LLC Hazard Communication Quiz Rev-1 3/10 1

LLC

Employee Acknowledgement Form

Hazard Communication QUIZ

CIRCLE THE BEST ANSWER(S)

1. Physical Hazards are caused by explosions, fires, violent chemical

reactions, or other hazardous conditions

True False

2. Material Safety Data Sheets provide information on the handling and

storage of potentially hazardous materials.

True False

3. Acute health hazards occur gradually after repeated exposure.

True False

4. The four ways chemicals can enter your body are ingestion, absorption,

injection, and swallowing.

True False

5. A hazardous chemical is any chemical that can do harm to your body

True False

6. The best time to look up information on a chemical is after you have

spilled it.

True False

7. One way to protect yourself from chemical exposures is to use as little

chemical as possible for a job.

True False

8. All chemicals exists in one of three states: Solid, Liquid, Gas

True False

9. Chemicals do not pose physical and health risks to humans

True False

10. Warning labels should be read and understood by everyone who may

come into contact with chemicals.

True False

11. What is the acute toxicity of a chemical?

a) A good-looking chemical

b) The chemical is toxic only if you drink it

c) The chemical will harm you only after years of exposure

d) The chemical can harm you in a single dose over a short period of time

Print Name:___________________________ Date:_________________

LLC Hazard Communication Quiz Rev-1 3/10 2

12. How can you find out information about a chemical product we use?

a) Ask your supervisor

b) Google it

c) Read the MSDS

d) Ask your co-worker

13. What does a Material Safety Data Sheet (MSDS) tell an employee?

a. How much of the hazardous substance to use.

b. How to report data from chemical experiments.

c. How to use, handle, and store chemicals safely.

d. None of the above.

14. What should you do if there is a large chemical spill in your work area?

a) Leave the area

b) Leave the area and inform your supervisor and coworkers

c) Clean it up right away with rags

d) Use water to wash away the spill

I have received the "The Hazard Communication ‘Right to Know’ Program “

completed the Hazard Communication quiz and reviewed the answers.

I AM FAMILIAR WITH:

1. the chemicals I work with or are around me

2. the hazards associated with these chemicals, and

3. the proper personal equipment to use to protect myself when using these

chemicals

Employee Name:

_____________________________________________

Employee ID

_____________________________________________

Department:

_____________________________________________

Signature:

_____________________________________________

Date:

_____________________________________________

Keep the Original Employee Acknowledgement in Your Departmental

Personnel Files