INSTALLATION SPILL CONTINGENCY PLAN (ISCP)
NAME OF FACILITY:
ADDRESS:
EPA ID NUMBER:
Authority: Army Regulation (AR) 200-1, Code of Federal Regulations, and the Florida Department of Environmental
Protection (FDEP) require Hazardous Waste Generators and other facilities to develop an Installation Spill Contingency
Plan (ISCP), for emergency response to spills of oil and hazardous substances for which they are responsible.
Purpose: The purpose of this ISCP is to identify responsibilities, duties, procedures and resources to be employed to
contain, mitigate and clean-up oil and hazardous substance spills.
3. Requirements:
a. A Facility Emergency Coordinator must be on-site or on call during facility operations.
b. This ISCP must be accessible and implemented in an emergency.
c. A current copy of this plan must be on file at the facility and at the Construction and
Facilities Management Office (CFMO) Environmental Office.
4. Table of Contents:
a. Part 1 - Cover sheet
b. Part 2 - Response to Fire / Spill Emergencies
c. Part 3 - Listing of Emergency Telephone Numbers
d. Part 4 - Required Facility Diagrams
e. Part 5 - Hazardous Material Inventory Sheet (s)
f. Part 6 - Response Equipment / Locations
g. Part 7 - Organization During Spill Incident / Response
h. Part 8 - Spill Report Form
PART 2: RESPONSE TO FIRE / SPILL EMERGENCIES
Facility Emergency Coordinator / Alternates:
NAME
Emergency Coordinator:
Alternate:
Alternate:
Required Response to Emergencies
ALERT PERSONNEL
SOUND ALARM AND EVACUATE IF NECESSARY
FIRE
CALL FIRE DEPT. 911
SPILL
STOP FLOW IF POSSIBLE,
MINIMIZE SPREAD OF CONTAMINATION
ATTEMPT TO EXTINGUISH
USING FIRE EXTINGUISHER
CONTACT CFMO
STATE ENV PROTECTION SPECIALIST CM 9904) 823-0277 DSN 860-7277 SC 865-0277
Environmental Compliance Manager (904) 823-0289 DSN 822-0289 SC 865-0289 Cell (904) 814-6175
ESII Spill Plan Coordinator (904) 823-0276 DSN 822-0276 SC 865-0276
PART 3: LIST OF EMERGENCY TELEPHONE NUMBERS
EMERGENCY TELEPHONE NUMBERS:
Fire Department:
911
or non-emergencies
Ambulance:
Police Department:
Hospital:
Sewage Treatment Plant Operations:
Adjacent Property Owners:
Environmental Problems /Concerns:
Report of Spills:
During Duty Hours: Environmental Protection Specialist CM 904/823-0277 DSN 860-7277 SC 865-0277
Environmental Compliance Manager (904) 823-0289 DSN 822-0289 SC 865-0289 Cell (904) 814-6175
ESII Spill Plan Coordinator (904) 823-0276 DSN 822-0276 SC 865-0276
When Reporting Spills Be Prepared To Give The Following Information:
1. Facility Name, Address, EPA ID #
2. Date and Time of Incident
3. How Did Incident Occur
4. Type Of Material Spilled
5. Quantity of Material Spilled
6. Current Situation Update.
****Notification of State and Federal Environmental Agencies will be accomplished by appropriate Adjutant General's
Office Staff (CFMO - Environmental Office).
PART 4: FACILITY SITE DIAGRAM
Date:
Facility Name:
Address:
"Diagram Will Depict Facility Layout and Identify: Spill kit locations, Fire extinguishers, Janitor Closet, Hazardous
Materials Storage Area (s), Waste Oil, Solvents, Gas Cylinder (s), Storage Area (s), Underground Tanks, Refueling Areas
and Tanker Truck Staging Area (s), Etc If Present. NOTE: Key Areas Related To PART 5: HAZARDOUS MATERIAL
INVENTORY SHEET (S).
DIAGRAM:
PART 4: FACILITY EMERGENCY EVACUATION DIAGRAM
Date:
Facility Name:
Address:
"Diagram Will Depict Facility Layout to Include Rooms, Location of All Fire Extinguishers and Exit Routes In Case Of
Extreme Emergencies. Include Location of "Installation Response Operations Center ". Also show outside area where
everyone is to meet after evacuation for a head count. NOTE: Color Code Diagram to Differentiate Information
Provided.
DIAGRAM:
PART 5: HAZARDOUS MATERIAL INVENTORY SHEET
*The Following Information Sheet Will Be Valuable When Filling Out
PARTS 4 & 5 of The (ISCP). Use one of these sheets for each storage area and show the location of each on your
Facility Daigram.
Proper Completion of These Forms Will Be Valuable To Fire Department And Emergency Type Agencies.
EXAMPLE
Facility Name:
Date:
Storage Area:
TRADENAME/
NOMENCLATURE
Paint Green 24272
Hydrolic Fluid
Solvent
Thinner Paint
Laquer Aerosol
Yellow
NSN
8010000870108
9150001116258
Local
Unknown
8010007219743
SIZE/TYPE OF
CONTAINER
5-Gal Steel
5 -Gal Plastic
55-Gal Steel
I -Qt Steel
1 -Gal Steel
MAXIMUM
AMOUNT STORED
10-Gals
30-Gals
10 -Gals
5-Qts
1-Gal
PART 5: HAZARDOUS MATERIAL INVENTORY SHEET
Facility Name:
Date:
Storage Area:
TRADE NAME/
NOMENCLATURE
NSN
SIZE/TYPE OF
CONTAINER
MAXIMUM AMOUNT
STORED
***These Inventory Sheet Storage Areas Must Be Keyed and Shown in PART 4: The Facility Diagram.
PART 6: RESPONSE EQUIPMENT / LOCATION
A. FIRE EXTINGUISHERS
B. SPILL RESPONSE EQUIPMENT:
(SEE SITE DIAGRAM FOR LOCATIONS)
ITEM
AMOUNT ON-HAND
LOCATION
Floor Dry
Absorbent Booms / Pads
Empty 55-Gal Drums
Non Spark Shovels
Brooms
Plastic Bags
PROTECTIVE EQUIPMENT:
Respirators
Rain Suits / Rubber Boots
Rubber Gloves
Splash Goggles / Safety Glasses
First Aid Kit
Eye Wash
OTHER EQUIPMENT:
*** Response Equipment Location Must Be Keyed and Shown in PART 4: The Facility Diagram.
***Equipment Such As Shovels, Hoses, Scrub Brushes, Brooms and Garbage Cans Must Be Accessible and Referenced
in PART 4: The Facility Diagram.
PART 7: ORGANIZATION DURING SPILL INCIDENT / RESPONSE
Alternate: Incident Response Team:
a.
b.
Responsibility:
FACILITY EMERGENCY COORDINATOR:
Has Clearly Defined Authority And Responsibility To Manage And Direct All Response Operations Until Relieved By
Fire Chief Or State Environmental Specialist.
Control actions taken by response team
a.
Establish communications with local Fire Department and State Environmental Specialist immediately CM (904)
823-0277, DSN 860-7277, SC 865-0277, or Environmental Compliance Manager (904) 823-0289 DSN 822-0289
SC 865-0289 Cell (904) 814-6175, or ESII Spill Plan Coordinator (904) 823-0276 DSN 822-0276 SC 865-0276
b.
Complete Spill Report (PART 8) within 24 hours, continue to document situation and take pictures if possible.
c.
Coordinate with State Environmental Specialist for proper procedures; storage of waste materials, sampling
guidance etc.
RESPONSE TEAM:
a.
Ensure proper protective clothing is worn for personal safety.
b.
Identify spill or leak source and report to Emergency Coordinator.
c.
Attempt to stop flow of material, if possible.
d.
Take corrective clean-up activities utilizing spill response equipment.
f.
Properly store and stage contaminated waste materials as directed by State Environmental Specialist.
g.
Sample impacted area as directed by State Environmental Specialist.
PART 8: SPILL REPORT
DEPARTMENT OF MILITARY AFFAIRS / FLORIDA ARMY NATIONAL GUARD
Name of Facility:
Location:
Name of Person Making Report:
Date of Incident:
Duration of Release:
Chemical Name and Identity of Substance:
Estimate of Quantity Released:
Size of Area Affected By Release:
Location of Incident and Specific Areas Affected By Spill:
Areas Affected (circle all that apply): Pavement, Gravel Area, Grassy Area, Inside Building, Receiving Stream or Waters:
Cause and Source of Incident:
Time of Incident:
Time of Discovery:
Actions Taken to Respond to and Contain Release:
Injuries and / or Property Damage:
Agencies Notified:
Amount of Spill Control Supplies Used:
Type and Amount of Material to Be Disposed:
Measures Taken to Prevent Recurring Incidents:
Commander of Facility:
Phone:
Signature:
Date:
FILE ORIGINAL AND SEND A COPY TO THE CONSTRUCTION AND FACILITY MANAGEMENT OFFICE
(CFMO) ENVIRONMENTAL SECTION WITHIN 24 HOURS.
Commercial: (904) 823-0276, (904) 823-0289 Fax: (904) 823-0189