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Hazardous Materials Worksheet <br /> Hazard Anticipation <br /> Anticipated or Potential Hazardous Materials (Check all that Apply): <br /> -]Gases ❑Vapors 0 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 (Checkall 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). according to the EPA. <br /> © Unsanitary conditions (poor housekeeping, poorly kept toilet <br /> D Extreme temperatures (hot &cold environments). <br /> facilities, etc.). ❑ Radiological exposures (nuclear power plants, antennas, <br /> ❑ Presence of hazardous materials (dangerous coatings 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)_ <br /> D Other. <br /> ❑ Older buildings and structures: unoccupied dwellings (fungifmold, <br /> asbestos & lead). <br /> Source:Construction Safety Council,used with permission. <br /> 36 <br /> PPT 1 dov.03.01.17 OTIEC Outreach Resources <br />