UNIT SPECIFIC PLAN FORM
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INVESTIGATOR INFORMATION
3ULQFLSDO,QYHVWLJDWRU (0DLO Erie, School of Engineering
'HSDUWPHQW Penn
State
2IILFH$GGUHVV 2IILFH3KRQH 2IILFH)D[ 814-898-6125
/DERUDWRU\)DUP $GGUHVV UNIT 9: Electrical Tech Lab, Burke 141
/DERUDWRU\3KRQHV 814-898-6293
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Table of Contents:
I.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
Research Overview
Chemical Safety
Biological Safety
Radiation Safety
Animal Related Hazards
Physical Hazards
Safety Precautions in Place
Certification Agreement
Appendix
1
Please answer all questions and do not leave any blanks. If a question has no connection to the work in your lab(s), please write
“NA” or “not applicable” next to the answer. If you wish to add additional information, attach separate sheets for elaboration.
2
I. RESEARCH OVERVIEW
A. Description of Activities or Research. 3OHDVHVXSSO\DQDUUDWLYHH[SODLQLQJWKHJRDOVRI\RXUUHVHDUFKDQGEULHIO\GHVFULEHWKH
H[SHULPHQWDOSURFHGXUHVW\SLFDOO\SHUIRUPHGLQ\RXUZRUNDUHD7KLVLQIRUPDWLRQLVUHTXHVWHGWRKHOS(+6UHYLHZ\RXU8QLW6SHFLILF
3ODQ)RUPZLWKPRUHLQVLJKW
Electrical and mechanical storage area. Equipment and materials used in classroom, senior project
and research activity are stored in this laboratory.
3
II. CHEMICAL SAFETY
A. Inventory of Chemical Agents.3OHDVHOLVWXVLQJWKH&+,06VRIWZDUHDOOWKHFKHPLFDOVXVHGLQ\RXUUHVHDUFKDQGRUPDLQWDLQHGLQ
VWRFN8QLYHUVLW\VDIHW\SROLF\6<UHTXLUHVDFXUUHQWLQYHQWRU\RIFKHPLFDOVIRUHDFKZRUNDUHD0DNHQRWHRIDQ\FRPSRXQGV
ZLWKFDUFLQRJHQLFSRWHQWLDO7KHOLVWVKDOOEHWKRURXJKDQGFRPSUHKHQVLYH,QIRUPDWLRQUHJDUGLQJFODVVLILFDWLRQRIFKHPLFDOVDV
FDQFHUKD]DUGVFDQEHIRXQG26+$6SHFLILHG&DQFHU&DXVLQJ$JHQWVLQ$SSHQGL[$WKH&KHPLFDO6DIHW\)DFW6KHHWRIWKH
/DERUDWRU\DQG5HVHDUFK6DIHW\3ODQ
&RQVLGHUZKHWKHU\RXFDQMXVWLI\PDLQWDLQLQJDVWRFNRIUDUHO\QHHGHGFKHPLFDOVWKDWPD\UHPDLQRQVWRUDJHVKHOYHVIRUPDQ\\HDUV
7KH(3$UHTXLUHVWKH8QLYHUVLW\WRLQVWLWXWHDFKHPLFDOZDVWHPLQLPL]DWLRQSURJUDP$EDVLFIRXQGDWLRQRIWKLVSURJUDPLVWRRUGHU
RQO\WKHDPRXQWVRIVWRFNQHFHVVDU\WRVXSSRUWWKHUHVHDUFKZRUN([FHVVVKRXOGQRWEHSXUFKDVHGEHFDXVHLWLQFUHDVHVKD]DUGRXV
ZDVWHYROXPHDQGUDLVHVWKHULVNRIVLJQLILFDQWVSLOOV
0LQLPDOVWRFNLVDOVREHQHILFLDOLQSURWHFWLQJWKHVDIHW\RI(+6DQGILUHGHSDUWPHQWHPHUJHQF\UHVSRQGHUV7KHJUHDWHUWKHYROXPHRI
FKHPLFDOVRQKDQGWKHJUHDWHUWKHULVNWKDWEUHDNDJHRIFRQWDLQHUVFRXOGOHDGWRPL[LQJRILQFRPSDWLEOHDJHQWVRUUHOHDVHRIUHDFWLYH
FRPSRXQGV
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YES
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YES
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✔ LQFOXGHGRQWKHLQYHQWRU\
,INOZK\QRW"
Have assembled MSDS data for chemicals in the area and in process of listing chemicals in
CHIMS.
Note:7KH(+6ZHESDJHZZZHKVSVXHGXFDQSURYLGH\RXDFFHVVWRDQHOHFWURQLF06'6GDWDEDVH
B. Use of OSHA-Specified Carcinogens.3OHDVHUHIHUWRWKHOLVWRIWKRVHFRPSRXQGVVSHFLILFDOO\UHJXODWHGE\26+$DVFDQFHUFDXVLQJ
DJHQWVLQ$SSHQGL[$WKH&KHPLFDO6DIHW\)DFW6KHHWRIWKH/DERUDWRU\DQG5HVHDUFK6DIHW\3ODQ,QGLYLGXDORFFXSDWLRQDO
VWDQGDUGVKDYHEHHQSURPXOJDWHGIRUWKHVHPDWHULDOV)RUH[DPSOH&)5LVWKHVWDQGDUGWKDWPDQGDWHVHQJLQHHULQJ
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,IRQHRIWKHVHFKHPLFDOVLVXVHGRUVWRUHGLQ\RXUZRUNDUHDVD´6WDQGDUG2SHUDWLQJ3URFHGXUH´623$SSHQGL[$RIWKH8QLW
6SHFLILF3ODQLVUHTXLUHG$JDLQXVLQJIRUPDOGHK\GHDVDQH[DPSOHWKH3,VXSHUYLVLQJDZRUNDUHDZKHUHIRUPDOGHK\GHLVLQXVH
PXVWGHWHUPLQH³XVLQJREMHFWLYHGDWDWKDWWKHSUHVHQFHRIIRUPDOGHK\GHRUIRUPDOGHK\GHUHOHDVLQJSURGXFWVLQWKHZRUNSODFHFDQQRW
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WHUPH[SRVXUHOLPLW67(/XQGHUIRUHVHHDEOHFRQGLWLRQVRIXVH´7KH623SURYLGHVWKHDSSURSULDWHKDQGOLQJSURFHGXUHVWRHQVXUH
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4
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WR\RXUSUDFWLFHV
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VDPSOLQJGDWD,I,DPLQGRXEWDERXWP\GHFLVLRQWKDWH[SRVXUHLVFRQWUROOHG,ZLOOVHHNRXWVLGHDGYLFH
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C. Hazardous Chemicals.3OHDVHUHIHUWRWKHDWWDFKHGChemical Safety Fact Sheet&6)6LQ$SSHQGL[$RIWKH/DERUDWRU\DQG5HVHDUFK
6DIHW\3ODQIRUWKHKDQGOLQJRIWKHKD]DUGRXVFKHPLFDOVQRWHGLQWKHFKHPLFDOLQYHQWRU\
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DGKHUHWRWKHSUDFWLFHVGHVFULEHGLQWKH&6)6:HZLOOFRPSO\ZLWKWKH8QLYHUVLW\VDIHW\SROLFLHV
(DFKSHUVRQLVDZDUHRIWKHKHDOWKDQGSK\VLFDOKD]DUGVLQYROYHGZLWKWKHFKHPLFDOVWKH\DUHXVLQJ
YES
✔ NO
YES
✔ NO
$OOVWXGHQWVDQGHPSOR\HHVZRUNLQJZLWKFKHPLFDOVRUVXSHUYLVLQJVRPHRQHZKRZRUNVZLWKFKHPLFDOV
KDYHDWWHQGHG/DERUDWRU\+D]DUG&RPPXQLFDWLRQWUDLQLQJIRXQGRQWKH(+6ZHEVLWH
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5
YES
✔ NO
D. Compressed Gas Cylinders.3OHDVHUHIHUWRWKHDWWDFKHGCompressed Gas Cylinders Fact Sheet&*&)6LQ$SSHQGL[$RIWKH
/DERUDWRU\DQG5HVHDUFK6DIHW\3ODQIRUWKHKDQGOLQJRIFRPSUHVVHGJDVF\OLQGHUVQRWHGLQWKHFKHPLFDOLQYHQWRU\
'RHV\RXUUHVHDUFKZRUNLQYROYHWKHXVHRIFRPSUHVVHGJDVF\OLQGHUV",INOSOHDVHVNLSWR
6HFWLRQE. Highly Reactive Materials, High-Pressure Reactions, or Vacuum Systems
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&*&)6LQDFFRUGDQFHZLWKWKHWUDLQLQJ,KDYHSURYLGHG:HZLOOFRPSO\ZLWK8QLYHUVLW\VDIHW\SROLFLHV
(DFKSHUVRQLVDZDUHRIWKHSURSHUSUDFWLFHVUHTXLUHGIRUKDQGOLQJSUHVVXUL]HGF\OLQGHUV
YES
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✔ YES
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E. Highly Reactive Materials, High-Pressure Reactions, or Vacuum Systems.3OHDVHUHIHUWRWKHDWWDFKHGHighly Reactive Materials,
High-Pressure Reactions, or Vacuum Systems Fact Sheet+50)6LQ$SSHQGL[$RIWKH/DERUDWRU\DQG5HVHDUFK6DIHW\3ODQIRU
WKHKDQGOLQJRIKLJKO\UHDFWLYHPDWHULDOVQRWHGLQWKHFKHPLFDOLQYHQWRU\DQGRUDVVRFLDWHGV\VWHPKD]DUGV
,VUHVHDUFKZRUNLQYROYLQJKLJKO\UHDFWLYHPDWHULDOVKLJKSUHVVXUHUHDFWLRQVRUYDFXXPV\VWHPVFRQGXFWHG
LQ\RXUZRUNDUHD",INOSOHDVHVNLSWRVHFWLRQIV. Biological Safety
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+50)6LQDFFRUGDQFHZLWKWKHWUDLQLQJ,KDYHSURYLGHG:HZLOOFRPSO\ZLWK8QLYHUVLW\VDIHW\SROLFLHV
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✔ YES
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F. Inhalational Anesthetic Agents.
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VHFWLRQ
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Note:0RVWFRPPRQDQHVWKHWLFDJHQWVVXFKDVKDORWKRQHLVRIOXUDQHDQGPHWRIDQHDUHDVVRFLDWHGZLWKOLYHU
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ZRUNHUVZLOOVWUHVVWKDWWKHFKHPLFDOIXPHKRRGLVHVVHQWLDOWRPLQLPL]LQJSRWHQWLDOH[SRVXUH
G. Pesticides
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FRQWLQXH
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III. BIOLOGICAL SAFETY
A. Biosafety Level 2 (BL2). 3OHDVHVHH%LRVDIHW\LQ0LFURELRORJLFDODQG%LRPHGLFDO/DERUDWRULHV%0%/IRUH[SODQDWLRQRIWKH
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YES
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✔ YES
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YES
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B. Bloodborne Pathogens Program.7KLVVHJPHQWRIWKHUnit Specific Plan¶V%LRORJLFDO6DIHW\VHFWLRQLVUHTXLUHGLI\RXKDQGOHRUVWRUH
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✔ ,INOSOHDVHVNLSWRVHFWLRQ C. Recombinant DNA Safety Program
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IV. RADIATION SAFETY
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A. Non-ionizing Radiation Program
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'Radioactive Material Program
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(DFKSHUVRQLVDZDUHRIWKHKHDOWKKD]DUGVLQYROYHGZLWKWKH89OLJKWWKH\DUHKDQGOLQJ
%Laser Program
'RHVUHVHDUFKLQYROYHWKHXVHRIODVHUV",I1RVNLSWR&
,IYESDOOZRUNHUVLQP\ODERUDWRULHVZLOOEHPDGHDZDUHRIWKHKD]DUGVDQGEHWUDLQHGLQDFFRUGDQFHZLWK
6<DQGSURYLGHGZLWKDSSURSULDWH33(/DVHUVZLOOEHUHJLVWHUHGZLWK(+6DQGODVHUVSHFLILF
SURFHGXUHVZLOOEHGHYHORSHGDQGFRPSOLHGZLWK,ZLOOHQVXUHWKDWWKHDQQXDOVHOIDXGLWVDUHSURSHUO\
SHUIRUPHGDQGGRFXPHQWHGZLWKWKHODVHUSURFHGXUHV
&Radiation Producing Equipment Program
,IYES,ZLOOUHTXHVWDXWKRUL]DWLRQWRXVHUDGLRDFWLYHPDWHULDODQGFRPSO\ZLWKWKHUHTXLUHPHQWVLQ6<
,ZLOOHQVXUHWKDW,DQGP\VWDIIDUHWUDLQHGLQDFFRUGDQFHZLWK8QLYHUVLW\,VRWRSH&RPPLWWHHUHTXLUHPHQWV
DQGFRPSO\ZLWKWKH5XOHVDQG3URFHGXUHVIRU8VHUVRI5DGLRDFWLYH0DWHULDODW7KH3HQQV\OYDQLD6WDWH
8QLYHUVLW\
V. ANIMAL-RELATED HAZARDS
5HVHDUFKDQGKXVEDQGU\DFWLYLWLHVLQYROYLQJDQLPDOVLQWURGXFHVRPHKD]DUGVWKDWDUHQRWSUHVHQWWRRWKHUHPSOR\HHVDQGVWXGHQWV
3ULPDU\KD]DUGVIURPODERUDWRU\DQLPDOVLQFOXGHELWHVVFUDWFKHVDQGDOOHUJLFUHDFWLRQVWRDQLPDOGDQGHU3ULPDU\KD]DUGVIURP
DJULFXOWXUDODQLPDOVLQFOXGHNLFNVFUXVKLQJRUSLQQLQJLQMXULHVEHLQJVWHSSHGRQDQGWKHRSHQZRUNHQYLURQPHQWWKDWLVXVXDOO\
DVVRFLDWHGZLWKIDUPVDQGWKHHTXLSPHQWXVHGWKHUH6RPHDQLPDOVDOVRFDUU\LQIHFWLRXVGLVHDVHVWKDWDUHWUDQVPLVVLEOHWRKXPDQV
]RRQRVHV$QLPDOZRUNRIWHQDOVRLQYROYHVWKHXVHRILQKDODWLRQDODQHVWKHWLFJDVHVRUFKHPLFDOFDUFLQRJHQVWXPRUSURPRWHUV$OO
SHUVRQVZRUNLQJZLWKDQLPDOVPXVWFRPSOHWHDQ$QLPDO:RUNHU4XHVWLRQQDLUHDQGFRPSOHWHWKHWUDLQLQJUHTXLUHPHQWVOLVWHGDWWKH
HQGRIWKLVVHFWLRQ
'R\RXZRUNZLWKDQLPDOVDVSDUWRIUHVHDUFKWHDFKLQJRUWHVWLQJ"
,I\RXGRQRWZRUNZLWKAnimals\RXPD\VNLSWKLVVHFWLRQ
A. Physical Hazards
+DYHVWHSVEHHQWDNHQWRSUHYHQWNLFNVELWHVDQGVFUDWFKHVIURPDQLPDOV"
,IYesSOHDVHGHVFULEH
11
YES
NO
✔ YES
NO
$UHULJLGOHDNSURRIOLGGHGVKDUSVFRQWDLQHUVDYDLODEOHIRUWKHFROOHFWLRQRIVKDUSV"
'RHV\RXUZRUNUHTXLUH\RXWRXVHDQDXWRFODYHVWHDPVWHULOL]HU"
,IYesKDYH\RXEHHQWUDLQHGLQWKHSURSHURSHUDWLRQRIWKHGHYLFH"
'RHV\RXUZRUNLQYROYHWKHXVHRIFRPSUHVVHGJDVF\OLQGHUV"
,IYesKDYH\RXEHHQWUDLQHGRQWKHLUKD]DUGVDQGKRZWRSUHYHQWDFFLGHQWV"
+DYHHOHFWULFDOKD]DUGVLQ\RXUZRUNDUHEHHQLGHQWLILHGDQGFRQWUROOHG"
'RHV\RXUMRELQYROYHKHDY\OLIWLQJ!SRXQGV"
,IYesKDYH\RXEHHQWUDLQHGRQSURSHUOLIWLQJSURFHGXUHVE\(+6"
$UHWKHUHKLJKQRLVHDUHDVLQ\RXUZRUNDUHD"
,IYesDUHWKH\SRVWHGZLWKZDUQLQJVLJQV"
+DYHHPSOR\HHVUHFHLYHGWUDLQLQJRQKHDULQJSURWHFWLRQ"
$UHWKHUHFRQILQHGVSDFHVLQ\RXUZRUNDUHD"
,IYesKDYHHPSOR\HHVEHHQWUDLQHGLQSURSHUHQWU\SURFHGXUHV"
+DYHHPSOR\HHVEHHQWUDLQHGLQ/RFN2XW7DJ2XWSURFHGXUHV"
'RHV\RXUZRUNLQYROYHZRUNLQJZLWKRUDURXQGDSRZHUHGWDNHRIIVKDIW"
B. Biological Hazards
'RWKHDQLPDOVWKDW\RXFDUHIRUFDUU\DQ\SRWHQWLDO]RRQRVHV"
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
YES
NO
,IYesKDYH\RXEHHQWUDLQHGLQWKHVLJQVDQGV\PSWRPVRIWKHVHGLVHDVHV"
YES
NO
'RHV\RXUDQLPDODFWLYLW\LQYROYHDQH[SHULPHQWDOO\LQWURGXFHGLQIHFWLRXVDJHQW"
,IYesSOHDVHOLVW
YES
NO
1RWH$OODQLPDOUHVHDUFKLQYROYLQJWKHXVHRIELRKD]DUGRXVPDWHULDOVDVGHILQHGE\8QLYHUVLW\3ROLF\6<LQDQLPDOVUHTXLUHWKH
FRPSOHWLRQRIDQ$QLPDO%LRKD]DUG3URWRFRO
C. Chemical Hazards
'RHV\RXUZRUNLQYROYHWKHXVHRILQKDODWLRQDODQHVWKHWLFJDVHVVXFKDVLVRIOXUDQH"
YES
NO
,IYesSOHDVHFRQILUPWKDWKXPDQH[SRVXUHGXULQJWKHXVHRILQKDODWLRQDODQHVWKHWLFJDVHVLVFRQWUROOHGE\
WKHIROORZLQJPHWKRGVFKHFNDOOWKDWDSSO\
12
&KDUFRDOFDQLVWHU
'RZQGUDIWWDEOH
&DSWXUHKRRG
8VHGLQFKHPLFDOIXPHKRRG
+DVWKHXVHRIWKLVDQHVWKHWLFJDVEHHQPRQLWRUHGE\(+6"
YES
NO
$UHFKHPLFDOFDUFLQRJHQVLH'0%$73$RURWKHUWXPRUSURPRWHUVXVHG"
YES
NO
,IYesKDYH\RXEHHQWUDLQHGRQPHWKRGVWRPLQLPL]H\RXUH[SRVXUH"
3OHDVHOLVWFRPPRQO\XVHGFOHDQHUVDQGGLVLQIHFWDQWVXVHGLQ\RXUZRUN
YES
NO
D. Training
$OOSHUVRQVLQYROYHGLQWKHFDUHDQGXVHRIDQLPDOVPXVWFRPSOHWHWKHIROORZLQJWUDLQLQJ
,QVWLWXWLRQDO$QLPDO&DUHDQG8VH&RPPLWWHH7UDLQLQJ
2FFXSDWLRQDO+HDOWKDQG6DIHW\7UDLQLQJ
9DULRXV(+67UDLQLQJ&RXUVHVIRU$QLPDO&DUH3HUVRQQHO
VI. PHYSICAL HAZARDS
3OHDVHLQGLFDWHWKHSK\VLFDOKD]DUGVSUHVHQWLQ\RXUZRUNDUHD
✔ (OHFWULFDOKD]DUGVSRWHQWLDOHOHFWURVKRFNEXUQVIURPJHOHOHFWURSKRUHVLVXQLWVXQLQVXODWHGZLUHVO\RSKLOL]HUV
HYDSRUDWRUVDQGRWKHUHTXLSPHQWZLWKKLJKYROWDJH
✔ +LJKDQGORZWHPSHUDWXUHHTXLSPHQWVXFKDVJHOGU\HUVIXUQDFHVKHDWHGHOHPHQWVVWHDPRUFU\RJHQLF
PDWHULDOV
&RPSUHVVHGJDVF\OLQGHUVZKLFKFRXOGEHFRPHSURMHFWLOHPLVVLOHV
✔ %URNHQJODVVZDUHVFDOSHOV
1HHGOHV
89OLJKWWKDWFRXOGUHVXOWLQGHUPDWLWLVDQGH\HLQMXU\
/DVHUV
1RLVHDWOHYHOVZKLFKFDXVHGLVFRPIRUWRUVWUHVV
+HDY\REMHFWVKHDY\PDWHULDOVPHWDORUEULFNEORFNVZHLJKWVWKDWFRXOGIDOODQGZKHHOVRIPRYLQJFDUWVRU
IXOOZDVWHFRQWDLQHUVWKDWFRXOGFUXVKIHHW
*ULQGLQJVDQGLQJILOLQJRSHUDWLRQVWKDWFRXOGJHQHUDWHIO\LQJSDUWLFOHV
6KRSHTXLSPHQWLQFOXGLQJEXWLVQRWOLPLWHGWRLWHPVVXFKDVEHOWVDQGHUVPLWHUVDZVEDQGVDZVGULOOSUHVVHV
ODWKHVPLOOLQJPDFKLQHVUDGLDODUPVDZVWDEOHVDZVDQGURXWHUV,I\HV5HIHUWRVHFWLRQRIWKH368
0DFKLQH6KRS6DIHW\3URJUDPIRUUHTXLUHPHQWV7KHSURJUDPFDQEHIRXQG
KHUHKWWSZZZHKVSVXHGXRFFKHDOWKVDIHW\FIP
13
+LJKSUHVVXUHV\VWHPV
2WKHUplease elaborate in the box below
+DYH\RXSURYLGHGDSSURSULDWHWUDLQLQJIRU\RXUZRUNHUVRQWKHSK\VLFDOKD]DUGV"7KLVWUDLQLQJVKDOO
LQFOXGHDQH[SODQDWLRQRIWKHKD]DUGVDQGWKHSRVVLELOLWLHVIRULQMXU\
,INOZK\QRW"
YES
✔
NO
VII. SAFETY PRECAUTIONS IN PLACE
C. Engineering Controls for Physical Hazards. :KDWFRQWUROVKDYH\RXSURYLGHGWRPLQLPL]HH[SRVXUHWRSK\VLFDOKD]DUGVLQ
\RXUZRUNDUHD"
3OHDVHLQGLFDWHZKLFKHQJLQHHULQJFRQWUROVDUHSURYLGHG
Machine guardingHJFRYHUVRYHUYDFXXPSXPSEHOWVPHWDORUDFU\OLFSODVWLFHQFORVXUHVRYHUZKHHOVDQGEODGHV
EDUULHUVRUVKLHOGVRQGULOOVFKXFNVKLHOGVRQODWKHVHWFplease describe
14
✔
✔
Control of hazardous energy
D /RFNRXW7DJRXWPHFKDQLFDOV\VWHPVDQGSURFHGXUHVHJDQ\GHYLFHRYHUWKHGLVFRQQHFW
VZLWFKFLUFXLWEUHDNHUYDOYHRURWKHUHQHUJ\LVRODWLQJPHFKDQLVPWKDWORFNVLWLQWKH³VDIH´RU
³RII´SRVLWLRQZULWWHQZDUQLQJVDWWKHPHFKDQLVP
E 2WKHUSURWHFWLYHHQJLQHHULQJPHDVXUHVWKDWDXWRPDWLFDOO\FHDVHSRZHUVXSSO\HJUHPRWH
VKXWRIIEXWWRQVHPHUJHQF\SDQLFEXWWRQVDWWKHWRROPHFKDQLFDOVWRSVVXFKDVSLQVDQGYDOYHV
Containment measures,HJVSLOOWUD\VXQGHUQHDWKYHVVHOVWDSHRUZLUHPHVKRQJODVVZDUHEHUPVDURXQGDSSDUDWXV
FXUWDLQVDURXQGODVHUVRUZHOGLQJDUHDVplease describe
Spill trays are routinely placed under vessels containing fluids.
Shielding,HJVKDWWHUSURRIVKLHOGVDURXQGUHDFWLRQRUHTXLSPHQWplease describe
Otherplease elaborate
+DYH\RXWUDLQHG\RXUZRUNHUVWRDGHTXDWHO\DSSO\WKHHQJLQHHULQJFRQWUROVDWDOOWLPHV"
YES
✔
NO
,INOZK\QRW"
B. Ventilation Controls for Inhalation Hazards.3OHDVHLQGLFDWHZKLFKRIWKHIROORZLQJYHQWLODWLRQFRQWUROVDUHSUHVHQWLQ\RXUZRUN
DUHD
Chemical fume hoods
+RZPDQ\"
:KHUHDUHWKH\ORFDWHG"
15
(+6PDLQWDLQVDGDWDEDVHXVHGWRWUDFNKRRGVDQGUHFRUGDQQXDOSHUIRUPDQFHWHVWLQJUHVXOWV
Walk-in hood
Flexible local exhaust ductsDNDVQRUNHOVVXFNHUKRVHVHOHSKDQWWUXQNV
Tissue culture hood
Biological safety cabinets (BSC)
Class I:VXLWDEOHIRUZRUNZLWKORZDQGPRGHUDWHULVNELRORJLFDODJHQWVYHQWLODWHGFDELQHWIRU
SURWHFWLRQRIZRUNHUVDQGHQYLURQPHQWZLWKDQXQUHFLUFXODWHGLQZDUGDLUIORZDZD\
IURPWKHRSHUDWRU
Class II:VXLWDEOHIRUZRUNZLWKORZDQGPRGHUDWHULVNELRORJLFDODJHQWVYHQWLODWHGFDELQHWIRU
SURWHFWLRQRIZRUNHUVSURGXFWDQGHQYLURQPHQWZLWKLQZDUGIORZIRUSHUVRQQHO
SURWHFWLRQDQGGRZQZDUG+(3$ILOWHUHGODPLQDUDLUIORZIRUSURGXFWSURWHFWLRQ
Portable “smoke hog” or ductless fume hoodFKDUFRDODQG+(3$ILOWHUVPXVWEHFKDQJHG DWOHDVWHYHU\PRQWKV
Otherplease elaborate
C. Personal Protective Equipment (PPE).7KHHPSOR\HULVUHVSRQVLEOHIRUDVVHVVLQJWKHZRUNSODFHWRGHWHUPLQHLI33(VXSSOHPHQWDU\
WRHQJLQHHULQJFRQWUROVVKRXOGEHXVHGWRSURWHFWDJDLQVWWKHKD]DUGVLQJLYHQRSHUDWLRQV7KHHPSOR\HUFHUWLILHVWKHZRUNSODFH
KD]DUGVDVVHVVPHQWFKRRVHVWKHSURSHUHTXLSPHQWLVVXHVLWWRZRUNHUVZKRQHHGLWDQGWUDLQVWKHVHHPSOR\HHVWRXQGHUVWDQGWKH
UHTXLUHPHQWVIRUWKHLULQYROYHPHQW(PSOR\HULQVXUHVWKDWSHVWLFLGHODEHOUHTXLUHG33(LVSUHVHQWIRUDOOSHVWLFLGHVDWWKHIDFLOLW\
(PSOR\HHVPXVWEHWDXJKW
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'RWKHRSHUDWLRQVLQ\RXUZRUNDUHDRUXQGHU\RXUVXSHUYLVLRQUHTXLUH33("
YES
NO
✔ 'R\RXVXSSO\DQDGHTXDWHVWRFNRIWKH33(QHFHVVDU\WRSURWHFW
YES
NO
✔ \RXUZRUNHUVDWQRFRVWWRWKHHPSOR\HHVWXGHQW"
Note:%HDZDUHWKDW(+6VXUYH\VWKH33(VXSSOLHVGXULQJDQQXDOYLVLWV,I\RXKDYHTXHVWLRQVDVWRDSSURSULDWH
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Please indicate which of the following PPE is provided to your workers.
16
Eye and face protectionDUHUHTXLUHGZKHQWKHZRUNHULV³H[SRVHGWRH\HRUIDFHKD]DUGVIURPIO\LQJ
SDUWLFOHVPROWHQPHWDOOLTXLGFKHPLFDOVLQIHFWLRXVPDWHULDOVDFLGVRUFDXVWLFOLTXLGVFKHPLFDOJDVHV
RUYDSRUVRUSRWHQWLDOO\LQMXULRXVOLJKWUDGLDWLRQ´,QDGGLWLRQH\HDQGIDFHSURWHFWLRQDUHUHTXLUHGIRU
ZRUNHUVKDQGOLQJELRORJLFDODJHQWV
✔ safety glasses with sideshields
,IVDIHW\JODVVHVDUHXVHGFRQVLGHUWKHIROORZLQJUHTXLUHPHQWV
D LIWKHUHLVD89OLJKWH[SRVXUHWKHVDIHW\JODVVHVVKDOOEHDSSURYHGE\WKH$PHULFDQ
1DWLRQDO6WDQGDUGV,QVWLWXWH$16,IRUSURWHFWLRQDJDLQVW89OLJKW
E LIODVHUVDUHLQXVHWKHVDIHW\JODVVHVVKDOOEHDSSURYHGE\$16,IRUSURWHFWLRQDJDLQVW
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G FRQWDFWOHQVZHDUPD\EHUHJXODWHGE\WKHSULQFLSDOLQYHVWLJDWRUVXSHUYLVRU7KHSROLF\
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H FRQWDFWVDQGYLVLRQFRUUHFWLYHJODVVHVDUHQRVXEVWLWXWHIRUVDIHW\H\HZHDUWKH\DUH
DFFHSWDEOHLQFRQMXQFWLRQZLWKVDIHW\JODVVHV
splash goggles
face shields
Hand protectionLVUHTXLUHGZKHQHPSOR\HHV¶KDQGVDUH³H[SRVHGWRKD]DUGVVXFKDVWKRVHIURPVNLQ
DEVRUSWLRQRIKDUPIXOVXEVWDQFHVVHYHUHFXWVRUODFHUDWLRQVVHYHUHDEUDVLRQVSXQFWXUHVFKHPLFDO
EXUQVWKHUPDOEXUQVDQGKDUPIXOWHPSHUDWXUHH[WUHPHV´,QDGGLWLRQKDQGSURWHFWLRQLVUHTXLUHGIRU
ZRUNHUVKDQGOLQJELRORJLFDODJHQWV
Note:%DUULHUFUHDPVDUHQRWFRQVLGHUHGDFFHSWDEOHKDQGSURWHFWLRQ
✔ latex gloves or equivalent
other chemical-resistant glovesPDWHULDOV9LWRQ6LOYHUVKLHOG39&QLWULOHQHRSUHQH
EXW\OUXEEHU
thermal glovesPDWHULDOVSLJVNLQDQGRWKHUOHDWKHU.HYODU1RPH[DOXPLQL]HGEDFNV
cut-resistant glovesPDWHULDOVPHVKOD\HUVWHHOILODPHQW\DUQ6SHFWUD.HYODU9HFWUDQ
Glove Selection Procedures –*ORYHVVKDOOEHFKRVHQEDVHGRQDSSURSULDWHQHVVIRUDVSHFLILF
KD]DUG7KHUHDUHWKUHHSULPHSHUIRUPDQFHIDFWRUVXVHGWRHYDOXDWHWKHFKHPLFDOFRPSDWLELOLW\RID
JORYHPDWHULDOZLWKWKHDJHQWVWREHKDQGOHG
D Degradation ratingWKHFKDQJHLQRQHRUPRUHRIWKHSK\VLFDOSURSHUWLHVRIDJORYHFDXVHGE\
FRQWDFWZLWKDFKHPLFDO'HJUDGDWLRQW\SLFDOO\DSSHDUVDVKDUGHQLQJVWLIIHQLQJVZHOOLQJ
VKULQNLQJRUFUDFNLQJRIDJORYH
E Breakthrough timeWKHHODSVHGWLPHEHWZHHQWKHLQLWLDOFRQWDFWRIWKHWHVWFKHPLFDORQWKH
VXUIDFHRIWKHJORYHDQGWKHDQDO\WLFDOGHWHFWLRQRIWKHFKHPLFDORQWKHLQVLGHRIWKHJORYH
F Permeation rateWKHUDWHDWZKLFKWKHWHVWFKHPLFDOSDVVHVWKURXJKWKHJORYHPDWHULDORQFH
EUHDNWKURXJKKDVRFFXUUHGDQGHTXLOLEULXPLVUHDFKHGEDVHGRQDEVRUSWLRQRIWKHFKHPLFDORQ
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$QVHOO(GPRQWZLOOVKRZGLIIHUHQWSHUIRUPDQFHUHVXOWVWKDQD%D[WHUQHRSUHQHJORYHGHVSLWHWKH
DSSDUHQWVLPLODULW\LQFRPSRVLWLRQ*ORYHHIILFLHQF\PD\HYHQYDU\ZLWKLQDPDQXIDFWXUHU¶V
SURGXFWOLQHGHSHQGLQJRQWKLFNQHVVDQGFRDWLQJ)RULQVWDQFH$QVHOO(GPRQWQHRSUHQH
XQVXSSRUWHGJORYHVDUHVXLWDEOHIRUZHDUZLWKPXULDWLFDFLGXQGHUFDUHIXOFRQWUROFRQGLWLRQV7KH
VXSSRUWHGQHRSUHQHJORYHVDUHUDWHGDV³JRRG´IRUPXULDWLFDFLG$JORYHVHOHFWLRQFKDUWZLWK
LQIRUPDWLRQUHJDUGLQJWKHHIIHFWLYHQHVVRIDVSHFLILFJORYHPDWHULDODQGEUDQGIRUDJLYHQFKHPLFDO
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17
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VLQFHWKH\PD\LQDGYHUWHQWO\FDSWXUHFKHPLFDOVLQWKHIROGV
3OHDVHGRQRWXQGHUHVWLPDWHWKHLPSRUWDQFHRIFDUHIXOJORYHVHOHFWLRQ,QDGHTXDWHSULRULQTXLU\
PD\KDYHVHULRXVUHSHUFXVVLRQVDVLOOXVWUDWHGE\WKHGHDWKRIDUHVHDUFKHUZKRVXIIHUHGIURP
PHUFXU\SRLVRQLQJDIWHUFRQWDPLQDWLQJKHUODWH[JORYHZLWKGLPHWK\OPHUFXU\/DWH[ZDVQRWWKH
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,I\RXSURYLGHQLWULOHJORYHVDVWKHEDVLFVWDSOHIRUWKHJORYHVXSSO\\RXPXVWFRPPXQLFDWHWKH
IROORZLQJFRPSUHKHQVLYHUHTXLUHPHQWVWR\RXUVWDII
1LWULOHLVJHQHUDOO\DQDGHTXDWHPDWHULDOIRUXVHZLWKDZLGHYDULHW\RIFKHPLFDOV,WVKDOOQRWEH
XVHGZLWKFKHPLFDOVFKHPLFDOPL[WXUHVIRUZKLFKLWLVQRWUHFRPPHQGHGE\WKHPDQXIDFWXUHURU
IRUZKLFKQRUDWLQJLVDYDLODEOH'HVSLWHLWVVHOHFWLRQDVWKHPDLQJORYHW\SHIRUFRPPRQHYHU\GD\
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KD]DUGRXVSURFHGXUHV
6WDIIZLOOFKDQJHJORYHVIUHTXHQWO\WKURXJKRXWWKHGD\DQGZKHQHYHUJORYHVKDYHEHFRPH
FRQWDPLQDWHG:RUNHUVZDVKWKHLUKDQGVHDFKWLPHJORYHVDUHFKDQJHGDQGSULRUWRHDWLQJ
GULQNLQJDSSO\LQJFRVPHWLFVRUVPRNLQJ
3OHDVHFRQILUPWKDW\RXZLOOLQYHVWLJDWHWKHFRUUHFWJORYHVWREHSXUFKDVHGIRU\RXUZRUNDUHD
,IODWH[LVWKHIRXQGDWLRQRI\RXUJORYHVXSSO\\RXZLOOHQVXUHWKDWODWH[LVVXIILFLHQWIRUWKHRSHUDWLRQV
FRQGXFWHGE\WKRVHZRUNHUVXQGHU\RXUVXSHUYLVLRQ
,IODWH[LVQRWDQDSSURSULDWHFKRLFHWKHJORYHRIRSWLPXPSHUIRUPDQFHZLOOEHSURYLGHG
:RUNHUVDUHWUDLQHGWRXQGHUVWDQGWKHSDUWLFXODUVRIWKHJORYHVHOHFWLRQSURFHVVDQGWKHZHDNQHVVHVRI
ODWH[
1RQSRZGHUHGJORYHVRUODWH[DOWHUQDWLYHVZLOOEHRIIHUHGWRZRUNHUVZKRH[SHULHQFHGHUPDOVHQVLWLYLW\
SUREOHPV:RUNHUVDUHWUDLQHGWRUHFRJQL]HWKHV\PSWRPVRIODWH[DOOHUJ\
Head protectionLVUHTXLUHGZKHQHPSOR\HHVZRUNLQDUHDVZKHUHWKHUHLVDSRWHQWLDOIRULQMXU\WRWKH
KHDGIURPIDOOLQJREMHFWVDQGORZFHLOLQJV
safety helmet/hard hat that meets ANSI criteria
Foot protectionLVSURYLGHGZKHQWKHUHLVDGDQJHURIIRRWLQMXULHVGXHWRIDOOLQJRUUROOLQJREMHFWVRU
REMHFWVSLHUFLQJWKHVROHDQGZKHUHHPSOR\HHV¶IHHWPD\EHH[SRVHGWRHOHFWULFDOKD]DUGV6DIHW\VKRHV
PXVWFRPSO\ZLWK$16,FULWHULD
steel-toed shoes for impact and compression hazards
shoes with metatarsal guards
shoes with steel midsoles for puncture-resistance
chemical-resistant boots or overshoes
other: 18
YES
✔ YES
✔ NO
NO
YES
✔ YES
✔ NO
NO
YES
✔ NO
Respiratory protectionLVHPSOR\HGRQO\ZKHQHIIHFWLYHHQJLQHHULQJFRQWUROVDUHQRWIHDVLEOHWR
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respirators are supplied
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lab coat, cotton
disposable chemical-resistant lab coat
chemical-resistant coverall suitHJ7\YHNRU6DUDQH[
lab apron, rubber
Hearing protectionPXVWEHSURYLGHGZKHQVRXQGOHYHOVH[FHHG26+$SHUPLVVLEOHQRLVHH[SRVXUHV
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YES
NO
✔ YES
YES
NO
NO
YES
YES
NO
✔
NO
✔ YES
YES
✔ NO
✔ NO
YES
✔ NO
YES
✔ NO
earplugs
hearing band
Earmuffs
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The PPE checked above adequately protects workers against hazards inside the work area.
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19
Lab coats are not required for the work performed in this area. Duties do not require footwear or
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D. Emergencies and Spill Decontamination.3OHDVHUHIHUWRWKHEmergency Response Training Fact Sheet LQ$SSHQGL[$RIWKH
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Emergency response–
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YES
NO
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YES
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YES
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YES
NO
✔ ,INOWRDQ\H[SODLQ
Chemical Spill Response
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NO
YES
✔ YES
✔ NO
NO
YES
✔ NO
YES
YES
YES
NO
✔ NO
✔ NO
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20
YES
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NO
YES
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NO
NO
YES
YES
NO
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✔ YES
✔ YES
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NO
Eyewash station not required.
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YES
YES
NO
✔ NO
YES
✔ YES
✔ NO
NO
YES
NO
✔ YES
✔ NO
E. Fire Protection Measures.
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22
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Control of Ignition Sources
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Segregation of Materials
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YES
YES
YES
YES
YES
NO
✔ NO
NO
NO
NO
YES
NO
F. Area Monitoring and Alarms. 3OHDVHOLVWWKHW\SHDQGURRPQXPEHURIDQ\PRQLWRULQJGHYLFHVLQWHQGHGWRGHWHFWHQYLURQPHQWDO
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Alarm Type
Laboratory
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YES
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23
G. Safety Documentation.
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Chemical Storage:
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o 7KHIDFLOLW\FRXOGUHDVRQDEO\EHH[SHFWHGWRGLVFKDUJHRLOLQTXDQWLWLHVWKDWPD\EHKDUPIXOLQWRRU
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x Preparedness, Prevention, and Contingency (PPC) Plan
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x Spill Prevention Response (SPR) Plan
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Plan
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YES
✔ NO
YES
✔ YES
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✔ NO
NO
NO
YES
NO
✔
24
YES
NO
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NO
YES
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H. Controlled Substances
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NO
YES
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YES
NO
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YES
NO
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YES
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YES
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YES
NO
8QZDQWHGRUH[SLUHGFRQWUROOHGVXEVWDQFHVDUHGLVSRVHGRIWKURXJK(+6
YES
NO
25
✔
VIII. CERTIFICATION OF AGREEMENT
$ Certification of AgreementPXVWDFFRPSDQ\DOO8QLW6SHFLILF3ODQV
Principal Investigator’s Agreement.
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Principal Investigator’s/Unit Manager’s Signature
Date
Laboratory/Research Safety Officer:
Lab/Research Safety Officer Signature
814-898-7169
Campus Address
Campus Phone
Staff Agreement and Confirmation of Training.
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DWWDFKHGAnnual ReviewsClarificationsDQG(+6FRUUHVSRQGHQFH
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Name
Signature
Campus
Campus
Address
Phone
Burke 242E
26
Inventory of Chemical Agents. (Print out list from CHIMS)
27
APPENDIX A
STANDARD OPERATING PROCEDURES
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BLANK SOP FORM
HTTP://WWW.EHS.PSU.EDU/OCCHEALTH/PSU_SOP_FORM.PDF
SOP Training:http://www.ehs.psu.edu/occhealth/sop_training.pdf
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*Disclaimer: EH&S has not verified the accuracy of the information contained within these links and SOPs. It is the responsibility of the
laboratory personnel to ensure the accuracy. These links are being provided only as examples and each work area should write an SOP
that is specific to their processes and procedures. These links and SOP procedure are courtesy of Tom Shelly, Cornell University.
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