n l Compliance Plan Attachments (Check All that Apply) · 2020. 6. 13. · D Industrial Hygiene D D...
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HASP COVER PAGE
EPA Region 5 Records Ctr.
311795
Project Name:
Project Number:
Project Manager:
Assigned SHSC:
Assigned Safety Officer:
Copley Square Plaza
20064.243.100.0122
Deepak Bhojwani
Barry Crawford
Dan Leskovec, Tonya Balla
Will Dangerous Goods be shipped to or from the field? YES D N O ^ | Assigned Dangerous Goods Shipper:
Assigned Shipping Advisor:
Name:
Phone:
Name:
Phone:
Environmental Compliance Plan Attachments (Check All that Apply): n Pre-proposal checkhst
EHS Analysis Checklist
D Project Specific Environmental Compliance Plan
K:\l 515\Copley Plaza\HASP\coplcy_HASP.doc RFW243-2D-AUIG
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SITE HEALTH AND SAFETY PLAN (HASP)-FQRM 1
Prepared by: J. Hunter W.O. Number: 20064,243,100,0133
Date: 10-13-05
Project Identification Office: VHI Site Name: Copley Square Plaza Client: U.S, EPA Work Location Address: 2777-2799 Copely
Akron, OH. 44321
Site History: Site of former dry cleaning facility where local groundwater, surface water, and soils have been impacted by PCE, TCE, cis-l,2-DCE, and vinyl chloride.
Rd.,
Scope of Work: Soil sampling; vapor probe and monitoring well installation; soil gas, ambient air, indoor air, groundwater, residential well, and surface water sampling; slug tests; ecological investigation. Approximately 25 soil borings, 15 vapor probes, and 6 monitoring wells will be completed. Most samples •will be analyzed for TCL/TAL list of organic and inorganic compounds, n Sites •visit only; site HASP not necessary. List personnel here and sign off below:
Regulaibry Status: Site regulatory status CERCLA/SARA
S U.S. EPA
Estate
H NPL Site
DOSHA
RCRA Other Federal Agenc
D U.S. EPA
D State
NRC
D 10 CFR 20
DDOE
n USAGE
n Air Force
n I Hazard Communication (Req'd See Attachment D) S1910 El 1926 D State
0 Safety Officer Manual (Required to be On-Site) Based on the Hazard Assessment and Regulatory Status, detemnine the Standard HASP(s) applicable to this project Indicate below which Standard HASP will be used and append the appropriate pages of this form along with the Standard Plan.
D Stack Test D
D Air Emissions D
D Asbestos D
D Industrial Hygiene D
D D
Rieview and Approval Documentation; Reviewed by: SO/DSM/CHS
Other
Tonya Balla
Name (Print) Signature
Date:
Date:
Name (Print) Signature
Approved by: Project Manager Deepak Bhojwani Date:
Name (Print) Signature
Hazard Assessment and Equipment Selection: In accordance with WESTON's Personal Protective Equipment Program and 29 CFR 1910.132, at the site prior to personnel beginning work, the SHSC and/or the Site Manager have evaluated conditions and verified that the personal protective equipment selection outlined within this HASP is appropriate for the hazards known or expected to exist. (Refer to Safety Officer Manual Section 2, Personal Protection Program, for guidance.)
D S H S C n Site Manager Date
Name (Print) Signature
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Project start date: TBD
End date: TBD
This site HASP must be reissued/reapproved for any activities conducted after:
Date:
Amendment date(s) By:
2. 3. 4. 5,
Revised 02/1998
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WESTON REPRESENTATIVES-FORM 2
Organization/Branch Name/Title Address Teleptione
VHI Deepak Btiojwani/ P.M. 750 E. Bunker Ct, Suite 500 847.918.4005 Vemon Hills, IL. 60061
VHI Bany Crawford/ SHSC 750 E. Bunker CL, Suite 500 847.962.0655 Vemon Hills, IL. 60061
VHI Mary T. Bosko/ Risk Specialist 750 E. Bunker CL, Suite 500 847.623.7560 Vemon Hills. IL. 60061
Roles and Responsibilities: Deepak Btiojwani: Project Manager. Barry Crawford: Field implementation, report generation, and SHSC implementation.
WESTON SUBCONTRACTORS Organization/Branch Name/Title Field/Site Supervisor* Address Telephone TBD TBD TBD TBD
TBD TBD TBD TBD
Roles and Responsibilities: Subcontractor will perfomi underground utility location, Geoprobe operation, auger & rotary drill operation.
*Note: The Field/Site Supervisor shall be responsible for supervision of the Contractor and Lower Tier Subcontractor Personnel
SR'EjSgEK^IFJC HEALTH AND SAFETY PERSONNEL The Site Health and Safety Coordinator (SHSC) for activities to be conducted at this site is: Barry Crawford
The SHSC has total responsibility for ensuring that the provisions of this Site HASP are adequate and implemented in the field.
Changing field conditions may require decisions to be made concerning adequate protection programs. Therefore, the personnel assigned as SHSCs are experienced and meet the additional training requirements specified by OSHA in 29 CFR 1910.120.
Qualifications: 40-hr. OSHA/ 8-hr. refresher, BBP, CPR, First Aid, SHSC (FSO) trained.
Designated alternates include: TBD
Revised 2/1998
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HEALTH AND SAFETY EVALUATION-FORM 3
Hazard Assessment
Background Review: ^ Complete • Partial If partial why?
Activities Covered Under This Plan: No. Task/Subtask Description Schedule
Soil Sampling Soil borings via Geoprobe TBD
Vapor Probe & Monitoring Well Installation via Geoprobe and/or truck-mounted rotary- TBD Installation
Air & Water Sampling
Hydrauhc Testing
Ecological Investigation
wash drill rig/ hollow-stem auger.
Soil gas, ambient air, and indoor air sampling; TBD groimdwater sampling via boreholes and wells; residential well sampling; surface water sampling.
Slug Tests
Site walkthrough
TBD
TBD
Types of Hazards:
I Numbers refer to one of the following hazard evaluation forms. Complete hazard evaluation forms for each appropriate hazard class.
Physiochemical 1
O Flammable
n Explosive
n Corrosive
n Reactive
D OzRich
n O2 Deficient
Chemically Toxic 1
^ Inhalation ^ Carcinogen
^ Ingestion Q Mutagen
^ Contact \Z\ Teratogen
^ Absorption
D OSHA 1910.1000 Substance (Air Contaminants)
OSHA Specific Hazard Substance Standard (Refer to following page for listing)
Radiation 3
Ionizing:
CU Intemal exposure
r~| Extemal exposure
Non-ionizing:
H UV n IR
D RF n MicroW
n Laser
Biological 2
n Etiological Agent
^ Other (plant, insect, animal)
Physical Hazards 4
Construction Activities
Source/Locatiori of Contaminants and Hazardous Substances:
Directly Related to Tasks
13 Au-
D Other Suiface
^ Groundwater
El Soil
S Surface Water
n Sanitary Wastewater
r~| Process Wastewater
Indirectly Related to Tasks — Nearby Process(es) That Could Affect Team Members:
lEI Client Facility/WESTON Work Location
• Nearby Non-Client Facility
Describe:
IA] Have activities (task[s]) been coordinated with facility? EPA will assist with access for indoor air samples and residential water samples.
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D Other Revised 02/1998
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IJEAl-TI* AND Sifl|ETY EyALUATION.2 BIOLOGICAL HAZAI^DS OF GONCERN-FORWi 5 |
lEI Poisonous Plants (FLD 43)
Location/Task No(s).:
Source: CU Known ^ Suspect
Route of Exposure: CU Inhalation CU Ingestion ^ Contact n Direct Penetration
Team Member(s) Allergic: D Yes ^ N o Immimization required: £2 Yes ^ No
S Snakes, Reptiles (FLD 43)
Location/Task No(s).:
Source: CD Known ^ Suspect
Route of Exposure: CU Inhalation CU Ingestion ^ Contact M Direct Penetration
Team Member(s) Allergic: Q Y e s ^ N o Immunization required: CD Yes ^ N o
E! Insects (FLD 43)
Location/Task No(s).:
Source: CD Known ^ Suspect
Route of Exposure: CD Inhalation CD Ingestion n Contact ^ Direct Penetration
Team Member(s) Allergic: Q Yes g l No Immimization required: CD Yes ^ No
S Animals (FLD 43)
Location/Task No(s).:
Source: CD BCnown ^ Suspect
Route of Exposure: CD Inhalation CD Ingestion ^ Contact S Direct Penetration
Team Member(s) Allergic: D Yes ^ No Immunization required: CD Yes ^ No
FLD 43 — WESTON Biohazard Field Operating Procedures: Att. OP 13 |
CD Sewage
Location/Task No(s).:
Source: CJ Known LJ Suspect
Route of Exposure: CD Inhalation CD Ingestion CD Contact CD Direct Penetration
Team Member(s) Allergic: Q Yes Q N O Immunization required: CD Yes CD No
Tetanus Vaccination widiin Past 10 yrs: CD Yes CD No
D Etiologic Agents (List)
Location/Task No(s).:
Source: CD Known CD Suspect
Route of Exposure: • Inhalation CD Ingestion CD Contact CD Direct Penetration
Team Member(s) Allergic: CD Yes CD No Immunization required: CD Yes CD No
FLD 44 — WESTON Bloodbome Padiogens Exposure Control Plan - First Aid Procedures: Att. OP | 3
FLD 45 — WESTON Bloodbome Pafliogens Exposure Control Plan - Working widi Infectious Waste: Att. OP Q ^
Revised 02/1998
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HEAl^HANd SAFETY EV^^
Phy, Haz. Cond.
Loud noise
Inclement weather
Steam heat stress
Heat stress
Ambient heat stress
Cold stress
Cold/wet
Confined spaces
Explosive vapors
Improper lifting
Uneven surfaces
Poor housekeeping
Structural integrity
Hostile persons
Remote area
Improper cyl. handling
Water hazards
Water hazards
Water hazards
•Vehicle hazards
Explosions
Moving mechanical parts
Moving mech. parts
Working at elevation
Working at elevation
Working at elevation
Working at elevation
Trench cave-in
Improper material handling
Physiochemical
II Physiochemical
Physiochemical
Structural integrity
Electrical
Electrical
Bums/fires
Impact/thermal
Impaction/electrical
Poor visibility
Fire/explosion
Communications
Energy/release
Logging'ground clearing'grubbing activities
Drilling hazards
Physical Hazard
Hearing loss/disraption of communication
Rain/humidity/cold/ice/snow/lightning
Bums/displaced oxygen/wet working surfaces
Bums/hot surfaces/low pressure steam
Heat rash/ciamps/exhaustion/heat stroke
Hypothermia/frostbite
Trench/paddy/inunersion foot/edema
Falls/bums/drown ing/engulfhient/electrocution
Thermal bums/impaction/dismemberment
Back stiain/abdomen/armAeg muscle/joint injury
•Vehicle accidaits/slips/trips/falls
Slips/trips/falls/punctures/cuts/fires
Crushing/overhead hazards/compromised floors
Bodily injury
Slips/trips/falls^ack strain/communication
Mechanical injury/fire/explosion/suffocation
Poor visibility/entanglement/drowning/cold stress
Drowning/heat/cold stress/hypothermia/falls
Drowning'frostbite/hypothermia/falls/electrocution
Struck by vehicle/collision
Explosion/fire/thermal bums
Crushing/pinch points/overhead hazards/electrocution
Overhead hazards/electrocution
Overhead hazards/falls/electrocution
Overhead hazards/falls/electrocution
Overhead hazards/falls/electrocution/slips
Slips/trips/falls/overhead hazards
Crushing/falling/overhead hazards/suffocation
Back injury/crushing from load shifts
Explosions/fires from oxidizing, flam./cotr. material
Fire and explosion
Fire
Overhead/electrocution/slips/trips/falls/fire
Electrocution/shock/thermal bums
Electrocution/shock/thermal bums
Heat stress/fl^es^ums
Thermal bums/high pressure impaction/heat stress
Smashing body parts/pinching/cuts/electrocution
Slips/frips/falls
Bums/impaction
Disruption of communications
Unexpected release of energy
Operations associated with felling/moving of trees/bmsh/logs
Electrocution/overhead hazards/pinch points
Attach OP
m M s D ISI M El D D S ia la D m D D n D la 13 D m D D n D D n s Ei D El n El El n El El la D El D D EI
WESTON OP Titles
FLDOl-Noise Protection
FLD02 - Inclement Weather
FLD03 - Hot Process - Steam
FLD04 - Hot Process - LT3
FLD05 - Heat Stress Prevention/Monitoring
FLD06 - Cold Stress
FLD07-Wet Feet
FLD08 - Confined Space Entry
FLD09-Hot Work
FLDIO - Manual Lifting/Handling Heavy Objects
FLDl 1 - Rough Terrain
FLD12-Housekeeping
FLDl 3 - Structural Integrity
FLD14-Site Security
FLD15-Remote Area
FLD 16 - Pressure Systems - Compressed Gases
FLDl 7-Diving
FLDl 8 - Operation and Use of Boats
FLDl 9 - Working Over Water
FLD20 - Traffic
FLD21-Explosives
FLD22 - Heavy Equipment Operation
FLD23 - Cranes/Lifting Equipment Operation
FLD24 - Aerial Lifts/Manlifts
FLD25 - Working at Elevation
FLD26 - Ladders 1
FLD27 - Scaffolding j
FLD28 - ExcavatingTrenching
FLD29 - Materials Handling
FLD30 - Hazardous Materials Use/Storage
FLD31 - Fire Prevention/Response Plan Required
FLD32 - Fire Extinguishers Required
FLD33 - Demolition
FLD34 - Utilities
FLD35 - Electrical Safety
FLD36 - Welding/Cutting/Buming
FLD37 - High Pressure Washere
FLD38 - Hand and Power Tools
FLD39 - Illumination
FLD40 - Storage Tank Removal/Decommissioning
FLD41 - Std. Hand/Emergency Signals
FLD42 - Lockout/Tagout
FLD47 - Clearing, Grubbing, and Logging Operations
1.6 - Drilling Safety Guide
Revised 06/2000
K;\l 515\Coplcy Plaza\HASP\copley_HASP.doc
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TASk-BY-TASK RISK ASSESSMENT^FORIVl 8-1
(COMPLETE ONE SHEET FOR EACH TASK)
TASK DESCRIPTION Task 1 - Soil sampling via Geoprobe, Geoprobe operation will be conducted by a subcontractor. WESTON will assist with soil sampling.
EQUIPMENT REQUIREDAJSED (Be S|;t G>f•c, e.g., hand tools, heavy equipment, instruments, PPE)
Geoprobe, Modified Level D PPE, MIP/EC, PID, High-pressure steam-cleaner (operated by subcontractor).
POTENTIAL HAZARDS/RISKS Chemical
lEI Hazard Present Risk Level: D H Q M |E1 L What justifies risk level? Contamination is present at subsurface levels. There is no anticipated direct contact with the COCs (assuming proper PPE usage) and minimal potential for exposure. COCs remain vinyl chloride, TCE, PCE, and cis-1,2-DCE.
Physical lEl Hazard Present Risk Level: D H ^ M D L What justifies risk level? Slips/trips/falls, heavy lifting. Geoprobe equipment present/ heavy machinery moving nearby. Minimal vehicle traffic anticipated. Underground utility location/ clearance will be completed by subcontractor before beginning work.
Biological ^ Hazard Present Risk Level: D H D M L What justifies risk level? Insect bites/stings/ ticks, and small animals. Encounters are not expected.
RADIOLOGICAL S Hazard Present Risk Level: D H Q M L What justifies risk level? Sunlight - sunscreen, hats, glasses, and long sleeves will be used as necessary.
LEVELS OBPROTECTIQN/JUSTIFICATION Modified Level D PPE- Noise protection recommended. No direct contact or minimal exposure to contaminants expected. Work uniform, safety boots, hard hat, hand and eye protection will be wom at a minimum.
SAFETY PROCEDURES REQUIRED AND/OR FIELD OPS UTILIZED FLDs see form 7 and Drilling Safety Guide.
Revised 02/1998
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TASK-BY-JASJC RISK ASSESSMENT-FORM 8-2
(COMPLETE ONE S^EET FOR EACH TASK)
TASK DESCRIPTION Task 2 - Vapor probe & monitoring well installation. Vapor probes will be installed using Geoprobe. Monitoring wells will be installed using Geoprobe and/ or truck-mounted drill rig to shallow (25'bgs) and deep (-70 bgs.) depths. Geoprobe and drill rig operation will be conducted by subcontractor.
EQUIPMENT REQUIRED/USED |Be specific, e.g., hand tools, heavy e!quipment,instrumente; PPE)
Geoprobe, hollow-stem auger/ truck-mounted drill rig, positive-displacement or bladder pump, disposable bailer, weighted bailer or surge block. Modified Level D PPE, PID, High-pressure steam-cleaner (operated by subcontractor), camera, logbook.
POTENTIAL HAZARDS/RISKS Chemical
^ Hazard Present Risk Level: D H Q M ^ L What justifies risk level? Contamination is present at subsurface levels. There is no anticipated direct contact with the COCs (assuming proper PPE usage) and minimal potential for exposure, COCs remain vinyl chloride, TCE, PCE, and cis-1,2-DCE.
Physical lEl Hazard Present Risk Level: Q H Kl M Q L What justifies risk level? Slips/trips/falls, heavy lifting. Geoprobe equipment present/ heavy machinery moving nearby. Minimal vehicle traffic anticipated. Underground utility location/ clearance will be completed by subcontractor before beginning work.
Biological lEl Hazard Present Risk Level: Q H D M |E1 L What justifies risk level? Insect bites/stings/ ticks, and small animals. Encounters are not expected.
RADIOLOGICAL D Hazard Present Risk Level: Q H D M | 3 L What justifies risk level? None anticipated.
LEVELS OF PROTECTION/JUSTIFICATION Modified Level D PPE- Noise protection recommended. No direct contact or minimal exposure to contaminants expected. Work uniform, safety boots, hard hat, hand and eye protection will be wom at a minimum.
SAFETY PROCEDURES REQUIRED AND/OR FIELD OPS UTILIZED FLDs see form 7 and DriUing Safety Guide.
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TmSK-BY-TASK RISK ASSESSMENT-FORM 3-3
(COMPLETE ONE SHEET FOR EACH TASK) TASK DESCRIPTION
Task 3 - Air & Water Sampling. Air sampling will occur as soil gas sampling, ambient air sampling, and indoor air sampling. Water sampling will consist of shallow groundwater grab sampling via Geoprobe, groundwater sampUng fi-om wells using pumps, residential well sampling, and surface water sampling, Geoprobe operation will be conducted by subcontractor.
^ EQUIPMENT REQUIRED/USED (Be specific, e.g.; hand tools, heavy equipment, instruments, i?PE)
Geoprobe, Bladder or peristaltic pump, disposable bailers, SUMMA canisters and flow controller, PID, Modified Level D PPE, High-pressure steam-cleaner (operated by subcontractor).
POTENTIAL HAZARDS/RISKS Chemical
^ Hazard Present Risk Level: D H D M | 3 L What justifies risk level? Contamination is present at subsurface levels. There is no anticipated direct contact with the COCs (assuming proper PPE usage) and minimal potential for exposure. COCs remain vinyl chloride, TCE, PCE, and cis-1,2-DCE.
Physical lEl Hazard Present Risk Level: Q H |E1 M Q L What justifies risk level? Slips/trips/falls, heavy lifting. Geoprobe equipment present/ heavy machinery moving nearby. Minimal vehicle traffic anticipated. Avoid repetive motions if using bailers. Storm water outfall sampling is not anticipated to require standing in water or working in a position that would cause one to fall in the water. Ifthe sampler is required to enter the water, a PDf will be required, waders as applicable, and the buddy system will be required to be in place. A working cell phone or two way radio will be required when the collecting storm water outfall samples.
Biological ^ Hazard Present Risk Level: Q H Q M [^ L What justifies risk level? Insect bites/stings/ ticks, and small animals. Encounters are not expected.
RADIOLOGICAL n Hazard Present Risk Level: U H D M ^ L
What justifies risk level? None anticipated.
LEVELS OF PROTECTION/JUSTIFICATION Modified Level D PPE- Noise protection recommended. No direct contact or minimal exposure to contaminants expected. Work uniform, safety boots, hard hat, hand and eye protection will be wom at a minimum.
SAFETY PROCEDURES REQUIRED AND/OR FIELD OPS UTILIZED FLDs see form 7.
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TASK-BY-TASK Rl$K ASSESSMEIJT^ORM 8 ^
^ C O M P L E T E O N E SHEETfOR E^CH TASK)
TASK DESCRIPTION Task 4 - Hydraulic Testing via Slug Tests. Slug tests will be performed by lowering or raising a slug into/ out of the well being test and recording the corresponding change in water level using data logger/ transducer.
EQUIPMENT REGpRED/USED jtBe sfpecific^c.g., hgind^blfe, heia^ PPE)
PVC/ Teflon/ Stainless-Steel Slug, Hermit SE 3000 data logger with electric pressure transducer, water level meter.
POTENTIAL HAZARDS/RISKS Chemical
lEl Hazard Present Risk Level: Q H Q M Q L What justifies risk level? Contamination is present at subsurface levels. There is no anticipated direct contact (assuming proper PPE usage) with the COCs and minimal potential for exposure, COCs remain vinyl chloride, TCE, PCE, and cis-1,2-DCE,
Physical ^ Hazard Present Risk Level: Q H D M L What justifies risk level? Slips/trips/falls, heavy lifting, Geoprobe equipment present/ heavy machinery moving nearby. Minimal vehicle traffic anticipated.
Biological M Hazard Present Risk Level: Q H D M |E1 L What justifies risk level? Insect bites/stings/ ticks, and small animals. Encounters are not expected.
RADIOLOGICAL n Hazard Present Risk Level: Q H Q M | ^ L What justifies risk level? None anticipated.
LEVELS OF PROTECTIQN/JiJSTIFICAriON Modified Level D PPE- No direct contact or minimal exposure to contaminants expected. Work uniform, safety boots, hard hat, hand and eye protection will be wom at a minimum.
SAFETY PROCEDURES REQUIRED AND/OR FIELD OPS UTILIZED FLDs see form 7
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J^A^k-BY-T^SK Rf KJkSSESSMENT-FORM 8-5
\, (doMPLETEpNl SHEET FOR EACH TASky TASK DESCRIPTION
Task 5 - Ecological Investigation. Investigation consists of a site-walkthrough to determine habitat boundaries and species present.
EQUIPMENT REQUIRED/USED (5esp0afic,£f>g.^ hand tools, h^ayy
Modified Level D PPE
POTENTIAL HAZARDS/RISKS Chemical
13 Hazard Present Risk Level: Q H Q M ^ L What justifies risk level? Contamination is present at subsurface levels. There is no anticipated contact (indirect or direct) with the COCs and minimal potential for exposure. COCs remain vinyl chloride, TCE, andcis-l,2-DCE.
Physical ^Hazard Present Risk Level: D H D M I E I L
What justifies risk level? Slips, trips, and falls, uneven terrain. Caution will be used with walking throughout the site and surrounding areas.
Biological ^ Hazard Present Risk Level: D H D M (El L What justifies risk level? Insect bites/stings/ ticks, and small animals. Encounters are not anticipated.
RADIOLOGICAL D Hazard Present Risk Level: Q H Q M L What justifies risk level? None anticipated.
mVELS^E^eRPTECTION/aUSTIFICATlON Modified Level D PPE- No direct contact or minimal exposure to contaminants expected. Work uniform, safety boots, hand and eye protection will be wom at a minimum.
SAFETY PROCEDURES REQUIRED AND/OR FIELD OPS UTILIZED FLDs 2, 6, 7, 11,20.
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PERSONNEL PROTECTION PLAN-FORM 9 Engineering Controls Describe Engiiieering CODITOIS used as part of Persoimel Protection Plan:
Task(s) None anticipated.
Administrative Controls Describe Administrative Controls used as part of Personnel Protection Plan:
Task(s) 1,2,3 Maintain appropriate distance away from Geoprobe/ drill rig when in operation.
Personal Protective Equipment Acticm Levels for Changing Levels of Protection. Refer to HASP Fonn 13, Site Air Monitoring Program—Action Levels. Define Action Levels for up or down grade for each task;
Task(s) 1-5 Modified Level D PPE will be wom.
DESCRIPTION OF LEVELS OF PROTECTION
Level D Level D Modified
Task(s):
N Head
^ Eye and Face
lEl Hearing
CD Arms and Legs Only
n Whole Body
CU Apron
^ Hand-Gloves
3 Gloves
M Gloves
Kl Foot - Safety Boots
1 1 Over Boots
Hardhat, as applicable
Safety glasses
Ear plugs, as applicable
Surgical gloves
Nitrile gloves
Steel-toe boots
RFW243-2D-AUIG
Task(s):
DHead
CD Eye and Face
CD Hearing
CD Arms and Legs Only
CD Appropriate Work Uniform
CD Hand - Gloves
D Foot - Safety Boots
n Fall Protection
I I Flotation
n Other
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Revised 02/1998 . ••. — . ^ . . . . • .. • = . : . ; . . • = • • • : : ; ; = • = - • - • — - . . i : : - . = — ; -. ^ ;
\ DESO^^
Level C
T a s k ( s ) : all, if air monitoiring deems necessary
H Head Hardhat, as applicable
B Eye and Face Safety glasses
S Hearing Ear plugs, as
applicable
n Anns and Legs Only
D Whole Body
D Apron
El Hand - Gloves
S Gloves Surgical gloves
D Gloves Nitr i le gloves
la Foot - Safety Boots Steel-toe boots
D Outer Boots
n Boots (Other)
D Half Face
D Cart./Canlster
S Full Face
• Can./Canlster
DPAPR
D Cart./Canister
D Type C
D Fall Protection
D Flotation
D Other
Level B
Task(s):
DHead
D Eye and Face
D Hearing
D Anns and Legs Only
D Whole Body
D Apron
D Hand - Gloves
D Gloves
n Gloves
D Foot - Safety Boots
n Outer Boots
D Boots (Other)
D SAR-Airline
DSCBA
D Comb. Airline/SCBA
D Cascade System
D Compressor
D Fall Protection
D Flotation
D Other
1 • • 1 ,
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. . . . . . . . . . . . SITE if? PROJECT H/l^/a^DM
Air Monitoring Instruments || Instrument Selection and Initial Check Record Reporting Format: ^ Field Notebook D Field Data Sheets* D Air Monitoring Log Q Trip Report C
Instrument
ncGi
no2
D CG1/O2
n CGI/Oz/tox-PPM, H2S,H2S/CO
DRAD
D GM (Pancake)
n NaT (Micro R)
D ZnS (Alpha Scintillator)
n Other
tepiD D HNu 10.2
Q H N U I I . ?
D Photovac, TMA
gjOVM
D Other
DFID
D Fox 128
D Heath, AID, Other
n RAM. Mini-RAM, Other
CD Monitox
Specify:
CD Personal Sampling
Specifv:
CD Bio-Aerosol Monitor
^ Pump - MSA, Draeger, Sensidyne
M Tubes/type: Vinvl chloride**
CD Tubes/type:
1 n Other
Task No.(s)
1-5
Number Required
1
Number Received
Checked Upon
Receipt
D D D D D D D D n D n D D D D D D D D D D D D D D D D D
Comment
Other
Initials
*Refer to Attachment E.
*In the event of elevated PID readings, vinyl chloride draeger tubes may be required.
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,. . . . . . . . . . . . . . . ..;-., , , , , , , ,,,... . . . .,.,;^,. . .. .. . . ; . . . . . . . . . . . . „ , . . . . . — ; — ' . — : — — — - — • T : ^ , — • ' ' ~ ~ ] \
1 Air Monitoring Instruments Calibration Record | Instrument,
Mfg., Model,
Equip, ID No.
.
1 ' •• • - " • • • • : • — — : .
Date Time Calib.
Material
Calib, Method Mfg,'s Other
Initial Setting and
Reading
Calibration will be done daily in accordance with the
maniacturer s recommenaations.
Final Setting and
Reading Calibrator's
Initials
Revised 02/1998
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; ^ I T E A l R I ^ II Action Levels
These Action Levels, if not defined by regulation, are some percent (usually 50%) of tiie applicable PEL/TLV/REL. That number must also be adjusted to account for instrument response factors.
CD Explosive atmosphere
CD Oxygen
CD Radiation
K Organic gases and vapors
-
CD Inorganic gases, vapors, and particulates
Tasks Action Level Ambient Air Concentration
<10% LEL
10 to 25% LEL
>25% LEL
Ambient Air Concentration
<19.5% O2
19.5% to 25% O2
>25%02
Confined Space Concentration
Otol%LEL
Ito 10% LEL
>10% LEL
Confined Space Concentration
<19.5%02
19.5% to 23.5% O2
>23.5%02
< 3 times background
3 times background to < 1 mR/hour
> 1 mrem/hour
< 0.5 ppm above background
> 0.5 ppm above background
Action
Work may continue. Consider toxicity potential.
Work may continue. Increase monitoring frequency.
Work must stop. Ventilate area before returning.
Leave area. Re-enter only 1 with self-contained breathing apparatus.
Work may continue. Investigate changes from 21%.
Work must stop. Ventilate area before returning.
Continue work.
Radiation above background levels (normally 0.01-0.02 mR/hr) signifies possible radiation source(s) present. Contmue investigation with caution. Perform thorough monitoring. Consult with a Health Physicist.
Potential radiation hazard. Evacuate site. Continue investigation only upon the advice of Health Physicist.
Continue work. 1
Stop work & reevaluate.
Revised 02/1998
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CONTir4GENe[ES-EQRM^4
Emergency Contacts and Phone Numbers II Agency
Local Medical Emergency Facility (LMF)
WESTON Medical Emergency Contact
WESTON Health and Safety
Fire Department
Police Department
On-Site Coordmator- SHSC
CUent Site Contact
1 Site Telephone
1 Nearest Telephone
Contact
Akron General Medical
Qualysis - Dr. Sandra Dorsey
Corporate Health and Safety
Barry Crawford
Patrick Hamblin
TBD
On-site cell phone
Phone Number ||
(330) 344-6000
1-800-874 4676
(610) 701-3000
911
911
(847)962-0655
TBD
TBD
(847) 962-0655 |
Local Medical Emergency Facility(s)
Name of Hospital: Akron General Medical |
Address: 400 Wabash Ave., Akron, OH. 44307
Name of Contact:
Type of Service:
CD Physical trauma only
CD Chemical exposure only
^ Physical trauma and chemical exposure
13 Available 24 hours
Route to Hospital (written detail):
1. SE on Copley Rd,
2. Keep SlRAIGHT onto SR-162 (MapleSt.)
3. Bear RIGHT onto W.Cedar S t (0,6 mi.)
4. Turn RIGHT onto Wabash Ave. (0,1 mi.)
Phone No,: (330) 344-6000
Phone No.:
Travel time from site:
lOmins.
Distance to hospital:
5.1 miles Name/no. of 24-hr ambulance service:
911
Secondary or Specialty Service Provider 11
Name of Hospital: Sempercare Hospital of Akron ||
Address: 525 E. Market St, Akron, OH. 44304.
Name of Contact:
Type of Service:
CD Physical trauma only
CD Chemical exposure only
^ Physical trauma and chemical exposure
^ Available 24 hours
Route to Hospital (written detail):
1. Head SE on Copley Rd.
2. Keep STRAIGHT onto SR162 (S. Maple St.)
3. Bear RIGHl onto SR0162 (Glendale Ave.
4. Turn LEFT onto SR-162.
5. Turn RIGHT onto SR-162 (SR-18).
6. Road name changes to SR-18 (W. Market Ave).
Phone No.: (330) 375-6500
Phone No.:
Travel time from site:
13 mins.
Distance to hospital:
6.6 miles
Name/no. of 24-hr ambulance service:
911
Figure 1. Route to Hospital
(see folio-wing pages for attached maps to hospitals) j
Revised 02/1998 1
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Maps On Us: Yellow Pages - Show Directions Page 1 of2
i i i inwi | ' i " i»i i i[i"i'i"iiiiii|[ "HI "I i»iiiii|i'iiiiffl II""" 'fwww s service of SwritctitioaRtxom
i«ii' MAPS&OIRECTiONS iffiisSwfif^JtfE
mm
Route Summary
( * I s tar t : 2779 Copley Rd,
Akron, OH 44321
1 3 End: 400 Wabash Ave,
Akron, OH 44307
Total T ime: 10 Minutes
Total Distance: 5.1 Miles
Plan Return Route
Edit this Route
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Jump to Turn-bv-Turn Directions
km I 0.5i 1, mi I 0.2^ O.Si On Click: '.•.' Recenter'...' Zoom In
What's N Click to view c
E\ Dining
y J Resta
'._..' Pizza
'...-' Italian
(...) Chine
O Steak
'...' Mexic
'.._,' Japar
'-..J Seafo
O Fast F
'._..' Delive
(..) Coffei
' . . ' Bars
E l Recreatic Entertain
E] Commun
El Shoppinc
E l Travel
E] Finance
E l Health C<
Turn by Turn Directions show oetaiii Directions
Start Depart Start on SR-162 [Copley Rd] (East) 1 Keep STRAIGHT onto SR-162 [S Maple St] 2 Bear RIGHT (South-East) onto W Cedar St 3 Tum RIGHT (South-West) onto Wabash Ave
End Arrive End
Use this map or these directions at your own risk. No representation or warranty is made as to their accuracy, completeness or drivabil Switchboard will not be responsible for any damages, losses or delays which result from using these directions. Obey all traffic r
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% service of Sw^tehtjoardxoin
S»a...i3Wi.:
MA{>S& DIRECTIONS me^m.
Route Summary
1*1 s tar t : 2779 Copley Rd, Akron, OH 44321
( 3 End: 525 E Market St, Akron, OH 44304
Total T ime: 10 Minutes
Total Distance: 6.5 Miles
Plan Return Route
Edit this Route
Plan Another Route
Jump to Turn-bv-Turn Directions
Wt
• ^ On Click: (*) Recenter Q Zoom In Reset j
What's N Clicl( to view c
El Dining '•....' Resta
'....-' Pizza
'._.' Italian
O Chine
('.) Steak
'.....' IWexic
'.._..' Japar
',....i Seafo
('_') Fast F
(._.) Delive
('_') Coffei
'...' Bars
E l Recreatic Entertain
E l Commun
El Shoppinc
E] Travel
E l Finance
E l Health C<
Turn by Turn Directions Direct ions
Start Depart Start on SR-162 [Copley Rd] (East)
1 Keep STRAIGHT onto SR-162 [S Maple St] Bear RIGHT (South-East) onto SR-162 [Glendale Ave] Turn LEFT (North) onto SR-162 Turn RIGHT (South-East) onto SR-162 [SR-18] Road name changes to SR-18 [W Market St]
2 3 4 5
Show Detaili
End Arrive End
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CONTINGENCIES-FORM 16
Response Plans Medical - General
Provide first aid, if trained; assess and determine need for ftulher medical assistance.
Transport or arrange for transport after appropriate decontamination.
First Aid Kit: Weston Vehicle Kit
Eyewash requfred 13 Yes n No
Shower requfred DYes S N O
Type Vehicle
Type Small bottle
Type
Location Vehicle
Location Vehicle
Location
Special Ffrst-Aid Procedures: Cyanides on-site CD Yes 13 No If yes, contact LMF. Do they have antidote kit? D Yes D No HF on-site D Yes 13 No If yes, need neutralizing ointment for first-aid kit. Contact LMF.
Plan for Response to Spill/Release
Plan for Response to Fire/Explosion
Fire Extinguishers
In the event of a spill or release, ensure safety, assess situation, and perform containment and confrol measures, as appropriate.
a. Cleanup per MSDSs if small; or soimd alarm, call for assistance, notify Emergency Coordinator
b. Evacuate to predetermined safe place
c. Accoimt for personnel
d. Determine if team can respond safely
e. Mobilize per Site Spill Response Plan
In the event of a ffre or explosion, ensure personal safety, assess situation, and perform containment and control measures, as appropriate:
a.
b.
e.
Soimd alarm and call for assistance, notify Emergency Coordinator Evacuate to predetermined safe place Account for persoimel Use ffre extinguisher only if safe and trained in its use Stand by to inform emergency responders of materials and conditions
Type/Location ABC/vehicle
/ /
Description of Spill Response Gear
NA.
Location Description (Other Ffre Response Equipment) Location
Plan to Respond to Seciuity Problems Avoid confrontation. Call 911.
Revised 02/1998
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DECONTAMINATION PLAN-FORM 17
_ _ ^ _ _ _ ^ Personnel Decontamination Consistent with the levels ot protection required, step-by-step procedures tor personnel decontammation for each level of protection are attached.
Levels of Protection Required for Decontamination Personnel The levels of protection requfred for persoimel assisting with decontamination will be:
DLevelB
Moditications include: Seepage 15.
n Level C M Level D
Disposition of Decontamination Wastes Provide a descnption ot waste disposition, including identitication ot storage area, hauler, and tinal disposal site, if applicable: All waste .material generated will be placed in appropriate containers (drums) and stored on-site for eventual disposal.
• Equipment Decontamination A procedure tor decontammation steps reqmred tor non-samplmg equipment and heavy machinery follows: Move all equipment to decontamination area (pad). Equipment will be cleaned using Alconox solution as appropnate. Geoprobe and dnll rig will be cleaned using a high-pressure, steam cleaner.
Sampling Equipment Decontamination Sampling equipment will be decontaminated in accordance with the following procedure: All non-dedicated sampling equipment will be washed with an Alconox solution and rinsed with potable water. Scrub with soft-bristle brushes in phosphate-free, low-sudsing detergent solution. Rinse with tap water. Rinse with DI water and allow to dry for 1-2 minutes. Rinse again with DI water. Allow to dry. Store m polypropylene or aluminum foil container.
Revised 02/1998
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Lp^pD/JWpCftF!EDl;^ELjD DECONTAMINATIONI'L^^ 18
Check indicated functions or add steps, as necessary: Function Description of Process, Solution, and Container
^Segregated equipment drop
CDBOOI cover and glove wash
CDBoot cover and glove rinse
CDTape removal - outer glove and boot
CDBoot cover removal
]OuteT glove removal (if used). Place in frash bag.
HOTLINE CD Suit/safety boot wash
[IDSuit/boot/glove rinse
CDSafety boot removal
CDSuit removal
CDhmer glove wash
CDlnncr glove rinse
Cllimer glove removal
^Iimer clothing removal As above.
CONT/ayilNATION REDUCTION ZONE (CRZ)/SAFE ZONE BOUNpARY JField vrash Wash hands with soap and water.
]Redress
Disposal Plan, End of Day:
All waste material generated will be placed in appropriate containers and stored on site for eventual disposal.
Disposal Plan, End of Week:
As above.
Disposal Plan, End of Project:
As above.
Revised 02/1998
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LEVEL C DECONTAMINATION PLAN-FORM 19
Check indicated functions or add steps, as necessary: Function Description of Process, Solution, and Container
^Segregated equipment drop
CDBoot cover and glove wash
riBoot cover and glove rinse
IZJTape removal - outer glove and boot
CDBoot cover removal
^Outer glove removal
HOTLINE CDSuit safety boot wash
riSuit/boot/glove rinse
CDSafety boot removal
CDSuit removal
CDlnner glove wash
CD Inner glove rinse
^Facepiece removal
CDlnner glove removal
CDfriPer clothing removal
tCONTAMINATION REDUCTION ZONE (CRZ)^^ ]Field wash
^Redri ess
Disposal Plan, End of Day:
All waste material generated will be placed in appropriate containers and stored on site for eventual disposal.
Disposal Plan, End of Week: As above
Disposal Plan, End of Project: As above
Revised 02/1998
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LEVEL B DECONTAMINATION PLAN-FORM 20
Check indicated functions or add steps, as necessary: n/a Function Description of Process, Solution, and Container PSegregated equipment drop
DBoot cover and glove wash
DBoot cover and glove rinse
DTape removal - outer glove and boot
DBoot cover removal
D Outer glove removal
HOTLINE D Suit/safety boot wash
DSuit/SCBA/boot/glove rinse
PSafety boot removal
PRemove SCBA backpack without disconnecting
P Splash suit removal
pinner glove wash
pinner glove rinse
PSCBA disconnect and facepiece removal
pinner glove removal
pinner clothing removal CONTAMINATION REDUCTION ZONE (CRZ)/SAFE ZONE BOUNDARY
PPield wash
PRedress Disposal Plan, End of Day:
Disposal Plan, End of Week:
Disposal Plan, End of Project:
Revised 02/1998
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SITE PERSONNEL AND CERTIFICATION STATUS-FORM f l ;
WESTON Name: Barry Crawford Title: Project Geoscientist Task(s): 1-4 Certification Level or Description: FSO ^ M e d i c a l Current
1 Irit Test Cunent (QuaL)
Name: TBD Title: Task<s): Certification Level or Description: P M e d i c a l Current
P p i t Test Current (QuaL)
Name: Title: Task(s): Certification Level or Description: 1 [Medical Current
1 Ipit Test Current (Qual.)
Name: Title: Task(s): Certification Level or Description: 1 1 Medical Current
1 Ipit Test Current (Qual.)
Name: Title: Task(s): Certification Level or Description: 1 1 Medical Current
Z j p i t Test Current (CJuaL)
Name: Title: Task(s): Certification Level or Description: 1 JMedical Current
P p i t Test Current (QuaL)
[XJ Training Current
P Fit Test Current (Quant.)
1 (Training Current
r j F i t Test Cunent (Quant.)
I [Training Current
p p i t Test Current (Quant.)
1 [Training Current
1 jFit Test Current (Quant.)
1 JTraining Current
J p i t Test Current (Quant.)
1 1 Training Current
1 [pit Test Current (Quant.)
Name: MaryT.Bosko Title: Project Risk Assessment Specialist Task(s): 5 Certification Level or Description: FSO 1 JMedical Current IXITraining Current
1 jpit Test Current (Qual.) |pit Test Current ((Juant.)
Name: Title: Task(s): Certification Level or Description: P M e d i c a l Current | JTraining Current
L Fit Test Current (Qual.) P p i t Test Current (Quant.)
Name: Title: Task(s): Certification Level or Description: 1 1 Medical Current j [Training Current
I [pit Test Current (QuaL) j [Fit Test Current (Quant.)
Name: Title: Task(s): Certification Level or Description: 1 JMedical Current | [Training Current
p p i t Test Current (QuaL) _ J F i t Test Current (Quant.)
Name: Title: Task(s): Certification Level or Description: 1 [Medical Current | [Training Current
[ I Fit Test Current (Oual.) [ [pit Test Current (Quant.)
Name: Title: Task(s): Certification Level or Description: [ [ Medical Current [ [ Training Current
[ [pit Test Current (QuaL) P p i t Test Current (Quant)
TRAINING CURRENT - Traming: All persoimel, including visitors, entering the exclusion or contamination reduction zones must have certifications of completion of framing fri accordance with OSHA 29 CFR 1910, 29 CFR 1926, or 29 CFR 1910.120.
FIT TEST CURRENT - Respfrator Fit Testing: All persons, including visitors, entering any area requfring the use or potential use of any negative pressure respfrator must have had, as a minimum, a qualitative fit test, administered in accordance with OSHA 29 CFR 1910.134 or ANSI, within the last 12 months. If site conditions requfre the use of a full-face, negative-pressure, afr-purifying respirator for protection from asbestos or lead, employees must have had a qualitative fit test, administered according to OSHA 29 CFR 1910.1001 or 1025/1926, within the last 6 months.
MEDICAL CURRENT - Medical Monitoring Requfrements: All personnel, including visitors, entering the exclusion or contamination reduction zones must be certified as medically fit to work and to wear a respfrator, if appropriate, in accordance with 29 CFR 1910, 29 CFR 1926/1910, or 29 CFR 1910.120.
The Site Health and Safety Coordinator is responsible for verifying all certifications and fit tests.
Revised 02/1998
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SITE PERSONNEL AND CERTIFICATION STATUS-FORM 22
Subcontractor's Health and Safety Program Evaluation Name of Subcontractor: TBD Address: TBD
Activities To Be Conducted by Subcontractor: Geoprobe operation/ Drilling activities Evaluation Criteri;a
Medical program meets OSHA/WESTON criteria
PAcceptable
Punacceptable
Comments:
Personal protective equipment available
I [Acceptable
P Unacceptable
Comments:
On-site monitoring equipment available, calibrated, and operated property
PAcceptable
Punacceptable
Comments: To be completed by Weston, on-site.
Safe wori<ing procedures cleariy specified
PAcceptable
Punacceptable
Comments:
Training meets OSHA/WESTON criteria
PAcceptable
Punacceptable
Comments:
Emergency procedures
PAcceptable
Punacceptable
Comments:
Decontamination procedures
PAcceptable
Punacceptable
Comments:
General health and safety program evaluation
PAcceptable
Punacceptable
Comments:
Additional comments:
n Subcontractor has agreed to and will confonn with the WESTON HASP for this project.
n Subcontractor will work under his own HASP, which has been accepted by project PM.
Evaluation Conducted by: TBD Date: TBD
Subcontractor Designated Field/Site Supervisor Name: TBD
Title: TBD
Task(s): TBD
Certification Level or Description: TBD
1 [Medical Current | JTraining Current
I [pit Test Cmrent (Qual.) P p i t Test Current (Quant.)
Name: TBD
Title: TBD
Task(s): TBD
Certification Level or
I JMedical Current
P Fit Test Current (Qual.)
Description: TBD
I I Training Current
p p i t Test Current (Quant.)
Name:
Title:
Task(s):
Certification Level or Description:
I I Medical Current
p p i t Test Cmrent (QuaL)
Name:
Title:
Task(s):
Certification Level or Description:
1 JMedical Current
p p i t Test Current (Qual.)
I iTraining Current
p p i t Test Current (Quant.)
Name:
Title:
Task(s):
Certification Level or
I JMedical Current
I [pit Test Current (Qual.)
Description:
I JTraining Current
p p i t Test Current (Quant.)
I I Train ing Current
p p i t Test Current (Quant.)
Name:
Title:
Task(s):
Certification Level or
I JMedical Current
P p i l Test Current (QuaL)
Description:
I {Training Current
I [ Pit Test Current (Quant.)
Revised 02/1998
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^^m $mm^^mm^^m^m rai«rfSAFMWMPi ^ • h ^ ^ - ^ H M ^ i ' - ^ ' - y ^ k M ^ ^ ^ A '^^gSfgyj^^^gt^g^!;^^}/ ' : ' ; ; ;
Site Name: Copley Plaza wo#: 20064.243,100,0133
Address: 2777 - 2799 Copley Rd., Copley, OH.
I imderstand, agree to, and will conform with the information set forth in this Health and Safety Plan (and attachments) and discussed in the personnel health and safety briefing(s).
Name Signature Date
IC:M515\Coplcy Plaza\HASP\copley_HASP.doc
Revised 02/1998
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§ Tl^iNlNi AND BRIEFING T M C S - F O F ^
The following items will be covered at the site-specific training meeting, daily or periodically.
^ Site characterization and analysis. Sec. 3.0, 29 CFR 1910.1201
g l Physical hazards, HASP Form 07
1 13 Chemical hazards, HASP Form 04
13 Animal bites, stings, and poisonous plants
P Etiologic (infectious) agents
13 Site confrol, 29 CFR 1910.120 d
^ Engineering conttols and work practices, 29 CFR 1910.120(g)
^ Heavy machinery
D Forklift
P Backhoe
^ Equipment
S Tools
P Ladder, 29 CFR 1910.27 (d)/29 CFR 1926
13 Overhead and underground utihties
P Scaffolds
P Structural integrity
P Unguarded openings - wall, floor, ceihngs
• Pressurized afr cylinders
^ Personal protective equipment, 29 CFR 1910.120 (g); 29 CFR 1910.134
13 Respfratory protection, 29 CFR 1910.120 (g); ANSI Z88.2
P P
P
P
P Level A
P Level B
S Level C
13 Level D
13 Monitoring, 29 CFR 1910.120 (h)
13 Decontammation, 29 CFR 1910.120 (k)
P Emergency response, 29 CFR 1910.120 (1)
P Elements of an emergency response, 29 CFR 1910.120
(1) ^ Procedures for handling site emergency incidents, 29
CFR 1910.120(1)
P Off-site emergency response, 29 CFR 1910.120 (1)
M Handling drums and containers, 29 CFR 1910.120 (j)
P Opening drums and containers
P Electrical material handling equipment
P Radioactive waste
P Shock-sensitive waste
P Laboratory waste packs
P Sampling drums and containers
13 Shipping and fransport, 49 CFR 172.101, lATA
P Tank and vault procedures
Kl Illumination, 29 CFR 1910.120 (m)
P Sanitation, 29 CFR 1910.120 (n)
P
P
D
Revised 02/1998
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NPGD0599 - NIOSH Pocket Guide to Chemical Hazards j CDC/NIOSH Page 1 of 1
NIOSH Pocket Guide to Chemical Hazards Tetrachloroethylene CAS 127-18-4
Cl2C=CCl2 RTECS KX3850000
Synonyms & Trade Names Perchlorethylene, Perchloroethylene, Perk, Tetrachlorethylene
DOT ID & Guide 1897 160
Exposure Limits
NIOSH REL: Ca Minimize workplace exposure concentrations. See Appendix A
OSHA PELf: TWA 100 ppm C 200 ppm 300 ppm (5-minute maximum peak in any 3-hours)
IDLH Ca [150 ppml See: 127184 Conversion 1 ppm = 6.78 mglnr
Physical Description Colorless liquid with a mild, chloroform-like odor.
MW: 165.8 BP:250°F FRZ: -2°F Sol: 0.02%
VP: 14 mmHg IP: 9.32 eV Sp.Gr:1.62
FI.P: NA UEL: NA LEL: NA
Noncombustible Liquid, but decomposes in a fire to hydrogen chloride and phosgene.
Incompatibilities & Reactivities Sfrong oxidizers; chemically-active metals such as lithium, beryllium & barium; caustic soda; sodium hydroxide; potash
Measurement Methods NIOSH 1003; OSHA 1001 See: NMAM or OSHA Methods
Personal Protection & Sanitation Skin: Prevent skin contact Eyes: Prevent eye contact Wash skin: When contaminated Remove: When wet or contaminated Change: No recommendation Provide: Eyewash, Quick drench
First Aid (See procedures) Eye: Irrigate immediately Skin: Soap wash promptly Breathing: Respiratory support Swallow: Medical attention immediately
Important additional information about respirator selection Respirator Recommendations NIOSH At concentrations above the NIOSH REL, or where there is no REL, at any detectable concentration: (APF = 10,000) Any self-contained breathing apparatus that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode/(APF = 10,000) Any supplied-air respirator that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode in combination with an auxiliary self-contained positive-pressure breathing apparatus Escape: (APF = 50) Any air-purifying, full-facepiece respirator (gas mask) with a chin-style, front- or back-mounted organic vapor canister/Any appropriate escape-type, self-contained breathing apparatus
Exposure Routes inhalation, skin absorption, ingestion, skin and/or eye contact
Symptoms Irritation eyes, skin, nose, throat, respiratory system; nausea; flush face, neck; dizziness, incoordination; headache, drowsiness; skin erythema (skin redness); liver damage; [potential occupational carcinogen]
Target Organs Eyes, skin, respiratory system, liver, kidneys, central nervous system
Cancer Site [in animals: liver tumors]
See also: INTRODUCTION See IGSC CARD: 0076 See MEDICAL TESTS: 0179
NIOSH Home | NIOSH Search | Site Index | Topic List | Contact Us
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NPGD0629 - NIOSH Pocket Guide to Chemical Hazards | CDC/NIOSH Page 1 of 1
NIOSH Pocket Guide to Chemical Hazards Trichloroethylene
CAS 79-01-6
CICH=CCL RTECS KX4550000
Synonyms & Trade Names Ethylene trichloride, TCE, Trichloroethene, Trilene
DOT ID & Guide 1710 160
Exposure Limits
NIOSH REL: Ca See Appendix A See Appendix C
OSHA PELt: TWA 100 ppm C 200 ppm 300 ppm (5-minute maximum peak in any 2 hours)
IDLH Ca [1000 ppm] See: 79016 Conversion 1 ppm = 5.37 mglvrr
Physical Description Colorless liquid (unless dyed blue) with a chloroform-like odor.
MW: 131.4 BP: 189°F FRZ: -99°F Sol(77°F):0.1%
VP: 58 mmHg IP: 9.45 eV Sp.Gr: 1.46
FI.P: ? UEL(77T): 10.5% LEL(77°F): 8%
Combustible Liquid, but burns with difficulty.
Incompatibilities & Reactivities Strong caustics & alkalis; chemically-active metals (such as barium, lithium, sodium, magnesium, titanium & beryllium)
Measurement Methods NIOSH 1022, 3800; OSHA 1001 See: NMAM or OSHA Methods
Personal Protection & Sanitation Skin: Prevent skin contact Eyes: Prevent eye contact Wash skin: When contaminated Remove: When wet or contaminated Change: No recommendation Provide: Eyewash, Quick drench
First Aid (See procedures) Eye: Irrigate immediately Skin: Soap wash promptly Breathing: Respiratory support Swallow: Medical attention immediately
Important additional information about respirator selection Respirator Recommendations NIOSH At concentrations above the NIOSH REL, or where there is no REL, at any detectable concentration: (APF = 10,000) Any self-contained breathing apparatus that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode/(APF = 10,000) Any supplied-air respirator that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode in combination with an auxiliary self-contained positive-pressure breathing apparatus Escape: (APF = 50) Any air-purifying, full-facepiece respirator (gas mask) with a chin-style, front- or back-mounted organic vapor canister/Any appropriate escape-type, self-contained breathing apparatus
Exposure Routes inhalation, skin absorption, ingestion, skin and/or eye contact
Symptoms Irritation eyes, skin; headache, visual disturbance, lassitude (weakness, exhaustion), dizziness, tremor, drowsiness, nausea, vomiting; dermatitis; cardiac arrhythmias, paresthesia; liver injury; [potential occupational carcinogen]
Target Organs Eyes, skin, respiratory system, heart, liver, kidneys, central nervous system
Cancer Site pn animals: liver & kidney cancer]
See also: INTRODUCTION See ICSC CARD: 0081 See MEDICAL TESTS: 0236
NIOSH Home [ NIOSH Search [ Site Index [ Topic List | Contact Us
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NPGD0195 - NIOSH Pocket Guide to Chemical Hazards | CDC/NIOSH Page 1 of 1
NIOSH Pocket Guide to Chemical Hazards 1,2-Dichloroethylene CAS 540-59-0
CICH=CHCI RTECS KV9360000
Synonyms & Trade Names Acetylene dichloride, cis-Acetylene dichloride, trans-Acetylene dichloride, sym-Dichioroethyiene
DOT ID & Guide 1150132P
Exposure Limits
NIOSH REL: TWA 200 ppm (790 mg/m^)
OSHA PEL: TWA 200 ppm (790 mg/m^)
IDLH 1000 ppm See: 540590 Conversion 1 ppm = 3.97 mg/m"
Physical Description Coloriess liquid (usually a mixture of the cis & trans isomers) with a slightly acrid, chloroform-like odor.
MW: 97.0 BP:118-140°F FRZ:-57 to-115°F Sol: 0.4%
VP: 180-265 mmHg IP: 9.65 eV Sp.Gr(77°F):1.27
FI.P: 36-39^ UEL: 12.8% LEL: 5.6%
Class IB Flammable Liquid: FI.P. below 73°F and BP at or above 100°F.
Incompatibilities & Reactivities Strong oxidizers, strong alkalis, potassium hydroxide, copper [Note: Usually contains inhibitors to prevent polymerization.]
Measurement Methods NIOSH 1003; OSHA 7 See: NMAM or OSHA Methods
Personal Protection & Sanitation Skin: Prevent skin contact Eyes: Prevent eye contact Wash skin: When contaminated Remove: When wet (flammable) Change: No recommendation
First Aid (See procedures) Eye: Irrigate immediately Skin: Soap wash promptly Breathing: Respiratory support Swallow: Medical attention immediately
Important additional information about respirator selection Respirator Recommendations NIOSH/OSHA Up to 2000 ppm: (APF = 25) Any supplied-air respirator operated in a continuous-flow mode^/(APF = 25) Any powered, air-purifying respirator with organic vapor cartridge(s)^/(APF = 50) Any chemical cartridge respirator with a full facepiece and organic vapor cartridge(s)/(APF = 50) Any air-purifying, full-facepiece respirator (gas mask) with a chin-style, front- or back-mounted organic vapor canister/(APF = 50) Any self-contained breathing apparatus with a full facepiece/(APF = 50) Any supplied-air respirator with a full facepiece Emergency or planned entry into unknown concentrations or IDLH conditions: (APF = 10,000) Any self-contained breathing apparatus that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode/(APF = 10,000) Any supplied-air respirator that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode in combination with an auxiliary self-contained positive-pressure breathing apparatus Escape: (APF = 50) Any air-purifying, full-facepiece respirator (gas mask) with a chin-style, front- or back-mounted organic vapor canister/Any appropriate escape-type, self-contained breathing apparatus
Exposure Routes inhalation, ingestion, skin and/or eye contact
Symptoms Irritation eyes, respiratory system; central nervous system depression
Target Organs Eyes, respiratory system, central nervous system
See also: INTRODUCTION See ICSC CARD: 0436
NIOSH Home | NIOSH Search [ Site Index | Topic List | Contact Us
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NPGD0658 - NIOSH Pocket Guide to Chemical Hazards I CDC/NIOSH Page 1 of 1
NIOSH Pocket Guide to Chemical Hazards Vinyl chloride
CAS 75-01-4
CH2=CHCI RTECS KU9625000
Synonyms & Trade Names Chioroethene, Chloroethylene, Ethylene monochloride, Monochloroethene, Monochloroethylene, VC, Vinyl chloride monomer (VCM)
DOT ID & Guide 1086116P
Exposure Limits
NIOSH REL: Ca See Appendix A
OSHA PEL: [1910.1017] TWA 1 ppm C 5 ppm [15-minute]
IDLH Ca [N.D.] See: IDLH INDEX Conversion 1 ppm = 2.56 mglnr
Physical Description Colorless gas or liquid (below 7°F) with a pleasant odor at high concentrations. [Note: Shipped as a liquefied compressed gas.]
MW: 62.5 BP: 7°F FRZ: -256^ Sol(77°F): 0.1%
VP: 3.3 atm IP: 9.99 eV RGasD: 2.21
FI.P: NA (Gas) UEL: 33.0% LEL: 3.6%
Flammable Gas
Incompatibilities & Reactivities Copper, oxidizers, aluminum, peroxides, iron, steel [Note: Polymerizes in air, sunlight, or heat unless stabilized by inhibitors such as phenol. Attacks iron & steel in presence of moisture.]
Measurement Methods NIOSH 1007: OSHA 4,15 See: NMAM or OSHA Methods
Personal Protection & Sanitation Skin: Frostbite Eyes: Frostbite Wash skin: No recommendation Remove: When wet (flammable) Change: No recommendation Provide: Frostbite
First Aid (See procedures) Eye: Frostbite Skin: Frostbite Breathing: Respiratory support
Important additional information atK)ut respirator selection Respirator Recommendations NIOSH At concentrations above the NIOSH REL, or where there is no REL, at any detectable concentration: (APF = 10,000) Any self-contained breathing apparatus that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode/(APF = 10,000) Any supplied-air respirator that has a full facepiece and is operated in a pressure-demand or other positive-pressure mode in combination with an auxiliary self-contained positive-pressure breathing apparatus Escape: (APF = 50) Any air-purifying, full-facepiece respirator (gas mask) with a chin-style, front- or back-mounted canister providing protection against the compound of concern/Any appropriate escape-type, self-contained breathing apparatus
Exposure Routes inhalation, skin, and/or eye contact (liquid)
Symptoms Lassitude (weakness, exhaustion); abdominal pain, gastrointestinal bleeding; enlarged liver; pallor or cyanosis of extremities; liquid: frostbite; [potential occupational carcinogen]
Target Organs Liver, central nervous system, blood, respiratory system, lymphatic system
Cancer Site [liver cancer]
See also: INTRODUCTION See ICSC CARD: 0082 See MEDICAL TESTS: 0241
NIOSH Home | NIOSH Search | Site Index | Topic List [ Contact Us
http ://-www. cdc. eo v/niosh/no g/nn gd06 5 8. h tm 1 ln/^1/9^n'^
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U.:
LJ
LJ.
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ATTACHMENT B MATERIAL SAFETY DATA SHEETS
(MSDSs)-FORM 26
K:\1515\Copley Plaza\HASP\copley_HASP.doc
32
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msds_alconox_engllsh_osha
ALCONOX MSDS
Section 1 : MANUFACTURER INFORMATION
Product name: Alconox
Suppl ier : Same as manufacturer.
Manufacturer : Alconox, Inc. 30 Glenn St. Suite 309 White Plains, NY 10603.
Manufacturer emergency 800-255-3924. phone number : 813-248-0585 (outside of the United States).
Manufacturer : Alconox, Inc. 30 Glenn St. Suite 309 White Plains, NY 10603.
Supplier MSDS date: 2005/03/09
D.O.T. Classif icat ion: Not regulated.
Section 2 : HAZARDOUS INGREDIENTS
C.A.S. •
25155- ^ 30-0
:
1 i
497-19-^ 8
; i
7722-88-5
i
'7758-2 :
•
;
CONCENTRATION j
% J 10-30 j
i
7-13 i
i
10-30
}
f 10-30
j
Ingredient Name j
SODIUM DODECYLBENZENESULFONATE
SODIUM CARBONATE •
\
i !
TETRASODIUM PYROPHOSPHATE
SODIUM PHOSPHATE
T.L.V. ; _. ...„. .....J
NOT 1 AVAILABLE j
i
1
NOT AVAILABLE
5 MG/M3
f
NOT i AVAILABLE
1
i
LD/50 1
438 t MG/KG i RAT ORAL i 1330 ^ MG/KG I MOUSE ORAL !
4090 1 MG/KG 1 RAT O R A L ! 6600 i MG/KG MOUSE ORAL
4000 MG/KG RAT ORAL 2980 ; MG/KG I MOUSE \ ORAL 1
3120 i MG/KG i RAT ORAL 1 3100 < MG/KG 1 MOUSE : ORAL i >4640 MG/KG RABBIT DERMAL •
LC/50 j
NOT AVAILABLE
i
2300 \ MG/M3/2H 1 RAT ' INHAUVTION ! 1200 MG/M3/2H MOUSE INHAtATION ^
NOT j AVAILABLE
NOT AVAILABLE j
I
MS 01.10.01.03.04.0 Page 1 of 4
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msds_alconox_eng!ish_osha
Section 2A : ADDITIONAL INGREDIENT INFORMATION
Note: (supplier). CAS# 497-19-8: LD50 4020 mg/kg - rat oral. CAS# 7758-29-4: LD50 3100 mg/kg - rat oral.
Section 3 : PHYSICAL / CHEMICAL CHARACTERISTICS
Physical s ta te: Solid
Appearance & odor: Almost odourless.
White granular powder.
Odor threshold (ppm): Not available.
vapour pressure ,g
(mmHg): '^^
Vapour density ( a i r = l ) : Not applicable.
By weight : Not available. , =^f P*"" !* '°" " * « Not applicable. (buty l acetate = 1) : " "
Boil ing point (°C): Not applicable.
Freezing point (°C): Not applicable.
pH: ( 1 % aqueous solution). 9.5
Specific gravi ty @ 20 °C: (water = 1). 0.85- 1.10
Solubility in water (%) : 100 - > 10% w/w
Coeff ic ient of wa te r \ o i l ., . ., . , . . \ Not available.
dist.:
VOC: None
Section 4 : FIRE AND EXPLOSION HAZARD DATA
Flammabi l i ty : Not flammable.
Condit ions of _ . j . <. r i • - - i - ^ Surrounding fire. f lammabi l i t y :
Ext inguishing media: Carbon dioxide, dry chemical, foam. Water Water fog.
Special procedures: Self-contained breathing apparatus required. Firefighters should wear the usual protective gear.
Auto- ign i t ion ,, . ., . , tempera tu re : ^ ° ^ available.
Flash point (OC), ^^^^ method :
Lower f lammabi l i ty ,, . ,. . , l imi t (0/0 vo l ) : Not applicable.
Upper f lammabi l i ty ., . ,. . , l imi t (0/0 vo l ) : ' ^ ° * "PP" " ' " ^ -
Not available.
Sensi t iv i ty to mechanical „ . ,. , , Impact: N^t^PP'"^^^'^-
Hazardous combust ion Oxides of carbon (COx). products : Hydrocarbons.
Rate of burn ing: Not available.
Explosive power: None
I^S 01.10.01.03.04.0 Page 2 of 4
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msds_alconox_english_osiia
Section 5 : REACTIVITY DATA
Chemical s tab i l i ty : Stable under normal conditions.
Condit ions of instabi l i ty : None known.
Hazardous ,,,.,, , . ^. Will not occur.
po lymer izat ion:
Incompat ib le Strong acids. substances: Strong oxidizers.
. ... . . See hazardous combustion products. decomposi t ion products: ^
Section 6 : HEALTH HAZARD DATA
Route of ent ry : Skin contact, eye contact, inhalation and ingestion.
Effects of Acute Exposure
Eye contact: May cause irritation.
Skin contact: Prolonged contact may cause irritation.
Inha la t ion : Airborne particles may cause Irritation.
Inges t ion : May cause vomiting and diarrhea. May cause abdominal pain. May cause gastric distress.
Effects of chronic _ . . . . . . . . . ^ Contains an ingredient which may be corrosive.
LD50 of product , species ,.,.,„„ „ & rou te : ^ ^ ° ° ° "^^/'^S ^^^ °''^^-
LC50 of product , species . . . ., . , , . ,. ^^ • .,- ^ & route- available for mixture, see the ingredients section.
Exposure l im i t of ., . ., . , , . ^ , . mater ia l - available for mixture, see the ingredients section.
Sensi t izat ion to product: Not available.
Carcinogenic ef fects: Not listed as a carcinogen.
Reproduct ive effects: Not available.
Teratogenic i ty : Not available.
Mutagenic i ty : Not available.
Synergist ic mater ia ls: Not available.
Medical condit ions ., . ., . , . . . Not aval ab e.
aggravated by exposure:
First Aid
Skin contact: Remove contaminated clothing. Wash thoroughly with soap and water. Seek medical attention if irritation persists.
Eye contact: Check for and remove contact lenses. Flush eyes with clear, running water for 15 minutes while holding eyelids open: if irritation persists, consult a physician.
Inha la t ion : Remove victim to fresh air. Seek medical attention if symptoms persist.
Inges t ion : Dilute with two glasses of water. Never give anything by mouth to an unconscious person. Do not induce vomiting, seek immediate medical attention.
MS 01.10.01.03.04.0 Page 3 of 4
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msds_alconox_engl ish_osha
Section 7 : PRECAUTIONS FOR SAFE HANDLING AND USE
Leak /Sp i l l : Contain the spill. Recover uncontaminated rnaterial for re-use. Wear appropriate protective equipment. Contaminated material should be swept or shoveled into appropriate waste container for disposal.
Waste d isposal : In accordance with municipal, provincial and federal regulations.
Handl ing procedures and Protect against physical damage. equipment : Avoid breathing dust.
Wash thoroughly after handling. Keep out of reach of children. Avoid contact with skin, eyes and clothing. Launder contaminated clothing prior to reuse.
Storage requi rements: Keep containers closed when not in use. Store away from strong acids or oxidizers. Store in a cool, dry and well ventilated area.
Section 8 : CONTROL MEASURES
Precaut ionary Measures
Gloves/Type: o Neoprene or rubber gloves.
Respi ra tory /Type:
Eye/Type:
If exposure limit Is exceeded, wear a NIOSH approved respirator.
© Safety glasses with side-shields.
Footwear /Type: Safety shoes per local regulations.
C lo th ing/Type: As required to prevent skin contact.
O ther /Type : Eye wash facility should be in close proximity.
Vent i la t ion requ i rements :
Emergency shower should be in close proximity.
Local exhaust at points of emission.
MS 01.10.01.03.04.0 Page 4 of 4
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Page 1 of3
MSDS Definition of terms
Material Safety Data Sheet for Gasolme 1. Chemical Product
MSDS Number: U4080
MSDS Date: 01-1-99
Product Name: Gasoline
24 Hour Emergency Phone: (210) 979-8346 Transportation Emergencies: Call Chemtrec at 1-800-424-9300
MSDS Assistance: (210) 592-4593
Distributors Name and Address: T.W. Brown Oil Co., Inc. 1857 Knoll Drive Ventura, California 93003
Chemical Name:Gasoline Cas Number: 8006-61-9
Synonyms/Common Names: This Material Safety Data Sheet applies to the following product descriptions for Hazard Communication purposes only. Technical specifications vary greatly depending on the product, and are not reflected in this document. Consult specification sheets for technical information.
Unleaded Ggasoline Blendstocks/Subgrades- all types, grades, octanes, and vapor pressures. California Air Resources Board (Carb) Gasoline- all grades, octanes, vapor pressures, and oxygenate blends. Reformulated Gasoline (RFG)-all grades, octanes, vapor pressures, and oxygenate blends. California Reformulated Gasoline (CARFG)-all grades, octanes, vapor pressures, and oxygenate blends. Conventional Gasoline-all grades, octanes, vapor pressures, and oxygenate blends.
2. Composit ion, Information On Ingredients
P r o d u c t Use : This product is intended for use as a fuel in engines or for use in engineered processes. Use in other applicatiions may result in higher exposures and require additional controls, such as local exhaust ventilation and personal protective equipment
D e s c r i p t i o n : Reformulated gasoline is a complex mixture of hydrocarbons from a variety of chemical processes blended to meet standardized product specifications. Composition varies greatly and includes C? to C? hydrocarbons with a boiling range of about 80-473 degrees F. The following is a non-exhaustive list of common components, typical percentage ranges in product, and occupational exposure limits for each. Functional and performance additives may also be present at concentrations below reporting thresholds.
Component or. Material Name % CAS Number ACGIH Limits OSHA Exposure Limits
httn://www.brownniI.coTn/msdspflRnlinp htm ^f\n\nac\'^
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Page 2 of 3
1 • ' 1 [Gasoline |
[Butane |
1 Pentane
n-Hexane
|Hexan(other isomers)
[Benzene
N-heptane
1 Ethylbenzene
[Xylene (o,m,p, - isomers)
[Cyclohexane
[Trimethylbenzene
[Methyl-t-butyl ether (MTBE)
[Toluene
[Ethyl-t-butyl ether (ETBE)
|t-amyl-methyl-ether
[Ethanol
1 J [ 90-100 [
[ <9 1 [ <6 1
1 <'* <8
[ 1.2-4.9
1 "=2 1 ^ 2 1 <11
[ <2
[ <4
1 0-15
1 <''2 _ |
[ 0-7
1 0-5 [
[ 0-11 1
Mixture |
10'6-97-8 j
109-66-0 j
110-54-3
NA
[ 7-4-2
1 14-82-5
1 100^1-4
L 1330-20-7
1 110-82-7
[ 25551-13-7
1 1634-04-4
[ 108-88-3
[ 637-92-3
[ 994-05-8
[ 64-17-5
TLV-STEL-Units [
300-500-ppm
800-NA-ppm [
[ 600-750-ppm
[ 50-NA-ppm
[ 500-1,000-ppm
[ 0.5-2.5-ppm
[ 400-500-ppm
100-125-ppm
[ 100-150-ppm
[ 300-NA-ppm
[ 25-NA-ppm
[ 40-NA-ppm
[ 50-NA-ppm
[ N/A-NA-ppm
1 N/A-NA-ppm
[ 1,000-NA-ppm
PEL - STEL - C/P - Units
1 NA-NA-NA-r^-
L NA-NA-NA
1 1000-NA-NA-ppm
[ 500-NA-NA-ppm
NA-NA-NA
1-5-NA-ppm
500-NA-NA-ppm
[ 100-NA-NA-ppm
1 100-NA-NA-ppm
[ 300-NA-NA-ppm
[ NA-NA-NA
[ NA-NA-NA- —
[ 200-300/500-NA-ppm
[ NA-NA-NA
[ NA-NA-NA- —
[ 1,000-NA-NA-ppm
C=Ceiling concentration not to be exceeded at any tume. P= Peak concentration for a single 10 minute exposure per day.
3. Hazards Identification
Health Hazard Data:
1. The major effect of exposure to this product is central nervous system depression and polyneuropathy.
2. Studies have shown that repeated exposure of laboratory animals to high concentrations of whole gasoline vapors at 67,262 and 2056 ppm has caused kidney damage and cancer of the kidney in rats and liver cancer in mice.
3. LARC has listed gasoline as possibly carcinogenic (2B) to humans with limited evidence in humans in the absence of sufficient evidence in experimental animals. NIOSH lists gasoline as a carcinogen with no further classification.
4. N-heptane and cyclohexane cause narcosis and irritation of eyes and mucous membranes. Cyclohexane has been reported to cause liver and kidney changes in rabbits. N-heptane has been reported to cause polyneuritis following prolonged exposure.
5. ACGIH lists benzene a human carcinogen with and assigned TLV of 0.5 ppm 8 hour TWA and a STEL of 2.5 ppm; lARC, NTP $ OSHA show sufficient evidence for classifying Benzene as a human carcinogen, see 29 CGR 1910.1028 for current PEL of 1 ppm and specific actions to take. Studies have shown that benzene can induce leukemia at concentrations as low as 1 ppm. Significant elevations of chromosomal aberrations have been corroborated among workers exposed to levels at mean concentrations less than 10 ppm. Based on risk assessment studies by Rinsky, an individual inhaling 1 ppm of benzene for 40 years, the odds of benzene-induced leukemic death were 1.7 times higher than those of unexposed workers.
6. MTBE is a mild irritant to the eye with an L050 o f 85 mg/m3 on 4 hr. exposure and an LD50 ~4 ml /Kg (RATS). An increase in anesthesia with increasing
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Page 3 of3
concentration (250,500 & 1000 ppm ) was observed during a 90 day Test exposure. ACGIH has listed MTBE as aii animal carcinogen (A3) based on tests in experimental animals at relatively high dose levels, by routes of administration, at sites, of histologic types, or by mechanisms not considered relevant to worker exposure. Available evidence suggests that MTBE is not likely to cause cancer in humans except under uncommon or unlikely routes of levels of exposure.
7. Trimethylbenzene (pseudocumene (1,2,4,) & mesitylene (1,2,5,)) has a PEL and TLV of 25 ppm 8 hr. TWA; the isomers may cause nervousness, tension, and anxiety and asthmatic bronchitis.
8. n-Hexane has been shown to cause polyneuropathy (peripheral nerve damage) after repeated and prolonged exposure, other hexanes show narcotic effects at 1000 ppm and are not metabolized like n-hexane.
9. Toluene can cause impairment of coordination and momentary loss of memory (200-500 ppm); Palpations, extreme weakness and pronounced loss of coordination (500-1500). The 100 ppm 8 hr. TWA and the 150 ppm STEL provides adequate protection.
10. The toxicological effects of ETBE and TAME have not been thoroughly investigated. ETBE and TAME are expected to be an inhalation hazard and a severe eye and moderate skin irritant.
Hazards o f C o m b u s t i o n P r o d u c t s : Carbon monoxide and carbon dioxide can be found in the combustion products of this product and other forms of hydrocarbon combustion. Carbon monoxide in moderate concentrations can cause symptoms of headache, nausea, vomiting, increased cardiac output, and confusion. Exposure to higher concentrations of carbon monoxide can cause loss of consciousness, heart damage, brain damage, and/or death. Exposure to high concentrations of carbon dioxide can cause simple asphyxiation by displacing available oxygen. Combustion of this and other similar materials should only be carried out in well ventilated areas.
< Home Next >
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IVIessage Page 1 of 8
Balla, Tonya
From: Araceli Ramos [[email protected]]
Sent: Monday, October 31, 2005 12:38 PM
To: Balla, Tonya
Subject: NITRIC ACID, 50-70%.htm
JVISDS Number: N3660 * * * * * Effective Date: 05/06/05 * * * * * Supercedes: 07/02/02
NITRIC ACID, 50-70%
1. Product Identification
Synonyms: Aqua Fortis; Azotic Acid; Nitric Acid 50%; Nitric Acid 65%; nitric acid 69-70% CAS No.: 7697-37-2 Molecular Weight: 63.01 Chemical Formula: HN03 Product Codes: J.T. Baker: 411D, 412D, 5371, 5796, 5801, 5826, 5856, 5876, 5896, 9597, 9598, 9600, 9601, 9602, 9603, 9604, 9606, 9607, 9608, 9610, 9616, 9617, 9670 Mallinckrodt: 1409, 2704,2716, 6623, H862, H988, H993, H998, V077, V633, V650
2. Composition/Information on Ingredients
Ingredient
Nitric Acid Water
CAS No
7697-37-2 7732-18-5
Percent
50 - 70% 30 - 50%
Hazardous
Yes No
10/31/2005
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Message , • Page 2 of 8
3. Hazards Identification
Emergency Overview
POISON! DANGER! STRONG OXIDIZER. CONTACT WITH OTHER MATERIAL MAY CAUSE FIRE. CORROSIVE. LIQUID AND MIST CAUSE SEVERE BURNS TO ALL BODY TISSUE. MAY BE FATAL IF SWALLOWED OR INHALED. INHALATION MAY CAUSE LUNG AND TOOTH DAMAGE.
SAF-T-DATA^**"^ Ratings (Provided here for your convenience)
Health Rating: 4 - Extreme (Poison) Flammability Rating: 0 - None Reactivity Rating: 3 - Severe (Oxidizer) Contact Rating: 4 - Extreme (Corrosive) Lab Protective Equip: GOGGLES «& SHIELD; LAB COAT & APRON; VENT HOOD; PROPER GLOVES Storage Color Code: White (Corrosive)
Potential Health Effects
Nitric acid is extremely hazardous; it is corrosive, reactive, an oxidizer, and a poison.
Inhalation: Corrosive! Inhalation of vapors can cause breathing difficulties and lead to pneumonia and pulmonary edema, which may be fatal. Other symptoms may include coughing, choking, and irritation ofthe nose, throat, and respiratory tract. Ingestion: Corrosive! Swallowing nitric acid can cause immediate pain and bums ofthe mouth, throat, esophagus and gastrointestinal tract. Skin Contact: Corrosive! Can cause redness, pain, and severe skin bums. Concentrated solutions cause deep ulcers and stain skin a yellow or yellow-brown color. Eye Contact: Corrosive! Vapors are irritating and may cause damage to the eyes. Contact may cause severe bums and permanent eye damage. Chronic Exposure: Long-term exposure to concentrated vapors may cause erosion of teeth and lung damage. Long-term exposures seldom occur due to the corrosive properties ofthe acid. Aggravation of Pre-existing Conditions: Persons with pre-existing skin disorders, eye disease, or cardiopulmonary diseases may be more susceptible to the effects of this substance.
4. First Aid Measures
Inunediate first aid treatment reduces the health effects of this substance.
10/31/2005
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Message • • Page 3 of 8
Inhalation: Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Call a physician. Ingestion: DO NOT INDUCE VOMITENfG! Give large quantities of water or milk if available. Never give anything by mouth to an imconscious person. Get medical attention immediately. Skin Contact: In case of contact, immediately flush skin with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. Wash clothing before reuse. Thoroughly clean shoes before reuse. Get medical attention immediately. Eye Contact: Immediately flush eyes with plenty of water for at least 15 minutes, lifting lower and upper eyelids occasionally. Get medical attention immediately.
5. Fire Fighting Measures
Fire: Not combustible, but substance is a strong oxidizer and its heat of reaction with reducing agents or combustibles may cause ignition. Can react with metals to release flammable hydrogen gas. Explosion: Reacts explosively with combustible organic or readily oxidizable materials such as: alcohols, turpentine, charcoal, organic refuse, metal powder, hydrogen sulfide, etc. Reacts with most metals to release hydrogen gas which can form explosive mixtures with air. Fire Extinguishing Media: Water spray may be used to keep fire exposed containers cool. Do not get water inside container. Special Information: Increases the flammability of combustible, organic and readily oxidizable materials. In the event of a fire, wear full protective clothing and NIOSH-approved self-contained breathing apparatus with full facepiece operated in the pressure demand or other positive pressure mode.
6. Accidental Release Measures
Ventilate area of leak or spill. Wear appropriate personal protective equipment as specified in Section 8. Isolate hazard area. Keep unnecessary and improtected persoimel from entering. Contain and recover liquid when possible. Neutralize with alkaline material (soda ash, lime), then absorb with an inert material (e. g., vermiculite, dry sand, earth), and place in a chemical waste container. Do not use combustible materials, such as saw dust. Do not flush to sewer! US Regulations (CERCLA) require reporting spills and releases to soil, water and air in excess of reportable quantities. The toll free number for the US Coast Guard National Response Center is (800) 424-8802.
J. T. Baker NEUTRASORB® or TEAM® 'Low Na+' acid neutralizers are recommended
10/31/2005
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Message Page 4 of 8
for spills of this product.
7. Handling and Storage
Store in a cool, dry, ventilated storage area with acid resistant floors and good drainage. Protect from physical damage. Keep out of direct simlight and away from heat, water, and incompatible materials. Do not wash out container and use it for other piuposes. When diluting, the acid should always be added slowly to water and in small amounts. Never use hot water and never add water to the acid. Water added to acid can cause tmconfrolled boiling and splashing. Containers of this material may be hazardous when empty since they retain product residues (vapors, Uquid); observe all warnings and precautions listed for the product.
8. Exposure Controls/Personal Protection
Airborne Exposure Limits: -OSHA Permissible Exposure Limit (PEL): 2 ppm (TWA), 4 ppm (STEL) -ACGIH Threshold Limit Value (TLV): 2 ppm (TWA); 4 ppm (STEL)
Ventilation System: A system of local and/or general exhaust is recommended to keep employee exposures below the Airbome Exposiu-e Limits. Local exhaust ventilation is generally preferred because it can control the emissions ofthe contaminant at its source, preventing dispersion of it into the general work area. Please refer to the ACGIH document, Industrial Ventilation, A Manual of Recommended Practices, most recent edition, for details. Personal Respirators (NIOSH Approved): Ifthe exposure limit is exceeded, wear a supplied air, full-facepiece respirator, airlined hood, or flill-facepiece self-contained breathing apparatus. Nitric acid is an oxidizer and should not come in contact with cartridges and canisters that contain oxidizable materials, such as activated charcoal. Canister-type respirators using sorbents are ineffective. Skin Protection: Wear impervious protective clothing, including boots, gloves, lab coat, apron or coveralls, as appropriate, to prevent skin contact. Eye Protection: Use chemical safety goggles and/or a full face shield where splashing is possible. Maintain eye wash fountain and quick-drench facilities in work area.
9. Physical and Chemical Properties
Appearance: Colorless to yellowish liquid.
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Message Page 5 of 8
Odor; Suffocating, acrid. Solubility: Infinitely soluble. Specific Gravity: 1.41 pH: 1.0 (O.IM solution) % Volatiles by volume (^ 21C (70F): 100 (as water and acid) Boiling Point: 122C (252F) Melting Point: -42C (-44F) Vapor Density (Air=l): 2-3 Vapor Pressure (mm Hg): 48 @ 20C (68F) Evaporation Rate (BuAc=l): No information found.
10. stability and Reactivity
stability: Stable under ordinary conditions of use and storage. Containers may biu-st when heated. Hazardous Decomposition Products: When heated to decomposition, emits toxic nitrogen oxides fumes and hydrogen nitrate. Will react with water or steam to produce heat and toxic and corrosive fumes. Hazardous Polymerization: Will not occur. Incompatibilities: A dangerously powerful oxidizing agent, concentrated nitric acid is incompatible with most substances, especially strong bases, metallic powders, carbides, hydrogen sulfide, turpentine, and combustible organics. Conditions to Avoid: Light and heat.
11. Toxicological Information
Nitric acid: Inhalation rat LC50: 244 ppm (NO2)/30M; Investigated as a mutagen, reproductive effector. Oral (human) LDLo: 430 mg/kg.
\Cancer Lists\ . -r-NTP Carcinogen
Ingredient • Known Anticipated lARC Category.
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Message Page 6 of 8
Nitric Acid (7697-37-2) Water (7732-18-5)
No No
No No
None None
12. Ecological Information
Environmental Fate: No information found. Environmental Toxicity: No information found.
13. Disposal Considerations
Whatever carmot be saved for recovery or recycling should be managed in an appropriate and approved waste facility. Although not a listed RCRA hazardous waste, this material may exhibit one or more characteristics of a hazardous waste and require appropriate analysis to determine specific disposal requirements. Processing, use or contamination of this product may change the waste management options. State and local disposal regulations may differ from federal disposal regulations. Dispose of container and unused contents in accordance with federal, state and local requirements.
14. Transport Information
Domestic (Land, D.O.T.)
Proper Shipping Name: NITRIC ACID (WITH NOT MORE THAN 70% NITRIC ACID)
Hazard Class: 8 UN/NA:UN2031 Packing Group: II Information reported for product/size: 6.5GL
International (Water, I.M.O.)
Proper Shipping Name: NITRIC ACID Hazard Class: 8 UN/NA:UN2031 Packing Group: II Information reported for product/size: 6.5GL
15. Regulatory Information
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Message Page 7 of8
_• \Chemical- Invent:.ory Status _-. Part 1\-Ingredient TSCA EC Japan Australia
Nitric Acid (7697-37-2) Water (7732-18-5)
Ingredient
-\Chemical Inventory Status - Part 2\-
Yes Yes Yes Yes Yes Yes Yes Yes
--Canada--Korea DSL NDSL Phil.
Nitric Acid (7697-37-2) Water (7732-18-5)
Yes Yes No Yes Yes No
Yes Yes
\Federal, State & International Regulations - Part l\ -SARA 302- SARA 313
Ingredient RQ TPQ List Chemical Catg.
Nitric Acid (7697-37-2) Water (7732-18-5)
1000 1000 No No
Yes No
No No
\Federal, State & International Regulations - Part 2\ -RCRA- -TSCA-
Ingredient CERCLA 261.33 8(d)
Nitric Acid (7697-37-2) Water (7732-18-5)
1000 No
No No
No No
Chemical Weapons C o n v e n t i o n : No TSCA 1 2 ( b ) : No CDTA: No SARA 3 1 1 / 3 1 2 : A c u t e : Yes C h r o n i c : Yes F i r e : Yes P r e s s u r e : No R e a c t i v i t y : No (Mix tu re / L i q u i d )
Australian Hazchem Code: 2PE Poison Schedule: S6 WHMIS: This MSDS has been prepared according to the hazard criteria ofthe Confrolled Products Regulations (CPR) and the MSDS contains all ofthe information required by the CPR.
16. Other Information
NFPA Ratings: Health: 3 Flammability: 0 Reactivity: 0 Other: Oxidizer Label Hazard Warning: POISON! DANGER! STRONG OXIDIZER. CONTACT WITH OTHER MATERIAL MAY CAUSE FIRE. CORROSIVE. LIQUID AND MIST CAUSE SEVERE BURNS TO ALL BODY TISSUE. MAY BE FATAL IF SWALLOWED OR INHALED. INHALATION MAY CAUSE LUNG AND TOOTH DAMAGE. Label Precautions: Do not get in eyes, on skin, or on clothing. Do not breathe vapor or mist. • • Use only with adequate ventilation. • • Wash thoroughly after handUng. •••
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Message ,' . . . Page 8 of 8
Keep from contact with clothing and other combustible materials. Do not store near combustible materials. Store in a tightly closed container. Remove and wash contaminated clothing promptly. Label First Aid: In case of contact, immediately flush eyes or skin with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. Wash clothing before reuse. If swallowed, DO NOT INDUCE VOMITING. Give large quantities of water. Never give anything by mouth to an unconscious person. If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. In all cases get medical attention immediately. Product Use: Laboratory Reagent. Revision Information: No Changes. Disclaimer:
Mallinckrodt Baker, Inc. provides the information contained herein in good faith but makes no representation as to its comprehensiveness or accuracy. This document is intended only as a guide to the appropriate precautionary handling of the material by a properly trained person using this product. Individuals receiving the information must exercise their independent judgment in determining its appropriateness for a particular purpose. MALLINCKRODT BAKER, INC. MAKES NO REPRESENTATIONS OR WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE INFORMATION SET FORTH HEREIN OR THE PRODUCT TO WHICH THE INFORMATION REFERS. ACCORDINGLY, MALLINCKRODT BAKER, INC. WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM USE OF OR RELIANCE UPON THIS INFORMATION.
Prepared by: Environmental Health & Safety Phone Number: (314) 654-1600 (U.S.A.)
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Message . Page 1 of 8
Balla, Tonya
From: Araceli Ramos [[email protected]]
Sent: Monday, October 31, 2005 12:38 PM
To: Balla, Tonya
Subject: HYDROCHLORIC ACID, 33 -40%.htm
MSDS Number: H3880 * * * * * Effective Date: 09/24/04 * * * * * Supercedes: 05/07/03
a
HYDROCHLORIC ACID, 33 - 40%
1. Product Identification
Synonyms: Muriatic acid; hydrogen chloride, aqueous CAS No.: 7647-01-0 Molecular Weight: 36,46 Chemical Formula: HCl Product Codes: J.T. Baker: 5367, 5537, 5575, 5800, 5814, 5821, 5839, 5861, 5862, 5894, 5962, 5972, 5994, 6900, 7831, 9529, 9530, 9534, 9535, 9536, 9537, 9538, 9539, 9540, 9544, 9548 Mallinckrodt: 2062, 2515, 2612, 2624, 2626, 3861, 5583, 5587, H611, H613, H987, H992, H999, V078, V628
2. Composition/Information on Ingredients
Ingredient
Hydrogen Chloride Water
CAS No
7647-01-0 7732-18-5
Percent
33 - 40% 60 - 67%
Ha zardous
Yes No
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Message .. Page 2 of 8
3. Hazards Identification
Emergency Overview
POISON! DANGER! CORROSIVE. LIQUID AND MIST CAUSE SEVERE BURNS TO ALL BODY TISSUE. MAY BE FATAL IF SWALLOWED OR INHALED. INHALATION MAY CAUSE LUNG DAMAGE.
SAF-T-DATA^*™^ Ratings (Provided here for your convenience)
Health Rating: 3 - Severe (Poison) Flammability Rating: 0 - None Reactivity Rating: 2 - Moderate Contact Rating: 4 - Exfreme (Corrosive) Lab Protective Equip: GOGGLES & SHIELD; LAB COAT & APRON; VENT HOOD; PROPER GLOVES Storage Color Code: White (Corrosive)
Potential Health Effects
Inhalation: Corrosive! Inhalation of vapors can cause coughing, choking, inflammation ofthe nose, throat, and upper respiratory fract, and in severe cases, pulmonary edema, circulatory failure, and death. Ingestion: Corrosive! Swallowing hydrochloric acid can cause immediate pain and bums ofthe mouth, throat, esophagus and gastrointestinal tract. May cause nausea, vomiting, and diarrhea. Swallowing may be fatal. Skin Contact: Corrosive! Can cause redness, pain, and severe skin bums. Concentrated solutions cause deep ulcers and discolor skin. Eye Contact: Corrosive! Vapors are irritating and may cause damage to the eyes. Contact may cause severe bums and permanent eye damage. Chronic Exposure: Long-term exposure to concentrated vapors may cause erosion of teeth. Long term exposures seldom occur due to the corrosive properties ofthe acid. Aggravation of Pre-existing Conditions: Persons with pre-existing skin disorders or eye disease may be more susceptible to the effects of this substance.
4. First Aid Measures
Inhalation: Remove to fresh air. If not breathing, give artificial respiration; If breathing is difficuh, give oxygen. Get medical attention immediately. . • ;. ...
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Message Page 3 of 8.
Ingestion: DO NOT INDUCE VOMITING! Give large quantities of water or milk if available. Never give anything by mouth to an unconscious person. Get medical attention immediately. Skin Contact: In case of contact, immediately flush skin with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. Wash clothing before reuse. Thoroughly clean shoes before reuse. Get medical attention immediately. Eye Contact: Immediately flush eyes with plenty of water for at least 15 minutes, hfting lower and upper eyelids occasionally. Get medical attention immediately.
5. Fire Fighting Measures
Fire: Extreme heat or contact with metals can release flammable hydrogen gas. Explosion: Not considered to be an explosion hazard. Fire Extinguishing Media: If involved in a fire, use water spray. Neutralize with soda ash or slaked lime. Special Information: In the event of a fire, wear full protective clothing and NIOSH-approved self-contained breathing apparatus with full facepiece operated in the pressure demand or other positive pressure mode. Stmctural firefighter's protective clothing is ineffective for fires involving hydrochloric acid. Stay away from ends of tanks. Cool tanks with water spray until well after fire is out.
6. Accidental Release Measures
Ventilate area of leak or spill. Wear appropriate personal protective equipment as specified in Section 8. Isolate hazard area. Keep unnecessary and unprotected persoimel from entering. Contain and recover liquid when possible. Neufralize with alkaline material (soda ash, lime), then absorb with an inert material (e. g., vermiculite, dry sand, earth), and place in a chemical waste container. Do not use combustible materials, such as saw dust. Do not flush to sewer! US Regulations (CERCLA) require reporting spills and releases to soil, water and air in excess of reportable quantities. The toll free number for the US Coast Guard National Response Center is (800) 424-8802.
J. T. Baker NEUTRASORB® or TEAM® 'Low Na+' acid neutralizers are recommended for spills of this product.
7. Handling and Storage
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Message Page 4 of 8
Store in a cool, dry, ventilated storage area with acid resistant floors and good drainage. Protect from physical damage. Keep out of direct sunlight and away from heat, water, and incompatible materials. Do not wash out container and use it for other purposes. When diluting, the acid should always be added slowly to water and in small amounts. Never use hot water and never add water to the acid. Water added to acid can cause unconfrolled boiling and splashing. When opening metal containers, use non-sparking tools because of the possibility of hydrogen gas being present. Containers of this material may be hazardous when empty since they retain product residues (vapors, liquid); observe all wamings and precautions Usted for the product.
8. Exposure Controls/Personal Protection
Airborne Exposure Limits: For Hydrochloric acid: - OSHA Permissible Exposure Limit (PEL): 5 ppm (Ceiling) - ACGIH Threshold Limit Value (TLV): 2 ppm (Ceiling), A4 Not classifiable as a human carcinogen Ventilation System: A system of local and/or general exhaust is recommended to keep employee exposures below the Airbome Exposure Limits. Local exhaust ventilation is generally preferred because it can control the emissions ofthe contaminant at its source, preventing dispersion of it into the general work area. Please refer to the ACGIH document, Industrial Ventilation, A Manual of Recommended Practices, most recent edition, for details. Personal Respirators (NIOSH Approved): Ifthe exposure limit is exceeded, a full facepiece respirator with an acid gas cartridge may be wom up to 50 times the exposure limit or the maximum use concentration specified by the appropriate regulatory agency or respirator supplier, whichever is lowest. For emergencies or instances where the exposure levels are not known, use a full-facepiece positive-pressure, air-supplied respirator. WARNING: Air purifying respirators do not protect workers in oxygen-deficient atmospheres. Skin Protection: Rubber or neoprene gloves and additional protection including impervious boots, apron, or coveralls, as needed in areas of unusual exposure to prevent skin contact. Eye Protection: Use chemical safety goggles and/or a full face shield where splashing is possible. Maintain eye wash fountain and quick-drench facilities in work area.
9. Physical and Chemical Properties
Appearance: Colorless, fuming liquid. Odor: Pungent odor of hydrogen chloride. Solubility: Infinite in water with slight evolution of heat. • •
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Message Page 5 of 8
Density: r.i8 pH: For HCL solutions: 0.1(1.0 N), 1.1 (0,1 N), 2.02 (0.01 N) % Volatiles by volume @ 21C (70F): 100 Boiling Point: 53C (127F) Azeotrope (20.2%) boils at 109C (228F) Melting Point: -74C (-101F) Vapor Density (Air=l): No infonnation found. Vapor Pressure (mm Hg): 190@25C(77F) Evaporation Rate (BuAc=l): No information found.
10. stability and Reactivity
stability: Stable under ordinary conditions of use and storage. Containers may burst when heated. Hazardous Decomposition Products: When heated to decomposition, emits toxic hydrogen chloride fumes and will react with water or steam to produce heat and toxic and corrosive fumes. Thermal oxidative decomposition produces toxic chlorine fumes and explosive hydrogen gas. Hazardous Polymerization: Will not occur. Incompatibilities: A sfrong mineral acid, concenfrated hydrochloric acid is incompatible with many substances and highly reactive with sfrong bases, metals, metal oxides, hydroxides, amines, carbonates and other alkaline materials. Incompatible with materials such as cyanides, sulfides, sulfites, and formaldehyde. Conditions to Avoid: Heat, direct sunlight.
11. Toxicological Information
Inhalation rat LC50: 3124 ppm/lH; oral rabbit LD50: 900 mg/kg (Hydrochloric acid concentrated); investigated as a tumorigen, mutagen, reproductive effector.
\Cancer Lists\ NTP Carcinogen
Ingredient ... . ' Known Anticipated- lARC Category
Hydrogen Chloride (7647-01,-0) '_ '..'._ No No '' '>'' •'3-• Water (7732-18-5) . " '' No No None
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Message Page 6 of 8
12. Ecological Information
Environmental Fate: When released into the soil, this material is not expected to biodegrade. When released into the soil, this material may leach into groundwater. Environmental Toxicity: This material is expected to be toxic to aquatic life.
13. Disposal Considerations
Whatever cannot be saved for recovery or recycling should be handled as hazardous waste and sent to a RCRA approved waste facility. Processing, use or contamination of this product may change the waste management options. State and local disposal regulations may differ from federal disposal regulations. Dispose of container and unused contents in accordance with federal, state and local requirements.
14. Transport Information
Domestic (Land, D.O.T.)
Proper Shipping Name: HYDROCHLORIC ACID Hazard Class: 8 UN/NA: UNI 789 Packing Group: II Information reported for product/size: 475LB
International (Water, I.M.O.)
Proper Shipping Name: HYDROCHLORIC ACID Hazard Class: 8 UN/NA: UNI789 Packing Group: II Information reported for product/size: 475LB
15. Regulatory Information
Risk and Safety Phrases: Symbol: C. Risk: 34-37 " . • • Safety: (l/2-)26-45
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Message Page 7 of 8
._.__\Chemical Inventory Status - Part 1\ . -7-•Iiigredienjt " TSCA EC Japan Australia
Hydrogen Chloride (7647-01-0) Yes Yes Yes Yes Water (7732-18-5) Yes Yes Yes Yes
\Chemical Inventory Status - Part 2\ --Canada--
Ingredient Korea DSL NDSL Phil.
Hydrogen Chloride (7647-01-0) Yes Yes No Yes Water (7732-18-5) Yes Yes No Yes
\Federal, State & International Regulations - Part 1\ -SARA 302- SARA 313
Ingredient RQ TPQ List Chemical Catg.
Hydrogen Chloride (7647-01-0) 5000 500* Yes No Water (7732-18-5) No No No No
\Federal, State & International Regulations - Part 2\ -RCRA- -TSCA-
Ingredient CERCLA 261.33 8(d)
Hydrogen Chloride (7647-01-0) 5000 No No Water (7732-18-5) No No No
Chemical Weapons Convention: No TSCA 12(b): No CDTA: Yes SARA 311/312: Acute: Yes Chronic: Yes Fire: No Pressure: No Reactivity: No (Mixture / Liquid)
Australian Hazchem Code: 2R Poison Schedule: None allocated. WHMIS: This MSDS has been prepared according to the hazard criteria ofthe Confrolled Products Regulations (CPR) and the MSDS contains all ofthe information required by the CPR.
16. Other Information
NFPA Ratings: Health: 3 Flammability: 0 Reactivity: 0 Label Hazard Warning: POISON! DANGER! CORROSIVE. LIQUID AND MIST CAUSE SEVERE BURNS TO ALL BODY TISSUE. MAY BE FATAL IF SWALLOWED OR INHALED. INHALATION MAY CAUSE LUNG DAMAGE. Label Precautions: Do not get in eyes, on skin, or on clothing. Do not breathe vapor or mist. Use only with adequate ventilation. Wash t"horoughly after handling. Store in a tightly closed container.
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Message Page 8 of 8
Remove and wash contaminated clothing promptly. - ^ Label First Aid: In case of contact, immediately flush eyes or skin with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. Wash clothing before reuse. If swallowed, DO NOT INDUCE VOMITfl JG. Give large quantities of water. Never give anything by mouth to an unconscious person. If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. In all cases get medical attention immediately. Product Use: Laboratory Reagent. Revision Information: MSDS Section(s) changed since last revision of document include: 3. Disclaimer:
Mallinckrodt Baker, Inc. provides the information contained herein in good faith but makes no representation as to its comprehensiveness or accuracy. This document is intended only as a guide to the appropriate precautionary handling of the material by a properly trained person using this product. Individuals receiving the information must exercise their independent judgment in determining its appropriateness for a particular purpose. MALLINCKRODT BAKER, INC. MAKES NO REPRESENTATIONS OR WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION ANY WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO THE INFORMATION SET FORTH HEREIN OR THE PRODUCT TO WHICH THE INFORMATION REFERS. ACCORDINGLY, MALLINCKRODT BAKER, INC. WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM USE OF OR RELIANCE UPON THIS INFORMATION.
\ Prepared by: Environmental Health & Safety Phone Number: (314) 654-1600 (U.S.A.)
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• AIR LIQUIDE MATERIAL SAFETY
DATA SHEET Prepared to U.S. OSHA. CAM, ANSI and Canadian WHMIS Standards
1. PRODUCT AND COMPANY INFORMATION
CHEMICAL NAME; CLASS: ISOBUTYLENE SYNONYMS: 2-Methylpropane; Isobutylene USP CHEMICAL FAMILY: Alkane (hydrocarbon) FORMULA: C4H8
PRODUCT USE: Document Number: 20103 For fuel and synthetic chemical use; food additive, agricultural uses, aerosol propellent, refrigerant.
MANUFACTURED/SUPPLIED FOR: ADDRESS:
EMERGENCY PHONE:
BUSINESS PHONE:
A i R L iQUIDE
2700 Post Oak Drive Houston, TX 77056-8229
CHEMTREC: 1-800-424-9300
General MSDS Information: 1-713/896-2896 Fax on Demand: 1 -800/231-1366
ISOBUTYLENE - C4H8 MSDS PAGE 1 OF 9
EFFECTIVE DATE: AUGUST 31, 2005
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2. HAZARD IDENTIFICATION
EMERGENCY OVERVIEW;. This product js a colorless, liquefied, flammable gas. The gas has an unpleasant odor similar to burning coal. Both the liquid and gas pose a serious fire hazard when accidentally released. Rapid evaporation of liquid from cylinder may cause frostbite. Flame or high temperature impinging on a localized area of the cylinder of this product can cause the cylinder to burst or rupture without activating the cylinder's relief devices. Isobutylene is an asphyxiant and presents a significant health hazard by displacing the oxygen in the atmosphere. Isobutylene can also be a narcotic at high concentrations. Provide adequate fire protection during emergency response situations.
SYMPTOMS OF OVER-EXPOSURE BY ROUTE OF EXPOSURE: The most significant route of over-exposure for this product is by inhalation.
INHALATION: Isobutylene also has some degree of anesthetic action and can be mildly irritating to the mucous membranes. High concentrations of this gas can cause an oxygen-deficient environment. It should be noted that before suffocation could occur, the lower flammability limit of Isobutylene in air would be exceeded; possibly causing an oxygen-defident and explosive atmosphere. Individuals breathing an oxygen deficient atmosphere may experience symptoms which include headaches, ringing in ears, dizziness, drowsiness, unconsciousness, nausea, vomiting, and depression of all the senses. Under some circumstances of over-exposure, death may occur. The following effects associated with various levels of oxygen are as follows: CONCENTRATION SYMPTOM OF EXPOSURE 12-16% Oxygen: Breathing and pulse rate increased, muscular coordination slightly disturbed. 10-14% Oxygen: Emotional upset, abnormal fatigue, disturbed respiration. 6-10% Oxygen: Nausea and vomiting, collapse or loss of consciousness. Below 6%: Convulsive movements, possible respiratory collapse, and death. OTHER POTENTIAL HEALTH EFFECTS: Contact with liquid or rapidly expanding gases (which are released under high pressure) may cause frostbite. Symptoms of frostbite include change in skin color to white or grayish-yellow. The pain after such contact can quickly subside.
HEALTH EFFECTS OR RISKS FROM EXPOSURE: An Explanation in Lay Terms. Over-exposure to this gas mixture may cause the following health effects:
ACUTE: The most significant hazard associated with this product is inhalation of oxygen-deficient atmospheres. Symptoms of oxygen deficiency include respiratory difficulty, ringing in ears, headaches, shortness of breath, wheezing, headache, dizziness, indigesfion, nausea, and, at high concentrations, unconsciousness or death may occur. The skin of a victim of over-exposure may have a blue color. Contact with liquid or rapidly expanding gases (which are released under high pressure) may cause frostbite. Symptoms of frostbite include change in skin color to white or grayish-yellow. The pain after contact with liquid can quickly subside.
CHRONIC: There are currently no known adverse health efl'ects associated with chronic exposure to the components of this compressed gas. TARGET ORGANS: Respiratory system.
ISOBUTYLENE-G4H8 MSDS EFFECTIVE DATE: AUGUST 31,2005 PAGE 2 OF 9
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3. COMPOSITION and INFORMATION ON INGREDIENTS
CHEMICAL NAME
Isobutylene
CAS#
115-11-7
Maximum Impurities
mole %
>99%
< 1 %
. —^=? ' EXPOSURE LIMITS IN.AIR. • •
ACGIH
TLV
ppm
STEL
ppm
OSHA
PEL
ppm
STEL
ppm
IDLH
Ppm
OTHER
ppm
There are no specific exposure limits for Isobutylene. Isobutylene is a simple asptiyxiant (SA). Oxygen levels stiould be maintained above 19.5%.
None of the trace impurities in tfiis product contribute significantly to the tiazards associated with the product. All hazard information pertinent to this product has been provided in tfils Material Safety Data Sheet, per the requirements of the OSHA Hazard Communication Standard (29 CFR 1910.1200) and State equivalents standards.
i — ^ . TT ^ ^ T ^ '
This material is classified as hazardous under OSHA regulations in the United States and the WHMIS in Canada.
NE = Not Established C = Ceiling Limit
NOTE: all W/HMIS required information Is included. It is located in appropriate sections based on the ANSI Z400.1-2004 format.
4. FIRST-AID MEASURES RESCUERS SHOULD NOT ATTEMPT TO RETRIEVE VICTIMS OF EXPOSURE TO THIS PRODUCT WITHOUT ADEQUATE PERSONAL PROTECTIVE EQUIPMENT. At a minimum, Self-Contalned Breathing Apparatus and Fire-Retardant Personal Protective equipment should be worn . Adequate f ire protection must be provided during rescue situations. Remove victim(s) to fresh air, as quickly as possible. Trained personnel should administer supplemental oxygen and/or cardio-pulmonary resuscitation, if necessary. Only trained personnel should administer supplemental oxygen.
SKIN EXPOSURE: Exposure to the liquefied gas can cause fl-ostbite. Remove any clothing that may restrict circulation to any frozen area. Do not rub frozen parts as tissue damage may occur. As soon as practicable, place any affected area in warm water bath which has a temperature that does not exceed 105°F (40°C). NEVER USE HOT WATER. NEVER USE DRY HEAT. If area of frostbite is extensive, and if possible, remove clothing while showering with warm water. If warm water is not available, or is impractical to use, wrap the affected parts gently in blankets. Alternatively, if the fingers or hands are frostbitten, place the affected area of the body in the armpit. Encourage victim to gently exercise the affected part while being warmed. Seek immediate medical attention.
Frozen tissue is painless and appears waxy, with a possible yellow color. Frozen tissue will become swollen, painful and prone to infection when thawed. If the ft-ozen part of the body has been thawed by the time medical attention has been obtained, cover the area with a dry sterile dressing and a large bulky protective covering.
EYE EXPOSURE: If liquid is splashed into eyes, or if irritation of the eye develops after exposure to liquid or gas, open victim's eyes while under gentle running water. Use sufficient force to open eyelids. Have victim "roll" eyes. Minimum flushing is for 15 minutes. Seek medical assistance immediately, preferably an ophthalmologist.
Victim(s) must be taken for medical attention. Rescuers should be taken for medical attention, if necessary. Take copy of label and MSDS to physician or other health professional with victim(s).
5. FIRE-FIGHTING MEASURES FLASH POINT: -10°C (< 14°F)
AUTOIGNITION TEMPEFIATURE: 465°C (869°F)
FLAMMABLE LIMITS (in air by volume, %): Lower (LELV. 1.8% Upper (UELV. 9.6%
FIRE EXTINGUISHING MATERIALS: Extinguish Isobutylene fires by shutting-off the source of the gas. Use water spray to cool fire-exposed containers, structures, and equipment.
UNUSUAL FIRE AND EXPLOSION HAZARDS: When involved in a fire, this material may decompose and produce toxic gases including carbon monoxide and carbon dioxide.
ISOBUTYLENE - C4H8 MSDS PAGE 3 OF 9
EFFECTIVE DATE: AUGUST 31,2005
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5. FIRE-FIGHTING MEASURES (Continued) DANGER! Fires impinging (direct flame) on the outside surface bf unprotected cylinders of this product can be very dangerous. Exposure to fire'could cause a catastrophic failure of the cylinder releasing the contents into a fireball and explosion of released gas! The. resulting fire and explosion can result in severe equipment damage and personnel injury or death over a large area around the cylinder. For massive fires in large areas, use unmanned hose holder or monitor nozzles; if this is not possible, withdraw from area and allow fire to burn.
Explosion Sensitivity to Mechanical Impact: Not sensitive. Explosion Sensitivity to Static Discharge: Static discharge may cause this product to ignite explosively, if released.
SPECIAL FIRE-FIGHTING PROCEDURES: Structural fire-fighters must wear Self-Contained Breathing Apparatus and full protective equipment. Because of the potential for a BLEVE, evacuation of non-emergency personnel is essential. If water is not available for cooling or protection of cylinder exposures, evacuate the area. The North American Emergency Response Guidebook (Guide #115) recommends 0.5 miles. Other information for preplanning can be found in the /American Petroleum Institute Publications 2510 and 251 OA.
6. ACCIDENTAL RELEASE MEASURES LEAK RESPONSE: Evacuate immediate area. Uncontrolled releases should be responded to by trained personnel using pre-planned procedures. Proper protective equipment should be used. In case of a gas release, clear the affected area, protect people, and respond with trained personnel.
Eliminate any possible sources of ignition, and provide maximum explosion-proof ventilation. If the gas is leaking from cylinder or valve, contact the supplier. Adequate fire protection must be provided. Use only non-sparking tools and equipment during the response.
Minimum Personal Protective Equipment should be Level B: fire-retardant protective clothing, gloves and Self-Contained Breathing Apparatus. Use only non-sparking tools and equipment. Locate and seal the source of the leaking gas. Protect personnel attempting the shut-off with water-spray. Allow the gas to dissipate. Combustible gas concentration must be below 10% of the LEL (1.8%) prior to entry. Monitor the surrounding area for combustible gas levels and oxygen level. The atmosphere must have at least 19.5 percent oxygen before personnel can be allowed in the area without Self-Contained Breathing Apparatus. Attempt to close the main source valve prior to entering the area. If this does not stop the release (or if it is not possible to reach the valve), allow the gas to release in-place or remove it to a safe area and allow the gas to be released there.
THIS IS AN EXTREMELY FLAMMABLE GAS. Protection of all personnel and the area must be maintained.
7. HANDLING AND STORAGE WORK PRACTICES AND HYGIENE PRACTICES: Be aware of any signs of dizziness or fatigue; exposures to fatal concentrations of this product could occur without any significant warning symptoms. Non-sparking tools should be used.
STORAGE AND HANDLING PRACTICES: Specific requirements are listed in NFPA 58. Cylinders should be stored upright (with valve-protection cap in place) and firmly secured to prevent falling or being knocked over. Cylinders can be stored in the open, but in such cases, should be protected against extremes of weather and from the dampness of the ground to prevent rusting. Cylinders should be stored in dry, well-ventilated areas away from sources of heat, ignifion and direct sunlight. Keep storage area clear of materials which can burn. Do not allow area where cylinders are stored to exceed 52 °C (125 °F). Store containers away from heavily trafficked areas and emergency exits. Store away from process and production areas, away from elevators, building and room exits or main aisles leading to exits. Protect cylinders against physical damage.
Cylinders should be separated from oxygen cylinders, or other oxidizers, by a minimum distance of 20 ft., or by a barrier of non-combusfible material at least 5 ft. high, having a fire-resistance rating of at least 0.5 hours. Isolate from other incompatible chemicals (refer to Section 10, Stability and Reactivity).
Storage areas must meet national electrical codes for Class 1 Hazardous Areas. Post "No Smoking or Open Flames" signs in storage or use areas. Consider installation of leak detection and alarm for storage and use areas. Have appropriate extinguishing equipment in the storage area (i.e. sprinkler system, portable fire extinguishers).
Keep the smallest amount on-site as is necessary. Full and empty cylinders should be segregated. Use a first-in, first-out inventory system to prevent full containers from being stored for long periods of time.
Use non-sparking ventilation systems, approved explosion-proof equipment, and appropriate electrical systems. Electrical equipment used in gas-handling operations, or located in storage areas, should be non-sparking or explosion proof. Use a check valve, in the discharge line to prevent hazardous backflow. Never tamper with pressure relief devices in valves and cylinders.
ISOBUTYLENE - C4H8 MSDS ' EFFECTIVE DATE: AUGUST 31,2005 PAGE 4 OF 9
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7. HANDLING AND STORAGE (Continued) SPECIAL PRECAUTIONS FOR HANDLING GAS CYLINDERS: Compressed gases can present significant safety-hazards. The following rules are applipable to work situations in which cylinders are being used:. "'
Before Use: Move cylinders with a suitable hand-truck. Do not drag, slide or roll cylinders. Do not drop cylinders or permit them to strike each other. Secure cylinders firmly. Leave the valve protection cap (where provided) in-place until cylinder is ready for use.
During Use: Use designated CGA fittings and other support equipment. Do not use adapters. Use piping and equipment adequately designed to withstand pressures to be encountered. Do not heat cylinder by any means to increase the discharge rate of the product from the cylinder. Do not use oils or grease on gas-handling fittings or equipment. Do not "crack" valve open before connecting it, since self-ignition may occur. Leak check system with leak detection solution, never with flame. Immediately contact the supplier if there are any difficulties associated with operating cylinder valve. Never insert an object (e.g. wrench, screwdriver, pry bar, etc.) into valve cap openings. Doing so may damage valve, casing a leak to occur. Use an adjustable strap wrench to remove over-fight or rusted caps. Never strike an arc on a compressed gas cylinder or make a cylinder part of an electric circuit.
After Use: Close main cylinder valve. Valves should be closed tightly. Replace valve protection cap. Mark empty cylinders "EMPTY".
NOTE: Use only DOT or ASME code containers designed for flammable gas storage. Earth-ground and bond all lines and equipment associated with this product. Close valve after each use and when empty. STANDARD VALVE CONNECTIONS FOR U.S. AND CANADA: Use the proper connections, DO NOT USE ADAPTERS;
THREADED: 0-500 PSIG -CGA510 PIN-INDEXED YOKE: Not Applicable. ULTRA HIGH INTEGRITY: Not Applicable.
PROTECTIVE PRACTICES DURING MAINTENANCE OF CONTAMINATED EQUIPMENT: Follow practices indicated in Section 6 (Accidental Release Measures). Make certain application equipment is locked and tagged-out safely. Purge gas handling equipment with inert gas (i.e. nitrogen) before attempting repairs. Always use product in areas where adequate ventilation is provided.
8. EXPOSURE CONTROLS - PERSONAL PROTECTION VENTILATION AND ENGINEERING CONTROLS: Use with adequate ventilation. Provide natural or explosion-proof ventilation adequate to ensure Isobutylene does not reach its lower flammability limit of 1.8%. Local exhaust ventilation is preferred, because it prevents gas dispersion into the work place by eliminating it at its source. If appropriate, install automatic monitoring equipment to detect the level of flammable gas.
RESPIRATORY PROTECTION: Maintain oxygen levels above 19.5% in the workplace. Use supplied air respiratory protection if oxygen levels are below 19.5% (air-purifying respirators will not function) or during emergency response to a release of this product. During an emergency situation, before entering the area, check for flammable gas level as well as oxygen-deficient atmospheres. If respiratory protection is required, follow the requirements of the Federal OSHA Respiratory Protection Standard (29 CFR 1910.134), or equivalent State standards.
EYE PROTECTION: Safety glasses.
HAND PROTECTION: Wear leather gloves when handling cylinders of this product. Otherwise, wear glove protection appropriate to the specific operation for which tiiis product is used. Use low-temperature protective gloves when working with containers of Liquid Isobutylene.
BODY PROTECTION: Use body protection appropriate for task. Cotton clothing is recommended for use to prevent static electric build-up. Safety shoes are recommended when handling cylinders. Transfer of large quantities under pressure may require use of fire retardant clothing.
ISOBUTYLENE - C4H8 MSDS EFFECTIVE DATE: AUGUST 31, 2005 PAGE 5 OF 9
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9. PHYSICAL and CHEMICAL PROPERTIES
GAS DENSITY @ 21.rC (TOT) and t atm: Q. 1.4957 Ib/ft (2.3959 kglnf) . . . . ; , . BOILING POlNt: -6.9°C(19.6°F) ' , . . •-." '
FREEZING/MELTING POINT @ 10 psig: -140°C (-220.6°F) SPECIFIC GRAVITY (air = 1)@ 21.rC(70°F): 1.997 pH: Not applicable. SOLUBILITY IN WATER vol/vol(g37.8°C (100°F): Insoluble. MOLECULAR WEIGHT: 56.108 EVAPOI?ATION RATE (nBuAc = 1): Not applicable. EXPANSION RATIO: Not applicable. ODOR THRESHOLD: Not detemnined. SPECIFIC VOLUME (ft'/lb): 6.54 VAPOR PRESSURE @ 21.rC (70T) psig: 23.85 COEFFICIENT WATER/OIL DISTRIBUTION: Not applicable. APPEARANCE AND COLOR: Colorless gas which is shipped as a liquefied gas under its own vapor pressure. The gas has an unpleasant odor similar to buming coal.
HOW TO DETECT THIS SUBSTANCE (warning properties): The unpleasant odor may be a waming property. In terms of leak detection, fittings and joints can be painted with a soap solution to detect leaks, which will be indicated by a bubble formation.
10. STABILITY and REACTIVITY STABILITY: Stable.
DECOMPOSITION PRODUCTS: : When ignited in the presence of oxygen, this gas will burn to produce carbon monoxide, carbon dioxide.
MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Strong oxidizers (i.e. chlorine, bromine pentafluoride, oxygen, oxygen difluoride, and nitrogen trifluoride).
HAZARDOUS POLYMERIZATION: Will not occur.
CONDITIONS TO AVOID: Contact with incompatible materials and exposure to heat, sparks and other sources of ignition. Cylinders exposed to high temperatures or direct flame can rupture or burst.
11. TOXICOLOGICAL INFORMATION TOXICITY DATA: The following toxicity data are applicable for pure Isobutylene. LC50 (inhalation, rat) = 620,000 mg/kg/4 hours LC50 (inhalation, mouse) = 415,000 mg/kg
SUSPECTED CANCER AGENT: Isobutylene is not found on the following lists: FEDERAL OSHA Z LIST, NTP, lARC, CAL/OSHA; therefore is not considered to be, nor suspected to be a cancer-causing agent by these agencies.
IRRITANCY OF PRODUCT: Isobutylene can cause some irritation to mucus membranes. In addition, contact with rapidly expanding gases can cause frostbite to exposed tissue.
SENSITIZATION TO THE PRODUCT: Isobutylene is not known to cause sensitization in humans.
REPRODUCTIVE TOXICITY INFORMATION: Listed below is information conceming the effects of Isobutylene on the human reproductive system.
Mutagenicity: No mutagenicity effects have been described for Isobutylene gas. Embryotoxcity: No embryotoxic effects have been described for Isobutylene gas. Teratogenicity: No teratogenicity effects have been described for this Isobutylene gas. Reproductive Toxicity: No reproductive toxicity effects have been described for Isobutylene gas.
A mutagen is a chemical which causes permanent changes to genetic material (DMA) such that the changes will propagate through generation lines. An embryotoxin is a chemical which causes damage to a developing embryo (i.e. within the first eight weeks of pregnancy in humans), but the damage does not propagate across generational lines. A teratogen Is a chemical which causes damage to a developing fetus, but the damage does not propagate across generational lines. A reproductive toxin is any substance which interferes in any way with the reproductive process.
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: Acute or chronic respiratory conditions may be aggravated by over-exposure to the components of this product.
ISOBUTYLENE - C4H8 MSDS EFFECTIVE DATE: AUGUST 31,2005 PAGE 6 OF 9
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11. TOXICOLOGICAL INFORMATION (Continued) BIOLOGICAL EXPOSURE INDICES (BEls): Curreritiy, Biological Exposure Indices (BEIs) are not applicable for Isobutylene. - »••
RECOMMENDATIONS TO PHYSICIANS: Administer'oxygen, if tiecessary; treat symptoms; reduce or eliminate exposure.
12. ECOLOGICAL INFORMATION ENVIRONMENTAL STABILITY: This gas will be dissipated rapidly in well-ventilated areas.
EFFECT OF MATERIAL ON PLANTS or ANIMALS: Any adverse effect on animals would be related to oxygen deficient environments. No adverse effect is anticipated to occur to plant-life.
EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence is cun-entiy available on this product's effects on aquatic life.
13. DISPOSAL CONSIDERATIONS PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordance with appropriate Federal, State, and local regulations. Retum cylinders with any residual product to Air Liquide. Do not dispose of locally.
For emergency disposal, secure the cylinder and slowly discharge the gas to ttie atmosphere in a well-ventilated area or outdoors, away from all sources of ignition.
14. TRANSPORTATION INFORMATION THIS MATERIAL IS HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF TRANSPORTATION.
Alternate Description: PROPER SHIPPING NAME: Isobutylene Petroleum gases, liquefied HAZARD CLASS NUMBER and DESCRIPTION: 2.1 (Flammable Gas) 2.1 (Flammable Gas) UN IDENTIFICATION NUMBER: UN 1055 UN 1075 PACKING GROUP: Not applicable. Not applicable. DOT LABEL(S) REQUIRED: Flammable Gas Flammable Gas NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (1996): 115 MARINE POLLUTANT: Isobutylene is not classified by the DOT as Marine Pollutants (as defined by 49 CFR 172.101, Appendix B).
SPECIAL SHIPPING INFORMATION: Cylinders should be transported in a secure position, in a well-ventilated vehicle. The transportation of compressed gas cylinders in automobiles or in closed-body vehicles present serious safety hazards and should be discouraged.
NOTE: Shipment of compressed gas cylinders which have not been filled with the owners consent is a violation of Federal law (49 CFR, Part 173.301 (b).
TRANSPORT CANADA TRANSPORTATION OF DANGEROUS GOODS REGULATIONS: THIS MATERIAL IS CONSIDERED AS DANGEROUS GOODS. Use the above infonnation for the preparation of Canadian Shipments.
15. REGULATORY INFORMATION U.S. SARA REPORTING REQUIREMENTS: Isobutylene is not subject to the reporting requirements of Sections 302, 304 and 313 of Titie III of the Superfund Amendments and Reauthorization Act. This product is subject to the reporting requirements of Sections 311 and 312 of Title III ofthe Superfund Amendments and Reauthorization Act (40 CFR 370.21).
U.S. SARA THRESHOLD PLANNING QUANTITY: Not applicable.
U.S. CERCLA REPORTABLE QUANTITY (RQ): Not applicable.
CANADIAN DSL INVENTORY STATUS: Isobutylene is listed on the Canadian DSL Inventory.
U.S. TSCA INVENTORY STATUS: Isobutylene is listed on the TSCA Inventory.
ISOBUTYLENE - C4H8 MSDS EFFECTIVE DATE: AUiGUST 31,2005 PAGE 7 OF 9
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15. REGULATORY INFORMATION (Continued) OTHER U.S. FEDERAL REGULATIONS.
• Isobutylene does not contain any Class I or Class II ozone depleting chemicals (40 CFR part 82).
• Isobutylene is subject to the reporting requirements of Section 112(r) of the Clean Air Act. The Threshold Quantity for of this gas is 10,000 pounds.
• Depending on specific operations involving the use of this product, the regulations of the Process Safety Management of Highly Hazardous Chemicals may be applicable (29 CFR 1910.119). Under this regulation Isobutylene is not listed in Appendix A, however, any process that involves a flammable gas on-site, in one location, in quantities of 10,000 lbs (4,553 kg) or greater is covered under this regulation unless it is used as a fuel.
• Isobutylene is listed as a Regulated Substance, per 40 CFR, Part 68, of the Risk Management for Chemical Releases as a flammable substance. The threshold quantity for Isobutane under this regulation is 10,000 lbs.
OTHER CANADIAN REGULATIONS: Isobutylene is categorized as a Controlled Product, Hazard Classes A, and Bl as per the Controlled Product Regulations.
U.S. STATE REGULATORY INFORMATION: Isobutylene is covered under specific State regulations, as denoted below:
Alaska - Designated Toxic and Hazardous Substances: Liquefied Petroleum Gas.
California - Permissible Exposure Limits for Chemical Contaminants:
Florida - Substance List: Isobutylene. Illinois - Toxic Substance List:
Liquefied Petroleum Gas. Kansas - Section 302/313 List: No. Massachusetts - Substance List:
Isobutylene.
Minnesota - List of Hazardous Substances: Isobutylene.
Missouri - Employer Information/Toxic Sutistance List: Liquefied Petroleum Gas.
New Jersey - Right to Know Hazardous Substance List: Isobutylene.
North Dakota - List of Hazardous Chemicals, Reportable Quantities: No.
Pennsylvania • Hazardous Substance List: IsotHitylene.
Rhode Island - Hazardous Substance List: Liquefied Petroleum Gas.
Texas - Hazardous Substance List: Liquefied Petroleum Gas.
West Virginia - Hazardous Substance List: Liquefied Petroleum Gas.
Wisconsin - Toxic and Hazardous Substances: Liquefied Petroleum Gas.
CALIFORNIA PROPOSITION 65: Isobutylene is not on the California Proposition 65 lists.
16. OTHER INFORMATION
NFPA RATING FLAMMABILITY
HEALTH S. 0
HAZARDOUS MAI hWAL INFORMATION SYSTEM
HEALTH (BLUE, 0
1
FLAMMABILITY (' > 4
1
REACTIVITY ^ ^ ^ 0
1
PROTECTIVE EQUIPMENrr B
E V B RESPIRATQRy HWDS BODY
See Section 8
Fa routine industrial applications
ISOBUTYLENE - C4H8 MSDS PAGE 8 OF 9
EFFECTIVE DATE: AUGUST 31,2005
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16. OTHER INFORMATION (Continued) MIXTURES: When two or more gases or liquefied gases are rhixed, their hazardous properties may combine to create additiorial, unexpected hazards. Obtain and evalijate the safety information for each component before you produce the mixture. Consult an Industrial Hygienist or other trained person when you make your safety evaluation of the end product. Remember, gases and liquids have properties which can cause serious injury or death.
Further infonnation can be found in the following pamphlets published by: Compressed Gas Association Inc. (CGA), 4221 Walney Road 5'" floor, Chantilly. VA 20151-2923. Telephone: (703) 788-2700.
P-1 P-14 SB-2
PREPARED BY:
"Safe HandUng of Compressed Gases in Containers" "Accident Prevention in Oxygen-Rich and Oxygen Deficient Atmospheres" "Oxygen Deficient Atmospheres" "Handbook of Compressed Gases"
CHEMICAL SAFETY ASSOCIATES, Inc. 9163 Chesapeake Drive, San Diego, CA 92123-1002 619/565-0302
Fax on Demand: 1-800/231-1366
Q AIR LIQUIDE
This Material Safety Data Sheet is offered pursuant to OSHA's Hazard Communication Standard, 29 CFR, 1910.1200. Other govemment regulations must be reviewed for applicability to this product To the best of Air Liquide's knowledge, the information contained herein is reliable and accurate as of this date; however, accuracy, suitability or completeness are not guaranteed and no wan-anties of any type, either express or implied, are provided. The infonnation contained herein relates only to this spedfic product. If this product is combined with other materials, all component properties must be considered. Data may be changed fi'om time to time. Be sure to consult the latest edita'on.
ISOBUTYLENE - C4H8 MSDS PAGE 9 OF 9
EFFECTIVE DATE: AUGUST 31, 2005
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• AiR LIQUIDE
MATERIAL SAFETY DATA SHEET
Prepared to U.S. OSHA, CIVIA, ANSI and Canadian WHIVIIS Standards
1. PRODUCT IDENTIFICATION
CHEMICAL NAME; CLASS: AIR SYNONYMS: Medical Air, Breathing Air, Compressed Air CHEMICAL FAMILY NAME: Non-Flammable Gas FORMULA: Not applicable.
NOTE: Air may be either compressed, atmospheric air, or a mixture of 21 % oxygen and 79% Nitrogen NOTE: Air may be supplied by pipeline.
PRODUCT USE: Document Number: 10003 Breathing, purging or general analytical or synthetic chemical uses.
MANUFACTURED/SUPPLIED FOR: ADDRESS:
• AIR LIQUIDE
EMERGENCY PHONE: BUSINESS PHONE:
General MSDS Information: 1-972/301-5200 Fax on Demand: 1-800/231-1366
9101 -LBJ-FREEWAY-SUITE-800 DALLAS,TX-75243 CHEMTREC: 1-800-424-9300
2. COMPOSITION and INFORMATION ON INGREDIENTS 1 CHEMICAL NAME
Air 1 (compressed, atmospheric)
CAS#
132259-10-0
mole %
100%
EXPOSURE LIMITS IN AIR i
ACGIH-TLV
TWA ppm
STEL ppm
OSHA-PEL
TWA ppm
STEL ppm
NIOSH
IDLH ppm
OTHER
ppm
There are no specific exposure limits applicable to air. 1
1 Mixed Air is a mixture of gases. The primary components of air, and the approximate concentration of each component, are listed below. |
1 Nitrogen
1 Oxygen
7727-37-9
7782-44-7
79%
21%
There are no specific exposure limits for Nitrogen. Nitrogen is a simple asphyxiant (SA). Oxygen levels should be maintained above 19.5%.
There are no specific exposure limits for Oxygen.
NE = Not Established. NIC = Notice of Intended Change See Section 16 for Definitions of Terms Used. NOTE: ALL WHMIS required infonnation is included in appropriate sections based on the ANSI Z400.1-1998 fomiat. This product has been
classified in accordance with the hazard criteria ofthe CPR and the MSDS contains all the information required by the CPR.
AIR MSDS (10003) PAGE 1 OF 7
EFFECTIVE DATE:JANUARY1, 2005
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3. HAZARD IDENTIFICATION
EMERGENCY OVERVIEW: Air is a coloriess, odoriess gas. The main health hazards associated with exposure to this gas are related to the high pressure. Contact with rapidly expanding gases from a cylinder that is suddenly released can cause frostbite to exposed skin or damage to eyes. Air is generally considered non-flammable, however, Air will support combustion. A moderate cylinder rupture hazard exists when Air, which is under pressure, is subject to heat or flames.
SYMPTOMS OF OVER-EXPOSURE BY ROUTE OF EXPOSURE: The most significant route of over-exposure for air is by inhalation at elevated or reduced pressure.
INHALATION: Air is non-toxic and necessary to support life. Inhalation of Air in high pressure environments, such as underwater diving or hyperbolic chambers can result in symptoms similar to over-exposure to pure oxygen. These symptoms include tingling of the fingers and toes, abnormal sensations, along with impaired coordination and confusion. Decompression sickness, "bends", is possible following rapid decompression. CONTACT WITH SKIN or EYES: Contact with rapidly expanding gases (which are released under high pressure) may cause ft-ostbite. Symptoms of frostbite include change in skin color to white or grayish-yellow. The pain after contact with liquid can quickly subside. Contact with the rapidly expanding vapors released the high pressure cylinder may cause fireezing of the eye. Permanent eye damage or blindness could result. HEALTH EFFECTS OR RISKS FROM EXPOSURE: An Explanation in Lay Terms. Over-exposure to Air may cause the following health effects: ACUTE: The most significant hazards associated with air is the pressure hazard. CHRONIC: There are currently no known adverse health effects associated with chronic exposure to this gas. TARGET ORGANS: ACUTE: None. CHRONIC: None.
HAZARDOUS MATERIAL IDENTIFICATION SYSTEM
HEALTH HAZARD (BLUE) 0
FLAMMABIUTY HAZARD (RED) 0
PHYSICAL HAZARD (YELLOW) 0
PROTECTIVE EQUIPMENT
EYES
f RESPIRATORY
SEE SECTIONS
HWDS
fr BOD/
SEE SECTION 8
For Routine Industrial Use and Handling /^ications
4 FIRST-AID MEASURES As the opportunity for injury from exposure to Air is limited to inhalation of Air in high pressure environments, such as undenvater diving or hyperbolic chambers, the first-aid measures would be for over-pressure accidents, or rapid decompression-induced decompression sickness. In the event of such accidents, seek immediate and qualified medical attention. In case of frostbite, place the frostbitten part in warm water DO NOT USE HOT WATER. If warm water is not available, or is impractical to use, wrap the affected parts gentiy in blankets. Alternatively, if the fingers or hands are fi-ostbitten, place the affected area of the body in the armpit. Encourage victim to gentiy exercise the affected part while being warmed. Seek immediate medical attention. MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE: A knowledge of the available information suggest that over-exposure to Air is unlikely to aggravate existing medical conditions. RECOMMENDATIONS TO PHYSICIANS: Treat symptoms and reduce over-exposure if air is breathed in high pressure environment, (i.e. illness associated with decompression, bends, or caisson disease). Decompression equipment may be required.
5. FIRE-FIGHTING MEASURES
AIR MSDS (10003) PAGE 2 OF 7
EFFECTIVE DATE: JANUARY1, 2005
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FLASH POINT: Not applicable. . . . AUTOIGNITION TEMPERATURE: Not applicable: NFPA RATING FLAMMABLE LIMITS (in air by volume, %): FIAMMAB.UTY
Lower (LEL): Not applicable. Upper (UEL): Not applicable.
FIRE EXTINGUISHING MATERIALS: Non-flammable. Air will support „^^^ combustion of flammable materials. Use extinguishing media appropriate for surrounding fire.
Water Spray: YES Carbon Dioxide: YES Dry Chemical: YES Halon: YES Foam: YES Other Any "ABC" Class.
AIR MSDS (10003) EFFECTIVE DATE: JANUARVI, 2005 PAGE 3 OF 7
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. 5. FIRE-FIGHTING MEASURES (Continued) : UNUSUAL FIRE AND EXPLOSION H A Z A R 6 S . Air "does not bum; however, cylinders, when involved in fire, may rupture or burst in the heat of the fire.
Explosion Sensitivity to Mechanical Impact: Not Sensitive. Explosion Sensitivity to Static Discharge: Not Sensitive.
SPECIAL FIRE-FIGHTING PROCEDURES: Incipient fire responders should wear eye protection. Structural firefighters must wear Self-Contained Breathing Apparatus and fijil protective equipment. If possible, shut-off the flow of Compressed Air supporting the fire. Immediately cool the cylinders with water spray from maximum distance. When cool, move cylinders from fire area, if without risk.
6. ACCIDENTAL RELEASE MEASURES LEAK RESPONSE: Uncontrolled releases should be responded to by trained personnel using pre-planned procedures. Proper protective equipment should be used. In case of a release, clear the affected area, protect people, and respond with trained personnel. Minimum Personal Protective Equipment should be Level D: safety glasses. Locate and seal the source of the leaking gas. If this does not stop the release (or if it is not possible to reach the valve), allow the gas to release in-place or remove it to a safe area and allow the gas to be released there. If leaking incidentally fi-om the cylinder or its valve, contact your supplier
7. HANDLING and USE WORK PRACTICES AND HYGIENE PRACTICES: Air intended for breatiiing must confomi to CGA Standard G-7 (Compressed Air for Human Respiration) and Standard G-7.1, American National Standard Commodity Specification for Air. All other sources of compressed air must be treated as unfit for human consumption until tested for conformance with these standards. STORAGE AND HANDLING PRACTICES: Compressed gases can present significant safety hazards. Store cylinders away from heavily trafficked areas and emergency exits. Post "No Smoking or Open Flames" signs in storage or use areas. SPECIAL PRECAUTIONS FOR HANDLING GAS CYLINDERS: Protect cylinders against physical damage. Store in cool, dry, well-ventilated, fireproof area, away from flammable or combustible materials and corrosive atmospheres. Store away from heat and ignition sources and out of direct sunlight. Do not store near elevators, corridors or loading docks. Do not allow area where cylinders are stored to exceed 52 °C (125 °F). Isolate from incompatible materials including flammable materials, (see Section 10, Stability and Reactivity) for more information), which can burn violently. Use only storage cylinders and equipment (pipes, valves, fittings to relieve pressure, etc.) designed for the storage of Air. Do not store cylinders where they can come into contact with moisture. Cylinders should be stored upright and be firmly secured to prevent failing or being knocked over Cylinders can be stored in the open, but in such cases, should be protected against extremes of weather and from the dampness ofthe ground to prevent rusting. Never tamper with pressure relief devices in valves and cylinders. The following rules are applicable to situations in which cylinders are being used:
Before Use: Move cylinders with a suitable hand-tnjck. Do not drag, slide or roll cylinders. Do not drop cylinders or pennit them to strike each other. Secure cylinders firmly. Leave the valve protection cap in-place (where provided) until cylinder is ready for use. During Use: Use designated CGA fittings and ottier support equipment. Do not use adapters. Do not heat cylinder by any means to increase the discharge rate of the product from the cylinder. Use check valve in discharge line to prevent hazardous backflow into the cylinder. Do not use oils or grease on gas-handling fittings or equipment. After Use: Close main cylinder valve. Replace valve protection cap (where provided). Mark empty cylinders "EMPTY". NOTE: Use only DOT or ASME code cylinders. Close valve after each use and when empty. Cylinders must not be recharged except by or with the consent of owner.
PROTECTIVE PRACTICES DURING MAINTENANCE OF CONTAMINATED EQUIPMENT: Follow practices indicated in Section 6 (Accidental Release Measures). Make certain application equipment is locked and tagged-out safely. Always use product in areas where adequate ventilation is provided. STANDARD VALVE CONNECTIONS FOR U.S. AND CANADA: Use the proper CGA connections, DO NOT USE ADAPTERS:
THREADED: 0-3000 psig CGA 346 (alternative 590) 3001-5500 psig CGA 347 5501 - 7500 psig CGA 702
PIN-INDEXED YOKE: 0-3000 psig ' ' . CGA 950 (medical use) ULTRA HIGH INTEGRITY: 1160
AIR MSDS (10003) EFFECTIVE DATE: JANUARY 1,2005 PAGE 4 OF 7
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8. EXPOSURE CONTROLS- PERSONAL PROTECTION VENTILATION AND ENGINEERING CONTROLS: None needed. RESPIRATORY PROTECTION: None needed, EYE PROTECTION: Safety glasses. If necessary, refer to U.S. OSHA 29 CFR 1910.133 or appropriate Canadian Standards. HAND PROTECTION: Wear gloves when handling cylinders of this product. If necessary, refer to U.S. OSHA 29 CFR 1910.138 and appropriate Standards of Canada. BODY PROTECTION: Use body protection appropriate for task. Safety shoes are recommended when handling cylinders. If a hazard of injury to the feet exists due to falling objects, rolling objects, where objects may pierce the soles of the feet or where employee's feet may be exposed to electrical hazards, use foot protection, as described in U.S. OSHA 29 CFR 1910.136.
9. PHYSICAL and CHEMICAL PROPERTIES GAS DENSITY @ 21.1°C (70°F) and 1 atm: 0.07493 lb/ ft^ (1.2 kglnf) FREEZING/MELTING POINT (g 10 psig: -216.2°C(-357.2°F) MOLECULAR WEIGHT: 28.975 SOLUBILITY IN WATER, VoWol at C C (32° F): 0.0292 pH: Not applicable. SPECIFIC GRAVITY (air = 1) (§ 21.1 "C (70T): 1 EXPANSION RATIO; Not applicable. EVAPORATION RATE (nBuAc = 1): Not applicable. ODOR THRESHOLD: Not applicable. SPECIFIC VOLUME (ft'/lb): Not applicable for Air; 13.8 (for Nitrogen) VAPOR PRESSURE @ 21 . I X (70^): Not applicable. COEFFICIENT WATER/OIL DISTRIBUTION: Not applicable. APPEARANCE, ODOR AND COLOR: This product is a coloriess, odoriess gas. HOW TO DETECT THIS SUBSTANCE (waming properties): There are no unusual waming properties associated with a release of this gas.
10. STABILITY and REACTIVITY STABILITY: Nomnally stable in gaseous state. Compressed Air which contains excess oxygen may present the same hazards as Liquid Oxygen and could react violently with organic materials, such as oil and grease. DECOMPOSITION PRODUCTS: None. MATERIALS WITH WHICH SUBSTANCE IS INCOMPATIBLE: Fuels may form explosive mixtures in air. HAZARDOUS POLYMERIZATION: Will not occur CONDITIONS TO AVOID: Contact with incompatible materials, as listed above. Avoid exposing cylinders to extremely high temperatures, which could cause the cylinders to rupture.
11. TOXICOLOGICAL INFORMATION TOXICITY DATA: There are no specific toxicology data for Air. SUSPECTED CANCER AGENT Air is not found on the following lists: FEDERAL OSHA Z LIST, NTP, CAL/OSHA, I ARC, and there fore is not considered to be, nor suspected to be a cancer-causing agent by these agencies. IRRITANCY OF PRODUCT: Not applicable. SENSITIZATION OF PRODUCT: Air is not a skin or respiratory sensitizer REPRODUCTIVE TOXICITY INFORMATION: Listed below is information conceming the effects of Air on the human reproductive system.
Mutagenicity: Air is not expected to cause mutagenic effects in humans. Embryotoxcity: Air is not expected to cause embryotoxic effects in humans. Teratogenicity: Air is not expected to cause teratogenic effects in humans. Reproductive Toxicity: Air is not expected to cause adverse reproductive effects in humans.
A mutagen is a chemical which causes permanent changes to genetic maten'al (DMA) such that the changes will propagate through generation lines. An embryotoxin is a chemical which causes damage to a developing embryo (i.e. within the first eight weeks of pregnancy in humans), but the damage does not propagate across generational lines. A teratogen is a chemical which causes damage to a developing fetus, but the damage does not propagate across generational lines. A reproductive toxin is any substance which interferes in any way with the reproductive process. BIOLOGICAL EXPOSURE INDICES (BEIs): Biological Exposure Indices (BEIs) do not exist for Compressed Air.
12. ECOLOGICAL INFORMATION ENVIRONMENTAL STABILITY: This gas will be dissipated rapidly in well-ventilated areas. EFFECT OF MATERIAL ON PLANTS or ANIMALS: No adverse effect .is anticipated to occur to plant-life, except forfrostproducedin the presence of rapidly expanding gases.- ' •- -EFFECT OF CHEMICAL ON AQUATIC LIFE: No evidence of an adverse effect of air on aquatic life is currently available. . ' • . . -* \ "
AIR MSDS (10003) EFFECTIVE DATE: JANUARY 1,2005 PAGE 5 OF 7
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13. DISPOSAL CONSIDERATIONS PREPARING WASTES FOR DISPOSAL: Waste disposal must be in accordani::© with appropriate Federal, State, and local regulations. Return cylinders with any residual product to Air Liquidei. Do not dispose of locally. For emergency disposal, secure the cylinder and slowly discharge the gas to the atmosphere in a well-ventilated area or outdoors, away from all sources of ignition.
14. TRANSPORTATION INFORMATION
PROPER SHIPPING NAME: HAZARD CLASS NUMBER and DESCRIPTION: UN IDENTIFICATION NUMBER: PACKING GROUP: DOT LABEL(S) REQUIRED:
THIS COMPRESSED AIR IS HAZARDOUS AS DEFINED BY 49 CFR 172.101 BY THE U.S. DEPARTMENT OF TRANSPORTATION.
Air, compressed 2.2 (Non-Flammable Gas) UN 1002 Not applicable. Non-Flammable Gas
NORTH AMERICAN EMERGENCY RESPONSE GUIDEBOOK NUMBER (1996): 122 MARINE POLLUTANT: Air is not classified by the DOT as a Marine Pollutant (as defined by 49 CFR 172.101, Appendix B).
TRANSPORT CANADA TRANSPORTATION OF DANGEROUS GOODS REGULATIONS: This gas is considered as Dangerous Goods, per regulations of Transport Canada. The use of the above U.S. DOT information from the U.S. 49 CFR regulations is allowed for shipments that originate in the U.S. For shipments via ground vehicle or rail that originate in Canada, the following information is applicable.
PROPER SHIPPING NAME: Air, compressed HAZARD CLASS NUMBER and DESCRIPTION: 2.2 (Non-Flammable Gas) UN IDENTIFICATION NUMBER: PACKING GROUP: HAZARD LABEL(S) REQUIRED: SPECIAL PROVISIONS: EXPLOSIVE LIMIT & LIMITED QUANTITY INDEX ERAP INDEX: PASSENGER CARRYING SHIP INDEX: PASSENGER CARRYING ROAD OR RAIL VEHICLE INDEX: 75 MARINE POLLUTANT: Compressed Air is not a Marine Pollutant.
UN 1002 Not Applicable 2.2 (Non-Flammable Gas) 42 0.12 None None
15. REGULATORY INFORMATION ADDITIONAL U.S. REGULATIONS: U.S. SARA REPORTING REQUIREMENTS: Compressed Air is not subject to the reporting requirements of Sections 302, 304 and 313 of Titie III ofthe Superfund Amendments and Reauthorization Act. U.S. SARA THRESHOLD PLANNING QUANTITY; Not applicable. U.S. TSCA INVENTORY STATUS: Air is listed on the TSCA Inventory. U.S. CERCLA REPORTABLE QUANTITIES (RQ): Not applicable. OTHER U.S. FEDERAL REGULATIONS: • Air USP is regulated by the FDA as a prescription drug. • Air does not contain any Class I or Class II ozone depleting chemicals (40 CFR part 82). • Air is not subject to the reporting requirements of Section 112(r) of the Clean Air Act. • Air is not listed as a Regulated Substance, per 40 CFR, Part 68, of the Risk Management for Chemical Releases. • Air is not listed in Appendix A as a highly hazardous chemical, per 29 CFR 1910.119: Process Safety
Management of Highly Hazardous Chemicals. CALIFORNIA SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT (PROPOSITION 65: Compressed Air is not on the California Proposition 65 lists. U.S. STATE REGULATORY INFORMATION: Air is not covered under the following specific State regulations: Alaska - Designated Toxic and Hazardous Minnesota - List of Hazardous Substances: Pennsylvania - Hazardous Substance List:
No. No. Missouri - Employer Information/Toxic
Substance List: No. New Jersey - Right to Know Hazardous
Substance List: Air. North Dakota - List o f . Hazardous
Chemicals, Reportable Quantities: No.
Substances: No California - Permissible Exposure Limits
for Chemical Contaminants: No. Florida - Substance List: No. Illinois - Toxic Substance List: No. Kansas - Section 302/313 List: No. Massachusetts - Substance List No.
Rhode Island - Hazardous Substance List: No.
Texas - Hazardous Substance List: No. West Virginia - Hazardous Substance List:
No. Wisconsin - Toxic and Hazardous
Substances: No.
AIR MSDS (10003) PAGE 6 OF 7
EFFECTIVE DATE:JANUARY 1,2005
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15. REGULATORY INFORMATION (Continued) ADDITIONAL CANADIAN REGULATIONS: . CANADIAN DSL/NDSL INVENTORY STATUS: Compressed Air is included in the DSL Inventory. CANADIAN ENVIRONMENTAL PROTECTION ACT (CEPA) PRIORITY SUBSTANCES LISTS: Compressed Air is not on the CEPA Priorities Substances Lists. WHMIS CLASSIFICATION: Compressed Air is categorized as a Controlled Product, Hazard Class A, as per the Conti olled Product Regulations. OTHER CANADIAN REGULATIONS: Not applicable.
16. OTHER INFORMATION Atmospheric air that is compressed is composed of the following gases:
Nitrogen: 78% Oxygen 21% Argon 0.9%
Compressed air is also synthetically produced by mixing 79% nitrogen and 21% oxygen.
MIXTURES: When hA/o or more gases or liquefied gases are mixed, their hazardous properties may combine to create additional, unexpected hazards. Obtain and evaluate the safety information for each component before you produce the mixture. Consult an Industrial Hygienist or other trained person when you make your safety evaluation of the end product Remember, gases and liquids have properties which can cause serious injury or death.
Further information about Air can be found in the following pamphlets published by: Compressed Gas Association Inc. (CGA), 4221 Walney Road 5* floor, Chantilly, VA 20151-2923. Telephone: (703) 788-2700.
G-7 "Compressed Air for Human Respiration" G-7.1 "American National Standard Commodity Specification for Air" P-1 "Safe Handling of Compressed Gases in Containers" AV-1 "Safe Handling and Storage of Compressed Gases"
PREPARED BY: CHEMICAL SAFETY ASSOCIATES, Inc. PO Box 3519, La Mesa, CA 91944-3519 619/670-0609
Fax on Demand: 1-800/231-1366
• AIR LIQUIDE
This Material Safety Data Sheet is offered pursuant to OSHA's Hazard Communication Standard, 29 CFR, 1910.1200. Other govemment regulations must be reviewed for applicability to this product. To the best of Air Liquide's knowledge, the information contained herein is reliable and accurate as of this date; however, accuracy, suitability or completeness are not guaranteed and no warranties of any type, either express or implied, are provided. The information contained herein relates only to this specific product. If this product is combined with other materials, all component properties must be considered. Data may be changed from time to time. Be sure to consult the latest edition.
AIR MSDS (10003) EFFECTIVE DATE:JANUARY1,2005 PAGE 7 OF 7
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ATTACHMENT C SAFETY PROCEDURES/FIELD OPERATING PROCEDURES
(FLD OPs)-FORM 27
Click here to go to the Table of Contents, Section 2 - FLDs
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S\TE-SPECIF>C H I " -
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ATTACHMENT D SITE-SPECIFIC HAZARD COMMUNICATION PROGRAM-FORM 28
Click hereto go to Form 28
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SITE-SPECIFIC HAZARD COMMUNICATION PROGRAM-FORM 28
Location-Specific Hazard Communication Program/Checklist
To ensure an understanding of and compliance with the Hazard Communication Standard, WESTON will use this checklist/document (or similar document) in conjunction with the WESTON Written Hazard Communication Program as a means of meeting site- or location-specific requirements. While responsibility for activities within this document reference the WESTON Safety Officer (SO), it is the responsibility of all personnel to effect compliance. Responsibilities under various conditions can be found within the WESTON Written Hazard Communication Program. To ensure that information about the dangers of all hazardous chemicals used by WESTON are known by all affected employees, the following Hazard Communication Program has been established. All affected personnel will participate in the Hazard Communication Program. This written program, as well as WESTON's Corporate Hazard Communication Program, will be available for review by any employee, employee representative, representative of OSHA, NIOSH, or any affected employer/employee on a multiemployer site.
S Site or other location name/address: Copley Square Plaza 2777-2799 Copley Rd. Akron, Ohio
S Site/Prqject/Location Manager: Deepak Bhojwani
S Site/Location Safety Officer: Barry Crawford or other authorized SHSC (FSO)
S List of chemicals compiled, format: H HASP D Other:
la Location of MSDS files: HASP
• Training conducted by: Name: TBD Date:
• Indicate format of training documentation: D Field Log: S Other: Logbook
• Client briefing conducted regarding hazard communication:
• If multi-employer site (client, subcontractor, agency, etc.), indicate name of affected companies:
• Other employer(s) notified of chemicals, labeling, and MSDS infonnation:
Has WESTON been notified of other employer's or client's hazard communication program(s), as necessary? Q Yes • No
Ust of Hazardous Chemicals
A list of known hazardous chemicals used by WESTON personnel must be prepared and attached to this document or placed in a centrally identified location with the MSDSs. Further information on each chemical may be obtained by reviewing the appropriate MSDS. The list will be arranged to enable cross-reference with the MSDS file and the label on the container. The SO or Location Manager is responsible for ensuring the chemical listing remains up-to-date.
Container Labeling
The WESTON SO will verify that all containers received from the chemical manufacturer, importer, or distributor for use on-site are clearly labeled. The SO is responsible for ensuring that labels are placed where required and for comparing MSDSs and other information with label information to ensure correctness.
Revised 02/1998
Material Safety Data Sheets (MSDSs) FORM 28 K;\1515\Copley Plaza\HASP\copley_HASP doc RFW243-2D-AUIG
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The SO is responsible for establishing and monitoring WESTON's MSDS program for the location. The SO will ensure that procedures are developed to obtain the necessary MSDSs and will review incoming MSDSs for new or significant health and safety information. He/she will see that any new information is passed on to the affected employees. If an MSDS is not received at the time of initial shipment, the SO will call the manufacturer and have an MSDS delivered for that product in accordance with the requirements of WESTON's Written Hazard Communication Program. A log for, and copies of, MSDSs for all hazardous chemicals in use will be kept in the MSDS folder at a location known to all site workers. MSDSs will be readily available to all employees during each work shift. If an MSDS is not available, immediately contact the WESTON SO or the designated alternate. When a revised MSDS is received, the SO will immediately replace the old MSDS.
Employee Training and Information
The SO is responsible for the WESTON site-specific personnel training program. The SO will ensure that all program elements specified below are supplied to all affected employees. At the time of initial assignment for employees to the work site, or whenever a new hazard is introduced into the work area, employees will attend a health and safety meeting or briefing that includes the information indicated below.
Hazardous chemicals present at the work site. Physical and health risks ofthe hazardous chemicals. The signs and symptoms of overexposure. Procedures to follow if employees are overexposed to hazardous chemicals. Location ofthe MSDS file and Written Hazard Communication Program. How to determine the presence or release of hazardous chemicals in the employee's work area. How to read labels and review MSDSs to obtain hazard information. Steps WESTON has taken to reduce or prevent exposxure to hazardous chemicals. How to reduce or prevent exposure to hazardous chemicals through the use of controls procedures, work practices, and personal protective equipment. Hazardous, nonroutine tasks to be performed (if any). Chemicals within unlabeled piping (if any).
Hazardous Nonroutine Tasks
When employees are required to perform hazardous nonroutine tasks, the affected employee(s) will be given information by the SO about the hazardous chemicals he or she may use during such activity. This information will include specific chemical hazards, protective and safety measures the employee can use, and steps WESTON is using to reduce the hazards. These steps include, but are not limited to, ventilation, respirators, presence of another employee, and emergency procedures.
Chemicals in Unlabeled Pipes
Work activities may be performed by employees in areas where chemicals are transferred through unlabeled pipes. Prior to starting work in these areas, the employee will contact the SO, at which time information as to the chemical(s) in the pipes, potential hazards of the chemicals or the process involved, and the safety precautions that should be taken will be determined and presented.
Multi-Employer Work Sites
It is the responsibility of the SO to provide other employers with information about hazardous chemicals imported by WESTON to which their employees may be exposed, along with suggested safety precautions. It is also the responsibility of the SO and the Site Manager to obtain information about hazardous chemicals used by other employers to which WESTON employees may be exposed. WESTON's chemical listing will be made available to other employers, as requested. MSDSs will be available for viewing, as necessary. The location, format, and/or procedures for accessing MSDS information must be relayed to affected employees.
Revised 02/1998
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siTfcvCiR MONITCIRINS ^P^^ Field Data Sheets 1
Location: II
: l tEL---: ' • ^ : O i \ ^ Iwi i in l t s ) !< ID (units)
>•'-;;vv;-:;/- ^Monitox (ppm)':
SoundlLeveis (dBA) ? lilllumination pH
Aerosol
Monitor (mg/m')
GM: Shield Probe/ Thin Window
niR/hr cpm . .Nal -(uR/hr) (cpm)
•„..•-.DetectorTube(s).,- • - / ||
Other Other Other Other . • . • • ' . ' • ' O t h e r • ••.•!
1 Location: Hi
%LEL % P 2 PID (units) FID (units)
U ^ ^ y / S | & ^ U ; A ' ' ' : ^ - : \ ^ i ^ O f t ' t O X * ( p p ^ , ••• '•'•••••;••
Sound Levels (dBA)
1
Illumination pH
Aerosol Monitor
(mg/m')
GM: Shield Probe/ Thin Window
mR/hr cpm
Detector Tube(
Other Other Other
Nal
(uR/hr)
ZnS
(cpm)
s ) • : • : : / • • , : : • . , : • • • • - , , Y ' . ,
Other Other
Revised 02/1998
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AlRiMGNITORING/SAMPLlNG DATA LOO-FORM 30
Client: W.O. No. Sample No.:
Address: Sampled By: Date:
Em pldj/ee and Location I nformation
Employee Name: Employee No.: Job Title:
Respirator D APR D '/z Mask D Full Face
D PAPR D '/2 Mask D Full Face D
Hood
D SAR D V2 Mask D Full Face D
Hood
DSCBA
Manufacturer: Cartridge Type:
PPE: D Hard Hat D H P D D Gloves D Safety Shoes D Coveralls D Other:
Sampling Data Sampling Type: D Personal
DTWA DSTEL DArea D Source
D Full Shift D Partial Shift DGrab
Media: Pump Type/Serial No.;
Calibrator/Serial No.: Pre-Calibration: 1. 2. 3. avg-pre:
Post-Calibration: 1. 2. 3. avg-post:
Start Time: Restart Time: Restart Time: Avg. Flowrate: % Change:
1" Stop Time: r " stop Time: 3"* Stop Time: Total Time: Volume:
Multiple Samples for this TWA: D Yes D No
Multiple Chemical Exposures: D Yes D No
Exposure Time: D Normal D Worst Case
Sampling Conditions Weather Conditions:
Temp: R.H: B.P.: Other: Engineering Controls:
Substances Evaluated Substance Result Substance Result Substance Result
Observations and Comments
QAby: Date Revised 02/1998
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r
M !NM1MI^LOYEE HSVLTH arii:SAFEfY CTEOKiBT Return to top
Employee Name: Date:
r
Emergency Information: • Employee Phone Numbers: • During Work Hours. • Nights and Weekends. • Evacuation Routes and Meeting Areas. a Location and Use of: a First Aid Kits. a Fire Alarms. a Fire Extinguishers. a Response to incidents.
Safety Personnel: a Division Safety Manager (name, location,
phone, pager), a Local Safety Officer (name, location,
phone, pager), a Division Manager (name, location,
phone). • Profit Center Manager/Office
Manager/Supervisor (names,locations, phones, pagers)
Potential Training Requirements: (check if completed) a Field Workers: • HAZWOPER. a DOT/IATA. a Confined Space.
• Construction. • Asbestos, a BBP. a Commercial Driver License a Other (e.g., Lift truck) • Office and Field Workers: a Hazard Communication. a Office Safety. a Ergonomics. a Copies of any Previous Certifications.
Potential Medical Surveillance Requirements (Field Personnel): a HAZWOPER. a Asbestos. a Lead. a D.O.T. a Previous Medical Clearance Exams? a Other.
Incident Reporting Procedures: • Report immediately to supervisor and
local safety officer. Q Report work-related injuries and ilhiesses. a Report near-miss incidents, including
automobile damage and property damage.
Other Issues: Q Corporate Ombudsman. a Local Safety Committee. Q Parking Area Safety Issues. a Working Alone Safety Issues.
Revised 10/1999
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lli^feKLTHAND^FETYt=l|m AUDIT Return to top
Legend X = Yes, O = No
SITE NAME:
WO#:
LOCATION:
INSPECTOR:
DATE:
CERTinCATION OF PERSONNEL:
1. All WESTON personnel on site are currently active on certification list?
2. Site Safety Officer and Site Supervisor are qualified?
MEDICAL AND HRST AID:
1. First Aid Kits accessible and identified?
2. Emergency eye/safety washes available? 3. Daily First Aid logs up to date? 4. First Aid Kits inspected weekly? 5. At least two First Aid trained persons on site at all times when working? SITE SAFETY/EMERGENCY PLANS:
1. Safety plan posted on site and given to each person? 2. Initial site safety plan meeting held and documented before work begins? 3. Hazardous materials information available for all hazards? 4. Designated, qualified site health and safety coordinator on site? 5. Employees trained in toxicology/exposure risks? 6. Emergency telephone numbers posted? 7. Emergency routes designated? 8. Emergency plan and signal reviewed with all persons?
TRAINING:
1. Daily safety meetings documented? 2. Question and answer time available to all site personnel? 3. All employees instructed in hazardous materials handling practices? 4. New personnel to site receive: copy of safety plan , site orientation_
Review of LOP , DECON , ZONES , Site specific safety and health h a z a r d s ? Revised 10/1999
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M E A L T W AND SAFETY FIELD AUDIT - Continued
Legend X = Yes, 0 = No PERSONAL PROTECTION:
1. All equipment meets ANSI/OSHA/EPA criteria? 2. Levels of protection (LOP) estabUshed? 3. Site control zones (Exclusion, CRZ, Support) clearly designated? 4. All employees know their LOP scheme? 5. OSHA respirator program in place? 6. Employees fit tested for respirators?
On site? Fit tests current?
7. Defective equipment tagged out? 8. Breathing air grade "D" certified? 9. Sufficient quantities of equipment? 10. Safety instrumentation maintained and calibrated?
Maint. & Cal. logs up to date?
DECONTAMINATION:
1. Decon system set up on site? Used? According to safety plan?
2. Contamination reduction corridor clearly delineated within the CRZ? 3. Appropriate waste recepticals available for all waste? 4. Recepticals properly closed at end of day? 5. All Decon liquids properly contained and disposed of? 6. All wastes disposed of according to approved plan? 7. All personnel received Decon training? 8. All reusable personal protective gear deconned and disinfected at least daily?
FIRE PREVENTION/PROTECTION:
1. Hot work permits required? 2. Smoking restricted to designated area? 3. Fire lanes estabUshed, clearly designated & maintained? 4. Flammable/combustible Uquid dispensing transfer systems grounded & bonded? 5. Proper flammable materials storage? 6. Fire alarm estabUshed, workers aware? 7. Location and use of fire extinguisher known by all personnel? 8. Fire extinguishers checked before each shift?
Inspected monthly? 9. Fire extinguisher appropriate for fu:e hazard potential? 10. Combustible materials segregated from ignition sources?
Revised 10/1999
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I IEALTHANDSAFETY FIELD AUDIT-Contlnuea
Legend X-Yes , 0 = No
WALKING AND WORKING SURFACES:
1. Accessways, stairs, ramps and ladders free of ice, mud, snow or debris?
2. Ladders exceed max length? 3. Ladders used in passageways, doors or driveways? 4. Broken or damaged ladders tagged out? 5. Metal ladders prohibited in electrical service? 6. Safety feet on straight and extension ladders? 7. Stairways, floor and wall openings guarded? 8. Elevated work areas guardrailed or safety chained? 9. Flotation devices wom when working on or over water? 10. Toe boards on overhead work surfaces? 11. Mobile offices/labs have fixed stairs and handrails? 12. Work areas kept free of debris and equipment?
EXCAVATIONS, CONFINED SPACES, TUNNELS:
1. Excavations sloped, shored or benched to prevent cave-ins? 2. Shoring approved by engineer? 3. Guardrails or fences placed around excavations near walkways or roads? 4. Excavation locations lighted/or otherwise made visible at night? 5. UtiUty check performed and documented before excavation or drilling? 6. Ladders available in trenches more than 4 feet deep and at a minimum, 25' intervals
along a fence? 7. All excavated material, personnel, heavy equipment is at least 24" from the edge of all
trenches? 8. Confined space entry permit procedure in place and communicated to all? 9. Employee training includes C SE hazards? 10. Tunnels are adequately ventilated? 11. There is proper lighting? 12. Tunnel tested for: % O2?
LEL, flammable gases, vapors? TOX?
13. Communication available inside to out? 14. No flammables or combustibles in tunnel? 15. CSE procedures used for Tunnels? 16. CSE procedure checklist:
Safety watch? Safety watch protected same as enterers? Safety line? Appropriate harness? Continuous monitoring for % O2, % LEL & TOX?
Revised 10/1999
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HEALTH AND^AFETYJ^ELD AUDIT-Gontinufed
Legend X = Yes, O = No
EXCAVATIONS, CONFINED SPACES, TUNNELS (continued):
Level B or constant ventilation and monitoring? Instruments calibrated? Maintain and inspect log for all equipment?
17. Confined space isolated from electrical/mechanical activation by following lock out/tag out proceedings?
Confined space isolated from any raw materials/chemical hnes by disconnecting or blanking these lines?
MOTOR VEfflCLES/HEAVY EQUIPMENT:
1. Inspected before each use? 2. Operators licensed for equipment used? 3. Unsafe equipment tagged out and reported? 4. All safety appUances/guards in place? 5. Shut down for fiieling? 6. Equipped with back-up alarms or spotter used if 360° •visibility restricted? 7. Loads are secure before transport? 8. Roads and structures inspected for load capacity per vehicle weights? 9. Riders prohibited on heavy equipment?
SLINGS AND CHAINS:
1. Slings, chains and rigging rated for intended use and inspected per OSHA. Documentation of inspection in daily log?
2. Damaged slings, chains or rigging tagged out and reported? 3. Employees are instructed and keep clear of suspended loads?
ELECTRICAL:
1- Waming signs indicate the presence and location of high voltage equipment, 250 Y or greater present and location?
2. Electrical equipment and wiring properly guarded? 3. Electrical lines, extension cords and cables guarded and properly maintained? 4. Extension cords kept dry out of puddles and rain? 5. Damaged equipment tagged out? 6. Underground electrical lines located and indicated? 7. Overhead electrical lines de-energized or elevated work platforms, work areas,
booms or ladders erected so no contact can occur with electrical lines? 8. A positive electrical lock-out system is used whenever work is done on or in electric
equipment or electrically activated equipment?
Revised 10/1999
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HEALTH AND SAFETY RI^LD AUDIT co^
Legend X = Yes, 0 = No
HAND AND POWER TOOLS:
1. Guards and safety devices in place and used?
2. Inspected before each use? 3. Tagged out if defective? 4. Eye protection areas identified and protection wom? 5. Non sparking tools available?
WELDING AND CUTTING:
1. Fire extinguishers present at all welding and cutting operations? 2. Confined spaces, tanks, pipelines tested before welding or cutting? 3. Hot work permitting system in use? 4. Proper heUnets and shields (including proper tmt for UV protection) used? 5. Properly grounded? 6. Fuel gas and O2 gas cylinders stored at least 20'apart?
Stored upright and secured? 7. Only trained welders permitted?
COMPRESSED GAS CYLINDERS/PRESSURIZED LINES:
1. Breathing air cylinders charged only to prescribed pressure? 2. No other gas system can be mistaken for breathing air?
Fittings prohibit cross connection? 3. Cylinders segregated appropriately in confrolled, protected but well ventilated areas? 4. Smoking prohibited in storage areas? 5. Cylinders stored upright and sectu-ed? 6. Cylinder caps in place when stored (not in use) or when cylinders moved? 7. Fuel gas and O2 minimum 20' apart when stored? 8. Pressurized air or waterlines are securely connected? 9. All site personnel know never to step across a pressurized line? 10. Gas or other hazardous lines are labelled appropriately?
MISCELLANEOUS:
L Tools and other equipment (portable) are stored away from walkways, roads or driveways where they cannot fall on or be fallen over by site personnel?
2. Overhead hazards are noted, communicated to aU and labeled as needed? 3. Hard hat, eye hearing and protection areas are defined and signs in place? 4. Hard hats, eye and head protection used where appropriate? 5. Signs or labels are in place or appropriate fraining received?
Revised 10/1999
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I ^ A L I T H AND SAFETY FIELD A d l l T Corifinued
Legend X = Yes, 0 = No
Copies of confracts with cUent and sub-confractors are on-site, WESTON's role regarding site health and safety responsibilities clear in these and in the minds ofthe site manager(s)?
7. Sub-contractors have received approved copies of their safety plan or have signified their intent to conform with Weston's safety plan?
8. Site managers understand thefr responsibilities for sub-confractors' conformance with all OSHA and other health and safety requfrements?
9. Site managers know what to do in the event of an OSHA inspection?
COMMENTS:
Revised 10/1999
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WESTON Health & Safety Safety Officer's Field Manual
3.2 MANAGER'S HEALTH AND SAFETY FIELD AUDIT
FORMS
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l 6 MANAGER'S FIELCX SITE BE)^LNA^^DSAFETy^ A Return to top
PM name: Client name: Site location: Inspection conducted by:
PM in person
Date: W.O. No.: Site phone no.:
PM via phone (Contact Name: PM's designee (Designee's Name: J
1. Is the H A S P available at the site? yes no Signed b y all personnel? yes no (Have the cover page and site worker sign-off page faxed and attached to this form.)
2. What tasks are active? .
3. What special H&S considerations are necessary? (e.g., confined spaces, fall protection, constmction safety, excavation evaluations, radiation, etc.)
4A.List the name of the SHSC/FSO on Line (a) and any other employees working at the site on lines (b) through (i). Verify and check (^) if field certifications are current:
Name
a.
RFW or Sub?
Training Medical Fit Test
(For above, circle: SHSC or FSO)
b.
c.
d.
e.
f
g-
h.
i.
4B.For large projects, is documentation on-site for employee certifications? yes no NA
5. Is emergency contact information available on-site? yes no (Have a copy faxed from the site and attached to this report.)
6. Describe the ambient temperatures during recent work shifts: .
PM Signature/Date: Page 1 of2
Revised 05/1998
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7. Was the level o f P P E used for each task today as requfred b y the HASP? ^yes no
8 A. What contaminant monitoring is conducted? .
8B.H0W are results documented? Logbook ^Forais other (describe): (Have the most recent results and calibration information faxed and attached to this form.)
9. What other monitoring is done? (e.g., heat sfress, cold, noise, etc.)
10. How are work zones marked and/or designated?
11. Are personnel and equipment decon performed as required by the HASP? yes no
12. Are first aid and CPR services provided as required by the HASP? yes no
13. When were first aid kits, BBP kits, and fire extinguishers last inspected? . (Have documentation faxed and attached to this form.)
14. Was site-specific hazard communication completed and properly documented? yes no (Have checklist in H A S P Attachment D faxed and attached to this form.)
15. When was the last safety briefing conducted? List topic(s) discussed:
(Have minutes/sign-up sheet faxed and attached to this form.)
16. Explain any negative findings below:
P M Signature/Date: Page 2 o f 2
Revised 05/1998
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-sSetV Office'' ,F\e\d N\ai nual
wesTow Health & SafetlL
3.3 f o g ^
. . . . . . ^nWHAS?.* "^
52
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INSTRUCTpNSlFOiR MONTHLY FIRE EXTING^JISHER INSPECTIONS
Retum to top
Use the Fire Extinguisher Inspection Guide to direct you in what to look for when inspecting fire extinguishers.
Document monthly inspection on the tag attached to each fire extinguisher and on the Office Area Inspection Checklist in the section on Fire Prevention.
Any extinguishers showing defects should be removed and promptly repaired and replaced.
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FIRE EXTINISUISHERTRACKING
Return to top Inspection Name: Location:
Extinguisher Number Type Location
Last Date Shown On
Inspection Tag
Inspected By (Initial/Date)
Condition/Comment (Action Required)
Revised 1997
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INSTRtiCTIONS iORsFlRST A I D A N D BLOODBGIRNE PATHOGEffe KITSlNSSECiTlON
Return to top If you have a service, such as Zee Medical, that automatically restocks your Hrst aid and bloodbome pathogens kits:
Initially Ensure that the service is set up to inspect and to restock all kits regularly.
Request that the service stock aU fu-st aid and BBP kits according to the requirements on the lists.
Monthly
Document in the Safety Officer files that you have verified that each kit is stocked to comply with the requirements.
During the monthly office inspection, verify that the service has inspected all first aid and BBP kits.
Indicate compliance in the Emergency Preparedness Section of the Office Area Inspection Checklist.
If you do not have a service:
Initiallv
Monthly
• Ensure that all first aid kits are stocked to meet the requirements on the lists.
• Attach a security seal, if you wish. A broken seal indicates that a closer inspection is required.
• Inspect all first aid and BBP kits to verify that all supplies are available as Usted on the sheets.
• Replace all missing forms.
• Indicate compliance in the Emergency Preparedness Section of the Office Area Inspection Checklist.
Revised 1997
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GONTENTSLIST THIRST AipjklT^ 0NG#LABQRArdRY ^
Return to top
CONTENTS
BAND-AIDS
1 - Adhesive Strip, I" x 3"
- Knuckle
- Finger T^), 1-3/4" X 2"
-FingerTip, l-7/8"x3"
-SmaU Strip, 1-1/2" X 7/8"
TAPE
-Adhesive, 1"
BANDAGES
- Gauze (Roller type - Kerlk), 2" & 4"
- Wrap (Self-adhering - Cobane), 3" or 4"
-Triangular
- Elastic Ace Wraps, 4"
GAUZE PADS
- 4 " x 4 "
- Non-stick (Telfa-Iike)
DRESSINGS
-Eye
- Compress
ANTISEPTICS/OINTIVIENTS
- First Aid Cream Packs
- Bum Gel
- Hydrocortisone Packs
- Sterile Eyewash Solution
- Sterile Eye/Skin Wash Sol.
II - Antiseptic S'wabs and/or Betadine Swabs, Box 10
OTHER
1 -Cold Packs
II - Ammonia Ampoules
II - Disposable Blanket
- Surgical Gloves
- CPR Shield ("Mircoshield")
1 - BBP hifection Control Kit
- Non-Aspirin Pain Reliever
- Goggles (Uvex Ultraspec 1000 or similar) pair ' ^ ^ = = rr •
KIT#1 < 15 EMP.
20/10
20/10
0
10/5
10/5
1/1
1/1
1/1
1/1
1/1
5/2
5/2
2/1
2/1
5/3
2/1
10/2
2/1
2/1
1/1
2/1
5/3
1/1
5/2 pr.
2/1
1/1
10/5
1
KIT #2 > 15 EMP.
50/20
20/10
20/10
25/5
10/5
2/1
2
2/1
2
2/1
10/5
10/5
4/1
2/1
2/1
10/1
10/2
2/1
2/1
2/1
4/1
10/3
1/1
10/4 pr.
2/1
1/1
25/10
1
Revised 1997
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Return to top
1 CONTENTS
BAND-AIDS
II - Adhesive Ship, 7/8" x 3"
- Adhesive Stiip, 1-1/2" x 7/8"
TAPE
-Adhesive 1"
BANDAGES
- Gauze (Roller type - Kerlix), 2" & 4"
-ACE Wraps
GAUZE PADS
- 3" X 3"
DRESSINGS
-Eye
ANTISEPTICS / OINTMENTS
- Bum Gel
- Sterile Eyewash Solution
- Antiseptic Swabs and/or Betadine Swabs, Box 10
OTHER
- Ammonia Ampoules
- Surgical Gloves
-CPR Shield
-Non-Aspirin
1 - bisect Sting Kit (cmshable ampoules)
- Alcohol-Foam Scmb - can
- Goggles (UVex Ulfraspec 1000 or similar) pair
IDEAL/MINIMU
TRUCKS/VANS
20/10
10/5
1/1
1/1
10/5
2/1
1/0
1/0
1/1
4/2
2/2 pr.
1/1
15/10
1/1
1/1
1/1
M QUANTITY
FIELD 1
50/20
50/10
2/1
2/1
2/1
20/10
4/2
10/5
1/0
2/1
5/2
5/2 pr.
2/1
25/10
2/1
1/1
1/1
Revised 1997
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Retum to top
B L O O D ^ O R N E PATHiZMSNES^ W
1 ea.
1 ea.
Ipr.
1 ea.
2pr.
1 ea.
lea.
2ea.
1 ea.
3 ea.
2ea.
2ea.
Ipr.
1 ea.
Clean-up Absorbent Pack
Disposable Apron
Disposable Goggles/Safety Glasses
Protective Airway Mask
Latex Disposable Gloves
Scoop
Scraper
Red Biohazard Plastic Bags with Twist Ties
8 oz. Pour Bottle Chlorine Concentrate
Disposable Paper Towels
Chlorhexidine Towelettes or Equivalent
Germicidal Disposable Cloths
Disposable Shoe Covers
Disposable Face Mask
Use above list as a minimum requirement for Bloodbome Pathogens.
Revised 1997
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WESTON Health & Safety Safety Officer's Field Manual
WESTON Health & Safety _ _ ^ ^ Safety Officer's Field Manual
3.4 EQUIPMENT/TRUCK INSPECTION CHECKLIST
FORMS
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11 QfaOlPMENT/fRUCKING INSPECTlONCHiCKUST Retum to top
This inspection form is to be filled out at the start of the work shift by the Equipment/Tmck Operator to insure that the equipment/track is safe to operate and is free from apparent damage which could cause failure while in use. Once completed, this form is to be given to the Site Manager to be kept on file on-site. In all cases, consult the manufacturer's data to ensure compliance with all safety inspection criteria which may not be indicated below.
MAKE/DESCRIPTION MODEL/SERIAL
OK Not OK Comment And Actions Taken
Brakes Brake Lights Reverse Signal Alarm Hom Tires Steering Seat Belts Operating Controls Fire Extinguisher Lights Defroster Mirrors Instmments Coupling Devices Windshield/Window Glass Windshield Wiper Mud Flaps/Rock Guards Exhaust System Hitches & Safety Cables Hydraulic Lines/Air Hoses Engine Oil Level Roll-Over Protection/
Emergency Equipment
Odometer: Hour Meter: Fuel Level:
Inspector Name/Signature:
Date: Time:
Revised 01/1997
K:\1515\Coplcy Pla2a\HASP\c0pley_HASP.doc RFW243-2D-AU1G
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