For each hazard type, indicate you should report either the total weight calculate your Maximum Amount totals the total amounts and general locations of the EHS at your facility, or the weight for fire hazards, add the 10,000 lb. of each mixture containing the EHs. weight again. of all applicable chemicals present at *Where do I count a chemical that is a your facility during the past year. Average Daily Amount fire and reactive physical hazard and an immediate (acute] health hazard? This column should represent the

SECTION 2: Hazards identification

CATEGORY COMPARISON FOR Add the chemical's weight to your average daily amount of chemicals of REPORTING UNDER SECTIONS 311' and totals for all three hazard categories and each hazard type that were present at or 312 include its location in all three above applicable thresholds at your categories. Many chemicals fall into facility at any point during the year. EPA's hazard categories OSHA's hazard categories more than one hazard category. To determine this amount: Maximum Amount 1. List all of your reportable Fire Hazard ....................... Flammable The amounts of chemicals you have hazardous chemicals individually (same Combustion Uquid as for Maximum Amount. Pyrophoric on hand may vary throughout the year. Oxidizer The peak weights-greatest single-day 2. For each chemical... Sudden Release of Explosive weights during the year-are added a. Indicate all physical and health Pressure. Compressed Gas Reactive ............. Unstable Reactive together in this column to determine the hazards that the chemical presents Organic Peroxide maximum weight for each hazard type. (same as for Maximum Amount). Water Reactive Since the peaks for different chemicals b. Estimate the average weight in Immediate (Acute) Highly Toxic often occur on different days, this

Health hazards

Toxic pounds that was present at your facility Irritant maximum amount will seem artificially throughout the year. To do this, total all Sensitizer high. daily weights and divide by the number Corrosive To complete this and the following of days the chemical was present on the .. ..... Other hazardous sections, you may choose to use the Tier site. chemicals with an Two form as a worksheet. adverse effect with 3. For each hazard type-beginning short term exposure. To determine the Maximum Amount: with Fire and repeating for all physical Delayed (Chronic) Health Carcinogens 1. List all of your reportable and health hazards... hazardous chemicals individually. ..... Other hazardous 2. For each chemical... a. Add the average weights of all chemicals with an chemicals you indicated for the adverse effect with a. Indicate all physical and health long term exposure. hazards that the chemical presents. particular hazard type. " Include all chemicals, even if they are b. Look at the Reporting Ranges at the present for only a short period of time bottom of the Tier One form. Find the * What units should I use? during the year. appropriate range value code. Calculate all amounts as weight in b. Estimate the maximum weight in c. Enter this range value as the pounds. To convert gas or liquid volume pounds that was present at your facility Average Daily Amount. 30650 Federal Register / Vol. 55, No. 144 / Thursday, July 26, 1990 / Rules and Regulations Instructions Number of Days On-Site However, you choose to attach a site Please Read These Instructions Enter the greatest number of days that plan and list coordinates. Check the Site Carefully. Print or Type a single chemical within that hazard Plan box at the top of the Column and all Responses enter site coordinates for the Main Example: You are using the Tier Two category was present on-site. Example: At your facility, nicotine is Building and Storage Shed 13 under form, and have marked an X in the present for 100 days and phosgene is General Locations. immediate (acute) hazard column for present for 150 days. Enter 150 in the If you need more space to list nicotine and phenol. Nicotine is present space provided. locations, attach an additional Tier One at your facility 100 days during the year, form and continue your list on the and the sum of the daily weights is General Location proper line. Number all pages. 100,000 lbs. By dividing 100,000 lbs. by Enter the general location within your 100 days on-site, you calculate an Certification facility where each hazard may be Average Daily Amount of 1,000 lbs. for found. General locations should include Instructions for this section are nicotine. Phenol is present at your the names or identifications of buildings, Included on page one of these facility 50 days during the year, and the tank fields, lots, sheds, or other such instructions. sum of the daily weights is 10,000 lbs. By areas. 10. Section 370.41 is revised to read as dividing 10,000 lbs. by 50 days on-site, For each hazard type, list the follows: you calculate an Average Daily Amount locations of all applicable chemicals. As of 200 lbs. for phenol. You then add the an alternative you may also attach a site § 370.41 Tier II emergency and hazardous two average daily amounts together to plan and list the site coordinates related chemical Inventory form. reach a total of 1,200 lbs. Then you look to the appropriate locations. If you do (a) The form set out in paragraph (b) at the Reporting Range on your Tier One so, check the Site Plan box. of this section shall be completed and form and find that the value 03 Example: On your worksheet you submitted as required in § 370.25 of this corresponds to 1,200 lbs. Enter 03 as have marked an X in the Fire hazard part. In lieu of the form set out in your Average Daily Amount for column for acetone and butane. You paragraph (b) of this section, the facility Immediate (acute) Hazard. noted that these are kept in steel drums owner or operator may submit a State or You also marked an X in the Fire in Room C of the Main Building, and in local form that contains identical hazard column for phenol. When you pressurized cylinders in Storage Shed content. calculate your Average Daily Amount 13, respectively. You could enter Main (b) Tier II Emergency and Hazardous for fire hazards, use the 200 lb. weight Building and Storage Shed 13 as the Chemical Inventory Form. again. General Locations of your fire hazards. SBIWN CODE 65W5-so-U Federal Register Vol. / 55, No. 144 Thursday, / July 26, 1990 / Rules and Regulations 30651 HI !ii~1:i~ 0C mm. m ,y .. - Y-: ., p [, , .E *1* ________ - I ~1 J i i ] .::: :: -. a.i~i:i 0- - S- A:" 111 0 ~ 0,~. ~ 0 tllitll ~n~u~mdzisj~ LII I I llll!ll I I ~A~L iilllli I AUIU1UOQ r ... ........ .......... -x- 1.:.,. AZ A0 0 ' ' iir -" -UCEl Ck v ,x~ C ............. A148.. ... y jS X.." Xo A1 ! IIIIII •C . iIL a i ll ~ U.lil1 II E]j ii 01 0 01 0, 0! SrTi U 0:: :::::::::: 01 I ...,............ Oi iiI 0! E] 0I O11 EIM U1 O41 (]]I)]i[i[]]]] 0:, zi wCN 4 t P____ a Z -ish I m -I m - I I, 30652 Federal Register / Vol. 55, No. 144 / Thursday, July 26, 1990 / Rules and Regulations SIWNO CODE 6560-50-C m. .... Federal Register / Vol. 55, No. 144 / Thursday, July 26, 1990 / Rules and Regulations 30653 ......... J ....... i .... ..... m Tier Two Instructions Communication Standard, found in Title For all other hazardous chemicals for General Information 29 of the Code of Federal Regulations at which facilities are required to have or § 1910.1200. prepare an MSDS, the minimum Submission of this Tier Two form (when requested) is required by Title III This form does not have to be reporting threshold Is 10,000 pounds (or submitted if all of the chemicals located 4,54o kg.). of the Superfund Amendments and at your facility are excluded under Reauthorization Act of 1986, Section 312, You need to report hazardous Section 311(e) of Title III. chemicals that were present at your Public Law 99-499, codified at 42 U.S.C. Section 11022. The purpose of this Tier What Chemicals are Included facility at any time during the previous Two form is to provide State and local calendar year at levels that equal or If you are submitting Tier Two forms exceed these thresholds. For officials and the public with specific in lieu of Tier One, you must report the information on hazardous chemicals instructions on threshold determinations required information on this Tier Two for components of mixtures, see "What present at your facility during the past form for each hazardous chemical About Mixtures?" on page 2 of these year. present at your facility in quantities instructions. Certification equal to or greater than established .A requesting official may limit the The owner or operator or the officially threshold amounts (discussed below), unless the chemicals are excluded under responses required under Tier Two by designated representative of the owner or operator must certify that all specifying particular chemicals or Section 311(e) of Title I1. Hazardous groups of chemicals. Such requests information included in the Tier Two chemicals are any substance for which apply to hazardous chemicals regardless submission is true, accurate, and your facility must maintain an MSDS under OSHA's Hazard Communication of established thresholds. complete. On the first page of the Tier Two report, enter your full name and Standard. Instructions official title. Sign your name and enter If you elect to submit Tier One rather the current date. Also, enter the than Tier Two, you may still be required Plesase read these instructions total number of pages carefully. Print or Type all Responses included in the to submit Tier Two information upon Confidential and Non-Confidential request. When to Submit This Form Information Sheets as well as all What Chemicals are Excluded Owners or operators of facilities that attachments. An original signature is have hazardous chemicals on hand in required on at least the first page of the Section 311(e) of Title Ill excludes the submission. Submissions to the SERC, following substances: quantities equal to or greater than set LEPC, and fire department must each (i) Any food, food additive, color threshold levels must submit either Tier contain an original signature on at least additive, drug, or cosmetic regulated by One or Tier Two forms by March 1. the first page. Subsequent pages must the Food and Drug Administration; If you choose to submit Tier One, contain either an original signature, a (ii) Any substance present as a solid rather than Tier Two, be aware that you photocopy of the original signature, or a in any manufactured item to the extent may have to submit Tier Two signature stamp. Each page must contain exposure to the substance does not information later, upon request of an Date: on which the original signature occur under normal conditions of use; authorized official. You must submit the was affixed to the first page of the (iii) Any substance to the extent it is Tier Two form within 30 days of receipt submission and the total number of used for personal, family, or household of a written request. pages in the submission. purposes, or is present in the same form Where to Submit This Form and concentration as a product You Must Provide All Information Requested on This Form to Fulfill Tier packaged for distribution and use by the Send either a completed Tier One general public; form or Tier Two form(s) to each of the Two Reporting Requirements (iv) Any substance to the extent it is following organizations: This form may also be used as a used in a research laboratory or a 1. Your State Emergency Response worksheet for completing the Tier One hospital or other medical facility under Commission. form or may be submitted in place of the the direct supervision of a technically 2. Your Local Emergency Planning Tier One form. qualified individual; Who Must Submit This Form Committee. (v) Any substance to the extent it is 3. The fire department with used in routine agricultural operations Section 312 of Title III requires that or is a fertilizer held for sale by a jurisdiction over your facility. the owner or operator of a facility retailer to the ultimate customer. If a Tier Two form is submitted in submit this Tier Two form if so OSHA regulations, § 1910.1200(b), response to a request, send the requested by a State emergency stipulate exemptions from the completed form to the requesting response commission, a local emergency requirement to prepare or have available agency. planning committee, or a fire department an MSDS. with jurisdiction over the facility. Penalties This' request may apply to the owner Reporting Thresholds Any owner or operator who violates or operator of any facility that is Minimum thresholds have been any Tier Two reporting requirements required, under regulations established for Tier One/Tier Two shall be liable to the United States for a implementing the Occupational Safety reporting under Title III, Section 312. civil penalty of up to $25,000 for each and Health Act of 1970, to prepare or These thresholds are as follows: such violation. Each day a violation have available a Material Safety Data For Extremely Hazardous Substances: continues shall constitute a separate Sheet (MSDS) for a hazardous chemical present at the facility. MSDS (EHSs) designated under section 302 of violation. Title Ill, the reporting thresholdIs 500 If your Tier Two responses require requirements are specified in the pounds (or 227 kg.) or the threshold more than one page use additional forms Occupational Safety and Health Administration (OSHA) Hazard planning quantity (TPQ), whichever is and fill in the page number at the top of lower, the form. 30654 Federal Register J Vol. 55, No. 144 / Thursday, July 26, 1990 / Rules and Regulations Reporting Period storage codes and locations on the Tier liquid, or gas; and whether the chemical Enter the appropriate calendar year, Two form. Chemical descriptions, is or contains an EHS. beginning January 1 and ending hazards, amounts, and locations must be 4. If the chemical is a mixture December 31. provided even if the information is containing an EHS, enter the chemical identical to that submitted last year. name of each EHS in the mixture. Facility Identification e What units should I use? Example: You have pure chlorine as Enter the full name of your facility Calculated all amounts as weight in on hand, as well as two mixtures that (and company identifier where pounds. To convert gas or liquid volume contain liquid chlorine. You write appropriate). to weight in pounds, multfply by an "chlorine" and enter the CAS number. Enter the full street address or state appropriate density factor. Then you check "pure" and "mix"-as road. If a street address is not available, * What about mixtures? well as "liquid" and "gas". enter other appropriate identifiers that If a chemical is part of a mixture, you Physical and Health Hazards describe the physical location, of your have the option of reporting either the facility (e.g., longitude and latitude). weight of the entire mixture or only the For each chemical you have listed, Include city, county, state, and zip code. portion of the mixuture. that is a check all the physical and health hazard Enter the primary Standard Industrial particular hazardous chemcial] (eg., if a boxes that apply. These hazard Classification (SIC) code and the Dun & hazardous solution weights 100 Ilbs. but categories are defined in 40 CFR 370.2. Bradstreet number for your facility. The is composed of only 5% of a particular The two health hazard categories and financial officer of your facility should hazardous chemcial, you can ndicate three physical hazard categories are a be able to provide the Dun & Bradstreet either 100 lbs. of the mixture or 5 lbs. of consolidation of the 23 hazard number. If your firm does not have this the chemical]. categories defined in the OSHA Hazard information, contact the State or The option used for each mixture must Communication Standard, 29 CFR regional office of Dun & Bradstreet to be consistentwith the option used in 191G.1200. obtain your facility number or have one your Section 311 reporting. assigned. Because El ISs are important to HAZARD CATEGORY COMPENSATION FOR Section 303 planning, EHSs have lower REPORTING UNDER SECTIONS 311 AND Owner/Operator thresholds. The amount of an EHS at a Enter the owner's or operator's full facility (both pure EHS substances and 312 name, mailing address, and phone EHSs in mixtures) must be aggregated number. and purposes of threshold EPA's hazard categodes OSHA's hazard categories determination. It is suggested .that the Emergency Contact aggregation calculation be done as a