Title Page

  • Site conducted

  • Date & Time

  • Task

  • Work Area

  • Prepared by

EXPOSURE TO HAZARDOUS SUBSTANCES

  • Are you adhering to the requirements in the written procedure for the use, storage and disposal of identified hazardous substances?<br>

  • Are hazardous substance containers correctly and clearly labelled?<br>

  • Are pipes or other distribution systems used for hazardous substances clearly identified?<br>

  • Are all vessels, pipes, flanges and fittings free from visible leaks?<br>

  • Is the hazardous storage area free from unnecessary combustibles and incompatible substances?<br>

Loading and Unloading Protection

  • Are you adhering to the procedure for the safe loading and unloading of bulk hazardous substances?<br>

  • Is the delivery driver familiar with the delivery and safe loading / unloading procedure?<br>

  • Have you verified the contents of the delivery truck?<br>

Handling Requirements

  • Are you handling the substances as per the written procedure or SDS?<br>

  • Do you know what to do in the event of an emergency involving the hazardous substances being handled?<br>

Chemical PPE

  • Have all hazardous substances involved with your task been clearly identified and captured in your risk assessment, JHA, procedure?

  • Do you know the chemicals that you might be exposed to and the potential health effects of exposure to these chemicals?<br>

  • Are you using the correct type of PPE for the task as required by the risk assessment, JHA, procedures, SDS?<br>

  • Have you inspected the PPE prior to use?<br>

Alarms Systems

  • Have you conducted a visual check of the sensors and alarms before commencing work?<br>

  • Do you know how to react to possible alarms in your work area?

Access Control

  • Is access to hazardous substance storage areas controlled?

  • Are hazardous substances only stored in designated areas?

  • Are you trained and authorised to be in the hazardous storage area?<br>

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.