CRA - Hazardous Materials

Site Location: ______________________________________________ Date: ________________

Task/Activity: ______________________________________________ Compliance Level Total
Obser
Activity Hazard Identification & Risk Controls Full Part None

1. Activity Planning: RA & Method Statement, identifies chemical hazards in 0

the area, operational dangers and mitigation controls. Emergency
rescue/response planned? Health Hazard Evaluation (HHE) and IH surveillance
plan completed for project? Develop an Exposure Mgt Plan when carcinogens
and highly toxic chemicals are present? Supervision engaged?
0% 0% 0%
2. Training: Personnel are trained on Safety Data Sheets (SDS) and the Global 0
Harmonized System. Workers are familiar with the characteristics ands hazards
of the chemical(s) involved in their activities? 0% 0% 0%
3. Work Practices: The SPA/work permit and mitigation plan are signed
0
authorizing work? Does personnel understand the potential exposure limits? PPE
inspected daily prior to use? Inspector is designated and qualified? Surveillance
and monitoring conducted as required? Medical surveillance initiated as needed?
0% 0% 0%

4. PPE: Appropriate level of PPE worn by personnel engaged in work task? 0

Personnel understand limitations of PPE and understand proper decontamination
procedures? Personnel using respirators are medically cleared and know safe
work practices?
0% 0% 0%
5. Emergency Situations: Personnel have identified the nearest safety 0
shower/eyewash and ensured it is operational? Stand by person with full PPE
present during high hazard activities? Evacuation routes established? 0% 0% 0%

6. Handling: An appropriate method of labeling and storage of hazardous 0

materials (HM) is established? Trash and debris not allowed to accumulate? A
register is used at the site for HM's and access to SDS's? Safe handling
precautions are established along with appropriate PPE?
0% 0% 0%
7. Storage Area: - Storage area is properly fenced and dedicated only for COSHH
storage. Concreted, bunded & water proofed. Away from water drains/water course. Fire 0
point located on storage area. A clear access way is maintained to COSHH storage and
inside shelves.
- For drum storage, a drip tray is provided.
- Storage substances are segregated from each other / identifiable.
0% 0% 0%
0 0 0 0
OVERALL TOTAL
0% 0% 0%

Name of Observers __________________________ ______________________________

Comments __________________________________________________________________________________

___________________________________________________________________________________________

Corrective Actions Taken: ____________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-2905-00

Revision Number: 00
Date: 05 January 2020
Document Reference Number: ORG1-06-002-MOD-TS0-0-PRM-TEM-2905-00
Revision Number: 00
Date: 05 January 2020