Hazardous Communications

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hazardous Communications Audit

• Do you have any MSDS's?<br>(individual must be able to physically point out the MSDS's for their area)

  Yes

  No

  N/A

• Do you have any hazardous materials in your work area? (They should be able to locate their inventory of hazardous materials)

  Yes

  No

  N/A

• Is there a hazardous inventory? if yes, a copy of your inventory needs to be included with this audit report.

  Yes

  No

  N/A

• Has the inventory been reviewed within the last calendar year?

  Yes

  No

  N/A

• Is there a written hazardous communication program for their work area?

  Yes

  No

  N/A

• Is each container labeled properly? (At minimum product identity, hazard warning, PPE, target organs, manufacturer name, address and emergency phone number)

  Yes

  No

  N/A

• Do they know where to obtain an MSDS if needed? (MSDS Online, Safety Compliance Office)

  Yes

  No

  N/A

• Are proper personal protective devices available and used when handling corrosive, flammable and carcinogenic substances?

  Yes

  No

  N/A

• Are chemicals stored properly? (Not under sinks)

  Yes

  No

  N/A

• Are volumes of chemicals consistent with usage? It is dangerous to store large volumes of hazardous chemicals. Chemicals should be discarded if not used within 6 months.

  Yes

  No

  N/A

• Have any new chemicals or processes been introduced in the past year?

  Yes

  No

  N/A

• Have employees been trained on the appropriate use of PPE?

  Yes

  No

  N/A

• Have employees been trained on how to handle a spill and is a spill kit available?

  Yes

  No

  N/A

• Enter any comments or issues here

• Print Your Name then Sign when completed

  Sign

• Please send this form to Safety Compliance Office MS-04-142:

• Phone # 254-724-3708, Fax # 254-724-4883

• Email: CMORISSET@sw.org

• Keep a copy for your records Revised 3/26/2012