HomeMy WebLinkAboutResolution - 6288 - Contract - Lester Humphry Pest Control Inc -Herbicide, Lubbock Cemetary - 04_22_1999Resolution No. 6288
Item No. 37
April 22, 1999
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock a Parkland and City of
Lubbock Cemetary Herbicide Contract between the City of Lubbock and Lester Humphry
Pest Control, Inc., and all related documents. Said Contract is attached hereto and
incorporated in this Resolution as if fully set forth herein and shall be included in the
minutes of the Council.
Passed by the City Council this 22nd day of April , 1999.
WINDY SI N, MAYOR
A ESIr
�;bu,
Kaytl�i Darnell, City Secretary
APPROVED AS TO CONTENT:
Victor Kilman, P tc
a ng anager
APPROVED AS TO FORM:
John M. Knight
Assistant City Attorney
JMK:cp/1 lumphry-City.RFS
ccdocs/ April 12, 1999
Resolution No. 6288
Item No. 37
April 22. 1999
PARKLAND AND CITY OF LUBBOCK CEMETARY
HERBICIDE SPRAYING CONTRACT
STATE OF TEXAS
COUNTY OF LUBBOCK. §
This contract, (the "Contract"), effective as of the 22 day of April , 1999, (the
"Effective Date"), is by and between the City of Lubbock, (the "City"), a municipal corporation,
and Lester Humphry Pest Control, Inc., a Texas corporation (the "Contractor").
WITNESSETH
WHEREAS, City owns certain land used for park purposes and the City of Lubbock
Cemetary; and
WHEREAS, City and Contractor desire to enter into a written agreement to govern the
spraying services by successful bidder on the City parkland and the City of Lubbock Cemetary
pursuant to the terms and conditions herein set forth.
NOW THEREFORE, for and in consideration of the terms, covenants and conditions set
forth in this Contract, the City and Contractor hereby agree as follows:
ARTICLE I. TERM
The term of this Contract commences on the Effective Date and continues without
interruption for a term of one (1) year from and after the Effective Date.
ARTICLE H. COMPENSATION
Contractor shall receive Sixty One Thousand Six Hundred Ninety Five and /100 Dollars
($61,695.85).
ARTICLE III. TERMINATION
Herbicide Contract, City of Lubbock & Lester Humphry Pest Control, Inc.
In the event the Contractor breaches any term and/or provision of this Contract the City
shall be entitled to exercise any right or remedy available to it at law or equity, including without
limitation, immediate termination of this Contract and assertion of action for damages and/or
injunctive relief. The exercise of any right or remedy shall not preclude the concurrent or
subsequent exercise of any other right or remedy and all other rights and remedies shall be
cumulative.
ARTICLE IV. REPRESENTATIONS AND "WARRANTIES
A. Existence. Contractor is a corporation duly organized, validly existing, and in good
standing under the laws of the State of Texas and is qualified to carry on its business in the State
of Texas.
B. Corporate Power. Contractor has the corporate power to enter into and perform this
Contract and all other activities contemplated hereby.
C. Authorization. Execution, delivery, and performance of this Contract and the activities
contemplated hereby have been duly and validly authorized by all the requisite corporate action
on the part of the Contractor. This Contract constitutes legal, valid, and binding obligations of
the Contractor and is enforceable in accordance with the terms therof.
D. Contractor. Contractor maintains a professional staff and employs, as needed, other
qualified specialists experienced in providing herbicide application, and are familiar with all
laws, rules, and regulations, both state and federal, including, without limitation the applicable
laws, regarding the activities contemplated hereby.
E. Performance. Contractor will and shall conduct all activities contemplated by this
Contract in a good and workmanlike manner, and comply with all laws, rules, and regulations,
both state and federal relating to herbicide application, as contemplated hereby. If any of the
activities of the Contractor, or omissions of the activities required herein, shall cause, in whole or
in part, liability or loss on the part of the City, it shall be deemed that the Contractor did not
perform said activities (or omitted the performance of said activities) in a good and workmanlike
manner.
F. Use of Copyrighted Material. Contractor warrants that any materials provided by
Contractor for use by City pursuant to this Contract shall not contain any proprietary material
owned by any other party that is protected under the Copyright Act or any other similar law.
Contractor shall be solely responsible for ensuring that any materials provided by Contractor
pursuant to this Contract satisfy this requirement and Contractor agrees to hold City harmless
from all liability or loss to which City is exposed on account of Contractor's failure to perform
this duty.
2
Herbicide Contract, City of Lubbock & Lester Humphry Pest Control, Inc.
ARTICLE V. SCOPE OF WORK
Contractor shall conduct spraying of herbicides for weed control at City parklands. The
said parklands are shown on the attached list as set forth in Exhibit "A" attached and
incorporated by reference as if fully set forth here.
Contractor shall conduct spraying of herbicides for weed control at The City of Lubbock
Cemetary. The said parklands are shown on the attached list as set forth in Exhibit "B" attached
and incorporated by reference as if fully set forth here.
Contractor shall comply with all requirements of the City of Lubbock Written Hazard
Communication Program as set forth in Exhibit "C" attached and incorporated by reference as if
fully set forth here.
ARTICLE VI. INDEPENDENT CONTRACTOR STATUS
Contractor and City agree that Contractor shall perform the duties under this Contract as an
independent contractor. The Contractor has the sole discretion to determine the manner in which
the services are to be performed.
ARTICLE VII. INSURANCE
A. General. Contractor shall procure and carry, at its sole cost and expense through the
life of this Contract insurance protection hereinafter specified, in form and substance satisfactory
to the City. City must approve all policies prior to the commencement of any activities whether
performed by the Contractor, subcontractor, agents, or third parties. The insurance carrier must
be an insurance company authorized to transact business in the State of Texas and have a Best's
Financial rating of A:Vll. A Certificate of Insurance specifying each and all coverage shall be
submitted to City prior to the execution of this Contract. All insurance shall be prepared and
executed by the insurance company or it's authorized agents and shall contain an endorsement
naming the City of Lubbock an additional insured. Written notice of cancellation or any material
change will be provided thirty (30) days in advance of cancellation or change. All insurance,
other than Workers' Compensation, shall provide a waiver of subrogation in favor of the City of
Lubbock, and shall contain cross liability and severability clauses.
B. Required Coverage. Contractor shall obtain and maintain policies of insurance
throughout the Contract term in limits specified below.
1. Worker's Compensation. The Contractor shall maintain Workers' Compensation
insurance covering all employees whether employed by the Contractor or any Subcontractor on
the job including Employers Liability with statutory limits.
3
Herbicide Contract, City of Lubbock & Lester Humphry Pest Control, Inc.
2. Commercial General Liability, The Contractor shall maintain Commercial General
Liability coverage at minimum combined single limits of Five Hundred Thousand and no/100
Dollars ($500,000.00) per occurrence and Five Hundred Thousand and no/100 Dollars
($500,000.00) general aggregate for Bodily Injury and Property Damage, which coverage shall
include Products/Completed Operations ($500,000.00 Products/Completed Operations
Aggregate), and XCU Hazards Coverage for Products/Completed Operations must be maintained
for at least two (2) years after the work is completed. Coverage must be written on an
Occurrence Form. Contractual Liability must be obligations contained in the contract.
3. Commercial Automobile Liability. The Contractor shall maintain Commercial
Automobile Liability coverage with a minimum of Five Hundred Thousand and no/100
Dollars ($500,000) per occurrence for owned, non -owned, and hired coverage.
4. Excess Umbrella Liability. The Contractor shall maintain Excess Umbrella Liability
Insurance coverage with a minimum of Five Hundred Thousand and no/100 Dollars
($500,000.00) combined single limit.
5. Primary Insurance. Primary Insurance amounts may be increased by the amount of
excess umbrella liability requirement ($500,000.00) in lieu of providing excess umbrella liability
coverage,
C. Subcontractors. The Contractor shall require each subcontractor with whom it
contracts to provide activities as contemplated by this Contract, to obtain proof of insurance
coverage as set forth herein, and to provide to Contractor, prior to such person performing any
such activities, a Certificate of Insurance establishing such coverage.
ARTICLE VIII. EMPLOYMENT OF AGENTS
Contractor may employ or retain agents, consultants, contractors, or third parties, to
perform certain duties of Contractor under this Contract provided that Contractor is in no event
relieved of any obligation under this Contract. Any such agents, contractors, or third parties
retained and/or employed by Contractor shall be required to carry, for the protection and benefit
of the City and Contractor and naming said third parties as additional insureds, insurance as
described above in this Contract.
ARTICLE IX. CONFIDENTIALITY
Contractor shall retain all information received from or concerning the City and the City's
business in strictest confidence and shall not reveal such information to third parties without
prior written consent of the City, unless otherwise required by law.
4
Herbicide Contract, City of Lubbock & Lester Humphry Pest Control, Inc.
ARTICLE X. INDEMNITY
Contractor shall indemnify and save harmless the City of Lubbock and its officers,
agents, and employees from all suits, actions, losses, damages, claims, or liability of any
character, type, or description, including without limiting the generality of the foregoing all
expenses of litigation, court costs, and attorney's fees for injury or death to any person, or
injury to any property, received or sustained by any person or persons or property, arising
out of, or occasioned by, the acts of Contractor, its agents or employees, in the execution of
this Contract.
ARTICLE XI. COMIPLIANCE WITH APPLICABLE LAWS
Contractor shall comply with all applicable federal, state and local laws, statutes,
ordinances, rules and regulations relating, in any way, manner or form, to the activities under this
Contract, and any amendments thereto.
ARTICLE XII. NOTICE
A. General. Whenever notice from contractor to City or City to Contractor is required or
permitted by this Contract and no other method of notice is provided, such notice shall be given
by (1) actual delivery of the written notice to the other party by hand. (2) facsimile, or other
reasonable means (in which case such notice shall be effective upon delivery). or (3) by
depositing the written notice in the United States mail, properly addressed to the other party at
the address provided in this article, registered or certified mail, return receipt requested, in which
case such notice shall be effective on the third business day after such notice is so deposited.
B. Contractor's Address. Contractor's address and numbers for the purposes of notice
Lester Humphry Pest Control, Inc.
Attn: Darlene Jones
3134 30
Lubbock, Texas 79410
Telephone: (806) 799-3625
Facsimile: (806) 799-3626
C. City's Address. The City's address and numbers for the purposes of notice are:
City of Lubbock
Attn: Victor Kilman
P. 0. Box 2000
1625 13th Street
Lubbock,Texas79457
5
Herbicide Contract, City of Lubbock & Lester Humphry Pest Control, Inc,
Telephone: (806) 775-2165
Facsimile: (806) 744-6209
D. Change of Address. Either party may change its address or numbers for purposes of
notice by giving written notice to the other party, referring specifically to this Contract, and
setting forth such new address or numbers. The address or numbers shall become effective on
the 15th day after such notice is effective.
ARTICLE XIII. MISCELLANEOUS
A. Captions. The captions for the articles and sections in this Contract are inserted in
this Contract strictly for the parties' convenience in identifying the provisions to this Contract
and shall not be given any effect in construing this Contract.
B. Audit. Contractor shall provide access to its corporate books and records to the City.
The City may audit, at its expense and during normal business hours, Contractor's books and
records with respect to this Contract between the Contractor and City.
C. Records. Contractor shall maintain records that are necessary to substantiate the
services provided by the Contractor
D. Assignability. Contractor may not assign this Contract without the prior written
approval of the City.
E. Successor and Assigns. This Contract binds and inures to the benefit of the City,
Contractor, and their respective successors, legal representatives, and assigns.
F. Construction and Venue. THIS CONTRACT SHALL BE GOVERNED BY AND
CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF TEXAS. THE
PARTIES HERETO HEREBY IRREVOCABLY CONSENT TO THE EXCLUSIVE
JURISDICTION AND VENUE OF THE COURTS OF THE STATE OF TEXAS, COUNTY OF
LUBBOCK, FOR THE PURPOSES OF ALL LEGAL PROCEEDINGS ARISING OUT OF OR
RELATING TO THIS CONTRACT OR THE ACTIONS THAT ARE CONTEMPLATED
HEREBY.
G. Severability. If any provision of this Contract is ever held to be invalid or ineffective
by any court of competent Jurisdiction with respect to any person or circumstances, the
remainder of this Contract and the application of such provision to persons and/or circumstances
other than those with respect to which it is held invalid or ineffective shall not be affected
thereby.
6
Herbicide Contract, City of Lubbock & Lester Hurnphry Pest Control, Inc.
I. Entire Agreement. This Contract, contains the Entire Contract between the City and
Contractor, and there are no other written or oral promises, conditions, warranties, or
representations relating to or affecting the matters contemplated herein.
EXECUTED as of the Effective Date hereof.
CITY OF LUBBOCK
I)f,,- Z"��
W YMAYOR
AT ST:
Kayth e arnell, City Secretary
APPROVED AS TO CONTENT:
o ree an
Park Main nance Supervisor
APPROVED AS TO FORM:
ohn M. Knight
Assistant City Attorney
JMK:cp Cityatt/John/ParkCemetaryHerh.Con tract
April 12, 1999
LESTER HUMPHRY PEST CONTROL
By: 7�
Name: r1
Title:
Herbicide Contract, City of Lubbock & Lester Humphry Pest Control, Inc.
City of Lubbock
Unit Pricing for Contract
Pre -Emergent Herbicide Application
ITEM #
PARK
ADDRESS UNIT COST
1
Civic Center
9th & Ave. P
2
Walk of Fame Fountain
8th & Ave Q
3
Patterson Library
1836 Parkway Dr.
4
Groves Library
5520 19th
5
University Medians
University - 4th to 50th Streets
6
Indiana Medians
Indiana - I9th to 34th Streets
7
Atzlan
1st & Ave K
8
MLK Median
MLK - 2200 & 2300 Block
9
Guadalupe
2"d & Ave P
to
Pioneer
6th & Ave. T
I I
Butler
E. 4th & Zenith
12
Stubbs
36th & Ave N
13
Crow
91st & Belton
14
Woods
Erskine & Zenith
15
Higginbotham
I9th & Vicksburg
16
Huffman Athletic Complex
N. Loop 289 & Landmark Dr.
17
Rodgers
Amherst & Gary
18
Whisperwood
4th & Whisperwood Blvd.
19
Tennis Center
66th & Gary
20
Leftwitch
60th & Elgin
13
21
Andrews
76th Memphis
22
Stevens
75th & Slide
23
Jennings
73rd & Wayne
24
Berry
E. 36th & Cedar
25
Miller
S. Loop 289 & Memphis
26
Mackenzie Ball Fields (6)
Municipal Dr. & Park Road 18
27
Guadalupe Strip
l" & Ave 0
28
Hodges
Marshall & N. University
29
Hollins
1" & Vernon
30
Davies
N. Ave N & Clemson
31
Canyon Rim
Bates & Ave K
32
Sedberry
E. 10`h & Guava
33
Carter
N. Globe & N. Loop 289
34
Mae Simmons
E. 23'd & Oak
35
Washington
E. 22"d & Cedar
36
Carlisle
28`h & Ave X
37
Overton
14'h & Ave U
38
Hamilton
22"d & Ave X
39
Hood
23'd & Ave Q
40
Chatman
E. 29" & Juniper
41
Burns
23'd & Ave K
42
Ave X Triangles
16'' & Ave X
43
Rawlings
40" & Ave B
44
Maxey
30' & Nashville
45
Tech Terrace
23'd & Flint
14
46
Auditorium -Coliseum
4" & Boston
47
Hinojosa
7336 22"d
48
Carlisle Cemetery
7308 19"
49
Smith
15'h & Chicago
50
Mahon
29" & Chicago
51
Davis
40" & Nashville
52
Wheelock
40" & Elgin
53
Brownfield Triangle
Slide & Brownfield
54
Maeda
gen
1" & Boston
55
Elmore
66'h & Quaker
56
Kastman
Joliet & S. Loop 289
57
Rushing
82"d & Memphis
58
Long
56°" & Aberdeen
59
Guy
87 h & Memphis
60
Ratliff
50`h & Chicago
61
Hoel
84`h & Chicago
62
Dupree
58`h & Toledo
63
Huneke
82"a & Nashville
64
Regal
81) & Gardener
65
Ribble
62"a & Temple
66
McCullough
88'h & Flint
67
Buddy Holly Center
19`h & Ave G
PARKS TOTAL COST
15
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
CITY OF LUBBOCK CEMETERY
Block 1
Block 2
Block 3
Block 4
Block 5
Block 6
Block 7
Block 8
Block 9
Block 10
Block I
Block 12
Block 13
Block 14
Block 15
Block 16
Block 17
Block 18
Block 19
Block 20
Block 21
Block 22
Block 23
Block 24
16
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
Block 25
Block 27
Block 29
Block 30
Block 33
Block 35
Block 36
Block 37
Block 38
Block 39
Block 40
Block 44
Block 45
Block 46
Block 47
Block 48
Block 49
Block 50
Block 51
Block A
Block B
Block C
Block D
Section 1
Section 2
17
50
Section 3
51
Section 4
52
Section 5
53 Section 6 including Baby
Land & Undeveloped
54 Section C
55 Section G-1
56 Section G-2
57 Section G-3
58 Undeveloped Area W. of 44
59 Estates
CEMETERY TOTAL COST
I8
''fixh
M. L
4
LY
si mi�,J
40
11
'�X
r�1
Duties of HAZCOM Coordinator
The HAZCOM Coordinator or his/her designee needs to make sure the following
duties are performed
1. Ensure that the Hazard Communication Implementation Plan is implemented in your
department
2. Prepare a workplace chemical list with each hazardous chemical present in the work
area that exceeds 55 gallons or 500 pounds on any day during the year.
a- Date the list was prepared
b. Signature of the individual who prepared the list
C. Chemical name(s)
d. Location where the chemical(s) is/are stored
3. Update the chemical list upon receipt of a new chemical that exceeds 55 gallons
and/or 500 pounds by December 31 of each year.
4. Obtain and maintain on file, a MSDS for every hazardous chemical in your work area.
Train employees on how to access the MSDSs.
5. Review all MSDSs annually. Contact manufacturer/distributor for any chemical more
than 2 years old to determine if the information is correct and up-to-date for that
chemical. (Rubber stamp MSDS with date it was checked)
6. All hazardous materials must be labeled.
a. The chemical name (as it appears on the MSDS).
b. Physical and health hazards, and target organs.
C. Manufacturer's name and address
3. Provide information on potentially hazardous substances contained in unlabeled
pipes.
a. The hazardous substance in the pipe.
b. Potential hazards.
C. Safety precautions to be taken. ffe
3. Provide annual training for employees
`—.
4. Train all new employees before they begin working in the area that contains
hazardous chemicals.
5. Document all HAZCOM training.
a. Date of training.
b. Roster of employees in attendance.
C. The subjects covered.
d. Name of instructor(s).
3. Post the most current version of the THCA "Notice to Employees" in proper location
and make sure it.remains visible and unobstructed at all times.
4. Inform the employees of your department of the rights afforded to them by the Texas
Hazard Communication Act (THCA).
5. Train, document and record all training conducted with contracted employees on
hazards specific to that department
6. Obtain from the contractor a signed document acknowledging what was
communicated to the contractor representative regarding hazardous chemicals present
in the buildings in which they work.
7. Acquire and make available to employees, Personal Protective Equipment
appropriate for the hazards in that workplace.
S. Periodically conduct self -inspections to make sure department is in compliance with
the law. (check for labeled containers, MSDSs, training records, PPE)
9. Authorize the purchase of hazardous chemicals with petty cash. Make sure to keep the
MSDS for any chemicals purchased.
The Material Safety Data
Sheet �s your guide to
This hazard communication tool gives details on chemical and physical
dangers, safety, procedures, and emergency response techniques.
Everything that is known about the chemical is here. Each department must
have one for every chemical and hazardous product in the workplace. It
provides additional information which cannot easily be put on a label.
Read the MSDS before you start a job. That way you will be Prepared.
Material Safety Data ee
Section I Identity
Who makes the product
Address
Emergency Phone
Date Prepared
Section 2 Hazardous Ingredients/Identity Information
Components
Common Names
Exposure Limits
Chemical ID
Section 3 Physical and Chemical Characteristics
Boiling Point
Vapor Pressure
Vapor Density
Melting Point
Evaporation Rate
Water Solubility
Appearance and odor under normal conditions
Section 4 Physical Hazards
Fire and Explosion
Firefighting Equipment and Procedures
Section 5 Reactivity
Stability of Substance
What Substance Reacts To
Section 6 Health Hazards
How the chemical can enter the body
Inhalation
Through the skin
Swallowing
Health hazards resulting from exposure
Signs and symptoms of exposure
Eye irritation Headaches
Nausea Dizziness Skin rashes
atena a ety Data Sheet
Section 7 Precautions for Safe Handling and Use
What to do if substance spills or leaks
How to dispose of the substance
Equipment and procedures needed for cleaning up spills and leaks
How to handle the substance properly
How to store it
Any other precautions
Section 8 Confrol Measures
Control measures to reduce harmful exposure are listed in this section.
You will find out what type of
Respirator
Gloves
Eye protection
Protective clothing
Ventilation
To use when handling that particular chemical.
Section 9 Other Regulatory Controls
Section 10 Transportation (D.O.T. Classification)
What goes on the labels?
Every container of hazardous chemicals is labeled by the manufacturer. The actual
format will differ from company to company, but the labels must contain similar types of
information. That makes it easy to find out at a glance about the chemical's possible
hazards, and the basic steps you can take to protect yourself against those risks. The label
may use words or symbols to tell you:
1. Common name of the chemical.
2. Name, address, and emergency
phone number of the company
that made or imported the chemical.
3. Signal Word. In order of seriousness,
signal words are ranked: danger, warning, caution.
4. Principal hazards: The physical hazards
(Will it explode or catch fire? Is it reactive?)
The health hazards (Is it toxic? Could it cause cancer?
Is it an irritant?)
5. Precautionary measures, including basic protective
clothing, equipment, and procedures that are
recommended when working with this chemical.
6. First -aid instructions.
7. Proper handling and storage instructions.
8. Special instructions concerning children.
1. Chemical Stuff
2. Made by: ABC Chemical Co.
Somctown. USA
Emergency Phone 1 800 555 1111
3. Danger
4. Flammable, may cause liver
if inhaled or ingested
i. Use only in well ventilated room
i. First Aid — Get victim into fresh
fir and get medical help
mmediately.
►. Avoid contact with ACIDS.
t. Keep out of reach of children.
A lot of vahasbie_ in&ir tioa can be found oi the IabeC But if you don't
find everything yo>Ir ncet� � i� to the MSDS
ff a container you are. handling has no label, notify your supervisor and
ask for instructions:
*-�4
q
�C=40-
Emergencies and First Aid
Respond quickly. Always be ready for an emergency.
Know the location of the nearest emergency and first aid equipment, including eye
washes and emergency showers.
Be aware of those employees in your workplace or nearby who have special emergency
training or skills such as CPR.
Know emergency phone numbers and the location of medical help. Post this information
in the workplace.
Be able to tell emergency personnel the exact name of the chemical(s) involved and to
provide them with an MSDS.
FIRE: Never try to put out a fire unless you know what substance is involved and how to
extinguish that type of fire. Remember that some materials become toxic when they burn.
Evacuate the area and get help.
UNCONSCIOUSNESS: Before entering an area to help an unconscious person, make
sure that you will not be in danger from hazardous substances or inadequate oxygen.
Respirators and lifelines may be needed, and should only be used by individuals trained
in their use. Many respirators only provide protection for particular hazardous substances
and may not be adequate for all situations. If you are able to enter the area safely, remove
the victim to fresh air immediately. Give artificial respiration, if appropriate, and get
medical personnel. If the victim's eyes or skin are contaminated, flush with running water
if you know the contaminant is not water reactive. Remove any contaminated clothing.
Call for help.
VAPORS: If you work with chemicals, be aware of warning symptoms of overexposure
to hazardous vapors. Get fresh air immediately if you sense a burning or irritation in your
nose, throat, or lungs; have difficulty breathing; feel weak, dizzy, or nauseous; or notice a
strong odor. Close containers; open windows; turn on hoods or other ventilation. If these
measures don't help, leave the area.
EYE CONTACT: Flush your eyes immediately with running water unless the chemical
is water reactive. Use an emergency shower or any other available source of water -eye
wash, sink, fountain, or hose. Hold your eyelids apart and roll your eyeballs. Do not use
ointments or salves, which may be dangerous. Continue flushing for at least 15 minutes.
Contact lenses should always be removed before flushing. Get immediate medical
attention.
SKIN CONTACT: Drench your clothing and skin thoroughly with plenty of water. Use
any available source of water, even a faucet, fountain, or hose. Remove contaminated
clothing while drenching it, and continue to flush skin with water for at least 15 minutes.
Get medical attention.
SPILLS: In case of a large solvent or corrosive spill, evacuate the immediate area, but
don't leave the material unattended. With solvents, don't smoke, and remove sources of
ignition. Don't flush with water. Call for help.
WRITTEN HAZARD COMMUNICATION PROGRAM
TABLE OF CONTENTS
I. POLICY STATEMENT REGARDING HAZARD COMMUNICATION
3
H. HAZARD COMMUNICATION IMPLEMENTATION PLAN
4
A. Workplace Chemical List
4
B. Material Safety Data Sheets (MSDS)
4
C. Container Labeling
5
D. Employee Training
6
E. Other Implementation Procedures
7
1. Reporting Injuries
7
2. Employee Notice
7
3. Employee Rights
8
4. Contractor Hazard Communication
8
5. Personal Protective Equipment
9
6. Department Self Inspection
9
7. Purchase of Hazardous Materials
9
III. TRAINING OUTLINE
11
A. Hazard Communication 11
B. Hazardous Chemical Identification 11
C. Material Safety Data Sheets (MSDS) 12
D. Container Labeling 13
E. Personal Protective Equipment 13
F. Responding to an Emergency 14
G. HazCom Quiz 15
APPENDICES
AppendixA
Workplace Chemical List
Appendix B
Letter Requesting MSDS
Appendix C
Chemical Label
Appendix D
HazCom Training Log
Appendix E
Notice to Employees
Appendix F
HazCom Departmental Self -Inspection Checklist
Appendix G
Hazard Communication Training for
Contractors/SeasonaVl'emporary Workers
Appendix H
Contractor Acknowledgment of Hazard Communication
Appendix I-
Chemical Spill Plan
Revised: March '98 2
I. POLICY STATEMENT REGARDING HAZARD
COMMUNICATION
In the normal course of serving the citizens of Lubbock, employees of the City of
Lubbock are routinely asked to use hazardous materials. Providing a safe work
environment far City of Lubbock employees is an organizational priority. In order to
ensure safe handling of hazardous materials, it is the policy of the City of Lubbock to
communicate to our employees and contractors the hazards of those materials and the
precautions they must take to protect themselves via our comprehensive Written
Hazard Communication Program. The Written Hazard Communication Program
will include information about:
Workplace Chemical List
Material Safety Data Sheet (MSDS)
Container Labeling
Employee Training
Other Implementation Procedures
Each department of the City of Lubbock will designate an employee as their Hazard
Communications Coordinator. That employee may be someone already selected to be
the department Safety Coordinator. The Hazard Communication Coordinator will
ensure that the Hazard Communication Implementation Plan, found in Section II of
this document, is implemented in their department. It is the responsibility of eveLy
City of Lubbock employee to follow all established safety policies and procedures,
and to notify supervisory personnel of unsafe work conditions.
Hazard Communication is the law! The success of the City of Lubbock Written
Hazard Communication Program depends on the commitment of management and
employees to understand, and implement the program in each department.
Revised: March '98 3
H. HAZARD COMMUNICATION IMPLEMENTATION PLAN
The following plan describes how compliance with the Texas Hazard Communication
Act (THCA) will be achieved in the City of Lubbock. The Hazard Communication
Coordinator in each department, or his/her designee, will be responsible for
implementing this plan in their work area.
A. WORKPLACE CHENUCAL LIST
A workplace chemical list will be prepared for each department listing each
hazardous chemical present in the work area that exceeds the quantity of 55
gallons or 500 pounds on any one day during the year. "Hazardous Chemical"
means any element, chemical compound or mixture of elements and/or
compounds which is a physical hazard or health hazard as defined by the
OSHA standard in 29 CFR Section 1910.1200 (3) or (d). This list will
include:
1. Date the list was prepared.
2. Signature of the individual who prepared the list.
3. Chemical name(s). (name as it appears on the label and MSDS)
4. Location where the chemical(s) is/are stored.
(.Note: Appendix A is provided as a template for your workplace chemical list.)
The workplace chemical list will be updated, immediately upon receipt of a
new chemical that exceeds the 55 gallon and/or 500 pound threshold, and by
December 31 st of each year. The workplace chemical list will be made
readily accessible and available to all employees or a verified employee
representative during the work shift in which it is requested. Each department
will maintain all workplace chemical lists for at least 30 years.
B. MATERIAL SAFETY DATA SHEETS (MSDS)
Each department shall obtain, and maintain on file, a MSDS for every
hazardous chemical in their work area. MSDSs will be readily available for
review during each work shift by all employees or a verified employee
representative. Employees will be trained on how to access the MSDSs.
Revised: March '98 4
All missing MSDSs will be requested in writing from the manufacturer or
distributor. Any hazardous chemical not having a corresponding MSDS will
be removed from service until the MSDS is received.
(Note: Appendix B is a sample letter that you may use to request MSDss from
manufacturers and suppliers
All MSDSs will be reviewed annually. For each MSDS in excess of 2 years
old, the manufacturer/distributor will be contacted to determine if the
information is the most current and up-to-date for that chemical. As
manufacturers/distributors are contacted, the MSDS should be "stamped"
identifying the date it was checked, who was contacted, and the name of the
city employee who made the contact. (Rubber stamps designed for this
purpose are available from the Safety Department.) Any updated MSDSs
received from the supplier will be marked with receipt date and inserted in the
MSDS book. MSDSs for chemicals no longer used may be discarded.
C. CONTAINER LABELING
All hazardous materials must be labeled. The manufacturer's label must not
be intentionally removed, defaced or covered up. Where labels are
unintentionally damaged, or where the chemical is transferred to a portable
container, a new label will be immediately attached to the container that lists
the following information:
1. The chemical name (as it appears on the MSDS).
2. Physical and health hazards, and target organs.
3. Manufacturer's name and address.
(Note: Appendix Cis a photocopy of a self-adhesive fill -in -the -blank label available from
the City Warehouse.)
No employee shall be asked to work with a hazardous chemical from an
unlabeled container except from a portable container intended for the
immediate use of the employee who fills the container.
The Hazard Communication Coordinator must inform emolovees who work
around unlabeled pipes the following information regarding potentially
hazardous substances contained in the piping:
1. The hazardous substance in the pipe.
2. Potential hazards.
3. Safety precautions to be taken.
City Policy: All compressed gases including air compressors, must be
labeled with the words: Caution: Compressed Gas.
Revised: March '98 5
D. EMPLOYEE TRAINING
All City of Lubbock employees will be trained in Hazard Communication. In
accordance with City policy, employees who are routinely exposed to
hazardous chemicals while performing their job duties, must receive annual
Hazard Communication refresher training. The training will include, at a
minimum, the following:
1. Information on interpreting labels.
2. Information on interpreting MSDSs.
3. The relationship between labels and MSDSs.
4. The location of hazardous chemicals in the work areas.
5. The acute and chronic health effects of hazardous chemicals in the work
areas.
6. Safe handling of hazardous chemicals in their work areas.
7. Proper use of personal protective equipment (P.P.E.)
8. First aid treatment to be used with respect to the hazardous chemicals in
their work area.
9. General safety instructions on handling, clean-up procedures, and disposal
of hazardous chemicals.
This training will be provided to each employee before they begin working in
an area that contains hazardous chemicals. Additional training will be
provided to employees when:
1. They are new or newly assigned to that work area.
2. The potential for exposure to hazardous chemicals changes.
3. When new chemicals are brought into the work area.
All Hazard Communication training will be documented. A record of each
training session will include the following:
1. Date of training.
2. Roster of employees in attendance.
3. The subjects covered. (See items 1-9 above.)
4. Name of instructor(s).
Revised: March'98 6
(Note: Appendix D is a form that may be used to document Hazard Communication training.)
Training records and instructor notes must be maintained on file in the
department for a minimum of 5 years. A copy of each training record must be
sent to the Safety Department.
Hazard Communication training may be supplemented by viewing a
videotape. However, viewing a videotape on Hazard Communication only
will not be considered adequate training. Information regarding the specific
hazards at your worksite must be presented, including a time reserved for
question and answer and open discussion.
All City of Lubbock employees who are designated and authorized by
their departments to respond to emergencies involving hazardous
chemicals must be provided additional training on how to recognize,
evaluate, and control exposures to the chemicals.
E. OTHER IMPLEMENTATION PROCEDURES
1. Reporting Fatalities and Injuries
According to the Cite Safety and Loss Prevention Manual, upon
sustaining an on-the-job injury, including those resulting from
chemical exposure, the employee or supervisor must report the injury
to the Safety department immediately. A Personal Injury Investigative
Report must be completed and submitted to Safety within 24 hours of
the accident or injury. The City of Lubbock Risk Manager will be
responsible for reporting to the Texas Department of Health, within 48
hours of occurrence in accordance with THCA, all employee accidents
involving chemical exposure or asphyxiation that are fatal to one or
more employees, or results in the hospitalization of 5 or more
employees. That report shall include the circumstances of the
accident, the number of fatalities, and the extent of any injuries.
2. Employee Notice
The Hazard Communication Coordinator for each department will be
responsible for posting, in location where employee notices are
normally posted, the most current version of the THCA "Notice to
Employees". This notice must remain visible and unobstructed at all
times.
Revised: March *98 7
(Note Appendix E is a copy of the current THCA "Notice to Employees " in
English and Spanish. These maybe photocopied and posted as needed.)
3. Employee Rights
The Hazard Communication Coordinator is responsible for informing
the employees of their department the rights afforded to them by the
Texas Hazard Communication Act (THCA). All employees have a
"right to know", according to law, about chemical hazards in the
workplace. Those rights include:
• Access to a workplace chemical list.
• Access to a MSDS for all hazardous chemicals in the workplace.
• A right to be trained about chemical and physical hazards in the
workplace, including the possibility for accidental exposures, and
measures they can take to protect themselves from those hazards.
• A right to appropriate personal protective equipment (P.P.E.)
• A right not to be discriminated against, disciplined, or discharged
for filing a complaint or participating in an investigation of
potential violations of the THCA.
• An employee may not waive their rights under the THCA.
• Special arrangements must be made by the Hazard Communication
Coordinator to interpret Hazard Communication information to
those individuals who, because of illiteracy or language barrier, are
unable to access those materials.
4. Contractor Employee Hazard Communication
All contractors must agree to comply with all requirements of the
Texas Hazard Communication Act (THCA) and the OSHA Hazard
Communication Standard while on City of Lubbock property. The
Contractor and/or Placement Agency will provide basic Hazard
Communication training to their employees according to the
requirements of the law. Contractors will be responsible for informing
their employees of hazardous materials present in their work areas,
training of their employees, and furnishing all required personal
protective equipment.
Any employee supervised by a City of Lubbock employee, even if
referred by and/or paid by an agency or contractor, must be
provided training by the City department before beginning work.
Revised: March *98 8
The Hazard Communication Coordinator for the department in which
the contractor employees are assigned will be responsible for
providing Hazard Communication training specific to the hazards
associated with working in that department. All training must be
documented and recorded according to this Implementation Plan.
(Note Appendix G is an outline that may be used as an abbreviated training
guide for training contractor/ seasonaU temporary employees placed with
the City through an Agency.)
All contractors will be informed of the hazardous chemicals present in
the buildings in which they work. They will be shown the storage
location and given access to the MSDSs and workplace chemical lists
for that department. The Hazard Communication Coordinator will
obtain from the contractor a signed document acknowledging these
items were communicated to the contractor representative.
(Note: Appendix H is a form that may be used for Contractor Heard
Communication Acknowledgment)
All contractors who bring hazardous chemicals on to City of Lubbock
property must provide a current MSDS for each chemical and an
inventory of all chemicals brought on site. These documents must be
accessible to the Hazard Communication Coordinator and City of
Lubbock employees.
5. Personal Protection Equipment (P.P.E.)
Personal protective equipment shall be provided by departments and
used by employees if the potential for occupational exposure remains
after instituting engineering and work practice controls, or if such
controls are not feasible.
The Hazard Communication Coordinator for each department is
responsible for acquiring and making available to employees, P.P.E.
appropriate for the hazards in that workplace. The P.P.E. must be kept
in good condition, stored in a sanitary fashion, and inspected regularly
for functionality.
Revised: March '98 9
6. Department Self -Inspection
The Hazard Communication Coordinator for each department will be
responsible for a periodic departmental self -inspection to determine
compliance with this policy and the law. Those inspections should be
performed at least annually, and include spot checking work areas for
chemicals with no MSDS, verifying proper labeling, confirming that
training has been completed according to City policy, updating the
workplace chemical list, inspecting P.P.E., and a complete review of
all Hazard Communication records.
(Noce: Appendix F is a Hazard Communication Department Self -Inspection
checklist that may be used as a guide for completing these inspections.)
7. Purchase of Hazardous Materials
All chemical purchases must be accompanied by a MSDS and be
labeled according to law. Employees may not use petty cash to
purchase any substance having a caution, warning, or danger label
without also receiving a MSDS at the time of purchase. In the event
that it is deemed necessary to buy hazardous materials with pem. cash,
the Hazard Communication Coordinator should issue advance
authorization, and the MSDS should be returned to the Coordinator
immediately following the purchase.
Revised: March '98 10
III. TRAINING OUTLINE
A. HAZARD COMMUNICATION: WHAT IS IT?
The Texas Hazard Communication Act, (the Act) Chapter 502 of the Health and
Safety Code, requires public employers to provide their employees with
information and training on hazardous chemicals. Hazardous chemicals are
loosely defined as any substance that has a warning, danger, or caution label.
The Act says that employees have a "RIGHT TO KNOW" what hazards they
face on the job, and how to protect themselves. Some of the rights that
employees have under the law include:
• Ready access to a Workplace Chemical List
• Ready access to a Material Safety Data Sheet (MSDS) for every chemical in your
work area
• Access to personal protective equipment (PPE) appropriate for your job
• You must not be required to work with chemicals in unlabeled containers (unless,
the contents are for immediate use)
• You have a right to this training according to the Act
• You have a right not to be discriminated against, disciplined, or otherwise
discharged for filing a complaint regarding potential violators of the Act_
• An employee may not waive their rights under the Act.
B. HAZARDOUS CHEMICAL IDENTIFICATION
• What are the hazardous chemicals in my workplace and where
are they located?
• What are the specific hazards associated with these chemicals?
• What are the precautions and protections available to us for
these chemicals?
Revised. March '98
C. MATERIAL SAFETY DATA SHEETS (MSDS)
• Where are they?
• What information do they provide?
• Manufacturer name and contact information
• Hazardous ingredients
• Physical/chemical characteristics
• Health hazard information
• Signs and symptoms of exposure-emergency/first aid
procedures
• Safe handling/waste disposal procedures
• Control measures - PPE requirements
• Why is this information necessary?
• Prepare you to safely work with a chemical
• Know the dangers
• Provide information in the event of an emergency spill or
exposure
• How are sheets arranged in the MSDS book?
• Alphabetically by chemical name, manufacturer, raw
material, etc.
Practice finding and reading an MSDS
Revised: March '98 12
D.
E.
CONTAINER LABELING
• What is required to be on a label of a chemical container?
Chemical Name
Physical and chemical hazards and target organs
Manufacturer name and address
• What do I do if there is improper labeling or no label at all?
Notify your Hazard Communication Coordinator
. What should I look for on a label?
Chemical name
Signal words — Danger, Warning, and Caution
Principal hazards
Precautionary measures - Personal Protective Equipment
First aid information
Proper handling and storage
No employee must be asked to work with a hazardous
chemical from an unlabeled container, except from a
portable container intended for the immediate use of the
employee who fills the container.
Practice reading a label
PERSONAL PROTECTIVE EQUIPMENT
• What is P.P.E.?
Personal protective equipment
Steel toe boots
Goggles
Hard hat, etc.
Revised: March '98 13
• What hazardous chemicals in my work area require the use of
P.P.E.?
• What P.P.E. is available to me?
• Where is it stored?
• Should I be trained in the use of this equipment?
Yes
F. RESPONDING TO AN EMERGENCY
• How do I recognize a chemical presence or release?
What are some of the signs?
• Do we monitor for chemical releases in our work place?
• Do we have an emergency equipment and exit map?
Where is it?
• What do I need to know about first aid treatment with respect to
hazardous chemical exposure?
• What are some general safety instructions on handling cleanup
and disposal of hazardous chemicals?
• Do we have an emergency spill plan?
Yes
(See Emergency Spill Plan, Appendix I)
Revised: March '98 14
G. HAZCOM QUIZ
True False 1. MSDS stands for "Material Safety Dangerous Sheets."
True False 2. HazCom addresses the hazards associated with electricity.
True False 3. You, as an employee of municipal government, are exempt
from Hazard Communication laws.
True False 3. MSDSs contain three main categories of information.
True False 4. The only substances excluded from this law are drugs and
cosmetics.
True False 5. The three "signal words" on a chemical label are danger,
warnina and corrosive.
True False 6. An MSDS may contain information about personal protective
equipment that should be worn while using the product.
True False 7. An MSDS should be consulted only after an accident or
exposure has occurred.
True False 8. Office and administrative personnel do not need to know where
the MSDS book is kept.
True False 9. Some products used in the same way as a residential household
might use them, may be exempt from this law.
True False 10. After reading a label, it may be removed from the container.
True False 11. It is not necessary to report accidents involving chemical
exposures unless you feel sick at the time of the exposure.
True False 12. The rain in Spain falls mainly on the South Plains.
Revised: March'98 1s
Appendix A
WORKPLACE CHEMICAL LIST
(template)
WORKPLACE CHEMICAL LIST
(LIST OF HAZARDOUS MATERIALS STORED IN EXCESS
OF 55 GALLONS OR 500 POUNDS)
Department
Chemical Location
2.
3.
4.
5.
6.
7.
8.
9.
10.
Date of List
Signature:
HazCom Coordinator
Note: This list must be updated 1) as new chemicals are received in excess of the threshold
amounts, and 1) by December 31 of each year. This list must be maintained on file
in the department for 30 years.
Revised: March '98
Appendix B
LETTER REQUESTING MSDS
(form letter)
Revised: March'98
Date:
To Whom It May Concern,
As you know, the United States Hazard Communication/Right-to-Know laws require
employers to make available to their employees a current Material Safety Data Sheet (MSDS)
for all hazardous chemicals used in their workplace.
As part of the City of Lubbock's ongoing effort to comply with these laws, we respectfully
request a copy of the most current MSDS for the following chemicals manufactured and/or
distributed by your company:
Please send to:
City of Lubbock
P.O. Box 2000,
Lubbock, TX 79457
Attn:
Your assistance in this matter is greatly appreciated.
Sincerely,
Xc: MSDS book (filed under name of requested chemical)
Revised: March '98
Appendix C
Copy of a
CHEMICAL LABEL
(fill in the blank)
(Note: Alternative labels may be used if they contain, at a minimum, the information
on the fallowing example label.)
Revised: March '98
Appendix D
HAZARD COMMUNICATION TRAINING LOG
Revised: March '98
HAZARD COMMUNICATION TRAINING LOG
Department Location
Instructor
Topics (Circle all that apply)
Acute & Chronic Health Effects
Chemical Locations
Chemical Spill Cleanup & Disposal
Other Topics
Date of Training
Safe Handling Labeling
Chemical First Aid MSDSs
General Safety P.P.E.
* My signature indicates that I have received and understand the Hazard Communication
training specific to hazards associated with my jab.
EMPLOYEE NAME
EMP. NUMBER
SIGNATURE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
I
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
Employees listed have satisfactorily participated in Hazard Communication training per
City requirements. A copy of this training record must be forwarded to the Safety
Department and a copy maintained in the department file for 5 years.
Revised: March '99
. «.
Appendix E
NOTICE TO EMPLOYEES
(in English and Spanish)
Revised: March ' 98
� Q-10 cN�r�7�►�i��rara�.-�riir
The Texas Hazard Communication Act (revised 1993), codified as Chapter 502 of the
Texas Health and Safety Code, requires public employers to provide employees with
aecific information on the hazards of chemicals to which employees may be exposed in
the workplace. As required by law, your employer must provide you with certain
information and training. A brief summary of the law follows.
Employers must develop a list of hazardous
chemicals used or stored in the workplace in excess
of 55 gallons or 500 pounds. This list shall be
updated by the employer as necessary, but at least
annually, and made readily available for employees
and their representatives on request.
i , MATERIAL SAFETY DATA SHEETS
Employees who may be exposed to hazardous
chemicals shall be informed of the exposure by the
employer and shall have ready access to the most
current material safety data sheets, which detail
physical and health hazards and other pertinent
information on those chemicals.
Covered employees shall receive training by the
employer on the hazards of the chemicals and on
measures they can take to protect themselves from
those hazards, and shall be provided with
appropriate personal protective equipment. This
training shall be provided as needed. Employers
shall also provide training to new or newly assigned
employees before the employees work with or in a
worst area containing a hazardous chemical.
Employees shall not be required to work with
hazardous chemicals from unlabeled containers,
except portable containers for immediate use, the
contents of which are known to the user.
The following chemicals. are exempt from coverage
by this act: articles that do not normally release
hazardous chemicals, food, drugs, cosmetics,
hazardous waste, tobacco and tobacco products,
wood or wood products, consumer products used
in the same manner as normal consumer use, anc
radioactive waste.
Employers must report to the department within 4E
hours the occurrence of a chemical accident tha-
results in one or more -employee fatalities or result
in the hospitalization of five or more employees.
EMPLOYEE RIGHTS
Employees may file complaints with the Texas
Department of Health at the toll free number below
and may not be divharged or discriminated &gains
in any manner for the exercise of any right_
provided by this act.
EMPLOYERS MAY BE SUBJECT TO ADMINISTRATIVE PENALTIES
AND CIVIL OR CRIMINAL FINES RANGING FROM $50 TO $100,00C
FOR EACH VIOLATION OF THIS ACT.
Further information may be obtained from:
Texas Department of Health 1-800-452-2791
Toxic Substances Control Division
.-iazard Communication Branch (512) 834-6603
1100 West 49th Street
Austin, Texas 78756 This r4tict is sub�ea to approval by the'Texu Board of Health
12/9b
La ley de comunicaci6n de Peh9ros de Texas (revisada en 1 993); codificada como Capitulo 502 de el
idigo de Seguridad de Salud de Texas, requiere que los empleadores publicos proveen a trabajadores con
„Iformacion especifica sobre los peligros de quimicos a los cuales los trabajadores pueden ser expuestos
en el lugar de trabajo. Como es requerido por ley, su empleador debe de proveerle con cierta informaci6n
y capacitaci6n. Un breve resumen de la ley sigue:
Los empleadores deberan desarrollar una lista de los
quimicos peligrosos que se usan o se guardan en el lugar
de trabajo en exceso de 55 galones o 500 libras. Esta
lista debe de tener toda la information al corriente segun
vaya siendo necesario o por to menos una vez al ant y
ser disponible para los trabajadores cuando ellos to
requieran.
Los trabajadores deben de ser informados sobre el
posible riesgo de estar expuestos a quimicos
potencialmente peligrosos, por medio de las hojas de
informaci6n de seguridad sobre materiales peligrosos
que el empleador deberA de proveerles.
Si los recipientes que contienen quimicos no tienen una
hoja de informaci6n donde explica que contenido tiene
el recipiente, el trabajador no debera de ser requerido a
usar quimicos no 1dentificados. Una exceYci6n es el use
inmediato de los recipientes portatiles los cuales el
trabajador tiene conocimiento del contenido.
No es requerido por esta ley el proveerle con
informaci6n o protecci6n sabre los siguientes quimicos:
articulos que normalmente no expiden quimicos
peligrosos, alimentos, drogas, cosm6ticos, desechos
peligrosos, tabaco y productos de tabaco, madera y
produetos de madera, produetos de consumidor usados
erg la misma manera que normalmente se usan en el
hogar y desechos radioactivos.
Los empleadores deberan de reportarle al Departarnento
Los trabajadores que pueden ser expuestos a quimicos de Salud de Texas, dentro de 48 horas sobre el
peligrosos deberan de recibir capacitaci6n de su accidente de qufmico ocurrido con el resultado de una o
empleador sobre los quimicos peligrosos y sobre las m6s fatalidades de trabajadores o la hospitalizaci6n de
medidas de protecci6n que deben de tomar para poder cinco o m6s trabajadores.
protegerse de estos peligros. Los trabajadores deberan D aS DEL . , . <
JADOR
de ser previstos con equipo de protecci6n personal
apropiado. Esta capacitaci6n deberd de ser prevista E1 trabajador puede someter sus quejas a el
cada y cuando sea necesario. Los empleadores deberan Departamento de Salud de Texas, y no podr6 ser
de preveer capacitaci6n a Ios trabajadores nuevos o a despedido o descriminado de ning6na manera por ejercer
los trabajadores reci6n asignados antes de que el los derechos que se proveen por medio de 6sta ley.
trabajador comience a trabajar con o en una 6rea de Pueden Ilamar sin costo alguno al numero que se
trabajo que contenga quimicos peligrosos. encuentra abajo.
EL EWI LEADOR PUEDE SER SUJETO A PENAS MILES 0 CRiMINI ALES DESDE S50 A $100,000 DOLARES POP,
CADA V70LACION DE ESTA LEY.
Para cbtener mas information puede llamar o escribir al:
Texas Department of Health 1-800-452-2791
Toxic Substances Control Division
hard Communication Branch (512) 834-6603
t lC i Wma 49th Street
Austin, Texas 78756
12/96
Este aviso esti sujeto a aprobac:6n por cl Carnsejo de Salud de Tcaxs
Appendix F
DEPARTMENT SELF -INSPECTION CHECKLIST
Revised: March `98
HAZARD COMMUNICATION: Department Self -Inspection Checklist
HazCom Coordinator Department Date of Inspection
A. Material Safety Data Sheets (MSDS)
1. Spot check your work area for MSDSs on 4 or 5 randomly selected chemicals. (Lookfor
materials such as vendor samples, things brought from home, "Wal-Mart" purchases.)
2 Request any missing MSDSs from the supplier in writing. (Keep a copy of the letter in
place of the missing AEDS.)
B. Chemical labeling
1. Spot check your work area for unlabeled chemical containers. (Look for spray bottles,
pump -up sprayers, cans where the paper label has fallen off.)
2. Chemical labels must include the following:
Chemical name
Manufacturer name and address
Physical and chemical health hazards
C. Training
l . Make sure all employees have signed a document verifying they have received HazCom
training..Annual training is required for employees. (Conduct a training session for those
who have not received training.)
2. Training documentation must include:
Subject (Refer to appendi_Y D for a list of topics)
Date
Instructor
Names of those attending the training
3. Make sure all newly assigned or transferred employees receive HazCom training as part
of their department orientation. (Document training)
D. Miscellaneous
1. Maintain the Workplace Chemical List in the MSDS book of all chemicals stored on any
one day in excess of 55 gallons and/or 500 pounds. (Add new chemicals that exceed these
thresholds).
2. Make sure an up-to-date copy of the "Notice to Employees," poster in English and Spanish
is visible to all employees on a bulletin board.
3. Monitor proper storage of hazardous chemicals
Flammables stored in flammable cabinets
Incompatible materials stored separately
4. Acquire and make available any Personal Protective Equipment (PPE) required for the job.
Make sure PPE is maintained clean and in good condition.
5. Take note of any food or drinks stored in chemical storage areas. Advise employees
against this practice.
Note: The City of Lubbock Written Hazard Communication Program requires that each department designate a
Hazard Communications Coordinator. That individual, or their designee, should perform a self -inspection,
using this form, every 4 months. The results of those inspections should be discussed at safety meetings.
Revised: March ' 98
Appendix G
HAZARD COMMUNICATION FOR CONTRACTOR /
TEMPORARY / SEASONAL WORKERS
(training outline)
Revised: March ' 98
HAZARD COMMUNICATION TRAINING OUTLINE
FOR CONTRACTORS/SEASONAL/TEMPORARY WORKERS
The following information should be presented to all new and newly assigned employees,
full-time and part-time, temporary and seasonal. This includes temporary workers placed
by employment agencies. The training should be held during a new employee orientation
and provide general information regarding Hazard Communication laws. This information
will then be supplemented with site -specific hazard communication training by a worksite
supervisor once the employee is assigned to a department.
Employee rights under the law, including, but not limited to:
A right to this training (hazard communication)
Rights to ready access to
1. A Workplace Chemical List
2. A Material Safety Data Sheet for every hazardous chemical in their work area
3. Personal Protective Equipment (PPE) appropriate to their job
A right to work with chemicals in properly labeled containers
• Definitions of
Hazard Communication
Workplace Chemical List
Material Safety Data Sheet
Personal Protective Equipment
• What information is on a MSDS and how to read it?
• What information is on a properly labeled container?
• The relationship between MSDSs and container labels
• Site -specific training should include the following:
the storage location of chemicals and their MSDSs
the acute and chronic health effects of each chemical
specific first -aid training
safe handling
clean-up and disposal procedures for each hazardous chemical.
According to law, a record of this training should be maintained for a minimum of 5 years.
That record should include a list of those attending the training, the instructor's name, date of
training, and the specific subjects discussed. All employees, once they understand and feel
comfortable with the information provided, are required to sign the Hazard Communication
Training Log confirming that they have received the training.
Revised: March '98
Appendix H
CONTRACTOR ACKNOWLEDGEMENT OF HAZARD
COMMUNICATION
(fill in the blank)
Revised: March '99
CONTRACTOR ACKNOWLEDGMENT
OF HAZARD COMMUNICATION
I have been informed of the presence of hazardous materials on the City of
Lubbock premises, and of the
location of the corresponding Material Safety Data Sheets (MSDS).
I agree to provide MSDSs for all hazardous materials brought on City of
Lubbock property, and will remain in compliance with the OSHA Hazard
Communication Standard and all other applicable safety standards while on
City of Lubbock property.
Date
Contractor signature
Printed name
Firm
Revised: March ' 98
Appendix I
CHEMICAL SPILL PLAN
(Note: For those departments who are required by state and federal law to have emergency
response and spill plans, the following chemical spill plan does not apply.)
Revised: March '98
CHEMICAL SPILL PLAN
I. Small Spill - less than 20 gallons contained on an impervious surface (concrete, etc.)
• Attend to Injured
• Notify the Hazard Communication Coordinator at #
• Turn off any ignition and heat source
• Consult MSDS for clean up instructions and hazard precautions
• Wear appropriate Personal Protective Equipment
• Contain spill with absorbent materials, sandbags, "snakes", "pigs", etc.
• Overpack leaking containers
• Clean up contaminated area
• Dispose of residues according to law
lI. Large Spill - 20 gallons or more, or any spill that threatens surface waters (playa lake),
ground water, or sanitary or storm sewer systems, or any "extremely hazardous
substance" spill. (Consult Texas Tier Two list)
• Call 911
• Attend to injured
• Notify the Hazard Communication Coordinator at #
• Turn off any ignition or heat source
• Consult MSDS for clean up instructions and hazard precautions
• Wear appropriate Personal Protection Equipment
• Contain spill with absorbent materials, sandbags, "snakes", "pigs", etc.
• Overpack leaking containers
• Contact the following-
1 } TNRCC Emergency Response Team
796-7092 8 - 5 Mon. - Fri.
(800) 695-2337 after hours (enter #20770 at prompt)
2) National Response Center (800) 424-8802
Location of:
First Aid Kit
Spill Containment Materials
Emergency Exit Map
Revised: March '98
Appendix J
NEW EMPLOYEE SAFETY BRIEFING FORM
Revised: March ' 98
NEW EMPLOYEE SAFETY BRIEFING
(Full-time, Part-time, Seasonal, Temporary)
Employee Name Hire Date
Department Employee Number
TOPIC Date Initials
HAZARD COMMUNICATION TRAINING (First Day on Job)
MSDSs Acute & Chronic Health Effects
Labeling Chemical Locations
P.P.E. Chemical Spill Cleanup & Disposal
Safe Handling Chemical First Aid
General Safety Other
CITY SAFETY MANUAL Reviewed
DEPARTMENT SAFETY MANUAL Reviewed
DEFENSIVE DRIVING CLASS Scheduled (if applicable)
CDL - DOT TRAINING Scheduled
ADVISEMENT OF DISCIPLINARY ACTION for Personal Injury
and Motor Vehicle Accidents (PPG 5.02-5.04)
This employee has received Hazard Communication Training and Safety
Manual Training. Other training classes are scheduled as noted above.
Supervisor's Signature
Employee's Signature
Date
Date
Hazard Communication and Safety Manual Training are to be completed
the employee's First day on the job. All other training is to be scheduled.
Please return this form as soon as completed to
Human Resources, Room 104, Municipal Building.