Are you involved in any aspect of chemical transportation?
Yes
No
- Do workers do any of the following tasks with U.S. DOT regulated hazardous materials during their work?
- Load or unload hazardous materials
- Test, recondition, repair, modify, or mark containers, drums,or packaging used in transporting hazardous materials
- Prepare hazardous materials for transportation
- Responsible for the safe transportation of hazardous materials, including supervisors
- Operate vehicles transporting hazardous materials
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- Do workers transport any of the following hazardous materials in small quantities (I.e. materials of trade) on Company vehicles at or below the listed amounts?
- Class 3, 8, 9, Division 4.1, 5.1, 5.2, 6.1, or ORM-D material contained in a package having a gross mass or capacity not over:
- (i) 0.5 Kg (1 lbs) or 0.5 L (1 pint) for a Packing Group I material
- (ii) 30 Kg (66 lbs) or 30 L (8 gal) for a Packing Group II, Packing Group III, or ORM-D material
- (iii) 1500 L (400 gal) for a dilluted mixture, not to exceed 2 percent concentration, of a Class 9 material
- A Division 2.1 or 2.2 material in a cylinder with a gross weight not over 100 Kg (220 lbs)
- A Division 4.3 material in Packing Group II or III contained in a packing having a gross capacity not exceeding 30 ml (I ounce)
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- Do one or more workers operate a commercial motor vehicle hauling hazardous materials on a public road?
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- Are you any of the following, or do your workers perform any of the following tasks, related to Dangerous Goods prior to or during shipment by air (aircraft)?
- Operators
- Agencies which perform, on behalf of the operator, the act of accepting, handling, loading, unloading, transfer or other processing of cargo
- Agencies located at an airport which perform, on belform of the operator, the act of processing passengers
- Agencies, not located at an airport, which perform on behalf of the operator, the act of checking in passengers
- Agencies other than operators involved in processing cargo
- Shippers of Dangerous Goods, including packers' and shippers' age
- Agencies engaged in the security screening of passengers and their baggage
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Do You Have Any Chemicals in the Workplace?
Yes
No
- Are there hazardous substances in the workplace that employees could be exposed to during normal or emergency situations?
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- Do workers use respirators to control occupational exposures to chemicals?
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- Are you regulated by the Process Safety Management of Acutely Hazardous Materials standard?
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- At any one time do you handle a hazardous material or mixture containing a hazardous material in a quantity equal to or exceeding:
- 500 pounds -or-
- 56 gallons -or-
- 200 cubic feet for compressed gas?
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- Do you handle more than 660 gallons of petroleum material in one vessel, or 1320 gallons total on-site, and have a Spill Prevention, Control, and Countermeasure Plan (SPCC)?
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- Do you handle any extremely hazardous substance at or above the Threshold Planning Quantitiy (TPQ)?
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- Do you operate a chemical laboratory?
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- Do you perform clean-up operations at uncontrolled hazardous waste sites (whether manadatory or voluntary)?
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- Do you work at facilities permited to receive, treat, store, or dispose of regulated hazardous waste?
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- Do you respond to chemical emergencies, whether on-site or off-site?
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- Do you use the National Response Team's "Integrated Contingency Plan" that consolidates any of the following regulatory requirements into one functional facility plan? (Check each one you use)
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- Do you do any of the following with hazardous waste? (Check each one that applies)
Generate less than 1,000 Kg/month of hazardous waste, including satelite accumulation?
Generate 1,000 Kg or more per month of hazardous waste, including satelite accumulation?
Generate up to 55 gallons of laboratory waste, or one quart of laboratory accutely hazardous waste on-site in a laboratory accumulation area?
Generate small amounts of hazardous waste at remote locations and transport them to a central "consolidation site" of the business?
Have a permit issued by the State or Federal Government that allows the business to treat, store, recycle, or dispose of hazardous waste?
Generate or handle batteries, pesticides, thermostats, or lamps?
Generate or handle cathode ray tubes, or aerosol cans?
Have hazardous waste transported on a Uniform Hazardous Waste Manifest
Generate 12,000 Kg of hazardous waste in 1998 or 2002, or produce more than
3,100 gals/year of aqueous hazardous waste that is treated on-site and discharged to sewer?
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- Could workers be occupationally exposed to any of the following? (Check all that apply)
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- Do workers handle detonators or explosives?
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- Are vehicles used to transport explosives?
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- Do workers perform on-site mixing of water gels and blasting agents?
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- Do workers handle organic peroxides and dual component coatings?
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- Is your facility's business any of the following, and do you participate in a Storm Water Pollution Prevention Program (SWPPP)?
- Facilities subject to storm water effluent limitations guidelines, new source performance standards, or toxic pollutant effluent standards (40 CFR Subchapter N)
- Manufacturing facilities
- Mining, oil, and gas facilities
- Hazardous waste treatment, storage, or disposal facilities
- Landfills, land application sites, and open dumps that receive industrial waste
- Recycling facilities such as metal scrap yards, battery reclaimers, salvage yards, and automobile yards
- Steam electric generating facilities
- Transportation facilties that conduct any type of vehicle maintenance such as fueling, cleaning, repairing, etc.
- Sewage treatment plants
- Construction activity (cove#FF0000 by a separate beneral permit #99-08-DWQ - Section A, Subsection 12)
- Certain facilities (often refer#FF0000 to as "light industrial") where industrial materials, equipmenmt, or activities are exposed to strom water
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Do You Do Construction Work?
Yes
No
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Do You Have Electrical Sysytems or Equipment Operating or Intending To Operate At 600 Volts or Higher?
Yes
No
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Do You Have and/or Operate An Elevator?
Yes
No
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Do You Use Equipment, Machines, Vehicles, or Industrial Trucks?
Yes
No
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Do You Have A Fire Protection Program?
Yes
No
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General Industry
Yes
No
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Do You Perform Logging and/or Sawmill Operations?
Yes
No
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Do You Operate A Mine?
Yes
No
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Do You Refine, Store, Transport, or Handle Petroleum, Natural Gas, or Their Products?
Yes
No
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Do You Perform Ship Building, Repair, and/or Breaking?
Yes
No
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Do You Work At Telecommunications Centers Or Field installations?
Yes
No
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Do Employees Work In Tunnels, Shafts, Raises, Inclines, or Underground Chambers, During Excavation, Construction, etc. ?
Yes
No
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