U.S. Environmental Protection Agency Tier I Qualified Facility SPCC Plan Template - Instructions to Complete this Template

Sep 22, 2026

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U.S. Environmental Protection Agency Tier I qualified facility SPCC Plan template with instructions for owners or operators to develop a self-certified Spill Prevention, Control, and Countermeasure Plan. It explains applicability under 40 CFR §112.3(g)(1), how to address every applicable SPCC rule requirement, and how to use an optional N/A column for non-applicable elements. It outlines required sections I–III and the conditional Section A/B/C attachments, plus completion steps, certification and dates, inspection and recordkeeping, periodic review, amendments, and emergency discharge notification procedures.

LanguageEnglish

CategoryForms

FormatPDF

Pages21

Reading Time7 min

AccessFree to download

Instructions to Complete this Template

Applicability and rule cross-references

Completion instructions and N/A column

Required sections I, II, III and Section A/B/C

Attachments checklist

Certification, inspections, review, amendments

Emergency discharge notification

U.S. ENVIRONMENTAL PROTECTION AGENCY TIER I QUALIFIED FACILITY SPCC PLAN TEMPLATE Instructions to Complete this Template This template is intended to help the owner or operator of a Tier I qualified facility develop a self-certified Spill Prevention, Control, and Countermeasure (SPCC) Plan. To use this template, your facility must meet all of the applicability criteria of a Tier I qualified facility listed under §112 .3(g)(1) of the SPCC rule. This template provides every SPCC rule requirement necessary fora Tier I qualified facility, which you must address and implement. You may use this template to comply with the SPCC regulation or use it as a model and modify it as necessary to meet your facility-specific needs. If you modify the template, your Plan must include a section cross-referencing the location of each applicable requirement of the SPCC rule and you must ensure that your Plan is an equivalent Plan that meets all applicable rule requirements of 40 CFR 112.6(a)(3) . You may complete this template either electronically or by hand on a printed copy. This document is a reformatted version of the template found in Appendix G of 40 CFR part 112.a No substantive changes have been made. Please note that a "Not Applicable" ("N/A") column has been added to both Table G-10 (General Rule Requirements for Onshore Facilities) and Table G-11 (General Rule Requirements for Onshore Oil Production Facilities) . The "N/A" column should help you complete your selfcertification when a required rule element does not apply to your facility. Use of the "N/A" column is optional and is not required by rule. All Tier I qualified facility self-certifiers must complete Sections I, II, and III. Additionally, the owner or operator of an: 􀀃 Onshore facility (excluding production) must complete Section A. 􀀃 Onshore oil production facility (excluding drilling and workover facilities) must complete Section B. 􀀃 Onshore oil drilling and workover facility must complete Section C. Complete and include with your Plan the appropriate attachments. You should consider printing copies of the attachments for use in implementing the SPCC Plan (e.g. Attachment 3.1-Inspection Log & Schedule; Attachment 4-Discharge Notification Form) . To complete the template, check the box next to the requirement to indicate that it has been adequately addressed. Either write“N/A” in the column or check the box under the “N/A” column to indicate those requirements that are not applicable to the facility. Where a section requires a description or listing, write in the spaces provided (or attach additional descriptions if more space is needed) . Below is a key for the colors used in the section headers: | Sections I, II, and III: Required for all Tier I qualified facilities | | --- | | Section A: Onshore facilities (excluding production) | | Section B: Onshore oil production facilities (excluding drilling and workover facilities) | | Section C: Onshore oil drilling and workover facilities | | Attachments: 1-Five Year Review and Technical Amendment Logs
2-Oil Spill Contingency Plan and Checklist
3- Inspections, Dike Drainage and Personnel Training Logs
4-Discharge Notification Form | After you have completed all appropriate sections, certify and date your Plan, and then implement it by the compliance date. If your facility was in operation before August 16, 2002, and you do not already have a Plan, then implement this template immediately. Conduct inspections and tests in accordance with the written procedures that you have developed for your facility. You must keep with the SPCC Plan a record of these inspections and tests, signed by the appropriate supervisor or inspector, for a period of three years. Do not forget to periodically review your Plan (at least once every five years) or to update it when you make changes to your a Please note that the use of this template is not mandatory for a Tier I qualified facility. You may also meet the

FAQs

What is the purpose of this Tier I SPCC plan template?

It helps the owner or operator of a Tier I qualified facility develop a self-certified SPCC Plan by covering the SPCC rule requirements that must be addressed and implemented.

Which sections must Tier I qualified facility self-certifiers complete?

All Tier I qualified facility self-certifiers must complete Sections I, II, and III, and then complete the appropriate additional section: A for onshore facilities (excluding production), B for onshore oil production (excluding drilling and workover), or C for onshore oil drilling and workover.

How should non-applicable requirements be handled in the template?

Check the box next to requirements that are adequately addressed, and for requirements that do not apply either write “N/A” in the column or check the box under the “N/A” column. Use of the N/A column is optional.

Sep 22, 2026

Upload by Oliver