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HEALTH AND SAFETY EVALUATION! -a BIOLOGICAL HAZARDS OF CONCERN <br /> ® Poisonous Plante (FLD 43) ® Insects (FLD 43) <br /> Location/Task Nola).: 1, 2 Location/Task Nola).: 1, 2 <br /> Source: ❑ Known ® Suspect Source: ❑ Known ® Sue pact <br /> Route of Exposure: ❑ Inhalation❑ Ingestion Route of Exposure: ❑ Inhalation❑ Ingestion <br /> ® Contact ❑ Direct Penetration ❑ Contact ® Direct Penetration <br /> Team Member(s)Allergic: ❑ Yes ❑ No Team Member(s)Allergic: ❑ Yes ❑ No <br /> Immunization required: ❑ Yes ❑ No Immunization required: ❑ Yes ❑ No <br /> ® Snakes,Reptiles (FLD 43) ® Animals (FLD 43) <br /> Location/Task Nola).: 1, 2 Location/Task Nola).: 1, 2 <br /> Source: ❑ Known ® Suspect Source: ❑ Known ® Suspect <br /> Route of Exposure: ❑ Inhalation❑ Ingestion Route of Exposure: ❑ Inhalation❑ Ingestion <br /> ❑ Contact ® Direct Penetration ® Contact ® Direct Penetration <br /> Team Member(s)Allergic: ❑ Yes ❑ No Team Member(s)Allergic: ❑ Yes ❑ No <br /> Immunization required: ❑ Yes ❑ No Immunization required: ❑ Yes ❑ No <br /> FLD 43 — WESTON Biohazard Feld Operating Procedures: Att. OP <br /> ❑ Sewage ❑ Etiologic Agents(List) <br /> Location/Task NoW.: Location/Task No(s).: <br /> Source: ❑ Known ❑ Suspect Source: ❑ Known ❑ Suspect <br /> Route of Exposure: ❑ Inhalation❑ Ingestion Route of Exposure: ❑ Inhalation❑ Ingestion <br /> ❑ Contact ❑ Direct Penetration ❑ Contact ❑ Direct Penetration <br /> Team Member(s)Allergic: ❑ Yes ❑ No Team Member(s)Allergic: ❑ Yes ❑ No <br /> Immunization required: ❑ Yes ❑ No Immunization required: ❑ Yes ❑ No <br /> Tetanus Vaccination within Past 7 yrs: ❑ Yes ❑ No <br /> (see Note M1 below) <br /> FLD 44 — WESTON Bloodborne Pathogens Exoosure Control Plan — First Aid Procedures: Att. OP <br /> FLD 45 — WESTON Bloodborne Pathogens Exposure Control Plan -Working with Infectious Waste: Att. OP ❑ <br /> Note #1: A tetanus injection is recommended every 10 years for employees with"normal exposure risks." However, if <br /> employees have frequent potential for exposure at "higher risk," as working with raw sewage,then a frequency of 7 years is <br /> recommended. <br /> Corporate Health and Safety Page 6 of 36 Sonoma <br />