1. Toxic & Hazardous Substances 13 Carcinogens

2. Nature of carcinogenic hazards v Local toxicity v System toxicity v Potential carcinogenic substances in our operations 1a

3. Operations that could result in exposure v Isolated systems v Closed-system operation v Open-vessel system operations v Regulated areas 2a

4. Medical surveillance v Medical surveillance covers: Employees considered for assignment to regulated areasEmployees considered for assignment to regulated areas Authorized employeesAuthorized employees 3a

5. Medical surveillance v Pre-assignment physical examination Personal history of employeePersonal history of employee Family and occupational backgroundFamily and occupational background Genetic and environmental factorsGenetic and environmental factors 3b

6. Medical surveillance v Authorized employees receive annual exams v Conditions of increased risk Physical problemsPhysical problems PregnancyPregnancy Cigarette smokingCigarette smoking 3c

7. Medical surveillance v Records Available to employeesAvailable to employees v Special medical surveillance given within 24 hours for employees present in potentially affected areas at the time of an emergency 3d

8. Applicable work procedures v Employees must wash hands, forearms, face, neck: Upon each exit from regulated areasUpon each exit from regulated areas If close to the point of exitIf close to the point of exit Before engaging in other activitiesBefore engaging in other activities 4a

9. Operations involving laboratory- type hoods or closed systems v Only authorized employees may enter v Maintain continuous local exhaust ventilation v Wear proper PPE 4b

10. Operations involving laboratory- type hoods or closed systems v Use an appropriate respirator v Remove and leave protective clothing and equipment at point of exit v Place clothing in impervious containers at end of day 4c

11. Applicable work procedures v In regulated areas: Drinking fountains are prohibitedDrinking fountains are prohibited Don’t store or consume foodDon’t store or consume food Don’t store or use cosmeticsDon’t store or use cosmetics Don’t smoke or chew tobacco productsDon’t smoke or chew tobacco products 4d

12. Decontamination practices v Maintain negative pressure in regulated areas v Replace air removed with clean makeup air v Establish decontamination procedures to remove carcinogens 5a

13. Decontamination practices v Dry sweeping and dry mopping is prohibited v Wear clean, impervious garments GlovesGloves BootsBoots RespiratorRespirator 5b

14. Decontamination practices v Be decontaminated before removing protective garments v Shower upon removing protective garments 5c

15. Emergency practices and purposes v Immediately evacuate affected areas v Eliminate hazardous conditions before resuming normal operations v Institute special medical surveillance 6a

16. Emergency practices and purposes v Shower if exposed to carcinogen v Emergency deluge showers 6b

17. Employee’s role in emergency procedures v Know how to respond to an emergency v Emergency plans minimize injury/illness 7a

18. Recognize and evaluate conditions of chemical release v Post and maintain signs in regulated areas: 8a

19. v Post signs in maintenance and decontamination areas: 8b Recognize and evaluate conditions of chemical release

20. v Follow the requirements of the signs v Report faded, missing, illegible signs 8c Recognize and evaluate conditions of chemical release

21. v Labels are required on all containers: Recognize and evaluate conditions of chemical release 8d

22. v Label containers with a generic or proprietary name of the carcinogen and the percent if: Handled by, and accessible to only authorized employeesHandled by, and accessible to only authorized employees 8e Recognize and evaluate conditions of chemical release

23. v Label containers with the Chemical Abstracts Service Registry if: Handled by, and accessible to anyone elseHandled by, and accessible to anyone else v Additional label information must be given if the contents are corrosive or irritating 8f Recognize and evaluate conditions of chemical release

24. Emergency procedures v Required emergency procedures are posted v Be familiar with procedures v Rehearse their application 9a

25. First aid procedures and practices v Keep certifications current Red CrossRed Cross American Heart AssociationAmerican Heart Association Insurance providerInsurance provider 10a

26. First aid procedures and practices v Training is tailored to specific needs v Comply with bloodborne pathogens standard 10b