Fumigation Service and Supply, Inc.
This document is not a label substitute. You must read, understand and refer to the product label
for specific instructions and requirements in order to ensure adherence to local, state and federal
laws. FSS, INC and affiliates are not responsible for deficiencies in compliance by individual users.
FUMIGATION MANAGEMENT PLAN
Your guide to developing a comprehensive Fumigation Management Plan
(FMP)
This document is intended to guide its user by asking specific questions in developing the final
product. This document should be considered a guide in developing your site specific FMP. Each
fumigation should be accompanied by a new or updated plan prior to application and retain for a
minimum of 2 years following the date of origination.
Date of Origination: _______ / _________ / _____ By: ______________________
COMPANY INFORMATION SECTION EMERGENCY CONTACT SECTION
Company Police
Name
Address Fire
City, State, Zip Hospital
(Nearest)
Company Hazmat 1-800-424-9300
Phone
Company Fax Poison Control 1-800-222-1222
PRIMARY CONTACT INFORMATION
Fumigator in License #,
Charge State
Day Time Phone Expiration Date
Night Time Phone Mobile Phone
Other Home
Site Manager Email
Mobile Phone Other
Other Manager Mobile Phone
Security Personnel Mobile Phone
FUMIGANT INFORMATION
Fumigant Manufacturer
Name
EPA Reg # Lot #
Dosage Rate Initial Amt. Total
Used Amt.
Used
Label/MSDS Y N Label Reviewed? Y N
Attached?
FUMIGATION ITINERARY
Begin Date End Date
M T W T F S S M T W T F S S TIME
Begin
End
16950 Westfield Park Road, Westfield, IN 46074 · 800-992-1991 · fax: 317-663-0746
[email protected] www.fumigationzone.com
Fumigation Service and Supply, Inc.
ENVIRONMENTAL CONDITIONS
Temperature In / Relative Humidity
Out
Wind Direction Wind Speed
16950 Westfield Park Road, Westfield, IN 46074 · 800-992-1991 · fax: 317-663-0746
[email protected] www.fumigationzone.com
Fumigation Service and Supply, Inc.
INITIAL PREPARATION AND PLANNING
A LIST OF GENERAL QUESTIONS AND RECOMMENDATIONS:
HAVE YOU PERFORMED DAILY T.S.A. WHILE PERFORMING WORK ON SITE? Y N
WHAT IS THE PURPOSE OF THE FUMIGATION?
WHAT TYPE OF FUMIGATION IS IT? SPACE, TARP, WAREHOUSE, FOOD PLANT, RAILCAR,
COMMODITY, VESSEL (READ COAST GUARD REGULATION 46CFR 147A), ETC
STRUCTURE AND COMMODITY FAMILIARITY.
o GENERAL LAYOUT, CONSTRUCTION, HAZARDS, CONNECTING STRUCTURES (ABOVE
AND BELOW GROUND),
o ESTABLISH PERSONNEL ACCOUNTABILITY LOG (SIGN-IN / SIGN-OUT) RELATIVE TO
AREA TO BE FUMIGATED.
o PREVIOUS TREATMENT HISTORY (LIST IN DETAIL)
o NEAREST EMERGENCY COMMUNICATIO DEVICE, DENOTE ON MAP
HAVE YOU REVIEWED THE LABEL AND APPLICATOR’S MANUAL? Y N
WHAT ARE YOUR FACTORS FOR DETERMINING EXPOSURE TIME?
o PRODUCT USED (PELLETS, TABLETS, MAGNESIUM, CYLINDERIZED PH 3)
o DOWN TIME
o AERATION CONSTRAINTS
o CLEAN-UP REQUIREMENTS
o TEMPERATURE
o LABEL RECOMMENDATIONS
o HUMIDITY
o HISTORICAL FUMIGATION DATA
HAVE YOU NOTIFIED ALL PERSONNEL IN WRITING OF FUMIGATION?
HAVE YOU SECURED STRUCTURE TO PREVENT UNWANTED ENTRY. SECONDARY LOCKS ON
STRUCTURES WHERE UNAUTHORIZED PERSONNEL MAY HAVE ADDITIONAL KEYS?
HAVE YOU COMMUNICATED THE EMERGENCY ACTION PLAN?
HAVE YOU ESTABLISHED A MONITORING PLAN WHICH LIMITS EXPOSURE?
DOCUMENT ALL READINGS EVEN IF NO LEVELS ARE FOUND. USE CHART ATTACHED
HAVE LOCAL AUTHORITIES (POLICE AND FIRE) HAVE BEEN NOTIFIED IN ACCORDANCE WITH
LABEL AND OR LOCAL REGULATIONS. Y N BADGE #: _____________________
16950 Westfield Park Road, Westfield, IN 46074 · 800-992-1991 · fax: 317-663-0746
[email protected] www.fumigationzone.com
Fumigation Service and Supply, Inc.
IS THERE A SEALING PLAN IN PLACE THAT WILL CONTAIN THE FUMIGANT IN SUFFICIENT
ENOUGH QUANTITY TO SUCCESSFULLY IRRADICATE TARGETED PEST?
REVIEW PREVIOUS FMP FOR SEALING SPECIFICATIONS.
IS EVERY POSSIBLE ENTRANCE PLACARDED WITH THE CORRECT PLACARDS?
WHEN ENTERING A FUMIGATED STRUCTURE OR PREPARING FOR RELEASE OF FUMIGANT IN A
TARGETED STRUCTURE ALWAYS WORK IN PAIRS OR TEAMS.
IS IT POSSIBLE TO APPLY THE FUMIGANT FROM OUTSIDE? PREFERRED IF AT ALL POSSIBLE.
IF STRUCTURE CANNOT BE SECURED, WILL YOU PROVIDE A WATCHMAN OR SECURITY?
CONSIDER TEMPERATURE DIFFERENTIALS WHEN AERATING. DRAMATIC COOLING OR HEATING
OF A STRUCTURE MAY HAVE ADVERSE CONDITIONS ON THE COMMODITY, STRUCTURE OR
EQUIPMENT.
DOCUMENT LEVELS IN ADJOINING STRUCTURES AND PERIPHREAL AREAS DURING AERATION.
ONLY REMOVE PLACARDS WHEN STRUCTURE HAS BEEN PROPERLY DOCUMENTED CLEAR AND
ALL BINS, TUNNELS, OFFICES, BATHROOMS, CLOSETS, CRAWL SPACES AND INTERNAL
CONFINED SPACES HAVE ALSO BEEN DEEMED CLEAR BY PROPERLY CALIBRATED ELECTRONIC
CLEARANCE DEVICES OR BY COLORMETRIC TUBES NOT OUT OF EXPIRATION.
DESCRIPTION
Describe the site
Volume(s) of
structure(s)
List any structural
concerns
List PPE required
List any other
requirements
Construction material Tightly / Loosely
Constructed?
Free-standing / Connected structure(s)
Connected vacated?
Y Attach a site drawing, map, diagram or images (digital or other) that identify
structures involved. Include information like height, ladder or lift conditions,
internal ladder, etc.
16950 Westfield Park Road, Westfield, IN 46074 · 800-992-1991 · fax: 317-663-0746
[email protected] www.fumigationzone.com
Fumigation Service and Supply, Inc.
Y Add to diagram a list of powered equipment to be locked out prior to sealing
conveyors, spouting, turn heads, etc. Refer to site LOTO procedures or use
generic FSS LOTO document.
Y Prepare a sealing plan. Include specific instructions like sealed or open eaves,
flat or angled roof, appropriate fall protection, plastic for tarping commodity,
mass coned up/down, and other sealing concerns.
Y Is entry into the structure required for fumigation?
Y If entry into a confined space is required, fill out site required paperwork or
generic FSS confined space and document readings prior to entry. Continue to
monitor levels while inside structure.
Grain Bin Entry Note: Exception - OSHA CFR 1910.272(g)(2) When the employee
is standing or walking on a surface which the employer demonstrates is free from
engulfment hazards, the lifeline or alternative means may be disconnected or
removed.
For the purpose of fumigation the management of lifelines while performing an
application and tarping the grain mass presents a hazard as the line is often
tangled and prolongs the length of time applicators must remain inside bin where
phosphine levels are rapidly accumulating.
Y Documentation of commodity type, condition, moisture %, how long has it been in
storage, has it been partially unloaded, etc. (bridged, wet or moldy grain is very
hazardous).
Y If facility is in operation during exposure period, describe monitoring plan to
ensure workers and by-standers are not exposed.
Y Describe re-entry plan if applicable. Record confined space readings prior to
entry and throughout removal process of any internal sealing materials.
16950 Westfield Park Road, Westfield, IN 46074 · 800-992-1991 · fax: 317-663-0746
[email protected] www.fumigationzone.com
Fumigation Service and Supply, Inc.
MONITORING DATA, AERATION AND RE-ENTRY
MONITORING READINGS IN PPM
LOCATION vs TIME
(CONCENTRATION)
PERIMETER READINGS – PROVIDE LOCATION, READING AND TIME
Y Document final clearance readings and corresponding locations. Pay special
attention to
Offices, Breakrooms, Bathrooms, Basements, Closets, Confined Spaces (instruct
site to add fumigant used to list of gases to monitor for in confined spaces), Crawl
Spaces, Closets, Areas containing large amounts of static material, etc.
FINAL CLEARANCE READINGS vs LOCATION
Y Verify monitoring equipment is within expiration date or within parameters for
calibration. Document type of detection equipment and calibration dates.
DEVICE 1
Type of detection
equipment
Calibration Date:
16950 Westfield Park Road, Westfield, IN 46074 · 800-992-1991 · fax: 317-663-0746
[email protected] www.fumigationzone.com
Fumigation Service and Supply, Inc.
DEVICE 2
Type of detection
equipment
Calibration Date:
DEVICE 3
Type of detection
equipment
Calibration Date:
*Calibration certificates are available upon request. All monitors used for clearance must
be within calibration limits and have written records on file.
Y Document time and date structure is clear for re-entry or commodity is
sufficiently aerated and ready for transfer or use.
Clearance Time:
Clearance Date:
FIC Initials:
Signature of Site Representative: ______________________________ Date: ______________
Signature of Fumigator in Charge: _____________________________ Date: ______________
FSS Emergency Contact Numbers:
Main Office 800-992-1991
Dave Mueller 317-966-9808
Jeff Waggoner 513-515-6343
Pete Mueller 309-830-9386
Ryan Yutzy 217-652-6741
Created by: Jeff Waggoner of Fumigation Service and Supply, Inc.
16950 Westfield Park Road, Westfield, IN 46074 ∙ 800-992-1991
www.FumigationZone.com
16950 Westfield Park Road, Westfield, IN 46074 · 800-992-1991 · fax: 317-663-0746
[email protected] www.fumigationzone.com
