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Food-Service-Manual-for-Health-Care-Institutions

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Exhibit 14.4. Hazard Communication Monitoring Checklist<br />

Safety, Security, and Emergency Preparedness<br />

Using this checklist, review the area and put a check mark (✓) Yes or No <strong>for</strong> each question. For all<br />

No answers, review existing policies and procedures and take action as appropriate.<br />

Yes No<br />

A. Chemicals<br />

Is chemical storage cabinet or space locked?<br />

Is list of approved chemicals posted?<br />

Are there unauthorized chemicals in area? a<br />

Is there a warning about mixing chemicals?<br />

Is <strong>for</strong>mula posted <strong>for</strong> ppm (parts per million) <strong>for</strong> disinfection or<br />

sanitation mixtures?<br />

B. Labels on Containers<br />

Are there labels on all containers, including any squeezable bottles,<br />

cans, and the like?<br />

Is the original container labeled or tagged with the identity of the chemical?<br />

Does label have warning signal or word?<br />

Does label have hazard statement?<br />

C. MSDS Sheets<br />

Are up-to-date material safety data sheets (MSDSs) available <strong>for</strong><br />

all approved chemicals?<br />

Are MSDSs readily available to all employees?<br />

Is there a method <strong>for</strong> updating in<strong>for</strong>mation?<br />

Date of last update: ____________________<br />

Do employees know how to interpret data?<br />

D. Policies and Procedures<br />

Are there written policies and procedures <strong>for</strong>:<br />

Request <strong>for</strong> addition or deletion of specific chemicals?<br />

Storage of chemicals?<br />

Personal protective equipment?<br />

Use of specific chemicals?<br />

Mixing of chemicals?<br />

First aid?<br />

Emergencies and emergency telephone numbers?<br />

Others as applicable?<br />

Are policies and procedures available to all employees?<br />

Are employees and management aware of their responsibilities?<br />

Yes No<br />

445

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