Document KJKOnR4LGmXoQnqE15GGd7wDo

MAY 17, 1989 1. RE: DOW ELANCO - OUE DILIGENCE AUDIT INDUSTRIAL HYGIENE services HERE IS A QUESTIONNAIRE TO WHICH ELI LILLY PEOPLE MAY BE REFERRING DURING THEIR VISIT TO YOUR RESPECTIVE FACILITIES. F.Y.I. - DON'T HAVE TO FILL OUT. PLEASE SHARE WITH MEDICAL. ST0038086 REGARDS, ARNIE SCHAFFER ST0038087 ii ELI LILLY AND COMPANY INDUSTRIAL HEALTH AND SAFETY INTERNAL CONTROLS QUESTIONNAIRE 10/28/87 FACILITY PROFILE Primary operations and products PRIMARY OPERATIONS AND PRODUCTS FACILITY OPERATIONS YES NO FACILITY MATERIALS YES NO Solvent Unloading Bulk Dry Raw Materials Solvent Recovery Drum Acids/Bases Handling Storage Tank Cleaning Process Reactors Freeze Drying Drying Milling Sieving Bag Emptying Hand Scooping Bag House Changing Mixing _________ __________ __________ __ __ ____ _____ __________ __________ _________ __________ _________ ___ _____ __________ __________ __________ Solvents _________ Acids _________ Bases _________ Animal Products _________ AG Products _________ Antibiotics _________ Blood Products _________ Reactive Raw Materials _________ Oncolytics _________ Highly Potent Compounds _________ Radiological Hazards _________ Research Compounds _________ Allergens _________ Extremely Toxic Substances _________ oo CO CD (1) YES NO FACILITY OPERATIONS (cone.) Bagging Bulk Haz. Chemical Storage Recombinanc DNA Work Nitration Oxidation Exothermic Chemical Steps Hydrogenation Halogenacion Alkylation Amination Condensation Drum Filtering Centrifuging Fermentation Sterilizing Tableting Capsule Filling Solids Incineration Liquids Incineration Chemical Labs Biological Lab YES NO FACILITY MATERIALS (cone.) OTHER CO --i CD CD OD CD CD CO UD (2) YES NO FACILITY OPERATIONS (cone.) High Noise Area Asbestos Insulation Radiological Hazards Robotics LP Gas Usage Granulation Sterile Filling Gas Scrubbers __ __ _________ _________ _________ _________ _________ _________ OTHER CO T00 30090 (3) ST003309 I RESPONSIBILITY 1. Who at the facility is responsible for: a. directing the health and safety program at the facility? b. specifying and monitoring the use of respirators and other forms of personal protection (i.e., hearing protection, protective garments, and gloves)? c. conducting air monitoring programs for airborne chemicals? d. conducting audiograms and ocher medical surveillance programs? e. designing local exhaust and other engineering controls to minimize chemical exposure? f. hazard communication programs including material safety data sheets, labeling, and training? g. Internal health and safety program periodic review or auditing? h. hazard recognition (fault tree analysis) in the start-up, or revision of processes, and facilities?_____________________ (A) RESPONSIBILITY (continued) i. emergency plans? j. investigation, review meeting, reporting and follow-up accident and near-miss incidents? k. injury/illness recordkeeping and statistical reporting l. emergency response teams? m. fire prevention and protection? --------------------------------------------------------------------------------------------------------------------------------------- n. process and equipment safety programs? o. hazard communication? p. industrial hygiene? q. safety and.health training? r. occupational medicine? (5) CO --I o CD CO CD '.O CO ST003 RESPONSIBILITY (continued) 2. Does the line management staff responsible for safety and health routinely meet to discuss current Issues? 3. Is there an active plant site safety committee? a. who are the members? __________ b. how often do they meet? 4. Are appointed safety co-ordinators and represen tatives given sufficient time and management support? 5. Are new employees given formal indoctrination to hazards and protective measures? 6. ' Do adequate procedures exist for controlling confined spuce entry, use of open flame, lone operators, line breaking, lockout and tag out, and for truck driving? 7. Is adequate training given in the above areas? 8. Have standards of performance for supervisory and management personnel in specific elements of the program been established? YES NO N/A (6) HAZARD RECOGNITION 1. Is toxicity and hazard information requested from vendors and other sources? 2. Is this hazard information made readily available to employees? 3. Are hazards anticipated in design and planning? 4. Is an up-to-date list of hazardous materials kept in a place accessible to employees? 5. Are Material Safety Data Sheecs readily accessible to employees? 6. Is there a written hazard communication program? 7. Is the written program available to employees? 8. Are there any formalized programs to evaluate chemical process reactivity hazards such as IIAZUl'S, l'nult Tree Auuiysia, or System Hazard Analysis? 9. Is there a procedure for reporting spills or chemical releases for emergency response? 10. Are planned general inspection conducted by line management and/or safety personnel? 11. Is there an accident investigation procedure which requires all serious accidents and near miss incidents to be investigated and reported? YES NO N/A CO --i CD C'J CD CD (7) HAZARD EVALUATION 1. Are levels of air contaminanta in Che workplace monitored on a personal monitoring program? 2. Are they within allowable guidelines? 3. ' Are noise levels monitored and within guidelines? 4. Is there a targeting or prioritizing of monitoring? 3. Is equipment calibrated and maintained? 6. Are monitoring records kept and trends evaluated? 7. Are monitoring results provided to employees and management? YES NO N/A ST0038095 (8) CONTROL MEASURES 1. Are engineering control Uesignn effective, are they validated by air monitoring? 2. Are engineering controls used consistently by employees? 3. Is there a trigger for periodic maintenance on control designs? 4, Is the employee responsible for designing local exhaust control specially trained? 5. Is local exhaust used Instead of dilution ventilation for contaminant control? 6. Are fume hoods and local exhaust hoods measured for performance by testing the face velocity? YES NO N/A CO --t o CD CO CD CD CO CD (9) PERSONAL PROTECTION NOTE: Forms of personal protection, i.e., respirators, gloves, garments, boots, hearing. YES NO N/A l. Is there a written program for respiratory pro tection? 2. Is personal protective equipment specified in SOP's and process tickets? 3. Has the employee which is responsible for specifying respirators and other forms of personal protection been specially trained? 4. Is employee training on personal protective equipment given on a regular basis? 5. Is respirator fit-testing conducted and are records maintained? 6. Do employees use personal protection consistently? 7. Is personal protection readily available? oo Cb CD CD 8. Are gloves selected for specific chemical applicants? 9. Does the training program include respiratory and other equipment limitations? (10) EMERGENCY RESPONSE 1. Is spill response containment:, deactivation and cleanup equipment readily accessible? 2. Are encapsulating suits and air-paks readily accessible? 3. Are emergency responders specially trained in spill and emergency response on a regular basis? 4. Are responders medically capable of responding? 5. Is there a response plan for off-site emergencies? YES NO N/A ______________ ______________ ______________ CO CD CO CD CD (11) MEDICAL MONITORING AND PROGRAM 1. Do employees In uiuufucturing and production areas receive an annual periodic exam? 2. Is there a nurse and/or professionally manned first air facility? 3. .Is there an assigned industrial physician? Explain your medical coverage: _______________ YES NO N/A CO __ ! o o CD (12)