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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, ensuring that both shippers and carriers adhere to safety regulations while facilitating the movement of potentially dangerous goods. It includes essential information such as the shipper and consignee details, a description of the hazardous materials being transported, and the total weight and quantity of the shipment. Notably, the form specifies whether the charges are prepaid or to be collected upon delivery, which can significantly impact the shipping process. Additionally, it outlines the liability limitations for loss or damage, emphasizing the importance of declaring the value of the goods being shipped. The form also mandates that shippers certify the proper classification and packaging of hazardous materials, ensuring compliance with Department of Transportation regulations. By detailing the responsibilities of both parties involved in the shipment, the Hazard Bill of Lading form aims to promote safety and accountability throughout the transportation process.

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®, 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

➤ PDF File

Form Specifications

Fact Name Description
Form Title The document is titled "Hazardous Materials Straight Bill of Lading – Original – Not Negotiable".
Governing Law This form is governed by federal regulations, specifically 49 U.S.C. and applicable state laws.
Contact Information J. J. Keller & Associates, Inc. is located in Neenah, WI, and can be reached at (800) 327-6868.
Hazardous Materials Certification The form certifies that the materials listed are properly classified and packaged according to Department of Transportation regulations.
Liability Limitations Liability for loss or damage is limited, as outlined in Section 1 of the terms and conditions.
Filing Claims Claims for loss or damage must be filed in writing within nine months after delivery.
Freight Charges The shipper is primarily responsible for freight and other lawful charges unless otherwise specified.
Emergency Response The form includes a section for emergency response contact information, ensuring quick access to necessary assistance.
Joint Liability Shippers and agents are jointly liable for hazardous goods, emphasizing the importance of proper notification to the carrier.
Signature Requirement The shipper's signature is required, affirming acceptance of the terms outlined in the bill of lading.

Hazard Bill Of Ladden: Usage Guidelines

Completing the Hazard Bill of Lading form requires careful attention to detail. Each section must be filled out accurately to ensure compliance with regulations and to facilitate the safe transport of hazardous materials. After filling out the form, it should be signed and dated by the consignor, and a copy should be retained for records.

  1. Shipper's No.: Enter the unique identification number assigned by the shipper.
  2. Carrier: Fill in the name of the carrier responsible for transporting the shipment.
  3. Carrier's No.: Provide the identification number assigned to the carrier.
  4. SCAC: Input the Standard Carrier Alpha Code for the carrier.
  5. Date: Write the date of shipment.
  6. From: Fill in the shipper's name and address, including street, city, state, and zip code.
  7. To: Provide the consignee's name and address, including street, city, state, and zip code.
  8. Destination: Specify the final destination of the shipment.
  9. Origin: Indicate the origin zip code of the shipment.
  10. Route: Enter the planned route for the shipment.
  11. Vehicle Number: Provide the vehicle number assigned for transport.
  12. U.S. DOT Hazmat Reg. No.: Fill in the Department of Transportation hazardous materials registration number.
  13. HM I.D.: Enter the hazardous materials identification number.
  14. Description of Articles: Clearly describe the hazardous materials being shipped.
  15. Hazard Class: Specify the hazard class of the materials.
  16. Total Quantity: Indicate the total quantity of hazardous materials being shipped.
  17. Weight: Provide the total weight of the shipment.
  18. Class or Pkg. Number: Enter the class or package number as applicable.
  19. COD AMT: If applicable, fill in the amount for cash on delivery.
  20. COD FEE: Specify any applicable cash on delivery fees.
  21. Signature of Consignor: The consignor must sign the form to authorize the shipment.
  22. Date: Include the date of the consignor's signature.
  23. Emergency Response Name or Contract Number: Provide the name or contract number for emergency response.
  24. Telephone Number: Include a contact number for emergency response.

Your Questions, Answered

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 outlines essential information about the shipment, including details about the shipper, consignee, and the nature of the hazardous materials being transported. This form serves as a legal contract between the shipper and the carrier, ensuring that both parties understand their responsibilities regarding the shipment.

Why is it important to use this specific form for hazardous materials?

This form is crucial because it ensures compliance with federal and state regulations regarding the transport of hazardous materials. It provides necessary details that help carriers manage risks associated with these materials. By using the Hazard Bill of Lading, shippers help ensure safety during transportation and protect themselves from potential liabilities.

What information must be included on the form?

The form requires various details, including the names and addresses of the shipper and consignee, a description of the hazardous materials, the quantity and weight of the shipment, and any special handling instructions. It also includes information about freight charges and payment terms. Accurate and complete information is essential to avoid delays or legal issues.

What happens if the hazardous materials are not properly labeled?

If hazardous materials are not properly labeled, it can lead to serious consequences. The carrier may refuse to transport the materials, and the shipper may face fines or legal action. Proper labeling ensures that all parties involved are aware of the risks and can take necessary precautions during handling and transportation.

What are the liability limitations for loss or damage during transport?

Liability limitations for loss or damage are outlined in the terms of the Hazard Bill of Lading. Generally, the carrier is liable for loss or damage unless it results from specific circumstances, such as acts of God or defects in the property. The shipper can declare a specific value for the shipment, which may affect the carrier's liability in case of loss or damage.

How long do I have to file a claim for loss or damage?

Claims for loss or damage must be filed in writing with the carrier within nine months after delivery of the property. If the property is not delivered, claims must be filed within nine months after a reasonable time for delivery has elapsed. It's essential to act promptly to ensure your claim is considered valid.

What should I do if my shipment contains perishable goods?

If your shipment contains perishable goods, you should inform the carrier of this fact. The carrier may take special precautions to handle these items. If the consignee refuses to accept the goods or fails to receive them promptly, the carrier may sell the goods to prevent further deterioration. Always communicate clearly about the nature of your shipment.

Can I change the destination of my shipment after it has been sent?

Changing the destination of a shipment after it has been sent is possible, but it may incur additional charges. If the information provided during shipment is incorrect and requires reconsignment, the shipper will be responsible for any extra fees. It's best to confirm destination details before shipping to avoid complications.

What should I do if I have questions about completing the form?

If you have questions about completing the Hazard Bill of Lading form, it's advisable to consult with a professional who specializes in hazardous materials transportation. They can provide guidance on how to fill out the form correctly and ensure compliance with all applicable regulations. Accurate completion of the form is vital for the safe and legal transport of hazardous materials.

Common mistakes

  1. Missing Information: One of the most common mistakes is not filling out all required fields. Every section must be completed to avoid delays or issues with the shipment.

  2. Incorrect Hazard Classification: Failing to classify the hazardous materials correctly can lead to serious legal consequences. Ensure that the materials are accurately described according to regulations.

  3. Inaccurate Weight or Quantity: Providing wrong weight or quantity details can result in additional charges or complications during transit. Double-check these figures before submitting the form.

  4. Omitting Emergency Contact Information: It's essential to include a contact for emergencies. This information is crucial for the safety of everyone involved in the transportation process.

  5. Not Signing the Document: A signature is required to validate the form. Forgetting to sign can render the entire document invalid.

  6. Ignoring Terms and Conditions: Many people overlook the terms and conditions associated with the bill of lading. Familiarizing yourself with these can prevent misunderstandings later on.

Documents used along the form

The Hazard Bill of Lading form is crucial for transporting hazardous materials. It ensures that all parties involved understand the nature of the cargo and the regulations surrounding its transport. Alongside this form, several other documents are commonly used to facilitate the safe and legal transportation of hazardous goods. Below is a list of these documents, along with brief descriptions of their purposes.

  • Material Safety Data Sheet (MSDS): This document provides detailed information about a hazardous material, including its properties, handling precautions, and emergency procedures. It is essential for ensuring safety during transport and handling.
  • Emergency Response Guidebook (ERG): This guide assists emergency responders in identifying and managing hazardous materials incidents. It includes information on potential hazards, protective measures, and first aid procedures.
  • Certificate of Compliance: This certificate confirms that the hazardous materials comply with applicable regulations and standards. It is often required by regulatory agencies to ensure safe transportation.
  • Shipper’s Declaration of Dangerous Goods: This document declares the nature and quantity of dangerous goods being shipped. It must be completed accurately to comply with transportation regulations and ensure proper handling.
  • Transportation Security Plan: This plan outlines security measures for the transport of hazardous materials. It helps ensure that the materials are protected from theft or tampering during transit.
  • Bill of Lading: While the Hazard Bill of Lading is specific to hazardous materials, a general bill of lading may also accompany shipments. This document serves as a receipt for the goods and outlines the terms of transport.

Each of these documents plays a vital role in ensuring the safe and compliant transport of hazardous materials. Understanding their functions helps all parties involved to navigate the complexities of hazardous material transportation effectively.

Similar forms

  • Bill of Lading: Similar to the Hazard Bill of Lading, a standard bill of lading serves as a receipt for goods and a contract between the shipper and carrier. It outlines the terms of transportation and may include liability limitations.
  • Freight Bill: This document details the charges for transportation services. It is similar in that it provides a breakdown of costs associated with shipping, but it does not serve as a contract for the transport of goods.
  • Shipping Manifest: A shipping manifest lists all items being transported. Like the Hazard Bill of Lading, it includes details about the shipment, such as quantity and description, but it may not include terms of liability.
  • Hazardous Materials Declaration: This form is used to declare hazardous materials being shipped. It is similar because it also addresses safety and compliance issues related to the transport of dangerous goods.
  • Delivery Receipt: A delivery receipt confirms that goods have been received by the consignee. It shares similarities with the Hazard Bill of Lading in that it serves as proof of delivery, but it does not typically include shipping terms.
  • Customs Declaration: This document is required for international shipping and provides information about the contents of a shipment. It is similar in that it ensures compliance with regulations, although it focuses on customs and import/export requirements.

Dos and Don'ts

When filling out the Hazard Bill of Lading form, it’s crucial to follow certain guidelines to ensure accuracy and compliance. Here’s a list of what to do and what to avoid:

  • Do provide accurate information about the hazardous materials being shipped.
  • Do include the correct U.S. DOT Hazmat Reg. No. for proper classification.
  • Do sign the form where indicated to acknowledge the terms and conditions.
  • Do ensure that all quantities and weights are clearly stated to avoid discrepancies.
  • Don't omit any details about the nature of the hazardous materials.
  • Don't use vague descriptions; be specific about the contents.
  • Don't forget to check for any additional requirements based on state or federal regulations.
  • Don't submit the form without verifying that all fields are completed correctly.

Misconceptions

Understanding the Hazard Bill of Lading can be tricky, especially with the various misconceptions that surround it. Here are seven common misconceptions, along with clarifications to help clear the air.

  • Misconception 1: The Hazard Bill of Lading is only for shipments of dangerous goods.

    • This is not entirely accurate. While the form is designed to handle hazardous materials, it can also be used for non-hazardous shipments. Its primary purpose is to ensure safe transport and compliance with regulations.

  • Misconception 2: Signing the bill of lading means the carrier is fully liable for any loss or damage.

    • In reality, the carrier's liability is limited. Various factors, such as the nature of the goods and the conditions outlined in the bill, can influence liability. Always read the terms carefully.

  • Misconception 3: The shipper is not responsible for the condition of the goods once they are handed over to the carrier.

    • This is misleading. The shipper must ensure that the goods are properly packaged and labeled. If there are issues during transport due to improper packaging, the shipper may still be held accountable.

  • Misconception 4: The Hazard Bill of Lading is the same as a regular bill of lading.

    • While both documents serve similar purposes, the Hazard Bill of Lading includes specific sections and regulations related to hazardous materials. It is crucial for compliance with safety standards.

  • Misconception 5: You can file a claim for loss or damage at any time.

    • This is incorrect. Claims must be filed within nine months of delivery or after a reasonable time for delivery has elapsed. Missing this window can result in the claim being denied.

  • Misconception 6: The carrier is responsible for any delays in shipment.

    • Not necessarily. Delays can occur due to various factors, including weather or unforeseen circumstances. The carrier is only liable under specific conditions outlined in the bill.

  • Misconception 7: All hazardous materials require the same handling procedures.

    • This is a common misunderstanding. Different hazardous materials have unique handling and transportation requirements. It’s essential to classify and document each material accurately to ensure compliance.

By debunking these misconceptions, shippers can better navigate the complexities of the Hazard Bill of Lading and ensure safer, more compliant transportation of their goods.

Key takeaways

When filling out and using the Hazard Bill of Lading form, there are several important points to keep in mind:

  • Accurate Information is Crucial: Ensure that all details about the shipment, including the description of hazardous materials, weight, and quantity, are accurately filled out. This helps in compliance with regulations and ensures safe transport.
  • Liability Limitations: Understand that the carrier's liability for loss or damage may be limited. Familiarize yourself with the terms regarding liability, especially for hazardous materials, to avoid unexpected issues.
  • Timely Claims Filing: If a claim arises due to loss or damage, it must be filed in writing within nine months after delivery. Missing this deadline could result in denial of the claim.
  • Signature Importance: The signature of the consignor on the bill of lading is significant. It indicates agreement to the terms and conditions, including liability and payment responsibilities.