Enter your name:

Enter your email address:

Enter your Department name:

Enter your Phone Ext:

Enter Applicable Job Classification:

Enter Numerous Names in Classification (that this category applies to):

The following potential employee exposure hazards have been identified by the person named above.

Acrylonitrile (8CCR 5213)

Animals (No Specific Regulation but NIH modeled program)

Asbestos (8CCR Section 5208)

Benzene (8CCR Section 5218)

Blood borne pathogens (8 CCR Section 5193)

Carcinogens (8 CCR Section 5209)

Dibromo Chloropropane (GISO, Title 8, Section 5212 and 29 CFR 1910.1044)

Divers (8 CCR Section 6053)

Ethylene Dibromide (GISO Title 8, Section 5219; NIOSH 77-221)

Ethylene Oxide (8 CCR Section 5220)

Formaldehyde (8 CCR Section 5217)

Lead (8 CCR Section 5216)

MBOCA (GISO, Title 8, Section 5215)

Methylene Chloride (8 CCR Section 5202)

Noise (8 CCR Section 5097)

Pesticides (GISO, Title 26, Section 3-6000.4)

Respirators (8 CCR Section 5144)

Vinyl Chloride (8 CCR Section5210)