My PDF Docs
Homepage → Get Hazard Bill Of Ladden Form in PDF
Article Map

The Hazard Bill of Lading form is a crucial document in the transportation of hazardous materials, ensuring compliance with safety regulations and facilitating the smooth movement of goods. This form includes essential details such as the shipper and consignee information, the nature of the hazardous materials being transported, and the specific regulations governing their shipment. It outlines the responsibilities of both the shipper and the carrier, including liability limitations, payment terms, and procedures for filing claims in the event of loss or damage. The form also highlights the importance of proper packaging, labeling, and emergency response information, which are vital for the safe handling of hazardous materials. By adhering to the guidelines set forth in this form, all parties involved can work together to ensure that hazardous goods are transported safely and efficiently, minimizing risks and protecting public health and the environment.

Dos and Don'ts

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

  • Do provide accurate and complete information about the shipper and consignee.
  • Do clearly describe the hazardous materials being shipped.
  • Do ensure that the total quantity and weight of the shipment are correctly stated.
  • Do sign the form where indicated to confirm the information is correct.
  • Do keep a copy of the completed form for your records.
  • Don't leave any sections of the form blank; every field must be filled out.
  • Don't underestimate the value of the goods; provide an accurate declared value.
  • Don't forget to check for any specific state or federal regulations that may apply.
  • Don't neglect to inform the carrier of any special handling instructions.
  • Don't assume that the carrier will know the nature of the hazardous materials without proper documentation.

Document Attributes

Fact Name Details
Purpose The Hazard Bill of Lading is used to document the transportation of hazardous materials.
Non-Negotiable This form is marked as "NOT NEGOTIABLE," meaning it cannot be transferred to another party.
Shipper and Carrier Information It requires specific details about the shipper and the carrier, including their respective numbers.
Emergency Response Emergency response contact information must be provided to ensure proper handling in case of an incident.
Liability Limitations The carrier's liability for loss or damage is limited and must be declared by the shipper.
Governing Laws Transportation of hazardous materials is governed by federal regulations, including 49 U.S.C. § 14706.
Claim Filing Claims for loss or damage must be filed within nine months of delivery or failure to deliver.

Key takeaways

When filling out and using the Hazard Bill of Lading form, keep these key takeaways in mind:

  • Accurate Information: Ensure all details, including shipper, consignee, and hazard classifications, are correct to avoid delays.
  • Signature Requirement: The consignor must sign the form, especially if the shipment is to be delivered without recourse.
  • Declared Value: Clearly state the agreed or declared value of the property to determine liability limits.
  • Filing Claims: Claims for loss or damage must be submitted in writing within nine months of delivery.
  • Emergency Response: Include emergency response information to ensure safety during transport of hazardous materials.
  • Payment Responsibilities: Understand that the shipper is primarily responsible for freight and other lawful charges unless otherwise stated.
  • Storage and Sale: If property is unclaimed, the carrier may store it or sell it after notifying the owner.
  • Joint Liability: The shipper and any agents are jointly liable for hazardous goods, so notify the carrier of any dangerous materials.
  • Transportation Method: The carrier is not obligated to use a specific vehicle unless agreed upon in writing.
  • Compliance with Regulations: Ensure that all materials are properly classified and packaged according to Department of Transportation regulations.

Other PDF Templates

2b Tracker - Monitor your progress towards weight loss or fitness goals.

In New York, utilizing the Trailer Bill of Sale form is crucial for a legal transfer of ownership, as it delineates important specifics regarding the trailer, such as its identification alongside the buyer and seller's credentials. For those in need of a convenient format, you can find an excellent template at NY Templates, which can facilitate a straightforward and secure transaction for both parties involved.

Reiwa Forms - Your tenancy history may be checked using databases.

Example - 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

Detailed Instructions for Writing Hazard Bill Of Ladden

Completing the Hazard Bill of Lading form is essential for the safe and legal transport of hazardous materials. Following these steps will ensure that all necessary information is accurately recorded, facilitating compliance with regulations and smooth processing of your shipment.

  1. Begin by entering the Shipper’s No. in the designated field.
  2. Fill in the Carrier and the Carrier’s No. along with the SCAC code.
  3. Indicate the Date of shipment.
  4. Provide the Consignee and Shipper information, including the Street, City, State, and Zip codes for both.
  5. Specify the Destination Zip and Origin Zip.
  6. Enter the Route and Vehicle Number.
  7. Complete the U.S. DOT Hazmat Reg. No. field.
  8. List the Hazardous Material ID and provide a Description of Articles.
  9. Indicate the Type of packaging and the Total Quantity of packages.
  10. Fill in the Weight and Class or Number of the packages.
  11. Check the appropriate box for Prepaid or Collect charges.
  12. Provide the COD AMT and COD FEE if applicable.
  13. State the Total Charges and Freight Charges.
  14. Sign the form as the Consignor and include the date.
  15. Ensure the Driver’s Signature is obtained upon receipt of the shipment.
  16. Complete the Emergency Response Name or Contract Number and Telephone Number.

Documents used along the form

The Hazard Bill of Lading form is a critical document used in the transportation of hazardous materials. Several other forms and documents accompany it to ensure compliance with regulations and facilitate safe transport. Below is a list of these documents, each serving a specific purpose.

  • Shipper's Declaration of Dangerous Goods: This document certifies that the hazardous materials being shipped are properly classified and packaged. It includes details about the nature of the goods, ensuring that all safety protocols are followed during transport.
  • Emergency Response Information: This document provides essential information for emergency responders in case of an incident involving hazardous materials. It includes details about the materials, potential hazards, and appropriate response measures.
  • Non-Disclosure Agreement (NDA): A crucial document that protects sensitive information shared during the transport process, fostering trust between parties. For templates, visit arizonapdfs.com.
  • Material Safety Data Sheet (MSDS): An MSDS contains information about the properties of a particular substance. It includes data on handling, storage, and emergency measures in case of exposure, making it vital for safety during transport.
  • Transport Document: This document outlines the specifics of the shipment, including the sender, recipient, and details of the cargo. It serves as a formal record of the transaction and is crucial for tracking and accountability.
  • Bill of Lading: Similar to the Hazard Bill of Lading, this document serves as a receipt for the goods and outlines the terms of transport. It is essential for both the shipper and carrier to have a clear understanding of the shipment's conditions.
  • Customs Declaration: Required for international shipments, this document provides customs authorities with information about the contents of the shipment. It ensures compliance with import/export regulations and facilitates smooth customs clearance.
  • Hazardous Materials Training Certificates: These certificates confirm that personnel involved in the handling and transportation of hazardous materials have received proper training. They are necessary for compliance with federal regulations.
  • Insurance Certificate: This document verifies that the shipment is covered by insurance. It provides peace of mind for both the shipper and carrier, ensuring that there is financial protection in case of loss or damage.

Each of these documents plays a vital role in the safe and compliant transportation of hazardous materials. Proper documentation not only ensures adherence to regulations but also promotes safety for all parties involved in the shipping process.