IFB_Forms_ATT_E_Hazard.pdf

ATTACHMENT E

SECTION 00450

HAZARD COMMUNICATION PROGRAM

HAZARD COMMUNICATION PROGRAM FOR

(Name of Company) The purpose of this program is to ensure that potential hazards and hazard control measures for chemicals used by this company are understood by company employees.

The written program is available for employee review at any time. It is located

A copy of the program will be provided to any employee or employee representative, upon request.

CONTAINER LABELING:

will verify that all containers received for use by this company will: (name/title of individual)

* be clearly labeled as to the contents, matching identification on MSDS;

* note the appropriate hazard warnings;

* List the name and address of the manufacturer.

No containers will be released for use until the above data is verified.

MATERIAL SAFETY DATA SHEETS:

Copies of MSDS's for all hazardous chemicals to which employees may be exposed will be kept will be responsible for ensuring that: (name/title of individual)

* MSDS's for the new chemicals are available;

* MSDS's will be available for review to all employees during each work shift;

* Copies will be available on request.

Solicitation No. BPM005819

Project Name: IFB - DPS K-9 Improvements

Agency Project No. PCS-22-145

Arizona Department of Administration

General Services Division

1400 W Washington St., Suite B200

Phoenix, AZ 85007

EMPLOYEE TRAINING AND INFORMATION:

Each employee will be provided the following information and training before working in areas where hazardous chemicals exist. In addition, if a new hazardous material is introduced into the workplace, affected employees will be given new information and training concerning that material.

A. Minimum Information Provided:

(1) All operations and locations in the work area where hazardous chemicals are present.

GENERAL INDUSTRY

A. Minimum Information Provided:

(1) The location and availability of the written hazard communication program, including list(s) of hazardous chemicals used and related material safety data sheets;

(2) The method the company will use to inform employees of potential hazards of non-routine tasks (jobs that are not routine for an individual because of infrequency, location or type.)

B. Minimum Training Provided:

(1) Methods and observations used to detect the presence or release of a hazardous chemical in the work area (such as company monitoring programs, continuous monitoring device, visual appearance, odor or to other characteristics of hazardous chemicals;

(2) The physical and health hazards of chemicals in the assigned work area;

(3) The measures to take to protect against such hazards, including specific company procedures concerning work practices, emergencies and care and use of protective equipment.

(4) Details of the company hazard communication program, including explanation of the labeling system, the material safety data sheets, and how to obtain and use the appropriate hazard information.

(OPTIONAL) Upon completion of the training, each employee will sign a form acknowledging receipt of the written hazard communication program and related training.

HAZARDOUS NON-ROUTINE TASKS: (If applicable.)

If company employees are required to do hazardous non-routine tasks, such as welding in confined spaces, or cleaning of tanks, the employer must address how the employees doing the work will be informed about the specific hazards to which they will be exposed, what personal protective equipment will be provided and who will be responsible to oversee the operation or operations. If the company does not have any hazardous non-routine tasks, line through this section and state "NO HAZARDOUS NON- ROUTINE TASKS".

CHEMICALS IN UNLABELED PIPES: (If applicable.)

If the company has chemicals in unlabeled pipes, the company must inform the employees of the hazards associated with those chemicals.

If the company does not have any chemicals in unlabeled pipes, line through this section and state "NO CHEMICALS IN UNLABELED

PIPES".

INFORMING CONTRACTORS:

Providing contractors and their employees with the following information is the responsibility of .

(Name/title of individual)

(1) Hazardous chemicals to which they may be exposed while on the job site;

(2) Measures the employees may take to lessen the possibility of exposure;

(3) Steps the company has taken to lessen the risks;

(4) Where the MSDS's are for chemicals to which they may be exposed;

(5) Procedures to follow if they are exposed.

CONTRACTORS INFORMING EMPLOYERS:

Contractors entering this workplace with hazardous materials will supply this employer with MSDS's covering those particular products the contractor may expose this company's employees to while working at this site.

LIST OF HAZARDOUS CHEMICALS IN THIS WORKPLACE

CONTRACTOR:

By:

Name:

Title:

Address:

END OF SECTION