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APPENDIX C: INDUSTRIAL HYGIENE TRAINING DOCUMENTATION FORM FOR DOW EMPLOYEES
Area/U nit:!.cOnma an.snUL
Instructor:
Date:
lime (DLuaiivi
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Type of Training Conducted
New Employee Basic Hazard Communication (during NEOP) New Employee Area-Specific Hazard Communication Transfer Employee Hazard Communication New Chemical or Hazard Training Non-Routine Tasks Training Unanticipated or Emergency Tasks Training Annual Health Hazard Training Exposure Monitoring Results Training Other Training (Describe):
Brief description of the training: (i.e,, course outline, videos shown, pamphlets distributed, etc.)
Check (3) all that apply
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The following chemical and physicalu agents were reviewed:
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Attendee's Name (Signature)
Revised November 1993
Master Number
Date
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Name: Master #:
Date:
Score:
VINYL CHLORIDE TRAINING QUIZ
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Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
The odor threshold of Vinyl Chloride is 3QO _ppm and the PEL is____ L
This means that Vinyl Chloride has
<n-- .warning properties.
If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
_ppm.
1. L'XOGCL
2.
3.\4xb>o S-X'
How much LIQUID Vinyl Chloride can you come into contact with?
When must you monitor for Vinyl Chloride?
'XioT~T
J(V\"
W CbVMOC(
ft C<JZ*J-T
--------------------------------- ------------------------- /
*4*'-r*-
7? 3.
X(MA_ VjOouJ -n4gr fccC. X-i>
P-'L
-0-
Moi toring may
ltinuedif
, consecutive exposure values are less than
the Action Level. ?mxaj>ggignated Area?
\)Cl/v\ COX'LL-
Irf'AAjtX-P}
\jO tv-Ev--'
x^ Ao tyis A--
When must you form a Regulated Area?
You must notify OSHA if you establish a,
_ Area.
10. Respiratory protection is the. Lhsir____means of exposure control.
a. first b. second c. last
%
O H W o
11. If air purifying respirators (half-face cartridge type) are used, you must have 0?inj TroiAQi^o_______aairirmmoonnititoorrininggaannddaann Aaa--IIKV-RRaa*-- svystem.
Kj fcO
*VF- gloves and apron must be used when handling Vinyl Chloride.
3C3
C/3
t0<n30 ro
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of: a. before the respirator is used for the next process run
Jxyat the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of,_.
anvsize?
'guv- feR, (X eX
15. Training-far all employees-mvoived-itrvinyl chloride operations must be done and thereafter.
16. Medical surveillance must be done before the initial assignment, and A-iOaj uA-LlX^ after that
17. A Vinyl Chloride sign or label must have 4 criteria:
-
1.
2. {VWn
3. 4. Q_. --
^VG ^tkS~C
C O N F ID E N T IA L
R&s 153973
2
Name: ,, Master #:
1. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
Qjh-^--JikjL
2. The odor threshold of Vinyl Chloride is
ppm and the PEL is /
ppm.
This means that Vinyl Chloride has P 6 rr>^' warning properties.
3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
^
S >
1. ^ it/e ^
2.
Xv tier'd
^Q
4. How much LIQUID Vinyl Chloride can you come into contact with?
O
5. When must you monitor for Vinyl Chloride?
I
Monitoring may be discontinued if a . consecutive exposure values me less than
the Action Level.
ul&ieJd
When must you form a Designated Area? Q-'C/oi
y^
When must you form a Regulated Area? You must notify OSHA if you establish a _ Respiratory protection is the X
f05r~e
M/Cuizi
. Area.
r . means of exposure control.
' pd.
noz
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tz*l H>>*
f
a. first b. second
11. If air purifying respirators (half-face cartridge type) are used, you must have
air monitoring and an
system.
.12 f. gloves and apron must be used when handling Vinyl Chloride.
3 cn C<-4D
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. -before-the-respiratoris used for the next process run (^bTat the end of the shift they were first used
c. after 30 minutes of use
5^- Who (in Dowjjcan rescue a "downed" or injured worker in a Vinyl Chloride release of
anvsize?
^ DouJ (?r*.*.r$ov\cy
15. Training forall employee-involved iirvinyl chloride operations must be done
and ^hr/7
^ thereafter.
16. Medical surveillance must be done before the initial assignment, and
afterthat
ArcArt*^ C^c/c(
17. A Vinyl Chloride sign or label must have 4 criteria:
1. i/Cm /jt*'/'Lc--________________________________
2. C*-***Z2--^-
(B
3.
i
C O N F ID E N T IA L
R&st 53975
2
Name:
C O N F ID E N T IA L
1. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
__________-------------------____________________________
2. The odor threshold of Vinyl Chloride is
ppm and the PEL is[__________ ppm.
This means that Vinyl Chloride has po r? warning properties. 3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
1. 1 o lO
z l .* O < It,
4. How much LIQUID Vinyl Chloride can you come into contact with?
rio 5. When must you monitor for Vinyl Chloride?
. t ^. i I *4. \
%
.pYWi w-Kt 10^ _O u
-To-ff. -- Qje*v ct--
($rQ*CL tL cytX**y^ jbidl
6. Monitoring may be discontinued if
the Action Level.
consecutive exposure values are less than
7. When must you form a Designated Area? fo a. M
8. When must you form a Regulated Area? fir t V*
9. You must notify OSHA if you establish a
^
1 *<$________ Area.
10. Respiratory protection is the___________ _ means of exposure control.
a. first b. second
8
n
s o
11. If air purifying respirators (half-face cartridge type) are used, you must have Co n,o go <>air monitoring and an vj*4 msystem.
12. g n cgloves and apron must be used when handling Vinyl Chloride.
u
CO
oCc-<O4ynJ>
i
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run /fT)at the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of
any size?
pa>s tP
15. Training for all employees involved in vinyl chloride operations must be done
iiui ti^ (___ and qijq^I
.thereafter.
16. Medical surveillance must be done before the initial assignment, and after that.
t
17. A Vinyl Chloride sign or label must have 4 criteria:
P IVw fWv ^
U #J cX 'C-
Ca IOC 4.
(T c SS O \i_ t? SoS pc.
C O N F ID E N T IA L
, R&S153977
2
Name:___ Master #:
Date: / -
Score:
VINYL CHLORIDE TRAINING QUIZ
1. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
^?
-ft
0 9 PA-
2. The odor threshold of Vinyl Chloride is
ppm and the PEL is /
This means that Vinyl Chloride has ^
warning properties.
3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
ppm
l._ 2.
3..
4. How much LIQUID Vinyl Chloride can you come into contact with?
yvurr^-
5. When must you monitor for Vinyl Chloride?
1. a-- ,ZLeryy^- ------ ________________________________________
n
$
L 2.
-------*/
3.______
qw,hU-K $ aUUoe . *0 lucl
6. Monitoring may be discontinued if X consecutive exposure values are less than
the Action Level 7. When must you form a Designated Area?
/1^ ***^
,
8. When must you form a Regulated Area?
^/
9. You must notify OSHA if you establish a_____ ____________________ Area.
10. Respiratory protection is the _
_ means of exposure control.
P
a. first
b. second
c. last
11. If air purifying respirators (half-face cartridge type) are used, you must have
________^
air monitoring and an oZ&system.
12. ______gloves and apron must be used when handling Vinyl Chloride.
ru
no
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IzS
H
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f-
3P3
C/3
C0D3 3
CO
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run
^b) at the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can respue a "downed" or injured worker in a Vinyl Chloride release of
any size?
l&feC'uA
15. Training for all employees involved in vinyl chloride operations musfbe done" and thereafter.
16. Medical surveillance must be done before the initial assignment, and
after that
/
^
17. A Vinyl Chloride sign or label must have 4 criteria:
l-_
2.,
3. _
4.
; CONFIDENTIAL
R&S153979
2
Name: Master #:
Date: l
-`W
__ Score:, 3A. 3l VINYL CHLORIDE TRAINING QUIZ
1. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
_________________________________
/ A. -v. ppm.
This means that Vinyl Chloride has
warning properties.
3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
t
1. 2. ^ i ____________ 3.
4. How much LIQUID Vinyl Chloride can you come into contact with? o & *J Jg---
i
5. When must you monitor for Vinyl Chloride? Zi.rM
C O N F ID E N T IA L
6.
(uJ+*> /-o ---^7. 8. 9. 10.
Monitoring may be discontinued if * ~ consecutive exposure values ate less than
the Action Level.
_
,,.
^^ S {-Cr-r-Z-^,
., j
'
When must you form a Designated Area? /V-b-e-^-
--- 1 trussr~s^~
When must you form a Regulated Area?
^~
You must notify OSHA if you establish a * p c o la j(-* <k _
Area. -
Respiratory protection is the Lxx,\
means of exposure control.
a. first b. second
11. If air purifying respirators (half-face cartridge type) are used, you must have
sair monitoring and an
1 eyr^ system.
.12
L2.M-
. gloves and apron must be used when handling Vinyl Chloride.
REDACTED
l
R&S15398
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run
^bT^at the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of .
any size?..
c--ppitA ex
15. Training for all employees involved in vinyl chloride operations must be done
l^vVK^lljp and
{(^ thereafter.
16. Medical surveillance must be done before the initial assignment, and /x after that.
`` 1L-
17. A Vinyl Chloride sign or label must have 4 criteria:
^ j i v--/ of (`tir
L (-^ [<X cx^Lex,
C^f
i. CJ (A. 'C ________ Co. ht 4/
... fftZW'*i ' ;: Osijyz^l ,
C O N FID E N TIA L
R&s 153981
2
Name:_ Master#
/Ag!*74
Date:__ L
Score*
VINYL CHLORIDE TRAINING QUIZ
3l
1. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
____________O^HA
2. Hie odor threshold of Vinyl Chloride is
ppm and the PEL isL
m.
This means that Vinyl Chloride has
warning properties.-------------
3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
4. How much LI
0
2. 3.
Vinyl Chloride can you come into contact with?
/VLJ~Tr{lcLs
...v 5. When must you monitor for Vinyl Chloride?
\ v 1.
)!hJu^_
gj^'
A*
(A.e-frlf a^j^3.
--2L
eq k-JH> o{
O
>
o d
o
kLL^W 6.
7. 8.
Monitoring may be discontinued if o< the Action Level.
When must you form a Designated Area?
When must you form a Regulated Area?
consecutive exposure values are less than
^ ^ yjs CcA^ ^ pQ-l
9. You must notify OSHA if you establish a
Area.
10. Respiratory protection is the _
. means of exposure control.
a. first
b. second ns
11. If air pupfying respirators (half-face cartridge type) are used, you must have
CB^tiAdoo^
_______ air monitoring and an
_system.
12. *y\
gloves and apron must be used when handling Vinyl Chloride.
C O N F ID E N T IA L
R&s 153982
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run
f(S?)at the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of
any size?
supplied a ir vQ-gj-cJ far
15. -Training for-nll employees-invof^edin vinyl chloride operations must be done * znd&LMsyu,thereafter.
'
16. Medical surveillance must be done before the initial assignment, and after that.
/
17. A Vinyl Chloride sign or label must have 4 criteria:
/ ^
sir*. 1
Ccc<a. c~e</
C O N F ID E N T IA L
39(/3*) U03i
C0O0
03
2
Name:____ Master #:
_
Date: U# h 2.^ /
^
Score:
VINYL CHLORIDE TRAINING QUIZ
_______ %
yl. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
yi. 3.
OJHA
The odor threshold of Vinyl Chloride is
300 ppm and the PEL is f
ppm.
This means^hat Vinyl Chloride has
lllf/ nfamin^pmporrioc------------
If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
g O
1. L.iKjt.T_________ 2. A/c/nryS________ 3. CAJ P,
4. How much LIQUID Vinyl Chloride can you come into contact with? __ _____________
5. When must you monitor for Vinyl Chloride?
1._______ te* 11
n f'fcpr isi i
y
noz
*3
wz
H
r
.6 Monitoring may be discontinued if <X. consecutive exposure values are less than
the Action Level.
7. When must you form a Designated Area?
/"
or V i*y I C^l
.8 When must you form a Regulated Area? whe* fl^e comedo
.<
j>
9. You must notify OSHA if you establish a
h?J______ Area-
10. Respiratory protection is the fo ci~ means of exposure control.
a. first
b. second
Pc. last/
11. If air purifying respirators (half-face cartridge type) are used, you must have
c<b _________ air monitoring and an
_____ system.
12. pirp^p gloves and apron must be used when handling Vinyl Chloride.
3e3
U3
Utol CtAoD
l
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run ^Jh)at the end of the shift they were first used
c. after 30 minutes of use
y 14. Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of any size?----- Isry -'ijy--------------------------
15. Training for all employees involved in vinyl chloride operations must be done
16.
JMneidiiiaclaTlyl surveilla. anncde
4*7 m/A/(v thereafter. must be done before the initial
assignment,
and
ann
after that 17. A Vinyl Chloride sign or label must have 4 criteria:
'
l._ r&ntcjtn-r- U(nyl CfylotsiJ/*
/y U- S
U nj<?r
ressu - e
A
Name:___ Master #:
Date, l-zg'-S1/-
Score: VINYL CHLORIDE TRAINING QUIZ
1. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
ostU
The odor threshold of Vinyl Chloride is 3 OO ppm and the PEL is____[_ _ppmThis means that Vinyl Chloride has pOOC warning properties. ----------If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
1. 2.
3. jb
w__
How much LIQUID Vinyl Chloride can you come into contact with?
VifrnJL,
When must you monitor for Vinyl Chloride?
1. S) Uam^ UMiAs
QnudeJy ,i? 4'coe
Mom ih 1^/ rf~
6. Monitoring may be discontinued if 2^ consecutive exposure values are less than
the Action Level
^j
y yPeu.jeJ
7. When must you form a Designated Area?
iidfcv^vCn. 4- 0ipOuAl poSS'jAA
8. When must you form a Regulated Area? 9. You must notify OSHA if you establish a
A^^UyAtUL/______ Area.
10. Respiratory protection is the
_______ means of exposure control.
a. first
b. second
last
11. If air purifying respirators (half-face cartridge type) are used, you must have
Cair monitoring and an
^ .system.
12. A'MrjLdi^JL-
gloves and apron must be used when handling Vinyl Chloride.
REDACTED
1
CONFIDENTIAL
R & S 153986
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run
(%) at the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of anv size?
15. Training for all employees involved in vinyl chloride operations must be done ---
inU and
,, thereafter.
16. Medical surveillance must be done before the initial assignment, and _ after that.
17. A Vinyl Chloride sign or label must have 4 criteria:
V\y^p.
2.
I/a3. YM4<UlaJU
Q&bs-Ou.s -
C O N F ID E N T IA L
QW? 2. The odor threshold of Vinyl Chloride is ~3 ot? ppm and the PEL is
/
This means that Vinyl Chloride has /xd or~
warning properties.
3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
opm.
1. ____________ 2.
_________ 3. A
4. How much LIQUID Vinyl Chloride can you come into contact with? A/<WC
5. When must you monitor for Vinyl Chloride?
\
> a*p<AJ <-&/&- (*%,*)
arf"*)
L _ aC cx~ Qtc>jP<><Z ws'/ncj \/OnA
A 2. ^C msL __of f * 3.:!_________ __
6. Monitoring may be discontinued if Z
the Action Level.
consecutive exposure values are less than .
-
f V 7. When must you form a Designated Area?
-f&r- ^jo-rf's-
8. When must you form a Regulated Area?
0^ n^ur-o^
9. You must notify OSHA if you establish a
_________Area. -
10. Respiratory protection is the
______ means of exposure control.
a. first
b. second
c. last
11. If air purifying respirators (half-face cartridge type) are used, you must have ,^,j <air monitoring and an <^lo.ry^_________________ system.
12. a 1-,
gloves and apron must be used when handling Vinyl Chloride.
C O N F ID E N T IA L
R&S153988
REDACTED
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of: a. before the respirator is used for the next process run
^7)at the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of
any size?
Ch^sTFL^i^r
T-awv, )
15. Training for allemplayeesinyolvedin vinylchloride operations must be done and thereafter.
16. Medical surveillance must be done before the initial assignment, and
afterthat. Cif
r
______ 7
17. A Vinyl Chloride sign or label must have 4 criteria:
1, cj\ loricXsi
,2 , d>OL$
3, 4,
C O N F ID E N T IA L
3 9U9>
<J\
C<O0
CO CD
2
Name:__ ; Master #:
Date: if?
Score;
VINYL CHLORIDE TRAINING QUIZ
Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
_______
*9f
The odor threshold of Vinyl Chloride is__ ; oo _ppm and the PEL is,
This means that Vinyl Chloride has
.warning properties.
If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
_ppm.
1.
tilAM tyr/fa 2.
_______________ 3.
y I
How much LIQUID Vinyl Chloride can you come into contact with? A OA i
-
0
When must you monitor for Vinyl Chloride? UteiV
l. Is'r* dc-^OSfJX^AX^^^ I-J
1. ---- -J/J
'/3. ^
QC (Z
tZ>
zer1,'')
p5e,fi^<^o
>F 7 ne
AAoAf^'1
cdrosoj i'Olt*s-L
__________ aJrC-'Q^ P<L,Lr
P SLOCJ&S S______________________
y(s. Monitoring may be discontinued if. 2_ , consecutive exposure values are less than the Action Level.
\/l. When must you form a Designated Area? 4/w ""i* >* 5^fj<
^
i/8, When must you form a Regulated Area? M*4>
cj*cw/w-A^<
p<. (
You must notify OSHA if you establish a IArea.
i/lO. Respiratory protection is the
______ means of exposure control.
C O N F ID E N T IA L
a. first b. second ^dTlas^
11. If air purifying respirators (half-face cartridge type) are used, you must have \/ air monitoring and an Q krnn %s system.
\/l2.
________ gloves and apron must be used when handling Vinyl Chloride.
Ft&S 153990
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run
the end of the shift they were first used
l/l4.
c. after 30 minutes of use
Who (in Dow) can rescue a "downed" or injured worker in a Vinyl Chloride release of
anv size?
i&yctG&TKy
\/l5. y/\6.
Training for all employees involved-in vinyl-chloride operations must be done
-.fn H-iaTty
and
_______ thereafter.
Medical surveillance must be done before the initial assignment, and
after that, j C
cv^cx^e^
Iqs~>Q-A
/
17. A Vinyl Chloride sign or label must have 4 criteria:
\L(M'/L
{'CfL&llde_________________________________________________
i
v 1.
A r {JajCS&?
j^4, (-4aJC&*
C O N F ID E N T IA L
R&S 153991
2
Name:. Master #:
Date: / /8 z/f-J
As %.Score;
_____
VINYL CHLUKIDE TRAINING QUIZ
1. Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
________ &SX-A
2. Hie odor threshold of Vinyl Chloride is 3oT> ppm and the PEL is
/
This means that Vinyl Chloride has s&eror
warning properties.
3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
ppm.
1. A-t**1* ________ 2.
___________ 3.
i/
4. How much LIQUID Vinyl Chloride can you come into contact with?
5. When must you monitor for Vinyl Chloride?
caJhi /e
A/ tr* - Us
'jf
TNf>0 K-> TvK
.6 Monitoring may be discontinued if cZ consecutive exposure values are less than
the Action Level.
7. When must you form a Designated Area?
8. When must you form a Regulated Area?
9. You must notify OSHA if you establish a
__________ Area. "
.10 Respiratory protection is the /- -- ^ . means of exposure control.
5
nit*-
w
a. first
b. second
c. last
11. If air purifying respirators (half-face cartridge type) are used, you must have **air monitoring and an
system.
12. . fJ&o-p re/r
gloves and apron must be used when handling Vinyl Chloride.
C O N F ID E N T IA L
153992
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run (Jv'kt the end of the shift they were first used
c. after 30 minutes of use
14. Who (in Dow) can rescuea "downed" or injured worker in a Vinyl Chloride release of
any size?
- -- y-. /fe.sj..*-***--
.
15. Training for all employees involved in vinyl chloride operations must be*done
/n>'>* ^ and
thereafter.
16. Medical surveillance must be done before the initial assignment, and after that
&
17. A Vinyl Chloride sign or label must have 4 criteria:
l/t
2. f/4n< 3, ______
o'
C O N F ID E N T IA L
2
Name: Master #:
d*
Score:
VINYL CtLMjRIDE TRAINING QUIZ
&
L Who regulates the handling, manufacture, and shipping of Vinyl Chloride?
Ot Ha_______________________
2. The odor threshold of Vinyl Chloride is fen .ppm and the PEL is.
Y ' ppm.
This means that Vinyl Chloride has
warning properties...
3. If you inhale a toxic amount of Vinyl Chloride, it might affect what organs?
^ V-e-fZ
2. \< 'A
3..
4. HowwmmuucchhJJLLIQUID Vinyl Chloride can you come into contact with?
sP^
5. When must you monitor for Vinyl Chloride?
1.
S-^ov/ -j-
___________
*>
>
O
,2
ty-3 /
f4~< ft-
/Lt<>jP-
c (<^fe
*7
6. Monitoring may be discontinued if.
, consecutive exposure values are less than
the Action Level.
7. When must you form a Designated Area? tVke~'
r
^ <-u 1 ^
8. When must you form a Regulated Area? u'
tv
I--
9. You must notify OSHA if you establish a.
______ Area.
10. Respiratory protection is the
-V . . means of exposure control.
C O N F ID E N T IA L
R&s 153994
11. If air purifying respirators (half-face cartridge type) are used, you must have
As veT7^- g 'yair monitoring and an g-Q'-r
system.
12. ' e-v~ ^gloves and apron must be useawhen handling Vinyl Chloride.
1
VINYL CHLORIDE TRAINING QUIZ
Continued
13. Respirator cartridges must be disposed of:
a. before the respirator is used for the next process run
b. at the end of the shift they were first used ^
c. after 30 minutes of use
14. Wwnho (in Duopw)j can rescue a "downed" or injured worker in a Vvinjydl Cunhiloonride release oorf
any size?>0/^ a 6
\d/
fa </ {h'A. "
.15. ^Training for all employees involved in vinyl chloride operations must be"done
ViV (ly and
((< . thereafter.
16. Medical surveillance must be done before the initial assignment, and after that
(C-. T
17. A Vinyl Chloride sign or label must have 4 criteria:
l._. \J
H(
GJw (n
i Li,C4/>_
<S>--i--i~
s.
C O N F ID E N T IA L
2
APPENDIX D: INDUSTRIAL HYGIENE TRAINING DOCUMENTATION FORM FOR CONTRACTORS
Area/Unit: TM<)r^ ft u to
Instructor;
Date: (ski f93
Time (Duration):
Type of Training Conducted
Mew Employee Area-Specific Hazard Communication Transfer Employee Hazard Communication Mew Chemical or Hazard Training Mon-Routine Tasks Training Unanticipated or Emergency Tasks Training Annual Health Hazard Training Exposure Monitoring Results Training Other Training (Describe):
Check () all that apply
i
Brief description of the training: (i.e,, course outline, videos shown, pamphlets distributed, etc.)
REDACTED
The following chemical and physical agents were reviewed:
lAgent \t i nm/6 ciU&f i'<U
I Data Sheet Used /Date of Sheet s'! i u
WcJL
?!'/
......... o ..................
/o/^Slf0 fall?! 'T/ |f/<?(
1
NOTE: Attach additional pages as necessary. List attendees on rever^ejjg^. j|^end documentation to Industrial Hygiene Services, B-101, for 75 yr. retention period. | |_j QQjyjpjjgp^g
Date:
Q33
CD
ccon
CO
<CsO>
APPENDIX D (continued)
Revised April 1991
REDACTED
(
J3
C/3
cn 'c0coo3j
APPENDIX C: INDUSTRIAL HYGIENE TRAINING DOCUMENTATION FORM FOR DOW EMPLOYEES
Area/Unit:
TtO 0 r Cp Vf I2- \ O
. __ .
Instructor:
(U
Date: t . _
| .ime (Duration):
<pM \32_________ 1_____ ___________________
Type of Training Conducted
New Employee Basic Hazard Communication (during NEOP) New Employee Area-Specific Hazard Communication Transfer Employee Hazard Communication New Chemical or Hazard Training Non-Routine Tasks Training Unanticipated or Emergency Tasks Training Annual Health Hazard Training Exposure Monitoring Results Training Other Training (Describe):
Check () all that apply
s'
Brief description of tbe training: (i.e,, course outline, videos shown, pamphlets distributed, etc.)
_____ ______________________ fVU OS______^LeuAr____
C O N F ID E N T IA L
The following chemical and physical agents were reviewed:
1 Agent CM/on\U^
Att
'L/o (VJclOH
| 1 Data aneet used /Date or Sheet
SHw $b\v
loliSfao
1 i .... '
. ......
1
PDC
______________ I HAi________________________
NOTE: Attach additional pages as necessary. List attendees on reverse side. Send documentation
to Industrial Hygiene Services. B-101, for the 75 yr. retention period.
Filed in I.H. Com Date:
jD 0)
CWJi CC0OD3
REDACTED
APPENDIX C (continued)
(
cd
co Ol
C O N F ID E N T IA L