Date: 
Employee: Instructor: Chemical Safety
Reviewed
Yes No N/A Hazard
Communication
Notes to Instructor:
‘ ‘ ‘ 1. Know the locations of the Material Safety Data Sheets (MSDS)
in
each department represented in the
training.
‘ ‘ ‘ 2. Identify the employee(s) responsible for updating the MSDS
books.
‘ ‘ ‘ 3. Coordinate training on Hazard Communication for employees
that
work with or around hazardous
chemicals.
Key
Points:
‘ ‘ ‘ 1. If you use chemicals in your work, you may find information
on
those chemicals in the Material Safety Data Sheet book
located in the .
‘ ‘ ‘ 2. Make sure all chemical containers are properly labeled as to
contents. If you see
a chemical container without a lable, notify your supervisor.
‘ ‘ ‘ 3. The written Hazard Communication Program may be found
.
‘ ‘ ‘ 4. If you develop symptoms from exposure to a chemical, stop
the
work, notify your supervisor, and consult the appropriate
MSDS for information on how to reduce concentrations of that chemical or
product.
‘ ‘ ‘ 5. When buying a chemical product directly from a distributor
such
as a hardware store, request an MSDS. If an MSDS has already been acquired for a
chemical, it is not necessary to obtain another one in subsequent purchases.
‘ ‘ ‘ 6. MSDS’s should be given to
who
shall update the MSDS book.
Yes No N/A Storage
of Flammable Liquids
Notes to Instructor:
‘ ‘ ‘ 1. Point out the locations of flammable storage locations and
cabinets.
‘ ‘ ‘ 2. Become familiar with reading chemical labels regarding
flammability and combustibility.
Key
Points:
‘ ‘ ‘ 1. Flammable liquids with flash points less than 73 degrees
Fahrenheit should be stored in a flammable storage cabinet
to prevent the buildup of explosive levels of gas and vapor.
‘ ‘ ‘ 2. Materials with flash points above 100 degrees Fahrenheit,
such as
combustible liquids or latex paints, should not be stored in
flammable storage cabinets unless there is room for all flammable liquids or
aerosols.
‘ ‘ ‘ 3. Flammable liquids should be stored away from heat, sparks,
flame
or electrical equipment.
‘ ‘ ‘ 4. Once finished with a flammable liquid, return it to its
proper
storage cabinet.
Yes No N/A Using
Chemicals for Painting, Cleaning and Fueling
Notes to Instructor:
‘ ‘ ‘ 1. Know the location of your emergency shut-off valves for fuel
in
the event of a leak or a fire from a
hose or tank.
‘ ‘ ‘ 2. Become familiar with procedures for using solvents for
cleaning
parts, tools, or equipment.
Key
Points:
‘ ‘ ‘ 1. Read the MSDS for information on how to protect yourself
from
toxic or flammable chemicals. The section on “Safe Handling and Use” should
detail safe conditions such as the use of Personal Protective Equipment (PPE)
or ventilation to limit concentrations breathed.
‘ ‘ ‘ 2. If paints generate a lot of vapors while painting, ensure
adequate
ventilation or use a respirator
until enough ventilation is ensured.
‘ ‘ ‘ 3. When using a solvent, do not use more than what you need to
clean
the desired item.
Also, determine whether the solvent should be diluted for proper
use. It’s better to make several
chemical transfers than to have waste material that must be disposed of.
‘ ‘ ‘ 4. Do not smoke or generate sparks or heat around a cleaning or
fueling operation, and ensure
adequate ventilation.
‘ ‘ ‘ 5. Always bond and ground containers to equalize electrical
potential
when transferring flammable liquids
from one container to another.
Yes No N/A Ventilation
Requirements
Notes to Instructor:
‘ ‘ ‘ 1. Point out the locations of the ventilation equipment to be
used for
various operations including
flextubes, fans, and laboratory hoods.
Key
Points:
‘ ‘ ‘ 1. Follow the instructions on the chemical’s MSDS regarding
ventilation while using or
generating chemicals.
‘ ‘ ‘ 2. If you develop a headache, dizziness or nausea during the
use of a
chemical, leave the area and
determine the ventilation required.
‘ ‘ ‘ 3. Perform as many chemical transfers as possible in a
ventilation
hood or in the outside air.
‘ ‘ ‘ 4. Perform operations such as welding and paint spraying outdoors
if
areas with adequate mechanical
ventilation are not available.
Yes No N/A Respiratory
Protection
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training in Respiratory Protection if respirators
must be
used in operations performed by employees being trained. This includes training on the use of
Self-Contained Breathing Apparatus (SCBA).
Check with your local Fire Department for SCBA training.
‘ ‘ ‘ 2. Coordinate issuance and fit testing for those that must wear
respirators.
‘ ‘ ‘ 3. Become familiar with the various cartridges that are used
for
protection from the chemicals used.
Key
Points:
‘ ‘ ‘ 1. If you need a respirator for safety in an operation you
perform, one
will be supplied to you at no cost.
‘ ‘ ‘ 2. If you are to wear a negative pressure cartridge respirator,
you
must be fit-tested with a shaven face to ensure proper
fit. The respirator must also have the
appropriate cartridges to provide protection.
‘ ‘ ‘ 3. It is always encouraged that you first attempt to provide
greater
ventilation before having to wear a
respirator.
‘ ‘ ‘ 4. Respirators are best used for short term operations that
generate
much gas, vapor or dust that is
difficult to remove by ventilation.
‘ ‘ ‘ 5. After using a respirator, properly clean and store it in an
area free
of dust and excessive chemical
vapors; not hung by the straps.
Yes No N/A Storage
of Liquid Chemicals
Notes to Instructor:
‘ ‘ ‘ 1. Point out the locations for storing waste oil, fuel and
other large
quantities of chemicals.
Key
Points:
‘ ‘ ‘ 1. Liquid chemicals that may spill should be stored in an area
that
limits the migration of the spill if accidentally
released. It is best to store chemicals
in a curbed area with a drain that does not go to the sewer.
‘ ‘ ‘ 2. If various chemical products are stored in the same area,
read the
MSDS for each product to determine whether they may be
incompatible with one another. Some
chemicals, when combined, form explosive mixtures.
Yes No N/A Disposal
of Chemicals
Notes to Instructor:
‘ ‘ ‘ 1. Become familiar with the personnel who coordinates the
recycling
or disposal of waste.
Key
Points:
‘ ‘ ‘ 1. Do not dump chemicals down the drain or on the soil outside
the
building.
‘ ‘ ‘ 2. Ask your supervisor how to dispose of certain left over chemicals.
‘ ‘ ‘ 3. You must have a recycling kit if you perform Freon recharges
of
A/C systems.
‘ ‘ ‘ 4. Never add water to concentrated acid, always add acid to
water.
Yes No N/A Pesticides
and Herbicides
Key
Points:
‘ ‘ ‘ 1. Read the safe use and warning information on the container
before
spraying.
‘ ‘ ‘ 2. Wear protective gloves, eye protection and boots when
spraying
pesticides and herbicides.
‘ ‘ ‘ 3. Spray these chemicals only when the wind is calm.
‘ ‘ ‘ 4. Post signs in the spraying area if it is accessible to
people.
Resources:
OSHA 1910.119
Yes No N/A Housekeeping
Regarding Chemicals
Key
Points:
‘ ‘ ‘ 1. Store similar types of chemicals together rather than
storing
flammable chemicals with chlorinated solvents, corrosives,
chlorine, or pesticides. Always
segregate incompatible chemicals. These
chemicals are often listed on the “Reactivity” section of the MSDS.
‘ ‘ ‘ 2. Consolidate the same product in as few containers as
possible.
‘ ‘ ‘ 3. Store chemical products out of aisle ways where they could
get
bumped and spilled.
‘ ‘ ‘ 4. Ensure that overhead storage for chemicals is sturdy and
will not
collapse.
‘ ‘ ‘ 5. If a chemical label has been defaced or is unreadable, let
your
supervisor know.
Hazardous Operations
Yes No N/A Tree
Trimming
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training for those who must perform tree trimming
in
proximity to electrical power lines
and/or using aerial buckets.
Key Points:
‘ ‘ ‘ 1. You must first be trained in fall protection, safe ladder
use, aerial
bucket use, and hazards of electrical power lines before
performing tree trimming operations.
Yes No N/A Working
around Power Lines
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training on electrical hazards associated with
power
lines.
‘ ‘ ‘ 2. Become familiar with the personnel qualified to work around
power lines. Names:
Key
Points:
‘ ‘ ‘ 1. You must know the acceptable clearance distances and the
voltages of the electrical power
lines before working around them.
‘ ‘ ‘ 2. If you do not have insulated equipment, or are unfamiliar
with
safety around power lines, contact
your supervisor.
Yes No N/A Tools
or Machine Use
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training on specific tools or machines for
employees
who will be operating them.
Key
Points:
‘ ‘ ‘ 1. Before using a tool or machine, you must first be trained to
use it
safely. Ask your
supervisor if you have questions regarding safe or proper operations before
use.
‘ ‘ ‘ 2. If using a portable tool, make sure it has a ground plug
and/or a
ground fault circuit interrupter. Ensure that insulation on the housing of the
tool is intact as well as the entire electrical cord and plug.
‘ ‘ ‘ 3. Do not operate machines without their guards in place around
moving parts.
‘ ‘ ‘ 4. Remove combustible and flammable materials from the work
areas
when using spark or heat producing
tools or equipment.
Yes No N/A Welding
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training to ensure that welders are adequately
qualified.
Key
Points:
‘ ‘ ‘ 1. You may weld only if you have been qualified by your
supervisor
to do so.
‘ ‘ ‘ 2. Welding should be performed in a well ventilated area
preferably
away from high traffic areas. It is preferred that welding fumes are
exhausted outside the building and the draw of the exhaust be to the side
(horizontal) away from the welder.
‘ ‘ ‘ 3. If welding is on portable equipment that cannot be taken to
a
welding station, encourage maximum air movement by opening
doors and operating ceiling fans and/or floor fans.
‘ ‘ ‘ 4. Ensure that all flammable and combustible materials are
removed
from the immediate welding area and that a fire extinguisher
is readily available for use.
Resources:
OSHA 1910.252
Yes No N/A Confined
Spaces
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training on confined space entry and review the
current
Confined Space Entry Program with
the employees.
Key
Points:
‘ ‘ ‘ 1. When entering a space with limited entry and exit that has
no
forced or natural ventilation, you must follow confined
space entry requirements.
‘ ‘ ‘ 2. At the very minimum, you must test all areas of the space
for lack
of oxygen, flammable and toxic gases and verify testing on a
permit.
‘ ‘ ‘ 3. Your Confined Space Entry Program and permits may be found
.
Yes No N/A Excavations,
Trenching and Shoring
Notes to Instructors:
‘ ‘ ‘ 1. Coordinate training on trenching and shoring and review the
Trenching and Shoring Program with
the employees.
Key
Points:
‘ ‘ ‘ 1. When digging a trench greater than four feet in depth, you
must
slope the excavation in accordance with the Trenching and
Shoring Program, or provide approved shoring or shielding to prevent cave-in.
‘ ‘ ‘ 2. You must not enter an unprotected trench unless it has been
approved by a competent person
familiar with soil classifications.
‘ ‘ ‘ 3. You must verify safe conditions before entering a trench
after it
rains, snows or for other changing conditions that may
prompt greater cave-in hazard.
‘ ‘ ‘ 4. The Trenching and Shoring Program is located:
.
Yes No N/A Locating
Underground Utilities
Notes to Instructors:
‘ ‘ ‘ 1. Know the contact information for the locator service in your
area.
.
Key
Points:
‘ ‘ ‘ 1. Before you make even a minor excavation, you must call a
locator
service to designate locations of pipelines, electrical
cables, or other underground utilities.
This excludes minor landscaping activities.
‘ ‘ ‘ 2. The Department has a locator to
further define locations of
utilities.
Yes No N/A Work
Zone Protection
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training on work zone protection and/or flagging
for
those involved in activities around
traffic.
Key
Points:
‘ ‘ ‘ 1. If you will be working around traffic, you will need to
protect
yourself and the public with signs, barricades, and/or cones
in accordance with the Manual for Uniform Traffic Control Devices (MUTCD).
‘ ‘ ‘ 2. You must receive training on safe work procedures before
working
in traffic.
‘ ‘ ‘ 3. You must wear bright and/or reflective clothing or vests
while in
traffic.
Yes No N/A Lockout/Tagout
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training in lockout/tagout procedures and review
the
Lockout/Tagout Program with those involved in servicing
equipment.
Key
Points:
‘ ‘ ‘ 1. When servicing a piece of motorized or energized equipment,
a
lock and tag should be placed on the main power switch or
disconnect so the equipment cannot be accidentally started while service is
performed.
‘ ‘ ‘ 2. The Lockout/Tagout Program is located .
‘ ‘ ‘ 3. Only the employee applying the lock or tag is authorized to
remove it.
‘ ‘ ‘ 4. Note that gravity is another hazard; and if material is in
an elevated
state, a jack or block should be
used to keep it from falling.
Resources:
OSHA 1910.147
Yes No N/A Chlorine
Safety
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training on chlorine safety and emergency
procedures
and review standard procedures with employees who will be
dealing with gaseous chlorine.
Key
Points:
‘ ‘ ‘ 1. There are written procedures for the handling and change-out
of
chlorine cylinders.
They are located
‘ ‘ ‘ 2. If you smell chlorine coming from a chlorine room, leave the
area,
notify your supervisor and/or Fire Department. Repair the leak if trained to do so, and only
after donning Self Contained Breathing Apparatus (SCBA) and shutting down the
supply.
Resources:
Municipal
& County Entities Catalog of Risk Management & Safety Training
Materials.
·
Video
– Chlorine Safety – 12 Minutes
Yes No N/A Hearing
Conservation
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training on hearing conservation for those
involved in
noisy operations.
‘ ‘ ‘ 2. Coordinate hearing exams for the applicable employees.
Key
Points:
‘ ‘ ‘ 1. The Hearing Conservation Program is located .
‘ ‘ ‘ 2. If using equipment such as paving equipment, mowers, weed-
eaters, backpack blowers, jackhammers, concrete saws,
loaders or backhoes, wear Hearing Protection Devices (HPD’s) such as earplugs
or muffs.
‘ ‘ ‘ 3. These HPD’s and plugs may be found .
‘ ‘ ‘ 4. Notify your supervisor if your HPD’s are uncomfortable or
ineffective in reducing noise
levels.
Resources:
OSHA 1910.95
Yes No N/A Working
at Heights
Notes to Instructor:
‘ ‘ ‘ 1. Coordinate training on fall protection techniques and
equipment
and review the Fall Protection
Program.
Key
Points:
‘ ‘ ‘ 1. The Fall Protection Program is located .
‘ ‘ ‘ 2. If working on an elevated area at least six feet high,
ensure
adequate fall protection is in
place.
‘ ‘ ‘ 3. You may use a full body harness and lanyard, or establish a
partition by the using of a rope or
guardrail.
Miscellaneous
Yes No N/A Radio
Communication
Key
Points:
‘ ‘ ‘ 1. The Department will brief you on the use
of radio communications.
‘ ‘ ‘ 2. If you are performing an operation involving the potential
for
being overcome by fumes or the possibility of entrapment,
utilize the buddy system.
‘ ‘ ‘ 3. With or without the buddy system, it is best to maintain
radio
communications for rescue or medial
attention if necessary.
Yes No N/A Weather
Preparedness
Key
Points:
‘ ‘ ‘ 1. In hot conditions, light-colored clothing is preferred that
allows air
circulation to the skin.
Use sunscreen and wear a brimmed hat or cap when in the sun. Drink water frequently in very hot weather
and take breaks under a shade tree and/or a cool area. If you have stopped sweating and feel
nauseous and/or dizzy, get in a cool area immediately and drink water slowly
until rehydrated. Seek medical attention
if appropriate.
‘ ‘ ‘ 2. In cold weather, it is important to realize that 90% of your
body
heat leaves through your head, so wear a hat. It is best to utilize layering of clothing,
and strip layers if need be. If your
outer layer of clothing gets wet, strip that layer if possible, and put on dry
clothing. If you become disoriented,
move to a heated building as soon as possible.
Do buddy checks on fellow employees for signs of frostbite; whitened
areas such as noses, cheeks, fingers, etc.
In cold, windy weather, it is important to cover as many exposed areas
as possible to prevent frostbite.
Yes No N/A Fire
Extinguisher Use
Notes to Instructor:
‘ ‘ ‘ 1. Point out the locations and types of fire extinguishers in
the
departments represented in the
orientation.
‘ ‘ ‘ 2. Coordinate training on the use of fire extinguishers.
Key
Points:
‘ ‘ ‘ 1. You must be trained in the types and the use of fire
extinguishers
in order to use them.
‘ ‘ ‘ 2. If uncomfortable with use of an extinguisher, or if you
think the
fire may get out of control, contact
the Fire Department.
No comments:
Post a Comment