- APPENDIX
V
-
- Hazardous Substance Work Data
Sheet:
-
- SUBSTANCE
TO BE USED
-
Health
______
- Chemical
Name :_____________________________
Fire
______
-
Reactivity
______
-
Spec/Note
______
-
- Person in Charge:
_____________________________
-
- Before you begin your work you must
refer to the book: Fire
Protection Guide to HAZARDOUS MATERIALS .
If your substance cannot be found in this book you must use another
reference to gain the necessary information in order to continue.
-
- STEP 1:
- Get MSDS for your substance.
Read and keep a copy attached to this sheet.
-
- STEP 2:
- Fill out the following:
- Class to be used for
_____________________________
-
- A: The area in which you are to use this substance (note: must not be an
open bench )
-
- ____________________________________________________________________________________
-
- B: What containment device will be used at this area ?
-
- ____________________________________________________________________________________
-
- ____________________________________________________________________________________
-
-
- C: What are the procedures for safe removal of contaminated waste ?
-
- ____________________________________________________________________________________
-
- ____________________________________________________________________________________
-
-
- D: What are the decontamination procedures for this substance ? - area -
personal - etc.
-
- ____________________________________________________________________________________
-
- ____________________________________________________________________________________
-
- ____________________________________________________________________________________
-
- IN THE CASE OF A SPILL or ACCIDENT:
call 911 (if needed); alert
SCHOOL NURSE and call PUBLIC SAFETY to
control the area.
-
CCC Chem Hyg Plan