Title Page
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Location
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Task
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Conducted on
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Prepared By
Select Responses Below
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Are Safety Data Sheet (SDS) placed near the chemical being stored or readily accessible upon request?
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Are chemicals properly labelled In original container ?
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Are chemicals properly labelled In secondary containers ?
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Are the chemicals being stored in designated storage facility compatible to be stored together?
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Are chemical drums/containers in good condition?<br>Look for signs of leaking; deterioration, etc
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Do employees working with chemicals understand the spill response procedure? Stop and think. Report incident to supervisor; Isolate the area; determine spill potential; review SDS before responding; ensure personnel safety is the top priority
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Are emergency eye wash stations / bottles and safety showers available as required by SDS?
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Are fire extinguishers located in close proximity to flammable chemicals? (Verify the extinguisher is rated for the chemical hazards)
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Is a chemical spill kit in close proximity to storage facility ? And is it adequately stocked?
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Field Check- Are employees working safely with chemicals? To work safely with chemicals, you must know: what they are (chemical name), their hazards (available from container labels, Safety Data Sheets and from the Job Safety Environment Analysis (Hazards; controls measures)
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Field Check- Have employees that are required to wear respirators been fit tested?
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Sign Off