Fillable TTU CHEMICAL HAZARDS

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TTU CHEMICAL HAZARDS

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U.S.A. forms for Tennessee Technological University

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SDSs and additional lab safety
protocols are located: ___________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Name
Title
Department
Office
Office Phone
After Hours Phone
Laboratory Emergency Information
AUTHORIZED PERSONNEL ONLY
Hazards:
☐
Carcinogens
☐
Mutagens
☐ Teratogens ☐ Corrosives
☐ Flammables (Solid and Liquid)
☐ Water Reactive Chemicals
☐ Unstable Chemicals (list): ___
_____________________________________
_____________________________________
_____________________________________
☐ Compressed Gases (list): ____
_____________________________________
_____________________________________
_____________________________________
☐ Other Hazards (list): _________
_____________________________________
_____________________________________
_____________________________________
ENTRY REQUIREMENTS
Eye Protection
ProtectiveClothing
Safety glasses are required
for all visitors and workers
Lab coat, long pants, closed-toed
s
hoes and gloves compatible with
hazard required for all lab workers.
EMERGENCY DIAL 9-1-1
ENVIRONMENTAL HEALTH AND SAFETY
372-3227
WWW.TNTECH.EDU/SAFETY
Allowed in Lab
YES
NO
Lab Number: __________________________
Revision Date:
ADDITIONAL
ENTRY
REQUIREMENTS
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TTU CHEMICAL HAZARDS

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Completed 18 March 2020

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