Blank Hazard Bill Of Ladden Template

The Hazard Bill of Lading is a crucial document used in the transportation of hazardous materials. It serves as a receipt for goods and outlines the terms and conditions of the shipment, ensuring compliance with safety regulations. Understanding this form is essential for shippers and carriers alike to facilitate safe and legal transport of hazardous materials.

To ensure your shipment is handled correctly, fill out the Hazard Bill of Lading form by clicking the button below.

Article Structure

The Hazard Bill of Lading form plays a crucial role in the transportation of hazardous materials, ensuring compliance with federal regulations and protecting both shippers and carriers. This form serves as a receipt and contract between the shipper and carrier, detailing essential information such as the nature of the hazardous materials, the quantity being shipped, and the applicable freight charges. It includes specific sections that outline the responsibilities of both parties, including liability limitations and procedures for filing claims in case of loss or damage. The form also emphasizes the importance of proper classification, packaging, and labeling of hazardous materials, which is vital for safe transport. Additionally, it contains provisions regarding the handling of perishable goods and the consequences of failure to receive shipments. Overall, the Hazard Bill of Lading is not just a regulatory requirement; it is a critical document that facilitates the safe and efficient movement of hazardous materials across the country.

Form Sample

Carrier

TO: FROM:

Consignee Shipper

Street Street

Destination Zip Origin Zip

Route Vehicle Number U.S. DOT Hazmat Reg. No.

Shipper’s No.

Carrier’s No.

SCAC Date

CONTAINS HAZARDOUS MATERIALS

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

CONTAINS HAZARDOUS MATERIALS

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

STRAIGHT BILL OF LADING – ORIGINAL – NOT NEGOTIABLE

Class or

Rate

Pkg.

Grp.

Weight

(subject to

correction)

Total Quantity

(mass, volume, or

activity)

Hazard

Class

I.D.

Number

Description of Articles

Number and Type

of Packages

□

BY SHIPPER

□

BY CARRIER

DRIVER’S

SIGNATURE:

FREIGHT CHARGES:

□

Prepaid

□

Collect

COD FEE:

Prepaid

□

Collect

□

PLACARDS

SUPPLIEDPLACARDS

REQUIRED

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

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

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

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

the Department of Transportation. Per

Subject to Section 7 of conditions, if this

shipment is to be delivered to the consignee

without recourse on the consignor, the

consignor shall sign the following statement:

The carrier shall not make delivery of this

shipment without payment of freight and all

other lawful charges.

(Signature of Consignor)

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

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

COD

AMT:

Remit COD to:

Address:

City: State: Zip:

TOTAL CHARGES:

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.

SHIPPER:

PER: DATE:

CARRIER:

PER: DATE:

EMERGENCY RESPONSE

TELEPHONE NUMBER:

NAME OR CONTRACT NUMBER

OR OTHER UNIQUE IDENTIFIER:

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.

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.

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.

TERMS AND CONDITIONS

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

⇩ PDF

Document Specifications

Fact Name	Description
Purpose	The Hazardous Materials Straight Bill of Lading is used to document the transportation of hazardous materials, ensuring compliance with safety regulations.
Governing Laws	This bill of lading is governed by federal regulations, including the Hazardous Materials Transportation Act, and applicable state laws.
Liability Limitations	The carrier's liability for loss or damage may be limited based on the declared value of the property, as specified in the bill of lading.
Emergency Response	Shippers must provide an emergency response contact name and number, ensuring prompt communication in case of an incident during transportation.
Signature Requirement	The bill of lading requires signatures from both the shipper and carrier, confirming acceptance of the terms and conditions outlined within.

Steps to Filling Out Hazard Bill Of Ladden

Filling out the Hazard Bill of Lading form is an important step in ensuring that hazardous materials are transported safely and legally. After completing the form, it will be submitted to the carrier for processing. Make sure all information is accurate to avoid any delays or issues during transportation.

Begin by entering the Shipper’s Number in the designated space.
Fill in the Carrier information, including the Carrier’s Number and SCAC.
Provide the Date of shipment.
Complete the FROM section with the Shipper name, street address, city, state, and zip code.
Fill in the TO section with the Consignee name, street address, city, state, and zip code.
Indicate the Destination and Origin zip codes.
Enter the Route and Vehicle Number.
Provide the U.S. DOT Hazmat Reg. No..
List the Description of Articles being shipped.
Specify the HM I.D. and Type of Hazardous Material.
Indicate the Total Quantity and Weight of the shipment.
Specify the Class or Number of Packages.
Complete the COD AMT and COD FEE if applicable.
Choose whether the shipment is Prepaid or Collect.
Sign the form as the Consignor to confirm the details are accurate.
Provide the Emergency Response Name or Contract Number and Telephone Number.

More About Hazard Bill Of Ladden

What is the Hazard Bill of Lading form used for?

The Hazard Bill of Lading form is primarily used for the transportation of hazardous materials. It serves as a receipt for the goods being shipped and outlines the terms and conditions of the shipment. This form ensures that all parties involved are aware of the nature of the materials being transported and the associated risks. It also provides essential information for compliance with federal and state regulations regarding hazardous materials.

What information must be included on the form?

The form requires several key details to be completed. This includes the shipper's and consignee's names and addresses, the description of the hazardous materials, the total quantity and weight of the packages, and any special handling instructions. Additionally, the form must indicate whether the shipment is prepaid or collect, and it should include the carrier's information and any applicable regulatory numbers. Accurate completion of these fields is crucial for the safe and legal transport of hazardous materials.

What are the liability limitations associated with this form?

Liability limitations are specified in the Hazard Bill of Lading form. The carrier is generally liable for loss or damage to the property, but there are exceptions. For instance, the carrier is not liable for losses caused by acts of God, defects in the property, or delays due to requests from the shipper. Additionally, if the shipper declares a lower value for the shipment, the carrier's liability may be limited to that declared value. It's important for shippers to understand these limitations to avoid unexpected issues during transportation.

How should claims for loss or damage be filed?

If a shipment is lost or damaged, claims must be filed in writing with the carrier within nine months of delivery. For export shipments, this timeline applies from the date of delivery at the port of export. If the carrier disallows the claim, the shipper has two years to initiate legal action. Following these guidelines is essential for ensuring that claims are considered and processed appropriately.

Common mistakes

Incomplete Information: One common mistake is leaving out essential details. Ensure that all required fields, such as the shipper's and consignee's information, are filled out completely. Missing information can delay the shipment or lead to complications.
Incorrect Hazard Class: Selecting the wrong hazard class for the materials being shipped can lead to serious consequences. Always double-check the classification to ensure compliance with regulations.
Failure to Declare Value: Not stating the agreed or declared value of the property can limit your recovery in case of loss or damage. It’s crucial to provide this information accurately to protect your interests.
Omitting Signatures: A signature from the consignor is often required. Failing to sign the document can render it invalid, causing delays in the shipping process.
Improper Packaging: Hazardous materials must be packaged according to specific regulations. Inadequate packaging can result in penalties and unsafe conditions during transportation.
Ignoring Regulations: Not adhering to federal and state regulations can lead to legal issues. Familiarize yourself with the applicable laws to ensure compliance when filling out the form.

Documents used along the form

The Hazard Bill of Lading form is crucial for the transportation of hazardous materials. It serves as a legal document that outlines the details of the shipment, ensuring compliance with federal regulations. Alongside this form, several other documents are often required to facilitate safe and legal transport. Below is a list of these essential forms and documents.

Material Safety Data Sheet (MSDS): This document provides detailed information about the hazardous materials being shipped, including their properties, handling instructions, and emergency procedures.
Emergency Response Guidebook (ERG): The ERG is a reference tool for first responders to help them manage hazardous material incidents. It contains information on how to identify and respond to specific hazardous substances.
Shipping Papers: These are documents that accompany hazardous materials during transport, detailing the contents, quantity, and the nature of the materials. They are essential for regulatory compliance.
Certificate of Compliance: This certificate verifies that the hazardous materials comply with all applicable regulations and standards, confirming their safe packaging and labeling.
Manifest: A manifest is a comprehensive list of all hazardous materials being transported, which must be kept on file and provided to the receiving party upon delivery.
Placards and Labels: These are visual indicators placed on the transport vehicle to inform handlers and emergency responders of the type of hazardous materials being transported, ensuring safety and compliance.
Driver Training Certification: This document certifies that the driver has received training in handling hazardous materials and understands the safety procedures required during transport.

Understanding these documents and their roles in the transportation of hazardous materials is essential for compliance and safety. Proper documentation not only protects the parties involved but also ensures the safety of the public and the environment. Always verify that all necessary documents are in order before shipment to avoid legal complications and ensure a smooth transportation process.

Similar forms

The Hazard Bill of Lading form shares similarities with the Uniform Commercial Code (UCC) Bill of Lading. Both documents serve as contracts between a shipper and a carrier, detailing the terms of transport for goods. Each form outlines the responsibilities of both parties and specifies the conditions under which goods are to be transported. The UCC Bill of Lading emphasizes the rights of the holder, including the ability to transfer ownership, while the Hazard Bill of Lading focuses on the specific regulations and safety measures necessary for hazardous materials.

Another comparable document is the Air Waybill. Like the Hazard Bill of Lading, the Air Waybill is a contract between the shipper and the carrier, but it is specifically used for air transport. Both documents require detailed descriptions of the goods being transported, including their weight and classification. However, the Air Waybill typically does not confer ownership rights to the holder, while the Hazard Bill of Lading does, provided it meets certain conditions.

The Ocean Bill of Lading is also similar in nature. This document is used for maritime transport and serves as both a receipt for the goods and a contract for their carriage. Both the Ocean Bill and the Hazard Bill of Lading require specific information about the goods, including their hazardous nature. However, the Ocean Bill of Lading is governed by maritime law, while the Hazard Bill of Lading is subject to different regulatory standards for hazardous materials.

The Freight Bill is another relevant document. While it primarily serves as a request for payment for transportation services, it is often used in conjunction with a Bill of Lading. Both documents contain details about the shipment, including the type of goods and their destination. However, the Freight Bill focuses on the financial aspects of the transaction, whereas the Hazard Bill of Lading emphasizes safety and compliance with regulations regarding hazardous materials.

The Consignment Note is similar in that it serves as a record of the shipment and outlines the responsibilities of the parties involved. Both documents provide essential information about the goods being transported, including their description and destination. However, the Consignment Note is typically used in less formal shipping arrangements and may not include the same level of detail regarding hazardous materials as the Hazard Bill of Lading.

The Delivery Order is another document that shares characteristics with the Hazard Bill of Lading. Both serve to authorize the release of goods to the consignee upon arrival. They require specific details about the shipment, such as the consignee's information and the nature of the goods. However, the Delivery Order is often issued after the Bill of Lading and is primarily concerned with the final delivery of goods rather than the terms of transport.

The Packing List is also related to the Hazard Bill of Lading. Both documents detail the contents of a shipment, including quantities and descriptions. The Packing List, however, is more focused on the specifics of the items being shipped rather than the contractual obligations between the shipper and carrier. While the Hazard Bill of Lading includes safety considerations for hazardous materials, the Packing List does not.

Finally, the Certificate of Origin is a document that can complement the Hazard Bill of Lading. Both are used in international shipping and contain essential details about the goods. However, the Certificate of Origin specifically verifies the country of manufacture, which may be necessary for customs clearance. In contrast, the Hazard Bill of Lading focuses on the safe transport of hazardous materials and compliance with relevant regulations.

Dos and Don'ts

When filling out the Hazard Bill of Lading form, it’s essential to follow certain guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid.

Do provide complete and accurate information for all required fields.
Do clearly describe the hazardous materials being shipped, including their classification and weight.
Do ensure that the consignee and shipper information is correct, including addresses and contact details.
Do sign the form where required, confirming that all information is accurate and complete.
Don't leave any sections blank; incomplete forms may lead to delays or rejections.
Don't misclassify the materials; accurate classification is crucial for safety and legal compliance.

By adhering to these guidelines, you can help ensure a smooth shipping process for hazardous materials.

Misconceptions

Understanding the Hazard Bill of Lading form can be challenging, and several misconceptions often arise. Here are four common misunderstandings:

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

This form is specifically designed for shipments that contain hazardous materials, but it can also be used for non-hazardous goods. It serves as a comprehensive document for various types of shipments, ensuring all necessary information is documented.

Misconception 2: Signing the form means the carrier is liable for all damages.

While the carrier does take responsibility for the property during transit, their liability is limited. Specific conditions outlined in the form restrict their responsibility in cases of acts of God or other unforeseen events.

Misconception 3: The shipper can declare any value for their shipment.

Shippers must provide an accurate and agreed-upon value for the property. If a lower value is declared than the actual value, this can limit the amount recoverable in case of loss or damage.

Misconception 4: The carrier must deliver the shipment regardless of payment status.

The carrier is not obligated to deliver the shipment without payment of freight and other lawful charges. If payment has not been made, the carrier can hold the shipment until all charges are settled.

Key takeaways

When filling out and using the Hazard Bill of Lading form, there are several important points to keep in mind. Understanding these can help ensure the safe and compliant transportation of hazardous materials.

Accurate Information is Crucial: Ensure that all details, including the description of the hazardous materials, weight, and quantity, are filled out accurately. Incorrect information can lead to serious legal and safety issues.
Understand Liability Limitations: Be aware that the carrier's liability for loss or damage may be limited. Review the terms to understand how this affects your shipment.
Filing Claims Promptly: If there is a loss or damage, claims must be filed in writing within nine months after delivery. Timeliness is key to ensuring your claim is considered.
Compliance with Regulations: Make sure that the hazardous materials are classified, described, packaged, and labeled according to applicable regulations. This is essential for safe transport and compliance with the law.