Onsite Consultation Agreements (29 CFR Part 1908) State Projects

Occupational Safety and Health Onsite Consultation Agreements (29 CFR Part 1908)

Table C-1 Optional PSM Wksht (for PSM Eval Wksht)

Onsite Consultation Agreements (29 CFR Part 1908) State Projects

OMB: 1218-0110

Document [docx]
Download: docx | pdf

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






















1218-0110

Expiration: 4-30-28



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorFarquah, Opeyemi - OSHA
File Modified0000-00-00
File Created2025-01-07

© 2025 OMB.report | Privacy Policy