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Safety Checklist Program for Schools

October 2003
DHHS (NIOSH) Publication Number 2004-101

Emergency Action Plan (Template)

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DISCLAIMER:

Some of the additional resources listed below were provided by other organizations; they are intended to supplement the occupational safety and health information in this product. NIOSH is not responsible for the contents or accuracy of material obtained from these organizations. Furthermore, mention of any company or product does not constitute endorsement by NIOSH. In addition, citations to Web sites do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Also, NIOSH is not responsible for the content of these Web sites.

Chemical Spill

The following are the locations of:

Spill Containment and Security Equipment:___________________________

Personal Protective Equipment

(PPE):_________________________________________________________

MSDS:_________________________________________________________

When a Large Chemical Spill has occurred:

  • Immediately notify the designated official and Emergency Coordinator.
  • Contain the spill with available equipment (e.g., pads, booms, absorbent powder, etc.).
  • Secure the area and alert other site personnel.
  • Do not attempt to clean the spill unless trained to do so.
  • Attend to injured personnel and call the medical emergency number, if required.
  • Call a local spill cleanup company or the Fire Department (if arrangement has been made) to perform a large chemical (e.g., mercury) spill cleanup.

    Name of Spill Cleanup Company:______________________________

    Phone Number:_____________________________________________

  • Evacuate building as necessary

When a Small Chemical Spill has occurred:

  • Notify the Emergency Coordinator and/or supervisor (select one).
  • If toxic fumes are present, secure the area (with caution tapes or cones) to prevent other personnel from entering.
  • Deal with the spill in accordance with the instructions described in the MSDS.
  • Small spills must be handled in a safe manner, while wearing the proper PPE.
  • Review the general spill cleanup procedures.

Date___/___/___

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