2109.14,70 Page 1 of 10 FSH 2109.14 - PESTICIDE-USE MANAGEMENT AND COORDINATION HANDBOOK WO AMENDMENT 2109.14-94-1 EFFECTIVE 12/06/94 CHAPTER 70 - FORMS, REPORTS, AND PUBLICATIONS 71 - INCIDENT AND ACCIDENT REPORTS. Incident Commanders, Pesticide Coordinators, and Pesticide Project Directors must report incidents and accidents involving pesticides. 71.1 - General Requirements. Report all pesticide incident and accident situations per instructions in this chapter. Specific instructions for filing Report FS-2100-D, Pesticide Accident and Incident Report, are in section 71.3. 71.2 - Telephone, Telegraph, Electronic, or Facsimile Reporting. Notify Forest or Regional Office personnel of a significant pesticide incident or accident via telephone, telegraph, facsimile, or urgent electronic message. Initial reports at the field level (District or Forest) are evaluated for transmission to the Region and the Washington Office. Make initial reports of pesticide incidents and accidents to the Washington Office, Personnel Management Staff, Safety and Health Branch Chief (FSM 6700). Individuals on this branch carry pagers to ensure 24-hour contact. The Safety and Health Branch Chief ensures that the appropriate Deputy Chief(s) and Washington Office Staff Directors are notified. Submit follow-up and written reports through Engineering or Forest Pest Management channels in accordance with the following direction. The Deputy Chief for State and Private Forestry informs the Chief, the Secretary of Agriculture, and the Administrator, Environmental Protection Agency, of significant incidents. Examples of incidents and accidents to report are: 1. Injury or death of person working with pesticides, or on any project involving pesticides. 2. Crashes of aircraft with pesticides on board. 3. Accidental dumping or spilling of significant quantities of pesticides. Significance is determined by the quantity of material involved and the characteristics of the active ingredient. 4. Adverse effects of pesticide use on humans, fish, birds, wildlife, farm animals, trees and crops, homes, and other components of the environment. In addition, inform the United States Coast Guard or EPA (40 CFR 117) when reportable quantities of certain pesticides are discharged onto or upon water courses, adjoining shorelines, or into or upon the contiguous zone. Reportable quantities of hazardous pesticides are determined by EPA under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) (42 U.S.C. 9601-9657), as amended by the Superfund Amendments and Reauthorization Act of 1976. 71.3 - Written Followup. Follow up initial telephoned, telegraphed, faxed, or urgent computer messages by Report FS- 2100-D, Pesticide Accident and Incident Report, giving, as applicable, the facts according to the following suggested outline: 1. Location of incident, such as State, county, National Forest, city section, township, range, and identifiable roads. 2. Ownership of property involved (if private property, give owner's name and address). 3. Tree species, plant, animal community, or structure treated. 4. Pest(s) involved. 5. Humans or domestic animals affected: a. If humans were involved, obtain and attach a written statement from the attending physician. b. If domestic animals were involved, obtain and attach a statement from the attending veterinarian. 6. Work ordered: Individual landowner, State, Federal Government, or supervisor of cooperative Federal-State program or project. 7. If the work was publicly supported, list of the agencies involved. 8. Application. Give date the pesticide was applied, time, method of application, applicator, formulation, dosage, and, if fumigation was involved, indicate if the building was wrapped or sealed and checked for leaks. 9. Labeling. Respond to the following: a. Was the material registered by the EPA and/or the State? b. Was the material used according to label directions? If not, explain how it was used. c. Did the label warnings and precautions cover the use? d. If protective devices were recommended on the label, were they used? 10. Were there unusual circumstances involved, such as inclement weather? 11. If warning placards or watchmen were recommended, were they used? If not, why not? 12. Did the public have adequate notice? Was there an environmental assessment or environmental impact statement covering the project? 13. Was the individual or authority who ordered the work aware of any hazard that might exist? 14. Was the applicator aware of hazards that might exist? Was there a safety plan? 15. Were precautions taken to protect other values? Explain. 16. Was application equipment properly calibrated and in good condition? 17. Have there been recent similar incidents in the community involved? If so, explain. 18. Were samples of adversely affected water, vegetation/crops, or animals taken? a. What was collected: Carcass, plant material, water, soil, formulation used, other? b. How were samples handled: Storage, contained, shipped, moved? c. Where were samples sent for analysis? d. Have results of sample analysis been obtained? If so, what were the results? 19. Attach copies of news articles pertaining to the incident. All written reports pertaining to spills and investigation of spills shall be kept in the permanent record files. 72 - POST-TREATMENT EVALUATION REPORT. Within 9 months after completion of pilot and operational projects that involve the use of pesticides, Forest Service units shall complete a post- treatment evaluation report. Prepare annual evaluation progress reports for multi-year projects. 72.1 - General Requirements. There is no set format for filing a post-treatment evaluation, but, at a minimum, such reports should indicate: 1. Name and location of the target pest. 2. Treatment objectives. 3. Date of treatment. 4. Pesticide application: a. Equipment malfunctions. b. Pesticide formulation problems. c. Overlaps and/or skips noted. d. Weather conditions. e. Application timing. f. Treatment costs. 5. Treatment success in terms of: a. Pest population reduction. b. Foliage protection (from defoliators) or growth reduction (as a result of herbicide use). c. Acreage covered. 6. Monitoring results. 7. Recommendations for followup and/or future projects. 73 - PESTICIDE-USE REPORT FOR NATIONAL FOREST SYSTEM LANDS, REPORT FS-2100-A (FORM FS-2100-1). By November 1 of any given year, report pesticide use on National Forest System lands during the preceding fiscal year. Submit data for Report FS-2100-A by completing Form FS-2100-1. The Washington Office, Director of Forest Pest Management distributes annual directions for completing this form (FS-2100-1) or an equivalent form. 74 - PESTICIDE-USE PROPOSAL, FORM FS-2100-2. Forest Service units must complete Form FS-2100-2, Pesticide-Use Proposal, for all proposed pesticide uses on National Forest System lands, except for housekeepingtype uses or when the amount proposed for use is less than 1 pound active ingredient (except that the form must be completed for all uses of sodium cyanide and strychnine, r egardless of quantity). Exhibit 01 contains a sample form. 74 - Exhibit 01 FS 2100-2 (7/79) U.S. DEPARTMENT OF AGRICULTURE|DEPARTMENT/AGENCY|PERSON/NUMBER TO CONTACT FOREST SERVICE |USDA-FS | Fred Jones PESTICIDE-USE PROPOSAL |REGION |FOREST |DATE SUBMITTED (Reference FSM 2150) | R-1 |Flathead | 1/1/90 (1) OBJECTIVE a) PROJECT NO. 1 b) SPECIFIC TARGET PEST Mountain pine beetle c) PURPOSE Attack prevention (2) PESTICIDE a) COMMON NAME Carbaryl b) FORMULATION EC, sevimol brand c) % AI,AE,or LB/Gal 4# a.i. per gallon d) Registration No. (3) a) FORM APPLIED Liquid b) USE STRENGTH (%) 20 quarts/100 gallon or 6.5 oz./1 gallon OR DILUTION RATE c) DILUENT Water (4) LBS AI PER ACRE 1 gallon per 50 sq.ft. of bark OR OTHER RATE (5) APPLICATION a) METHOD Ground b) EQUIPMENT Hydraulic sprayer (6) a) ACRES OR OTHER UNIT 10 acres TO BE TREATED b) NUMBER OF APPLICATIONS 1 c) NUMBER OF SITES 10 d) SPECIFIC DESCRIPTION Campgrounds OF SITES (7) a) MONTH(S) OF YEAR June b) STATE(S) Montana (8) SENSITIVE AREAS a) AREAS TO BE AVOIDED Streams b) AREAS TO BE TREATED Camp tables WITH CAUTION (9) REMARKS a) PRECAUTIONS TO BE Notify campground users TAKEN and post treatment areas. b) USE OF TRAINED/ Trained yes. CERTIFIED PERSONNEL c) STATE AND LOCAL N/A COORDINATION d) OTHER PESTICIDES BEING None APPLIED TO SAME SITE e) MONITORING Treatment Effectiveness f) OTHER None (10) CONCURRENCE SIGNATURE OF PESTICIDE COORDINATOR |DATE (10) a) SIGNATURE OF APPROVING OFFICIAL |DATE | 2/1/90 75 - FEDERAL CERTIFIED APPLICATOR REPORT, FORM FS-2100-4. Regions, Stations, and the Area must report on Form FS-2100-4 the total number of applicators, by category, who are currently Federally certified under the Department of Agriculture's Federal Certification Plan (sec. 34.3). Submit Form FS-2100-4 (Report FS-2100-L) to the Forest Pest Management Staff Director, Washington Office, by November 1 each fiscal year. 76 - RESTRICTED-USE PESTICIDE APPLICATION AND DISPOSAL LOG, FORM FS-2100-5. Forest Service personnel certified to use, or to supervise the use of, restricted-use pesticides shall maintain records of such use (FSM 2150.3). Exhibit 01 provides an example of a Restricted-Use Pesticide Application and Disposal Log. 76 - Exhibit 01 FS-2100-5 (4/81) RESTRICTED-USE PESTICIDE APPLICATION AND DISPOSAL LOG ----------------------------------------------------------------------------------------- | USDA FOREST SERVICE |APPLICATOR/SUPERVISOR NAME RESTRICTED-USE PESTICIDE APPLICATION | Fred Jones AND DISPOSAL LOG |-------------------------------------- |ADMINISTRATIVE UNIT NAME AND ADDRESS (Refs. FSM 2150 and FSH 2109.12) | Region 1 ----------------------------------------------------------------------------------------- | | PESTICIDE | APPLICATION | DISPOSAL Loca- | Date | Name | EPA |Target |Lbs. | Units |Lbs.|Method|Location|Date tion | of Use |Common/ |Regist | Pest/ |Used |Treated |(AI)| | | | | Trade | |Purpose |(AI) |/Dosage | | | | (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8)| (9) | (10) |(11) | | | | | | | | | | Stand |6/4/90 |Tordon | 464-306 |Vegeta- | 160 | 24 | | | | 2104 | |101 | |tion/ | | acres | | | | | |Piclo- | |conifer | | 6.6/ | | | | | |ram/ | |release | | acres | | | | | |2,4-D | | | | | | | | | | | | | | | | | | | |Tordon | 464-306 | | | | 1.5|Desig-|T135,R5E| | |101 | | | | | |nated |SW 1/4 | | | |Piclo- | | | | | |land- |SW 1/4 | | |ram/ | | | | | |fill |Sec 37 | | | |2,4-D | | | | | | | | ------------------------------------------------------------------------------------------ 77 - NATIONAL AGRICULTURAL PESTICIDE IMPACT ASSESSMENT PROGRAM. Persons interested in applying for funding under the auspices of the National Agricultural Pesticide Impact Assessment Program (NAPIAP) are required to file a project proposal, study plan, progress reports, and a final report. 77.1 - Project Proposal. NAPIAP project proposals are due in the Washington Office, Forest Pest Management Staff by August 31. Proposals must follow appropriate guidelines (sec. 31.12). They are evaluated according to specific criteria. 77.2 - Study Plans. Two months after NAPIAP project proposals are approved and funds are allocated, a study plan is due in the Washington Office, Forest Pest Management Staff. 77.3 - Progress Reports. Multi-year NAPIAP projects require annual reports to be submitted to the Washington Office, Forest Pest Management Staff. 77.4- Final Reports. Final reports for funded NAPIAP projects are due in the Washington Office, Forest Pest Management Staff by January 1, when funding expires the previous year. 78 - PUBLICATIONS. All Forest Service publications that discuss pesticides must contain a precautionary statement. 78.1 - Precautionary Statements for Pest Control Publications. Precautionary statements for inclusion in publications which make reference to pesticides have been developed and approved by the Department of Agriculture. These statements, or appropriately modified similar statements, shall be used in all Department of Agriculture publications, including reports published as Forest Service research papers and research notes by Stations, as well as miscellaneous pamphlets, leaflets, and other materials issued by Stations, Regions, or the Area that report on, or recommend, pesticide use. Precautionary statements listed in sections 78.11 to 78.12 include the USDA's official pesticide symbol. Obtain copies of the symbol for reproduction, as well as additional copies of the precautionary statements from the Office of Public Affairs in the Washington Office or field units. 78.11 - Research Publications. Use the following statement in any research publication involving pesticides: This publication reports research involving pesticides. It does not contain recommendations for their use, nor does it imply the uses discussed have been registered. All pesticides must be registered by appropriate State and/or Federal agencies before they can be used. CAUTION: Pesticides can be injurious to humans, domestic animals, desirable plants, and fish or other wildlife--if they are not handled or applied properly. Use all pesticides selectively and carefully. Follow recommended practices for the disposal of surplus pesticides and pesticide containers. 78.12 - Forest Pest Management Publications. Include the following statement in any publication dealing with pest control in forests: Pesticides used improperly can be injurious to man, animals, and plants. Follow the directions and heed all precautions on the labels. Store pesticides in original containers under lock and key-- out of the reach of children and animals-- and away from food and feed. Apply pesticides so they do not endanger humans, livestock, crops, beneficial insects, fish, and wildlife. Do not apply pesticides when there is danger of drift, when honeybees or other pollinators are visiting plants, or in ways that may contaminate water or leave illegal residues. Avoid prolonged inhalation of pesticide sprays or dusts; wear protective clothing and equipment if specified on the label. If your hands become contaminated with a pesticide, do not eat or drink until you have washed. In case a pesticide is swallowed or gets in the eyes, follow the first aid treatment given on the label, and get prompt medical attention. If a pesticide is spilled on your skin or clothing, remove clothing immediately and wash skin thoroughly. 78.13 - Home and Garden Pest Control Publications. Include the following statement in any publication dealing with pest control in homes, yards, or gardens: Pesticides used improperly can be injurious to man, animals, and plants. Follow the directions and heed all precautions on the labels. Store pesticides in original containers--out of reach of children and pets. NOTE: Registrations of pesticides are under constant review by the U.S. Environmental Protection Agency. Use only pesticides that bear a Federal registration number and carry directions for home and garden use. 78.14 - Non-USDA Publications. In manuscripts for technical journals and other non-Department publications involving recommendations or registered materials, use of precautionary statements and symbols is a matter for decision by the publisher. However, in these cases, it is suggested that the following statement, or a similar one, be provided as a footnote or in the text: The pesticide reported on and recommended here was registered for the use described at the time this manuscript was prepared. Since the registration of pesticides is under constant review by State and Federal authorities, a responsible State agency should be consulted as to the current status of this pesticide. In manuscripts that report research findings on pesticides and do not make recommendations for their use, regardless of whether the material is registered or not, include the following paragraph either in the text or as a footnote: This publication reports research involving pesticides. It does not contain recommendations for their use nor does it imply the uses discussed here have been registered. All pesticides must be registered by appropriate State and/or Federal agencies before they can be used. Similar disclaimers should be incorporated in oral presentations of research results by Forest Service research scientists or forestry specialists. 78.2 - Pesticide-Use Advisory Memoranda. Pesticide-Use Advisory Memoranda (PAM's) are issued on an irregular basis by the Washington Office, Forest Pest Management Staff, Pesticide-Use Management and Coordination Group. PAMs are signed by the Deputy Chief for State and Private Forestry and provide up-to-date information to Forest Service field units on pesticide issues. Regions, Stations, and the Area have the option to issue local PAM's.