Official Hazard Bill Of Ladden Template in PDF Open Hazard Bill Of Ladden Editor

Official Hazard Bill Of Ladden Template in PDF

The Hazard Bill of Lading is a crucial document used in the transportation of hazardous materials. It outlines the responsibilities and liabilities of the shipper and carrier while ensuring compliance with safety regulations. For those involved in shipping hazardous goods, filling out this form accurately is essential for smooth logistics and legal protection.

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Key takeaways

When dealing with the Hazard Bill of Lading form, it’s essential to understand its importance and how to fill it out correctly. Here are some key takeaways to keep in mind:

  • Accuracy is Crucial: Ensure that all information provided on the form is accurate. This includes details about the shipper, consignee, and the hazardous materials being transported.
  • Understand Liability: Be aware that the carrier's liability for loss or damage may be limited. Familiarize yourself with the terms regarding liability to avoid surprises.
  • Follow Filing Procedures: If you need to file a claim for loss or damage, do so within nine months of delivery. Missing this deadline could mean losing your right to claim.
  • Payment Responsibilities: Know who is responsible for freight charges. If you are the shipper, you are primarily responsible unless otherwise stated on the bill of lading.
  • Proper Packaging: Ensure that hazardous materials are properly classified, packaged, and labeled. This is vital for compliance with regulations.
  • Emergency Contact: Include an emergency response contact number on the form. This is important for safety and compliance during transportation.

By keeping these points in mind, you can ensure a smoother process when using the Hazard Bill of Lading form.

Documents used along the form

The Hazard Bill of Lading form is an essential document used in the transportation of hazardous materials. It serves to outline the responsibilities and liabilities of both the shipper and the carrier. Alongside this form, several other documents are often utilized to ensure compliance and safety during the transportation process. Below is a list of related forms and documents commonly used with the Hazard Bill of Lading.

  • Material Safety Data Sheet (MSDS): This document provides detailed information about the properties of a specific hazardous material. It includes information on handling, storage, and emergency measures in case of an accident. The MSDS is crucial for ensuring the safety of all personnel involved in the transportation and handling of hazardous materials.
  • Emergency Response Guidebook (ERG): The ERG is a manual that provides first responders with guidance on how to respond to hazardous material incidents. It includes information on potential hazards, protective measures, and emergency procedures. This guide is essential for ensuring that emergency responders can act quickly and effectively in case of an incident.
  • Shipping Papers: These documents accompany hazardous materials during transport and provide essential information about the shipment. They include details such as the type of hazardous materials, quantity, and emergency contact information. Shipping papers are vital for compliance with transportation regulations and for ensuring the safety of all involved parties.
  • Hazardous Waste Manifest: This form is used when transporting hazardous waste to ensure that it is tracked from the point of origin to its final disposal location. It includes information about the waste type, quantity, and destination. The manifest is crucial for regulatory compliance and for protecting public health and the environment.
  • Arizona Li 214 244 form: As part of the licensing process for real estate professionals, this form is crucial for disclosing any past disciplinary actions, criminal convictions, or other relevant factors. To learn more about this and other essential documents, visit All Arizona Forms.
  • Placards and Labels: These are visual indicators that communicate the presence of hazardous materials during transport. Placards are displayed on the transport vehicle, while labels are attached to individual packages. They are essential for alerting handlers and emergency responders to the nature of the materials being transported, helping to prevent accidents and ensure safe handling.

Using these documents in conjunction with the Hazard Bill of Lading form helps ensure the safe and compliant transportation of hazardous materials. Each document plays a critical role in protecting public safety and maintaining regulatory standards throughout the shipping process.

Similar forms

  • Uniform Commercial Code (UCC) Bill of Lading: This document serves a similar purpose in that it acts as a contract between the shipper and carrier. Like the Hazard Bill of Lading, it outlines the terms of transport, including liability and delivery obligations. Both documents aim to provide clarity on the responsibilities of each party involved in the shipping process.
  • Freight Bill: A freight bill details the charges for transporting goods, similar to the Hazard Bill of Lading. While the Hazard Bill includes specifics about hazardous materials, both documents outline the costs associated with shipping and serve as an invoice for the services rendered by the carrier.
  • Shipping Manifest: This document provides a comprehensive list of all items being shipped. Like the Hazard Bill of Lading, it includes details about the contents and their classification. Both documents ensure that all parties are aware of what is being transported and its condition.
  • Notary Acknowledgement Form: For legal transactions in New York, it's crucial to utilize the comprehensive Notary Acknowledgement form resources to ensure binding agreements and proper identification of signers.
  • Delivery Receipt: A delivery receipt confirms that goods have been received in good order. Similar to the Hazard Bill of Lading, it serves as proof of delivery and may include information about the condition of the items upon arrival, ensuring accountability for both the shipper and the carrier.
  • Hazardous Materials Shipping Papers: These papers are specifically designed for transporting hazardous materials. Like the Hazard Bill of Lading, they provide crucial information regarding the handling, packaging, and emergency response for hazardous goods, ensuring compliance with safety regulations.
  • Consignment Note: A consignment note provides details about the shipment, similar to the Hazard Bill of Lading. It outlines the sender, recipient, and contents of the shipment, ensuring that all parties are informed about the transaction and the expectations for delivery.

Document Data

Fact Name Description
Document Type This is a Hazardous Materials Straight Bill of Lading, which is used for the transportation of hazardous materials.
Original Copy The form is labeled as "ORIGINAL – NOT NEGOTIABLE," indicating it is the primary document for the shipment.
Liability Limitations The carrier's liability for loss or damage is limited under specific conditions, as outlined in Section 1 of the terms and conditions.
Claims Filing Claims for loss or damage must be submitted in writing within nine months after delivery or failure to deliver.
Emergency Contact The form requires an emergency response name or contract number and a telephone number for quick reference during transportation.
Applicable Laws This form is governed by federal regulations, including 49 U.S.C., as well as any applicable state laws regarding hazardous materials transportation.

More PDF Forms

Common mistakes

  1. Incomplete Information: One common mistake is failing to provide all necessary details. Each section of the Hazard Bill of Lading form must be filled out completely. Missing information can lead to delays or complications in the shipping process.

  2. Incorrect Classification: Misclassifying the hazardous materials can have serious consequences. It is essential to accurately describe the articles and their corresponding hazard class. This ensures compliance with safety regulations and helps prevent accidents during transport.

  3. Failure to Sign: Not signing the form is another frequent oversight. The shipper's signature is crucial as it indicates acceptance of the terms and conditions outlined in the document. Without a signature, the shipment may not be valid.

  4. Ignoring Regulations: Some individuals overlook the importance of adhering to federal and state regulations. Understanding and complying with these regulations is vital for the safe transport of hazardous materials. Failure to do so can result in legal penalties and increased liability.

  5. Omitting Emergency Response Information: Neglecting to include emergency response contact details can be a significant error. In the event of an incident, having this information readily available is critical for ensuring the safety of all involved.

Preview - Hazard Bill Of Ladden Form

®, Neenah, WI • USA • (800) 327-6868 • jjkeller.com • Printed in the United States

HAZARDOUS MATERIALS

ASSOCIATES, INC.

CONTAINS

© Copyright 2010 J. J. KELLER &

 

CONTAINS HAZARDOUS MATERIALS

STRAIGHT BILL OF LADING – ORIGINAL – NOT NEGOTIABLE

 

 

 

 

 

 

Shipper’s No.

 

 

 

 

Carrier

 

 

 

 

 

Carrier’s No.

 

 

 

 

 

 

 

SCAC

 

 

Date

 

 

TO:

 

 

 

FROM:

 

 

 

 

 

 

Consignee

 

 

 

Shipper

 

 

 

 

 

 

Street

 

 

 

Street

 

 

 

 

 

 

Destination

 

 

Zip

Origin

 

 

 

 

Zip

 

Route

 

 

 

 

 

Vehicle Number

 

 

U.S. DOT Hazmat Reg. No.

 

 

 

 

 

 

 

 

 

 

 

 

Number and Type

HM

I.D.

Description of Articles

Hazard

Pkg.

Total Quantity

Weight

Class or

of Packages

Number

Class

Grp.

(mass, volume, or

(subject to

Rate

 

 

 

 

 

activity)

correction)

 

 

 

 

 

 

 

 

 

 

CONTAINS HAZARDOUS MATERIALS

Remit COD to:

 

 

Subject to Section 7 of conditions, if this

COD AMT:

COD FEE:

 

 

shipment is to be delivered to the consignee

Address:

 

 

without recourse on the consignor, the

 

 

 

 

consignor shall sign the following statement:

Prepaid

 

City:

State:

Zip:

The carrier shall not make delivery of this

$

 

 

shipment without payment of freight and all

 

Collect

$

 

 

 

 

other lawful charges.

 

 

 

 

NOTE: Where the rate is dependent on value, shippers are required to state specifically in writing

 

TOTAL CHARGES:

 

 

 

FREIGHT CHARGES:

the agreed or declared value of the property. The agreed or declared value of the property is

 

$

 

 

hereby specifically stated by the shipper to be not exceeding $

Per

(Signature of Consignor)

 

 

Prepaid

Collect

 

 

RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the shipper, on request; and all applicable state and federal regulations; the Property described above, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated above, which said company (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to delivery at said destination, if on its route, or otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination, and as to each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.

 

NOTE: Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C.

 

 

PLACARDS

BY SHIPPER

BY CARRIER

 

14706(c)(1)(A) and (B).

 

 

PLACARDS

SUPPLIED

 

This is to certify that the above-named materials are properly classified, described, packaged, marked

 

 

 

REQUIRED

DRIVER’S

 

 

 

and labeled, and are in proper condition for transportation according to the applicable regulations of

 

 

 

the Department of Transportation. Per

 

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPER:

 

 

 

CARRIER:

 

 

 

 

PER:

DATE:

 

PER:

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

EMERGENCY RESPONSE

 

 

NAME OR CONTRACT NUMBER

 

 

 

TELEPHONE NUMBER:

 

 

OR OTHER UNIQUE IDENTIFIER:

 

 

215-BLC-O 3 12466 (Rev. 9/10)

CONTAINS HAZARDOUS MATERIALS 1

TERMS AND CONDITIONS

By giving the carrier the property described in this bill of lading (the “Property”), you agree to all of the terms of this bill of lading.

Section 1 Limitations of Liability

(a)The carrier or party in possession of the Property shall be liable as at common law for any loss of or damage to such Property, except as hereinafter provided.

(b)The carrier shall not be liable for loss of, damage to or delay in delivery of the Property:

(i)caused by an act of God, the public enemy, the authority of law, or any act or default by you and/or the owner of the Property, or for natural shrinkage.

(ii)occurring while the Property is stopped and held in transit at your request or that of any other party entitled to make such request.

(iii)resulting from a defect or vice in the Property, or from riots or strikes.

(c)To the extent permitted under the Carmark Amendment, the liability of the carrier for the Property may be limited to a value established by written or electronic declaration by you or by written agreement between the carrier and you. In all cases not prohibited by law, where a lower value than actual value has been represented in writing by the shipper or has been agreed upon in writing as the released value of the Property as determined by the classification or tariffs upon which the rate is based, such lower value plus freight charges if paid shall be the maximum amount to be recovered, whether or not such loss or damage occurs from negligence.

Section 2 Filing of Claims

(a)Claims against the carrier for loss of or damage to the Property must be filed in writing with the carrier issuing this bill of lading within nine months after delivery of the Property (or, in case of export traffic, within nine months after delivery at port of export) or, in case of failure to make delivery, then within nine months after a reasonable time for delivery has elapsed. All causes of action must be instituted within two years following the date when written notice is given by the carrier to you that the carrier has disallowed the claim or any part or parts thereof specified in the notice. If your claim or action is not filed or instituted properly in accordance with the foregoing provisions, the carrier shall not be liable, and such claims may not be paid.

(b)The carrier shall have the full benefit of any insurance that may have been effected upon or on account of the Property in the event that the carrier is liable for loss of or damage to the Property.

Section 3 Method of Transportation

Except as expressly agreed in writing by the parties to this bill of lading, the carrier is not bound to transport the Property by any particular motor vehicle, or in time for any particular market or otherwise than with reasonable dispatch. The carrier shall have the right in case of physical necessity to forward said Property by any carrier or route between the point of shipment and the point of destination.

Section 4 Responsibility for Property

(a)If the Property is not removed by the party entitled to receive it within the free time allowed by tariffs or classifications upon which the rate is based, (such free time to be computed as therein provided), the carrier may notify the receiving party of the arrival of the Property at the destination or at the port of export (if intended for export). The carrier, in its discretion, may store the Property in a public or licensed warehouse at the place of delivery or other available place, at the cost of the owner. The stored Property will be subject to a lien for all freight and other lawful charges, including a reasonable charge for storage. The carrier’s responsibility shall be that of a warehouseman only.

(b)Except as provided in subparagraph 4(c) below, if the Property is refused by consignee or the party entitled to receive it, or said consignee or party entitled to receive it fails to receive it within 15 days after notice of arrival shall have been duly sent or given, the carrier may sell the Property at public auction to the highest bidder, at such place as may be designated by the carrier. Prior to any such sale, the carrier shall use commercially reasonable efforts to notify you that the Property has been refused or remains unclaimed, as the case may be, and that it will be subject to sale under the terms of the bill of lading if you do not arrange for an alternative disposition.

(c)If the Property is perishable and is refused by the consignee or party entitled to receive it at the destination location, or said consignee or party entitled to receive it shall fail to receive it promptly, the carrier, may, in its discretion, to prevent deterioration or further deterioration, sell the same to the best advantage at private or public sale. Prior to selling the Property, the carrier shall use commercially reasonable efforts to notify you of the refusal of the Property or the failure to receive it, and request instructions regarding disposition of the Property.

(d)If the procedure described in subsection (b) and (c) is not commercially reasonable, the carrier may, at its option, sell the Property under such circumstances and in such manner as may be authorized by law.

(e)The carrier shall apply the proceeds of any sale made under this section to the payment of freight, demurrage, storage, and any other lawful charges and the expense of notice, advertisement, sale, and other necessary expense and of caring for and maintaining the Property, if proper care of the same requires special expense. If following payment of the preceding there is a balance, such balance shall be paid to the owner of the Property sold hereunder.

(f)If you direct the carrier to deliver the Property to a location where there is no regularly appointed freight agent, the carrier shall not be liable for any loss or damage to Property occurring at such location after the Property has been unloaded at such location.

Section 5 Valuable Items

(a)The carrier’s liability in connection with the Property is limited to the lesser of the amount of your actual damages or the declared value stipulated by the carrier on the face of this bill of lading plus any freight charges paid by you.

(b)The carrier shall not be liable in any way for any documents, specie, or for any articles of extraordinary value not specifically rated in the published classifications or tariffs unless a special agreement to do so and a stipulated value of the articles are endorsed on this bill of lading.

Section 6 Joint Liability for Hazardous Goods

You, and if you are an agent, any owner of the Property, shall be joint and severally liable for and indemnify the carrier against all loss or damage caused by the shipment of explosives, dangerous or hazardous goods, without giving prior written notice to the carrier of their nature. At the discretion of the carrier, any such goods may be warehoused at your and the owner’s risk and expense or destroyed without compensation.

Section 7 Freight Charges and Payment

(a)You are primarily responsible for the freight and all other lawful charges, unless you stipulate in writing in the space provided for that purpose on the face of this bill of lading that the carrier shall not make delivery without requiring payment of such charges and the carrier makes delivery without requiring such payment. If you provide erroneous information that results in the shipment being reconsigned or diverted to a location other than the location identified in the original bill of lading, you shall be liable for such additional charges. The respective liability of you and the consignee for additional charges provided for herein shall be pursuant to 49 U.S.C. § 13706.

(b)Nothing in this bill of lading shall limit the right of the carrier to require the prepayment or guarantee of charges at time of shipment. If upon inspection the carrier determines that the articles shipped are not those described in this bill of lading, the freight charges must be paid upon the articles actually shipped.

Section 8 Effect of Shipper Signature

If this bill of lading is issued on the order of the shipper, or his agent, in exchange or in substitution for another bill of lading, the shipper’s signature to the prior bill of lading as to the statement of value or otherwise, or election of common law or bill of lading liability, in or in connection with such prior bill of lading, shall be considered a part of this bill of lading as fully as if the same were written or made in or in connection with this bill of lading.

Section 9 Transport by Water

If all or any part of the Property is carried by water over any part of said route, and any loss of or damage to the Property occurs while it is in the custody of the carrier providing the water carriage, the liability of such carrier shall be determined by that carrier’s bill of lading and by the laws and regulations applicable to transportation by water. Such water carriage shall be performed subject to all of the terms and provisions of, and all the exemptions from liability contained in the Harter Act or the Carriage of Goods By Sea Act, as applicable.

©Copyright 2009 J. J. KELLER & ASSOCIATES, INC.®, Neenah, WI • USA • (800) 327-6868 • jjkeller.com • Printed in the United States