HAZCOM Sample Written Program 1704727682
HAZCOM Sample Written Program 1704727682
I. OBJECTIVE
The objective of this program is to set forth policies and procedures concerning Hazard
Communication to enhance the safety and well-being of [Company Name] employees.
Furthermore, the execution of this program is designed to help [Company Name]
comply with the Occupational Safety and Health Administration’s (OSHA) Hazard Communication
Standard.
III. PROGRAM
The following items are to be followed to ensure compliance with the OSHA Hazard
Communication Standard and the safety of our employees.
A. Hazardous Chemical List
[Responsible Person] shall maintain and update a list of the hazardous
materials and chemicals used in the [Company Name] activities. This list is to
include all substances that require a Safety Data Sheet (SDS).
Keep one copy of this list in the front of each SDS book and one copy on file with the
Hazard Communication Officer. For each chemical used in the workplace, an SDS sheet
must be available on that job site.
B. Safety Data Sheets
[Responsible Person] shall keep all SDSs in an organized fashion and place
them in [Identified & Accessible Location] for all employees to view at will.
The Hazard Communication Officer shall maintain a duplicate set of SDS information.
[Responsible Person] shall maintain and update SDS books and the Hazardous
Chemical List. (Retain obsolete SDSs for 30 years.)
[Responsible Person] shall verify [How often?] that SDSs correctly reflect
chemical reformulations, improvements, or updates.
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Employees shall notify the Hazard Communication Officer immediately of all hazardous
chemicals or substances received without a proper SDS. The Hazard Communication
Officer shall immediately contact the manufacturer or distributor of the product. If the
manufacturer or distributor cannot produce an SDS, the Hazard Communication Officer
shall return the product to the supplier.
[Note: Effective June 1, 2015, Material Safety Data Sheets [MSDSs] were no longer in use.]
C. Labeling and Pictograms
Properly label each container of hazardous chemicals with the name of the hazardous
material, the name and address of the manufacturer, and the appropriate warnings,
pictogram(s), and signal word(s). Place appropriate labels on all containers regardless of
size. Containers must be approved and recommended for either storage or dispensing of
the particular hazardous chemical contained in them.
Replace worn or torn labels. It is the responsibility of employees to report inappropriate
labels to their supervisor. The Hazard Communication Officer is responsible for ensuring
that appropriate labels are in place and that replacement labels are available.
Portable containers of hazardous materials do not require labeling if the materials are
transferred from labeled containers and intended for immediate use by the employee
who performs the transfer. Empty (and clean when necessary) portable containers not
immediately used within [Time] hours.
D. Training
Train all full- and part-time employees, new hires, and contractors of [Company Name]
on the following:
1. label elements;
2. pictograms;
3. SDS format to facilitate recognition, and understanding of the product, its
required personal protective equipment (PPE), and first aid requirements;
4. the chemicals they will be exposed to;
5. locations of SDSs; and
6. chemicals in supply lines within the site.
(Note: If required, include Department of Transportation pictograms and
identification placards in this training.)
Each affected employee working for or associated with
must review the training material with the Hazard Communication Officer and sign
an acknowledgment form. The Hazard Communication Officer shall keep the signed
acknowledgment form in the employee’s file. Conduct this training during the new
employee orientation process before the new employee begins their duties. Additional
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training is required before any new hazardous chemical or material is introduced into the
workplace or when changes are made to the program.
E. Storage
Secure all hazardous substances storage areas. Ensure they are properly ventilated and
identified by signs.
F. Non-Routine Tasks
Advise or have employees contact [Responsible Person] for special precautions
to follow before performing any non-routine task. [Responsible Person] shall inform
all other employees who may be exposed.
[Responsible Person] shall provide the affected employees with information about
the non-routine task and the expected encountered chemicals, including the:
1. specific chemical name(s) and hazard(s);
2. PPE required and safety measures to take;
3. measures to take to lessen the hazards, including ventilation and respirators; and
4. emergency procedures.
[Responsible Person] shall contact each contractor before work starts to gather and
disseminate any information concerning chemical hazards the contractor is bringing into
the workplace.
G. Program Compliance
Any direct or intentional violation or non-compliance with this program may result in the
termination of the person or persons involved in accordance with company policy.
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ATTACHMENT A:
Acknowledgment of Receipt of Hazard Communication Training
My signature below acknowledges I have received training concerning Hazard Communications.
I understand that this training fulfills the employee training requirement of the OSHA Hazard
Communication Standard.
• understanding the purpose and scope of the OSHA Hazard Communication Standard;
• explanation and interpretation of labels, requirements on all containers, and the Hazard
Materials Identification System (HMIS);
Employee Signature
Date of Training
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ATTACHMENT B:
Sample Hazardous Materials and Chemicals List
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ATTACHMENT C:
Pictograms and Hazards
Class Notes:
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CORROSION EXCLAMATION MARK* FLAME OVER CIRCLE
Class Notes:
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EXPLODING BOMB SKULL & CROSSBONES ENVIRONMENT*
Class Notes:
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ATTACHMENT D:
Pictogram Memory Exercise
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ATTACHMENT E:
Sample Training Roster
Date of Training:
Items Covered:
[List items covered]
Date:
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ATTACHMENT F:
Sample Label
PRODUCT IDENTIFIER
CODE
Product Name
SUPPLIER IDENTIFICATION
Company Name
Street Address _
City _________________ State _
Postal Code __________ Country
Emergency Phone Number ___________
PRECAUTIONARY STATEMENTS
Keep container tightly closed. Store in cool, well ventilated place that is locked.
Keep away from heat/sparks/open flame. No smoking.
Only use non-sparking tools.
Use explosion-proof electrical equipment.
Take precautionary measure against static discharge.
Ground and bond container and receiving equipment.
Do not breathe vapors.
Wear protective gloves.
Do not eat, drink, or smoke when using this product.
Wash hands thoroughly after handling.
Dispose of in accordance with local, regional, national, international regulations as specified.
In Case of Fire: use dry chemical [BC] or carbon dioxide [CO2] fire extinguisher to extinguish.
First Aid
If exposed call Poison Center.
If on skin [on hair]: Take off immediately any contaminated clothing. Rinse skin with water.
HAZARD PICTOGRAMS
SIGNAL WORD
Danger
HAZARD STATEMENT
Highly flammable liquid and vapor.
May cause liver and kidney damage.
SUPPLEMENTAL INFORMATION
*Note: Since other agencies regulate this information, OSHA will not be enforcing Sections 12
through 15 of 29 CFR 1910.1200(g)(2).
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ATTACHMENT H:
OSHA Resources
The following items can be downloaded from the OSHA website at https://www.osha.gov/
publications/all or
ordered from OSHA by calling (800) 321-6742:
Hazard Communication Standard: Comparison of NFPA 704 and HazCom 2012 Labels QuickCard
(OSHA 3678 - 2013) (English: PDF)
Hazard Communication Standard: Dec. 1st, 2013 Training Requirements for the Rev. Standard
Fact Sheet
(OSHA FS 3642 - 2013) (English: PDF)
Hazard Communication: Small Entity Compliance Guide for Employers That Use Hazardous
Chemicals
(OSHA 3695 - 2014) (English: PDF)
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ATTACHMENT I:
DWC Resources
The DWC features a free occupational safety and health DVD loan library. Call 512-804-4620 for more
information or visit the DWC website at http://www.tdi.texas.gov/wc/safety/videoresources/avcatalog.
html. Some of the DVDs on hazard communication include:
Ag Chemical Safety
DVD915 DVD English 0:10:00
NOTE: While the general information on chemical safety in this DVD is accurate, the information on
labeling and MSDS sheets has been outdated by the GHS standard. It is recommended that this DVD be
supplemented with one of the Global Harmonization DVDs. Covers chemical hazards both at home and
at work. Complements training in hazard communication and is an overall review of chemical safety.
Digital-2000. Includes Quiz.
Ag Chemical Safety
DVD915S DVD Spanish 0:10:00
NOTE: While the general information on chemical safety in this DVD is accurate, the information on
labeling and MSDS sheets has been outdated by the GHS standard. It is recommended that this DVD be
supplemented with one of the Global Harmonization DVDs. Covers chemical hazards both at home and
at work. Complements training in hazard communication and is an overall review of chemical safety.
Digital-2000. Includes Quiz.
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Hazard Communication for Pulp and Paper
DVD1580ES DVD English, Portuguese, Spanish 0:15:00
NOTE: While the general information on chemical safety in this DVD is accurate, the information on
labeling and MSDS sheets has been outdated by the GHS standard. It is recommended that this DVD be
supplemented with one of the Global Harmonization DVDs. Covers hazard communication for employees
in the pulp and paper industry. Addresses the need to keep up-to-date with current information about
the chemicals used in the pulp and paper industry. Includes Quiz. DVD contains English, Spanish and
Portuguese versions, as well as English subtitles. 2005. Coastal. 2005.
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Hazard Communication: You Need To Know [Healthcare Facilities]
DVD1969ES DVD English, Spanish 0:17:00
NOTE: While the general information on chemical safety in this DVD is accurate, the information on
labeling and MSDS sheets has been outdated by the GHS standard. It is recommended that this DVD be
supplemented with one of the Global Harmonization DVDs. Speaks to various hospital settings in which
healthcare workers may come into contact with hazardous chemicals. Covers understanding an MSDS
and identifying hazardous chemicals. Reviews areas where employees are likely to come into contact with
hazardous chemicals. Discusses permissible exposure limits and protective procedures. Coastal. Includes
Quiz.
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Warning Labels and Signs: Get the Message
DVD1684ES DVD English, Portuguese, Spanish 0:17:00
Discusses common safety signs such as Caution signs, High Voltage signs, bio-hazard symbols and other
instruction signs. Covers tagout signs used in lockout/tagout situations. Also discusses how to identify
signs and tags and understand what they mean in the workplace. Covers NFPA labeling system, HazMat
labeling system, and SmartRTK labeling system. The section on Hazard Communication should be
supplemented by one of the updated Global Harmonization Hazard Communication DVDs. Coastal. 2007.
Includes Quiz. 2007.
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