Date:
Your Name:
Email Address:
Building and Room #:
A material that produces a bad smell or odor when burned A substance or material capable of posing an unreasonable risk to health, safety and property when transported in commerce. A material that causes irreversible damage to skin or metal. Anything that might harm an individual while being transported on a highway.
General Awareness Function Specific Safety/Emergency Response Security Awareness All of the above
True False
Emergency personnel only Drivers and emergency personnel HazMat handlers, drivers and emergency response personnel Anyone who may be exposed to a hazardous materials incident/accident in the workplace
Column 1 Column 3 Column 9 Column 4
Class 5 Class 4 Class 2 Class 3
Class 8 Class 9 Class 6 It is not classified as a hazardous material
Not accept the package Accept the package, then call University Safety & Assurances at x6339 for assistance Accept the package, then call the UWM Police at x9-911 for advice Contact your supervisor and let him/her make the decision
A listing of hazardous materials by ID numbers Initial isolation and protective action distances An alphabetical listing of hazardous materials Emergency response information
Notify your colleagues and your supervisor Control access to the area to prevent contact or spread of the spill Clean up the spill following appropriate procedures. Contact the Department of University Safety & Assurances as necessary All of the above
Sign for, open and un-package hazardous materials Unload and handle packages of hazardous materials Prepare packages of hazardous material for shipment, including paperwork preparation Only A & B
NOTE: Test form won't submit unless all above boxes have an entry.
Comments or questions:
Updated November 19, 2007 by SAK