Laserfiche WebLink
<br /> <br />SPILL REPORTING FIELD FORM <br /> <br />NOTE: ALL On-Call personnel that are required to respond to sewer spills shall read and understand <br />the complete Sewage Spill Procedures contained in the emergency callout manual. When responding to <br />a sewage spill, the following general procedures should be followed in order: <br />1. NOTIFY SUPERVISOR AND OR ON CALL SUPERVISOR (IMMEDIATELY) <br />2. CONTAIN THE SPILL <br />3. STOP THE SPILL <br />4. CALL AND REPORT TO APPROPRIATE AUTHORITIES <br />5. CLEAN UP THE SPILL <br />6. FIELD REPORTS ON CALL SUPERVISOR SHALL VERIFY AND FILL ALL DATA <br />FOR THE SPILL. <br />BASIC SPILL INFORMATION: <br />1.) DATE: _____/_____/______ <br />2.) SPILL LOCATION: __________________________________________________________ <br /> Address / Street Intersection Spill Point (MH#, CO, etc.) <br />3.) TIME SPILL STARTED (If known): _________________ <br />4) TIME CITY WAS NOTIFIED: ______________ <br />5.) OPERATOR ARRIVAL TIME: ________________ <br />6.) PRIVATE PROPERTY (Y OR N): _____________ <br />7.) SPILL END TIME: _______________________ <br />8.) ESTIMATED SPILL FLOW RATE: ______________ (gpm) (See Appendix C) <br />(Number of pick holes where water is coming out _______________ Height of water spout <br />out of the MH ________________inches) <br />9.) ESTIMATED SPILL VOLUME LOST: ___________________ (GAL.) <br />10.) ESTIMATED SPILL VOLUME RECOVERED: _____________(GAL.) <br />11.) TOTAL SPILL (VOLUME) (FLOW RATE X MIN):__________________________(GAL.) <br />12.) SPILL REASON/CAUSE: ______________________________________________________ <br />REVISION 2.0 (04/23) 24 <br /> <br />