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March 2018 Version 1 New Jersey Institute of (New Jersey Institute of Technology)

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UNIVERSITY SAFETY ENVIRONMENTAL MANAGEMENT
SYSTEM
University Heights
Newark, New Jersey 07102
March 2018
Version 1
New Jersey Institute of Technology
Laboratory Standard Operating Procedure
For the Use of Particularly Hazardous Materials or Substances
G
EHS has to approve the use of all particularly hazardous substances. For a detailed definition of Particularly
Hazardous Substances please visit EHS website.
Department: ________________________ Building: ______________________ Room #: _________________
Principal Investigator: _________________________________ Contact #: _____________________________
Prepared By: ________________________________________ Date: _________________________________
1. Substance Information
Substance #
Chemical
Name
CAS
Number
Location
Estimated
Rate of Use
(e.g.,
grams/month)
Frequency of
Manipulation
(Daily/Weekly/Monthly)
SDS
Reviewed
and
Available
Hazard Type
1
☐
2
☐
3
☐
4
☐
5
☐
• Do any of these materials have a low LD-50 or PEL (LD-50 ≤ 200 mg/kg or a PEL ≤ 10 ppm or 25
mg/m
3
) that requires enhanced safety precautions?
❑ No
❑ Yes (Please explain in the box below for each substance)
2. Hazards
A. Physical Hazards (Check all that apply)
Physical Hazards/Substance #
1
2
3
4
5
Flammable
☐
☐
☐
☐
☐
Corrosive
☐
☐
☐
☐
☐
Reactive
☐
☐
☐
☐
☐
Atmospheric/Temperature
☐
☐
☐
☐
☐
Unstable1
☐
☐
☐
☐
☐
Substance #
Known Incompatibilities
1
2
3
4
5
1
Decomposes, forms peroxides, polymerizes, shelf-life concerns
B. Health Hazards
Substance #
Applicable Significant Routes of Exposure
Sensitizer
Medical
Consultation
Needed
Antidote On
Hand
1
☐
Inhalation
☐
Skin Absorption
☐
Injection
☐
☐
☐
2
☐
Inhalation
☐
Skin Absorption
☐
Injection
☐
☐
☐
3
☐
Inhalation
☐
Skin Absorption
☐
Injection
☐
☐
☐
4
☐
Inhalation
☐
Skin Absorption
☐
Injection
☐
☐
☐
5
☐
Inhalation
☐
Skin Absorption
☐
Injection
☐
☐
☐
If medical consultation is needed or there is an antidote is available for a substance, please describe below:
Ex: (Calcium Gluconate for Hydrofluoric Acid)
3. Workplace Controls
A. Ventilation/Containment
Substance #
Hood Required
Hood
Operates
80 – 120
ft/min
Bio Safety
Cabinet
Required
Bio
Cabinet
Certified
within 1
year
Glovebox
Required
Vented
Gas
Cabinet
Required
Other
Ventilated
Equipment
2
1
2
3
4
5
2
e.g. PCR hood, elephant trunk exhaust duct
B. Safety Equipment
Prior to performing this procedure, the following safety equipment must be accessible and ready for use: (ex.
chemical fume hood, biological safety cabinet, laminar flow hood, emergency eye wash, safety shower,
chemical spill kit, etc.)
C. Personal Protective Equipment (PPE)
Substance #
Safety
glasses
Chemical
splash
goggles
Face
Shield
Gloves
(type)
Lab
coat
Apron
Respirator
3
SCBA
Other
1
2
3
4
5
If other, (please describe for each substance):
Special personal protective equipment needed (e.g., acid resistant gloves) ❑Yes ❑ No
*Particularly hazardous substances might require specialized personal protective equipment (PPE). Please
describe any specialized PPE required for laboratory safety.* (ex. Acid resistant gloves, chemical splash
goggles, full face shield, moisture resistant Tyvek, chemical splash apron, flame resistant lab coat, etc.)
3
Respirators and SCBA require EHS approval
4. Procedure
• How the material will be used for each substance below: (Attach experimental protocol if needed)
• Vacuum system used: ❑ Yes ❑ No
• If yes, describe method for trapping effluents:
5. Storage/Designated Area
A. Building _____________________________________________ B. Room _________________________
C. Describe the area where substance(s) will be used and the method of posting as a designated area. Please
indicate where the material is stored.
Substance #
Area where substance(s) will be used and the method of posting as a
designated area
Substance
Storage
Location in
the Lab
1
2
3
4
5
D. Storage Method
Substance #
Refrigerator/
Freezer
Hood
Double
Containment
Vented Cabinet
Gas Cylinder
Flammable
Liquid
Storage
Cabinet
Enhanced
Security
Required
Other
1
☐
☐
☐
☐
☐
☐
☐
☐
2
☐
☐
☐
☐
☐
☐
☐
☐
3
☐
☐
☐
☐
☐
☐
☐
☐
4
☐
☐
☐
☐
☐
☐
☐
☐
5
☐
☐
☐
☐
☐
☐
☐
☐
❑ Other (please describe): _____________________________________________________________
❑ Enhanced security required (please describe): (For example, toxins of Biological origin, e.g.,
tetrodotoxin, needs to be secured in a locked cabinet, or locked refrigerator)
6. Spills and Decontamination
Substance #
materials needed for
spill control and
decontamination
Spill
Control
Materials
available
Personnel
trained
For
Using
Spill Kits
Special PPE
Required (e.g.,
Tyvek) -
Describe
Decontamination
Method
1
☐
☐
☐
|
2
☐
☐
☐
|
3
☐
☐
☐
|
4
☐
☐
☐
|
5
☐
☐
☐
|
A. In the event of a spill of hazardous materials, follow these procedures for each decontamination:
method:
7. Training (please list names and training dates in the table below)
Name
Title
Hazard
Communication
Training (EHS)
General Lab
Safety
Training
(EHS)
Bio Safety
Training
(EHS
)
Protocol-
Specific
Hands-On
Training (Lab)
Other
Required
Training
8. Waste Disposal
Substance #
Dispose
as
hazardous
waste
Decontamination
prior to disposal
Decontamination Method (If applicable)
New waste
accumulation
area to be
established
1
☐
☐
☐
2
☐
☐
☐
3
☐
☐
☐
4
☐
☐
☐
5
☐
☐
☐
Please describe other waste disposal requirements for each item if needed:
9. Authorization
Based on the information provided, prior experience, and records, the individual(s) has demonstrated
satisfactory understanding of the hazards associated with the listed substance. Safe-handling methods were
established to minimize potential risk to health and property. The individual is authorized to use the material as
described in this form.
___________________________________________ ___________________________________________
EHS Authorization Signature Principal Investigator/Supervisor
___________________________________________
Department Chair
Please submit this form to EHS, the lab principal investigator, and department chair.
Particularly hazardous substances should not be used until prior approval is granted.
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March 2018 Version 1 New Jersey Institute of (New Jersey Institute of Technology)

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Completed 24 August 2020

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