San
Juan College
Department or Site Specific Information
To make the Hazard Communication (HAZCOM) Plan site specific,
the responsible party for the building/section or department completes
this section.
Date:___________ Department:____________________________________
Section/Building:_____________________
Area/Room Number:___________
Revision Date(s______ ___________ ___________
___________ ___________
Responsible Party:__________________________________________________
Location of Material Safety Data Sheets:_______________________________
Location of Training Records:________________________________________
MSDS and chemical inventories are considered records of
potential exposure. At
least one
(1) of these records must be maintained for 30 years following
the last use.
Check the one (1) maintained:___________ MSDS___________ Chemical Inventory
Location of past records:
Emergency Procedures (describe)________________________________________
____________________________________________________________________
_____________________________________________________________________
Location of Health Care provider:_________________________________________
Location of Eye Wash:___________________________________________________
Location of Emergency Shower:___________________________________________
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