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Blank Hazard Bill Of Ladden Form

The Hazard Bill of Lading is a crucial document used in the transportation of hazardous materials. It serves as a receipt for the goods being transported and outlines the responsibilities of both the shipper and the carrier. This form ensures compliance with federal regulations and provides important information regarding the nature and handling of hazardous materials during transit.

Outline

The Hazard Bill of Lading form is a critical document in the transportation of hazardous materials, ensuring that both shippers and carriers comply with safety regulations. This form serves as a contract between the shipper and the carrier, detailing essential information such as the shipper's and consignee's addresses, the description of the hazardous materials being transported, and the associated weights and classes of these materials. It is imperative for the shipper to accurately declare the nature and value of the goods, as this information influences liability and freight charges. The form also includes specific instructions regarding payment, including options for prepaid or collect freight charges, which must be clearly indicated. Furthermore, it outlines the responsibilities of both parties in the event of damage or loss, emphasizing the importance of adhering to both state and federal regulations. By providing a clear structure for the shipment of hazardous materials, the Hazard Bill of Lading form plays a vital role in ensuring safe and compliant transportation practices.

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.
Carrier				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	HM	Number	Description of Articles		Class	Grp.	(mass, volume, or		(subject to	Rate
of Packages		Number			Class	Grp.		activity)	correction)	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	□ BY SHIPPER	□ BY CARRIER
This is to certify that the above-named materials are properly classified, described, packaged, marked		PLACARDS		SUPPLIED
		REQUIRED		DRIVER’S
and labeled, and are in proper condition for transportation according to the applicable regulations of		REQUIRED		DRIVER’S
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.

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Form Information

Fact Name	Description
Document Type	This is a Hazardous Materials Straight Bill of Lading, which is not negotiable.
Governing Law	The document is governed by federal regulations, specifically 49 U.S.C. § 13706.
Liability Limitations	The carrier's liability for loss or damage may be limited based on the declared value of the property.
Claim Filing Period	Claims must be filed in writing within nine months after delivery or failure to deliver the property.
Emergency Response Information	Shippers must provide an emergency response name or contract number and a telephone number.
Hazardous Materials Certification	The shipper certifies that the materials are properly classified, packaged, and labeled for transportation.
Payment Responsibility	The shipper is primarily responsible for freight and all lawful charges unless otherwise stated.

Detailed Guide for Filling Out Hazard Bill Of Ladden

Completing the Hazard Bill of Lading form requires attention to detail to ensure that all necessary information is accurately provided. Once the form is filled out correctly, it can be submitted to the carrier for processing. The following steps will guide you through the process of filling out this important document.

Shipper’s Information: Enter the shipper's name and address in the designated fields.
Consignee Information: Fill in the consignee's name and address, ensuring that the destination zip code is accurate.
Carrier Information: Provide the carrier's name and the carrier's number (SCAC) in the appropriate sections.
Date: Write the date of shipment in the specified area.
Vehicle Number: Indicate the vehicle number that will be used for transport.
U.S. DOT Hazmat Reg. No: Enter the U.S. Department of Transportation hazardous materials registration number.
Description of Articles: Clearly describe the hazardous materials being shipped, including the type and quantity.
Weight and Class: Provide the total weight of the shipment and classify it according to the specified categories.
COD Information: If applicable, fill in the Cash on Delivery (COD) amount and fee, and check the appropriate box for prepaid or collect.
Total Charges: Calculate and enter the total charges, including freight charges.
Signature of Consignor: The consignor must sign and date the form to confirm the information is correct.
Emergency Response: Include the name or contract number, along with a telephone number for emergency response.

After completing these steps, review the form for accuracy. Ensure all required fields are filled out completely before submitting it to the carrier. Proper completion of this form is essential for compliance and safe transportation of hazardous materials.

Obtain Answers on Hazard Bill Of Ladden

What is the Hazard Bill of Lading form?
The Hazard Bill of Lading form is a document used in the transportation of hazardous materials. It serves as a receipt for the shipment and includes essential information about the materials being transported, including their classification, packaging, and the shipper and consignee details. This form ensures compliance with federal and state regulations regarding the handling of hazardous goods.
Why is the Hazard Bill of Lading necessary?
This form is crucial for several reasons. First, it provides legal protection for both the shipper and the carrier by outlining the responsibilities and liabilities associated with the shipment. Second, it helps ensure that hazardous materials are handled safely and in accordance with regulations, reducing the risk of accidents during transport. Lastly, it serves as a record of the transaction and can be used for claims or disputes that may arise.
What information is required on the form?
The Hazard Bill of Lading must include the following information:
- Shipper and consignee details, including names and addresses
- Description of the hazardous materials being shipped
- Quantity and weight of the materials
- Hazmat identification number
- Carrier information and any applicable freight charges
- Signatures from both the shipper and carrier
How do I fill out the Hazard Bill of Lading?
To complete the form, start by entering the shipper and consignee information in the designated fields. Clearly describe the hazardous materials, including their classification and any specific handling requirements. Be sure to include the total quantity and weight. After filling out the necessary details, both the shipper and carrier should sign the form to acknowledge their agreement to the terms outlined.
What are the liability limitations associated with the Hazard Bill of Lading?
The carrier's liability for loss or damage to the property is generally limited to the actual damages or the declared value stated on the form. However, certain conditions, such as acts of God or defects in the property, may exempt the carrier from liability. It's essential to understand these limitations to avoid unexpected outcomes in case of an incident.
What should I do if there is damage or loss during transport?
If damage or loss occurs, it is important to file a claim with the carrier as soon as possible. Claims must be submitted in writing within nine months of delivery or the expected delivery date. Be sure to keep all relevant documentation, including the Hazard Bill of Lading, to support your claim.
Can I use the Hazard Bill of Lading for non-hazardous materials?
While the Hazard Bill of Lading is specifically designed for hazardous materials, it is not appropriate for non-hazardous shipments. Using the correct documentation for the type of goods being shipped is essential to ensure compliance with regulations and to avoid legal complications.
What happens if the consignee does not accept the shipment?
If the consignee refuses the shipment or fails to pick it up within the allowed timeframe, the carrier may take specific actions. This can include storing the property at the owner's expense or, in some cases, selling the goods at auction. The carrier must make reasonable efforts to notify the shipper of the refusal or unclaimed status before proceeding with these actions.

Common mistakes

Filling out the Hazard Bill of Lading form is crucial for the safe and legal transportation of hazardous materials. However, many people make common mistakes that can lead to delays or legal issues. One frequent error is failing to provide accurate descriptions of the hazardous materials being shipped. The description must be precise, including the proper identification numbers and classifications. If this information is incorrect, it can result in penalties or even the shipment being refused.

Another mistake often made is neglecting to include the correct shipping and consignee information. The form requires detailed addresses and contact information for both the shipper and the consignee. Missing or incorrect information can lead to misdelivery or delays in transportation. It’s essential to double-check that all addresses are complete and accurate before submitting the form.

Additionally, many individuals overlook the importance of declaring the value of the shipment. The Hazard Bill of Lading requires shippers to state the agreed or declared value of the property. Failing to do so can limit the liability of the carrier in the event of loss or damage. It’s crucial to fill out this section accurately to ensure that appropriate coverage is in place.

Finally, a common oversight is not signing the form where required. The signature of the consignor is necessary to confirm the agreement and acceptance of the terms outlined in the bill of lading. Without this signature, the document may not be considered valid, which could complicate the shipping process. Always ensure that all necessary signatures are obtained before the shipment is sent out.

Documents used along the form

The Hazard Bill of Lading form is essential for the transportation of hazardous materials. It outlines the responsibilities and liabilities of the shipper and carrier, ensuring compliance with federal regulations. Alongside this form, several other documents are commonly used to facilitate the safe and efficient transport of hazardous goods. Below is a list of these supporting documents, each with a brief description.

Material Safety Data Sheet (MSDS): This document provides detailed information about the properties of hazardous materials, including handling, storage, and emergency measures. It ensures that all parties involved are informed about the risks associated with the materials being transported.
Emergency Response Guidebook (ERG): The ERG is a resource for first responders to help them manage hazardous materials incidents. It includes information on potential hazards, emergency response actions, and evacuation procedures, ensuring safety during transportation emergencies.
Shipping Papers: These documents accompany hazardous materials during transport and include details such as the name of the material, quantity, and the shipper's information. They serve as a legal record and are crucial for regulatory compliance.
Hazardous Waste Manifest: Used specifically for the transportation of hazardous waste, this document tracks the waste from its point of origin to its final disposal. It ensures accountability and compliance with environmental regulations.
Certificate of Compliance: This certificate verifies that the hazardous materials have been packaged, labeled, and transported according to applicable regulations. It provides assurance that safety standards have been met during the shipping process.

Each of these documents plays a vital role in the safe transport of hazardous materials. Together, they help ensure compliance with regulations, promote safety, and provide necessary information for all parties involved in the shipping process.

Similar forms

The Hazard Bill of Lading form shares similarities with several other important shipping and transportation documents. Each document serves a unique purpose but often overlaps in function and requirements. Here are seven documents that are comparable to the Hazard Bill of Lading:

Standard Bill of Lading: This document is used for the transportation of goods and serves as a receipt for the cargo. Like the Hazard Bill, it outlines the responsibilities of the shipper and carrier, including liability and payment terms.
Freight Bill: A freight bill is a document issued by the carrier that details the charges for transporting goods. Similar to the Hazard Bill, it includes information on payment responsibilities and may specify additional charges related to the shipment.
Air Waybill: This document is used in air freight to acknowledge the receipt of cargo. It functions similarly to the Hazard Bill by serving as a contract between the shipper and the airline, detailing terms of transport and liability.
Shipping Manifest: A shipping manifest lists all items being transported on a particular vehicle or vessel. Like the Hazard Bill, it provides essential details about the cargo, including its nature and quantity, ensuring compliance with regulations.
Customs Declaration: This document is required for international shipments and provides customs officials with information about the goods being imported or exported. Both the Hazard Bill and the Customs Declaration ensure that hazardous materials are properly identified and documented.
Dangerous Goods Declaration: This document is specifically designed for the transport of hazardous materials. It parallels the Hazard Bill by requiring detailed descriptions of the materials being shipped, including handling instructions and emergency response information.
Export Packing List: This document outlines the contents of a shipment being exported. Similar to the Hazard Bill, it includes detailed information about the goods, ensuring that all parties involved are aware of what is being transported and its condition.

Dos and Don'ts

When filling out the Hazard Bill of Lading form, attention to detail is crucial. Here are four important do's and don'ts to keep in mind:

Do ensure all information is accurate and complete. Double-check the details about the shipper, consignee, and the hazardous materials being transported.
Do provide the correct emergency response information. This is vital for the safety of all parties involved during transport.
Don't omit any necessary signatures. The form requires the shipper's signature to validate the information provided.
Don't ignore the regulations regarding hazardous materials. Familiarize yourself with the applicable laws to avoid potential legal issues.

By following these guidelines, you can help ensure that the shipping process runs smoothly and safely.

Misconceptions

Misconception 1: The Hazard Bill of Lading is only for hazardous materials.

This form is primarily designed for hazardous materials, but it can also be used for non-hazardous goods. It provides a comprehensive framework for shipping various types of materials, ensuring safety and compliance.

Misconception 2: Signing the form means the carrier is fully responsible for any loss or damage.

While the carrier does have responsibilities, their liability can be limited under certain conditions. Understanding these limitations is crucial for both shippers and consignees.

Misconception 3: The form is not legally binding.

The Hazard Bill of Lading is a legally binding document. By signing it, all parties agree to its terms and conditions, which govern the shipment process.

Misconception 4: Once the form is signed, changes cannot be made.

Amendments can be made, but they typically require mutual agreement between the shipper and the carrier. Clear communication is essential for any adjustments.

Misconception 5: The form guarantees delivery by a specific date.

Delivery dates are often estimates. The carrier is not obligated to meet a specific timeline unless explicitly stated in the agreement.

Misconception 6: The shipper is not responsible for additional charges.

Shippers can be held liable for additional charges resulting from incorrect information or changes in shipment details. Transparency is key to avoiding unexpected costs.

Misconception 7: The form does not require emergency response information.

In fact, providing emergency response information is critical when shipping hazardous materials. This ensures safety and preparedness in case of an incident during transportation.

Key takeaways

When filling out and using the Hazard Bill of Lading form, it is essential to keep the following key points in mind:

Accurate Information: Ensure all details, such as the shipper's and consignee's addresses, are correct to avoid delays.
Hazardous Materials: Clearly identify any hazardous materials being shipped, including their proper classification and packaging.
Signature Requirement: The shipper must sign the document to confirm the accuracy of the information and to accept liability.
Freight Charges: Understand your responsibility for freight charges and ensure they are clearly stated on the form.
Claims Process: Be aware of the timeline for filing claims in case of loss or damage, which is typically nine months from delivery.
Legal Compliance: Follow all applicable federal and state regulations regarding the transport of hazardous materials.

Proper completion of this form is crucial for ensuring safe and compliant transportation of goods. Take the time to review each section carefully.