| HAZARD |
satisfactory |
Needs
Attention |
Target Date of
Correction |
Date
Corrected |
| Is there a list of the toxic chemicals used in your workplace? |
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| If toxic materials are used in your processes, do you have a medical or biological monitoring system in operation? |
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| Are material safety data sheets available for all chemicals used? |
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| Are you familiar with the Threshold Limit Values or Permissible Exposure Limits of airborne contaminants and physical agents used in your workplace? |
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| Have control procedures been instituted for toxic materials, where appropriate, such as respirators, ventilation systems, handling practices, etc.? |
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| Whenever possible are toxic substances handled in properly designed and exhausted booths or similar locations? |
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| Do you use general dilution or local exhaust ventilation systems to control dusts, vapors, gases, fumes, smoke, solvents or mists which may be generated in your workplace? |
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| Is ventilation equipment provided for removal of contaminants from such operations as: production, grinding, buffing, spray painting, and/or vapor degreasing, and is it operating properly? |
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| Do employees complain about dizziness, headaches, nausea, irritation, or other factors of discomfort when they use solvents or other chemicals? |
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| Is there a dermatitis problem? Do employees complain about dryness, irritation, or sensitization of the skin? |
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| If you have a respirator protection program, are your employees instructed on the current usage and limitations of the respirators? |
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| Are the respirators NIOSH approved for a particular application? Are they regularly inspected, cleaned, sanitized and maintained? |
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| Have you considered the use of an industrial hygienist or environmental health specialist to evaluate your operation? |
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| If internal combustion engines are used, is carbon monoxide kept within acceptable levels? |
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| Is vacuuming used, rather than blowing or sweeping dusts whenever possible for cleanup? |
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| Are materials, which give off toxic asphyxiant, suffocating, or anesthetic fumes, stored in remote or isolated locations when not in use? |
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| |
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| Name |
Date |
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