Go Law

Go Law
Homepage ➛ Download Hazard Bill Of Ladden Form in PDF
Jump Links

The Hazard Bill of Lading form is a crucial document in the transportation of hazardous materials. It serves as a receipt for goods and outlines the responsibilities and liabilities of both the shipper and the carrier. Key sections of the form include information about the shipper and consignee, the description of the hazardous materials, and the total quantity and weight of the shipment. The form requires specific details such as the U.S. DOT Hazmat Registration Number and the classification of the hazardous materials being transported. Additionally, it includes terms regarding payment, liability limitations, and the process for filing claims in the event of loss or damage. It also emphasizes the importance of proper packaging and labeling, ensuring compliance with federal regulations. By signing this document, the shipper agrees to the terms outlined, which govern the transportation process and protect all parties involved.

Preview - Hazard Bill Of Ladden Form

®, Neenah, WI • USA • (800) 327-6868 • jjkeller.com • Printed in the United States

HAZARDOUS MATERIALS

ASSOCIATES, INC.

CONTAINS

© Copyright 2010 J. J. KELLER &

 

CONTAINS HAZARDOUS MATERIALS

STRAIGHT BILL OF LADING – ORIGINAL – NOT NEGOTIABLE

 

 

 

 

 

 

Shipper’s No.

 

 

 

 

Carrier

 

 

 

 

 

Carrier’s No.

 

 

 

 

 

 

 

SCAC

 

 

Date

 

 

TO:

 

 

 

FROM:

 

 

 

 

 

 

Consignee

 

 

 

Shipper

 

 

 

 

 

 

Street

 

 

 

Street

 

 

 

 

 

 

Destination

 

 

Zip

Origin

 

 

 

 

Zip

 

Route

 

 

 

 

 

Vehicle Number

 

 

U.S. DOT Hazmat Reg. No.

 

 

 

 

 

 

 

 

 

 

 

 

Number and Type

HM

I.D.

Description of Articles

Hazard

Pkg.

Total Quantity

Weight

Class or

of Packages

Number

Class

Grp.

(mass, volume, or

(subject to

Rate

 

 

 

 

 

activity)

correction)

 

 

 

 

 

 

 

 

 

 

CONTAINS HAZARDOUS MATERIALS

Remit COD to:

 

 

Subject to Section 7 of conditions, if this

COD AMT:

COD FEE:

 

 

shipment is to be delivered to the consignee

Address:

 

 

without recourse on the consignor, the

 

□

 

 

 

consignor shall sign the following statement:

Prepaid

 

City:

State:

Zip:

The carrier shall not make delivery of this

$

 

 

shipment without payment of freight and all

 

Collect

□ $

 

 

 

 

other lawful charges.

 

 

 

 

NOTE: Where the rate is dependent on value, shippers are required to state specifically in writing

 

TOTAL CHARGES:

 

 

 

FREIGHT CHARGES:

the agreed or declared value of the property. The agreed or declared value of the property is

 

$

 

 

hereby specifically stated by the shipper to be not exceeding $

Per

(Signature of Consignor)

 

 

□ Prepaid

□ Collect

 

 

RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the shipper, on request; and all applicable state and federal regulations; the Property described above, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as indicated above, which said company (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to delivery at said destination, if on its route, or otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination, and as to each party at any time interested in all or any of said Property that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himself and his assigns.

 

NOTE: Liability Limitation for loss or damage in this shipment may be applicable. See 49 U.S.C.

 

 

PLACARDS

□ BY SHIPPER

□ BY CARRIER

 

14706(c)(1)(A) and (B).

 

 

PLACARDS

SUPPLIED

 

This is to certify that the above-named materials are properly classified, described, packaged, marked

 

 

 

REQUIRED

DRIVER’S

 

 

 

and labeled, and are in proper condition for transportation according to the applicable regulations of

 

 

 

the Department of Transportation. Per

 

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPER:

 

 

 

CARRIER:

 

 

 

 

PER:

DATE:

 

PER:

 

DATE:

 

 

 

 

 

 

 

 

 

 

 

EMERGENCY RESPONSE

 

 

NAME OR CONTRACT NUMBER

 

 

 

TELEPHONE NUMBER:

 

 

OR OTHER UNIQUE IDENTIFIER:

 

 

215-BLC-O 3 12466 (Rev. 9/10)

CONTAINS HAZARDOUS MATERIALS 1

TERMS AND CONDITIONS

By giving the carrier the property described in this bill of lading (the “Property”), you agree to all of the terms of this bill of lading.

Section 1 Limitations of Liability

(a)The carrier or party in possession of the Property shall be liable as at common law for any loss of or damage to such Property, except as hereinafter provided.

(b)The carrier shall not be liable for loss of, damage to or delay in delivery of the Property:

(i)caused by an act of God, the public enemy, the authority of law, or any act or default by you and/or the owner of the Property, or for natural shrinkage.

(ii)occurring while the Property is stopped and held in transit at your request or that of any other party entitled to make such request.

(iii)resulting from a defect or vice in the Property, or from riots or strikes.

(c)To the extent permitted under the Carmark Amendment, the liability of the carrier for the Property may be limited to a value established by written or electronic declaration by you or by written agreement between the carrier and you. In all cases not prohibited by law, where a lower value than actual value has been represented in writing by the shipper or has been agreed upon in writing as the released value of the Property as determined by the classification or tariffs upon which the rate is based, such lower value plus freight charges if paid shall be the maximum amount to be recovered, whether or not such loss or damage occurs from negligence.

Section 2 Filing of Claims

(a)Claims against the carrier for loss of or damage to the Property must be filed in writing with the carrier issuing this bill of lading within nine months after delivery of the Property (or, in case of export traffic, within nine months after delivery at port of export) or, in case of failure to make delivery, then within nine months after a reasonable time for delivery has elapsed. All causes of action must be instituted within two years following the date when written notice is given by the carrier to you that the carrier has disallowed the claim or any part or parts thereof specified in the notice. If your claim or action is not filed or instituted properly in accordance with the foregoing provisions, the carrier shall not be liable, and such claims may not be paid.

(b)The carrier shall have the full benefit of any insurance that may have been effected upon or on account of the Property in the event that the carrier is liable for loss of or damage to the Property.

Section 3 Method of Transportation

Except as expressly agreed in writing by the parties to this bill of lading, the carrier is not bound to transport the Property by any particular motor vehicle, or in time for any particular market or otherwise than with reasonable dispatch. The carrier shall have the right in case of physical necessity to forward said Property by any carrier or route between the point of shipment and the point of destination.

Section 4 Responsibility for Property

(a)If the Property is not removed by the party entitled to receive it within the free time allowed by tariffs or classifications upon which the rate is based, (such free time to be computed as therein provided), the carrier may notify the receiving party of the arrival of the Property at the destination or at the port of export (if intended for export). The carrier, in its discretion, may store the Property in a public or licensed warehouse at the place of delivery or other available place, at the cost of the owner. The stored Property will be subject to a lien for all freight and other lawful charges, including a reasonable charge for storage. The carrier’s responsibility shall be that of a warehouseman only.

(b)Except as provided in subparagraph 4(c) below, if the Property is refused by consignee or the party entitled to receive it, or said consignee or party entitled to receive it fails to receive it within 15 days after notice of arrival shall have been duly sent or given, the carrier may sell the Property at public auction to the highest bidder, at such place as may be designated by the carrier. Prior to any such sale, the carrier shall use commercially reasonable efforts to notify you that the Property has been refused or remains unclaimed, as the case may be, and that it will be subject to sale under the terms of the bill of lading if you do not arrange for an alternative disposition.

(c)If the Property is perishable and is refused by the consignee or party entitled to receive it at the destination location, or said consignee or party entitled to receive it shall fail to receive it promptly, the carrier, may, in its discretion, to prevent deterioration or further deterioration, sell the same to the best advantage at private or public sale. Prior to selling the Property, the carrier shall use commercially reasonable efforts to notify you of the refusal of the Property or the failure to receive it, and request instructions regarding disposition of the Property.

(d)If the procedure described in subsection (b) and (c) is not commercially reasonable, the carrier may, at its option, sell the Property under such circumstances and in such manner as may be authorized by law.

(e)The carrier shall apply the proceeds of any sale made under this section to the payment of freight, demurrage, storage, and any other lawful charges and the expense of notice, advertisement, sale, and other necessary expense and of caring for and maintaining the Property, if proper care of the same requires special expense. If following payment of the preceding there is a balance, such balance shall be paid to the owner of the Property sold hereunder.

(f)If you direct the carrier to deliver the Property to a location where there is no regularly appointed freight agent, the carrier shall not be liable for any loss or damage to Property occurring at such location after the Property has been unloaded at such location.

Section 5 Valuable Items

(a)The carrier’s liability in connection with the Property is limited to the lesser of the amount of your actual damages or the declared value stipulated by the carrier on the face of this bill of lading plus any freight charges paid by you.

(b)The carrier shall not be liable in any way for any documents, specie, or for any articles of extraordinary value not specifically rated in the published classifications or tariffs unless a special agreement to do so and a stipulated value of the articles are endorsed on this bill of lading.

Section 6 Joint Liability for Hazardous Goods

You, and if you are an agent, any owner of the Property, shall be joint and severally liable for and indemnify the carrier against all loss or damage caused by the shipment of explosives, dangerous or hazardous goods, without giving prior written notice to the carrier of their nature. At the discretion of the carrier, any such goods may be warehoused at your and the owner’s risk and expense or destroyed without compensation.

Section 7 Freight Charges and Payment

(a)You are primarily responsible for the freight and all other lawful charges, unless you stipulate in writing in the space provided for that purpose on the face of this bill of lading that the carrier shall not make delivery without requiring payment of such charges and the carrier makes delivery without requiring such payment. If you provide erroneous information that results in the shipment being reconsigned or diverted to a location other than the location identified in the original bill of lading, you shall be liable for such additional charges. The respective liability of you and the consignee for additional charges provided for herein shall be pursuant to 49 U.S.C. § 13706.

(b)Nothing in this bill of lading shall limit the right of the carrier to require the prepayment or guarantee of charges at time of shipment. If upon inspection the carrier determines that the articles shipped are not those described in this bill of lading, the freight charges must be paid upon the articles actually shipped.

Section 8 Effect of Shipper Signature

If this bill of lading is issued on the order of the shipper, or his agent, in exchange or in substitution for another bill of lading, the shipper’s signature to the prior bill of lading as to the statement of value or otherwise, or election of common law or bill of lading liability, in or in connection with such prior bill of lading, shall be considered a part of this bill of lading as fully as if the same were written or made in or in connection with this bill of lading.

Section 9 Transport by Water

If all or any part of the Property is carried by water over any part of said route, and any loss of or damage to the Property occurs while it is in the custody of the carrier providing the water carriage, the liability of such carrier shall be determined by that carrier’s bill of lading and by the laws and regulations applicable to transportation by water. Such water carriage shall be performed subject to all of the terms and provisions of, and all the exemptions from liability contained in the Harter Act or the Carriage of Goods By Sea Act, as applicable.

©Copyright 2009 J. J. KELLER & ASSOCIATES, INC.®, Neenah, WI • USA • (800) 327-6868 • jjkeller.com • Printed in the United States

▼ PDF

Document Specifics

Fact Name Fact Description
Form Title The form is titled "Hazardous Materials Straight Bill of Lading – Original – Not Negotiable."
Purpose This form is used for the transportation of hazardous materials.
Governing Laws Transportation of hazardous materials is governed by federal regulations under 49 U.S.C. and applicable state laws.
Emergency Response The form requires the inclusion of an emergency response name or contract number and telephone number.
Liability Limitations The carrier's liability for loss or damage is limited, as detailed in Section 1 of the terms and conditions.
Filing Claims Claims for loss or damage must be filed within nine months of delivery or reasonable delivery time.
Freight Charges The shipper is primarily responsible for freight and other lawful charges unless otherwise specified.
Joint Liability Shippers and owners are jointly liable for loss or damage caused by hazardous goods without prior notice.
Transport by Water If the property is transported by water, the liability is determined by the carrier's bill of lading and applicable laws.
Signature Effect The shipper's signature on this bill of lading is binding and considered part of the agreement.

Hazard Bill Of Ladden: Usage Instruction

Filling out the Hazard Bill of Lading form is essential for shipping hazardous materials. This document ensures that all necessary information is correctly recorded, facilitating safe transport. Follow these steps to complete the form accurately.

  1. Start with the Shipper’s No.. Fill in the unique identification number assigned to the shipment.
  2. Next, enter the Carrier information. Write the name of the transportation company.
  3. Fill in the Carrier’s No. and SCAC codes. These codes identify the carrier and help in tracking the shipment.
  4. Write the Date of filling out the form.
  5. Complete the TO: section with the Consignee name and address. This is the person or entity receiving the shipment.
  6. In the FROM: section, provide the Shipper name and address. This is the sender of the shipment.
  7. Enter the Destination Zip and Origin Zip codes for the shipment locations.
  8. Fill in the Route and Vehicle Number for tracking purposes.
  9. Include the U.S. DOT Hazmat Reg. No. for compliance with hazardous materials regulations.
  10. Specify the HM I.D. and Description of Articles to identify the materials being shipped.
  11. Indicate the Hazard Class and Total Quantity of packages being shipped.
  12. List the Weight of the shipment and any other relevant details.
  13. If applicable, fill in the COD AMT and COD FEE for cash on delivery transactions.
  14. Check the appropriate box for Prepaid or Collect regarding freight charges.
  15. Write the Total Charges and Freight Charges in the designated areas.
  16. Have the Signature of Consignor sign the document to confirm the details are correct.
  17. Finally, fill in the Emergency Response Name or Contract Number and Telephone Number for emergency contact.

Learn More on Hazard Bill Of Ladden

What is the Hazard Bill of Lading form?

The Hazard Bill of Lading form is a shipping document used for transporting hazardous materials. It serves as a receipt for the goods being shipped and outlines the terms and conditions under which the carrier agrees to transport those materials. The form includes critical information about the shipper, consignee, and the specific hazardous materials being transported.

Who needs to use the Hazard Bill of Lading form?

Any shipper who is sending hazardous materials must use the Hazard Bill of Lading form. This includes businesses that handle chemicals, explosives, or any materials classified as hazardous under federal regulations. The form ensures compliance with safety and legal requirements during transportation.

What information is required on the form?

The Hazard Bill of Lading form requires several key pieces of information, including:

  • Shipper's and consignee's names and addresses
  • Description of the hazardous materials being shipped
  • Total quantity and weight of the packages
  • Hazard class and identification numbers
  • Freight charges and payment terms

This information is crucial for ensuring safe handling and compliance with transportation regulations.

What are the consequences of not using this form?

Failing to use the Hazard Bill of Lading form when shipping hazardous materials can lead to significant legal and financial consequences. The shipper may face penalties from regulatory agencies, and the carrier could be held liable for any incidents or accidents that occur during transportation. Additionally, the shipment may be delayed or rejected by the carrier.

How does liability work under the Hazard Bill of Lading?

Liability under the Hazard Bill of Lading is generally limited to the actual damages or the declared value of the goods. The carrier is responsible for loss or damage to the property, except in specific circumstances such as acts of God or defects in the property itself. Shippers must be aware that they may also be jointly liable for any damage caused by hazardous materials if they fail to notify the carrier of their nature.

What should I do if my shipment is damaged?

If a shipment is damaged, the shipper must file a claim with the carrier in writing within nine months of delivery. This claim should detail the nature of the damage and any supporting documentation. It’s essential to follow this procedure to ensure that the claim is considered valid and can be processed by the carrier.

Can the Hazard Bill of Lading be modified?

Yes, the Hazard Bill of Lading can be modified, but any changes must be agreed upon in writing by both the shipper and the carrier. This is important to maintain clarity and legal compliance regarding the terms of the shipment. Any amendments should be documented to avoid disputes later on.

Common mistakes

Filling out the Hazard Bill of Lading form correctly is essential for ensuring the safe and legal transport of hazardous materials. One common mistake is failing to provide accurate information regarding the description of the articles. This section requires specific details about the materials being shipped. Inaccurate descriptions can lead to delays or even legal issues during transport.

Another frequent error is neglecting to include the total quantity and weight of the packages. This information is crucial for the carrier to assess the load and ensure compliance with safety regulations. Omitting this data can result in miscalculations and potential hazards during transportation.

People often overlook the importance of signing the form where indicated. The signature of the consignor is a legal acknowledgment of the information provided. Without this signature, the form may be deemed invalid, leading to complications in the shipping process.

Lastly, many individuals fail to specify the agreed or declared value of the property being shipped. This value is important for determining liability in case of loss or damage. Not providing this information can limit recovery options if an incident occurs during transit. Ensuring all sections are completed accurately will help facilitate a smoother shipping experience.

Documents used along the form

When transporting hazardous materials, several key documents accompany the Hazard Bill of Lading to ensure compliance with regulations and safety standards. Each of these documents serves a specific purpose in the shipping process, helping to protect all parties involved. Below is a list of commonly used forms that work in conjunction with the Hazard Bill of Lading.

  • Material Safety Data Sheet (MSDS): This document provides detailed information about the hazardous materials being transported, including handling, storage, and emergency measures. It helps ensure that all parties understand the risks associated with the materials.
  • Emergency Response Guidebook (ERG): The ERG is a resource for first responders in the event of a hazardous materials incident. It contains information on how to respond to different types of hazardous materials and provides guidance on evacuation and containment procedures.
  • Certificate of Compliance: This certificate verifies that the materials being shipped meet all applicable regulations and standards for safety and environmental protection. It may be required by certain carriers or regulatory agencies.
  • Shipping Papers: These documents summarize the details of the shipment, including the contents, quantity, and classification of the hazardous materials. They must be readily available for inspection during transport.
  • Hazardous Material Declaration: This declaration is a formal statement by the shipper indicating that the shipment contains hazardous materials. It includes details such as the UN number, proper shipping name, and hazard class.
  • Placards and Labels: These are physical markers placed on the shipping containers to indicate the presence of hazardous materials. They provide essential information for handlers and emergency responders about the nature of the hazards.
  • Transportation Security Plan: This plan outlines the security measures in place to protect hazardous materials during transport. It includes protocols for handling, storage, and personnel training to prevent theft or tampering.

Understanding these documents can help ensure a smoother shipping process and enhance safety when dealing with hazardous materials. Each document plays a crucial role in compliance, risk management, and emergency preparedness, contributing to the overall effectiveness of hazardous materials transportation.

Similar forms

The Hazard Bill of Lading form is similar to a Standard Bill of Lading, which serves as a receipt for goods and a contract between the shipper and the carrier. Both documents outline the details of the shipment, including the type of goods, quantity, and destination. However, the Hazard Bill of Lading specifically highlights that the shipment contains hazardous materials, which requires additional compliance with safety regulations. This differentiation is crucial for ensuring that carriers and handlers are aware of the potential risks associated with the cargo.

Another document that shares similarities with the Hazard Bill of Lading is the Freight Bill. A Freight Bill details the charges associated with transporting goods. Like the Hazard Bill of Lading, it includes essential information about the shipment, such as the weight and destination. However, the Freight Bill focuses primarily on the financial aspects of shipping, while the Hazard Bill of Lading emphasizes the nature of the goods being transported, especially when they are hazardous. Both documents are important for record-keeping and ensuring that all parties are aware of their responsibilities.

The Dangerous Goods Declaration is another document that resembles the Hazard Bill of Lading. This declaration is specifically used for shipments that contain dangerous goods and requires detailed information about the materials being transported. Similar to the Hazard Bill of Lading, it ensures compliance with safety regulations and provides critical information to carriers and emergency responders. While both documents serve to inform about hazardous materials, the Dangerous Goods Declaration is more focused on regulatory compliance, whereas the Hazard Bill of Lading also serves as a contract for transportation.

Lastly, the Air Waybill is comparable to the Hazard Bill of Lading in that it acts as a contract for the transportation of goods, specifically in air freight. Both documents contain details about the shipper, consignee, and shipment contents. However, the Air Waybill is used exclusively for air transport, whereas the Hazard Bill of Lading can apply to various modes of transportation. The Hazard Bill of Lading's emphasis on hazardous materials sets it apart, ensuring that all necessary precautions are taken during transit, regardless of the transportation method.

Dos and Don'ts

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

  • Do ensure all information is accurate and complete. Inaccuracies can lead to delays or legal issues.
  • Do clearly describe the hazardous materials being shipped. This includes their proper classification and packaging.
  • Do include the correct U.S. DOT Hazmat Registration Number. This is vital for compliance with federal regulations.
  • Do sign the form where indicated. A signature confirms your agreement to the terms and conditions.
  • Don't leave any fields blank. Each section must be filled out to avoid processing delays.
  • Don't underestimate the importance of the declared value. This affects liability in case of loss or damage.
  • Don't neglect to include emergency response information. This is essential for safety during transportation.
  • Don't assume that verbal instructions are sufficient. Always provide written details to avoid misunderstandings.

By following these guidelines, you can help ensure a smooth shipping process and compliance with regulations. Always prioritize accuracy and clarity when completing the form.

Misconceptions

There are several misconceptions surrounding the Hazard Bill of Lading form. Understanding these can help ensure proper handling and compliance with regulations. Below is a list of six common misconceptions:

  • It is only for hazardous materials. While this form is specifically designed for hazardous materials, it can also be used for non-hazardous items. The key is that it must accurately reflect the nature of the goods being shipped.
  • Signing the form means unlimited liability for the shipper. This is not true. The liability is limited to the declared value of the property unless otherwise agreed upon in writing. Shippers should ensure they understand the terms before signing.
  • The carrier is responsible for any loss or damage. The carrier's liability is limited under certain conditions. For example, if the loss is due to an act of God or negligence on the part of the shipper, the carrier may not be held liable.
  • Claims must be filed immediately. While timely filing is essential, claims for loss or damage must be filed within nine months of delivery. This timeframe allows for proper investigation and resolution of issues.
  • All shipments require a separate bill of lading. This is a misunderstanding. A single bill of lading can cover multiple shipments if they are part of the same transaction. However, each shipment must be accurately documented.
  • The form guarantees safe delivery of goods. While it outlines responsibilities and liabilities, it does not guarantee that goods will arrive without incident. Proper packaging and handling are crucial to minimize risks during transit.

By clarifying these misconceptions, shippers can better navigate the complexities of hazardous material transportation and ensure compliance with relevant regulations.

Key takeaways

Filling out and using the Hazard Bill of Lading form requires careful attention to detail. Here are some key takeaways to keep in mind:

  • Understand the Purpose: This form is essential for shipping hazardous materials. It serves as a contract between the shipper and the carrier.
  • Complete All Sections: Ensure that every section of the form is filled out accurately, including shipper and consignee information.
  • Hazardous Materials Identification: Clearly describe the hazardous materials being shipped, including their classification and quantity.
  • Liability Awareness: Be aware of the limitations of liability. The carrier may not be liable for certain damages or losses.
  • Claims Filing: If there are issues with the shipment, claims must be filed in writing within nine months of delivery.
  • Payment Responsibilities: The shipper is primarily responsible for freight charges unless otherwise noted on the form.
  • Signature Importance: The shipper's signature on the form indicates acceptance of all terms and conditions.
  • Emergency Response Information: Include emergency contact information to ensure quick responses in case of an incident.
  • Use of Proper Packaging: Ensure that hazardous materials are properly packaged and labeled according to regulations.
  • Stay Informed: Familiarize yourself with relevant federal and state regulations regarding the transportation of hazardous materials.

By following these takeaways, you can help ensure a smoother shipping process for hazardous materials.