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Chemical Hygiene Plan


Overview

The Chemical Hygiene Plan (CHP) is a comprehensive plan demonstrating the integration of the California Code of Regulations (CCR), Title 8, Section 5191 and OSHA Laboratory Standard 29 CFR 1910.1450 regulations that specify the requirements to protect laboratory workers from harm due to hazardous chemicals.

Policy

It is the policy of the University of the Pacific to provide its employees with a safe and healthful workplace. In order to achieve this goal, all levels of management and supervision are required to ensure that the guidelines of this Chemical Hygiene Plan (CHP) are followed.

Purpose

This document has been designed to provide procedural guidelines for proper workplace practices with the handling, storage, and use of chemicals in laboratories and the protection of personnel in laboratories from potential hazards of any chemicals they may encounter.

Applicability

This document applies to all personnel under the direct supervision of a University employee (i.e., Temporary Employees, Temporary Agency Employees, Part time Employees, Full time Employees, Student Assistants, Federal Work Study, Graduate Assistants, etc.).  All personnel must comply with the provisions outlined in this document.

Chemical Hygiene Officer

Mike Ubick, Asst Director Environmental Health and Safety

Address: 3601 Pacific Ave, Stockton, CA 95211

Telephone: (209) 946-7645

Email address: mubick@pacific.edu

Definitions 

TermDefinition
Carcinogen "Select Carcinogen"

Any substance which meets one of the following criteria:

  1. It is regulated by Cal/OSHA as a carcinogen; or
  2. It is listed under the category, "known to be carcinogens," in the Annual Report on Carcinogens published by the National Toxicology Program (NTP) (1985 edition); or
  3. It is listed under Group 1 ( "carcinogenic to humans") by the International Agency for Research on Cancer Monographs (IARC) (Volumes 1-48 and Supplements 1-8); or
  4. It is listed in either Group 2A or 2B by IARC or under the category, "reasonably anticipated to be carcinogens" by NTP, and causes statistically significant tumor incidence in experimental animals in accordance with any of the following criteria:
    • After inhalation exposure of 6-7 hours per day, 5 days per week, for a significant portion of a lifetime to dosages of less than 10 mg/m 3;
    • After repeated skin application of less than 300 mg/kg of body weight per week; or
    • After oral dosages of less than 50 mg/kg of body weight per day.
Chemical Hygiene OfficerAn employee who is designated by the employer, and who is qualified by training or experience, to provide technical guidance in the development and implementation of the provisions of the Chemical Hygiene Plan. This definition is not intended to place limitations on the position description or job classification that the designated individual shall hold within the employer's organizational structure.
Chemical Hygiene Plan

A written program developed and implemented by the employer which sets forth procedures, equipment, personal protective equipment and work practices that:

  1. are capable of protecting employees from the health hazards presented by hazardous chemicals used in that particular work place and;
  2. meets the requirements of subsection 5191(e).
Designated AreaAn area which may be used for work with "select carcinogens," reproductive toxins or substances which have a high degree of acute toxicity. A designated area may be the entire laboratory, an area of a laboratory or a device such as a laboratory hood.
EmergencyAny occurrence such as, but not limited to, equipment failure, rupture of containers or failure of control equipment which results in an uncontrolled release of a hazardous chemical into the workplace.
EmployeeAn individual employed in a laboratory workplace who may be exposed to hazardous chemicals in the course of his or her assignments.
Exposure LimitsThe concentration in air of a chemical in the workplace that is thought to be acceptable.
Fume HoodA type of local ventilation device designed to limit exposure to hazardous or toxic fumes, vapors or dusts. It is typically a large piece of equipment enclosing five sides of a work area, the bottom of which is most commonly located at a standing work height.
Hazardous ChemicalAny chemical which is classified as health hazard or simple asphyxiant in accordance with the Hazard Communication Standard (Section 5194).
Health HazardA chemical that is classified as posing one of the following hazardous effects: Acute toxicity (any route of exposure); skin corrosion or irritation; serious eye damage or eye irritation; respiratory or skin sensitization; germ cell mutagenicity; carcinogenity; reproductive toxicity; specific target organ toxicity (single or repeated exposure); aspiration hazard. The criteria for determining whether a chemical is classified as a health hazard are detailed in Appendix A of the Hazard Communication Standard (Section 5194) and Section 5194(c) (definition of "simple asphyxiant").
High Hazard ChemicalA "select carcinogen", reproductive toxicant or substance that has a high degree of acute toxicity (causes severe and immediate health effects from limited exposure)
LaboratoryA facility where the "laboratory use of hazardous chemicals" occurs. It is a workplace where relatively small quantities of hazardous chemicals are used on a non-production basis.
Medical ConsultationA consultation which takes place between an employee and a licensed physician for the purpose of determining what medical examinations or procedures, if any, are appropriate in cases where a significant exposure to a hazardous chemical may have taken place.
Permissible Exposure LimitAn exposure limit established via OSHA'S regulatory authority. It may be a time weighted average (TWA) limit or a maximum concentration exposure limit.
Physical HazardThe Physical Hazards of a chemical are combustible, flammable, compressed gasses, explosives, organic peroxides, oxidizers, pyrophoric, unstable (reactive) or water-reactive
Principal InvestigatorThe professor directing research in a particular laboratory. In non-academic areas, the laboratory supervisor carries out the responsibilities of the PI.
Reproductive ToxinA chemical which affects the reproductive system and may produce chromosomal damage (mutation) and/or adverse effects on the fetus (teratogensis). For the purposes of this guidance, any chemical with a mutagenic or teratogenic quotation in the Registry of Toxic Effects of Chemical Substances (RTECS) shall be considered a reproductive hazard.

 

Responsibilities

The following table outlines the responsibilities of each party.

ContactResponsible Items

Enterprise Risk Management

  • Institute and maintain the Chemical Hygiene Plan;
  • Annually review and notify any constituents of changes;
  • Provide and maintain records of initial safety training to anyone using hazardous chemicals;
Chemical Hygiene Officer
  • Works with departments to develop and implement appropriate chemical hygiene policies and procedures;
  • Monitors procurement, use and disposal of chemicals used in laboratories;
  • Reviews and maintains laboratory inspection forms;
  • Determines the required levels of Personal Protective Equipment (PPE) for laboratory personnel;
  • Assist with assessing and potential exposure issues and chemical inventory review.
Department Heads and Chairs
  • Understand and comply with the contents and objectives in this CHP;
  • Support the Plan and oversee its implementation;
  • Ensure that proper administrative and engineering controls are provided in the work area.

​Managers, Supervisors and Lead Personnel

  • ​Understand and comply with the contents and objectives in this CHP;
  • Ensure workers understand and follow chemical hygiene rules;
  • Ensure PPE is available and in working order, and is used correctly;
  • Conduct/designate and document safety inspections that include inspections of emergency equipment (eyewashes, safety showers and fire extinguishers).
  • Ensure that work areas are adequate for the use and storage of new and existing chemicals;
  • Identify and develop safety procedures when employees or students are working with potentially dangerous materials. Specific procedures for spills, waste disposal, decontamination, and accident response procedures must be developed by the department.

​Employee Student, or Principal Investigator

  • ​Understand and comply with the contents and objectives in this CHP;
  • Conduct each task in accordance with the applicable training, exposure risk information, or department procedures;
  • Attend initial safety training provided by Environmental Health and safety (EHS);
  • Attend annual refresher training provided by EHS;
  • Use PPE and other protective devices when required;
  • Comply with all University safety policies and procedures.

 

Chemical Inventory

Inventory must be maintained for all areas at the University that store hazardous materials. Principle Investigators (PI) will be responsible for maintaining a current inventory of chemicals that are stored in their laboratory.  Inventory of chemicals should be reviewed annually. Environmental Health and Safety routinely verifies inventory.

When a new chemical is required and is not listed/available on the SDS, you must contact Environmental Health and Safety for approval prior to obtaining.

Hazardous Identification

  • All chemical containers must have a legible, firmly attached label showing the contents of the container.
  • Labels on incoming containers of hazardous chemicals must not be removed or defaced.
  • Safety Data Sheets (SDSs) received with incoming shipments of hazardous chemicals are maintained and made readily accessible to laboratory employees. SDS are kept on file in the department.
  • A hazard review of new materials not previously used in the laboratory shall be completed before working with the new material. Environmental Health and Safety or Laboratory Supervisor conducts this review.
  • Chemical substances developed in the laboratory are assumed to be hazardous in the absence of other information.
  • Laboratory areas that have special or unusual hazards should be identified with an appropriate warning sign.

Working with Particularly Hazardous Substances

Cal/OSHA requires that special precautions need to be taken when working with particularly hazardous substances. These include:

CarcinogensAny substance, radionuclide, or radiation that is an agent directly involved in causing cancer. These can include benzene, formaldehyde, vinyl chloride etc.
Highly Toxic SubstancesA chemical that has an oral lethal dose less than 50 mg/kg of body weight for rats weighing 200-300 grams or substances that causes adverse side effects from one exposure. These can include arsenic, organic mercury etc.
Reproductive HazardsSubstances that may affect the reproductive health of men or women. These can include lead, mercury, ethylene oxide etc.
Acutely Toxic SubstancesSubstances that result in adverse effects from one exposure. These can include calcium cyanide, nitric oxide etc.

 

Chemical Handling and Storage

Proper segregation of stored chemicals is essential to reduce or eliminate hazardous reactions. Use safety data sheets, labels or standard operating procedures to determine the best way to store chemicals.

  1. SDS's are reviewed by EHS. SDS data is kept on the web and can be accessed by use of the link:  http://hq.msdsonline.com/univofthepacificsl.  (If you are unable to locate an SDS on the website, please contact EHS);
  2. When hazardous chemicals are hand carried, the container should be placed in an outside container or bucket;
  3. Stored chemicals should be inspected annually for deterioration of container, container integrity, and storage compatibility;
  4. Chemicals should be segregated properly. Flammables should be stored with flammables, acids away from bases, and stored in proper containers;
  5. Store all chemicals in original containers whenever possible. If transferred, make certain the container is compatible with chemical and labeled correctly;
  6. Chemicals should not be stored on bench tops or in hoods.

Signs and Labels

Personnel who use hazardous materials are responsible for properly labeling all containers, contact EHS for additional information;

  • Location signs for safety showers, eyewash stations, and other safety and first aid equipment must be posted;
  • Warnings at areas or equipment where special or unusual hazards exist.

Laboratory Facility Fume Hoods

A properly designed and operated fume hood reduces exposure to hazardous fumes, vapors, gases and dust.

  1. Verify the exhaust system is working before using a fume hood. If the hood is not working, do not use and contact EHS;
  2. Fume hoods are checked annually be EHS;
  3. When not using the fume hoods, make sure sash is closed;
  4. Work with your head outside of the fume hood;
  5. Hazardous waste containers inside the fume hood must be capped when not in use;
  6. Do not store chemicals in fume hood;
  7. Do not clutter the fume hood;
  8. Do not use fume hoods to vent or disposed of hazardous materials through evaporation.

Fume hoods are inspected annually by EHS to verify that they operational. The average face velocity must be between 100 and 125 feet per minute (fpm) for normal use and between 125 and 150 fpm for work involving carcinogens or highly toxic materials. If these criteria are not met a service request will be submitted to adjust air flow.

Personal Protective Equipment (PPE)

Personal Protective Equipment (PPE) must be provided and worn at all times in accordance with the Safety Data Sheet (SDS) for the chemical being used.

The following PPE must be available in University Laboratories:

  1. safety goggles or glasses
  2. lab coats
  3. chemical-resistant aprons
  4. chemical-resistant gloves
  5. long pants
  6. long sleeved shirts
  7. closed toed shoes.

Chemical Exposure

Exposure TypeInstructions
Eye or Skin Contact
  1. Immediately go to the emergency shower/eye wash facility and remove all contaminated clothing.
  2. Flush affected body area with water for at least 15 minutes.
  3. Do not use neutralizing chemicals, creams, abrasives, or lotions.
  4. If the eyes have been contaminated, forcibly hold them open and flush for least 15 minutes.
  5. Resume flushing area with water if pain continues.
Inhalation
  1. Move exposed person to fresh air if safe to do so.
  2. If victim is breathing, loosen victim's clothing and maintain the airway.
Ingestion
  1. Contact Public Safety and request medical assistance.
  2. Call Poison Control at 1-800-222-2222.
  3. If possible, determine what material was ingested by victim.
  4. If victim begins to vomit, turn head or entire body to one side to avoid choking.
  5. Do not induce the victim to vomit or drink any beverage unless instructed to by qualified medical personnel.
Injection

See "Exposure Control Plan" for additional guidelines.

 

Chemical Spills and Accidents

Size Information
Small
  • These are small quantity spills of 1/2 gallon or less.
  • All incidental spills may be cleaned up by employees or students provided they have appropriate training and understanding of the chemicals being used at the time.
  • How to handle each spill will be determined on a case by case basis.
  • Notify Environmental Health and Safety within 14 days.
Large
  • All larger spills will be cleaned up by either:
    • local Haz Mat branch of the local fire department or
    • a contracted service (current contract exists with Ingenium for chemical spills)
  • Contact Environmental Health and Safety immediately.

 

Emergency Equipment

TypeDetails
Emergency Eye Wash and Showers
  • Stations are placed in laboratories at the University to provide an immediate mechanism to alleviate chemical exposure and further injury.
  • These stations are checked monthly and records are kept by EHS.
Fire Extinguishers
  • Laboratories are equipped with chemical (ABC).
  • CO2 or halotron fire extinguishers.
  • Only trainer personnel should use fire extinguishers. 

See Emergency Plans and Procedures for additional guidelines.

 

Exposure Monitoring

The employer shall assure that laboratory employee's exposure to OSHA regulated substances do not exceed the permissible exposure limits specified in 29 CFR part 1910 subpart Z.

Upon request, EHS will provide environmental monitoring for airborne exposure to chemicals. The evaluation shall include:

  1. an inspection of the laboratory,
  2. an interview of the affected employee(s), and
  3. may include actual air sampling to determine and compare the exposure limit to all applicable OSHA limits. 

Regular environmental monitoring is not ordinarily warranted or practical in laboratories because chemicals are typically used for relatively short time periods and in small quantities. 

However, sampling may be appropriate when one of the following conditions apply:

  • Significant quantities of hazardous chemicals are used over an extended period of time;
  • Signs and symptoms of exposure have occurred;
  • There is reason to believe that employees are being exposed to limits in excess to any OSHA action limits, short-term exposure limits (STEL) or time weighted averages (TWA); or
  • Employees want to know their exposure when working with a specific chemical.

Waste Disposal Policy

The waste disposal policy ensures minimal harm will result to people, organisms and the environment from the disposal of waste laboratory chemicals.

  1. Disposal by recycling or chemical decontamination should be used when possible;
  2. Hoods should not be used as a means of disposal for volatile chemicals;
  3. Chemical waste should be deposited in appropriately labeled containers;
  4. The following are prohibited from being discharged into sanitary sewer: 
    • Concentrated acids or bases, pH should not be less than 5.0 or greater than 10.0;
    • No solids or viscous substances which may cause obstruction to the flow in a sewer;
    • Prohibited materials due to potential fire or explosion hazard include, but are not limited to: gasoline, kerosene, naphtha, benzene, toluene, xylene, ethers, alcohols, ketones, aldehydes, peroxides, chlorates, perchlorates, bromates, carbides, hydrides, and sulfides;
    • Noxious, malodorous or lachrymal liquids, gases, and solids;
    • Hazardous waste as defined by Federal, State or local regulations;
    • Sludge's that may interfere with the reclamation process at a wastewater facility;
    • Heated discharge exceeding 60ºC (150ºF) at the point of discharge.
    • Radioactive waste or isotopes;
    • Oils of any kind;
    • Any substance that might interfere with the biological activity of the wastewater treatment plant;
    • Metals exceeding stated concentrations under the City of Stockton Municipal Code Chapter 7, Part III, Division II Regulations.

Housekeeping, Maintenance and Inspections

  • Clean work areas regularly and properly label and store all chemicals;
  • Never block exits, electrical panels, fire alarm and emergency equipment;
  • Make sure all compressed gas cylinders are secured, one strap minimum and two straps best practice;
  • Do not store chemicals on the floor;
  • Return chemicals to proper storage area after use;
  • It is recommended that periodic laboratory inspections be conducted.

 

Medical Consultations and Examinations

Medical Consultation
  1. Employees working with hazardous chemicals will be offered medical consultation under the following circumstances:
    • Exposure monitoring reveals an overexposure.
    • Symptoms or signs develop.
    • There is a need or regulatory standard requiring medical surveillance.
    • A spill, leak, explosion or other occurrence that results in a hazardous exposure (potential overexposure).
  2. All medical examinations shall be performed by a university designated occupational health clinic.
Information provided to Physician
  1. In an event of an exposure to a hazardous chemical, the university shall provide the following to the health center:
    • The identity of the hazardous chemical(s) to which the individual may have been exposed.
    • A description of the conditions under which the exposure occurred including quantitative exposure data if available.
    • A description of the signs and symptoms of exposure that the individual is experiencing, if any.
Information provided by Physician
  1. The university shall obtain a written opinion from the examining physician that shall include the following:
    • Any recommendation for further medical follow-up.
    • The results of the medical examination and any associated tests.
    • Any medical condition revealed in the examination that may place the employee at increased risk as a result of exposure.
    • A statement that the employee has been informed by the physician of the results of the consultation or medical examination and medical condition that may require further examination or treatment.
Medical Records
  1. Records for each employee with occupational exposure are kept for the duration of employment, plus thirty (30) years. Pacific Wellness Center or contract health care provider (Kaiser, St. Joseph's or Dameron Medical Groups) may maintain these records.
  2. Medical records must be made available to the employee and/or to anyone with written consent of the employee. These records are not available to the employer.

 

Training

Training for employees identified as having any occupational exposure is conducted by the supervisor, designated department personnel, or EHS:

  1. upon initial hiring and annually, thereafter;
  2. upon procedural changes.

Laboratory personnel must be trained on lab specific procedures associated with hazards by the Principal Investigator or designated personnel.

Minimum training requirements include:

  • Location of the regulatory text of the Cal-OSHA lab standards located at:  http://www.osha.gov/Publications/laboratory/OSHA3404laboratory-safety-guidance.pdf
  • General discussion of the Chemical Hygiene Plan and its availability and location on the Enterprise Risk Management website,
  • Departments current and valid laboratory Chemical Hygiene Plan,
  • Required use of personal protective equipment,
  • Location of Safety Data Sheet,
  • Signs and Symptoms associated with exposure to hazardous chemicals used in the laboratory,
  • Precautions employees may take to protect themselves from hazards,
  • Lab Specific Standard Operating Procedures.

 

Recordkeeping

  • Accident and accident investigation reports should be sent to EHS for record keeping;
  • Chemical Hygiene Plan records, which document the compatibility of facilities/precautions with current regulations, are maintained by EHS;
  • Medical records are maintained by Human Resources or any clinic servicing the University;
  • Workplace assessments and monitoring results will be maintained by EHS;
  • Training records must be must be maintained and available for inspection by the department for one (1) year and must include:
    • Dates and location of training
    • Contents of the training program or a summary
    • Trainer's name
    • Names and job titles of all persons attending the sessions

 

Contact

Stockton Campus

Department Contact
Public Safety (emergency)(209) 946-3911 or x6-3911
Environmental Health and Safety(209)946-2908 or x6-2908

 

Sacramento Campus

Department Contact
Public Safety (emergency)(916)739-7200

 

San Francisco Campus

Department Contact
Public Safety (emergency)(415)929-6456 or x5-6456
Environmental Health and Safety(415)929-6622
About This Policy
Last Updated
3/14/2018
Original Issue Date
5/4/2016

Responsible Department
Budget and Risk Management