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Page 1 Appendix A Designated Substance Assessment Form RECORD OF DESIGNATED SUBSTANCE ASSESSMENT SUBSTANCE: DATE: DEPARTMENT: LOCATION OF SUBSTANCE: ASSESSMENT PREPARED BY: POSITION×TITLE: Section
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How to fill out a record of designated substance:

01
Start by obtaining a copy of the designated substance regulations relevant to your industry or workplace. Familiarize yourself with the requirements and guidelines outlined in these regulations.
02
Identify all substances classified as designated substances in your workplace. These substances may include hazardous materials such as asbestos, lead, mercury, and silica.
03
Create a detailed record for each designated substance present in your workplace. Include information such as the name and location of the substance, the date it was first identified, and any related safety precautions or handling procedures.
04
Clearly outline the purpose of the record, which is usually to track and manage the use, storage, and disposal of designated substances to ensure worker safety and compliance with regulations.
05
Record any significant changes or incidents related to the designated substances. This may include any spills, accidents, or exposure incidents that occur within the workplace.
06
Ensure that the record is kept up to date and accurate by regularly reviewing and revising the information as necessary.
07
Properly store and maintain the record according to the regulations and any applicable retention periods specified.

Who needs a record of designated substance?

01
Employers who operate workplaces where designated substances are present or may be present are typically required to maintain a record of these substances.
02
Workers who handle, work with, or are potentially exposed to designated substances also benefit from having access to this record.
03
Health and safety regulatory bodies may request a copy of the record during inspections or investigations to ensure compliance with the designated substance regulations.
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The record of designated substance is a document that details the presence of specific substances in a workplace.
Employers who have designated substances present in the workplace are required to file a record of designated substance.
The record of designated substance can be filled out by providing information about the designated substances present, their quantities, location, and safety measures in place.
The purpose of the record of designated substance is to ensure transparency and safety in workplaces where hazardous substances are present.
Information such as the name of the designated substances, their quantities, the locations where they are present, and the safety measures in place must be reported on the record of designated substance.
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