Laserfiche WebLink
Hazardous Materials Worksheet <br /> Hazard Anticipation <br /> Anticipated or Potential Hazardous Materials (Check all that Apply): <br /> ❑Gases ❑Vapors ❑ Fumes ❑Dusts ❑Fibers ❑ Mists <br /> Anticipated or Potential Physical Hazards (Check all that Apply): <br /> ❑ Fire ❑ Explosion ❑Oxidizer ❑Corrosive to Metal ❑Gas under Pressure ❑ Self-Heating Substance <br /> Anticipated or Potential Health Hazards(Check all that Apply): <br /> ❑Toxic ❑Skin/Eye Irritant ❑Respiratory/Aspiration Hazard ❑Carcinogen ❑Reproductive Toxicity <br /> ❑ Confined or enclosed spaces (hazardous atmospheres). ❑ Homes built before 1978 —suspect to contain lead-based paint, <br /> ❑ Contaminated soil conditions (hazardous atmospheres). <br /> according to the EPA. <br /> ❑ Unsanitary conditions (poor housekeeping, poorly kept toilet ❑ Extreme temperatures (hot &cold environments). <br /> facilities, etc.). ❑ Radiological exposures (nuclear power plants, antennas, <br /> ❑ Presence of hazardous materials (dangerous coatings <br /> hospitals, laboratories and the sun). <br /> structures& metal containing alloys). ❑ Loud noise (use of tools and equipment). <br /> ❑ The use of hazardous chemicals (gases, solvents, glues and ❑ Hot work (welding and cutting). <br /> concrete)_ <br /> ❑ The presence of plant and/or animal wildlife(poisonous venom, <br /> ❑ The presence of residues left by degreasing agents, usually feces, rabies.__). <br /> chlorinated hydrocarbons (chloroform and carbon tetrachloride). ❑ Other: <br /> ❑ Older buildings and structures; unoccupied dwellings (fungi/mold, <br /> asbestos &lead). <br /> Source:Construction Safety Council,used with permission. <br /> 36 <br /> PPT 1 • •• v.03.01.17 -• by OTIEC Outreach Resources • • • • <br />