9-10 - Hazardous Communication Forms.pdf

City of Lubbock, TX

ITB 26-19483-YB

Splash Pad Chemicals

WRITTEN HAZARD COMMUNICATION PROGRAM

Administered by the City of Lubbock’s Safety Department

TABLE OF CONTENTS

I. POLICY STATEMENT REGARDING HAZARD COMMUNICATION

II. HAZARD COMMUNICATION IMPLEMENTATION PLAN

A. Workplace Chemical List B. Material Safety Data Sheets (MSDS) C. Container Labeling D. Employee Training E. Other Implementation Procedures

III. TRAINING OUTLINE

Exhibit A - Workplace Chemical List Exhibit B - Letter Requesting MSDS Exhibit C - Hazard Communication Training for Contractors/Seasonal/

Temporary Workers Exhibit D - Contractor acknowledgment of Hazard Communication Exhibit E - Chemical Spill Plan

I. POLICY STATEMENT REGARDING HAZARD COMMUNICATION

In the normal course of serving the citizens of Lubbock, employees of the City of Lubbock are routinely asked to use hazardous materials. Providing a safe work environment for City of Lubbock employees is an organizational priority. In order to ensure safe handling of hazardous materials, it is the policy of the City of Lubbock to communicate to our employees and contractors the hazards of those materials, and the precautions they must take to protect themselves, via our comprehensive Hazard Communication Program. The Hazard Communication Program will include information about:

Workplace Chemical List Material Safety Data Sheet (MSDS) Container Labeling Employee Training Other Implementation Procedures

Each department of the City of Lubbock will designate an employee as their Hazard Communications Coordinator. That employee may be someone already selected to be the department Safety Coordinator. The Hazard Communications/Safety Coordinator will ensure that the Hazard Communication Implementation Plan, found in Section II of this document, is implemented in their department. It is the responsibility of every City of Lubbock employee to follow all established safety policies and procedures, and to notify supervisory personnel of unsafe work conditions.

Hazard Communication is the law! The success of the City of Lubbock’s written Hazard Communication Program depends on the commitment of management and employees to understand, and implement the program in each department.

II. HAZARD COMMUNICATION IMPLEMENTATION PLAN

The following plan describes how compliance with the Texas Hazard Communication Act (THCA) will be achieved in the City of Lubbock. The Hazard Communication Coordinator in each department, or his/her designee, will be responsible for implementing this plan in their work area.

A. WORKPLACE CHEMICAL LIST

A workplace chemical list will be prepared for each department listing each hazardous chemical present in the work area that exceeds the quantity of 55 gallons or 500 pounds on any one day during the year. "Hazardous Chemical" means any element, chemical compound or mixture of elements and/or compounds which is a physical hazard or health hazard as defined by the OSHA standard in 29 CFR Section 1910.1200 (3) or (d). This list will include:

1. Date the list was prepared.

2. Signature of the individual who prepared the list.

3. Chemical name(s). (name as it appears on the label and MSDS)

4. Location where the chemical(s) is/are stored.

(Note: Exhibit A is provided as a template for your workplace chemical list.)

The workplace chemical list will be updated, immediately upon receipt of a new chemical that exceeds the 55 gallon/500 pound threshold, and by December 31st of each year. The workplace chemical list will be made readily accessible and available to all employees or a verified employee representative during the work shift in which it is requested. Each department will maintain all workplace chemical lists for at least 30 years.

B. MATERIAL SAFETY DATA SHEETS (MSDS)

Each department shall obtain, and maintain on file, a MSDS for every hazardous chemical in their work area. MSDS’s will be readily available for review during each work shift by all employees or a verified employee representative. Employees will be trained on how to access the MSDS’s.

All missing MSDS’s will be requested in writing from the manufacturer or distributor. Any hazardous chemical not having a corresponding MSDS will be removed from service until the MSDS is received.

(Note: Exhibit B is a sample letter that you may use to request MSDS’s from manufacturers and suppliers.)

All MSDS’s will be reviewed annually. For each MSDS in excess of 2 years old, the manufacturer will be contacted to determine if the information is the most current and up-to-date for that chemical. Any updated MSDS’s received from the supplier will be inserted in the MSDS book and the old MSDS discarded.

C. CONTAINER LABELING

All hazardous materials must be labeled. The manufacturer’s label must not be intentionally removed, defaced or covered up. Where labels are unintentionally damaged, or where the chemical is transferred to a portable container, a new label will be immediately attached to the container that lists the following information:

1. The chemical name (as it appears on the MSDS).

2. Physical and health hazards, and target organs.

3. Manufacturer’s name and address.

No employee shall be asked to work with a hazardous chemical from an unlabeled container except from a portable container intended for the immediate use of the employee who fills the container.

The Hazard Communication Coordinator must inform employees who work around unlabeled pipes the following information regarding potentially hazardous substances contained in the piping:

1. The hazardous substance in the pipe.

2. Potential hazards.

3. Safety precautions to be taken.

. City Policy: All compressed gases including air compressors, must be labeled with the words: Caution: Compressed Gas.

D. EMPLOYEE TRAINING

All Contractor employees will be trained in Hazard Communication. In accordance with City policy, employees who are routinely exposed to hazardous chemicals while performing their job duties, must receive annual Hazard Communication refresher training. The training will include, at a minimum, the following:

1. Information on interpreting labels.

2. Information on interpreting MSDS’s.

3. The relationship between labels and MSDS’s.

4. The location of hazardous chemicals in their work areas.

5. The acute and chronic health effects of hazardous chemicals in their work areas.

6. Safe handling of hazardous chemicals in their work areas.

7. Proper use of personal protective equipment (P.P.E.)

8. First aid treatment to be used with respect to the hazardous chemicals in their work area.

9. General safety instructions on handling, clean-up procedures, and disposal of hazardous chemicals.

This training will be provided to each employee before they begin working in an area that contains hazardous chemicals. Additional training will be provided to employees when:

1. They are new or newly assigned to that work area.

2. The potential for exposure to hazardous chemicals changes.

3. When new chemicals are brought into the work area.

E. OTHER IMPLEMENTATION PROCEDURES

1. Reporting Fatalities and Injuries

According to the City Safety and Loss Prevention Manual, upon sustaining an on-the-job injury, including those resulting from chemical exposure, the employee or supervisor must report the injury to the Safety department immediately. A Personal Injury Investigative Report must be completed and submitted to Safety within 24 hours of the accident or injury. The City of Lubbock Risk Manager will be responsible for reporting to the Texas Department of Health within 48 hours of occurrence, in accordance with the THCA, all employee accidents involving chemical exposure or asphyxiation that is fatal to one or more employees, or results in the hospitalization of 5 or more employees. That report shall include the circumstances of the accident, the number of fatalities, and the extent of any injuries.

2. Employee Rights

The Contractor is responsible for informing the employees of their department the rights afforded to them by the Texas Hazard Communication Act (THCA). All employees have a “right to know”, according to law, about chemical hazards in the workplace. Those rights include:

1. Access to a workplace chemical list.

2. Access to a MSDS for all hazardous chemicals in the workplace.

3. A right to be trained about chemical and physical hazards in the workplace, including the possibility for accidental exposures, and measures they can take to protect themselves from those hazards.

4. A right to appropriate personal protective equipment (P.P.E.)

5. A right not to be discriminated against, disciplined, or discharged for filing a complaint or participating in an investigation of potential violations of the THCA.

6. An employee may not waive their rights under the THCA.

7. Special arrangements must be made by the Hazard Communication

Coordinator to interpret Hazard Communication information to those individuals who, because of illiteracy or language barrier, are unable to access those materials.

3. Contractor Employee Hazard Communication

All contractors must agree to comply with all requirements of the Texas Hazard Communication Act (THCA) and the OSHA Hazard Communication Standard while on City of Lubbock property. The Contractor and/or Placement Agency will provide basic Hazard Communication training to their employees according to the requirements of the law. Contractors will be responsible for informing their employees of hazardous materials present in their work areas, training of their employees, and furnishing all required personal protective equipment.

Any employee supervised by a City of Lubbock employee, even if they are referred and/or paid by an agency or contractor, must be provided training before they begin work.

The Hazard Communication Coordinator for the department in which the contractor employees are assigned will be responsible for providing Hazard Communication training specific to the hazards associated with working in that department. All training must be documented and recorded according to this Implementation Plan.

(Note: Exhibit C is an outline that may be used as an abbreviated training guide for training contractor/ seasonal/ temporary employees placed with the City through an Agency.)

All contractors will be informed of the hazardous chemicals present in the buildings in which they work. They will be shown the storage location and given access to the MSDS’s and workplace chemical lists for that department. The Hazard Communication Coordinator will obtain from the contractor a signed document acknowledging these items were communicated to the contractor representative.

(Note: Exhibit D is a form that may be used for Contractor Hazard Communication Acknowledgment.)

All contractors who bring hazardous chemicals on to City of Lubbock property must provide a MSDS for each chemical and an inventory of all chemicals brought on site. These documents must be accessible to the Hazard Communications Coordinator and City of Lubbock employees.

4. Personal Protection Equipment (P.P.E.)

Personal protective equipment shall be provided by departments and used by employees if the potential for occupational exposure remains after instituting engineering and work practice controls, or if such controls are not feasible.

The Hazard Communication Coordinator for each department is responsible for acquiring and making available to employees, P.P.E. appropriate for the hazards in that workplace. The P.P.E. must be kept in good condition, stored in a sanitary fashion, and inspected regularly for functionality.

Exhibit A

Workplace Chemical List (List of hazardous materials stored in excess of 55 gallons or 500 pounds)

Department

Chemical Location

1.__________________________________________________________

2.______________________________________________________________________

3.______________________________________________________________________

4.______________________________________________________________________

5.______________________________________________________________________

6.______________________________________________________________________

7.______________________________________________________________________

8.______________________________________________________________________

9.______________________________________________________________________

10._____________________________________________________________________

11._____________________________________________________________________

Date of list: _______________________________

Signature: _______________________

Note: This list must be maintained on file in the department for 30 years.

Exhibit B Letter Requesting MSDS

Date: _________________________

To Whom It May Concern, As you know, the United States Hazard Communication/Right-to-Know laws require employers to make available to their employees a current Material Safety Data Sheet (MSDS) for all hazardous chemicals used in their workplace.

As part of the City of Lubbock's ongoing effort to comply with these laws, we respectfully request a copy of the most current MSDS for the following chemicals manufactured and/or distributed by your company:

Please send to: City of Lubbock, P.O. Box 2000, Lubbock, TX 79457, Attn: _______________________

Your assistance in this matter is greatly appreciated.

Sincerely, xc: MSDS book (filed under name of requested chemical)

Exhibit C Hazard Communication Training Outline for Contractors/Seasonal/Temporary Workers

The following information should be presented to all new and newly assigned employees, temporary and permanent, full and part time. This includes temporary workers placed by employment agencies. The discussion should be held during a new employee orientation and provide general information regarding Hazard Communication laws. This information will then be supplemented with site-specific hazard communication training by a worksite supervisor once the employee is assigned to a department.

Employee rights under the law, including, but not limited to:

- A right to this training (hazard communication)

- A right to ready access to

1) A Workplace Chemical List

2) A Material Safety Data Sheet (MSDS) for every hazardous chemical in their work area.

3) Personal Protective Equipment (PPE) appropriate to their job

- A right to work with chemicals in properly labeled containers

Definitions of: 1) Hazard Communication

2) Workplace Chemical List

3) Material Safety Data Sheet

4) Personal Protective Equipment

What information is on a MSDS and how to read them?

What information is on a properly labeled container?

The relationship between MSDS’s and container labels

Site-specific training should include the following: the storage location of chemicals and their MSDS’s, the acute and chronic health effects of each chemical, specific first-aid training, safe handling, clean-up, and disposal procedures for each hazardous chemical.

A record of this training according to law, should be maintained for a minimum of 5 years. That record should include a list of attendees, the instructor's name, date, and the specific subjects discussed. Require all employees, once they understand and feel comfortable with the information provided, to sign the document confirming that they have received the training.

Exhibit D

Contractor Acknowledgment of Hazard Communication

I have been informed of the presence of hazardous materials on the __________________________________ premises, and of the location of the corresponding Material Safety Data Sheets (MSDS). I agree to provide MSDS’s for all hazardous materials brought on site, and will remain in compliance with the Hazard Communication Standard while on City of Lubbock property.

Contractor signature Date

Exhibit E

Chemical Spill Plan

I. Small Spill - less than 20 gallons contained on an impervious surface (concrete, etc.)

Attend to Injured Notify the Hazard Communication Coordinator at #________________ Turn off any ignition and heat source Consult MSDS for cleanup instructions and hazard precautions Wear appropriate Personal Protective Equipment Contain spill with absorbent materials, sandbags, “snakes”, “pigs”, etc.

Over pack leaking containers Clean up contaminated area Dispose of residues according to law

II. Large Spill - 20 gallons or more, or any spill that threatens surface waters (playa lake), ground water, or sanitary or storm sewer systems, or any “extremely hazardous substance” spill.

(Consult Texas Tier Two list)

Call 911 Attend to injured Notify the Hazard Communication Coordinator at #___________ Turn off any ignition or heat source Consult MSDS for cleanup instructions and hazard precautions Wear appropriate Personal Protection Equipment Contain spill with absorbent materials, sandbags, ”snakes”, “pigs”, etc.

Over pack leaking containers Contact the following:

1) TNRCC Emergency Response Team 796-7092 8 - 5 Mon. - Fri.

(800) 695-2337 after hours (enter #20770 at prompt)

2) National Response Center (800) 424-8802

Location of:

First Aid Kit ________________________________________________

Spill Containment Materials ____________________________________

Emergency Exit Map __________________________________________