CHEMICAL HYGIENE PLAN

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Department of Chemical Engineering 		Table of Contents
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APPENDIX M

Laboratory Safety
Orientation and Training Checklist

This is to certify that ______________________________________________ has been trained in the following items which will satisfy the requirements for an effective laboratory safety and health program, according to the UMD Office of Environmental Health and Safety.

ITEM DATE
  1. Reviewed key elements of the University or Departmental Written Chemical Hygiene Plan.
__________
  1. Shown location and reviewed details of the Departmental or Laboratory Chemical Inventory and MSDS file.
__________
  1. Viewed generic lab safety and MSDS video tapes on reserve at Library Reference Desk. Successfully completed quizzes (available from UMD EHS office, 31 DAdB).
__________
  1. Reviewed physical properties, symptoms of exposure, acute and chronic health effects, and special hazardous chemicals in lab.
__________
  1. Reviewed chemical labeling and storage procedures.
__________
  1. Reviewed hazardous chemical waste disposal procedures.
__________
  1. Shown location and explained use of fume hood, glove box, personal protective equipment, and other exposure control items.
__________
  1. Shown location and reviewed use of emergency equipment, ie; deluge shower, emergency eyewash, fire extinguisher, chemical spill equipment, first aid kit, and emergency call list or poster.
__________
  1. Reviewed emergency procedures in event of a fire, chemical spill, explosion, or personal injury.
__________
  1. Reviewed any Standard Operating Procedures (SOP's) developed for safe handling of particularly hazardous substances, if applicable.
__________


Signed: _____________________________

____________________________

EmployeePrin.Inv. or Supervisor


Lab Safety Training Checklist Rev. 1/98


Table of Contents
Table of Contents 		Appendix List
Appendix List

This web page (http://www.d.umn.edu/~dlong/chp/appendma.html) is maintained by Duane Long, Department of Chemical Engineering, and was last updated 28-Oct-1999.