Document ymxomX3NMMoy93d9k9vn2yq46

PVC DUST EA)BIXH30a7(M^A SHEET EMPLOYEE DEPARTMENT JOB CLASSIFICATION PUMP I.D. SAMPLING TIME: START rFLOWTUBE READING: START `AVERAGE FLOWRATE Qe^trn^L HcL fr: iO /} l-SO SAMPLE 7-7-<r* P- SAMPLED BY J. Jr T^,r/ STOP STOP / 7 yjfit P *f- 6'/ :______________ - TOTAL AIR VOLUME > WHICH OF THE FOLLOWING TASKS WERE DONE? (PLEASE INDICATE BY CHECKING THE NUMBER) 1. RAILCAR LOADING 2. TRAILER LOADING 3. HANDLING SIFTER OVERFLOWS 4. CLEANING SIFTER DECKS 5. DRYER ENTRY 6. FILTER HOUSE ENTRY 7. FILTER SOCK HANDLING 8. RAILCAR SAMPLING 9. TRAILER SAMPLING 10. ROUTINE RESIN TESTING 11. DUMPING PVC SAMPLES _____ 12. COMPOUND BLENDER CHARGING 13. DRY BLEND MASTER BATCH CHARGING 14. RESIN TRANSFER LINE HOOKUP/UNHOOK 15. RESIN TRANSFER LINE CLEANOUT 16. PVC RESIN CLEANUP, GENERAL 17. PVC RESIN HANDLING, GENERAL 18. 19. 20. f*vt MISCELLANEOUS DATA 1. WAS A RESPIRATOR WORN? /`Jj- 2. IF SO, DURING WHICH TASKS ABOVE? ___ 3. WAS DUSTING EVIDENT DURING ANY TASKS ABOVE? 4. IF SO, WHICH TASKS? Q ^_____________________________________ 5. IF DUSTING WAS EVIDENT, WAS IT POSSIBLE FOR THE EMPLOYEE TO HAVE INHALED ANY DUST? WHY? V cV ~ 0 OU$ T/^S 6. AT THE END OF THE SAMPLING PERIOD, WAS ANY PVC DUST SEEN ON THE EMPLOYEE'S FACE? _______________________________________________________________________________________ 7. IF SO DESCRIBE HOW MUCH. ? Lj&lf T" Pflf* SAMPLE ANALYSIS 7DATE ___________ - iS'it BY t-4* METHOD _ RESULT __________ Ot FINAL TWA EXPOSURE ___________ <M4 , m 4/3/80:cj t