Promoting Chemical Laboratory Safety and Security in Developing Countries (2010) / Chapter Skim
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Appendix F: Sample Forms for Chemical Handling and Management
Appendix F: Sample Forms for Chemical Handling and Management
Pages 97-104
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Solli 11 lb 45 lb TABLE F-2 Container Inventory Chemical Location Responsible Person Authorized users Soman 215 Lab Bldg P Jones P
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[ ] Protective Clothing Is a lab apron or clothing made of resistant material needed or is a lab coat adequate?
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[ ] Ambient Conditions Are special conditions necessary to carry out the reaction (e.g., cold room or dry box)
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Significant routes of exposure Inhalation hazard Yes No Skin absorption Yes No H Sensitizer Yes No I
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Storage method, precautions Refrigerator/freezer Hood Special security (describe) Vented cabinet Flammable liquid storage cabinet Other, describe ___________ __________________________________________________________________________________ 7.
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He/she is authorized to use the substance in the manner described. ___________________________________ __________________________________ Supervisor Chemical Safety and Security Officer 10.
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For simple spills, call ______________ for cleanup advice. Institutional Emergency Coordinator: Ambulance/Fire/Police/Spill: Hospital Emergency Room: Poison Control Center: LOCATION LOCATION Nearest Fire Extinguisher: Nearest Fire Alarm: Nearest Spill Control Material: Nearest Safety Shower: LAB LAB LAB BIOHAZARDS CHEMICALS RADIATION LOCATION LOCATION LOCATION F lammable Biosafety Level 1 Laser Low Liquid Air/Water Biosafety Level 2 Irradiator Reactive Toxics/ Rad.
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