# Laboratory Safety # Broken Glassware Disposal Broken Glassware Disposal Glassware must not be disposed of with normal trash. Building Services Personnel and others have been injured when carrying trash bags with broken glassware in them. • Several cuts or lacerations due to the improper disposal of laboratory glassware have been reported on the campus. In an effort to eliminate or minimize these injuries, certain procedures will be followed when discarding broken or unserviceable glassware. • Broken glassware should immediately be cleaned up. A laboratory should already have a small brush and dust pan available to clean up after small accidents. Forceps or duct tape can be used to pick up the smaller pieces of broken glass. • Discarded glassware must not contain any hazardous wastes, Medical Waste, Pathological Waste or Radiological Wastes. • If the glassware contains hazardous wastes or Radiological Wastes, please call complete the Hazardous Waste Disposal form. • If the glassware contains or is contaminated with any pathological or biological materials, call ext. 2862 for disposal instructions. What you need to know: • Discarded glassware must be placed in a small puncture proof, double-lined cardboard box or a container specifically designed for the disposal of glassware • The box must be securely sealed with tape. • Any cardboard box may be used, provided it is sturdy and of a size that will not weigh more than 40 pounds when full. • The container must be labeled as to the contents. o CAUTION LABORATORY GLASSWARE ONLY! o NO HAZARDOUS WASTE, MEDICAL WASTE, PATHOLOGICAL WASTE OR RADIOLOGICAL WASTES o Complete Br[oken Glassware Disposal Form](https://astate.campusoptics.com/hazwaste_streams/5) • Never allow Custodial Services to handle broken glassware. • Never use laboratory glassware boxes for the disposal of o Sharps o Biohazardous materials o Liquid wastes o Chemically contaminated laboratory glassware/plastics or plastic-ware o Chemical containers that can’t be disposed of as regular solid waste Glassware must not be disposed of with normal trash. Building Services Personnel and others have been injured when carrying trash bags with broken glassware in them. Laboratory glass that is disposed of in cardboard boxes must be appropriately decontaminated, where necessary, prior to disposal. If you have any questions about this disposal procedure, please contact Environmental, Health and Safety for additional information or instructions. Empty Containers Empty containers of five (5) gallons or less may be placed in dumpsters if they meet the definition of the Resource Conservation Recovery Act (RCRA) empty container rule. Any container that previously held a hazardous chemical or waste is defined as empty if: • No hazardous materials can be poured, pumped or drained from the container, AND, • No hazardous materials remain in the container that can be feasibly removed, AND, • the walls of the container must not contain any significant residual materials, AND, • The label is removed or defaced, AND, • The lid is removed, AND, • The container is placed directly into a dumpster. Triple-rinsing is not required to comply with the RCRA empty container definition # Chemical Hygiene Plan ARKANSAS STATE UNIVERSITY CHEMICAL HYGIENE PLAN Purpose and Scope: The purpose of the program outlined in this plan is to set forth procedures, engineering controls, personal protective equipment (PPE) and work practices that are capable of protecting all employees from recognized hazards posed by hazardous chemicals used within the facility. This plan covers all faculty, staff and students (collectively referred to as employees) that work within the facility. General Principles: Minimize all chemical exposures. Avoid underestimation of risk posed by hazardous chemicals. Provide adequate ventilation using engineering controls. Observe Permitted Exposure Limits (PELs) and Threshold Limit Values (TLVs) where these are prescribed. Comply with appropriate Chemical Hazard Protocol(s). Chemical Hygiene Responsibilities:  EHS Director : Develop and implement appropriate chemical hygiene policies and practices. Promulgate current legal requirements concerning regulated substances. Determine the required levels of protective apparel and equipment. Review/ update the Chemical Hygiene Plan annually. Respond to researcher queries regarding new procedures/ chemicals. Monitor new procedures and determine appropriate employee protection. Ensure employee exposures do not exceed PELs. Monitor exposure if there is suspicion of levels of exposure in excess of action level or PEL (available on the MSDS for the substance) for a given substance. Notify employee of monitoring results within 5 working days or receipt. Establish and maintain for each employee an accurate record of any measurements taken to monitor exposure or of any medical consultation or examination given as a result of exposure. Ensure that the records are available to that employee. If initial monitoring indicates levels in excess of OSHA PEL, then work with that substance must stop until such time that measures are taken (through engineering controls or work practices) to reduce employee exposure level below the PEL for that substance. Additional monitoring must be done after the new measures to show that employee exposure level is then below the PEL before work with substance can resume.. Provide chemical hygiene training to all new employees and students per 40CFR1910.1450(f)(2).  Facility Manager: Monitor procurement, use and disposal of chemicals used in the lab. Ensure that facilities and training for any material being ordered are adequate. Perform regular, formal chemical hygiene and housekeeping inspections including routine inspections of emergency equipment.  Faculty/Supervisors: Ensure that the staff and students know and follow the chemical hygiene rules and project-specific protocols, that PPE is available and in working order, that staff and students know the location of the chemical hygiene plan and where to find a SDS for the substances with which they may come into contact, and that appropriate training has been provided. Keep a copy of all SDSs that are shipped with the substance from the supplier. Provide an inventory of all hazardous chemicals to EHS annually before June 15. Check chemical fume hood for proper operation monthly; request annual hood certification by Arkansas State University EHS  Staff/Students: Plan and conduct each operation in accordance with the chemical hygiene program and project-specific protocols. Develop and maintain good personal chemical hygiene habits. Review the SDS of a chemical before working with it. Never remove or deface the label on a container containing a hazardous substance. The Laboratory Facility: Each laboratory should be equipped with a fire extinguisher, chemical fume hood, emergency eyewash and drench shower where appropriate as determined by the EHS Director. All work conducted and the scale of the work must be appropriate to the physical facilities available. A minimum of 6 room air changes per hour is required. The EHS Director, or his designee, shall certify chemical fume hoods annually to ensure a minimum face velocity of 100 lfpm. Hoods shall be used as work areas, not storage areas. Storage of chemicals should reflect compatibility and common sense. Access to exits, emergency equipment and utility controls shall never be blocked. Chemical Hygiene Rules:  Avoid “routine” exposure. Do not smell or taste chemicals. Use a hood if the TLV (available on the SDS) of a substance is <50 ppm.  Do not apply cosmetics, eat, drink, smoke or chew in laboratories. Do not store or handle food or beverages in laboratories.  Use appropriate PPE. At a minimum, all persons, including visitors, when in a laboratory in which chemicals are in use or a chemical process is in progress, shall wear eye or face protection.  Avoid inappropriate apparel (loose clothing, sandals, etc.) horseplay and pipeting by mouth.  Do not work alone in the building; do not work alone in the laboratory if the procedures being conducted are hazardous. Post an appropriate sign on the door and leave the lights on whenever an ongoing operation is left unattended.  Deposit hazardous waste in and appropriately labeled, closed container; waste characterization, label and container are provided by the EHS Director or his designee. Do not discharge hazardous waste to the sewer.  In the event of a spill, the priority of actions shall be: personnel decontamination, spill containment, cleanup.  Keep laboratories clean and uncluttered. Label all containers containing chemicals.  If a substance is produced in the lab for use outside of the lab by another user, then the facility manager must comply with the Hazard Communication standard (29CFR1910.1200) for that substance.  Particularly Hazardous Substances (carcinogens, reproductive toxins and acute toxins) shall be handled per specific protocols approved by the EHS Director.  All manipulation of free nanoparticles MUST be performed in a HEPA-filtered bag in/out chemical fume hood, exhausted glove box, biological safety cabinet or an exhausted enclosure specifically designed for handling nanoparticles. Contamination of the exhaust system must be avoided in order to protect maintenance personnel; a bag in/out HEPA filter MUST be in place between the work enclosure and the building’s ductwork. Training: All employees shall be trained to the standards required by 29CFR1910.1450(f)(4), which includes:  Methods and observations that may be used to detect the presence or release of a hazardous chemical (such as monitoring conducted by the employer, continuous monitoring devices, visual appearance or odor of hazardous chemicals when being released, etc.). The physical and health hazards of chemicals in the work area. The measures employees can take to protect themselves from these hazards, including specific procedures the employer has implemented to protect employees from exposure to hazardous chemicals, such as appropriate work practices, emergency procedures, and personal protective equipment to be used. # Chemical Right to Know Poster [Chemical Right to Know Poster](https://www.labor.arkansas.gov/wp-content/uploads/2020/08/Chemical_Right_poster2019.pdf) # Chemical Spill Response Guide Laboratory Spill Response Guidelines All laboratories should have a written emergency plan, a spill kit to contain and/or clean, documented training in spill response and a broken glass receptacle. At a minimum a chemical spill kit should contain: • A 5 gallon bucket with a closeable lid • Absorbent (vermiculite, cat litter or other multi-purpose absorbent) • Scoop • Small broom • Required PPE (if not already available in the lab) A few additional items that may be useful in a spill kit but are not required are: • pH paper • Sponge • Small plastic zipper bags • Sodium bicarbonate (for acid spills) • Citric acid or boric acid (for base spills) Additional information can be found in the A-State Laboratory Safety Manual, Biological Safety Manual and the Radiation Safety Manual. When in doubt or if you have any questions, do not hesitate to reach out the department of environmental, health and safety at 870-972-2862 or 870-972-3644. Biological Biological spills outside biological safety cabinets will generate aerosols that can be dispersed in the air throughout the laboratory. Wait 30 minutes prior to initiating spill clean up to allow aerosols to settle or be removed by the ventilation system. BSL 1 Level Spill • Wear disposable gloves. • Soak paper towels in disinfectant and place over spill area. • Place towels in plastic bag for disposal. • Clean spill area with fresh towels soaked in disinfectant. BSL 2 Level Spill • Alert people in immediate area of spill. • Put on protective equipment. • Cover spill with paper towels or other absorbent materials. • Carefully pour a freshly prepared 1 in 10 dilution of household bleach around the edges of the spill and then into the spill. Avoid splashing. • Allow a 20-minute contact period. • Use paper towels to wipe up the spill, working from the edges into the center. • Clean spill area with fresh towels soaked in disinfectant. • Place towels in a plastic bag and decontaminate in an autoclave. Chemical In the event of a chemical spill, the first priority shall be personnel decontamination. Any personnel that have been exposed to hazardous chemicals on the skin or in the eyes should use the emergency eyewash or safety shower as soon as possible. If no one has been exposed or all exposed personnel have been adequately treated, the next priority shall be containment of the spill to keep it from leaving the immediate area. Once the spill is contained, the last step is clean up. Whether or not lab workers can clean up a hazardous chemical spill will depend on the type of chemical that has been spilled and the quantity. No lab worker should attempt to clean up a spill that they do not feel comfortable cleaning. Below are some basic criteria for determining whether or not you can clean up a chemical spill. Spills that can be cleaned up by lab personnel OSHA defines these types of spills as incidental spills. Lab personnel may clean up a hazardous chemical spill if: • The quantity of spilled chemical is small (less than one liter). • The chemical is known. • The chemical is not a highly hazardous chemical or a chemical that may require respiratory protection. • The personal protective equipment required to clean up the spill safely is available. • The materials to clean up the spill are available. • The hazards presented by the chemical are well understood. If all of these criteria are met, then lab personnel may first contain the spill and then clean up the spill. Spill cleanup materials shall be placed in a container and labeled as chemical waste. Fill out the waste request form available on the EHS website to have the materials removed from the lab Spills that require EHS assistance Some spills may not require a HAZMAT team response but may be outside the scope of cleanup by lab personnel. A hazardous chemical spill that may require EHS assistance includes: • A spill that is greater than 1 liter but less than 5 gallons (20 L). • A small spill of a highly hazardous material inside a chemical fume hood. In these cases, lab personnel must make sure the spill is contained and keep others out of the area until the spill is cleaned up by EHS personnel. Spills that require HAZMAT response Some spills are too large or too dangerous for lab personnel or EHS to handle. Outside assistance is required in these cases. A hazardous chemical spill that may require a HAZMAT team response includes: • A spill larger than 5 gallons (20 L.) • A spill that cannot be contained to the site (may leave the university. • A spill of a highly hazardous chemical outside of a chemical fume hood or other containment device. The procedure for responding to this type of spill is given below. 1\) Evacuate the immediate area. 2\) If a person or people became contaminated during the spill, take them to the nearest safety shower that is outside the immediate area where the spill occurred. The person or people should remove contaminated clothing and remain under the shower for 15 minutes if the area is safe to do so. While one person should remain with each person that is placed under the shower, all others should evacuate the building. 3\) Pull the fire alarm to indicate evacuation of the building. 4\) Do not shut down the HVAC system. The areas most likely to have a spill are those where the HVAC system will be pulling contaminant away from the office areas. A shutdown of the HVAC system will upset that balance. 5\) Notify the local authorities (including the fire department) that this is a chemical spill, not a fire so that the local hazmat team can be dispatched. 6\) Notify the EHS director after the local authorities have been contacted. 7\) If the constituents of the spill are known, provide the SDS for each constituent to the hazmat team. 8\) Once the local authorities give the all clear to return to the building, EHS shall do a quick building check to make sure critical operations are again online before allowing all others to reenter. Spills of unknown material All of the above scenarios assume that the material spilled is known. The procedure for spills of unknown materials is given below. 1\) Evacuate the immediate area and close the door to the area. 2\) Post a sign that indicates the area must not be entered until the spill is cleaned. 3\) Attempt to determine the materials in the spill by asking others that work in the area. 4\) If that exact nature of the spill cannot be determined, consult EHS. 5\) Try to determine if the spill could be a material that is unsafe to clean up. In other words, if there is no possible way it is a highly hazardous material then EHS should be able to safely clean up the spill. 6\) If there is the possibility that the spill is a highly hazardous material and the nature of the spill cannot be determined, it will be necessary to contact the local authorities. If this happens to be the case, follow steps 3-8 of the procedure for a large chemical spill. Radiation Spill Spreading of radiation beyond the spill area can easily occur by the movement of personnel involved in the spill or cleanup effort. Prevent spread by confining movement of personnel until they have been monitored and found free of contamination. A minor radiation spill is one that the laboratory staff is capable of handling safely without the assistance of safety and emergency personnel. All other radiation spills are considered major. Minor Radiation Spill • Alert people in immediate area of spill. • Notify Radiation Safety Officer (870-972-3644 or 911). • Wear protective equipment, including safety goggles, disposable gloves, shoe covers, and long-sleeve lab coat. • Place absorbent paper towels over liquid spill. Place towels dampened with water over spills of solid materials. • Using forceps, place towels in plastic bag. Dispose in radiation waste container. • Monitor area, hands, and shoes for contamination with an appropriate survey meter or method. Repeat cleanup until contamination is no longer detected. Major Radiation Spill • Attend to injured or contaminated persons and remove them from exposure. • Alert people in the laboratory to evacuate. • Have potentially contaminated personnel stay in one area until they have been monitored and shown to be free of contamination. • Call Radiation Spill Emergency Response number (870-972-3644 or 911). • Close doors and prevent entrance into affected area. • Have person knowledgeable of incident and laboratory assist emergency personnel # Chemical Storage Guide Chemical Storage Guide [![image-1761937677953.png](https://kb.astate.edu/uploads/images/gallery/2025-10/scaled-1680-/image-1761937677953.png)](https://kb.astate.edu/uploads/images/gallery/2025-10/image-1761937677953.png) # Laboratory Hazard Assessment
LABORATORY HAZARD ASSESSMENT LSE 404
Required Personal Protective EquipmentRequired Engineering Controls
TaskSafety GlassesLab CoatGloves (Type)Other PPE (List)Chemical Fume HoodBiological Safety CabinetOther (list)
Dissection of specimens in CarosafeX NitrileLong pants and closed-toe shoes
# Emergency Eyewash and Safety Shower Program Scope This program outlines the eye/face wash and shower equipment requirements for the rinsing of employees exposed to injurious materials. Each department shall provide eye/face wash and safety shower equipment within the work area where employees and/or students may be exposed to injurious corrosive materials or other dangerous chemicals. Emergency eyewash, eye/face wash and safety shower units are not a substitute for proper primary protective devices. Personal Protective Equipment (eye and face protection and protective clothing) should be worn to protect the user from flying particles and splashing liquids. Responsibilities Environmental, Health and Safety is responsible for: • Preparing, reviewing and periodically revising this program. • Monitoring compliance with this program. • Provide consultation on placement of emergency showers and eye wash stations. • Testing emergency eyewash and safety shower equipment quarterly and annually. Deans, Directors and Department Heads are responsible for: • Providing emergency safety shower and eyewash or eye/face wash equipment within the work area where employees and/or students may be exposed to injurious corrosive materials or other dangerous chemicals. • Ensuring departmental compliance with all the procedures outlined in this program. Facilities Management is responsible for: • Repair, install or decommission emergency eyewash and safety shower equipment. Supervisors of Departments/Labs, PI’s and Instructors are responsible for: • Weekly and monthly flushing of emergency eyewash and safety shower equipment. Equipment Performance • Emergency shower heads must be located between 82 inches and 96 inches from the surface on which the user stands. • Emergency shower heads must be capable of delivering at least 20 gallons of water per minute, at a velocity that will not be injurious to the user. • Control valves must be of the Stay‐Open type. • Emergency showers must be equipped with tepid water, 60°F‐100°F. UNM cold water comes from the tap at greater than 60°F in most circumstances, therefore it does not required tempering. • Emergency showers should be equipped with a drain to prevent building damage. Drains should be plugged in order to prevent accidental discharge of chemicals to the sanitary sewer system. The plug should be flush‐mounted to prevent a tripping hazard. Plugs may be removed in the event the shower is used and it was not accompanied by a large chemical spill (highly toxic chemical that endangers public areas or is adjacent to a drain). Eyewash Units (Including Eye/Face Wash Units) • Eyewash units shall be installed with the nozzles between 33 inches and 45 inches from the floor and at least 6 inches from the wall or nearest obstruction. • Eyewash units must provide a controlled flow of flushing fluid to both eyes simultaneously at a velocity that will not be injurious to the user. • There must be no sharp projections anywhere in the operating area of the unit. • Discharge nozzles must be protected from airborne contaminants. Whatever means is used to provide this protection must not require a separate motion, by the user, to remove it when activating the unit. • Eyewash units must be capable of delivering 0.4 gallons of flushing fluid per minute for 15 minutes. • Eye/face wash units must be capable of delivering 3.0 gallons of flushing fluid per minute for 15 minutes. • Eyewash units must be designed with enough room to allow the eyelids to be held open with the hands while the eyes are in the stream of flushing fluid. • Control valves must be of the Stay‐Open type. Hand Held Drench Hose • Hand‐held drench hoses must be capable of delivering 3.0 gallons of flushing fluid per minute for 15 minutes. • Hand‐held drench hoses must provide a controlled flow of flushing fluid to both eyes simultaneously at a velocity that will not be injurious to the user. • Discharge nozzles must be protected from airborne contaminants. Whatever means is used to provide this protection must not require a separate motion, by the user, to remove it when activating the unit. • Control valves must be of the Stay‐Open type. • Hand‐held drench hoses should not be used as a substitute for an eyewash unit unless it meets the performance indicators listed in the above section and it is not feasible to install an eyewash unit. Installation Emergency showers must be located such that they are accessible, require no more than ten (10) seconds to reach, and are within 55 feet of the potential hazard. This functionally means each lab should be equipped with a safety shower. In spaces where the laboratory showers are not located within the lab, there must be an unobstructed and clear path that the user can follow without the use of vision. Eyewash units (including eye/face wash and hand‐held drench hoses) must be located such that they are accessible, require no more than ten (10) seconds to reach, and are within 55 feet of the potential hazard (10 feet where strong corrosives are the hazard). NOTE: Remember the injured worker may have to locate the unit while blinded by a contaminant. Emergency eyewash and showers must be kept accessible. Items (furniture, equipment, materials) shall not be stored or placed in such a manner that would block access to them. Testing Procedures Testing on the equipment should follow the following schedule: Emergency showers are tested at least monthly in accordance with the following: • Verify adequate flow from the unit. • Verify that the control valve is of the stay‐open type and is operating properly. • Operate for a period of time (2‐3 minutes) sufficient to flush any stale water from the supply lines. • If equipped, remove the floor plug to make sure it is functioning properly; replace plug after test. • Record the inspection on the attached tag. Eyewash units are tested at least monthly in accordance with the following: • Verify flow from the unit. • Verify that the control valve is of the stay‐open type and is operating properly. • Verify that the flushing streams rise to equal heights and that the fluid will wash both eyes simultaneously. • Operate for a period of time (2‐3 minutes) sufficient to flush any stale fluid from the supply lines. • Record the inspection on the attached tag. Hand‐held drench hose units are tested at least monthly in accordance with the following: • Verify flow from the unit. • Verify that the control valve is of the stay‐open type and is operating properly. • Verify that the flushing streams rise to equal heights and will wash both eyes simultaneously. • Operate for a period of time sufficient to flush any stale fluid from the supply lines. • Verify that the hose is free to extend from the mounting bracket and is easy to maneuver. • Record the inspection on the attached tag. Weekly Flushing Operate safety showers, eyewash and eye/face units weekly for a period of 2‐3 minutes to flush any stale fluid and bacteria/viruses from the supply lines. Shower and Eye/Face Wash Use Immediate and proper use of emergency eye/face wash and safety showers is essential to minimizing injury. The following procedures should aid in minimizing injury due to contact with harmful materials: • Go immediately! Do not waste a moment. Time is of the essence. • For safety shower: o Pull the handle to activate the shower. o Immediately remove contaminated clothing. Do this while under the shower when gross contamination has occurred. Have someone assist with clothing removal when possible. o If equipped, have the assistant remove the drain plug to allow water to drain. o Flush exposed area for at least 15 minutes. o Seek medical attention after flushing the exposed area. o Notify your supervisor as soon as possible. • For eye/face wash station: o Activate the hands‐free lever. If eyewash is of the hand‐held type, have someone hold it for you, if possible. o Get your eyes directly into the stream of water. o If you have contacts, gently remove them while flushing. o Hold your eyes open with your fingers. o Gently roll your eyes to ensure complete flushing. o Flush for at least 15 minutes. o Seek medical attention after flushing. o Notify your supervisor as soon as possible. Training Supervisors shall train all persons that might be exposed to potentially injurious materials on the location and proper operation of eyewash, eye/face wash and safety shower units. Contact Environmental Health & Safety (870) 972-3644 for course materials or other assistance with this training # Field Research Safety Guidelines Scope The field research safety guidelines provided in the attached document are intended to provide assistance to principal investigators (PI), research supervisors, postdoctoral associates, technicians, other employees, graduate students, and undergraduate students with the primary motivation of promoting safety and minimizing risks associated with the execution of research activities in a field setting, where there is an elevated risk of harm compared to routine activities. General Principal Investigator Responsibilities University-sponsored research is performed by and/or under the supervision of a principal investigator or research supervisor, who is responsible not only for the intellectual/academic execution of the research, but also for promoting the safety of all individuals involved in the research effort. When research conducted by student/employees occurs in the field (off-campus), special care and precautions may be warranted. Principal investigators/research supervisors should draft a generalized field safety policy for their individual labs that can encompass a number of smaller, more project-specific field safety plans (an example of a field safety plan is provided in Appendix B). Principal Investigators are the best authorities on risks potentially encountered while conducting research at their field sites and should draw upon their judgment and personal experiences in drafting these plans. Generalized field safety policies should address the following categories, where applicable: 1\. Personnel Safety Training - Provide guidelines on the availability and necessity of first aid and/or CPR training, first aid kits, and other field safety gear necessary for specific field situations. 2\. Communications - Provide phone numbers or contact information for PI’s or other important lab and field personnel. Other emergency contact information should also be provided, depending upon the field circumstances. 3\. Hazards - Discuss specific chemical, physical, and/or environmental hazards that are important for your research group to know about. Discuss forms of transportation to be used, decide if special training is required, and address safety concerns (e.g. ATVs, boats)? See below for more details on each of these issues and an example of a field research plan, which includes safety and communication components. Safety Training and Personnel Considerations Safety Training: An annual training event for First Aid and/or CPR certification needs to be scheduled for those principal investigators, postdoctoral associates, technicians, graduate, and/or undergraduate students who wish to be certified. Find out more about upcoming classes and reserve your spot for a class by contacting the director of Red Wolf Wellness. Personnel Staffing: Normal procedure is for at least two persons to work together in the field. In certain circumstances, the situation may arise that only one person can go into the field. While Arkansas State University discourages lone workers in field situations, should the situation present itself, approval from the principal investigator/research supervisor should be established, as well as consent from the lone field worker. Both parties must understand the risks, and a proper protocol for communication should be established prior to undertaking the field work. If a student/employee encounters dangerous working conditions (flooding river, inclement weather, unsafe boats, unsafe sampling location, etc.), the student/employee may discuss the dangers with the principal investigator/research supervisor, and if not satisfied that the work can be performed safely, may cease work without repercussions, until the student/employee considers the conditions to be safe. Ultimately, it is the responsibility of the principal investigator/research supervisor to foster the safety and wellbeing of students/employees. At the same time, students/employees need to be forthcoming about their preparedness. Additionally, a field research safety plan should be implemented and all parties aware of the procedures/protocols. Communications Any group that includes students/employees conducting field research needs to adopt a communications protocol ensuring that adequate communications equipment accompanies students/employees in field settings. The written field research plan should include a ‘Communications’ section that outlines a communication protocol that the principal investigator/research supervisor implements and that the field researchers follow. At a minimum, this protocol should include emergency contact numbers, an emergency communication protocol, and communications equipment requirements (e.g., cell phones, satellite phones). Cellular phones should be carried by each field team while conducting field work for use in case of emergency The principal investigator/research supervisor should make clear the communications equipment expectations for all students/employees conducting field work. In most cases, a student’s/employee’s cell phone will suffice for communications equipment. The field research plan communication protocol should detail circumstances when personal cell phones are inadequate, such as when research is conducted outside of cell phone coverage, or if research is conducted abroad and U.S. cell phones may not work with basic U.S. cell phone plans. In these circumstances, the principal investigator/research supervisor should either provide alternate communications equipment (cell phone with international access or satellite phone, for instance) or develop a field research plan (see below) that includes planned communications between the field researcher and the PI or other designated party. Communications Plan Component of Field Research Plan At the principal investigator’s/research supervisor’s discretion, field communications plans may be included in the field research plan to facilitate communication between field researchers and the PI or other parties such that persons not accompanying the student(s)/employee(s) know when and where the students/employees are conducting field research. If the students/employees have not safely returned by some predetermined time, emergency services will be contacted on their behalf. The purpose of a field research plan is to avoid a circumstance where a student/employee field crew is conducting field work without the knowledge of some person not on the field research crew. The field research plan is also designed to keep in contact with a field team if they are conducting field work for an extended period of time. If the field team were to encounter an emergency and be unable to contact emergency services for whatever reason, the emergency contact would attempt to contact the field crew at a designated time. If contact is not established, emergency services would then be contacted. When appropriate, field communications plans should be filed with the emergency contact before the field crew departs. Field communications plans should contain sufficient detail about the location of the field research such that the emergency contact can, if required, direct emergency services to the research site. The field communications plan should also detail a date and time at which, if communication between the field crew and the emergency contact cannot be established, the emergency contact will implement emergency measures. The PI/designee must verify that each member of the research team is in possession of and understands the field communications plan. An example of a field communications plan can be found in Appendix A. Potential Fieldwork Hazards and Special Circumstances This list is by no means exhaustive. Each field site has its own set of unique conditions and potential hazards that should be discussed with the research advisor and team. Each principal investigator should develop field safety guidelines for the students/employees involved in fieldwork and discuss specific strategies for avoiding or mitigating field hazards. All-Terrain Vehicles: All users should be properly trained in the safe use and operation of vehicles that may be used in the field. Operators must be over the age of 18 years old and must sign and submit Appendix E, Release of All Claims for Personal Injury and Property, Student and Arkansas State Employees Operating Boats or All-Terrain Vehicles prior to travel. Animals/Wildlife: Particularly when working in remote areas, animals/wildlife may be of particular concern. Each field location will have its own unique fauna and the potential threat posed by these animals should be considered. Particular attention should be paid if working in an area during mating season or when offspring are present, as these situations may make certain animals more likely to be aggressive. If the fieldwork involves intentional animal handling, hazards such as bites, infection, etc. should be addressed. Biological Hazards: Contamination of air, water and food sources by local bacteria and viruses should be considered. Immunization may be considered for things like tetanus or other diseases if engaged in activities that put researchers at greater risk. Routine prevention measured should be taken, such as dressing to avoid tick exposure, mosquitos, etc. Consider the potential for water-borne diseases, and have access to clean water, or take appropriate steps to use personal water purification devices while working/camping. Be aware of insect borne diseases such as Zika, etc. and review protective strategies. Boating Safety: All users should be properly trained in the safe use and operation of boats. Personal floatation devices must be available for all passengers and must be worn at all times when in a boat. Safety should be considered not only while on the open water, but also during docking procedures, as this is often when accidents and injuries can occur. Operator must be over the age of 18 years old, Complete a Boating Education Course, carry proof while operating the boat and must sign and submit Appendix E, Release of All Claims for Personal Injury and Property, Student and Arkansas State Employees Operating Boats or All-Terrain Vehicles, prior to travel. Cellular Access: When working in a rural area, be aware that cell phone coverage may be limited, and not available for emergency assistance. Also, consider that not all rural areas have 911 emergency phone numbers in place. If this is the case, know the direct phone number for local emergency services such as ambulance, fire and police and update field communications plan accordingly. Chemical Safety: If working with hazardous chemicals while in the field, all precautions should be taken that would normally be taken in the Arkansas State University research lab. Proper personal protection should be worn (gloves, goggles, face shield, etc.) and proper ventilation should be available. Additional safety precautions may need to be considered if transporting chemicals to a field site. Also consider what waste disposal procedures may need to be in place. Contact EHS with any questions. Electrical Hazards: Consider any electrical hazards that may be present at a field site, including high voltage power lines, etc. Research equipment/instrumentation should be checked for signs of wear prior to deployment in the field (frayed lines, stripped wires, etc.). Care should be taken when operating electrical equipment near water sources. Environmental Hazards: Natural environment and weather conditions may pose a hazard to personal safety. Each field site will have its own unique set of conditions that may need to be considered. The principal investigator should discuss potential hazards with personnel prior to field deployment. Issues of concern may include the potential for hyperthermia, hypothermia, sunburn, dehydration, high altitude (altitude sickness), frostbite, flash flooding, rock and mud slides, etc. Proper personal gear should be available appropriate to the field site and its weather/environmental conditions. Equipment Hazards: Equipment used in the field such as chainsaws, pumps, motors, etc. may pose a safety hazard if not operated properly. All users should be trained in the safe operation of any equipment to be used in the field. First Aid: First aid kits should be available at all field sites and should be routinely checked for adequate supplies and expired materials. Each principal investigator should decide on whether all field team members need to be certified in first aid procedures (e.g. Red Cross certification). Navigation/Remote Sites: Adequate navigational equipment should be available if travelling to remote sites. All users should be familiar with the use of the equipment (e.g., GPS units). Social/Cultural Consideration: If the fieldwork has the potential for interaction with people of other cultures, the principal investigator is responsible for the training of field personnel with respect to relevant social or cultural considerations. Transportation Considerations Driver Certification: Students, staff and faculty driving University owned, leased, or rented vehicles must be in the University Vehicle Safety Program. The University’s Vehicle Safety Program can be found online at Vehicle Safety Program (astate.edu). Use of Personal Vehicle Unless logistically unfeasible, it is strongly recommended that a University vehicle be used for all University-sponsored research trips involving transportation of students, staff, and faculty. This ensures that the University’s insurance coverage applies to any accidents and loss prevention measures. The University’s auto liability insurance applies to only University owned, leased or rented vehicles; personal vehicles are not covered. The principal investigator/research supervisor is responsible for identifying funds to cover the cost of department vehicle use or vehicle rental. Rental arrangements must be made through the Travel Services. Note that the University’s auto liability insurance policy applies to University owned, leased, or rented vehicles driven by University-approved drivers while in the United States. If research requiring vehicle use occurs outside of the US, auto insurance must be purchased separately. In such situations, the principal investigator/research supervisor is responsible for identifying funds to cover the cost of auto insurance. The use of personal vehicles for University-sponsored research is strongly discouraged. If it is absolutely necessary that a student/employee use a personal vehicle in conjunction with University-sponsored research, the student or staff member must be advised in writing that their own auto insurance is the only insurance that would respond in the event of an accident/incident with their own vehicle even while on University business. The student/employee, and specifically the person named on the vehicle’s insurance policy, assumes full insurance risk. For any student/employee that uses a personal vehicle in the execution of research, Appendix D, Acknowledgement- Use of Personal Automobile form, must be completed by the owner of the vehicle prior to the travel. The signed Acknowledgement form must be retained by the Department for a period of three years from the date of the vehicle’s use in accordance with the University’s record retention policy. Students/employees have the right to refuse using a personal vehicle for research, with no repercussions. If a personal vehicle is used, the student/employee is entitled to mileage reimbursement at the standard University rate. In such situations, the principal investigator/research supervisor is responsible for identifying funds to cover the cost mileage reimbursement. Non-University Employees: Non-University employees are permitted to travel in University vehicles, but must sign and submit, Appendix D, Acknowledgement – Use of Personal Automobile before travel begins. University students, employees and registered volunteers may travel in University vehicles and may apply to become certified drivers of University vehicles. In the event of a motor vehicle accident 1\. Call 911 2\. Injury evaluation of all persons. 3\. Call supervisor 4\. Call motor pool 5\. Call risk management 6\. Call insurance company. Card is found in vehicle. 7\. You must request a copy of the police report. Have it sent to risk@astate.edu Emergency Contact Information Emergency Contacts Number Notes Emergency Services 911 Contact first in any life threatening emergency. University Police Department 870-972-2093 Contact in the event an accident happened on campus. University Risk Management 870-972-2817 Contact in the event that any Arkansas State owned or rented vehicle is involved in an accident, and following any emergency in which emergency services were contacted. University Motor Pool 870-972-3904 Contact in the event that any Arkansas State owned or rented vehicle is involved in an accident. University Travel Services 870-972-3903 Contact in the event that any Arkansas State rented vehicle is involved in an accident. List of Appendices Appendix A – Field Communication Plan Sample Appendix B – Field Safety Plan Example Appendix C – Arkansas State University Off-campus incident/accident/injury report Appendix D – Use of Personal Automobile Consent Form Appendix E - Release of All Claims for Personal Injury and Property, Student and Arkansas State Employees Operating Boats or All-Terrain Vehicles Appendix F – Release of All Claims for Personal Injury and Property Damage Student Travel Participation APPENDIX A EXAMPLES Field Communication Plan 1\. A field research crew that includes undergraduate students conducts field work at tidal marsh field sites on the Delaware River which is accessed by boat. The PI develops a communications protocol, and requires that a cell phone (in a water-proof case) accompany the field crew at all times. When the field crew anchors the boat and conducts research in the marsh, the cell phone must accompany them to avoid a circumstance where the boat loses anchor and floats away stranding the field crew. The field crew files a research plan with the PI (if the PI does not accompany the crew) or with the PI’s spouse (if the PI does accompany the crew) before leaving. The field plan details the sites (including lat/lon) and approximate times that the sites will be visited. The field plan also notes a time by which emergency services should be notified in the event that communication between the field crew and the emergency contact cannot be established. 2\. An undergraduate student obtains an Arkansas State Undergraduate Research Fellowship to conduct periodic individual field research in forests close to their home in upstate New York during the summer. The student fills out a new field research plan that includes her parents as the emergency contact, and she gives this research plan to her parents before departing on field work. The student’s parents institute emergency procedures if the student has not been in contact by the pre-determined time. In this scenario, the PI is not necessarily contacted prior to every field trip. See Detailed Example Field Plan (see attached-Appendix B). APPENDIX B EXAMPLE Student Field Research Safety Protocol General Information Principal Investigator Nathaniel Weston Field Research Program Delaware River Estuary Brief Description of Research Field research is conducted at tidal freshwater and saltwater marsh sites along the Delaware River. Sites are accessed by land or by boat. Activities include measuring rates of gas exchange, measuring and collecting plant biomass and soil samples, installing surface elevation tables (SETs) and boardwalks, measuring SETs and conducting GPS surveys. Communications - Phone Numbers Emergency 911 Arkansas State University Police 870-972-2093 Principle Investigator’s Cell Phone Nathaniel Weston xxx.xxx.xxxx Principle Investigator’s Office Phone Nathaniel Weston xxx-xxx-xxxx Department Office Arkansas State Risk Management Sandra Bramblet 870-972-2817 Communications Protocol Communications Instrument Every group conducting field research must have a cell phone with them, including on the boat when field access by boat is required. Emergency Communication Protocol Call 911 in any life-threatening or potentially lifethreatening emergency. 911 will put you in contact with the Coast Guard as well as other emergency services, in cases of boat failure. If, after emergency service have been contacted you are able to, contact Arkansas State University Public Safety, the Principal Investigator, and the department to alert them to the situation. If a motor-vehicle or boating accident has occurred, contact Ashley Feick. Field Research Plans Field Research Plan A third party (Angie Fondaco, Dr. Frank Galgano, a member of the laboratory, etc) not accompanying the field research team must be informed of the field plans and again informed when the field crew has returned. The location of sites visited and anticipated timing of the trip needs to be communicated. This person is responsible for contacting the field crew if they have not returned within a reasonable amount of time. Personnel Requirements Number of researchers There must be 2 or more persons in any field research trip to tidal marsh sites. Undergraduate students must be accompanied by a graduate student, technician, post-doc or PI. Personal Training First Aid / CPR All personnel conducting significant (i.e., PI, technician, student summer researchers) field research must be Red Cross First Aid and CPR trained. A copy of the certification will be kept on file. Boat Training All personnel leading field research trips that include boat use are required to take a boat education course and be Arkansas Boater Education certified. These certificates will be kept on file. Safety Equipment First-aid Kit A fully stocked first aid kit must be available in the vehicle and boat when in use. Boat Safety Kit A boat safety kit, including a whistle, horn, fireextinguisher, a lifejacket (one per passenger), and a throwable life-saving device (cushions) must be on board the boat during operation. Transportation Protocol Truck and Trailer Operation Only authorized personnel may operate the field truck with the boat-trailer attached. Special consideration must be given to driving the truck with the boat-trailer attached. Undergraduate students may not drive the truck when the boat trailer is attached. Undergraduate students may operate the truck if van certified by the University. Boat Operation Only personnel possessing an Arkansas Boating Safety Certificate and approved by the Principal Investigator are authorized to operate the boat. Hazards-Physical Water A significant portion of this research is conducted on (in a boat), near (in tidal marshes) or in (wading) water. Personnel who do not know how to swim should wear a lifejacket when appropriate. During colder field conditions when wearing waders, be aware that falling into water with waders on is extremely dangerous. Waders will fill with water and make surfacing difficult. If your waders fill with water and you are unable to surface, remove them as quickly as possible. Boating Travel by boat must be conducted safely. The boat utilizes an outboard engine with a propeller that will do significant bodily damage if the motor is in gear. Persons should never be near the rear of the boat when the engine is on, even in neutral. An additional hazard in travelling by boat is that the boat may unexpectedly strike objects in the water, causing persons who are standing to fall. Always sit while the boat is in motion. Never smoke or use open flame or spark in the boat. The boat is powered by a gasoline/oil mix stored in portable containers. These containers are not fully sealed (they need to be vented) and thus risk of fire and explosion is present. Always remove the gas tanks from the boat when filling. The boat may not be operated between sunset and sunrise. Walking in the Tidal Marsh Traversing portions of tidal marsh are an inevitable part of field research. Proper footwear must be worn at all times (close-toed, tightly laced shoes, boots, or waders). Do not overload yourself when walking in the marsh. Walking on boardwalks poses the threat of slipping and falling. Mud causes boardwalks to be slick. Take care when walking on boardwalks. Heat, Sunburn, Dehydration On hot, sunny days, care must be taken to avoid dehydration, sunburn and overheating. Drink water, wear sunscreen and protective clothing, and take adequate breaks. Frostbite, hypothermia On cold days, care must be taken to avoid frostbite, lowering of core body temperature and hypothermia. Wear protective clothing (waders, multiple layers, gloves). Hazards-Biological Marsh plants Several of the plants encountered in the tidal marsh field sites (Zizaniaaquatica at Salem and Polygnum at Rancocas) are abrasive and will cause slight skin rashes. Wear long pants and long sleeves when working at these sites in late summer and fall. Some plants also pose the risk of causing puncture wounds. Be attentive and utilize protective eye wear when appropriate. Black flies, mosquitoes and green-heads At some times of year, biting insects (black flies, mosquitoes and green-heads) will be found in tidal marsh ecosystems. Wear protective clothing (long pants and long sleeves) and use insect repellant to minimize exposure. Ticks and Lyme disease Ticks in the mid-Atlantic region may carry Lyme disease. Wear protective clothing and use insect repellant. If you find a tick on yourself, remove it promptly. If tick bites are detected, monitor yourself for signs of Lyme disease and promptly seek medical attention if found. Hazards-Chemical Not applicable Hazards-Specific Field Equipment Generator A gasoline powered generator may be used in the field. The generator produces an electric current (120 V) which is hazardous in wet conditions such as a tidal marsh. Take care to site the generator so that it does not come in contact with water. If an extension cord is used, be sure that the termination of the extension cord and any connections do not come in contact with water. No smoking or open flames may be near the generator, due to the possibility of gasoline fumes igniting. Demolition Hammer The demolition hammer produces potentially damaging levels of noise. Wear protective ear gear when using or working near the demolition hammer. The demolition hammer and the stainless steel rod that is hammered become extremely hot. Use caution when handling after hammering. Grinder The grinder will cause significant bodily harm if it comes into contact with your person while in operation. Use caution. The stainless steel rod is also extremely hot following cutting with the grinder, and should be cooled before handling. GPS tripod The spikes on several of the tripods used for the GPS equipment are sharp, and will cause bodily injury if mishandled. Take care when using and transporting this equipment. Signatures I have read and understand these safety protocols and procedures, and I will follow these policies and procedures. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Name Date \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Principal Investigator Date APPENDIX C ARKANSAS STATE UNIVERSITY OFF CAMPUS INCIDENT/ACCIDENT/INJURY REPORT Please go the Risk Management to complete the Incident Reporting Form or use this link: Incident Report • CampusOptics APPENDIX D ACKNOWLEDGEMENT – USE OF PERSONAL AUTOMOBILE To be signed by the Vehicle Owner; Student Vehicles owned by Parents must be signed by Parent I, the undersigned, acknowledge that I am the owner of the following vehicle (the “Vehicle”): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Year, Make and Model) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (License Plate #) I understand that the Vehicle is contemplated to be used in connection with travel to and from a field research location at \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ during the period from \_\_\_\_\_\_\_\_\_\_\_ to \_\_\_\_\_\_\_\_\_\_\_\_\_\_ (the “Field Work”) in connection with a class or research project sponsored by Arkansas State University (“University”). I acknowledge that the use of my Vehicle for travel to and from the Field Work location is completely voluntary. I understand that other options for transportation to the Field Work site have been made available by the University, either in the form of University-owned vehicles or University-rented vehicles. I understand that University does not carry or maintain automobile insurance coverage or any other insurance coverage for my Vehicle in connection with the Field Work. Any personal injury or property damage sustained by me or third parties that occurs in connection with the use of the Vehicle for the Field Work will not be covered by the University but, rather, will be subject to my own personal auto insurance coverage. I understand that I will be reimbursed for mileage at the standard University rate. I represent that I have adequate automobile insurance to cover any personal injury to myself or any third party or property damage owed by me or any third party that may arise out of the use of the Vehicle for the transportation to and from the Field Work. I understand that I must provide proof of insurance and submit a copy to the PI or department head, before travel commences. Attach proof to this document. Acknowledging all of the above, I hereby grant permission for the Vehicle to be used for transportation to and from the Field Work location. I certify that I have read and understand the above statements and that they are true and accurate, and that the signing of this Acknowledgement is voluntary. READ ABOVE CAREFULLY BEFORE SIGNING BELOW. Student/Employee Driver’s Printed Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ASTATE ID: \_\_\_\_\_\_\_\_\_\_\_ Student/Employee Driver’s Signature: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Please sign in ink. Typed signatures are not acceptable) Vehicle Owner’s Printed Name (if different than above): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Vehicle Owner’s Signature (if different than above): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date: \_\_\_\_\_\_\_\_ (Please sign in ink. Typed signatures are not acceptable) Appendix E RELEASE OF ALL CLAIMS FOR PERSONAL INJURY AND PROPERTY DAMAGE STUDENT AND ARKANSAS STATE EMPLOYEES OPERATING BOATS OR ALL-TERRAIN VEHICLES I, (name):\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, a student or employee at Arkansas State University over the age of eighteen (18) will be using or participating in an activity where a boat, motor boat, canoe, kayak, raft, tube or all-terrain vehicle (the “Boat/ATV”) will be used. I will be at the following location(s) during this activity \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ on \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (date(s)). I AM AWARE that using or participating in travel when using a boat or all-terrain vehicle carries the risk of personal injury, property damage, or other losses. I HEREBY FULLY RELEASE AND DISCHARGE Arkansas State University, the Arkansas State University System, its Board of Trustees, its officers, agents, and employees from any liability for negligence and all claims for personal injury, property damage, or other losses resulting from my participation in operating a Boat/ATV or participating in an activity that uses such Boat/ATV vehicles. I HEREBY ASSSUME ALL RISKS of personal injury, property damage, or other losses resulting from my participation in operating a Boat/ATV or participating in an activity that uses such Boat/ATV vehicles. I FURTHER AGREE TO INDEMIFY AND HOLD HARMLESS Arkansas State University, the Arkansas State University System, its Board of Trustees, its officers, agents, and employees from all claims, suits actions, injuries, damages, and losses sustained by me and arising out of, connected with, or in any way associated with participation in an activity that uses a Boat/ATV vehicle. I HAVE FULLY READ AND UNDERSTAND THE FOREGOING. I agree to the terms and conditions as stated. Initial the following: I shall obey all state, federal and local boating and recreational regulations, laws, ordinances, and lawful directives from appropriate emergency or law enforcement personnel, while operating a boat or all-terrain vehicle. The student or employee of Arkansas State University is solely responsible for any citation or violation occurring during the use of, or the result of using a boat or all-terrain vehicle. Who Needs a Boating Education Card? Anyone born on or after Jan. 1, 1986, and of legal age to operate a motorboat or sailboat, must have successfully completed an approved AGFC Boating Education Course and carry proof while operating a motorboat or sailboat on Arkansas water. • To operate a motorboat powered by an engine of 10 horsepower or more, a person must be 12 or older, or be under the direct supervision of a person at least 18 years old. • To operate a personal watercraft, a person must be 16 or older, be 12 to 15 years old and be under the direct supervision of a person at least 18 years old or be under 12 and be under the direct supervision of a person at least 21 years old. STUDENT or EMPLOYEE NAME (Print)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ STUDENT or EMPLOYEE NAME (Signature)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ DATE \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Department \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \*Department Contact \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Contact Phone Number \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \*Attach form to appropriate travel request and submit to Travel Services PRIOR TO TRAVEL. Appendix F RELEASE OF ALL CLAIMS FOR PERSONAL INJURY AND PROPERTY DAMAGE STUDENT TRAVEL PARTICIPATION student-trip-release.pdf (astate.edu) I,\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, a student at Arkansas State University over the age of eighteen (18), have chosen to participate in student travel to \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ on \_\_\_\_\_\_\_\_\_\_\_\_. I AM AWARE that participating in travel carries the risk of personal injury, property damage, or other losses. I HEREBY FULLY RELEASE AND DISCHARGE Arkansas State University , the Arkansas State University System, its Board of Trustees, officers, agents, and employees from any and all claims for personal injury, property damage, or other losses up to and including death, resulting from my participation in this travel. I HEREBY ASSUME ALL RISK of personal injury, property damage, and other losses up to and including death which may result from my participation in this travel. I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS Arkansas State University, its , the Arkansas State University System, its Board of Trustees, officers, agents, and employees form all claims, suits, actions, injuries, damages, and losses sustained by me and arising out of, connected with, or in any way associated with my participation in this travel. I HAVE FULLY READ AND UNDERSTAND THE FOREGOING STUDENT (print name)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ STUDENT (Signature)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ DATE \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Department \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \*Department Contact \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Contact Phone Number \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \*Attach form to appropriate travel request and submit to Travel Services PRIOR TO TRAVEL. # Medical Surveillance Occupational Health & Safety Medical Surveillance While EHS strives to provide services and guidance in all areas of workplace safety compliance, there are some situations where outside expertise is necessary. A-State does not employ an Occupational Health Specialist and there are areas where that type of physician is necessary to meet safety, health and compliance requirements. If your job involves any of the following, then enrollment in medical surveillance may be necessary: • Work with animals in research • Work with blood or other potentially infectious materials from humans (or non-human primates) • Work that requires the use of a respirator Enrollment in medical surveillance is simple. 1\) Contact Environmental Health and Safety (mdooley@astate.edu) or call 870-972-3644 to get started. 2\) Fill out the Medical Surveillance Form. 3\) Take the form to your appointment with Occupational Health Partners (EHS will help set up this appointment). 4\) Occupational Health Partners will follow up with you if any additional action is necessary (immunizations, consults with your personal physician, etc.). Note that special training is required for any of the job functions that require you to be enrolled in medical surveillance. Please contact EHS for details based on your specific job requirements. # Medical Surveillance Form ARKANSAS STATE UNIVERSITY, MEDICAL SURVEILLANCE PROGRAM General Information Full Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date of Birth: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ What possible hazardous exposures exist in your position/research? Animals: □ Lab animals (mice/rats/guinea pigs, etc.) □ Birds □ Farm animals □ Wild animals □ Insects □ Aquatic animals Human or primate: □ Blood □ Tissues, fluids or other potentially infectious materials □ Human cell culture Environmental: □Chemicals □ Dust □ Noise Will you be exposed to animals that may have rabies? □ Yes □ No Will you be involved in recombinant DNA or human gene transfer research? □ Yes □ No Are you pregnant or planning to become pregnant in the near future? □ Yes □ No Medical History □ I have no significant medical history Current medications: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ □ None □ Anemia □ Hearing Problems □ Rheumatic/Scarlet Fever □ Arthritis □ Heart Problems □ Seizures/Epilepsy □ Cancer □ Heat Stroke □ Stomach/Bowel Problems □ Diabetes □ High Blood Pressure □ Tuberculosis □ Difficulty Smelling □ Joint or Muscle Problems □ Vision Problems □ Dizziness or Fainting □ Kidney or Liver Disease □ Other:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Do you have a medical condition that impairs your immune system (HIV, chemotherapy, radiation, etc.)? □ Yes □ No Allergy History Do you currently have or have you ever had any of the following conditions? Asthma/Wheezing? □ Yes □ No If yes, when? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Chronic cough/Bronchitis? □ Yes □ No If yes, when? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Eczema/Skin rash? □ Yes □ No If yes, when? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Hay fever/Seasonal allergies? □ Yes □ No If yes, when? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Itchy, irritated eyes? □ Yes □ No If yes, when? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Shortness of breath? □ Yes □ No If yes, when? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Other lung/breathing problems? □ Yes □ No If yes, when? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Allergies to food or medicine? □ Yes □ No If yes, list:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Allergies to pollen, grass, weeds, trees, yeas or molds? □ Yes □ No If yes, list:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Allergies to latex, chemicals or other substances? □ Yes □ No If yes, list:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Allergies to animals? □ Yes □ No If yes,list:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Immunization History Tetanus: Td \_\_\_\_\_\_\_ or Tdap \_\_\_\_\_\_\_\_\_ Hepatitis B \_\_\_\_\_\_\_\_ (date of series completion if there is risk of exposure to human or primate derived materials) Rabies: \_\_\_\_\_\_\_\_\_ (if applicable) The above information is accurate to the best of my knowledge. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ # CHEMICAL COMPATIBILITY STORAGE CODES Storage Group A: Compatible Organic Bases Identifier Name 100‐46‐9 Benzylamine 100‐85‐6 Benzyltrimethylammonium hydroxide 108‐91‐8 Cyclohexylamine 111‐42‐2 Diethanolamine 109‐89‐7 Diethylamine 75‐04‐7 Ethylamine 107‐15‐3 Ethylenediamine 110‐89‐4 Piperidine 102‐71‐6 Triethanolamine 121‐44‐8 Triethylamine Storage Group B: Compatible Pyrophoric And Water Reactive Materials Identifier Name 7783‐70‐2 Antimony pentafluoride 98‐88‐4 Benzoyl chloride 353‐42‐4 Boron triflouride compound with methyl ether (1:1) 594‐19‐4 Tert‐Butyllithium 156‐62‐7 Calcium cyanamide 16853‐85‐3 Lithium aluminum hydride 4111‐54‐0 Lithium diisopropylamide 7580‐67‐8 Lithium hydride 7439‐93‐2 Lithium metal (e.g., in THF) 124‐63‐0 Methanesulfonyl chloride 917‐54‐4 Methyllithium solution (and other alkyls) 7440‐09‐7 Potassium metal 17242‐52‐3 Potassium amide 16940‐66‐2 Sodium borohydride 7646‐69‐7 Sodium hydride 7440‐66‐6 Zinc (fume or dust) Storage Group C: Compatible Inorganic Bases Identifier Name 1336‐21‐6 Ammonium hydroxide 17194‐00‐2 Barium hydroxide 1305‐62‐0 Calcium hydroxide 21351‐79‐1 Cesium hydroxide 1310‐65‐2 Lithium hydroxide 1 Adapted from Stanford University’s ChemTracker Storage System. Used with permission from Lawrence M. Gibbs, Stanford University. 1310‐58‐3 Potassium hydroxide 1310‐82‐3 Rubidium hydroxide 1310‐73‐2 Sodium hydroxide 18480‐07‐4 Strontium hydroxide Storage Group D: Compatible Organic Acids Identifier Name 64‐19‐7 Acetic acid 79‐10‐7 Acrylic acid 65‐85‐0 Benzoic acid 98‐07‐7 Benzotrichloride 98‐88‐4 Benzoyl chloride 10043‐35‐3 Boric acid 79‐11‐8 Chloroacetic acid 627‐11‐2 Chloroethyl chloroformate 77‐92‐9 Citric acid 79‐44‐7 Dimethylcarbamyl chloride 64‐18‐6 Formic acid 6915‐15‐7 Malic acid 108‐31‐6 Maleic anhydride 7697‐37‐2 Nitric acid 139‐13‐9 Nitrilotriacetic acid 79‐09‐4 Propionic acid 7783‐00‐8 Selenious acid 76‐05‐1 Trifluoroacetic acid (TFA) 76‐03‐9 Trichloroacetic acid Storage Group E: Compatible Oxiders, Including Peroxides Identifier Name 21205‐91‐4 9‐BBN 13473‐90‐0 Aluminum nitrate 7789‐09‐5 Ammonium dichromate 7790‐98‐9 Ammonium perchlorate 13446‐10‐1 Ammonium permanganate 7727‐54‐0 Ammonium persulfate 10022‐31‐8 Barium nitrate 10124‐37‐5 Calcium nitrate 1305‐79‐9 Calcium peroxide 19004‐19‐4 Cupric nitrate 506‐93‐4 Guanidine nitrate 937‐14‐4 3‐Chloroperoxybenzoic acid 7722‐84‐1 Hydrogen peroxide 10099‐74‐8 Lead nitrate 13840‐33‐0 Lithium hypochlorite 10377‐60‐3 Magnesium nitrate 10034‐81‐8 Magnesium perchlorate 13138‐45‐9 Nickel nitrate 7697‐37‐2 Nitric acid 79‐21‐0 Peracetic acid 7601‐90‐3 Perchloric acid 7778‐50‐9 Potassium dichromate 7757‐79‐1 Potassium nitrate 7722‐64‐7 Potassium permanganate 7727‐21‐1 Potassium persulfate 17014‐71‐0 Potassium superoxide 7761‐88‐8 Silver nitrate 15630‐89‐4 Sodium carbonate peroxide 7775‐09‐9 Sodium chlorate 7758‐19‐2 Sodium chlorite 2893‐78‐9 Sodium dichloro‐s‐triazinetrione 10588‐01‐9 Sodium dichromate 7681‐52‐9 Sodium hypochlorite 7631‐99‐4 Sodium nitrate 7632‐00‐0 Sodium nitrite 10101‐50‐5 Sodium permanganate 1313‐60‐6 Sodium peroxide 7775‐27‐1 Sodium persulfate 7791‐10‐8 Strontium chlorate 10042‐76‐9 Strontium nitrate 1314‐18‐7 Strontium peroxide 87‐90‐1 Trichloro‐s‐triazinetrione (Trichloroisocyanuric acid, TCCA) Storage Group F: Compatible Inorganic Acids, Not Including Oxidizers Or Combustibles Identifier Name 7790‐93‐4 Chloric acid 10034‐85‐2 Hydrioic acid 7647‐01‐0 Hydrochloric acid 7664‐39‐3 Hydrogen fluoride solution 7664‐38‐2 Phosphoric acid 7664‐93‐9 Sulfuric acid Storage Group G: Not Instrinsically Reactive Or Flammable Or Combustible Identifier Name 71751‐41‐2 Abamectin \[avermectin b1\] 640‐19‐7 Acetamide, 2‐fluoro‐ 62‐74‐8 Acetic acid, fluoro‐, sodium salt 1752‐30‐3 Acetone thiosemicarbazide 53‐96‐3 2‐Acetylaminofluorene 79‐06‐1 Acrylamide 814‐68‐6 Acrylyl chloride 111‐69‐3 Adiponitrile 309‐00‐2 Aldrin 60‐09‐3 4‐Aminoazobenzene 92‐67‐1 4‐Aminodiphenyl 82‐28‐0 1‐Amino‐2‐methylanthraquinone 54‐62‐6 Aminopterin 504‐24‐5 4‐Aminopyridine 61‐82‐5 Amitrole 101‐05‐3 Anilazine \[4, 6‐dichloro‐N‐(2‐chlorophenyl)‐1, 3, 5‐triazin‐2‐amine\] 90‐04‐0 o‐Anisidine 7440‐36‐0 Antimony 7440‐38‐2 Arsenic 1303‐28‐2 Arsenic pentoxide 7784‐34‐1 Arsenic trichloride 1327‐53‐3 Arsenic trioxide 86‐50‐0 Azinphos‐methyl 7440‐39‐3 Barium 56‐55‐3 Benz\[a\]anthracene 98‐87‐3 Benzal chloride 55‐21‐0 Benzamide 98‐16‐8 Benzenamine, 3‐(trifluoromethyl)‐ 100‐14‐1 Benzene, 1‐(chloromethyl)‐4‐nitro‐ 98‐05‐5 Benzenearsonic acid 108‐98‐5 Benzenethiol 92‐87‐5 Benzidine 50‐32‐8 Benzo\[a\]pyrene 57‐64‐7 Benzoic acid, 2‐hydroxy‐, compound with (3as‐cis)‐1,2,3,3a,8,8a‐hexahydro‐1,3a,8‐ trimethylpyrrolo\[2,3,b\]indol‐5‐ylmethylcarbamate ester (1:1) 100‐44‐7 Benzyl chloride 140‐29‐4 Benzyl cyanide 7440‐41‐7 Beryllium powder 91‐59‐8 Beta‐naphthylamine 82657‐04‐3 Bifenthrin 92‐52‐4 Biphenyl 534‐07‐6 Bis(chloromethyl) ketone 542‐88‐1 Bis(chloromethyl)ether 28772‐56‐7 Bromadiolone 75‐25‐2 Bromoform (tribromomethane) 74‐83‐9 Bromomethane 75‐63‐8 Bromotrifluoromethane (halon 1301) 81‐88‐9 C.I. Food red 15 (Rhodamine B) 97‐56‐3 C.I. Solvent yellow 3 7440‐43‐9 Cadmium 1306‐19‐0 Cadmium oxide 2223‐93‐0 Cadmium stearate 7778‐44‐1 Calcium arsenate 56‐25‐7 Cantharidin 51‐83‐2 Carbachol chloride 644‐64‐4 Carbamic acid, dimethyl‐, 1‐\[(dimethylamino)carbonyl\]‐5‐methyl‐1h‐pyrazol‐3‐yl ester 63‐25‐2 Carbaryl \[1‐naphthalenol, methylcarbamate\] 1563‐66‐2 Carbofuran 56‐23‐5 Carbon tetrachloride 57‐74‐9 Chlordane 115‐28‐6 Chlorendic acid 532‐27‐4 2‐Chloroacetophenone 4080‐31‐3 1‐(3‐Chloroallyl)‐3,5,7‐triaza‐1‐azoniaadamantane chloride 75‐45‐6 Chlorodifluoromethane (HCFC‐22) 67‐66‐3 Chloroform 107‐30‐2 Chloromethyl methyl ether 5344‐82‐1 1‐(o‐Chlorophenyl)thiourea 542‐76‐7 3‐Chloropropionitrile 63938‐10‐3 Chlorotetrafluoroethane 75‐88‐7 2‐Chloro‐1,1,1‐trifluoro‐ethane (HCFC‐133a) 75‐72‐9 Chlorotrifluoromethane (CFC‐13) 1982‐47‐4 Chloroxuron 10025‐73‐7 Chromic chloride 7440‐47‐3 Chromium 64‐86‐8 Colchicine 56‐72‐4 Coumaphos 5836‐29‐3 Coumatetralyl 1319‐77‐3 Cresol (mixed isomers) 95‐48‐7 o‐Cresol 535‐89‐7 Crimidine 4170‐30‐3 Crotonaldehyde 123‐73‐9 (e)‐Crotonaldehyde 64‐00‐6 m‐Cumenyl methylcarbamate 21725‐46‐2 Cyanazine 506‐68‐3 Cyanogen bromide 506‐78‐5 Cyanogen iodide 675‐14‐9 Cyanuric fluoride 66‐81‐9 Cycloheximide 94‐75‐7 2,4‐D (2,4‐Dichlorophenoxyacetic acid) 2971‐38‐2 2,4‐D Chlorocrotyl ester 94‐11‐1 2,4‐D Isopropyl ester 94‐82‐6 2,4‐DB 919‐86‐8 Demeton‐s‐methyl 101‐80‐4 4,4'‐Diaminodiphenyl ether 101‐77‐9 4,4'‐Diaminodiphenylmethane 615‐05‐4 2,4‐Diaminoanisole 95‐80‐7 2,4‐Diaminotoluene 25376‐45‐8 Diaminotoluene (mixed isomers) 333‐41‐5 Diazinon 53‐70‐3 Dibenzo(a, h)anthracene 132‐64‐9 Dibenzofuran 96‐12‐8 1,2‐Dibromo‐3‐chloropropane 106‐93‐4 1,2‐Dibromoethane (ethylene dibromide) 84‐74‐2 Dibutyl phthalate 99‐30‐9 Dichloran \[2, 6‐dichloro‐4‐nitroaniline\] 95‐50‐1 1,2‐Dichlorobenzene 541‐73‐1 1,3‐Dichlorobenzene 106‐46‐7 1,4‐Dichlorobenzene 91‐94‐1 3,3'‐Dichlorobenzidine 75‐27‐4 Dichlorobromomethane 764‐41‐0 1,4‐Dichloro‐2‐butene 75‐71‐8 Dichlorodifluoromethane (cfc‐12) 111‐44‐4 Dichloroethyl ether 75‐09‐2 Dichloromethane (methylene chloride) 91‐93‐0 3,3'‐Dimethoxybenzidine‐4,4'‐diisocyanate 91‐97‐4 3,3'‐Dimethyl‐4,4'‐diphenylene diisocyanate 127564‐92‐5 Dichloropentafluoropropane 97‐23‐4 Dichlorophene \[2, 2'‐methylene‐bis(4‐chlorophenol)\] 120‐83‐2 2,4‐Dichlorophenol 105‐67‐9 2,4‐Dimethylphenol 696‐28‐6 Dichlorophenylarsine 76‐14‐2 Dichlorotetrafluoroethane (cfc‐114) 62‐73‐7 Dichlorvos 1464‐53‐5 Diepoxybutane 38727‐55‐8 Diethatyl ethyl 814‐49‐3 Diethyl chlorophosphate 297‐97‐2 O,O‐Diethyl O‐pyrazinyl phosphorothioate 78‐53‐5 O,O‐Diethyl S‐\[2‐(diethylamino)ethyl\] phosphorothiolate 71‐63‐6 Digitoxin 101‐90‐6 Diglycidyl resorcinol ether 94‐58‐6 Dihydrosafrole 55‐91‐4 Diisopropylfluorophosphate (DFP) 60‐51‐5 Dimethoate 60‐11‐7 4‐Dimethylaminoazobenzene 57‐97‐6 7,12‐Dimethylbenz\[a\]anthracene 91‐93‐0 3,3'‐Dimethoxybenzidine‐4,4'‐diisocyanate 2524‐03‐0 Dimethyl chlorothiophosphate 91‐97‐4 3,3'‐Dimethyl‐4,4'‐diphenylene diisocyanate 105‐67‐9 2,4‐Dimethylphenol 131‐11‐3 Dimethyl phthalate 77‐78‐1 Dimethyl sulfate 2300‐66‐5 Dimethylamine dicamba 534‐52‐1 4,6‐Dinitro‐o‐cresol 78‐34‐2 Dioxathion 82‐66‐6 Diphacinone 957‐51‐7 Diphenamid 122‐39‐4 Diphenylamine 107‐49‐3 Diphosphoric acid, tetraethyl ester 541‐53‐7 Dithiobiuret 72‐20‐8 Endrin 50‐14‐6 Ergocalciferol 563‐12‐2 Ethion 13194‐48‐4 Ethoprop 541‐41‐3 Ethyl chloroformate 759‐94‐4 Ethyl dipropylthiocarbamate \[EPTC\] 371‐62‐0 Ethylene fluorohydrin 107‐21‐1 Ethylene glycol 96‐45‐7 Ethylene thiourea 542‐90‐5 Ethylthiocyanate 52‐85‐7 Famphur 55‐38‐9 Fenthion \[o, o‐dimethyl o‐\[3‐methyl‐4‐(methylthio)phenyl\]ester, phosphorothioic acid\] 144‐49‐0 Fluoroacetic acid 359‐06‐8 Fluoroacetyl chloride 51‐21‐8 Fluorouracil 944‐22‐9 Fonofos 107‐16‐4 Formaldehyde cyanohydrin 23422‐53‐9 Formetanate hydrochloride 76‐13‐1 Freon 113 \[ethane, 1, 1, 2‐trichloro‐1, 2, 2‐trifluoro‐\] 76‐44‐8 Heptachlor 87‐68‐3 Hexachloro‐1, 3‐butadiene 118‐74‐1 Hexachlorobenzene 77‐47‐4 Hexachlorocyclopentadiene 67‐72‐1 Hexachloroethane 1335‐87‐1 Hexachloronaphthalene 70‐30‐4 Hexachlorophene 822‐06‐0 Hexamethylene‐1, 6‐diisocyanate 51235‐04‐2 Hexazinone 51‐75‐2 Hn2 (nitrogen mustard‐2) 555‐77‐1 Hn3 (nitrogen mustard‐3) 79‐19‐6 Hydrazinecarbothioamide 123‐31‐9 Hydroquinone 102‐36‐3 Isocyanic acid, 3,4‐dichlorophenyl ester 465‐73‐6 Isodrin 4098‐71‐9 Isophorone diisocyanate 108‐23‐6 Isopropyl chloroformate 80‐05‐7 4,4'‐Isopropylidenediphenol 120‐58‐1 Isosafrole 78‐97‐7 Lactonitrile 7439‐92‐1 Lead 58‐89‐9 Lindane 554‐13‐2 Lithium carbonate 121‐75‐5 Malathion 109‐77‐3 Malononitrile 93‐65‐2 Mecoprop 950‐10‐7 Mephosfolan 149‐30‐4 2‐Mercaptobenzothiazole (MBT) 5124‐30‐1 1,1‐Methylene bis(4‐isocyanatocyclohexane) 1600‐27‐7 Mercuric acetate 7487‐94‐7 Mercuric chloride 21908‐53‐2 Mercuric oxide 7439‐97‐6 Mercury 760‐93‐0 Methacrylic anhydride 920‐46‐7 Methacryloyl chloride 30674‐80‐7 Methacryloyloxyethyl isocyanate 558‐25‐8 Methanesulfonyl fluoride 950‐37‐8 Methidathion 16752‐77‐5 Methomyl 94‐74‐6 Methoxone (4‐chloro‐2‐methylphenoxy) acetic acid (MCPA)) 72‐43‐5 Methoxychlor \[benzene, 1, 1'‐(2, 2, 2‐trichloroethylidene)bis\[4‐methoxy‐\]\] 151‐38‐2 Methoxyethylmercuric acetate 80‐63‐7 Methyl 2‐chloroacrylate 56‐49‐5 3‐Methylcholanthrene 74‐87‐3 Methyl chloride 101‐14‐4 4,4'‐Methylenebis(2‐chloroaniline) (mboca) 101‐61‐1 4,4'‐Methylenebis(N,N‐dimethyl) benzenamine 60‐34‐4 Methyl hydrazine 74‐88‐4 Methyl iodide 924‐42‐5 N‐Methylolacrylamide 298‐00‐0 Methyl parathion 676‐97‐1 Methyl phosphonic dichloride 556‐64‐9 Methyl thiocyanate 502‐39‐6 Methylmercuric dicyanamide 7786‐34‐7 Mevinphos 90‐94‐8 Michler's ketone 50‐07‐7 Mitomycin c 1313‐27‐5 Molybdenum trioxide 76‐15‐3 Monochloropentafluoroethane (CFC‐115) 6923‐22‐4 Monocrotophos 3173‐72‐6 1,5‐Naphthalene diisocyanate 54‐11‐5 Nicotine 65‐30‐5 Nicotine sulfate 92‐93‐3 4‐Nitrobiphenyl 55‐63‐0 Nitroglycerine 88‐75‐5 2‐Nitrophenol 100‐02‐7 4‐Nitrophenol 62‐75‐9 N‐Nitrosodimethylamine 621‐64‐7 N‐Nitrosodi‐N‐propylamine 86‐30‐6 N‐Nitrosodiphenylamine 59‐89‐2 N‐Nitrosomorpholine 100‐75‐4 N‐Nitrosopiperidine 99‐55‐8 5‐Nitro‐o‐toluidine 630‐60‐4 Ouabain 78‐71‐7 Oxetane, 3,3‐bis(chloromethyl)‐ 104‐94‐9 p‐anisidine 56‐38‐2 Parathion 12002‐03‐8 Paris green 106‐47‐8 p‐chloroaniline 95‐69‐2 p‐chloro‐o‐toluidine 106‐44‐5 p‐cresol 100‐25‐4 p‐dinitrobenzene 76‐01‐7 Pentachloroethane 87‐86‐5 Pentachlorophenol (PCP) 594‐42‐3 Perchloromethylmercaptan 85‐01‐8 Phenanthrene 108‐95‐2 Phenol 88‐85‐7 Phenol, 2‐(1‐methylpropyl)‐4,6‐dinitro‐ (dinoseb) 58‐36‐6 Phenoxarsine, 10,10'‐oxydi‐ 95‐54‐5 1,2‐Phenylenediamine 108‐45‐2 1,3‐Phenylenediamine 624‐18‐0 1,4‐Phenylenediamine dihydrochloride 104‐49‐4 1,4‐Phenylene diisocyanate 59‐88‐1 Phenylhydrazine hydrochloride 62‐38‐4 Phenylmercury acetate 90‐43‐7 2‐Phenylphenol 2097‐19‐0 Phenylsilatrane 103‐85‐5 Phenylthiourea 57‐41‐0 Phenytoin 947‐02‐4 Phosfolan 13171‐21‐6 Phosphamidon 57‐47‐6 Physostigmine 124‐87‐8 Picrotoxin 51‐03‐6 Piperonyl butoxide 100‐01‐6 p‐nitroaniline 10124‐50‐2 Potassium arsenite 506‐61‐6 Potassium silver cyanide 106‐50‐3 p‐phenylenediamine 23950‐58‐5 Pronamide 1120‐71‐4 Propane sultone 70‐69‐9 Propiophenone, 4'‐amino 109‐61‐5 Propyl chloroformate 129‐00‐0 Pyrene 91‐22‐5 Quinoline 106‐51‐4 Quinone 82‐68‐8 Quintozene \[pentachloronitrobenzene\] 78‐48‐8 S,S,S‐tributyltrithiophosphate (DEF) 81‐07‐2 Saccharin (manufacturing, no supplier notification) 94‐59‐7 Safrole 7440‐22‐4 Silver 7631‐89‐2 Sodium arsenate 7784‐46‐5 Sodium arsenite, solid 124‐65‐2 Sodium cacodylate 128‐04‐1 Sodium dimethyldithiocarbamate 13410‐01‐0 Sodium selenate 10102‐18‐8 Sodium selenite 10102‐20‐2 Sodium tellurite 57‐24‐9 Strychnine 505‐60‐2 Sulfur mustard (mustard gas H) 77‐81‐6 Tabun 79‐94‐7 Tetrabromobisphenol A 630‐20‐6 1,1,1,2‐Tetrachloroethane 79‐34‐5 1,1,2,2‐Tetrachloroethane 64‐75‐5 Tetracycline hydrochloride 78‐00‐2 Tetraethyl lead 3689‐24‐5 Tetraethyldithiopyrophosphate 597‐64‐8 Tetraethyltin 119‐64‐2 Tetrahydronaphthalene 75‐74‐1 Tetramethyllead 7440‐28‐0 Thallium 6533‐73‐9 Thallous carbonate 62‐55‐5 Thioacetamide 59669‐26‐0 Thiodicarb 62‐56‐6 Thiourea 614‐78‐8 Thiourea, (2‐methylphenyl)‐ 137‐26‐8 Thiram 1314‐20‐1 Thorium dioxide 95‐53‐4 o‐Toluidine 8001‐35‐2 Toxaphene 68‐76‐8 Triaziquone \[2, 5‐cyclohexadiene‐1, 4‐dione, 2, 3, 5‐tris(1‐aziridinyl)‐\] 24017‐47‐8 Triazofos 1983‐10‐4 Tributyltin fluoride 52‐68‐6 Trichlorfon \[phosphonic acid, (2, 2, 2‐trichloro‐1‐hydroxyethyl)‐, dimethyl ester\] 1558‐25‐4 Trichloro(chloromethyl)silane 71‐55‐6 1,1,1‐Trichloroethane (methyl chloroform) 120‐82‐1 1,2,4‐Trichlorobenzene 79‐00‐5 1,1,2‐Trichloroethane 75‐69‐4 Trichlorofluoromethane (CFC‐11) 327‐98‐0 Trichloronate 88‐06‐2 2,4,6‐Trichlorophenol 96‐18‐4 1,2,3‐Trichloropropane 88‐05‐1 2,4,6‐Trimethyl‐aniline 824‐11‐3 Trimethylolpropane phosphite 76‐87‐9 Triphenyltin hydroxide 51‐79‐6 Urethane (ethyl carbamate) 1314‐62‐1 Vanadium pentoxide 81‐81‐2 Warfarin 129‐06‐6 Warfarin sodium 87‐62‐7 2,6‐Xylidine 28347‐13‐9 Xylylene dichloride Storage Group J: Poison Compressed Gases Identifier Name 116‐15‐4 Hexafluoropropylene 7446‐09‐5 Sulfur dioxide Storage Group K: Compatible Explosives Or Other Highly Unstable Materials Identifier Name 556‐88‐7 Nitroguanidine 88‐89‐1 Picric acid, dry (<10% water) 288‐94‐8 Tetrazole 124‐47‐0 Urea nitrate Storage Group L: Non‐Reactive Flammable And Combustible, Including Solvents Identifier Name 75‐05‐8 Acetonitrile 98‐86‐2 Acetophenone 107‐13‐1 Acrylonitrile, inhibited 557‐40‐4 Allyl ether 71‐43‐2 Benzene 103‐50‐4 Benzyl ether 110‐47‐4 Beta‐isopropoxypropionitrile 106‐99‐0 Butadiene 78‐92‐2 2‐Butanol 71‐36‐3 n‐Butanol 75‐65‐0 tert‐Butanol 78‐93‐3 2‐Butanone (MEK) 141‐32‐2 Butyl acrylate 8001‐58‐9 Creosote 110‐82‐7 Cyclohexane 108‐93‐0 Cyclohexanol 110‐83‐8 Cyclohexene 931‐87‐3 Cyclooctene 142‐29‐0 Cyclopentene 91‐17‐8 Decahydronaphthalene 75‐43‐4 Dichlorofluoromethane (HCFC‐21) 77‐73‐6 Dicyclopentadiene 462‐95‐3 Diethoxymethane 111‐96‐6 Diethylene glycol dimethyl ether 109‐87‐5 Dimethoxymethane 124‐40‐3 Dimethylamine 68‐12‐2 N,N‐Dimethylformamide 99‐98‐9 Dimethyl‐p‐phenylenediamine 51‐28‐5 2,4‐Dinitrophenol 123‐91‐1 Dioxane 821‐08‐9 Divinyl acetylene 110‐80‐5 2‐Ethoxyethanol 140‐88‐5 Ethyl acrylate 75‐00‐3 Ethyl chloride 107‐12‐0 Ethyl cyanide 60‐29‐7 Ethyl ether 100‐41‐4 Ethylbenzene 74‐85‐1 Ethylene 110‐71‐4 Ethylene glycol dimethyl ether 75‐34‐3 Ethylidene dichloride 115‐21‐9 Ethyltrichlorosilane 110‐00‐9 Furan 78‐82‐0 Isobutyronitrile 98‐82‐8 Isopropyl benzene 108‐20‐3 Isopropyl ether 126‐98‐7 Methacrylonitrile 67‐56‐1 Methanol 109‐86‐4 2‐Methoxyethanol 74‐99‐7 Methyl acetylene 96‐33‐3 Methyl acrylate 67‐56‐1 Methanol 96‐37‐7 Methyl cyclopentane 108‐10‐1 Methylisobutyl ketone (MIBK) 80‐62‐6 Methyl methracrylate 109‐06‐8 2‐Methylpyridine 872‐50‐4 N‐Methyl‐2‐pyrrolidone 1634‐04‐4 Methyl tert‐butyl ether 91‐20‐3 Naphthalene 1122‐60‐7 Nitrocyclohexane 79‐46‐9 2‐Nitropropane 67‐63‐0 2‐Propanol 107‐19‐7 Propargyl alcohol 123‐38‐6 Propionaldehyde 110‐86‐1 Pyridine 100‐42‐5 Styrene 109‐99‐9 Tetrahydrofuran 108‐88‐3 Toluene 7440‐62‐2 Vanadium (except when contained in an alloy) 108‐05‐4 Vinyl acetate 109‐93‐3 Vinyl ether 1330‐20‐7 Xylene (mixed isomers) 95‐47‐6 o‐Xylene 106‐42‐3 p‐Xylene Storage Group X: Incompatible With All Other Storage Groups Identifier Name 107‐02‐8 Acrolein 107‐18‐6 Allyl alcohol 107‐05‐1 Allyl chloride 107‐11‐9 Allylamine 7429‐90‐5 Aluminum 62‐53‐3 Aniline 622‐79‐7 Benzyl azide 7726‐95‐6 Bromine 109‐72‐8 Butyllithium 107‐07‐3 Chloroethanol 76‐06‐2 Chloropicrin 104‐12‐1 p‐Chlorophenyl isocyanate 10210‐68‐1 Cobalt carbonyl 334‐88‐3 Diazomethane 78‐88‐6 2,3‐Dichloropropene 64‐67‐5 Diethyl sulfate 75‐78‐5 Dimethyldichlorosilane 57‐14‐7 1,1‐Dimethylhydrazine 99‐65‐0 m‐Dinitrobenzene 121‐14‐2 2,4‐Dinitrotoluene 606‐20‐2 2,6‐Dinitrotoluene 25321‐14‐6 Dinitrotoluene (mixed isomers) 106‐89‐8 Epichlorohydrin 151‐56‐4 Ethyleneimine 302‐01‐2 Hydrazine 74‐90‐8 Hydrogen cyanide 7664‐39‐3 Hydrogen fluoride 13463‐40‐6 Iron, pentacarbonyl‐ 556‐61‐6 Isothiocyanatomethane 79‐22‐1 Methyl chloroformate 624‐83‐9 Methyl isocyanate 75‐86‐5 2‐Methyllactonitrile 74‐93‐1 Methyl mercaptan 78‐94‐4 Methyl vinyl ketone 74‐95‐3 Methylene bromide 101‐68‐8 Methylenebis(phenylisocyanate) (MDI) 98‐95‐3 Nitrobenzene 7601‐90‐3 Perchloric acid 98‐13‐5 Phenyltrichlorosilane 7723‐14‐0 Phosphorus 10025‐87‐3 Phosphorus oxychloride 10026‐13‐8 Phosphorus pentachloride 7719‐12‐2 Phosphorus trichloride 85‐44‐9 Phthalic anhydride 88‐89‐1 Picric acid, moist (10‐40% water) 151‐50‐8 Potassium cyanide 57‐57‐8 β‐Propiolactone 7723‐14‐0 Red phosphorus 26628‐22‐8 Sodium azide 64568‐18‐9 Sodium hydrogen sulfide 60‐41‐3 Strychnine, sulfate 7446‐11‐9 Sulfur trioxide 584‐84‐9 Toluene‐2,4‐diisocyanate 91‐08‐7 Toluene‐2,6‐diisocyanate 26471‐62‐5 Toluenediisocyanate (mixed isomers) 79‐01‐6 Trichloroethylene # Chemical Control Banding Methodology The following table can be used to determine, in general terms, the hazard controls that are needed based on general laboratory operations. To use the following table, work across the ‘Conceptual Hazard Level’ and ‘Chemicals Used’ rows to match the chemicals, processes or hazards present in the lab space, then go down the column to identify the various safety measures appropriate for this Chemical Safety Level.
**DESCRIPTOR OR** **CONTROL** **CHEMICAL SAFETY** **LEVEL 1** **CHEMICAL SAFETY** **LEVEL 2** **CHEMICAL SAFETY** **LEVEL 3** **CHEMICAL SAFETY** **LEVEL 4**
**CONCEPTUAL HAZARD LEVEL** Laboratory hazards equivalent to typical household use of chemicals Laboratory hazards equivalent to academic lab settings (restricted hazardous chemical inventory; well-established procedures in place) Moderate or varying laboratory hazards within a narrow range (open hazardous chemical inventory; evolving procedures) Novel hazards or severe established hazards (high hazard chemicals or processes without well-established procedures)
**CHEMICALS USED** Consumer products in consumer packaging; may receive but not open chemical packages Low concentration acids/bases, lower alcohols, solid salts, simple asphyxiant compressed gases Typical chemical inventory for a research lab, such as flammable solvents, corrosives, inorganic salts, toxics, flammable gases. Limited amounts (mg quantities) of air or water reactive, pyrophoric materials Air/water reactive, phyrophoric materials or gases. Explosives or potentially explosive compounds, highly toxic materials (in any state of matter)
**TRAINING REQUIREMENTS** *(prerequisite for people working in the lab)* Observe label and warning signs General lab safety training in addition to warning labels and signs Laboratory hazards require laboratory-specific safety training Laboratory access restricted to people accompanied by experienced personnel
**SUPERVISION REQUIREMENTS** *(safety responsibilities for lab leader(s); based on highest active lab* *hazard or process)* Awareness of work being conducted Constant supervision or working alone based on specific restrictions Peer presence or working alone based on specific restrictions Peer presence (no working alone)
**OVERSIGHT REQUIREMENTS** 1Weekly self-inspections; 2self-audits three times per year 1Weekly self-inspections; 2self-audits three times per year 1Weekly self-inspections; 2self-audits three times per year; 3monthly drop byes; 4risk-based institutional review schedule 1Daily self-inspections; 2self-audits three times per year; 3monthly drop byes; 4risk-based institutional review schedule
**PLANNING REQUIREMENTS** *(based on highest rated chemical involved)* Process-specific plans written and the presence of other chemicals prohibited Written procedures including safety protocols Written procedures including safety protocols must be peer reviewed Written procedures including safety protocols approved by supervisor
**GENERAL PPE REQUIREMENTS (EYE AND SKIN** **EXPOSURE)** Coverage of legs and feet; other PPE as determined by PPE hazard assessment CL1 PPE plus eye protection CL2 PPE plus lab coat CSL3 plus flame resistant lab coat
**SPECIFIC PPE REQUIREMENTS (HAND AND RESPIRATORY PROTECTION)** *(Process specific)* No gloves or gloves as recommended in the manufacturers’ instructions Activity-specific gloves, such as nitrile, vinyl or latex disposable gloves would be typical Activity-specific gloves, such as nitrile, vinyl or latex disposable gloves would be acceptable for an incidental small quantity splash. Neoprene or butyl rubber may be needed for immersion in solvents, or similar situations Activity-specific gloves, such as flame resistant if using pyrophoric liquids, neoprene if using large quantities
**DESCRIPTOR OR** **CONTROL** **CHEMICAL SAFETY** **LEVEL 1** **CHEMICAL SAFETY** **LEVEL 2** **CHEMICAL SAFETY** **LEVEL 3** **CHEMICAL SAFETY** **LEVEL 4**
**GENERAL VENTILATION REQUIREMENTS/ ENGINEERING** **CONTROLS** None or low ventilation specifications Moderate ventilation/ local exhaust ventilation (snorkels) or other source control Fume hoods, local exhaust ventilation (snorkels), limited glove box use Fume hood, local exhaust ventilation (snorkels), glove/dry box, enclosed reactor
**EMERGENCY RESPONSE PROTOCOLS** Institutional-specific response protocols Institutional-specific response protocols; people with knowledge of incident have responsibility to provide information to responders; trained personnel can contain and remediate small spills Institutional-specific response protocols; may have advanced lab response protocol to make the situation safe while evacuating Institutional-specific response protocols; specific pre-planning is required
1 Self-inspection: quick review of physical surroundings; may or may not use a formal checklist 2 Self –audit: more comprehensive review of the CSL and other documentations; uses a checklist 3 Drop by: informal review, consult, check-in by institutional representative 4 Risk-based institutional review: formal review by lab by an institutional representative; uses a checklist, document issues for correction, escalate issues to upper management as necessary
# Chemical Control Banding Methodology 2 The following tables can be used to evaluate the hazards and hazard controls for chemicals. The first table is used to determine the chemical safety level (CSL) based on the physical characteristics of the chemical. This information can be found on the Safety Data Sheet. The second table is used to determine the general protection guidelines for the chemicals. Note that this methodology is not appropriate for addressing hazards that may arise from *processes* or *equipment*, such as use of pressure vessels, hot plates, ovens, compressed gas cylinders, etc.
**Hazard** **General Description** **of Hazards** **Fire** **Reactivity** **Acute Toxicity** **Chronic Toxicity**
**CSL 1** Laboratory hazards equivalent to typical household use of chemicals Flashpoint above 140 F No chemical changes expected in the process All chemicals have no or low toxicity and occupational exposure limits (OEL) > 500 ppm; not an irritant or sensitizer None known
**CSL 2** Laboratory hazards equivalent to academic lab settings (restricted hazardous chemical inventory; well-established procedures in place) Flashpoint above ambient (73 F), expected concentration <10% of the lower explosive limit No known incompatibilities between chemicals being used All chemicals have known toxicities and 10 ppm < OEL < 500 ppm Specific target organs or irreversible effects suspected
**CSL 3** Moderate or varying laboratory hazards within a narrow range (open hazardous chemical inventory; evolving procedures) Flashpoint at or below ambient. Expected concentration >10% of the lower explosive limit Chemicals with known reactions or contamination hazards present Unknown toxicities or OEL < 10 ppm; severely irritating or corrosive; sensitizers Specific target organs or irreversible effects probable
**CSL 4** Novel hazards or severe established hazards (high hazard chemicals or processes without well- established procedures) Pyrophorics, air or water reactives, etc. High hazard reactions in use; potential deflagration or detonation hazard OEL < 1 ppm; very toxic on single exposure; reproductive hazard; carcinogens Irreversible toxicities require use of designated areas
**Facility** **Training** **Oversight** **PPE** **Response** **Protocol**
**CSL 1** Any room, general ventilation Read the label or manufacturer’s instructions Generic self-inspection guidelines Covered legs and feet; other PPE as determined by PPE hazard assessment No unusual hazmat concerns
**CSL 2** Ventilated lab room; local exhaust (snorkels) for source control General lab safety training in addition to training on warning signs and labels and lab safety protocols Constant supervision or working alone based on specific restrictions Activity-specific gloves, such as nitrile, vinyl or latex disposable gloves would be typical, eye protection, other PPE as determined by PPE hazard assessment Respond as to general alarm; people with knowledge of incident have responsibility to provide information to responders; trained personnel can contain and remediate small spills
**CSL 3** Lab room with exhaust ventilation (fume hood, glove boxes, etc.) CSL 2 lab-specific safety training. Generic training for unexpected events. Process training and external audits Activity-specific gloves, such as nitrile, vinyl or latex disposable gloves would be typical, eye protection, other PPE as determined by PPE hazard assessment Institutional-specific response protocols; may have advanced lab response protocol to make the situation safe while evacuating
**CSL 4** Specifically designed lab CSL3 plus practice before working with live materials CSL3 plus written standard operating procedures and specific oversight processes CSL3 plus process-specific PPE CSL3 plus specific pre-planning is required; coordination with first responders
Adapted and distributed with permission from ACS *Identifying and Evaluating Hazards in Research Laboratories* Copyright 2013, American Chemical Society. Not to be used for commercial purposes.