The ATC 45 form is a document used to track the transportation of hazardous materials. It is used by both carriers and shippers to ensure that all hazardous material regulations are followed. The ATC 45 form must be completed for each shipment of hazardous material, and must include information such as the type and quantity of material being transported, the shipping address, and contact information. Failure to submit an accurate ATC 45 form can result in fines or other penalties.
| Question | Answer |
|---|---|
| Form Name | Atc 45 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Affiliation, atc 45 field manual pdf, vacated, fabricated |
Inspection |
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Inspector ID: |
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Inspection date: |
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Affiliation: |
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Inspection time: |
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Areas inspected: |
Exterior only |
Exterior and interior |
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Building Description |
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Type of Building |
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Building name: |
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Address: |
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AM |
PM |
One- or
Building contact/phone:
Number of stories:
“Footprint area” (square feet):
Number of residential units:
Evaluation
Primary Occupancy
Dwelling
Other residential Public assembly Emergency services
Commercial |
Government |
Offices |
Historic |
Industrial |
School |
Other: _______________
Investigate the building for the conditions below and check the appropriate column.
Observed Conditions: |
Minor/None Moderate Severe |
Collapse, partial collapse, or building off foundation
Building significantly out of plumb or in danger
Damage to primary structural members, racking of walls
Falling hazard due to nonstructural damage
Geotechnical hazard, scour, erosion, slope failure, etc.
Electrical lines / fixtures submerged / leaning trees
Other (specify)
See back of form for further comments.
Posting
Estimated Building Damage
(excluding contents)
None
>0 to <1% 1 to <10%
10 to <30%
30 to <60%
60 to <100%
100%
Choose a posting based on the evaluation and team judgment. Severe conditions endangering the overall building are grounds for an Unsafe posting. Localized Severe and overall Moderate conditions may allow a Restricted Use posting.
INSPECTED (Green placard) |
RESTRICTED USE (Yellow placard) |
Record any use and entry restrictions exactly as written on placard:
UNSAFE (Red placard)
Number of residential units vacated:
Further Actions Check the boxes below only if further actions are needed. Barricades needed in the following areas:
Detailed Evaluation recommended: |
Structural |
Substantial Damage determination recommended
Other recommendations:
Geotechnical
Other:
See back of form for further comments.