ÿWPC[ s&Óm²Ë;y;yÅå_.nKÄ3Ôßo¡|O$†ÆÄ·EõL=~Á0çê@ÿÜ«òË®r˜ðëĬöZÛ«á<êíÐpÏ.ºCòB›²5*)‰wÉyõC‚M­;«"#aÅ„GZöÃéÄ·¤LCª¹ØHe•=½ˆ±{»hªÆZM¡¦ šKs¦Á&ñÐ Û‹,ŒÕi¦ÏPN® dú‹g&Ž“LU bm¡ž#­Öhˆ §&Tä­¶°Üv3³“uã3¤¡=™×ËÒ/tf† MŸÌÌôµÑŸ mm×ÒAïîu¦cÁlm‘ ¸EMLæåUÄuû¸¨7úk|vh‹ñ#±ã®Œð TÝëd{`âÿÜ3ž&‡•A¢7ÆfßS³#èÿ¯`Q?¨’áýLÏ­)nÌE+ ÜÊ>k™ Œ©‡ÂXäD]-ÛS¨¶hiLOì™ÓqÐÜ¥é6¼ùç‡\’Tí8-á±ÉÐäÖÔæ«P¥,z‡£úŠc³ªˆgŒïY+íÿÛï&³µyx|Ït”ØJ¹iUg¾ÅÈ“ÃRD''H=o®ªÞê}²ÁÊ2õÝk²D`…„"ÿö_ÜE´#µ°moIEÛN#ÉÄ %w“ 0(—U2¿4ñN m ^ 7C˜\\UMCP\338-hp8100dnØÈÈØØÈØÈ0%($¡¡0ä2¼Ap`Helvetica `†0Ôôÿÿÿÿ3|xÿU‹ÿÀÀÀ¡j=1,  Ñ„„ÑÝ ƒ!ÝÝ  ÝÔ_ÔÑ„°ÑÑ9°ÑÑ€ ·™ÑÑTRXì3Ø'Plain BondXà3Ø' Letter3Ø'Letterÿ3Ø'LetterTÑà@+ + ìàÔ€¼³:»%%Ôò ò€Laboratory€Personnel€Safety€Check€ListˆÐ 9 ÐÌó óÔ€ôØò»¼³:ÔEmployee/Student€Name_________________________________à È àà  àDate_______________Ð a( Ѐ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€PrintÐ æ ÐÌDepartment________________________à À à€€Bldg.____________à È àà  àRm.€#______________Ð ›b ÐÌÌPrincipal€Investigator€________________________€€€€€or€€€€€€€€Lab€Supervisor_____________________Ð Õ œ Ðà  àà ` àà ¸ àà  à€€€€€Printà À àà  àà p àà È àà  àà x àPrintÐ “ Z  ÐÔ€&ëö%òôØÔÌò òThe€following€procedures€have€been€reviewed€with€this€employee/student.ó óÐ % ì  ÐÌ1.à0  à_______à0¸ (#(#àHas€the€PI/Lab€Supervisor€discussed€the€nature€of€the€research€beingÐ Õ œ  Ðconducted€in€the€laboratory?Щp ¸ (#¸ (# ÐÌ2.à0  à_______à0¸ (#(#àHas€the€PI/Lab€Supervisor€discussed€all€hazardous€components€of€theÐ Q  Ðresearch?Ð%ì ¸ (#¸ (# ÐÌà0  àà0` (#(#àà0¸ ` (#` (#àa.______à0h¸ (#¸ (#àchemicalÐÍ”h(#h(# Ðà0  àà0` (#(#àà0¸ ` (#` (#àb.______à0h¸ (#¸ (#àbiologicalСhh(#h(# Ðà0  àà0` (#(#àà0¸ ` (#` (#àc.______à0h¸ (#¸ (#àphysicalÐu<h(#h(# ÐÌ3.à  à_______à0 ¸ àHas€the€employee/student€received€instruction€on€known€symptomsÐ ä Ðassociated€with€exposure€to€highly€toxic€chemicals€or€infectious€agentsÐ ñ¸ Ðused€in€the€laboratory?ÐÅŒ¸ (#¸ (# ÐÌ4.à  à_______à0 ¸ àHas€the€PI/Lab€Supervisor€discussed€the€need€for€the€employee/student€Ð m4 Ðto€inform€health€care€providers€of€the€hazardous€substances€used€in€theÐ A Ðlaboratory€during€each€medical€visit?Ðܸ (#¸ (# ÐÌ5.à  à_______à0 ¸ àHas€the€PI/Lab€Supervisor€reviewed€the€laboratory€Chemical€HygieneÐ ½„ ÐPlan€and€all€Standard€Operating€Procedures€with€the€employee/student?€Ð‘X ¸ (#¸ (# ÐÌ6.à  à_______à0 ¸ àHas€the€PI/Lab€Supervisor€identified€the€location€of€Material€Safety€DataÐ 9" ÐSheets€to€the€employee/student€and€demonstrated€methods€of€access?Ð  Ô# Ð(e.g.,€DES€website,€hardcopy,€etc.).Ðá ¨$¸ (#¸ (# ÐÌ7.à  à_______à0 ¸ àHas€hazard€assessment€information€concerning€Personal€ProtectiveÐ ‰"P& ÐEquipment€required€in€laboratory€been€reviewed,€and€has€the€supervisorÐ ]#$ ' Ðand€employee€signed€off?€Ð1$ø (¸ (#¸ (# ÐÌ8.à  à_______à0 ¸ àDoes€the€employee/student€need€a€respirator?€€If€yes,€arrange€forÐ Ù% "* Ðexposure€evaluation,€training€and€fit€testing€through€the€Department€ofÐ ­&t#+ ÐEnvironmental€Safety€at€x53980.Ð'H$,¸ (#¸ (# ÐÌ9.à  à_______à0 ¸ àHas€the€location€of€the€Emergency€Response€Guide€Wall€Chart€beenÐ ))ð%. 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