Hazard Bill Of Ladden Template Modify Form

Hazard Bill Of Ladden Template

The Hazard Bill of Lading is a crucial document used in the transportation of hazardous materials. It serves as a receipt for goods and outlines the terms and conditions under which the carrier agrees to transport these materials. Ensuring accurate completion of this form is essential for compliance and safety; fill out the form by clicking the button below.

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The Hazard Bill of Lading form is a crucial document in the transportation of hazardous materials. This form serves multiple purposes, primarily ensuring that shipments of hazardous goods are properly documented and compliant with federal regulations. It includes essential details such as the shipper's and consignee's information, the description of the hazardous materials, and the total quantity being shipped. Additionally, it specifies the responsibilities of both the shipper and the carrier regarding liability for loss or damage during transit. The form also outlines payment terms, including freight charges and the conditions under which goods may be held or sold if not collected in a timely manner. Notably, it emphasizes the importance of accurate classification and packaging of hazardous materials to prevent accidents and ensure safe handling. Overall, the Hazard Bill of Lading is not just a shipping document; it is a critical element in the safe and legal transportation of potentially dangerous goods.

Instructions on How to Fill Out Hazard Bill Of Ladden

Completing the Hazard Bill of Lading form is crucial for the safe and compliant transportation of hazardous materials. Follow these steps carefully to ensure that all required information is accurately provided.

  1. Shipper’s Information: Fill in the shipper's name and address in the "FROM" section.
  2. Consignee Information: Enter the consignee's name and address in the "TO" section.
  3. Carrier Information: Provide the carrier's name and their SCAC code in the appropriate fields.
  4. Date: Write the date of shipment in the designated space.
  5. Vehicle Number: Indicate the vehicle number used for transportation.
  6. U.S. DOT Hazmat Reg. No: Enter the U.S. DOT Hazardous Materials Registration Number.
  7. Description of Articles: Clearly describe the hazardous materials being shipped, including the HM ID.
  8. Package Information: Specify the total number of packages and their weight.
  9. Hazard Class: Identify the hazard class or group for the materials being shipped.
  10. COD Information: If applicable, fill in the COD amount and fee.
  11. Charges: State the total charges and freight charges in the designated fields.
  12. Signature of Consignor: The consignor must sign and date the form to confirm the information is accurate.
  13. Emergency Response Information: Provide the emergency response name or contract number along with a telephone number.

Once the form is completed, review all entries for accuracy. Ensure that all required signatures are obtained. This document must accompany the shipment to comply with regulations governing hazardous materials transportation.

Key takeaways

Understanding the Hazard Bill of Lading form is crucial for anyone involved in the transportation of hazardous materials. Here are key takeaways to consider:

  • Accurate Information: Ensure all fields are filled out accurately. This includes details about the shipper, consignee, and the hazardous materials being transported.
  • Classification Compliance: Materials must be properly classified and labeled according to Department of Transportation regulations. This is essential for safe transport.
  • Liability Awareness: Be aware that the carrier's liability for loss or damage may be limited. Understand the implications of declaring a lower value for the shipment.
  • Claims Process: Claims for loss or damage must be filed in writing within nine months. Failure to do so may result in the loss of the right to claim.
  • Freight Charges: The shipper is primarily responsible for freight and other lawful charges. Ensure clarity on who will pay these charges to avoid disputes.
  • Joint Liability: If hazardous goods are shipped without prior notice, both the shipper and the owner may be held liable for any resulting damages.
  • Emergency Response: Include emergency response information on the form. This ensures that appropriate measures can be taken in case of an incident.
  • Signature Requirements: The shipper's signature on the bill of lading is critical. It signifies acceptance of the terms and conditions outlined in the document.

Documents used along the form

The Hazard Bill of Lading form is crucial for transporting hazardous materials. However, several other documents complement this form to ensure compliance with regulations and facilitate the shipping process. Below is a list of these documents, each serving a specific purpose in the transportation of hazardous materials.

  • Material Safety Data Sheet (MSDS): This document provides detailed information about the properties of a hazardous substance. It includes safety precautions, handling instructions, and emergency procedures.
  • Certificate of Compliance: This certificate confirms that the hazardous materials comply with relevant regulations and standards. It is often required by regulatory agencies.
  • Emergency Response Guidebook (ERG): This guide offers critical information for first responders during hazardous material incidents. It includes emergency procedures and safety measures to take in case of an accident.
  • Shipper’s Declaration for Dangerous Goods: This declaration is necessary for air transport of hazardous materials. It provides details about the contents, their classification, and handling instructions.
  • Transport Emergency Card (TREM Card): This card contains essential information for emergency responders. It includes details about the hazardous materials being transported and recommended safety measures.
  • Transport Permit: This permit is often required for transporting certain hazardous materials. It ensures that the shipment complies with federal and state regulations.
  • Hazardous Waste Manifest: Used for tracking hazardous waste shipments, this document ensures proper disposal and compliance with environmental regulations.
  • Bill of Lading (Standard): While similar to the Hazard Bill of Lading, this document is used for non-hazardous materials and outlines the terms of transport.
  • Customs Declaration: Required for international shipments, this document declares the contents of the shipment and ensures compliance with customs regulations.
  • Packaging Certification: This certification confirms that the packaging used for hazardous materials meets safety and regulatory standards for transport.

Each of these documents plays a vital role in ensuring the safe and compliant transportation of hazardous materials. It is essential to have them prepared and reviewed to avoid delays and potential legal issues during shipping.

Sample - 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

Dos and Don'ts

When filling out the Hazard Bill of Lading form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do:

  • Do provide complete and accurate information about the hazardous materials being shipped.
  • Do ensure that the consignee's and shipper's addresses are clearly stated and correct.
  • Do sign the form where required to acknowledge your agreement to the terms and conditions.
  • Do double-check the weight and classification of the materials to avoid any discrepancies.
  • Do keep a copy of the completed form for your records.
  • Don't leave any sections blank; incomplete forms can lead to delays or issues in transportation.
  • Don't underestimate the value of the property being shipped, as this can affect liability.
  • Don't forget to include any special instructions or requirements for handling the hazardous materials.
  • Don't provide false or misleading information, as this can result in legal consequences.
  • Don't neglect to review the terms and conditions before signing the form.