Table C-1 Optional PSM Wksht

PSM On-Site Consultation Agreements (29 CFR 1908)

Table C-1 Optional PSM Wksht

OMB: 1218-0281

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Table C-1: Hazards of Highly Hazardous Chemicals (HHCs) Used at the Establishment (Optional)


List of HHCs Used

Maximum Intended Inventory (according to the employer, see 29 CFR 1910.119(d) (2) (i)(C))

Quantity of HHC


(Is the maximum intended inventory exceeded? Are controls appropriate to prevent exceeding it (29 CFR 1910.119(e) (3))?

Toxicity Information?


YES/NO

Explain

Permissible Exposure Limits available?


YES/NO

Explain

Physical data available?


YES/NO

Explain

Reactivity data available?


YES /NO

Explain

Corrosivity data available?


YES/NO

Explain

Thermal and chemical stability data available?


YES/NO

Explain

Hazardous effects of inadvertently mixing different materials that could foreseeably occur noted?


YES/NO

Explain
























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