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[Company] Chemical Hazard Communication Program Template

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[Company] Chemical Hazard Communication Program

Template

Chemical Hazard Communication ProgramTable of Contents

I. OBJECTIVE AND SCOPEDEFINITIONS

II. RESPONSIBILITIESA. Chemical Hazard Communication Program ManagerB. ManagementC. SupervisorsD. EmployeesE. Third Party Contractors

III. PROCEDUREA. Container Labeling

1. Incoming Chemicals2. Chemical Products Manufactured or Packaged at

Facility3. Temporary Containers

B. SDSs (Safety Data Sheets)C. Hazardous Chemicals ListD. Chemicals in Unlabeled PipesE. Non-Routine TasksF. Informing Other Employers/Third Party ContractorsG. Program Availability

IV. TRAININGA. Employee TrainingB. Employee TestingC. Training Records

V. REFERENCESA. Regulatory ReferenceB. NCH Policy Reference

VI. APPENDICESAppendix A – Acknowledgement of Receipt of Chemical Hazard Communication TrainingAppendix B – Hazardous Chemicals ListAppendix C – Company System for Temporary Container LabelingAppendix D – Chemical Hazard Communication TestAppendix E – Label Elements: Hazardous Chemical Categories,

Hazard Statements, and pictogramsAppendix F – Safety Data Sheet Elements

VII. DOCUMENT CONTROL

Chemical Hazard Communication Programfor

[Company Name/Location]

I. OBJECTIVE AND SCOPE

This program is intended to describe the procedures for evaluating, identifying and communicating to affected employees the appropriate information concerning the identity and hazards of chemicals present in the workplace at [Company Name/Location], so that employees may perform their job duties in a safe manner. The Chemical Hazard Communication Program applies to all company functional units, operations and areas where employees may be exposed to hazardous chemicals under normal working conditions or during an emergency situation. The procedures described in this Program are intended to facilitate compliance with applicable governmental regulations. If there is a conflict between this Program and a governmental regulation, the governmental regulation will apply and this Program will be modified. However, all other requirements in this Program apply even if more stringent than governmental regulations.

II. DEFINITIONS

Chemical. Any substance, or mixture of substances

Chemical Manufacturer. An employer with a workplace where chemical(s) are produced for use or distribution.

Chemical Name. The scientific designation of a chemical in accordance with the nomenclature system developed by the International Union of Pure and Applied Chemistry (IUPAC) or the Chemical Abstracts Service (CAS) rules of nomenclature, or a name that will clearly identify the chemical for the purpose of conducting a hazard classification.

Classification. To identify the relevant data regarding the hazards of a chemical; review those data to ascertain the hazards associated with the chemical; and decide whether the chemical will be classified as hazardous according to the definition of hazardous chemical in this section. In addition classification for health and physical hazards includes the determination of the degree of hazard, where appropriate, by comparing the data with the criteria for health and physical hazards.

Common Name. Any designation or identification such as code name, code number, trade name, brand name or generic name used to identify a chemical other than by its chemical name.

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Compressed Gas. A gas which when under pressure is entirely gaseous at -50°C (-58°F), including all gases with a critical temperature ≤ 50°C (-58°F).

Container. Any bag, barrel, bottle, box, can, cylinder, drum, reaction vessel, storage tank, tote tank, or the like that contains a hazardous chemical.

Employee. A worker who may be exposed to hazardous chemicals under normal operating conditions or in foreseeable emergencies.

Employer. A person engaged in a business where chemicals are either used, distributed, or are produced for use or distribution, including a contractor or subcontractor.

Explosive Chemical. A solid or liquid chemical which is in itself capable by chemical reaction of producing gas at such a temperature and pressure and at such a speed as to cause damage to the surroundings.

Exposure or Exposed. An employee, while in the course of employment, is subjected to a chemical that is a physical or health hazard, and includes potential (e.g. accidental or possible) exposure. "Subjected to a chemical” in terms of health hazards includes an exposure to any bodily route of entry (e.g. inhalation, ingestion, skin contact or absorption.)

Flammable Gas. A gas having a flammable range with air at 20°C (68°F) and a standard pressure of 101.3 kPa (14.7 psi).

Flammable Liquid. Any liquid having a flashpoint of not more than 199.4 deg. F (93 deg. C). Flammable Solid. A solid which is a readily combustible solid, or which may cause or contribute to fire through friction.

Flashpoint. The minimum temperature at which a liquid gives off a vapor in sufficient concentration to form an ignitable mixture with air near the surface of the liquid as determined by standardized test protocols.

Foreseeable Emergency. Any potential occurrence such as, but not limited to, equipment failure, rupture of containers, or failure of control equipment which could result in an uncontrolled release of a hazardous chemical into the workplace.

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Hazard Category. The division of criteria within each hazard class, e.g., oral acute toxicity and flammable liquids include four hazard categories. These categories compare hazard severity within a hazard class and should not be taken as a comparison of hazard categories more generally.

Hazard Class. The nature of the physical or health hazards, e.g., flammable solid, carcinogen, oral acute toxicity.

Hazard not otherwise classified (HNOC). An adverse physical or health effect identified through evaluation of scientific evidence during the classification process that does not meet the specified criteria for the physical and health hazard classes addressed. This does not extend coverage to adverse physical and health effects for which there is a hazard class addressed in this section, but the effect either falls below the cut-off value/concentration limit of the hazard class or is under a GHS hazard category that has not been adopted by OSHA (e.g., acute toxicity Category 5)

Hazard Statement. A statement assigned to a hazard class and category that describes the nature of the hazard(s) of a chemical, including, where appropriate, the degree of hazard.

Hazardous Chemical. Any chemical which is classified as a physical hazard or a health hazard, a simple asphyxiant, combustible dust, pyrophoric gas, or hazard not otherwise classified.

Health Hazard. A chemical which is classified as posing on of the following hazardous effects: acute toxicity (any route of exposure); skin corrosion or irritation; serious eye damage or eye irritation; respiratory or skin sensitization; germ cell mutagenicity; carcinogenicity; reproductive toxicity; specific target organ toxicity (single or repeated exposure); or aspiration hazard. The criteria for determining whether a chemical is classified as a health hazard are detailed in Appendix A to §1910.1200 – Health Hazard Criteria.

Immediate use.  The hazardous chemical will be under the control of and used only by the person who transfers it from a labeled container and only within the work shift in which it is transferred. 

IPCS. International Program on Chemical Safety, a joint program of three cooperating organizations--the World Health Organization, the International Labor Organization, and the United Nations Environment Program. Main goals of the IPCS are to establish the scientific basis for safe use of chemicals and to strengthen national capabilities and capacities for chemical safety.

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Label. An appropriate group of written, printed or graphic information elements concerning a hazardous chemical that is affixed to, printed on, or attached to the immediate container of a hazardous chemical, or to the outside packaging.

Label Elements. The specified pictogram, hazard statement, signal word, and precautionary statement for each hazard class and category.

Mixture. A combination or a solution composed of two or more substances in which they do not react.

Organic Peroxide. An organic compound that contains the bivalent -O-O-structure and which may be considered to be a structural derivative of hydrogen peroxide where one or both of the hydrogen atoms has been replaced by an organic radical.

Oxidizer. A chemical, other than a blasting agent or explosive, that initiates or promotes combustion in other materials, thereby causing fire either of itself or through the release of oxygen or other gases.

Physical Hazard. A chemical that is classified as posing one of the following hazardous effects: explosive; flammable (gases, aerosols, liquids, or solids); oxidizer (liquid, solid, or gas); self-reactive; pyrophoric (liquid or solid); self-heating; organic peroxide; corrosive to metal; gas under pressure; or in contact with water emits flammable gas. The criteria for determining whether a chemical is classified as a physical hazard are detailed in Appendix B to §1910.1200 – Physical Hazard Criteria

Pictogram. A composition that may include a symbol plus other graphic elements, such as a border, background pattern, or color, that is intended to convey specific information about the hazards of a chemical. Eight pictograms are designated under this standard for application to a hazard category.

Precautionary Statement. A phrase that describes recommended measures that should be taken to minimize or prevent adverse effects resulting from exposure to a hazardous chemical, or improper storage or handling.

Produce. To manufacture, process, formulate, blend, extract, generate, emit, or repackage.

Product Identifier. The name or number used for a hazardous chemical on a label or in the SDS. It provides a unique means by which the user can identify the chemical. The product identifier used shall permit cross references to be made among the list of hazardous chemicals required in the written hazard communication program, the label, and the SDS.

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Pyrophoric gas. A chemical in a gaseous state that will ignite spontaneously in air at a temperature of 130 deg. F (54.4 deg. C) or below.

SDS (Safety Data Sheet). A detailed document containing health, safety and environmental information on a hazardous chemical or product that is organized in a standardized format. Examples of such documents include the U.S. OSHA Safety Data Sheet and the United Nations Globally Harmonized System of Classification and Labeling of Chemicals (GHS). [The definition above and/or usage of the term “SDS” in this Program should be revised as necessary to incorporate the terminology appropriate for this facility and the region in which it is located.]

Signal Word. A word used to indicate the relative level of severity of hazard and alert the reader the reader to a potential hazard on the label. The signal words used in this program are “danger” and “warning.” “Danger is used for the more severe hazards, while “warning” is used for the less severe.

Simple Asphyxiant. A substance or mixture that displaces oxygen in the ambient atmosphere, and can thus cause oxygen deprivation in those who are exposed, leading to unconsciousness and death.

Specific chemical identity.  The chemical name, Chemical Abstracts Service (CAS) Registry Number, or any other information that reveals the precise chemical designation of the substance.

Substance. Chemical elements and their compounds in the natural state or obtained by any production process, including any additive necessary to preserve the stability of the product and any impurities deriving from the process used, but excluding any solvent which may be separated without affecting the stability of the substance or changing its composition.

Temporary Container. A portable container, into which a chemical is transferred by an employee, used for temporary storage and/or dispensing by employees. A temporary container may be filled, used, emptied and refilled with different chemicals by employees during a work shift, or it may be used with the same chemical for one or more work shifts. The labeling of each temporary container must be based on its current contents, in accordance with the company system for temporary container labeling.

Unstable (reactive). A chemical which in the pure state, or as produced or transported, will vigorously polymerize, decompose, condense, or will become self-reactive under conditions of shocks, pressure or temperature.

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Use (or “using” a chemical). To package, handle, react, emit, extract, generate as a byproduct, move or transfer.

Water-Reactive. A chemical that reacts with water to release a gas that is either flammable or presents a health hazard.

Work Area. A room or defined space in a workplace where hazardous chemicals are produced or used, and where employees are present.

Workplace. An establishment, job site, or project, at one geographical location containing on or more work areas.

III. RESPONSIBILITIES

A. Chemical Hazard Communication Program Manager[Responsible Person] shall exercise overall management of the Chemical Hazard Communication Program for [Company Name/Location]. The Chemical Hazard Communication Program Manager will ensure that the written Program is accurate and up to date. He or she shall review the written Program and revise it as necessary, but in no case less than annually. The Chemical Hazard Communication Program Manager shall also maintain all training records pertaining to this Program unless another employee is designated under the facility Training Plan.

B. ManagementCompany management shall provide necessary resources to ensure the elimination or minimization of hazards associated with the handling of chemicals by inadequately trained employees and improperly labeled chemicals in the workplace. Company management shall review applicable governmental regulations which apply to operations of [Company Name/Location] and ensure that adjustments or revisions to this Program are made accordingly.

[Facility Manager Name], as Facility Manager, shall ensure that site-specific information, based the type and nature of facility operations, is included in the Program as necessary to ensure that the Program is effective and comprehensive.

C. SupervisorsSupervisors will ensure proper adherence to this program through regular review of actual practices. Supervisors shall themselves follow this Program and ensure that their employees are trained to follow the Program and that they utilize proper work practices as described in the Program.

D. Employees

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Employees are responsible for following the procedures described in this Program. Employees shall:

1. Know the hazards of the chemicals with which they work.2. Know not to use and to report unlabeled containers.3. Know where and how to get an SDS.

Employees shall report to their supervisor any deviations from the Program which are observed.

E. Third Party ContractorsContractor employees shall be responsible for complying with this Program, and conformance shall be verified by [Responsible Person].

IV. PROCEDURE

The following chemical hazard communication procedures are implemented to enhance the safety of our employees and environment, as well as to facilitate compliance with applicable governmental regulations.

A. Container LabelingEach container of a hazardous chemical that is present in or around the work area must be properly labeled with the identity of the hazardous material, the appropriate hazard warnings, and the name and address of the manufacturer. Appropriate labels must be on all containers, regardless of size. When labeling deficiencies are discovered, employees must notify their supervisor.

OSHA Hazard Communication regulations require hazardous chemical labels be properly labeled with the following information:

1. Product identifier2. Signal word3. Hazard Statement(s)4. Pictogram(s) (Label pictograms must be a black symbol within a red

border, on a white background.)5. Precautionary statement(s)6. Name, address, and telephone number of the chemical manufacturer,

importer, or other responsible party(See Appendix E for standard Hazard Categories and their assigned Signal word, Hazard Statement, and Pictogram)

Appropriate labels must be on all containers, regardless of size. When labeling deficiencies are discovered, employees must notify their supervisor.

1. Incoming Chemicals

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Employees will verify, at the time of receiving, that all containers of chemicals and chemical products received at the facility are clearly labeled as to the contents, appropriate hazard warning(s), and the manufacturer's name and address. Upon discovery, employees must ensure that any worn, torn or illegible labels are replaced.

2. Chemical Products Manufactured or Packaged at Facility[If no chemical products are manufactured or packaged at this facility, the written Program must be revised accordingly.]

For drums and other containers into which chemical products manufactured and/or packaged at our facility are transferred by our employees, [Company Name/Location] uses a company product labeling system that consists of [Description of the company system for labeling containers of chemical products manufactured and/or packaged at this facility, such as a system that requires the application of a company product label to each container.] The supervisor in each department or functional unit will ensure that containers filled with company products by our employees are labeled in accordance with the company product labeling system.

For stationary process tanks or vessels, the following method will be used to convey the required chemical identification and hazard information for the contents of each tank or vessel: [Description of hazard communication system used, such as labeling of individual tanks or alternate system, as applicable. If no stationary process tanks or vessels are present in the facility, record the note: NOT APPLICABLE.] The areas or functional units in which such process tanks or vessels are located are:

[List of the areas or functional units in which these process tanks or vessels are located, or record the note: NOT APPLICABLE]

3. Temporary ContainersFor temporary containers into which chemicals are transferred by our employees, [Company Name/Location] uses a container labeling system that consists of [Description of facility system for labeling temporary containers.] The supervisor in each department or functional unit will ensure that all temporary containers filled by employees are labeled in accordance with the temporary container labeling system. In addition, the container type and construction must be approved as suitable for containment of the particular chemical(s) involved.

B. SDSs (Safety Data Sheets)An SDS contains detailed information about chemicals and associated hazards.

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According to regulatory requirements, an SDS must contain the following section numbers, headings, and associated information under each heading, in the order listed (See Appendix F for the specific content of each section):

Section 1, IdentificationSection 2, Hazard(s) identificationSection 3, Composition/information on ingredientsSection 4, First-aid measuresSection 5, Fire-fighting measuresSection 6, Accidental release measuresSection 7, Handling and storageSection 8, Exposure controls/Personal protectionSection 9, Physical and Chemical propertiesSection 10, Stability and reactivitySection 11, Toxicological informationSection 12, Ecological informationSection 13, Disposal considerationsSection 14, Transport informationSection 15, Regulatory informationSection 16, Other information, including date of preparation or last revision

SDSs for all chemicals present in the workplace at [Company Name/Location] will be maintained in such a fashion and in one or more designated locations for employees to view in their work area during their work shift. [The SDSs may be kept in an electronic form that is readily accessible via the internet or other computer system. If printed copies of SDSs are to be kept onsite, list the location(s) at which printed SDSs are kept. If computer access is needed for employees to view SDSs, list of the location(s) and functional units at which employees may access SDSs via computer]. In addition to chemicals produced by NCH Corporation, these requirements apply to any hazardous chemical obtained from an outside manufacturer that is used or present in the workplace, such as a container of non-NCH paint kept on a storage shelf in the facility. Duplicate copies of each printed SDS required shall be maintained by [Responsible Person].

[Responsible Person] is responsible for establishing and monitoring the company SDS program. He/she shall use the following procedures to obtain and update SDSs:

1. If the initial shipment of a hazardous chemical is received without a proper SDS, the receiving person must immediately notify [Responsible Person].

2. Before the hazardous chemical is released for use in the facility or for storage in the company warehouse, the supplier, manufacturer or

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distributor of the product must be contacted and asked to fax or email the missing SDS and send another copy via mail as a follow up.

3. If, for any reason, the supplier of the hazardous chemical is unable to produce an SDS upon request, the hazardous chemical will not be released for use and it will be held in [Identification/description of the special holding area for hazardous chemicals without SDSs] until such time the chemical is either returned to the supplier or the SDS is received.

SDS file(s) must be maintained and kept up to date. When applicable, an updated version of an SDS will be obtained and inserted into the facility file(s) to replace the obsolete version(s). Obsolete versions shall also be retained and must not be discarded. When an obsolete SDS is replaced by an updated copy, the obsolete version will be retained in a separate file of obsolete SDSs. The file of obsolete SDSs is located at/in [location of the file of obsolete SDSs].

C. Hazardous Chemicals ListA list of all hazardous chemicals used by employees at [Company Name/Location] is maintained by [Responsible Person]. For each chemical, the Hazardous Chemicals List shall include:

1. The identity or name that is on the container label and on the appropriate SDS.

2. The manufacturer or supplier of the chemical.3. The work area(s) in which the chemical is used or present.

The List may include additional information, such as:

1. Specific chemical hazards.2. Date of first use.3. The manufacturer's telephone number.4. An emergency number.5. Quantity used each year.6. Maximum quantity on site.

The list is compiled for [Description of how the list is compiled, such as: for individual work areas, for the workplace as a whole, or both and a description of any additional information that is included on the List(s). In addition, the location(s) of where the List(s) are kept is to be included here].

When the initial shipment of a chemical is received, the SDS will be reviewed to determine what, if any, hazards are posed by the chemical. If it is determined to be hazardous, the chemical must then be added to the Hazardous Chemicals List.

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To ensure that any new chemical is added to the List in a timely manner, refer to New Chemical Approval Program.

D. Chemicals in Unlabeled PipesWork activities may be performed by employees in areas where chemicals are transferred through unlabeled pipes. Prior to starting work in these areas, the employee shall contact his/her supervisor for information regarding the chemicals in the pipes, potential hazards and required safety precautions. See also the [Company Name/Location] Pipe Marking Program.

E. Non-Routine TasksPeriodically, employees may be required to perform non-routine tasks that involve chemical hazards. Prior to starting work on such projects, each affected employee will be given information by his/her supervisor about the hazardous chemicals he or she may encounter during such activity. This information will include specific chemical hazards, protective and safety measures the employee should use, and steps the company is taking to reduce the hazards, such as ventilation, respirators, the required presence of another employee or employees, and emergency procedures to be followed.

Examples of non-routine tasks performed by employees of this company are:

TASK HAZARDOUS CHEMICAL[Descriptions of non-routine tasks, such as: confined space entry, tank cleaning etc.]

[Identities of hazardous chemicals involved]

F. Informing Other Employers/Third Party ContractorsIt is the responsibility of [Responsible Person] to provide other employers and third party contractors who come onto our property with information about hazardous chemicals resulting from our operations that their employees may be exposed to at a job site and suggested precautions for employees. In addition, it is the responsibility of [Responsible Person] to obtain information about hazardous chemicals used by other employers/third party contractors to which our

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employees may be exposed, and to communicate this information to our appropriate supervisor(s).

Other employers/contractors on site will be informed of the type of chemical hazard labels used by our company. If symbolic or numerical codes are used on the labels, the other employers will be provided with information necessary to understand the labels used for hazardous chemicals for which their employees may have exposure.

Other employers and contractors will also be given access to, or be provided with copies of, SDSs for hazardous chemicals used by our company to which their employees may be exposed.

In addition, other employers/third party contractors on site will be informed of necessary precautionary measures to protect their employees from chemical exposure that may result from operations performed by our company.

G. Program AvailabilityUpon request, a copy of this written Chemical Hazard Communication Program shall be made available for review to any [Company] employee, their designated representatives, the Chief, and NIOSH, in accordance with the requirements of section 3204(e)

V. TRAINING

A. Employee Training[Responsible Person] is responsible for ensuring employees receive training required by the Chemical Hazard Communication Program.

Each employee who works with or is potentially exposed to hazardous chemicals will receive initial training on regulations applicable to Chemical Hazard Communication and the requirements of this Program before starting work. Each new employee will satisfactorily complete training that includes the following information:

1. An overview of the OSHA hazard communication standard.2. The hazardous chemicals present in his/her work area.3. The physical and health risks of hazardous chemicals in the workplace.4. Symptoms of overexposure.5. How to determine the presence or release of hazardous chemicals in the

work area.6. How to prevent or reduce exposure to hazardous chemicals through use of

control procedures, work practices and personal protective equipment.

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7. Steps the company has taken to reduce or prevent exposure to hazardous chemicals.

8. Emergency procedures and procedures to follow if employees are overexposed to hazardous chemicals.

9. How to read labels and SDSs to obtain hazard information.10. Location of the SDS file and the written Chemical Hazard Communication

Program.

Prior to introducing a new chemical hazard into any functional unit of this company or transferring an employee into to a new area, each employee in that functional unit will be given information and training as outlined above for the new chemical and the associated hazards.

Employee Training will be provided:

1. at the time of initial job assignment.2. When a new physical or health hazard about which employees have not

previously been trained is introduced into their work area.3. When an employee is transferred into a different work area with a new

physical or health hazard the employee has not previously been trained about.

4. When a discrepancy is identified with an affected employee's knowledge of the Program indicating that the employee has not retained the requisite understanding or skill.

B. Employee TestingAs a part of the training, affected employees will be required to demonstrate understanding of this Program by completing a written test. An example of a written test is included in Appendix D.

C. Training RecordsTraining records will be maintained by [Responsible Person] and retained for at least one (1) year. An example of a training form, Acknowledgement of Receipt of Chemical Hazard Communication Training, is included in Appendix A.

VI. REFERENCES

A. Regulatory ReferenceU.S. Occupation Health and Safety Administration 29 CFR 1910.1200 Hazard Communication Standard.

B. NCH Policy ReferenceNCH Global Guideline--Chemical Hazard Communication.

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VII. APPENDICES

Appendix A – Acknowledgement of Receipt of Chemical Hazard Communication Training.Appendix B – Hazardous Chemicals List.Appendix C – Company System for Temporary Container Labeling.Appendix D – Chemical Hazard Communication Knowledge Test.Appendix E – Label Elements - Hazardous Chemical Classes, Hazard Categories,

Signal Words, Hazard Statements, and PictogramsAppendix F – Safety Data Sheet Elements

VIII. DOCUMENT CONTROL

This Chemical Hazard Communication Program shall be reviewed annually, or as needed if changes to the facility or workplace operations are made, by [Responsible Person].

Document History

Procedure version Date Approved Approved by Reason for

Change

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Appendix AAcknowledgement of Receipt of Chemical Hazard Communication Training

By my signature below, I acknowledge that I have received training on [Company Name] Chemical Hazard Communication program. I understand that this training fulfills the employee training requirement of the Occupational Health and Safety Administration (OSHA).

This training included the following:

1. Understanding the purpose and scope of OSHA’s Hazard Communication standard and the Chemical Hazard Communication Program at NCH Corporation.

2. Explanation of the applicable governmental regulations.

3. Definition of the terminology "hazardous chemical”, “hazard class”, and “hazard category.”

4. Explanation of situations and elements that must be present for a chemical to be considered a health hazard.

5. Explanation and interpretation of old and new labels, what is required on all containers, and supplier labeling systems.

6. Explanation of new hazard pictograms and their meaning.

7. Explanation and interpretation of the SDS (Safety Data Sheet) which must be obtained for each hazardous chemical.

8. My responsibilities as an employee of NCH Corporation.

9. Policies and procedures to follow in case of chemical emergencies or accidental exposure.

______________________________________________________________________EMPLOYEE NAME (Please print)

______________________________________________________________________EMPLOYEE SIGNATURE DATE

______________________________________________________________________COMPANY REPRESENTATIVE DATE

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Appendix DChemical Hazard Communication Test

1. You know that a product contains hazardous chemicals if the label has which one of the following hazard warnings on it:

a. WARNINGb. LOOK OUT!c. OH, SNAP!d. All of the above

2. There are two types of hazards associated with hazardous chemicals. What are they?

a. Medical and Mental Hazardsb. Health and Physical Hazardsc. Employee and Employer Hazardsd. All of the above

3. If a chemical is designated as a hazardous chemical, what information, by law, has to be on the container label?

a. Identity of hazardous chemical, appropriate hazard warning, manufacturer's name and address.

b. Hazard warning, net contents, poison control phone number.c. Identity of hazardous chemical, Safety Data Sheet, name of product.d. All of the above.

4. What do you do if a container label has been defaced or removed?

a. Fill out the "destroyed label" form and turn it in to your supervisor.b. Separate it from the rest of the containers and call your supervisor to contact

the manufacturer to request a new label.c. No action needs to be taken.d. Both A and C are correct.

5. What does "SDS" stand for?

a. Safely Delivering Sulfur Dioxide.b. Safety Data Sheet.c. Safe Departmental Standards.d. None of the above.

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6. When should an SDS be consulted?

a. When you need emergency or first aid information.b. When you need to know information about special protective chemical

handling equipment and procedures.c. When a spill or fire of a hazardous chemical occurs.d. All of the above.

7. Where should the SDSs be located?

a. In the break room.b. In the work area.c. In your mind.d. We don't have any SDSs

8. Where would you look to find information regarding proper protective gear for applying product?

a. The label.b. Ask a co-worker.c. The SDS.d. Both A and C are correct.

9. A written plan of your company's Hazard Communication Program is available to you by:

a. A request through my supervisor.b. My company does not have a written plan.c. I am given the plan with my paycheck.d. A written request to the OSHA committee in New Jersey.

10. An evaluation of the hazardous chemicals in your facility has been made by:

a. A supervisor in your facility.b. The Environmental Protection Agency.c. The Internal Revenue Service.d. The OSHA Regulation Authorities.

11. The OSHA Hazard Communication Standard has been developed for what purpose?

a. To make sure employees know about any hazardous chemical they may come in contact with in their work area.

b. To make your facility a safer place in which to work.c. To train employees on how to read and use product label and SDS

information.d. All of the above.

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Appendix BHazardous Chemicals List

Chemical Identity ManufacturerOr Supplier

Areas in Which Chemical Continually or Regularly Present

Hydrochloric Acid--20 Baume Rhodia Inc. Raw Material Warehouse,

Production, Receiving Dock

ND-150 Chemsearch Production, Filling, Shipping Dock, Warehouse B

Yield Aerosol Chemsearch Maintenance Shop, Warehouse A

Clorox Regular-Bleach Clorox Janitorial Closet, Restrooms

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Appendix CCompany System for Temporary Container Labeling

A temporary container is a portable container, into which a chemical is transferred by an employee, and is used for temporary storage and/or dispensing by employees. The XYZ Company labels all temporary containers according to the following system:

1. Whenever a hazardous chemical is transferred into a portable container, the employee transferring the chemical shall attach a portable container label to the container.

2. The portable container label is a standard, “fill-in-the-blank” label, available from the employee’s supervisor.

3. The employee must record the required information in the blank spaces provided on the label, based on the information from the appropriate SDS (Safety Data Sheet) or the hazard communication label attached to the container used as the source for the transfer.

4. The completed portable container label must include the identity/name of the hazardous chemical and the applicable hazard warnings.

5. Transfers of chemicals into temporary containers must always be made from a labeled container, tank, vessel or pipe. An employee assigned to perform a transfer of a hazardous chemical must always be certain of the identity of the chemical and the applicable hazard warnings prior to transferring the chemical. If uncertain of the identity of the chemical or its hazards, the employee must not proceed with the chemical transfer until his or her supervisor has been contacted to provide the identity of the chemical or its hazards.

6. A temporary container may be filled, used, emptied and refilled with different chemicals by employees during a work shift, or it may be used with the same chemical for one or more work shifts.

7. Any obsolete labeling on a temporary container, and any labeling that is not appropriate for the current contents of the container, must be removed.

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Appendix ELabel Elements - Hazardous Chemical Classes, Hazard Categories, Signal Words,

Hazard Statements, and Pictograms

Health Hazards1. Acute Toxicity

Oral ExposureHazard Category Signal Word Hazard Statement Pictogram

Category 1Danger

Fatal if SwallowedCategory 2Category 3 Toxic if Swallowed

Category 4 Warning Harmful if Swallowed

Dermal ExposureHazard Category Signal Word Hazard Statement Pictogram

Category 1Danger

Fatal in contact with skinCategory 2Category 3 Toxic in contact with skin

Category 4 Warning Harmful in contact with skin

Inhalation ExposureHazard Category Signal Word Hazard Statement Pictogram

Category 1Danger

Fatal if InhaledCategory 2

Category 3 Toxic if Inhaled

Category 4 Warning Harmful if Inhaled

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2. Skin Corrosion/Skin Irritant

Hazard category Signal Word Hazard statement Pictogram

Category 1A

Danger Causes Severe skin burns and eye DamageCategory 1B

Category 1C

Category 2 Warning Causes Skin Irritation

3. Eye Damage/Eye Irritation

Hazard category Signal Word Hazard statement Pictogram

Category 1 Danger Causes Serious Eye Damage

Category 2AWarning

Causes Serious Eye Irritation

Category 2B Causes Eye Irritation None

4. Respiratory Sensitization

Hazard category Signal Word Hazard statement Pictogram

Category 1A DangerMay cause allergy or asthma

symptoms or breathing difficulties if inhaled

Category 1B Warning

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5. Skin Sensitization

Hazard category Signal Word Hazard statement Pictogram

Category 1A DangerMay cause allergic skin reaction

Category 1B Warning

6. Germ Cell Mutagenicity

Hazard category Signal Word Hazard statement Pictogram

Category 1A Danger May cause genetic defectsCategory 1B

Category 2 Warning Suspected of causing genetic defects

7. Carcinogenicity

Hazard category Signal Word Hazard Statement Pictogram

Category 1A Danger May cause cancerCategory 1B

Category 2 Warning Suspected of causing cancer

8. Toxic to Reproduction

Hazard category Signal Word Hazard Statement Pictogram

Category 1ADanger May damage fertility or the unborn

childCategory 1B

Category 2 Warning Suspected of damaging fertility or the unborn child

(other) (none) May cause harm to breast-fed children None

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9. Specific Target Organ Toxicity – Single Exposure

Hazard category Signal Word Hazard Statement Pictogram

Category 1 Danger Causes damage to organs (list organs)

Category 2Warning

May cause damage to organs (list organs)

Category 3May cause resp. irritation;

May cause drowsiness/dizziness

10. Specific Target Organ Toxicity – Repeated Exposure

Hazard category Signal Word Hazard Statement Pictogram

Category 1 DangerCauses damage to organs (list organs) through prolonged or

repeated exposure (List route of exposure)

Category 2 WarningMay cause damage to organs (list

organs) through prolonged or repeated exposure (List route of

exposure)

11. Aspiration Hazard

Hazard category Signal Word Hazard Statement Pictogram

Category 1 Danger May be fatal if swallowed and enters airways

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Physical Hazards

1. Explosives

Hazard category Signal Word Hazard Statement Pictogram

Unstable explosive

Danger

Unstable explosive

Division 1.1 Mass Explosion Hazard

Division 1.2 Severe Projection Hazard

Division 1.3 Fire/ blast/ projection hazard

Division 1.4 Warning Fire or projection hazard

Division 1.5 Danger May mass explode in fireNone

Division 1.6 None Extremely insensitive detonating chemicals

2. Flammable Gases

Hazard category Signal Word Hazard Statement Pictogram

Category 1 Danger Extremely Flammable Gas

Category 2 Warning Flammable gas None

3. Flammable Aerosols

Hazard category Signal Word Hazard Statement Pictogram

Category 1 Danger Extremely Flammable Aerosol

Category 2 Warning Flammable Aerosol None

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4. Oxidizing Gases

Hazard category Signal Word Hazard Statement Pictogram

Category 1 Danger May cause or intensify fire; Oxidizer

5. Gases Under Pressure

Hazard category Signal Word Hazard Statement Pictogram

Compressed Gases

Warning

Contains gas under pressure; May explode if

heated.

Liquefied GasContains gas under

pressure; May explode if heated.

Dissolved gasContains gas under

pressure; May explode if heated.

Refrigerated Liquefied Gas

Contains refrigerated gas; may cause cryogenic burns

or injury.

6. Flammable Liquids

Hazard category Signal Word Hazard Statement Pictogram

Category 1Danger

Extremely flammable liquid and vapor

Category 2 Highly flammable liquid and vapor

Category 3Warning

Flammable liquid and vapor

Category 4 Combustible liquid None

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7. Flammable Solids

Hazard category Signal Word Hazard Statement Pictogram

Category 1 DangerFlammable solid

Category 2 Warning

8. Self-Reactive Substances and Mixtures Flammable Solids

Hazard category Signal Word Hazard Statement Pictogram

Type A

Danger

Heating may cause an explosion

Type B Heating may cause a fire or explosion

Type C

Heating may cause a fireType D

Type E Warning

Type F Warning

9. Pyrophoric Liquids

Hazard Category Signal Word Hazard Statement Pictogram

Category 1 Danger Catches fire spontaneously if exposed to air.

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10. Pyrophoric Solids

Hazard Category Signal Word Hazard Statement Pictogram

Category 1 Danger Catches fire spontaneously if exposed to air.

11. Self-heating substances and mixtures

Hazard Category Signal Word Hazard Statement Pictogram

Category 1 Danger Self-heating; may catch fire

Category 2 Warning Self-heating in large quantities; may catch fire

12. Substances and mixtures which, in contact with water, emit flammable gasesHazard Category Signal Word Hazard Statement Pictogram

Category 1Danger

In contact with water releases flammable gases,

which may ignite spontaneously

Category 2 In contact with water releases flammable gas

Category 3 Warning In contact with water releases flammable gas

13. Oxidizing liquids

Hazard Category Signal Word Hazard Statement Pictogram

Category 1Danger

May cause fire or explosion; strong oxidizer

Category 2May intensify fire; oxidizer

Category 3 Warning

14. Oxidizing solids

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Hazard Category Signal Word Hazard Statement Pictogram

Category 1Danger

May cause fire or explosion; strong oxidizer

Category 2May intensify fire; oxidizer

Category 3 Warning

15. Organic peroxides

Hazard category Signal Word Hazard Statement Pictogram

Type A

Danger

Heating may cause an explosion

Type B Heating may cause a fire or explosion

Type C

Heating may cause a fireType D

Type EWarning

Type F

16. Corrosive to Metals

Hazard category Signal Word Hazard Statement Pictogram

Category 1 Warning May be corrosive to metals

17. Pyrophoric gas

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Hazard category Signal Word Hazard Statement Pictogram

Pyrophoric Gas DangerCatches fire

spontaneously if exposed to air

18. Simple Asphyxiant

Hazard category Signal Word Hazard Statement Pictogram

Simple Asphyxiant Warning May displace oxygen and cause rapid suffocation None

19. Combustible Dust

Hazard category Signal Word Hazard Statement Pictogram

Combustible Dust Warning May form combustible dust concentrations in air None

Hazard Communication Standard Pictograms

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Appendix FSafety Data Sheet Elements

Section Heading Subheading1 Identification (a) Product identifier used on the label;

(b) Other means of identification;(c) Recommended use of the chemical and restrictions on use;(d) Name, address, and telephone number of the

chemical manufacturer, importer, or other responsible party;

(e) Emergency phone number.2 Hazard(s) Identification (a) Classification of the chemical in accordance with

paragraph (d) of §1910.1200;(b) Signal word, hazard statement(s), symbol(s) and

precautionary statement(s) in accordance with paragraph (f) of §1910.1200. (Hazard symbols may be provided as graphical reproductions in black and white or the name of the symbol, e.g., flame, skull and crossbones);

(c) Describe any hazards not otherwise classified that have been identified during the classification process;

(d) Where an ingredient with unknown acute toxicity is used in a mixture at a concentration ≥ 1% and the mixture is not classified based on testing of the mixture as a whole, a statement that X% of the mixture consists of ingredient(s) of unknown acute toxicity is required.

3 Composition/information on ingredients Except as provided for in paragraph (i) of §1910.1200 on trade secrets:For Substances(a) Chemical name;(b) Common name and synonyms;(c) CAS number and other unique identifiers;(d) Impurities and stabilizing additives which are

themselves classified and which contribute to the classification of the substance.

For MixturesIn addition to the information required for substances:(a) The chemical name and concentration (exact

percentage) or concentration ranges of all ingredients which are classified as health hazards in accordance with paragraph (d) of §1910.1200 and

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(1) are present above their cut-off/concentration limits; or(2) present a health risk below the cut-off/concentration limits.

(b) The concentration (exact percentage) shall be specified unless a trade secret claim is made in accordance with paragraph (i) of §1910.1200, when there is batch-to-batch variability in the production of a mixture, or for a group of substantially similar mixtures (See A.0.5.1.2) with similar chemical composition. In these cases, concentration ranges may be used.

For All Chemicals Where a Trade Secret is ClaimedWhere a trade secret is claimed in accordance with paragraph (i) of§1910.1200, a statement that the specific chemical identity and/or exact percentage (concentration) of composition has been withheld as a trade secret is required.

4 First Aid Measures (a) Description of necessary measures, subdivided according to the different routes of exposure, i.e., inhalation, skin and eye contact, and ingestion;

(b) Most important symptoms/effects, acute and delayed.(c) Indication of immediate medical attention and special

treatment needed, if necessary.5 Fire-fighting measures (a) Suitable (and unsuitable) extinguishing media.

(b) Specific hazards arising from the chemical (e.g., nature of any hazardous combustion products).

(c) Special protective equipment and precautions for fire-fighters.

6 Accidental release measures (a) Personal precautions, protective equipment, and emergency procedures.

(b) Methods and materials for containment and cleaning up.

7 Handling and Storage (a) Precautions for safe handling.(b) Conditions for safe storage, including any incompatibilities.

8 Exposure controls/Personal protection (a) OSHA permissible exposure limit (PEL), American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV), and any other exposure limit used or recommended by the chemical manufacturer, importer, or employer

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preparing the safety data sheet, where available.(b) Appropriate engineering controls.(c) Individual protection measures, such as personal

protective equipment.9 Physical and chemical properties (a) Appearance (physical state, color, etc.);

(b) Odor;(c) Odor threshold;(d) pH;(e) Melting point/freezing point;(f) Initial boiling point and boiling range;(g) Flash point;(h) Evaporation rate;(i) Flammability (solid, gas);(j) Upper/lower flammability or explosive limits;(k) Vapor pressure;(l) Vapor density;(m) Relative density;(n) Solubility(ies);(o) Partition coefficient: n-octanol/water;(p) Auto-ignition temperature;(q) Decomposition temperature;(r) Viscosity.

10 Stability and reactivity (a) Reactivity;(b) Chemical stability;(c) Possibility of hazardous reactions;(d) Conditions to avoid (e.g., static discharge, shock, or vibration);(e) Incompatible materials;(f) Hazardous decomposition products.

11 Toxicological information Description of the various toxicological (health) effects and the available dataused to identify those effects, including:(a) Information on the likely routes of exposure

(inhalation, ingestion, skin and eye contact);(b) Symptoms related to the physical, chemical and

toxicological characteristics;(c) Delayed and immediate effects and also chronic

effects from short- and long-term exposure;(d) Numerical measures of toxicity (such as acute toxicity estimates)(e) Whether the hazardous chemical is listed in the

National Toxicology Program (NTP) Report on Carcinogens (latest edition) or has been found to be

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a potential carcinogen in the International Agency for Research on Cancer (IARC) Monographs (latest edition), or by OSHA.

12 Ecological information (Non-Mandatory) (a) Ecotoxicity (aquatic and terrestrial, where available);(b) Persistence and degradability;(c) Bioaccumulative potential;(d) Mobility in soil;(e) Other adverse effects (such as hazardous to the ozone layer).

13 Disposal considerations (Non-Mandatory) Description of waste residues and information on their safe handling and methods of disposal, including the disposal of any contaminated packaging

14 Transport information (Non-Mandatory) (a) UN number;(b) UN proper shipping name;(c) Transport hazard class(es);(d) Packing group, if applicable;(e) Environmental hazards (e.g., Marine pollutant (Yes/No));(f) Transport in bulk (according to Annex II of

MARPOL 73/78 and the IBC Code);(g) Special precautions which a user needs to be aware

of, or needs to comply with, in connection with transport or conveyance either within or outside their premises.

15 Regulatory information (Non-Mandatory) Safety, health and environmental regulations specific for the product in question

16 Other information including date of preparation or last revision

The date of preparation of the SDS or the last change to it.

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