Hazard Bill Of Ladden PDF Template

Hazard Bill Of Ladden PDF Template

The Hazard Bill of Lading form is a crucial document used in the transportation of hazardous materials. This form ensures that all parties involved are aware of the nature of the goods being transported, along with pertinent details such as weight and handling requirements. If you need to ship hazardous materials, please fill out the form by clicking the button below.

Overview

The Hazard Bill of Lading form is essential for the safe transportation of hazardous materials. This document serves multiple purposes, providing information about the shipment, including the shipper's details, consignee information, and specifics about the hazardous materials being transported. Each section is designed to ensure compliance with federal regulations, including the identification of the hazardous materials and their classification. Key elements include spaces for the shipper and carrier’s information, a detailed description of the goods, the total quantity, and the weight of the packages. This form verifies if the materials are properly classified and packaged for transport while also outlining the conditions regarding payment and potential liability issues. It serves as a crucial record for both the shipper and the carrier, ensuring that all parties are aware of their responsibilities and any applicable charges. Using the Hazard Bill of Lading form correctly helps prevent transportation incidents and protects everyone involved in the shipment process.

Hazard Bill Of Ladden Preview

®, 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

File Properties

Fact Name Details
Purpose The Hazardous Materials Straight Bill of Lading is used to transport goods that are classified as hazardous materials, ensuring compliance with safety regulations.
Legal Reference This document adheres to federal laws outlined in 49 U.S.C., particularly those related to the transportation of hazardous materials.
Liability Limitations Carriers may limit their liability for loss or damage under certain conditions, as indicated in the terms and conditions section of the form.
Emergency Response An emergency response contact must be provided to facilitate prompt action in case of incidents involving hazardous materials during transport.

Instructions on Utilizing Hazard Bill Of Ladden

Filling out the Hazard Bill of Lading form accurately is crucial for the safe transportation of hazardous materials. It ensures that all parties involved have a clear understanding of the shipment details, which helps to avoid complications throughout the transit process. The following steps will guide you through the process of completing the form correctly.

  1. Obtain the Form: Start by securing a copy of the Hazard Bill of Lading form.
  2. Fill in Shipper’s Information: Enter the shipper's name, address, and contact number at the top of the form.
  3. Provide Carrier Details: Enter the name and number of the carrier responsible for transporting the materials.
  4. Enter Consignee Information: Complete the fields for the consignee, including their name and address.
  5. Fill in Shipping Details: Indicate the origin and destination zip codes, as well as the date of shipment.
  6. Describe the Hazardous Materials: Clearly state the type and description of the hazardous materials being shipped. Include any necessary identification numbers.
  7. Note Packaging Details: Specify the total quantity and weight of the packages, along with the classified hazard group.
  8. COD Instructions: If applicable, indicate the COD amount and fee, along with relevant consignee instructions.
  9. Complete Payment Section: Fill in total charges, freight charges, and any prepaid or collect payment options.
  10. Signature: Have the consignor sign and date the form to acknowledge responsibility for the shipment.
  11. Emergency Response Information: Include relevant contact information and emergency response name or contract number for hazardous materials.

Important Facts about Hazard Bill Of Ladden

What is the Hazard Bill Of Lading form?

The Hazard Bill of Lading form is a shipping document used to transport hazardous materials. This form provides essential information about the shipment, including details about the sender, recipient, and the nature of the hazardous materials being transported. It is crucial for compliance with safety regulations and helps ensure proper handling during transit.

Who is required to fill out the Hazard Bill Of Lading form?

The shipper, or the person sending the hazardous materials, is responsible for completing the Hazard Bill of Lading form. This individual must ensure that all relevant details are included, such as the descriptions of the materials, the quantities being shipped, and compliance with all applicable regulations.

What are the key information fields on the Hazard Bill Of Lading form?

Key fields on the form include the shipper’s and consignee’s information, the description and classification of the hazardous materials, total quantity and weight, and freight charges. Additionally, there are sections for signatures from the shipper and the carrier, which confirm acceptance of the terms and conditions laid out in the document.

Why is the signature of the consignor important?

The consignor's signature is vital because it confirms the shipper's agreement to the terms and conditions of transportation. This includes responsibility for any applicable charges and ensures that the hazardous materials are properly declared according to regulations.

What happens if the hazardous materials are refused by the consignee?

If the hazardous materials are refused by the consignee or remain unclaimed for a specified period, the carrier may sell the goods through a public auction. Before this sale, the carrier must attempt to notify the shipper about the refusal and provide instructions for the disposal of the goods. If the materials are perishable, the carrier may choose to sell them immediately to prevent deterioration.

Are there limits to the carrier's liability for loss or damage?

Yes, there are limits to liability. The carrier’s responsibility for loss or damage typically pertains to the lesser of the actual damages incurred or the declared value of the shipment. Additionally, certain events, such as natural disasters or acts of war, may relieve the carrier of liability.

What restrictions are in place for transporting hazardous materials?

Transporting hazardous materials comes with strict regulations. The shipper must classify, package, label, and describe the materials correctly on the Hazard Bill of Lading form. Failure to do so can lead to severe penalties, including fines and liability for damages. It is also essential for shippers and carriers to be aware of any specific local, state, or federal regulations governing hazardous materials transportation.

How long does the shipper have to file a claim for loss or damage?

If loss or damage occurs, a claim must be filed in writing with the carrier within nine months from the delivery date. If the shipment has not been delivered, the claim must be filed within nine months after a reasonable delivery time has elapsed. Failure to file within this time frame may result in the loss of the right to recover any damages.

Common mistakes

Filling out the Hazard Bill of Lading form can be a straightforward process, but there are common mistakes that can lead to complications. One major error is failing to provide accurate consignee and shipper information. Incorrect names or addresses can delay delivery and may even result in the return of the shipment. It is essential to double-check these details for clarity and correctness.

Another frequent mistake involves mislabeling hazardous materials. This document is particularly sensitive when it comes to hazardous materials, and incorrect classifications can have serious legal implications. Properly identifying the material is necessary not just for compliance but for the safety of everyone involved in the transportation.

Omitting or incorrectly stating the U.S. DOT Hazmat Reg. No. can also lead to significant issues. This number is vital for tracking and regulating hazardous shipments. Without it, the transportation of these materials could be deemed illegal or unsafe, potentially leading to fines or other penalties.

Moreover, individuals often neglect to declare the value of the property being shipped. This information is crucial for liability reasons, and failure to provide a declared value could limit recoveries in cases of loss or damage. Ensure that this detail is explicitly stated in the appropriate section of the form.

Improperly calculating weight and quantity is another common error. This information impacts shipping costs and logistics. If the actual weight differs from what is reported, unexpected fees may arise, and deliveries could be delayed.

Another mistake occurs when the person filling out the form fails to sign in the appropriate sections. Signatures are necessary for validating the document and without them, the carrier might refuse to honor the bill of lading. Always ensure that all required signatures are included before submitting.

People also sometimes forget to check for required emergency response information. This detail is vital in case of an incident involving the hazardous materials being transported. Inadequate emergency procedures could exacerbate an already critical situation.

Finally, not paying attention to the terms and conditions outlined in the document leads to misunderstandings regarding liabilities and responsibilities. Being mindful of these provisions can prevent legal disputes and ensure a smoother shipping experience.

Documents used along the form

The Hazard Bill of Lading form is essential for transporting hazardous materials. Alongside this form, several other documents are commonly employed to ensure compliance with regulations and facilitate smooth logistics. Here is a concise overview of these additional documents.

  • Declaration of Dangerous Goods: This document provides detailed information about the hazardous materials being shipped, including their classification, quantity, and specific handling requirements. It is often required by transportation agencies.
  • Material Safety Data Sheet (MSDS): An MSDS provides information on the properties of hazardous chemicals. It includes details about the physical and chemical characteristics, toxicology, safety precautions, and emergency measures in case of an accident.
  • Emergency Response Guidebook (ERG): This guide assists emergency responders in quickly identifying hazards associated with materials involved in transportation accidents. It outlines urgent safety procedures, including evacuation and containment strategies.
  • Shipper's Declaration for Dangerous Goods: This document must be completed when transporting hazardous materials by air. It certifies that the contents of the shipment comply with government regulations for air transport of hazardous materials.
  • Carrier's Insurance Certificate: This certificate verifies that the carrier has the necessary insurance coverage to protect against potential liabilities associated with transporting hazardous goods. It ensures financial responsibility in case of incidents.
  • Load Plan or Manifest: A load plan outlines the arrangement of cargo in the transport vehicle. It helps ensure proper loading and positioning of hazardous materials to prevent accidents during transportation.

Using these documents in conjunction with the Hazard Bill of Lading can enhance safety and compliance when transporting hazardous materials. Each document plays a unique role in ensuring that all parties involved are informed and prepared for the challenges associated with hazardous shipments.

Similar forms

  • Uniform Commercial Code (UCC) Bill of Lading: Similar to the Hazard Bill of Ladden, the UCC Bill of Lading outlines the transportation agreement between a carrier and shipper, detailing terms of transport and liability for loss or damage.
  • Dangerous Goods Declaration: This document specifies the nature of hazardous materials being shipped, similar to how the Hazard Bill of Ladden requires information on hazardous materials for transportation.
  • Air Waybill: Like the Hazard Bill of Ladden, the Air Waybill serves as a contract of carriage and receipt for goods transported by air, providing evidence of the terms of transport.
  • Freight Bill: The Freight Bill outlines charges for transportation services, similar to the shipping charges noted in the Hazard Bill of Ladden, ensuring both parties agree on payment terms.
  • Shipping Invoice: Both documents contain essential details about the shipment, such as quantity, weight, and value, serving as formal records for the transaction.
  • Warehouse Receipt: A Warehouse Receipt acknowledges storage of goods and their condition, akin to the Hazard Bill of Ladden's terms about the carrier's liability and responsibilities while goods are in their possession.
  • Export Declaration: While focused on exports, this document shares similarities in regulatory compliance for hazardous materials, requiring detailed accounts similar to those on the Hazard Bill of Ladden.

Dos and Don'ts

When filling out the Hazard Bill of Lading form, it is crucial to follow specific guidelines to ensure compliance and safety. Here is a list of important do's and don'ts:

  • Do: Clearly specify the description of the hazardous materials being shipped.
  • Do: Include the total quantity and weight of the hazardous materials.
  • Do: Ensure that all required signatures are present on the form.
  • Do: Use the correct U.S. DOT hazmat registration number for the materials.
  • Do: Keep a copy of the completed form for your records.
  • Don’t: Leave any sections of the form blank. Incomplete forms can lead to delays.
  • Don’t: Misclassify the hazard class of the materials; this can result in severe penalties.
  • Don’t: Forget to include the emergency response telephone number in case of an incident.
  • Don’t: Submit the form without reviewing it for accuracy and completeness.

Misconceptions

There are several misconceptions about the Hazard Bill Of Lading (BOL) form that can lead to confusion for shippers and carriers alike. Here are four common misunderstandings:

  1. It is only necessary for shipments of hazardous materials. Many believe that the Hazard BOL is exclusively for hazardous materials, but this form can be used for any type of shipment. This versatility allows various parties to utilize it, ensuring the safe transportation of all goods, not just those classified as hazardous.
  2. The consignor is always liable for delivery issues. Another misconception is that the consignor retains full liability for any delivery problems. While the consignor holds responsibility for ensuring accurate information on the BOL, liability may also shift to the carrier under certain conditions, such as failure to deliver within a reasonable timeframe or an error on the carrier’s part.
  3. Claims for damages must be filed immediately. There is a belief that claims for damages need to be filed as soon as an issue arises. In reality, the BOL provides a defined timeline, typically allowing up to nine months after delivery to file a claim. This window provides necessary time for shippers to assess damages and gather supporting documentation.
  4. The BOL serves only as a receipt. Many assume that the Hazard BOL serves merely as a receipt for goods shipped. However, it is a legally binding document that outlines the terms and conditions of the shipment, detailing liability, freight charges, and obligations for both the shipper and the carrier.

Understanding these misconceptions is crucial for all parties involved in the shipping process. Clear communication and proper use of the Hazard Bill Of Lading can enhance shipping efficiency and safety.

Key takeaways

Filling out and using the Hazard Bill of Lading Form is critical for ensuring safe and compliant transport of hazardous materials. Below are some key points to consider:

  • Always include the Shipper's No. and Carrier's No. to ensure accurate tracking.
  • Clearly identify both the shipper and the consignee with complete addresses.
  • Specify the Description of Articles accurately, including any identifying codes.
  • Indicate the U.S. DOT Hazmat Reg. No. to confirm compliance with federal regulations.
  • List the total quantity and weight of the hazardous materials.
  • If applicable, denote whether shipping costs are Prepaid or Collect.
  • Shippers must declare a full value for the shipment to limit liability effectively.
  • Familiarize oneself with the terms and conditions on the back of the document.
  • Be aware of the time limits for filing claims for loss or damage, which is typically nine months.
  • Consult regulations regarding the transportation of hazardous materials to ensure compliance.

These takeaways can guide users in completing the Hazard Bill of Lading Form properly and in understanding their responsibilities and liabilities during the transportation of hazardous materials.

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