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Competency - Clinical Laboratory Chemical Hazardous Waste Storage and Removal Competency Assessment-Hazardous/Flammable Chemical INSTRUCTIONS: Assess performance of each criterion for identified skill or function. Enter the evaluation Waste Disposal score on the left column for that criteria and evaluator initials the right column. The evaluator should comment on performance with each assessment completed. All criteria must be performed satisfactorily during assessment to achieve competence. The evaluator signs at the bottom along with the employee for each assessment date. The supervisor or unit leader signs when all complete. Explanation of scores: Enter 1. Skill not present Fails to demonstrate skill 2. Below Expectations Needs more improvement) 3. Passed Fulfills basicqualifications) Name: Employee ID: Performs Hazardous/Flammable Chemical Waste Disl2osal from the Clinical Laborato Choose one of the areas below : Date: Date: CC = Annual Competency BL = Baseline Competency Type: INV = Interview Evaluation Method.. DO = Direct Observation S = Simulation Enter Score: Evaluation Evaluators Enter Score: Evaluation Evaluators Performance Criteria: Performs or explains the following Method: Initials: Method: Initials: Employee demonstrates proper handling of hazardous chemicals when transferring waste into leak resistant containers, including use of the appropriate personal protective equipment. Employee demonstrates safe handling of leak resistant containers and empty hazardous chemical containers during transport to the hazardous chemical building adjacent to Cemetery lane. Employee demonstrates proper cleaning, relabeling and placement of emptied leak resistant containers and proper filing of labels from the empty leak resistant containers in the hazardous waste binder. Employee understands and explains clean up procedure and the location of hazardous chemical SDS's in the event of a hazardous chemical spill.