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Fill in Your Hazard Bill Of Ladden Template

The Hazard Bill Of Ladden form is a critical document used in the transportation of hazardous materials. It serves as a receipt for goods and outlines the responsibilities of both the shipper and the carrier. This form ensures compliance with federal regulations while providing essential information about the nature of the materials being transported.

Table of Contents

The Hazard Bill of Lading is a critical document in the transportation of hazardous materials, serving as both a receipt and a contract between the shipper and the carrier. This form outlines essential information including the shipper's and consignee's details, the nature of the hazardous materials being transported, and the specific regulations that govern their shipment. It includes fields for identifying the total quantity, weight, and class of the hazardous materials, ensuring that all parties are aware of the risks involved. Additionally, the form specifies payment terms, such as whether charges are prepaid or collect, and it includes a declaration of the agreed or declared value of the property being shipped. Importantly, the Hazard Bill of Lading emphasizes the responsibilities and liabilities of both the shipper and the carrier, particularly in the event of loss or damage during transit. By requiring the shipper to certify that the materials are properly classified and packaged, the form aims to enhance safety and compliance with federal regulations. Furthermore, it contains provisions regarding claims, limitations of liability, and the handling of property that is not claimed, which are vital for ensuring that all parties understand their rights and obligations throughout the shipping process.

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.

↓ Hazard Bill Of Ladden PDF

File Specs

Fact Name	Description
Purpose	The Hazardous Materials Straight Bill of Lading is used to document the transportation of hazardous materials.
Non-Negotiable	This bill of lading is marked as "not negotiable," meaning it cannot be transferred to another party.
Governing Laws	It is subject to federal regulations under 49 U.S.C. and applicable state laws regarding hazardous materials transportation.
Liability Limitations	The carrier's liability for loss or damage is limited as per the terms outlined in the bill of lading.
Emergency Response	The form requires an emergency response name or contact number for hazardous materials being shipped.

Hazard Bill Of Ladden - Usage Guidelines

Filling out the Hazard Bill of Lading form is an important step in ensuring the safe and compliant transport of hazardous materials. This form requires specific information to be completed accurately to facilitate the shipping process and adhere to regulations. Below are the steps to help you fill out the form correctly.

Shipper's Information: Enter the shipper’s number, name, and address, including street, city, state, and zip code.
Consignee Information: Fill in the consignee's name and address, including street, city, state, and zip code.
Carrier Information: Provide the carrier's name, carrier's number, and SCAC code.
Date: Write the date of shipment in the designated field.
Vehicle Number: Enter the vehicle number that will be used for transportation.
Hazmat Registration: Fill in the U.S. DOT Hazmat Registration Number.
Description of Articles: Clearly describe the hazardous materials being shipped, including their proper classification.
Hazard Class: Indicate the hazard class of the materials being shipped.
Packaging Information: Specify the total quantity and weight of the packages, including the number of packages.
Payment Information: Check the appropriate box for prepaid or collect and fill in the COD amount and fee if applicable.
Total Charges: Calculate and write down the total charges and freight charges.
Signature of Consignor: The consignor must sign and date the form, indicating agreement to the terms outlined.
Emergency Response Information: Include the emergency response name or contract number and telephone number for reference.

Once the form is completed, ensure that all information is accurate and legible. Retain a copy for your records and provide the original to the carrier for processing. This will help in the timely delivery of your hazardous materials while adhering to safety regulations.

Your Questions, Answered

What is the Hazard Bill of Lading form used for?

The Hazard Bill of Lading form is a crucial document used in the transportation of hazardous materials. It serves as a receipt for goods being shipped and outlines the terms and conditions under which the carrier agrees to transport these materials. The form ensures that all parties involved are aware of the nature of the goods being transported and the associated risks, as well as compliance with federal and state regulations.

Who is responsible for completing the Hazard Bill of Lading form?

The shipper is primarily responsible for completing the Hazard Bill of Lading form. This includes providing accurate information about the hazardous materials being shipped, such as their description, quantity, and any necessary placards. It is essential for the shipper to ensure that all details are correct to avoid any legal issues or delays in transportation.

What information must be included on the form?

The form requires several key pieces of information. This includes the names and addresses of both the shipper and the consignee, a description of the hazardous materials, their weight and class, and any special handling instructions. Additionally, the form must state the agreed or declared value of the property being shipped, as well as the payment terms for freight charges.

What are the liability limitations outlined in the form?

The Hazard Bill of Lading form outlines specific limitations of liability for the carrier. Generally, the carrier is liable for loss or damage to the property unless it results from certain circumstances, such as acts of God or defects in the property itself. The liability may also be limited to the declared value of the shipment, meaning shippers should carefully consider the value they declare to ensure adequate coverage.

How should claims for loss or damage be filed?

Claims for loss or damage must be filed in writing with the carrier that issued the Hazard Bill of Lading within nine months after the delivery of the property. If the property is not delivered, claims should be filed within nine months after a reasonable time for delivery has passed. It is important to follow these guidelines closely, as failure to do so may result in the denial of the claim.

What happens if the consignee does not accept the shipment?

If the consignee refuses to accept the shipment or fails to pick it up within the designated time, the carrier has the right to store the property at the owner's expense. In some cases, if the property is perishable or remains unclaimed, the carrier may sell it at auction after attempting to notify the owner. The proceeds from such a sale will first cover any outstanding charges before any remaining balance is returned to the owner.

Are there any special considerations for hazardous materials?

Yes, there are special considerations for hazardous materials. The shipper must provide prior written notice to the carrier regarding the nature of the hazardous goods. Failure to do so may result in joint liability for any damages or losses incurred during transport. Additionally, certain regulations must be followed to ensure the safe handling and transportation of these materials.

Common mistakes

Inaccurate Information: Many individuals mistakenly provide incorrect details about the hazardous materials. This includes errors in the description of articles, weight, or quantity. Ensuring accuracy is crucial for compliance and safety.
Missing Signatures: Some users forget to sign the form. Without the required signatures from the consignor or carrier, the bill of lading may be deemed invalid, leading to potential delays or legal issues.
Improper Classification: Failing to classify hazardous materials correctly can lead to serious consequences. It’s essential to follow the guidelines for proper classification to avoid penalties and ensure safe transport.
Ignoring Regulations: Some individuals overlook federal and state regulations related to hazardous materials. Familiarizing oneself with these regulations is necessary to ensure compliance and avoid potential fines.

Documents used along the form

The Hazard Bill of Lading form is a crucial document in the transportation of hazardous materials. It serves as a receipt and contract between the shipper and the carrier. However, several other forms and documents are often used in conjunction with it to ensure compliance with regulations and to facilitate safe transport. Below is a list of these documents, each accompanied by a brief description.

Shipper's Declaration of Dangerous Goods: This document provides detailed information about the hazardous materials being shipped, including their classification, packaging, and handling instructions. It is essential for ensuring that all parties involved understand the nature of the goods.
Emergency Response Information: This document outlines the necessary steps to take in the event of an emergency involving the hazardous materials. It includes contact information for emergency responders and specific instructions for dealing with spills or leaks.
Material Safety Data Sheet (MSDS): The MSDS contains comprehensive information about the hazards, handling, and safe use of the chemicals being transported. It is a vital resource for workers who may come into contact with the materials.
Certificate of Compliance: This certificate verifies that the packaging and labeling of the hazardous materials comply with applicable regulations. It is often required by carriers and regulatory agencies.
Transport Emergency Card: This card provides quick access to emergency procedures for specific hazardous materials. It is typically carried by the driver and can be crucial in a crisis situation.
Bill of Lading: While the Hazard Bill of Lading is specific to hazardous materials, a standard Bill of Lading may also be used for non-hazardous items in the same shipment. It serves as a contract between the shipper and carrier for the transport of goods.
Customs Declaration: For international shipments, this document is necessary to declare the contents of the shipment to customs authorities. It includes information about the nature of the goods, their value, and their destination.
Shipping Instructions: This document provides specific instructions from the shipper to the carrier regarding the handling and delivery of the shipment. It may include details about delivery times, special handling requirements, or other pertinent information.

In conclusion, the Hazard Bill of Lading is just one component of a comprehensive documentation process necessary for the safe and compliant transport of hazardous materials. Each accompanying document plays a significant role in ensuring that all legal and safety requirements are met, thus protecting both the individuals involved and the environment.

Similar forms

The Hazard Bill of Lading form shares similarities with the Standard Bill of Lading. Both documents serve as a contract between the shipper and carrier, detailing the shipment of goods. The Standard Bill of Lading outlines the responsibilities of each party, including the description of the goods, shipping instructions, and payment terms. However, the Hazard Bill specifically addresses the shipment of hazardous materials, requiring additional information regarding safety and compliance with regulations.

Another document similar to the Hazard Bill of Lading is the Freight Bill. This document provides a detailed account of the charges associated with transporting goods. While the Freight Bill focuses primarily on the costs incurred during shipping, the Hazard Bill includes critical safety information and liability clauses for hazardous materials, ensuring both the shipper and carrier understand their responsibilities regarding dangerous goods.

The Air Waybill is another comparable document. Used primarily for air shipments, the Air Waybill functions as a receipt for goods and a contract for carriage. Like the Hazard Bill, it includes details about the shipper, consignee, and shipment contents. However, the Hazard Bill emphasizes compliance with hazardous material regulations, which is not a primary focus of the Air Waybill.

The Shipping Manifest also bears resemblance to the Hazard Bill of Lading. A Shipping Manifest lists all items being shipped, providing a comprehensive overview for customs and transportation authorities. While both documents contain shipment details, the Hazard Bill includes specific provisions regarding hazardous materials, ensuring that all safety protocols are followed during transport.

The Delivery Receipt is another related document. This form serves as proof of delivery and confirms that the consignee has received the goods. While the Delivery Receipt may not contain detailed information about hazardous materials, it is often used in conjunction with the Hazard Bill to ensure that all safety and compliance measures have been met upon delivery.

The Certificate of Origin is similar in that it serves as a supporting document for international shipping. It certifies the country of origin for the goods being transported. While the Hazard Bill of Lading focuses on the safe transport of hazardous materials, the Certificate of Origin provides essential information for customs clearance, ensuring that all regulatory requirements are satisfied.

The Packing List is another document that complements the Hazard Bill. This list details the contents of each package in a shipment, including quantities and descriptions. While the Packing List is essential for inventory management and verification upon delivery, the Hazard Bill goes further by addressing the specific handling and transportation requirements for hazardous materials.

The Export Declaration is also relevant, particularly for international shipments. This document provides information about the goods being exported, including their value and classification. Like the Hazard Bill, the Export Declaration ensures compliance with regulations. However, the Hazard Bill specifically addresses the handling and transport of hazardous materials, which is crucial for safety and legal compliance.

The Warehouse Receipt shares some characteristics with the Hazard Bill of Lading. It serves as proof of ownership and storage of goods in a warehouse. While the Warehouse Receipt may not specifically address hazardous materials, it is often used in conjunction with the Hazard Bill to ensure that all safety protocols are followed during storage and transport of dangerous goods.

Finally, the Customs Declaration is similar in that it provides necessary information for customs clearance during international shipping. The Customs Declaration outlines the contents, value, and purpose of the shipment. While it does not focus specifically on hazardous materials, it must be completed accurately to ensure compliance with regulations, just as the Hazard Bill does for the safe transport of hazardous goods.

Dos and Don'ts

When filling out the Hazard Bill of Lading form, it’s essential to ensure accuracy and compliance. Here’s a list of things to do and avoid:

Do provide complete and accurate information for the shipper and consignee.
Do clearly indicate the nature of the hazardous materials being shipped.
Do specify the total quantity and weight of the packages.
Do ensure that the packaging is compliant with regulations.
Do sign the form where indicated to confirm the information is correct.

Don’t leave any sections blank; incomplete forms can lead to delays.
Don’t underestimate the weight or value of the shipment.
Don’t ignore the requirements for emergency response information.
Don’t forget to keep a copy of the completed form for your records.

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

Misconceptions

There are several misconceptions surrounding the Hazard Bill of Lading form. Understanding these can help ensure proper handling and compliance. Here are five common misunderstandings:

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

This form is primarily used for hazardous materials, but it can also apply to non-hazardous shipments. It is important to ensure that all materials are accurately classified.

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

While the carrier has responsibilities, their liability can be limited. Factors such as acts of God or issues caused by the shipper can affect this liability.

Misconception 3: Claims for lost or damaged goods can be filed anytime.

Claims must be filed in writing within nine months of delivery or after a reasonable delivery time has passed. Failing to meet this deadline may result in the claim being denied.

Misconception 4: The shipper does not need to provide a declared value for the shipment.

Shippers are required to declare the value of the property being shipped. This is crucial for determining the carrier's liability in case of loss or damage.

Misconception 5: The form guarantees delivery of the shipment.

While the form outlines the carrier's obligations, it does not guarantee delivery. Various circumstances, including delays and refusal of the consignee, can affect the outcome.

Key takeaways

Ensure that all sections of the Hazard Bill of Lading form are filled out completely and accurately. Missing information can lead to delays or complications in transportation.
Clearly identify the hazardous materials being shipped. Proper classification and description are essential for compliance with transportation regulations.
Provide the correct weight and quantity of the packages. This information is crucial for determining freight charges and ensuring safe transport.
Be aware that the shipper is primarily responsible for all freight charges unless otherwise stated. Ensure that payment arrangements are clearly indicated on the form.
Understand that claims for loss or damage must be filed in writing within nine months after delivery. Timely submission is critical for potential reimbursement.
Familiarize yourself with the terms of liability limitation. The carrier's liability may be limited based on the declared value of the property.
Remember that the carrier must be notified in writing about any hazardous materials prior to shipment. Failure to do so may result in liability for any damages caused.