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Chemical Hygiene Plan - Queensborough Community College ...

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APPENDIX N: SAMPLE PRIOR APPROVAL FORM<br />

Prior Approval for Highly Hazardous Operations<br />

PI or supervisor:<br />

Location:<br />

Name of chemical(s) or operation:<br />

Each person on this list should have permission from the lab supervisor or Principal<br />

Investigator to use the chemicals or conduct the operation above in this lab and have<br />

completed the following:<br />

• Are aware of the hazards the chemical(s) or operation(s) pose?<br />

• Has read the Standard Operating Procedures for this process?<br />

• Knows the first aid procedure in case of an exposure?<br />

• Knows what to do in the event of a spill or other emergency?<br />

• Has received any specific training needed above the standard Lab Safety and<br />

<strong>Chemical</strong> Waste Disposal training?<br />

Name Initials Date

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