HomeMy WebLinkAboutBUSINESS PLANGENERAL OFFICES
June 12, 1989
Director
Hazardous Materials Unit
Bakersfield City Fire Dept.
2130 "G" Street
Bakersfield, CA 93301
RE:
P.O. 90X 54143 · LOS AOSEI.~$, CAL, I~ 90054
Telephone (213) 637-1101
RECEIVED
JUN 1 4 1989
H&? MAT. DIV.
Annual Information Update
Account No. HM-01234
Dear Director,
I have attached the facility information pertaining to our
Bakersfield Store, as requestd by Technician Duane Meadows during
his visit.
I especially appreciate your departments continued support and
program development in this area of common concern, especially in
field of consumer packaged products.
Please do not hesitate to contact me, if I can be of any
additional assistance.
Sincerely,
Safety Administrator
Ralphs Grocery Company
4550 Colorado Blvd.
Los Angeles, CA 90039
(818)502-5615
cc: Jim Carrado
/attachments
q~ B,4 ;dER 3FI£L D
"11'£ C. qRE"
David E. Hansen
~ %,v~e or Drin~ name
Do hereb7 o=-~. f}- that i have reviewed the
attached Hazardous Haterials business Dian
for Ralphs Grocery Co. Store ~118 - Bakersfield
(name of business)
and that it alon.g with the attached additions
or corrections cons~ztute a complete and correct
Business mi
. ~an for mF
facilitF
March 29, 1989
cate
** Please note amended business name
Of B,4KERSF[ELD
"I~'E CARE"
DaVid E. Hansen
'name}
D'o hereb.'.,~ certifi that I have r'evie~,'ed the
attached
for
and
Hazardous Haterials business' plan
Ralphs Co. Store %118- Bakersfie_ld-
Grocery
.~~ame of business)
tha. t it alon.~ with the attached additions
.e'r co.rrections constitute a comDlete and correct
.... Business Plan for' my
facility.
March 29, 1989·
ciate
JUN
0 7 1989
Please note amended business, name~
Ralphs Grocery Co. #118 (Bakersfield)
~-,~,..:-~,..~,--~-, ,~-,~,-r ~.l-,~,-~,- ,~,-:,~. ~ ~ ~'~,-. ~ 'r'x i5~
....... . ................. ~ ....... lid ...... I.,_, NU ~ER 2 <~'_40-OJO1234
LOCATION 373'7 EDRLE }.WY ~/ HAZARD RR'I'ING Z
1, OVERVIEY
JURIS CODE
MAP PAGE 1OZ
LAST CHANGE 03/Z0/89 BY'ESTER
Z15-065 JURIS COUNTY STATION GS
GRID ZGA FACILITY UNITS 1 HAZARD RATING Z
RESPONSE SUMMARY
ZA SEC 4) STORE MANAGEMENT STAFF CAN HANDLE MINOR INCIDENTS SUCH AS CONStJMER
TYPE MATERIALS SPILLS. IN ALL CASES, LOCAL FIRE OFFICIALS WOULD BE
CALLED FOR ASSISTANCE.
EMERGENCY CONTACTS ZA SEC Z)
HENRY WINCKEL - 327-4587 OR 539-341Z
UTILITY SHUTOFFS ZR SEC 3)
A) GAS -.SW CORNER NEAR RECEIVING (EXTERIOR) B) ELECTRICAL - INTERIOR E
MEZZANINE EXTERIOR SE CORNER C) WATER - PIT VALVE IN GRASS MEDIAN IN FRONT
OF PARKING LOT O) SPECIAL - NONE 'E) LOCK BOX - NO
Z. NOTIFICATION / PUBLIC EVACUATION
- NO CHANGE FROM ORIGIONAL INFORMATION
LAST CHANGE / / BY SUBMITTED.
PLEASE REFERENCE ORIGIONAL INFORMATION PROVIDED IN RESPONSE TO
THE BAKERSFIELD CITY FIRE DEPTS., "BUSINESS PLAN - SINGLE FACILITY
UNIT - FORM 3A" ... ON FILE WITH THE CITY AS OF MARCH 1988.
SPECIFICALLY PAGE 3A ... SECTION 2 ... NOTIFICATION OF A MEDIUM
SPILL ... " etc. (A SECOND COPY HAS BEEN PROVIDED AS AN ATTACHMENT)
IN EVERY SITUATION, IT IS THE STORE DIRECTOR OR MANAGER OF
OPERATIONS WHO DETERMINS THE APPROPRIATE METHOD OF EVACUATION
NOTIFICATION INITIALLY. THIS MAY INCLUDE METHODS SUCH AS ORAL/VOICE
COMMANDS.
PAGE 1
03/ZO/8B 15:04
MATERIAL SAFETY DATA SYSTEMS, INC. (805> 648-6800
Ralphs Grocery Co. #118 (Bakersfield)
13U,SINESS NRME ~ [t] ,,lui~i .....
J. H~Z MAT TRAINING SUMMARY
- NO CHANGE FROM ORIGIONAL INFORMATION
' <"T ' ." BY SUBMITTED
,._~ CHI~NGE /
PLEASE REFERENCE ORIGIONAL MATERIAL SUBMITTED TO HAZ. MAT.
COORDINATOR.R.E. HUEY DURING SEPTEMBER 1988 AND ON FILE WITH
THE BAKERSFIELD. CITY FIRE DEPT. THIS MATERIAL SUPPORTED THE
FULL COMPLIANCE REQUIREMENTS AS OUTLINED WITHIN BAKERSFIELD
HAZ. MAT. BUREAU INSPECTION FORM ID% 1234 DATED 6/24/88
(COPY PROVIDED AS ATTACHMENT)
A COMPLETE COPY OF THE STORE WRITTEN HAZARD COMMUNICATION
PROGRAM IS ON FILE WITH MR. HUE OF THE BAKERSFIELD CITY FIRE
DEPT., HOWEVER I HAVE ATTACHED A SECOND COPY TO REPLACE THAT
WHICH IS APPARENTLY NOT AVAILABLE AT THIS TIME FOR YOUR REVIEW
FROM YOUR DEPARTMENT.
4. LOCAL EMERGENCY MEDICAL ASSISTANCE . - NO CHANGE FROM ORIGIONAL INFORMATION
LAST CHANGE / / BY SUBMITTED
PLEASE REFERENCE ORIGIONAL MATERIAL SUBMITTED TO THE BAKERSFIELD
CITY FIRE DEPT., WITHIN THE "HAZARDOUS MATERIALS BUSINESS PLAN AS
A WHOLE-FORM 2A" as of 3/21/88 ... PAGE 2A"
"SECTION 5 ... "
THE SPECIFIC CHOICE OF MEDICAL EVACUATION, WHEN APPROPRIATE IS
THAT OF THE STORE DIRECTOR OR MANAGER OF OPERATIONS BASED ON THE
SPECIFIC NEED AT THE TIME. WITHIN THE COMMUNITY THERE IS AN EXTENSIVE
SYSTEM OF EMERGENCY MEDICAL TRANSPORTATION AVAILABLE DEPENDANT UPON
THE VARIABLES OF A SITUATION.
STORE FIRST AID PROCEDURES AND EMPLOYEE TRAINING (WHEN DEEMED
APPROPRIATE) IS AT THE DISCRETION OF THE STORE DIRECTOR, BASED
ON THE STORE NEEDS IN SUPPORT OF 'THE COMMUNITY MEDICAL SUPPORT
AVAILABLE. THE STORE DOES HAVE ON SITE FIRST AID MATERIALS AND
EQUIPMENT.
PAGE Z
MATERIAL SAFETY DATA SYSTEMS, INC. (805) B48-G800
0J/ZO/S9 15:04
' Ralp~I~Grocery Co. 9118 (Bakersf~i~ld) ·
BUSINESS ~ ~ ~
LOCRTION 3737 IRC)SE[)~L.E HUY HIGH HRZ~IRD R~'T'ING 2
FhCILI.TY UNIT 01
'R. OVERfiLL. HRZRRDOUS Mf~TERIRLS INVENTORY
-:- . [.RST CHRNGE /
..
,ID . TYPE N~ME
LOC[~T I 0N' CONTRINMENT
/ BY
MAX RMT UNIT HAZARD
USE
B. FIRE PROTECTION / WATER SUPPLIES
LRST CHANGE 03/Z0/8~ BY ESTER
SEC 4) THE BUILDING IS FULLY SPRINKLERED WITH WATER FEED FROM PUBLIC MAINS.
TWO 8" RISERS SERVE A TYPICAL GRIO SYSTEM. SPRINKLER SYSTEM IS WET
TYPE WITH THREE OUTSIDE HYORANTS.
PRGE 3
. 031Z0/89 15:0~:.
MATERIAL SAFETY DATA SYSTEMS, INC. (805) G48-G800-
.~ · Ralph~imGr°cery Co.,'~118 (Bake,r..sf~i~d) c
": BUSIN'-E S AMF_- ': '
'~'~ - '-- HIgH H~Z~RO R~TING Z'
LOCR'FION .,3Z ROSEID~LE HUY
O. EMPLOYEE NOTIFICATION / EVACUATION
LAST CHANGE 8J/ZO/Ag BY ESTER
SEC. Z) NOTIFICATION OF A MEDIUM OR GREATER SPILL JIF HAZAROOUS MATERIAL WILL
BE TO THE FIRE DEPARTMENT VIA PHONE BY THE STORE OIRECTOR OR MANAGER'
OF OPERATIORS. WHEN NECESSARY AND IF DIRECTED BY THE FIRE DEPARTMEN[
THE STORE WOULO BE EVACUATEO (EMPLOYEES AND CUSTOMERS) 8Y THE STORE
OIREC"[OR OR MANAGER OF OPERATIONS.
E. MITIGATION / PREVENTION / ABATEMENT
LAST CHANGE 03/20/89 BY ESTER
3A'SEC 1) ALL HAZARDOUS MATERIAL IS STORED IN CONSUMER SIZE CONTAINERS, STORED
ON THE SALES FLOOR ON METAL SHELVING. ALL PRODUCTS, EXCEPT THOSE
USED FOR MINOR CLEANING, REMAIN IN ORIGINAL CONTAINERS RS RECEIVED
FROM THE MANUFACTURER. SPILL CONTROL PLANS INCLUDE ISOLATION'OP
MATERIAL WITH ABSORBENT MATERIAL, EVACUATION OF HAZARD (FUMES~ DUSTS
ETC..) POTENTIAL EVACUATION OF STORE AND PROPER DISPOSAL OF MRTERIR
IN All CASES OTHER THAN MINOR SPILLS, THE FIRE DEPARTMENT WILL BE
CALLED TO ASSIST.
PAGE 4.
'MATERIAL SAFETY DRTR SYSTEMS~ INC. (805> G48-G800
03/Z0/8B 15:04'
Farm and &ariculture ~ StBnderd Business
HAZARDOUS MATERIALS INVENTORY
NON--'I'RADE SECRETS
BUSINESS NAME: RALPHS GROCERY COMPANY OWNER NAME: RALPHS' GROCERY COMPANY NAME OF Tm§ FAcIr-ITY:BAKERSFIELD-II8
[OCaTZ0N: 3737 ROSEDALE HIGHWAY ADD~EsS]P-.O. BOX 54143 STANDARD IND. CLASS CODE 5411
CITY, ZZP:_BAKERSFIELD 93308 CITY, ZIP: LOS ANGELES 90054 DUN AND BRADSTREET NUMBER
PHONE *: %UUD) 327--4b~'! P.ONE #: (818) 502--5614 ~ ~ -3~ -- 2571
~ ~ Z~S~UCTZO~ FOR FROP~ COD~
(~e C~e ~t bt Est Units m Site ly~ Pr~8 Imp C~e ., Stor~ tn Facility ~ Inlt~tJm~
~-~ r--~ r--~ r--~ ~t 12 ~&C.A.S. ~
Hfil Ch of Pr~sure HN Ith
P~icel end Hfilth Hero~d C.A.S. ~ ~ - O~M ~t I1 Nm & C.A.S. ~
IC~k oll t~c apply) <3C ~ONI~ /N SOL,TI
Reactivity -- hle~ ~dm ROIHte I~lote~ ~.
Mu Ith of P~su~ HH Ith
Hep Ith of Pr~sure Hfilth
C~t 13 Nm i C.A.S. b~
P~ical ~ Hfilth Hlz~rd C.A.S. Nu.~¢ g~ - 0 ~ Cmmmt I1 Nm I C.l.S. l~
Health of Pr~sure 8fi)th ...................................... - .......................
cm~t J~ Nm SC.A.S. N~r
.*,~t,c, cmT,cTs., JIM CARRADO STORE DIRECTOR (805) 327-4587,, LARRy MULhEN MAN~kR O~
Cercificotion (Reed and sign after co,.pJettng aJJ sections) %
I certify under p4nalty of lev that I h~ve personally examined and ii familiar vtth t~ infor~tim su~itt~ in this I~ oll mttmc~ d~u~ts, end t~t ~s~ m ~ inquiry of t~e (~tvJ~ell r~sible
lo, obtainin~ t~ inforMttm. I ~lieve tMt tM suMitted infor~im is true, accurate, end cmplete. ~ Il ~
L0CATION:BUSINESS NAME;:3737RALPHSRoSEDALEGROCERYBiGHwAyCOMPANX ADDRESS:P.0-OWNER NAME: t%.,~,.t'nOBOX 54143'~U"''~'~%'L ""'¥'' '""'~' '--__ STANDARD"" ........... IND. --~SS CODE 5411
c{TY. ZIP: BAKERSFIELD 93308 CITY. ZI~: LOS ANGELES 90054 'DUN AND BRADSTREET NUMBER
PHONE: ,: (SU:)) 327--4587 PHONE #: (818} 502-5614 --__ 19_ -3_28_-- 2571
~r.~za rD z~sr~ucrzo~rs ro~ p~o~,a~ CODZS
Irene lyve I~, iveraqe Annual I~asure I OyI Cent Cent Cent Ule LoCation Where % by Nlm of lltxture/Comx~nt!
(.~e ¢~e Mt J~t Est Units m$tte TyM Pr~! TMp Code $tore(I tn FactliCy Wt See Instr~cttme
~-'r.ir, Ha,,rd ~ R,.c,iv~y ~ r--] ~ ~mt ~ ~iC.A.S.~ <3 DIM~TIayL6LY~OL~NO~THYL ErlaER
HHith of Pr~su~
(C~k ill t~t ep~ly)) .....
~ ~ Fire Hazard ~--~ Reactivity ~ ~l~v~ ~_u ~dd~ Relelse [~tate . .__ '
Health of Pr~sure
..... I q 1991
~--~ fire Hazard ~ Reactivity ~ ~lay~ ,--a ~dd~ Release
Health of Pr~sure Health
~NF:GEK~C~IICIS tl JIM CARRADO STORE DIRECTOR (805) 327-4587,~ LARRy"MULL~N ' ~~R-O~sAFET~(818) 502-5600
Certification (Reed and sJRn after coepJetJnR ail sections) .,'
I ctrttfv under penelty of law that I have ~rsonmlly e,mmined and am fmmilter vtth the infor~tton subeitt~ in this end mil mttmchad docuim~ta, rand that based m my inquiry of those tn41vlduell reti)onstble
Io, obtaining the information. I believe thlt the subleted inforlation iS true. accurate, and caaolete.~ ~ d~ ,// .-~ /U--~L./ P
DAVID E. FIANSEN - SAFETY ADMINISTRATOR .... ;-.~..,:~..~/,~-.-::,/.'.~.~--~.i ................. , /~;F9
C TY of
KERSFIELD
NO N--'I' It ADE S E C 1-{ ETS ' Pag,~..of..~.
RALPHS~ GROCERY COMPANY NAME OF ?~'t§ FACiLITy:BAKERSFIELD-iI8
BUSINESS NAME: ~m.~,r~ ~l~u~,r.~ ~r~'Z~Lm~ OWNER
L0CATION: 373V ROSEDALE HIGH~AY ~SPRESS: P.O. BOX 54143 _ STANDAR~ INP. ~S~0PE 5411
cITY, zIP:_BAK~RSFIELD 93308 CITY, zIP: LOS ANGELES ~0054 DUN AND BRADSTREET NUMBER
PHONE ,: ~UD), 327-4587 PHONE ,: (818) 502--5614 ~ !~ -3~-- 2571
~ TO I~S~UCTZO~ FOR PROF~ COD~
(~ C~e Mt ~t Est Un,ts ~ Site ly~ Prfls l~p C~e Stor~ In F~ctltty it ~ Instating ,,
...,., ..~ ...,,~ ..,..~,~, .,, ,~, .-,y) c.A.B. ~.~_.-
.................................... ~ ....... :Z ,i-~- .......
Health of Pr~svee HNI~h
..~.L~.I..-~ ..... 1...~..~ ...... b~s. ...... l.~...l..[_.~4~L!3J.~2~°~ ~ ~,~ ,~~o~~r~-~ v~,r/t ~_~.
~,2 ,.~c.~.s.~ <1 ~rO~r~YLNO~ ,, ~8~_ ......
,~lth of Pr~su~ x~lth -/Iq~/
(C~k iii t~t ep~ly) __.
Health of Pr~sure Health
..U~..[ ............ J .............. L ...................... == ~j ....
.._.~.
,-. , .
~ Fire Hazard ~--~ ~eectiv~ty ~lay~ ~dd~ Release I~tate
Health of Pr~sure Health ·
'.FnG~HCYCaTAC?S ~1 JIM CARRADO STORE DIRECTOR (805) ~Z'~'587~'LARRY MULLEN MANAGER OF SAFETY (818) 502-5600
~i~'~ ................................... T~Hi ....................... ;l'~'P~i ........ ~ ............................... T~U~ ........................ ;I'~F'~ ........
Certification (Read and sJKn after coepletlnf, ali sections;
that I have perso~ally e~amined end p familiar vtth t~ tnfor~tim su~itt~ In thts I~ ell lttlC~ d~u~ts, end t~t ~s~ m ~ inquiry of
I certtfv ~der ~elty of
I ~lieve t~t t~ supJtted infor~ttm ti true. accurate, and cmolete.
DAVID E. BANSEN - SAFETY ADMINISTRATOR ..~;-. .... ~:_::~'~:::~..., ........... --'21L2T/.iL~L:: ......... O~'Si~;~ ..............................
CITY qf
'ERSFIELD
N O N -- 'I.' R A D E S E C R E ].' S ' Page ~..of ~/
)CERY COMPANY RALPHS' GROCERY COMPANY HAKE OF T~ FACZLI~!:BAKERSFIELD-II8
LOCATION: 3737 ROSEDALE HIGHWAY ADDRESS:P.O. BOX 54143 STANDARD IND.--~S~oDE 5411
CITY, ZTP:_BAK~RSFIELD 93308 CITY, ZIP LOS ANGELES 90054 DUN AND BRADSTREET NUMBER
P,ON£ ,: ~ DUD; 327--4587 PHONE ,:~--5614 -- ~ -3~ -- - 2571
~ TO Z~S~UCTZO~ FOR PROP~ COD~S
(~e C~e b~ b~ Est Units m SS~e Ty~ Prat Trap C~e . Stor~ in F*clltcy Nt ~ InsC~ctlms
([~k ell t~t apply) ' . ............................. ~ .......................
Health of Pr~sure HMIth
P~ic, I end Health Hilled C.A.S. ~ ~ - ~
~/~
H~lth of Pr~su~ H~ith
(C~k ill t~t apply) --~. ......
r-. -- C~t 12 Nm & C.A.S. ~ /~'
~ealth of Pr~sure Health
C~t 13
}~ic~l ~4 HEalth Hazlrd C.A,S. Nu.~ C~mt
(C~k HI t~t apply) .........................
~ a FiRe Hazard [ ] Reactivity [ ] ~lsy~ ~--~ ~dd~ Release [ ] I~tete ·
Health of Pr~sure Health
~.~oE~c~ ca~cJs ~ ~M ORRRRDO S~ORB D%R~O~OR (805) 327-458~
~;'~ ................................... Tm; ....................... ~'a~'~i ........ ~ia ............................... .n~ ........................ ;~-~-~ ........
CercilicAtio~ (Read and sil~n after compJetJnlT, all sections) ~.
I certify under penalty of lay that I ~ve ~rs~elly exaain~ and ia familiar vtth t~ tnfor~tim su~itt~ in this I~ e11 lttlC~ d~u~tJ, lng t~t ~s~ m ~ inquiry of t~e i~lviduels r~sible
Jar obtaining t~ infor~tim. I ~iieve tMt t~ su~itt~ infor~ti~ is true. accurate, ina c~p eta. ~ //
DAVID E. HANSEN - SAFETY ADMINISTRATOR ~7~,~/ ,~~ .~ 9, /9$~
- ~;;'~Ra'~tH~VHUi'6r~i~B~i~6~'Og'~&iU6~;~PU~H~';i~ii~SU;; /-~S~~ ........ 73'~'~'~;~7; ................... . O~['S~ .............................
OCER Y
GENERAL OFFICES
P.O. 90X 54143 * L0~ ANGELES, CAI.IF~ 90054
lelephone (213) 637-1101
RALPHS GROCERY COHPANY
HAZARD COMMUNICATION PROGRAM
EMPLOYEE REFERENCE ['IANUA
DEVELOPED BY:
RALPHS SAFETY DEPARTMENT
4550 COLORADO BLVD.
Los ANGELES, CA 90039
(818) 502-5615
RALPHS GROCERY COMPANY
Hazard Communication Program
Employee Reference Manual
Table of Contents
SECTION
CONTENTS
Section
Section
Section
1:
2--
ao
Introduction
Ralphs Written Hazard Communication Program
1. Historical/Background Information
2. Introduction
3. Program Requirements
4. Program Exemptions
C. Responsibilities
Management/Supervision
Safety Department
Contractor/Vendor
D. Appendix
Chemical Hazard Assessment
ne
B.
C.
D.
Introduction
Consumer Product
Responsibilities
Procedures
Exemption
Employee Training Program
ae
Introduction
Responsibilities
1. Safety Department
2. Administrative Departments
3. Manufacturing/Distribution
4. Store Operations
5. Non-Routine Work
6. Employee
7. Contractor/Vendor
Facilities
RWHCP T - 1
Section
4:
C. Appendix
1. Instructor's Guidelines
2. Employee Training Lesson Plans -
a. Store Operations
b. Manufacturing Facilities
c. Distribution Facilities
d. Administrative Departments
Container Hazard Warning Label Systems
A. Introduction
B. Initial Compliance Procedures
1. Purchasing Department
2. Other Purchases
3. Safety Department
C. Materials (Product) Receipt Procedures
1. Manager/Supervisor
D. Workplace Material (Container) Labeling
Procedures
1. Manager/Supervisor
2. Individual User
E o
Application
1. Labeling Systems
2. In-House Labeling Procedures
Appendix
1. Federal (DOT) Labeling System
2. NFPA 704 System
3. Facility/Store Operations Specific
Section 5: Material Safety Data Sheets
Section 6:
Section 7:
Section 8:
Introduction
Compliance Responsibilities
2.
3.
4.
Maintenance (Updating)
Purchasing Department
Other Purchases
Safety Department
Co
Records Management
MSDS Availability
Application - (Explanation of the
Material Safety Data Sheet)
1. Section 1
2. Section II
3. Section III
4. Section IV
5. Section ¥
6. Section VI
7. Section VII
8.
- General Information
- Hazardous Ingredients/
Identity
- Physical and Chemical
Characteristics
- Fire and Explosion Hazard
Data
- Reactivity
- Health Hazard Data
- Precautions for Safe
Handling
Section VIII - Control Measures
F. Completeness Checklist
G. Appendix
Glossary
Emergency Plans
Workplace Material Safety Data Sheets
RWHCP T-3
SECTION 1
Ralphs Grocery Company
Written Hazard Communication Program
i-A: INTRODUCTION
The Hazard Communication Standard or Right-to-Know regulations
represent the generic concept of a safe and healthy environment.
Fundamental to this idea is the appropriate day-to-day handling,
application, storage and disposal of chemically hazardous
materials.
Chemically hazardous materials have been in general use for many
years. However, their potential dangers have not always been
well recorded or acted on-
Currently the regulatory framework of compliance requirements is
based at the federal level within the Hazard Communication
Standard, and at state level within the California Administrative
Code.
The federal Hazard Communication Standard (HCS), 29 CFR 1910-1200
was enacted in 1983 and provides the authority and gener.al
guidelines for federal agency action. The primary responsibility
for development, implementation and regulatory direction rest
with the Federal Occupational Safety and Health Administration
(Fed-OSHA), and the National Institute for Occupational Safety
and Health (NIOSH).
The state Hazard Communication Standard is the product of the
California Administrative Code, Section 5194 et seq. as revised
to include the provisions of other state legislation, e.g. the
Hazardous Substance Information and Training Act, California
Labor Code, Section 6360 et seq.
i-B: RALPHS HAZARD COMMUNICATION PROGRAM
It is Ralphs policy that every employee is entitled to a safe and
healthy work place. The Ralphs Hazard Communication Program
(RHCP) supports existing health and safety programs with emphasis
in areas of regulatory compliance and documentation.
This program includes specific information in the areas of
employee training, container hazard warning label systems and
material safety data sheets. In addition, this program provides
policy and procedure that outlines areas of specific
r~sponsibility as well as program support services.
RWHCP Si.1
PROGRAM REQUIREMENTS
The Hazard Communication Standard, hereafter referred to as the
Standard, applies to all companies that manufacture, distribute,
import or use chemically hazardous substances. In California,
this requirement applies at state level only to materials that
contain pre-determined amounts of the hazardous chemicals listed
on the Director's List of Hazardous Substances produced by the
State Department of Industrial Relations, with yearly revisions.
The Standard has specific requirements outlined for employers
that include:
1. Informing employees about the Hazard Communication Standard
and how it is being implemented in their work place,
2. The preparation of a "written" hazard communication program,
that is readily available to employees,
3. Allowing employees knowledge of what hazardous chemicals are
used in their work place and what risk those chemicals pose,
4. Training certain employees to understand and use the
information found on container labels and material safety data
sheets, and ~
5. The training of employees to recognize hazardous chemicals and
to protect themselves against the chemical's hazards.
PROGRAM EXEMPTIONS
The Standard provides specific program exemptions for products
intended for personal consumption by employees in the work place,
or consumer products packaged for distribution to, and use by the
general public. Retail trade establishments exclusive of
processing and repair work areas, are excluded from program
requirements.
i-C: RESPONSIBILITIES
MANAGER/SUPERVISOR
Management/Supervision plays a key role in right-to-know and in
hazardous chemical safety programs. Working as part of the
company team effort, they provide the critical pathway of
informational exchange assuring regulatory compliance is balanced
with the reality of needs of the workplace. These individuals
are directly responsible for the safety, health, and well being
o[ their personnel.
RWHCP S1.2
The responsibility of each manager/supervisor in relationship to
the Hazard Communication Program is as follows:
Continued assurance that the workplace chemical/hazardous
material inventory of products is kept current,
o
Identification of the employees in their respective areas,
who are routinely exposed to chemical hazards and
substances,
o
Provide and assure unimpeded employee access to all
appropriate workplace material safety data sheets (files),
Assist in the "hands-on" portion of the training and
information program, while providing the necessary backup
and hazard identification within their areas of
responsibility, and
Se
Report on changes in conditions, materials, and work
practices which would affect the pattern of hazards
presented in the work area. They are responsible for
remedial action when a potential new hazard develops or is
recognized in their area of responsibility.
SAFETY DEPARTMENT
Safety is responsible for the implementation and support of the
Ralphs Hazard Communication Program. Safety manages the smooth
day-to-day operations of the Program, which includes the request
and concerns of our employees, for whom the Program is designed.
The Manager of Safety designates the Program Coordinator who is
in turn responsible for guiding compliance efforts. 'Accordingly,
all communications regarding the effectiveness of the Program, or
any areas in need of "special" support, are to be directed to the
Safety Department, Hazard Communication Program Coordinator.
The Program Coordinator periodically reports to management
regarding the Program's effectiveness, implementation, and
continuing update requirements. The Coordinator establishes the
specifics of the Program needs as they relate to Ralphs'
interest, and coordinates the efforts and activities of
employees. The principal responsibilities of the Program
Coordinator are:
Maintain the chemical inventory, to include all hazardous
substances to which employees are actually or potentially
exposed during their assigned work activities irrespective
of exposure level. This inventory is to include both
chemical and physical hazards,
RWHCP S1.3
o
o
Se
Include any other chemical inventory or substance which, due
to the hazard posed, or the exposure of a given group of
employees,
Maintain the ongoing review of all newly introduced
chemicals and substances which may be bought into operations
and/or facility use. Management, Purchasing, Engineering or
technical personnel will assist the Program Coordinator in
this task, as appropriate,
Administer the inhouse labeling program noted herein. The
labeling program is coordinated with the MSDS retention,
records management, and updating requirements,
Administer the training and education program which provides
for the initial training of new employees, for the
preassignment training and education of employees who will
be reassigned to other tasks and may be exposed to new
hazards, and for the retraining and education of all current
employees who are subject to the requirements of the present
Standard on a recurring basis. The content and structure of
the training and education program is set out within the
appropriate sectiOn of this Written Program and complies
with the employee information and training section of the
appropriate regulatory guidelines,
Maintain all documentation relating to the chemical
inventory, list(s), Material Safety Data Sheets, labeling,
and education and training of employees,
Provide employee access to all appropriate and relevant
chemical information, documentation, and other information
required under the federal and state regulatory directives,
Prepare, obtain and/or retain and administer any and all
appropriate emergency response plans for chemical spills,
leaks, and other relevant foreseeable accidents and
emergencies ...~._~
RWHCP S1.4
CONTRACTOR/VENDOR RESPONSIBILITIES
The individual that is responsible for the contractor or vendor
(i.e., project/facility engineer or operations manager) is
responsible for advising the contractor or vendor of hazardous
materials present in areas in which the contractors or vendors
employees will be working. Documentation of this requirement is
required to be kept by the engineer or operations manager. An
example of a contractor or vendor hazard communication
acknowledgement form is provided as Attachment l-C-1.
Contractors and vendors must demonstrate they are in compliance
with the regulatory requirements of the Hazard Communication
Standard, to the satisfaction of the responsible engineer or
manager before the contractor or vendor is allowed to provide
services.
Material Safety Data Sheet information will be made available to
the contractor's or vendor's management personnel, when
requested, by the Safety Department.
Contractors are required to supply Material Safety Data Sheets to
the engineer or manager for every chemically hazardous material
brought into the workplace prior to conducting such work. The
engineer or manager will then forward a copy of the MSDS ~o
Safety for records.
RWHCP S1.5
SECTION 2
CHEMICAL HAZARD ASSESSMENT
2-A: INTRODUCTION
Ralphs concern for employee safety and health continues through
the deVelopment and implementation of a chemical hazard awareness
as provided by the Hazard Communication Standard. A work area
chemical assessment (audit) is fundamental to the establishment
of an effective Hazard Communication Program.
SCOPE
Ralphs work area chemical assessment program is based in the
evaluation of information provided through many sources, to
include container labels and material safety data sheets. It is
important that you realize that manufacturers, distributors and
importers of hazardous materials are legally required to provide
appropriate accurate container labels and material safety data
sheets with the first shipment (or before shipment) to the
product user. With this in mind, an additional area of concern
develops around chemical substances and/or materials that do not
have labels or MSDS's, such as a chemical substance or material
that is "produced" in-house.
Ralphs might become a "chemical manufacturer" if chemicals are
produced within a process or operation. The fact that a chemical
cannot be "contained" does not exempt it from our Program. A
good example of this are the fumes generated by a welding
process. Although there is no "container" for these fumes to be
labeled and no MSDS, we evaluate the individual's exposure and
include that information within our training and information
program.
2-B: CONSUMER PRODUCT EXCEPTION
There is no blanket exception for consumer products but rather
specific exemptions from labels on shipped containers.
When consumer packaged products are used in a way similar to that
which they would be used by a "consumer", resulting in levels of
exposure comparable to that acceptable consumer exposure, then
those products are not included within our program. For example,
it may not be necessary to have a MSDS on a can of cleanser used
to clean a sink in an employee restroom. However, if that same
cleanser is used in large quantities to clean process equipment,
it would be included in our Program. "Industrial strength"
products are included.
Safety will assist work area supervisors and employees in areas
of product use evaluation, and the developement of appropriate
guidelines.
RWHCP S2.1
2-C: RESPONSIBILITIES
It is the responsiblity of every manager/supervisor supported by
Safety, to maintain a list of all hazardous substances known to
be present in the workplace and to which an employee may be
exposed. Each substance is identified with the chemical and/or
common name and is consistant with.the container label and MSDS.
2-D: PROCEDURES
The list of all materials and substances that may be found in the
employee work area is developed as the result of a wall-to-wall,
floor-to-ceiling physical inventory and assessment. Process flow
documents are used to supplement the physical inventory to
identify materials at each stage of processing. Special
consideration is given to:
1. Include all chemical products and substances in such areas as:
maintenance, quality control laboratories, shipping, service
operations, etc.,
2. Include materials in small quantities, or small containers,
and
3. Unique "special" items such as welding rods, compressed gases,
paints, epoxies, glues and mixtures in inventory.
RECORDS MANAGEMENT
There are two forms used to conduct the chemical inventory
(assessment). These forms are~ 1. Work Area Initial Survey Form,
and 2. Work Area Supplemental Audit Form.
WORK AREA INITIAL SURVEY FORM
This format was established to assist in the initial chemical
workplace audit (inventory). The first line suDervisor is
responsible to complete the information required on this form.
One copy of the completed Survey Form(s) is kept as the first
part of Section 8 (Material Safety Data Sheets) in the facility
Employee Reference Guide. An additional copy of the completed
Survey Form(s) is forwarded to Safety for records.
WORK AREA SUPPLEMENTAL AUDIT FORM (Appendix 2)
This format was established to provide a uniform work area audit
and is used primarily as a tool in support of and to document
workplace chemical storage and use. This form is used in support
of objectives and to assist in Program evaluation. In general
there are no records maintenance requirement for this form.
RWHCP S2. 2
Section 2 - Appendix 1
Chemical Hazard Assessment
RALP~S GROCERY COMPANY
Work Area,Initial Survey Form
This form is used to provide uniform information format for a
workplace chemical audit (inventory).
Name of Vendor Amount on Hand
Product Name Oz./Lbs./Gals. Use
Comments:
DEPARTMENT LOCATION #
AUDITORS' NAME DATE
RWHCP
S2.A1
Section 2 - Appendix 2
Chemical Hazard Assesment
RALP~S GROCERY COMPANY
Work Area Supplemental Audit Form
This form is designed to assist in the chemical inventory of
various work areas, and not intended to be used as a permanent
record of chemical inventories (audits).
Work Area: Date:
Chemical/Product
Name
Properly MSDS Employees
Labeled? Available? Trained?
(Yes/No) (Yes/No) (Yes/No)
Comments:
DEPARTMENT
AUDITOR'S NAME
LOCATION #
DATE
RWHCP S2.A2
SECTION 3
EMPLOYEE INFORMATION AND TRAINING
3-A: INTRODUCTION
Ralphs Hazard Communication Program is designed to reduce the
risk of illness and injury that may result from potential
exposure to chemicals. The Program implementation applies to
many, but not all, company operations such as manufacturing,
distribution, store operations and specific departments within
administration.
SCOPE
Every employee whose workplace activity allows for a potential
exposure to a chemically hazardous substance is provided with
information and training as appropriate. The extent and type of
training varies depending on a wide variety of considerations
that include but are not limited to the type (family class) of
material in use, the operations (activity) of the individual
user, and the appropriate (material use) guidelines.
Employee training includes specific training in areas of
hazardous chemicals and harmful agents in their workplace at the
time of their initial assignment and whenever a new hazard, is
introduced into their work area. In addition to the training of
new employees, and the pre-assignment training of employees who
may be exposed to a new hazard, there remains an ongoing annual
refresher training program for all current employees. Additional
detailed training program outlines are attached to this section
as appendix.
In general, employee training includes;
2e
e
An overview of the requirements contained in the federal and
state Hazard Communication Standards, which includes
employee rights under the regulations,
Information about any operations or activities in their
workplace where chemically hazardous materials are present,
The location and availability of the company Hazard
Communication Program MSDS Forms, and chemical inventory
list,
Physical and health hazards of the chemicals in the
workplace i.e..container labels and MSDS's.
Methods and techniques used to determine the presence or
release of hazardous substances in the workplace i.e.
chemical inventories, container labels and MSDS's,
RWHCP S3.1
e
An outline of the procedures (methods) used to lessen or to
prevent exposure to chemical substances i.e. engineering
controls, personal protective equipment, and work practices.
Methods that can be taken to protect individuals from hazard
i.e.~emergency procedures, first aid.
When new hazardous substances are introduced, the
manager/supervisor is responsible to assure that employees are
trained in the correct handling of the new material and to
document that training in the employee HCP training file at
Personnel.
3-B: RESPONSIBILITIES
SAFETY DEPARTMENT
Safety is responsible for the development, implementation and
continued technical program support. Within Safety the HCP
Coordinator is responsible for the day-to-day liaison activities
required to maintain the Program in compliance to regulatory
guidelines.
ADMINISTRATION
The Department Director/Manager is responsible for providing each
employee with the appropriate opportunity to receive information
and training regarding the chemical hazardous substances in their
workplace, as required by the Hazard Communication Standard.
The employee information and training program outline is provided
in Appendix 2 of this Section. Safety will provide training
assistance and department liaison, to the departments.
MANUFACTURING/DISTRIBUTION
The Facility Director is responsible for providing each employee
with the appropriate opportunity to receive information and
training regarding the chemical hazardous substances in their
workplace, as required by the Hazard Communication Standard.
The employee information and training program outline is provided
in Appendix 3 & 4 of this Section. Safety will provide training
assistance and department liaison, to the facilities.
RWHCP S3.2
STORE OPERATIONS
It is the responsibility of the Store Director to provide each
employee with the appropriate opportunity to receive information
and training regarding the chemical hazardous substances in their
workplace, as required by the Hazard Communication Standard.
The employee information and training program outline is provided
in Appendix 5 of this Section. Safety will provide training
assistance and operations liaison, to the Stores.
EMPLOYEE
An important part of our program is the requirement for written
documentation of all training sessions. Your supervisor/manager
is responsible for coordinating a training schedule with your
assistance.
One of the major objectives of this Program is to provide you
with the ability to be able to:
Better your understanding of the chemical hazardous
materials used in your workplace and the steps taken to
identify hazardous chemical releases;
Understand how to obtain information concerning physical and
health hazards of chemicals you use in your work areal
Know how to obtain information concerning acceptable work
practices, emergency procedures and personal protective
devices;
Have a working knowledge and understanding of container
labeling; and
Develop an understanding of material safety data sheets and
know the use as well as the location of the MSDS's for your
workplace.
Employees'who wish to ask specific questions or to cite potential
problems are encouraged to contact Safety for assistance.
NON-ROUTINE WORK
Occasionally, an employee is be required to perform a
non-routine assignment that may pose a unique exposure to a
chemical hazard. The employee's immediate supervisor/manager is
responsible to provide the employee information (training) as
appropriate, about the hazards to which the employee may be
exposed during the assignment, prior to the job start.
RWHCP S3.3
This information (training) will include at a minimum:
The specific hazards of the material,
Appropriate protective/safety measures to be used, and
Any measures that have been or will be taken to minimize
(eliminate) hazards, i.e. ventilation, lock-out, and back-up
personnel.
Ail non-routine (special) training is documented by the
individual's supervisor/manager as being timely and appropriate,
and forwarded to Personnel for records.
CONTRACTOR/VENDOR
It is not the policy of Ralphs to train and/or educate the
employees of another employer except in unusual circumstances.
The contractor/vendor is responsible to adequately train and
inform their employees regarding the specific chemically
hazardous substances which they may be exposed to during the
normal course of events, and in foreseeable emergencies.
Contractors/vendors are provided the opportunity to access and
use appropriate parts of Ralphs Hazard Communication Program as
needed in their activities related to Ralphs. This includes
access to any part of the Program to include product material
safety data sheets, emergency plans and first aid procedures.
If any Ralphs employee observes any action on the part of a
contractor/vendor employee which could produce a hazard, the
Ralphs employee is required to immediately notify their
supervisor (manager) for disposition.
RWHCP S 3 .4
Section 3 - Appendix 1
Employee Training
RALP~S ~AZARD COMMUNICATION PROGRAM
Employee Training - Instructor's Presentation Guidelines
INTRODUCTION
As the designated instructor for the employee chemical safety
program, you must keep one thing in ming ... don't panic ... !
You do not need a degree in chemistry to give other employees the
training they will need to safely work with the products that
require special training as outlined within the various
requirements of our Hazard Communication Program. This is a
chemical awareness training program, designed to assist
employees in the development of their individual awareness to the
different chemical products and materials used at our facilities,
and the proper work/use relationship required of these
substances.
GETTING STARTED
First~ collect all of the materials that you will need to
acquaint yourself with the Program. This would include;
1. The Program video "Chemical Safety",
e
The appropriate number of copies of the employee Program
handbook, "Chemical Hazards in the Workplace",
e
Your facility copy of the Ralphs Hazard Communication Manual
with the appropriate product Material Safety Data Sheets
(MSDSs), Section 8 of the Manual,
4. A copy of the appropriate Employee Training Lesson Plan,
Se
Locate and reserve an area that you will use to show the
employee video and distribute the employee handbook, and
6. A TV and VCR/BETA machine.
Second; when you have gathered all of the needed materials,
evaluate (review) what you have and what you might need before
your employee presentation. Review the Program yourself, this
will help you grasp the main points and Program requirements.
RWHCP S3.Ai.1
You are required to be familiar with the "standard" Material
Safety Data Sheet (Fed-OSHA form 174) and your facility's product
container labeling system, because they remain the corner stones
of the employee chemical safety program.
Remember that you are not alone. The bottom line responsibility
for the sucessful first line implementation of our Program in in
your hands. However, when you need any assistance, or have any
questions or if you need material support, contact the Safety
Department. Safety is there for your benifit, use it.
RWHCP S3.A1.2
Section 3 - Appendix 2
Employee Training
RALPHS HAZARD COMMUNICATION PROGRAM
Employee Training
INTRODUCTION
The Hazard Communication Standard, or Right-to-Know regulations,
represent a generic approach to providing a safe and healthy
environment within the workplace and community. Fundamental to
this idea is the appropriate day-to-day handling, application,
storage and disposal of chemically hazardous materials.
Although these materials have been in general use for many years,
their potential dangers have not always been well recorded or
acted upon.
Currently, the federal and state government agency approach is to
assist employers and employees in the development of documented
programs as outlined within the general framework of the "Hazard
Communication Standard"
ne
The Fed-OSHA Hazard Communication Standard - 29 CFR 1900.1200
et seq. initially applied to all chemical manufacturers and
distributors, but was expanded to cover the non-manufacturing
business sector such as super markets and wholesale grocery
companies in 1988.
The California "Hazardous Substances Information and Training
Act" of 1983 provides state employer guidelines in support of
the California Administrative Code Section 5194 et seq. for
employees within "California" manufacturing and
non-manufacturing workplace environments.
Co
Both legislative enactments establish program guidelines for
employers and employees in regards to the regulatory
requirements in areas of potential exposure to chemical
hazardous substances in their work areas.
Ail chemically hazardous substances that are found in the
workplace under normal or reasonably foreseeable
emergency conditions (i.e. a spill or release of a
chemical) are included. The basic provisions and intent
of the Federal law is to create a safe and healthier work
area by providing employers and employees information
about chemicals they use.
o
The legislation contains definitions of hazardous
materials as well as requirements for chemical
information lists, data sheets, container labeling and
training.
RWHCP page 1 of 6 S3.A2.1
HCS - MAJOR PROVISIONS
A. A written Hazard Communication Program
A written hazard communication program is required by,
statute. This written program includes:
a. an explanation of how Ralphs will meet the labeling,
materials safety data sheets, and employee
information/training requirements,
b. a list (chemical inventory)
substance(s) in the workplace,
of any hazardous
c. a plan of how Ralphs will make employees aware of the
hazards they might encounter while performing
non-routine tasks, and
d. how Ralphs will inform contractor/vendor employees of
any hazardous substances to which they may be exposed
while at a Ralphs facility or store operation.
o
The Ralphs Grocery Company's written Hazard Communication
Program is provided as Section 1 of the Ralphs Hazard
Communication Employee Reference Manual.
B. Employee Training
'1.
Employees are trained with regards to Ralphs Hazard
Communication Program's content at the time of initial
employment, and whenever a new hazard (classification) is
introduced into their work area. For example, employee
training regarding the general class of irritants is
supplemented if a "flammable" was introduced into the
workplace provided that the employees had not received
flammable training.
2. Employee information and training includes:
a. the HCS provisions prohibiting employee discharge or
discrimination in any way for exercising their right
to see and receive copies of material safety data
sheets,
b. information regarding the physical location as well as
individual training regarding our written HCS program,
as found within the Employee Reference Manual located
in the manager's office, or other designated area,
c. identification of any operations where hazardous
substances are present as outlined within' Section 2
of the Employees Reference Manual,
RWHCP page 2 of 6 S3.A2.2
d. physical and health hazards of the hazardous
substance(s) as provided within the product MSDS;
e. methods and observations that can be used to detect
the presence of hazardous substances as listed on the
MSDS and outlined in the employee handbook, and
f. the protective measures that are used, such as work
practices, personal protective equipment, and
emergency procedures that are outlined within the MSDS
and Section 5 of the Employee Reference Manual.
o
The Employee Training Verification Form, Attachment. A,
that is found within the employee handbook, provides
documentation and verification of training. The
completed form is kept on record at Personnel.
C. Workplace Container Labels and Hazard Warnings
De
When Ralphs receives a container of a hazardous substance
form a manufacturer, distributor or importer, the
suppliers original container is required to provide, (in
English) the following information;
a. the identity of the hazardous substance,
b. a hazard warning statement i.e. DANGEROUS, WARNING,
CAUTION, and
c. the name and address of the chemical's manufacturer,
distributor or importer.
o
When a hazardous material is transferred from the
original container, the secondary container is required
to be labeled with the appropriate identity and hazard
warning.
Alternative posting of signs or placards may be used in
lieu of labels on pipe systems and stationary process
containers.
Section 4 of the Employee Reference Manual explains in
more detail product container labels and hazard warnings.
Material Safety Data Sheets
Manufacturers, distributors and importers are required to
assess the physical and health hazards associated with
the substance they produce or repackage. This
information conveyed to our employers by means of
Material Safety Data Sheets (MSDS).
RWHCP page 3 of 6 S3.A2.3
So
e
Although there is no common or specific
requirement for a MSDS, the MSDS must include:
format
a. the product trade name (the same name used on the'
label),
b. the chemical and common name of the product,
c. the physical and chemical properties, such as vapor
pressure, flash point and solubility of the chemical
(or mixture),
d. the physical hazards, such as fire, explosion and
dangerous chemical reactions,
e. the specific short and long term health hazards,
f. the potential routes of
substance(s) into the body,
entry of hazardous
g. the exposure limits and any other limits recommended
by the manufacturer,
h. a statement relating if the substance is a "known"
carcinogen,
i. the precautions necessary for safe handling, use and
storage,
j. the known control measures, work, practices, and
personal protective equipment necessary to protect
against the hazards of the chemical (mixture),
k. emergency, spill, and clean-up procedures,
1. First Aid procedures,
m. the date the MSDS was prepared or the date of the last
revision, and
n. information regarding
preparing 'the MSDS.
the person responsible for
Identification of Hazardous Chemicals in the Workplace
The primary means of identification of chemical hazards
in your work area is the information provided by the
product manufacturer, distributor and importer. This
relay of information is done in many ways including
container labels and the material safety data sheets.
RWHCP page 4 of 6 S3.A2.4
e
o
Routine and special work area' chemical inventories and
audits, as outlined within Section 2 of the Employee
Reference Manual, are conducted to assist in the further
identification of hazardous materials.
A copy of every product MSDS for items in your work area
is located in Section 8 of the Employee Reference Guide.
Additions to Section 8 are added as new or a revised MSDS
is received, and always before a product is placed in use
at your workplace.
The Safety Department is responsible
suppOrt and liaison in this area.
for providing
RESPONSIBILITIES
A. Company
The implementation and program support of a Hazard
Communication Program as required by the various Hazard
Communication Standards is provided by Ralphs Grocery
Company for all employees and other legally defined
interest.
o
Management and Supervision program responsibility is
detailed within the appropriate sections of the Employee
Reference Manual, and in general, always supports the
basic concept of good common sense when dealing in this
area on a day-to-day basis.
The Safe~y Department provides the coordination and
assistance as outlined in Section 1 of the Employee
Reference Manual.
B. Facility Director (Manufacturing/Distribution) -
The Director is responsible for the training and
continued education of every employee, as appropriate, in
every area of the Hazard Communication Standard. This is
accomplished through the use of this employee training
program lesson plan, supported by the Employee Reference
Manual, and provides a basic explanation of the who,
what, when and why of the Hazard Communication Program.
a. the Manufacturing & Distribution Hazard Communication
Program is;
RWHCP page 5 of 6 S3.A2.5
C o
1).
explanation of the Ralph~azard Communication
gram (as provided within ~his lesson plan and
Section 1 of the Employee Reference Manual),
2). distribution of the employee handbook.
3). providing the employee the opportunity to
employee video "Chemical Safety", and
see the
4). answer questions while collecting the Employee
Training Verification Form (from the employee
handbook).
b. After the training program is completed the Director
will:
1). forward, to Safety, the signed Employee Training
Verification Forms, and
2). continue the training program for new-hires before
they start work in an area that has an exposure of
possible foreseeable exposure to a chemical
hazard.
The Director is responsible for the department's
compliance to all provisions of the Hazard Communication
Standard. This includes but is not limited to;
a. workplace chemical inventories,
b. records management and documentation,
c. coordinating appropriate support services, and
d. regulatory compliance.
Employee
1. Every employee is required to comply with the Hazard
Communication Standard requirements, at all times,
while at their workplace.
2. An employee who has any question or concern regarding
any part of the Ralphs Hazard Communication Program is
required to make their question or concern known to
their immediate supervisor, immediately, for
disposition. Conflicts or questions will be resolved
using existing Personnel Procedures.
3. Employees who receive training are required to
complete and sign the Employee Training Verification
Form, located within the Employee Handbook and
provided as Attachment A. The form documents training
received. An employee's failure to complete the
training verification form (with signature) is
documented on the form, (i.e. employee refused to
sign) and the form is then forwarded to Safety for
records.
RWHCP S3.A2.6
EMPLOYEE TRAINING
Employee Training Verification Form
EMPLOYEE TRAINING YERIFICATION
(The Hazard Communication Standard, Right-To-Know)
(print month/day/year)
I received training regarding the
(printed name)
Hazardous Communication Standard.
(employee signature)
(employee social security number)
(workplace facility number)
It is the responsibility of the Department Director to forward
this verification to the Safety Dpeartment, for records
management.
(Attn. David Hansen ).
RWHCP S3. A2.7
Section 3 - Appendix 5
Employee Training - Store Facilities
RALPHS HAZARD COMMUNICATION PROGRAM
Employee Training - Lesson Plan
INTRODUCTION
The Hazard Communication Standard, or Right-to-Know regulations,
represent a generic approach to providing a safe and healthy
environment within the workplace and community. Fundamental to
this idea is the appropriate day-to-day handling, application,
storage and disposal of chemically hazardous materials.
Although these materials have been in general use for many years,
their potential dangers have not always been well recorded or
acted upon.
Currently, the federal and state government agency approach is
to assist employers and employees in the development of
documented programs as outlined within the general framework of
the "Hazard Communication Standard".
A. The Fed-OSHA Hazard Communication Standard - 29 CFR 1900.1200
et seq. initially applied to all chemical manufacturers and
distributors, but was expanded to cover the non-manufacturing
business sector such as super markets and wholesale grocery
companies in 1988.
B. The California "Hazardous Substances Information and Training
Act" of 1983 provides state employer guidelines in support of
the California Administrative Code Section 5194 et seq. for
employees whithin "California" manufacturing and
non-manufacturing workplace environments.
C. Both legislative enactments establish program guidelines for
employers and employees in regards to the regulatory
requirements in areas of potential exposure to chemical
hazardous substances in their work areas.
RWHCP S3.A5.1
1. Ail chemically hazardous substances that are found in the
workplace under normal or reasonably foreseeable emergency
conditions (i.e. a spill or release of a chemical) are
included. The basic provisions and intent of the Federal
and State legislation remains the same. The purpose of the
law is to create a safer and healthier work area by
providing employers and employees information about
chemicals they use.
2. The legislation contains definitions of hazardous materials
as well as requirements for chemical information lists,
data sheets, container labeling and training.
HCS - MAJOR PROVISIONS
A. A written Hazard Communication Program
1. A written hazard communication program is required by
statute. The written program includes:
a. an explanation of how Ralphs will meet the labeling,
material safety data sheets, and employee
information/training requirements;
b. a list (chemical inventory)
substance(s) in the workplace;
of any hazardous
c. a plan of how Ralphs will make employees aware of the
hazards they might encounter while performing
non-routine tasks, and
d. how Ralphs will inform contractor/vendor employees of
any hazardous substances to which they may be exposed
while at a Ralphs facility or store operation.
2. The Ralphs Grocery Company's written Hazard Communication
Program is provided as Section 1 of the Ralphs Hazard
Communication Employee Reference Manual.
B. Employee Training
1. Employees are 'trained with regards to Ralphs Hazard
Communication Program's content at the time of initial
employment, and whenever a new hazard (classification) is
introduced into their work area. For example, employee
training regarding the general class of irritants is
supplemented if a "flammable" was introduced into the
workplace provided that the employees had not received
flammable training.
RWHCP S3.A5.2
2. Employee information and training includes;
a. the HCS provisions prohibitting employee discharge or
discrimination in any way for exercising their right to
see and receive copies of material safety data sheets;
b. information regarding the physical location as well as
individual training regarding our written HCS program,
as found within the Employee Reference Manual located in
the manager's office, or other designated area;
c. identification of any operations where hazardous
substances are present as outlined within Section 2 of
the Employees Reference Manual;
d. physical and health hazards of the hazardous
substance(s) as provided within the product MSDS;
e. methods and observations that can be used to detect the
presence of hazardous substances as listed on the MSDS
and outlined in the employee handbook, and
f. the protective measures that are used, such as work
practices, personal protective equipment, and emergency
procedures that are outlined within the MSDS and Section
5 of the Employee Reference Manual.
3. The Employee Training Verification Form, Attachment A, that
is found within the employee handbook, provides
documentation and verification of training. The completed
form is kept on record at Personnel.
C. Workplace Container Labels and Hazard Warnings
1. When Ralphs receives a container of a hazardous
substance from a manufacturer, distributor or importer,
the suppliers origional container is required to
provide, (in English) the following information;
a. the identity of the hazardous substance;
b. a hazard Warning statement i.e. DANGEROUS, WARNING,
CAUTION, and
c. the name and address of the chemical's manufacturer,
distributor or importer.
RWHCP S3.A5.3
2. When a hazardous material is transferred from the original
container, the secondary container is required to be
labeled with the appropriate identity and hazard warning.
3. Alternative posting of signs or placards may be used in
lieu of labels on pipe systems and stationary process
containers.
4. Section 4 of the Employee Reference Manual explains in more
detail product container labels and hazard warnings.
D. Material Safety Data Sheets
1. Manufacturers, distributors and importers are required to
assess the physical and health hazards associated with the
substance they produce or repackage. This information
conveyed to our employers by means of Material Safety Data
Sheets (MSDS).
2. Although there is no common or specific format requirement
for a MSDS, the MSDS must include;
a. the product trade name
label);
(the same name used on the
b. the chemical and co~on name of the product;
c. the physical and chemical properties, such as vapor
pressure, flash point and solubility of the chemical (or
mixture):
d. the physical hazards, such as
dangerous chemical reactions;
fire,
explosion and
e. the specific short and long term health hazards;
f. the potential routes of entry of hazardous substance(s)
into the body;
g. the exposure limits and any other limits recommended by
the manufacturer;
h. a statement relating if the substance is a "known"
carcinogen;
RWHCP S3.A5.4
i. the precautions necessary for safe handling, use and
storage;
j. the known control measures, work practices, and personal
protective equipment necessary to protect against the
hazards of the chemical (mixture);
k. emergency, spill, and clean-up procedures;
1. First Aid procedures:
m. the date the MSDS was prepared or the date of the last
revision, and
n. information regarding
preparing the MSDS.
the person responsible for
E. Identification of Hazardous Chemicals in the Workplace
1. The primary means of identification of chemical hazards in
your work area is the information provided by the product
manufacturer, distributor and importer. This relay of
information is done in many ways including container labels
and the material safety data sheet.
2. Routine and special work area chemical inventories and
audits, as outlined within Section 2 of the Employee
Reference Manual, are conducted to assist in the further
identification of hazardous materials.
3. A copy of every product MSDS for items in your work area is
located in Section 8 of the Employee Reference Guide.
Additions to Section 8 are added as new or a revised MSDS
is received, and always before a product is placed in use
at your workplace.
4. The Safety Department is responsible for providing support
and liaison in this area.
RESPONSIBILITIES
A. Company
1. The implementation and program support of a Hazard
Communication Program as required by the various Hazard
Communication Standards is provided by Ralphs Grocery
Company for all employees and other legally defined
interest.
RWHCP S3.A5.5
2. Management and Supervision program responsibility is
detailed within the appropriate sections of the Employee
Reference Manual, and in general, always supports the
basic concept of good common sense when dealing in this
area on a day-to-day basis.
3. The Safety Department
assistance as outlined
Reference Manual.
provides the coordination and
in Section 1 of the Employee
B. Store Directors
1. The Director is responsible for the training and continued
education of every employee, as appropriate, in every area
of the Hazard Communication Standard. This is
accomplished through the use of this employee training
program lesson plan, supported by the Employee Reference
Manual, and provides a basic explanation of the who, what,
when and why of the Hazard Communication Program.
a. the Store Hazard Communication Program is;
1). An explanation of the Ralphs Hazard Communication
Program (provided in Sections I and II of this
lesson plan and Section 1 of the Employee Reference
Manual);
2). distribution of the employee handbook
Hazards in the Workplace";
"Chemical
3). providing the employee the opportunity to see the
employee video "Chemical Safety", and
4). answer questions while
Training Verification
handbook).
collecting the Employee
Form (from the employee
b. after the training program is completed the Director
will:
1). forward to Personnel
Verification Form; and
the Employee Training
2). continue the training program for new-hires before
they start work in an area that has an exposure or
possible forseeable exposure to a chemical hazard.
RWHCP S3.A5.6
3. The Director is responsible for their facility's
compliance to all provisions of the Hazard Communication
Standard. This includes but is not limited to:
a. workplace chemical inventories;
b. records management and documentation;
c. coordinating appropriate support services, and
d. regulatory compliance.
C. Employee
1. Every employee is required to comply with the Hazard
Communication Standard requirements, at all times, while at
their workplace.
2. An employee who has any question or concern regarding any
part of the Ralphs Hazard Communication Program is required
to make their question or concern known to their immediate
supervisor, immediately, for disposition. Conflicts or
questions will be resolved using existing Personnel
Procedures.
3. Employees who receive training are required to complete and
sign the EmPloyee Training Verification Form, located
within the Employee Handbook and provided as Attachment A
herein. The form documents training received. An
employee's failure to complete the training verification
form (with signature) is documented on the form, (i.e.
employee refused to give signature) and the form is then
forwarded to Personnel for records.
RWHCP S3.A5.7
RALPHS GROCERY COMPANY
HAZARD COMMUNICATION PROGRAM
EMPLOYEE HANDBOOK
Developed by~
The RALPHS Grooery Oompany
SAFETY DEPARTMENT
Larry Mullah, Manager
S3.A3
RALP~S GROCERY COMPANY
Hazard Communication Program
Employee Right To Know Handbook
INTRODUCTION
Today's high tech society and workplace environment often involve
the use of materials that have a variety of chemical
compositions. It is the safe, and proper, use of these materials
that supports continued progress and development. However, any
material can become hazardous if not safety handled. Hazardous
substances require an extra level of awareness and training
inorder to assure their safe use.
THE HAZARD COMMUNICATION STANDARD
The Hazard Communication Standard or "Right-to-Know" law was
established to ensure that information concerning the hazards of
chemical substances in the workplace is provided to all employers
and employees who are or can be exposed to a hazardous substance.
The Standard applies to materials such as disinfectants, drain
cleaners, solvents, oils, paints, and pesticides. However, the
Standard does not cover all hazardous substances in the
workplace. Only substances which have been defined by government
regulations as hazardous, and that are above specified
concentrations within a mixture.' are regulated. The following
materials are not covered by the Standard; hazardous waste,
tobacco or tobacco products, wood or wood products, articles
(e.g. plastic chairs), and foods, drugs, or cosmetics intended
for personal consumption by employees while in the workplace.
THE RALPHS HAZARD COMMUNICATION PROGRAM
RALPHS has developed a Hazard Communication Program to ensure
that you are provided with information and training in areas of
the recognition of health hazards, safety procedures, personal
protective equipment and emergency procedures regarding the safe
use of hazardous chemical substances.
This employee handbook is provided as part of the Hazard
Communication Program, in support of the employee training
requirements of the Hazard Communication Standard. This handbook
contains basic information about the hazardous substances that
you may find in your workplace, and includes information
regarding hazardous substance groups, warning labels, material
safety data sheets, emergency procedures, and waste disposal.
The RALPHS Hazard Communication Program is a written document
that provides an implementation outline of procedures that
include;
an employee information and training support program,
a Facility and Store inventory of hazardous substances, that
specifically targets those used in the workplace,
product and container hazard labeling (warning) systems, and
the outline for continued development and implementation of a
hazardous substance information records system based on the
Material Safety Data Sheet.
HAZARDOUS SUBSTANCES
The basic concept of the Program is to provide you with
information and training that will allow you to understand the
potential hazards and safe work practices associated with the
chemical substances that you may work with.
In general, any substance that poses a threat to health and/or
the environment is considered a hazardous substance. The hazard
that any substance presents depends upon the concentration of the
substance, the total time and degree of exposure, and individual
susceptibility.
Hazardous substances are divided into two groups to aid in a
better understanding of their dangers. Hazardous substances can
be a health or physical hazard depending upon the basic danger
and special considerations of the substance.
HAZARD GROUPS
HEALTH HAZARDS
A health hazard is anything (including certain chemicals) that
can cause damage to your body such as a skin rash, or nausea.
Health hazards include carcinogens and teratogens, poisons and
toxic agents, corrosives and irritants, and solvents.
Carcinogens and Terato§ens
A carcinogen is a substance which, under certain exposures,
causes a growth of abnormal tissue or tumors. It is important to
remember that a material identified as an animal carcinogen does
not necessarily cause cancer in humans. Examples include
asbestos which can be found in building fire proofing materials,
benzene which is found in petroleum products, and lead acetate
which can be found in pesticides.
A~'~'eratogen is a substance that affects reproductive systems
including chromosomal damage (mutations) and birth defects to a
developing fetus. Examples include the ethyl alcohol of
alcoholic beverages and lead which can be found in paint.
Toxins and Poisons
A toxin is any substance that causes acute or chronic injury.
Exposure in excess of permissible levels, or concentrations, to
any substance may be harmful and result in injury or illness, and
so that substance becomes a toxin. Examples include industria.1
cleaners, solvents, and gases or fumes produced from metal
welding or cutting operations.
A poison is a gas, vapor or liquid that may cause severe illness
or death. There are very few actual poisons, and their use in
o the workplace is limited. Examples include fluorine, herbicides,
pesticides and insecticides.
Corrosives and Irritants
A corrosive will cause visible destruction or irreversible
changes to tissue at the point of contact. Corrosives are often
found in the form of concentrated acids or bases. An example of
this is sulfuric acid which is a corrosive acid and caustic soda
which is a corrosive base.
Corrosives can be found in your workplace as pool maintenance
products, bleach, drain cleaners, disinfectants, soaps, batteries
and detergents.
An irritant will cause inflammation (redness) or a reaction due
to exposure to its concentration over a period of time. The most
common areas affected by irritants are your eyes, skin or
respiratory system.
Irritants can result as a by-product of burning or as the result
of the dilution of a corrosive. Nitrogen dioxide, ammonia,
anti-freeze, degreasers and thinners are irritants.
Solvents
Solvents are the most widely used type of industrial chemical. A
solvent is any liquid that is used to dissolve other substances.
Solvents can become especially hazardous if they are used without
adequate controls and protection. The most common solvent is
water. --
Industrial solvents also pose an additional danger of fire or
explosion. Solvents are found in paint, furniture strippers,
degreasers, aerosol propellants, and dry cleaning products.
PHYSICAL HAZARDS
A physical hazard is a technical determination of a material's
character based on scientific evidence that the material is a
flammable, combustible liquid, a compressed gas, an oxidizer, or
an unstable (reactive) substance.
Flammables and Combustibles
Flammable and Combustible materials are very common in industry
and always carry the combined risk of fire or explosion. A
substance's flash point is what determines weathe~ it is
flammable or combustible. The flash point is the temperature at
which a substance produces vapor that will ignite. Many
flammable liquids can form an ignitable mixture with air at room
temperature.
The primary dangers of these substances are that they ignite
easily, burn rapidly and or explode. They may also produce toxic
vapors.
Flammable and Combustible materials include acetone, auto
products, paint, floor and furniture polish, anhydrous ammonia
and acetylene.
Compressed Gases
Compressed Gases are used in many areas and have multiple
applications in industry. The safe handling of compressed gases
is based on your knowledge of the peculiar characteristics of the
gas.
Compressed Gases are stored for use in various sizes and types of
metal containers which have the content identification located on
the external surface. Some of the more common compressed gases
are acetylene, anhydrous ammonia, carbon dioxide, fluorine and
hydrogen.
Oxidizer
An oxidizer is a substance that will start or support the
combustion of another material, and in turn cause a fire either
of itself or through the release of oxygen or other gases.
Nitric acid, hydrogen peroxide and sodium nitrate are examples of
oxidizers.
Unstable/Reactive
Reactivity means that a material is unstable if it comes in
contact with another incompatable material. The resulting
chemical reaction can be fire, heat generation, explosion or
toxic games.
Substances can become unstable (reactive) accidentally, or from a
source such as a leaking container, or by the accidental mixture
of chemicals as might happen when using a container that is not
"completely empty" for a material other than the original.
WORKING WITH HAZARDOUS SUBSTANCE
It is RALPHS commitment to your safety that guides the continued
development of programs and procedures designed to minimize your
potential exposure to hazardous substances which include
engineering controls (ventilation systems, process control,
material substitution and area sampling) and specific work
procedures (specialized training, and personal protective
equipment).
The key to this program is you. Know what you are working with,
read the label and follow the instructions given on the Material
Safety Data Sheet and never take chances.
The presence of a release or accumulation of a hazardous
substance will be detected through a variety of specialized
systems in your work area. However, even the most detailed
system design requires your understanding of emergency
procedures, in the case of a hazardous substance being detected,
so that you can take the appropriate action.
It is very important that a spill or leak is contained and
cleaned up quickly, correctly and with the minimum of personal
exposure. Always follow the directions contained on the product
label and/or Material Safety Data Sheet, regarding the proper
cleanup and disposal procedures.
CONTAINER HAZARD WARNING LABELS
The great diversity of our industry and company activities allows
the introduction of an infinite variety of material packaging.
Packages (containers) for hazardous substances are required to
have content information in the form of warning labels, tags or
markings.
Although there is no standard industry format, each container of
a hazardous substance used in your workplace will have
information about the identity of any hazardous chemical(s), and
an appropriate hazard warning.
A material(s) hazard warning is expressed by the use of the
signal word DANGER for corrosive liquids, poisons, flammable
gases, and extremely flammable liquids; WARNING for flammable
liquids, less corrosive solids and toxic materials, and CAUTION
for the least severe hazards, including combustible liquids and
solids, and nonflammable compressed gases.
Hazard Warning labels can be placed on shelving or posted in
areas where chemicals are stored and used on valves or pipelines.
However consumer products, used in their original container, are
exempt from labeling requirements.
Examples of Hazard Warning Labels include:
~ FLAMMABLE LIQuI .^z^.o
ANGER. ~,~>.~ ...... ,~,,~,o.~] .......
th v .........
~MEK methyl e 1 ketone~- ...~
/
HEALTH FIRE
HAZARD HAZARD
SPECIFIC
OXY -- Oxidize,'
ACID -- Acid
ALK -- Alkali
:TIVITY
COR -- Co'rTosive
W-- Use Ho Water
HAZARD RATINGS
4 -- Severe
U -- OGIIUUO
2 -- I~oderale
1 -- Slight
0 -- Minima~
MATERIAL'SAFETY DATA SHEETS
'A Material Safety Data Sheet (MSD'S) is the form prepared by the
manufacturer of a hazardous substance intended to provide
information about the sUbstance.
There is no specific format for the MAPS, so you are likely to
see many different types. There is however, a basic amount of
information that will be on every MSDS. Once you understand what
this information is and how to use it you will be able to get the
information you need from any type of MSDS.
A Material Safety Data Sheet is divided into sections, each
section gives specific information as shown in the following
example:
Material Safety Data Sheet U.S. Department of Labor
29 CFR 1910.1200. Standard taus1 b(;
/
'~ection I
.... i ............ i ............... jlJThJs section identifies the
j .............. .:~.:. .......... f:,- ......... Jchemical by name and trade
I-: ................. ,nantes and the manufacturer
Iname and address, with the
s,g,~a. ..... .p ..... ( ..... 'lJemergencv info rhone number
Section II -- Hazardous Ingredients/Identity information
Hazardous Components (Specihc Chemical Idenh:y' Common Name(s)) OSHA PEt ACGIH TLV
Recommended o o(ophonal)
i This section lists what's J
in the chemical that can J
harm you by item name and J
concentration, often listedJ
is the permissible exposureJ
limit (PEL). J
Bo,hng Poinl
Vapor Pressure (mm Hg }
s2ecmcG:a""Yl~:°'~This section describes the
MelongPo;m lchemical's appearance, odor,J
_and other characteristics
~ap .......... na,~ Isuch as boiling point, and
isolubility in water.
Appearance and Odor
Section IV -- Fire and Explosion Hazard Da!a
~This section tells you the j
~temperature that this ~
~chemical will ignite (flash ~
__~point), and list the material~
I used to extinguish a fire, asl
· well as s~ecial hazards. J
(Re~xoduce Ioc~fiy| OSHA 174, S~=~. 198S
Section V -- Reactivity Oala
........... Jthe chemical reacts an(t !
Jwith what inatel;Ja]s or un(tcrJ
Iwhat COll(]JtJolls, and what I
O,,,d ........ ,,.~A,,..,: ICaUSes it to l)urn, explode, I
Signs and Symptoms of Exposuce
Medical Conditions
Generally Aggravated by Exj:x)sure
Emergency and First Aid Procedures
This section list the J
symptoms of overexposure suchJ
as skin rash, burn, headache,J
or dizziness. And it tells j
you first aid and emergency J
procedures in case of over- J
exposure, J
Section VII -- Precautions for Safe Handling and Use
Steps Io Be Taken ,n Case Material iS Released Or SD;lied
Waste D;sposal Memod
Precautions lo 8e Taken in Hand;lng and Stodng
IThis section gives you the J
details for the safe handlingJ
of the substance. It tells J
you how to store, move, and J
use the material. And what J
to do if there is a leak, an~J
p~oper disposal procedures. J
Othec Precautions
Mechanical (Genera/)
Speoal
Other
Prolect,ve Gloves
........... °~This section-~ist any ~ecia~J
·
precautions to follow when J
handling the material, to
?include personal protective J
I equipment and safe work J
· procedures. And may have J
· added health and safet; info. J
Copies of every hazardous substance MSDS that you work with are
kept in the Hazard Communication Program notebook located at your
managers office. You can also call the Safety Department during
o business hours or the Emergency 24-hour number, to obtain MSDS
information on hazardous substances.
BASIC EMERGENCY FIRST AID
An unexpected or accidental exposure to a spill or release of a
hazardous material may require the immediate use of First Aid
techniques. Remember your limits, and give assistance to the
level of your ability.
In an emergency, while providing First Aid, get qualified help as
soon as possible and always notify your manager or supervisor.
Three common physical responses to an chemical exposure are:
chemical burns, inhaled toxics, and shock. Basic First Aid
principles for each of these include the following:
CHEMICAL BURNS
Immediately flush the exposed area with water, continue for
15-20 minutes. Do not scrub. Remove contaminated clothing.
Cover the burned area with a sterile dressing.
Do not apply ointments or neutralizing solutions.
Flush eyes (if exposed to chemicals) for at least 15 minutes.
INHALED TOXINS (POISINS)
Remove victim to fresh air.
Give artificial respiration, if breathing has stopped.
perform CPR (if qualified) if breathing and pulse have
stopped.
Keep victim warm and quiet.
SHOCK
·
·
·
·
·
Symptoms include clammy, pale skin; rapid, faint pulse; quick
irregular breathing; weekness; nausea.
Treat the cause of shock first, e.g. a burn, stopped
breathing, etc.
Keep the victim quiet and lying down with feet slightly
elevated. Place the victim on their side if unconscious.
Keep airway open.
Do not move the victim unless absolutely necessary.
NOTICE
TO ALL RALPHS EMPLOYEES
Access to Material Safety Data Sheets
By CAL-OSHA REGULATION (General Industrial Safety Order 5194)
You, your physician, and your Collective Bargaining Agent have
the right to see and receive copies of:
Material Safety Data Sheets for substances used in the
workplace that are on the State Department of Industrial
Relations Director's List of Hazardous Substances (Section
339, Title 8, California Administrative Code).
Material Safety Data Sheets are available at your
manager/director's office during normal business hours.
Copies of General Industrial Safety Order 5194 and the
Director's List of Hazardous Substances are available from
the Safety Department.
NOTE:
No Ralphs Grocery Company employee
may be discharged or discriminated
against in any way for exercising
the rights afforded them under the
Hazardous Substances Information
and Training Law.
Section 3 - Appendix 5 - Attachment A
Employee Training - Store
EMPLOYEE TRAINING
Employee Training Verification Form
EMPLOYEE TRAINING YERIFICATION
(The Hazard Communication Standard, Right-To-Know)
(print month/day/year)
I received training regarding the
(printed name)
Hazardous Communication Standard.
(signature)
(social security number)
(store number)
It is· the responsibility of the Store Director to forward this
verification to the Personnel Department
(attn. ).
RWHCP S3.A5.A
SECTION 4
HAZARDOUS MATERIALS - CONTAINER WARNING LABELS
4-A: INTRODUCTION
The great diversity of our industry and company activities allows
the introduction of an infinite variety of material packaging and
containment systems. Many materials that contain a chemically
hazardous substance are required to meet various regulatory
labeling requirements.
SCOPE
The purpose of a label is to provide you with an immediate visual
warning about the hazard(s) of the material in the container.
The label provides an essential information source and as such is
a key element to the hazard communication program. Every
chemically hazardous substance container will be properly
identified as requi~ed while in operational use or storage.
4-B: INITIAL COMPLIANCE PROCEDURES
PURCHASING DEPARTMENT
The Purchasing Department is responsible to assure that every
product purchased, through the Department's system, meets the
regulatory requirements for packaging (labeling) perscribed foe
chemically hazardous substances.
This is accomplished by a written statement on all purchase
orders and re-orders, to the product manufacturer, distributor,
or supplier, that briefly states the regulatory requirements that
they provide the appropriate product label and accurate material
safety data sheet.
The Purchasing Department will maintain a record of those
manufacturers, distributors, and suppliers which refuse or cannot
provide complete 'chemical labels or MSDSs. Those who refuse or
cannot provide complete chemical labels are subject to company
restrictions that include the termination of services.
RWHCP S4.1
OTHER PURCHASING/RE-ORDERS
In order to maintain uniform procedures and compliance, any other
employee, who is responsible for a product purchase, not
conducted by the Purchasing Department, for use in company
operations, is required to follow the same formal written
procedure as the Purchasing Department, when ordering or
re-ordering a product containing a chemically hazardous substance
to assure appropriate product label and MSDS information support.
SAFETY DEPARTMENT
It is the responsibility of the Safety Department to coordinate
and support the chemical hazardous product labeling regulatory
compliance requirements, and to provide a centralized records
system for product labels and material safety data sheets.
The procedure used to obtain the product MSDS is outlined within
Section 5, Material Safety Data Sheets.
3-C: INITIAL REQUIREMENTS - WHEN PRODUCTS ARE FIRST RECEIVED
Ail manufacturers and distributors of a hazardous chemical
substance are required, by law, to provide the proper material
shipping container, which includes the appropriate hazard warning
label (notification). The hazard warning label must include the
identity of the hazardous substance(s), the appropriate hazard
warning (e.g. DANGEROUS, WARNING, CAUTION), and the name with
address of the chemical manufacturer or distributer.
MANAGER/SUPERVISOR RESPONSIBILITY
The manager or supervisor in charge of the Facility/Store
receiving operation is responsible to ensure that chemically
hazardous substances are properly labeled, tagged or marked upon
receipt and before entering the Facility or Store.
If the container is not properly labeled, tagged or marked the
supervisor will contact the supplier (or representative) and
request the supplier provide the proper information. If the
supplier fails to honor the request, the supervisor will document
their efforts and contact the Safety Department for assistance
and disposition. ,
Any container that is not properly labeled, tagged or marked will
be removed from service until it meets regulatory requirements.
RWHCP S4.2
4-D: WORKPLACE MATERIAL (CONTAINER) LABELING REQUIREMENTS
MANAGER/SUPERVISOR RESPONSIBILITY
The facility/store operations manager is responsible to assure
that every container' of a chemically hazardous substance is
properly labeled, tagged, or marked while in use or stored at
their operations, as prescribed in regulation and company policy.
Incoming vendor labels will not be replaced or removed. If a
label is removed or defaced while in use, the supervisor/manager
will provide the materials needed to properly label the product.
EMPLOYEE (USER) RESPONSIBILITY
It is the responsibility of the individual employee user, to
properly follow the directions and observe the conditions of use
for any material used in their workplace, with special
consideration given to chemically hazardous substances.
Employees are not required to label portable containers (10
gallons or less), into which hazardous chemicals are transferred
from labeled containers, and which are intended for the immediate
use while under the control of, and used during the workshift of
that employee who performed the transfer.
In all other instances of chemically hazardous material use,
employees who are using a chemically hazardous substance and/or
transfer such material from one container to another are
responsible to correctly label the Container in use, before the
material is used. The secondary container is required to be
properly labeled, tagged or marked in accordance to regulatory
requirements.
If a label is removed or defaced, during product use, it is the
employees' responsibility to immediately notify their supervisor
and remark or relabel the container with proper information.
Quality control samples taken in a manufacturing facility must be
labeled, tagged or marked, unless the person taking the sample is
also performaing the analysis.
The user is responsible for the proper cleaning of containers,
and disposal of any product residue in accordance to the
regulatory requirements of hazardous materials disposal. The
Safety Department will assist and coordinate chemically hazardous
material disposal.
RWHCP S4.3
4-E: APPLICATION
There is no standard format or design for chemically hazardous
material container labels beyond the basic regulatory
requirements. Any message, words, pictures, or symbols are
allowed as long as they convey the hazards of the container.
These requirements vary considerably depending upon the use of
the contained material within or outside of the physical limits
of the operation.
LABELING SYSTEMS
Since the Right-to-Know labeling requirement only specifies what
has to be on the label, manufacturers and users can choose the
labeling system they prefer. Symbols rather than words are often
used to assist employees who can't read well to identify the
hazards.
The National Fire Protection Association (NFPA) has developed a
labeling system origionally used for fire fighters and now often
used in major operational areas (Appendix 2).
The NFPA system is based on the use of a diamond-shaped label
containing four squares, each square with a different color.
Each color represents a particular type of hazard; blue
represents health hazards, red means flammability hazard, yellow
is the reactivity hazard, and white stands for special hazard
information such as radiation or water reactivity.
The red, blue and yellow squares also contain a number from 0 to
4 that highlights the degree of hazard. The number 4 means the
most serious hazard, 0 the least serious.
Other popular labeling systems inlcude the HMIS (Hazardous
Materials Identification System) developed by the National Paint
and Coatings Association, and the ANSI system (American National
Standards Institute) and the U.S. Department of Transportation
System (Appendix 1).
IN-HOUSE LABELING PROCEDURES
Signs, placards, process sheets, batch tickets, operating
procedures, or other such written materials may be used in lieu
of affixing labels to individual stationary process containers
provided the alternative method identifies the containers to
which it is applicable and conveys the required information of
the chemical identity and the appropriate hazard warnings.
RWHCP S4.4
Our "in-house" container labeling system is performance oriented
and designed to provide an alternative method of chemical
identification. The specific system used within your operations
is detailed within appendix B to .this section.
When a product label has been removed, defaced or is missing, the
alternative "in-house" labeling system is to be used, to allow
continued use of the product.
In-house product container labeling
operational areas, where individual
container labels are impractical.
may also be used in
manufacture provided
Notices that explain your operations in-house labeling system and
procedures are posted on the company bulletin boards and in other
key areas.
RWHCP S4.5
Section 4 - Appendix
Container Labels
I~%./IVll'"~:) I It~, L/-%DI-1-11~i%3
Cargo Aircraft only Magnetized Material Package Orientation
Handling Labels Markings
General Guidelines on Use of Labels UN Class Numbers
Labels illustrated above are normally for ~omestic * Label(s), when required, must be printed on or affixed Hazardous materials class numbers associated with
shipments. However, some air ca~riers may require ~o the surface of the package near the proper ship- the hazard classes.
the use of International Civil Aviation Organization ping name. [Sec. 172.406(a)].
(ICAO) labels. Class 1--Explosives
· When two or more different labels are required, Class 2--Gases (Compressed, Liquefied or dis-
Domestic Warning Labels may display UN Class display them next to each other. [Sec. 172.406(c)]. solved under.pressure)
Number, Division Number (and Compatibility Group Class 3--Flammable liquids
for Explosives only.) Sec. 172.407(g) * Labels may be affixed Io packages (even when not
required by regulations) provided each label Crass 4--Flammable solids or Substances
Any person who offers a hazardous material for represents a hazard of the mater(at in the package. Class 5--Oxidizing Substances
transportation MUST ~abel the package, if required. [Sec. 172-401]. Class 6~Poisonous and infectious Substances
[Sec. 172.400~a)].' ?:' ~-;' j : ~,::":?: :j::.:.:. 'J: ~ :: "~ J: ' : '::':: - · ' ~ ClassClassClassT~ad'°acfiv°SuBstancesS--C°rr°s'vesO--Miscellaneous Oanoerous Substances
INTERNATIONAL LABELING
)ontaneous Combustion
EXAMPI
· These are examples of Internatio~
presently used tor domestic shipme
For complele delalls, reJer Io one or
ES OF INTERNATIONAL LABELS
,al Labels not · Text, when used Internalionally may be in the
~ls. language ol the counlry of origin.
mute of Ihe following:
· Texl ,s rn;urd;-rtory on Radioaclive Material, St.
Andrews Cros.~. and Infeclious Substance labels
· Code ol Federal Re(_]ulahons, Til!e 49. Transport;ilion Palls
tOO-t99 JAil Modes(
· Inlernalional Ciwl Aw;ilion Organ~l/;Ihon (ICAO) ]echnlc~ll hu;lluC-
lions for IJle Sate T¢anspofl DJ Dangerous Goods by air JA~J
' InlernBl~on~l ~J~hme Org~n~z~hon (t~0) 08nge~gus Goods
Code. JW~le~J
- C~nadJan Transport gommis~on (gTC) ~egulalions J~llJ
~~Number~' ~4 '~
'" Number '-'
EXAMPLES OF EXPLOSIVE LABELS
· The NUMERICAL DESIGNATION represents the
CLASS or DIVISION.
o ALPHABETICAL DESIGNATION represents the
COMPATIBILITY GROUP (for Explosives Only)
· DIVISION NUMBERS and COMPATIBILITY
GROUP combinations can result in over 30 dif-
ferent "Explosives" labels (see IMDG CodelICAO).
U.S. Department of Transportation
Research and Special Programs
Administration
Materials Transportation Bureau
CHART 8
.IANI iA~Y 1985
Secti-on 4
Container
- Appendix
Labels
S 8e~w ~00' P
1
W :ACTIViTY~
mi
Oz~,ze, Ox
~ ACID c~mlcll
Alklh ALK
~ros~ COR I Un~tlble Il
U~ NO WATER
IDENTIFICATION OF THE FIRE HAZARDS OF MATERIALS NFPA 704
Identification of Health Hazard Identificatinn of £1ammability hlentific,ti~n of Reactivity
Color Code: RED (Stability) Color Code: YELLOW
Type o! Pos.~ible Inlur), gu.~ceptibility of Materials to Burning S,sceptibility to Release of Energy
$ilcnal Signal $ignal l
Materials which on very shorx expo- Materials which will rapidly or Materials which in themselves arc
sure could cause death or major completely vaporize at atmospheric (~ readily capable of detonation or of
~ residual iniury even though prompt (~ pressure and normal ambient tern- explosive decomposition or teac-
medical treatment were given, perature0 or which are readily dis- tion at normal temperatures and
:persed in air and which will bum ~ressures.
readily.
Materials which on short exposure Liquids and solids that can be igni. vlaterials which in themselves are
could cause serious temporary or ~ ~ed under almost all ambient tem- ~ capable of detonation or explosive
~ residual iniury even though prompt )erature conditions, reaction but require a strong initiat-
'medical treatment were given, tng source or which must be heated
under confinement be{ore initiation
,or whiqh react explosively with
water.
Materials which on intense or con- Vlaterials that must be modcratelyi Materials which in themselves are
tinued exposure could cau~ tempo- aeated or exposed to relatively high ~ normally unstable and readily
~ rary incapacitation or possible: ~ ambient tempe[atures before igni- undergo violent chemical change
residual injury unless prompt medi- tion can occur, but do not detonate. Also materials
which may react violently with
cai treatment is given. .,
water or which may [orm poten-
tially explosive mixtures with
water.
Materials which on exposure would Materials that must be pre-heated Materials which in themselves are
cause irritation but only minor ~ before ignition can occur. ~ normally stable, but which can
~ residual injury even if no treatment become unstable at elevated rem-
~eratures and pressures or which
is given, may react with water with some
release o[ energy but not violently.
Materials which on exposure under IMaterials that will not bum. Materials which in themselves are
fire conditions would offer no haz- (~ (~ normally stable, even under fire
(~ ard beyond that of ordinary combus, exposure conditions, and which are
tible material, not reactive wit,h water.
SECTION 5
MATERIAL SAFETY DATA SHEET - THE BASICS
5-A: INTRODUCTION
The Material Safety Data Sheet (MSDS) is a form which provides
the purchaser or user of a hazardous chemical, relevant health,
safety, and hazard information. Many key provisions of Ralphs
Hazard Communication Program are built around the product
information provided by the Material Safety Data Sheet (MSDS).
Federal and state regulations .require the manufacturer,
importers, and distributor to provide an MSDS to direct
purchasers of any substance that contains a regulated substance.
SCOPE
The importance of the MSDS can not be overstated. The MSDS
contains all known hazard and protection information about a
chemical hazard. The MSDS is your primary safety tool and guide,
when working with a hazardous substance. The MSDS is the one
primary source that everyone must review before starting any job
involving hazardous chemicals, and as the first reference
whenever there is a question about a particular chemical's risk
or means of protection.
There is no specific format for the MSDS. However, every MSDS
contains basic information that will give the user an easy
reference for the materials (product) health an'd safety
considerations.
5-B: INITIAL COMPLIANCE PROCEDURES
MAINTENANCE (FILE UPDATING)
Purchasing and materials management are vital keys to the overall
effectiveness of the Hazard Communication Program by insuring
that all materials and chemicals purchased are subject to
appropriate container labeling and MSDS regulatory requirements.
In effect all products coming into Ralphs Operations will not be
used without the receipt of a valid, effective and reasonably
updated MSDS for that product.
RWHCP S5.1
Alternative documentation from the manufacturer, distributor or
importer, that the material in question is not hazardous pursuant
to regulatory definitions, will be equal to the receipt of an
MSDS. In the case of questionable items, the supervisor/manager
will contact the Program coordinator at Safety concerning the
MSDS prior to, or at the time the purchase order is placed for
the product.
Department, Facility and Store Directors are responsible for
submitting a comprehensive list of all hazardous chemicals and
substances within their respective work areas to Safety. This
procedure continues in an ongoing fashion to provide appropriate
information for new materials that are brought into our
operations.
In addition, Purchasing is required to submit a list of all newly
purchase~ hazardous chemicals, including the manufacturer and/or
vendor of the substance, to Safety, on a quarterly basis.
These two source lists are cross-referenced to create a master
list (index) which is maintained by Safety with the master MSDS
file located at Safety. After verification, the appropriate
lists are placed in the facitliy, department and/or operations
file located in the various work areas. Safety is also
responsible for maintaining the appropriate material listing
updates with the regulatory agencies.
PURCHASING DEPARTMENT
The Purchasing Department is responsible for requesting and
obtaining MSDSs from all manufacturers, distributors and
importers for all appropriate products. Before any product is
evaluated or entered into operational use, purchasing is required
to assure that the product MSDS is available.
This is accomplished by a written statement on all purchase
orders and re-orders, to the product manufacturer, distributor,
or importer, that briefly states the regulatory requirements that
they provide the appropriate product material safety data sheet
with the product shipment, and any updated MSDS as appropriate.
Purchasing will maintain a record of those manufacturers,
distributors, and importers that refuse or cannot provide
complete material safety data sheets. Those who refuse or cannot
provide complete MSDSs are subject to company restrictions that
include the termination of service.
RWHCP S5.2
OTHER PURCHASING/RE-ORDERS
In order to maintain uniform procedures and compliance, any other
employee, who is responsible for a product purchase (not
conducted by the Purchasing Department) for use in a company
operation, is required to follow the same formal written
procedure as the Purchasing Department, when ordering or
re-ordering a product containing a chemically hazardous
substance.
SAFETY DEPARTMENT
The large number of products and multi-operational procedures
require the establishment of a centralized MSDS information and
data resource system. The maintenance and operational liaison of
this centrial MSDS system is the responsibility of the Safety
Department.
5-C: RECORDS/MANAGEMENT (UPDATING)
A copy of every material safety data sheet received in the course
of business, by any employee, will be forwarded to Safety,
immediately upon receipt, for records management.
5-D: MSDS AVAILABILITY
Every employee, their physician and their collective bargaining
agent have the right to see and receive copies of Material Safety
Data Sheets for substances used in their workplace, containing a
material that is listed on the State Department of Industrial
Relations Director's List of Hazardous Substances.
Copies of every hazardous substance MSDS that you work with are
kept in the Hazard Communication Program Notebook located at your
managers office. You can also call the Safety Department during
normal business hours or the Emergency 24-hour number, to obtain
information , or a copy of an MSDS.
5-E: APPLICATION
The following information will provide you a basic example, and
explanation of the general format and common terms normally
contained within an MSDS, based on the Fed-OSHA Form 174 that is
often used as a standard (Appendix A).
RWHCP S5.3
Form-174 provides safety and health information based on eight
(8) categories. Each category (section) addresses specific
information about the material (substance);
Section I provides basic information and product identification
that includes the identity of the chemical/material (what it is
called on the label), and additional information regarding:
Manufacturer Name and Address (Primarily self-explanatory.
If the information provided came from a source other than
the manufacturer listed on the label the actual source of
the information will be listed here),
Emergency Telephone Numbers (Entries here include the
telephone numbers which can be used in the event of an
emergency, to obtain further information about the hazardous
substance or mixture),
Section II (Hazardous Ingredients/Identity) provides information
regarding the:
Chemical Name and Synonyms (This generally includes the name
that the product is sold by),
Chemical Family (Listed here will be the general class of
compounds to which the hazardous substance or mixture
belongs e.g. ethers, acids, ketones),
Formula (Entries here will generally include the chemical
formula for single elements and compounds, not the
formulation of a mixture e.g. Sulfur Dioxide (SO2), Sulfuric
Acid (H2SO4), and Formaldehyde (HCHO),
Hazardous Ingredients (Information about the substance, or
form of a substance in a mixture, that is in a sufficient
concentration to produce a flammable vapor or gas, or is
able to produce acute or chronic adverse effects in persons
exposed to the product either in normal use or predictable
misuse),
RWHCP S5.4
The OSHA-PEL and ACGIH-TLV - (PEL) stands for permissible
exposure level and (TLV) stands for Threshold Limit Value.
These terms are often considered interchangable and are
basically used to express the highest airborne concentration
of a substance at which nearly all persons (adults) can be
repeatedly exposed, day after day without experiencing
adverse effects. These technical measurements may be
expressed in parts per million parts (PPM) or when in air,
by volume for gases and vapors. The information may also be
expressed as milligrams of material per cubic meter '(mg/M3)
of air for dust and mist, as well as gases and vapors),
The Percent (%) Column (Is intended to show the approximate
percentage by weight or-volume, of each hazardous substance
present as compared to the total weight or volume of the
product. Normally, percentages will be listed to the
nearest whole number. When a substance, normally considered
to be hazardous, exist in its pure form as part of a
solution or mixture at levels less than 3 percent, the
substance will be so listed. Exceptions for mixtures such as
filler metals and their coatings, as well as core fluxes in
which the hazardous substance constitutes a very small
proportion of the mixture, the hazardous substance will be
stated to the nearest 0.5 percent, and any ingredient
constituting less than 0.5 percent should be indicated as
such),
Alloys and Metallic Coatings (If noted, entries under this
general heading include coatings such as plating, and
metalizing), and
Hazardous Mixtures/Other Liquids, Solids, or Gases (If
noted, entries here will include such hazards as abrasive
blasting materials and items not covered elsewhere in
Section II).
Section III refers to the physical and chemical characteristics
of the material, to include the:
Boiling Point (The temperature at which a liquid changes to
a vapor at a given pressure, usually stated in degrees
Fahrenheit (F) at sea level. For mixtures, the initial
boiling point or the boiling range may be given),
RWHCP S5.5
Yapor Pressure (The pressure extended by saturated vapor
above its own liquid in a closed container, usually stated
in millimeters (mm) of mercury (Hg) at 68 degrees Fahrenheit
(F) or 20 degrees Celsius (C),
Specific Gravity (This is the ratio of the weight of a
volume of material to the weight of an equal volume of water
at 39.2 degrees Fahrenheit (F),
Percentage Volatile by Volume (This is the percentage of a
liquid or solid (by volume) that will evaporate at an
ambient temperature of 70 degrees Fahrenheit (F),
Evaporation Rate (The rate at which a particular material
will vaporize (evaporate) when compared to the rate of
vaporization of a known material, usually butyl acetate. If
another known material is used for comparison, that
information will be provided), and
Appearance and Odor (A brief description of the material at
normal room temperature and atmospheric conditions, e.g. a
viscous, colorless liquid, with an aromatic hydrocarbon
odor).
Section IV provides the information resource for the material
fire and explosion data as represented by the:
Flash Point and Method Used (The lowest temperature in
degrees Fahrenheit, at which a liquid will give off enough
flammable vapor to ignite. Since flash points vary
according to how they are obtained, the method used must be
listed. The methods used most extensively include; Tag
Closed Cup (TCC), Pensky-Martens Closed Cup (PMCC), and
Setaflash (SETA),
Flammable or Explosive Limits (The range of concentrations
over which a flammable vapor mixed with proper proportions
of air will flash or explode if an ignition source is
present. The range extends between two points, designated
as the lower explosive limit (LEL) and the upper explosive
limit (UEL) and is expressed in percent of volume of vapor
in air),
RWHCP S5.6
Extinguishing Media (The firefighting substances determined
to be suitable for use on the specific material that is
burning. The firefighting substances should be indicated by
their generic name such as water, fog foam, alcohol foam,
carbon dioxide (CO2), dry chemical, etc),
Special Firefighting Procedures (Precautions to use when
general firefighting substances are determined to be
unsuitable or unsafe if used to control a specific type of
burning material are noted here. To include any special
handling procedures and personal protective equipment), and
Unusual Fire and Explosive ~azards (The hazards that might
occur as the result of overheating or burning of the
material, including any chemical reactions or change in
chemical form or composition. Special hazards which may
need to be considered while extinguishing a fire with one of
the available types of extinguishing substances will also be
listed).
Section V provides specific information regarding the reactivity
of the material relating to the material's coming into contact or
a possible exposure to other substances, which includes:
Stability (This will indicate whether the subject material
is stable or unstable under any reasonably foreseeable
conditions of storage, handling, use or misuse. If
unstable, those conditions which could result in a dangerous
reaction or decomposition should be listed including
temperature),
Incompatibility (This provides informatiOn of any common
materials or contaminants, with which the specific material
could reasonably be expected to come in contact, that could
produce a reaction or decomposition which would release
large amounts of energy, flammable vapor or gas, or produce
toxic vapor. Conditions to avoid (if any) will be listed
e.g. extreme temperatures, jarring, inapporpriate storage,
etc. If no common incompatible materials, contaminants or
conditions are appropriate, it should be indicated here),
Hazardous Decomposition (When provided, this is a list of
the hazardous materials (if any) that may be produced in
dangerous amounts if the material is exposed to burning,
oxidation, and heating or if allowed to react with other
chemicals),
RWHCP S5.7
Hazardous Polymerization (Polymerization is the chemical
reaction in which two or more molecules of a substance
combine to form repeating structural units of the original
molecule with a resulting energy level change. A hazardous
polymerization is a reaction with an extremely high or
uncontrolled release of energy. This area should indicate
whether or not a hazardous polymerization can occur and if
so, the reasonable foreseeable conditions which could start
the polymerization. In addition the expected time period in
which the polymerization inhibitors in the product may be
used up will be noted here).
Section VI provides information relating to the specific health
hazards that the material can present and includes:
Threshold Limit Value (this represents the most current
figures of the American Conference of Governmental
Industrial Hygenist (ACGIH) that are used to express
airborne concentrations of a material to which nearly all
persons can be exposed day after day, without adverse
effect. This can be expressed in three ways, e.g. Time
Weighted Average (TWA) - based on an allowable concentration
exposure averaged over a normal 8 hour work day or 40 hour
work week, Short-Term Exposure Limit (STEL) - the maximum
concentration for a continuous 15 minute exposure period
(not to exceed '4 such exposures per day), and the Ceiling
Exposure Limit (CEL) - the exposure concentration not to be
exceeded under any circumstances),
Effects of Overexposure (Lists the most common sensations or
symptoms a person could expect to experience form
overexposure to a specific material or its components), and
Emergency and First Aid Procedures (Certainally one of the
most important areas in that here is where the information
and instructions for treatment and victim care with respect
to acute inhalation, ingestion and skin or eye contact with
a specific hazardous substance or its compounds. The items
listed here are for emergency procedures, only because every
victim should be completely examined by a physician as soon
after exposure as'possible).
RWHCP S5.8
Section VII provides specific precautions for the safe handling
and use of the material, and as such should be one of the first
sections read, with your complete understanding, before you use
the material. This section includes specific information
regarding:
Steps To Be Taken In Case The Material Is Released Or
Spilled (This provides the applicable precautions such as
avoiding breathing in gases or vapors, contact with liquids
and solids, removing sources of ignition, etc. Here also
you will find the requirements for "special" equipment used
for material cleanup, such as glass or plastic scoops),
Handling and Storage (This area provides additional or
extra-ordinary precautions not addressed elsewhere in the
MSDS. This may include such items as handling or storing to
avoid reaction hazards, safe storage, regarding life or the
product, in relation to reactivity, special packaging
requirements, temperature controls, etc.),
Waste Disposal Methods (Here is the notice and description
of the acceptable, as well as prohibited methods for
disposing of spilled solids or liquids, such as flushing
with water, returning to container, burning, etc. Here you
will also find information that alerts the user to any
potential danger to the environment, such as effects on the
general population, crops, water supplies, etc.), and
Other Precautions (Provides a catch-all category for any
other precautions not covered elsewhere in the MSDS).
Section VIII provides specific control measures. Read this
section very carefully, because it is here that you will find the
protective equipment you must use as well as the work and hygiene
practices as well as the ventilation required to keep your chance
of exposure to a minimum. Within this section is included
information regarding:
Respiratory Protection (Whenever respiratory protective
devices are needed during routine, or unusual conditions to
protect persons from over exposure to a specific substance,
the class of the device acceptable for use and any special
conditions of use or limitation will be listed here),
RWHCP S5.9
Yentilation (Whenever ventilation is needed to capture or
contain contaminants at their source as a means of
controlling personal exposure to a substance or to prevent
the build-up of an explosive atmosphere, the appropriate
type of ventilation systems will be listed, along with any
applicable conditions of use or limitations), and
Protective Glove/Eye Protection (Many solvents can easily
penetrate through rubber or neoprene, so whenever special
glove protection may be necessary, that suggested protective
measure will be listed here. In addition, there are many
types of eye and face protective devices on the market, for
almost any type of hazard encountered. When a "special"
precaution exist, for eye or face protection, beyond that of
general use while handling or otherwise exposed to a
specific substance or mixture, the special protective
devices should be listed along with any conditions of use or
limitations).
California requires an additional statement regarding the written
notification of the month and year the MSDS information was
compiled or revised.
5-F: COMPLETENESS REVIEW FORMAT
It is because there is no specific format requirement for the
Material Safety Data Sheet that we have developed a MSDS
Completeness Checklist Form (Appendix 2) to assist
management/supervision and in turn provide a uniform reference
tool when reviewing the MSDS. This Form is not intended to be
used as a records document.
RWHCP S5.10
Section 5 - Append~l
Material Safety Data SheeV
May be used to comply with
OSHA's Hazard Communication Standard,
29 CFR 1910.1200. Standard must be
consulted for specific requirements.
o ·
U.S. epartment of Labor
Occupational Safety and Health Administration
(Non-Mandatory Form )
Form Approved
OMB No. 1218-0072
IDENTITY (As Used on Label and List) I Note: Blank spaces are not permitted, ff any item is not applicable, or no
I
information is available, the space must be marked to indica~.e that.
Section I
Manufacturer's Name Emergency Telephone Number
Address (Number, Street, City, State, and ZIP Code) Telephone Number for Information
Date Prepared
Signature of Preparer (optional)
Section II -- Hazardous Ingredients/Identity Information
Other Limils
Hazardous Components (Specific Chemical Identity; Common Name(s)) OSHA PEL ^CGIH TLV Recommended % (optional)
Section III -- Physical/Chemical Characteristics
"Boiling Poinl Specific Gravity (H20 = 1)
Vapor Pressure (mm Hg.) Melting Point
Vapor Density (AIR = 1) Evaporation Rate
(Butyl Acetate = 1)
Appearance and Odor
Section IV -- Fire and Explosion _Hazard Data
Flash Point (Method Used) Flammable Limits LEL UEL
Extinguishing Media
Special Fire Fighting Procedures
Unusual Fire and Ex~ Hazards
(Reproduce locally) OSHA 174, Sept. 1985
RW-BCP S5. A1.1 -.
Section V -- Reactivity Data
Stability
Unstable
Stable
Incompatibility (Materials to Avoid)
Conditions to Avoid
Hazardous Decomposition or Byproducts
Hazardous May Occur Conditions to Avoid
Polymerization
Will Not Occur
Section VI -- Health Hazard Data
Route(s) of Entry: Inhalation? Skin? Ingestion?
Health Hazards (Acute and Chronic)
Carcinogenicity: NTP? IARC Monographs? OSHA Regulated?
Signs and Symptoms of Exposure
Medical Conditions
Generally Aggravated by Exposure
Emergency and First Aid Procedures
Section VII -- Precautions for Safe Handling and Use
· Steps to Be Taken in Case Material Is Released or Spilled
Waste Disposal Method
Precautions to Be Taken in Handling and Storing
Other Precautions
Section VIII -- Control Measures
Respiratory Protection (Spec/fy Type)
Ventilation I Local Exhaust
Mechanical (General)
Protective Gloves
Other Protective Clothing or Equipment
WoddHygienic Practices
Page 2
Special
Other
IEye Protection ·
RWHCP
~ U,$G,P,O: lge6-&gl-529/&5775
S 5. A1.2
Section 5 - Appendix 2
MSDS - the Basics
RALPHS HAZARD COMMUNICATION PROGRAM
MSDS Review/Completeness Form
INTRODUCTION
This checklist is intended to provide a uniform/consistant format
for the review of a MSDS for completeness. This evaluation
format will be used for all MSDS's and is not to be used beyond
the scope of its design. This is a reference tool and not
intended as a document for records.
SCOPE
MSDS name or code:
New or Revised (Check one)
Date of review:
YES NO
1. Identity (name):
Trade secret exemption
2. Manufacturer information:
Name
Address
Emergency telephone number
Emergency contact
Other emergency information
Telephone number for information
3. Single Substance
Tested Mixture
Untested Mixture
4. If a single substance:
Chemical name(s) listed
Common name(s) listed
5. Test mixture:
Ingredients listed which
contribute to the hazard by
chemical and common name.
6. Untested mixture:
Chemical and common name(s)
listed of all ingredients which
have been determined to be a
health hazard.
RWHCP
SS.A2.1
13. Control measures:
Respiratory protection
Chemical protective clothing
Eye/face protection
Other clothing/equipment
Ventilation methods
Hygiene
Decontamination
14. Blank spaces:
Are blank spaces appropriately marked to show
that no relevent information was found?
15. If prepared by your company, is all data and
information documented as to source and
verified?
16. Label/hazard warning requirements:
17. Other regulatory information needed:
18. Comments:
RWHCP S5. A2.3
Acute Effect
Amrosol
Anemic
~c
Any chemical which undergoes dissociation in w~ter with the
formation of hydrogen ions. Acids have a sour taste and may cause
severe tissue damage.
An adverse effect on a human or animal body, with severe
symptoms developing r~pidly and coming quickly to a crisis,
Examples include dizziness, nausea, skin rashes, inflammation,
A fine aerial suspension of particles sufficiently small in size
to confer some dec3ree of stability fl~om sedimentation, for
example, a smoke or fog.
Any chemical substance which forms soluble soaps with fatty
acids. Alkalis are also referred to as bases. They may cause
severe burns to tissue.
An abnormal physiological response to a chemical or physical
stimuli by a sensitive person.
A chemical that causes a total or partial loss of sensation.
Overexposure to anesthetics can cause impaired judgement,
dizziness, drowsiness, headache, unconsciousness and even death.
Examples include alcohol, paint remover and degreasers.
A remedy to relieve, prevent, or counteract the effects of a
poison.
~utm~m~c~. ~ve ~ of (lmls~it: °A legal and enforceable
agreement signed between EPA and potentially responsible parties
(PRPs) whereby PRPs agree to perform or pay the cost of site
cleanup. %he agreement describes actions to be taken at a site
and may be subject to a public comment period. Unlike a consent
decree, it does not have to be approved by a judge.
An underground rock formation c~osed of materials such as sand,
soil, or gravel that can store and supply ground water to wells
and springs. Most aquifers are within a thousand feet of grour~
surface.
A vapor Or qas which can cause unconsciousness or death by
suffocation (lack of oxygen). Most simple asphyxiants are harmful
to the body only when they become so concentrated that they
reduce oxygen in the air. Asphyxiation is one of the principal
potential hazards of working in confined spaces. In addition,
some chemicals like carbon monoxide function as chemical
asphyxicants by reducing the blood's ability to cattY'oxygen.
RWHCP G - 1
Boilir~ Point The temperature at which a liquid changes to a vapor state, at a
given pressure; usually expressed in degrees Fahrenheit at sea
level pressure.
caustic
A substance or agent that can cause a grcwth of abnormal tissue
or tumors in humans or' animals. A material identified as an
Examples of human carcinogens include coal tar, wh/ch can cause
skin cancer, ar~ vinyl chloride, which can cause liver cancer.
(b~m~cal Abstracts Servioe; A Columbus, Ohio orc/anization
indexes information published in Chemical Abstracts by the
American (~emical Society and provides index guides by
information about particular substances may be located Ln the
Abstra~ when needed. "CAS numbers" identify special chemicals.
See Alkali
Nervous
The brain and ~inal cord. ~nese organs supervise and coord/nate
the activity of the entLre nervous system. Sensory ir~pulses are
Om~reh~sive Env/~-~ntal Response, O~5~ensatic~ ard T.inh~lity
Act: A Federal Law passed in 1980 and modified in 1986, ~t
created a special tax that goes into a Trust Fund, ccmmonly knc~n
as Superfund, to investiqate and clean up abandoned or
uncontrolled hazardous waste sites. Under the program the ~A can
take legal action to force parties responsible for site
contamination to clean up the site or pay back the Federal
government for the cost for the cleanup.
Code of Federal Requlation~. A collection of the regulations that
have been prc~ulgated under U.S. law.
A respirator that uses various chemical substances to purify
inhaled air of certain gases and vapors. This type respirator is
effective for concentrations no more than ten times the TLV of
the contaminant, if the contaminant has warning properties (odor
or irritation) below the TLV.
The scientific designation of a chemical in accordance with the
nomenclature system as developed by the International Union of
Pure and Applied Chemistry (IUPAC) or the Chemical Abstracts
Service (CAS) rules of nomenclature.
Chronic
An adverse effect on a human or animal body, with symptoms ~li~h
develop slowly and include cancer and irreversible damage to
RWHCP G- 2
Chronic
O~us~i hle
Corrosive
Deozmposition
Ethiologic
Long-term contact with a substance. Actions taken to deal with' a
release or threatened release of hazardous substances that cculd
affect public hea/th and/or the environment.
A legal process where potentially responsible parties can be
r~ired to pay back the Federal gove~m~_nt for money it _spends
on any cleanup actions.
Able to' catch on fire and burn.
Any designation or identification such as code name, code number,
trade name, bland name, or generic name used to identify, a
Any are which has limited openings for entry and exit that would
make escape difficult in an emergenc%;, has a lack of ventilation,
contains known and potential hazards, and is not intended nor
designed for continuous human occupancy.
As defined by DOT, a material as a liquid or solid that causes
visible destruction or irreversible alterations in human skip.
tissue at the site of contact or in the case of leakage flcm its
packaging, a liquid that has a severe corrosion I-ate on steel.
Two common exmmples are caustic soda and sulfuric acid.
Breakd~ of a material or substance (by heat, chemical reacticn,
electrolysis, decay or other processes) into parts or eleme~.ts or
simpler compoumis.
Inflammation of the skin.
A mom~xlre of the quantity administered, usually measured eit~her
as the quantity of substance per body weight or as the quanti~
os substance per volume of respired air.
U.S. De~~ of Transportation; charged with the regulation of
tz--orsportation of chemicals and other substa/~ces.
A powder fire extinguishing agent usually composed of sodih~
bicarbonate, potassium bicarbonate, etc.
U.S. Env~.,~ntal P~ui~_~ction A~; Federal agency with
environmental protection regulatory and enforcement authority.
Administers the Clean Air Act, the Clean Water ACt, and other
Federal environmental laws.
A viable microorganism, or its toxin, which causes or may cause
human disease.
The rate at which a particular material will vaporize (evaporate)
when c~ to the rate of vaporization of a known material.
RWHCP G - 3
Explosive
A chemical that causes a sudden, almost instantaneous release cf
pressure, gas, and heat. when subjected to sudden shock, pressure
or high temperature. '
Being actually subjected to a hazardous chemical in the course cf
employment through any route of entry (inhalaticn, ingesticn,
injection, skin contact, absorption, etc.). The Federal .hazard
co~m~nication standard also includes both accidental and possible
exposures in its definition of exposure.
Extin~,~ %he fire fighting substance to be used to control a mterial in
Agent the event of a fire. It is usually named ny its generic n~r~.
such as fog, foam, water, etc.
Reou~m,er~ed safety glasses, chemical splash goggles, face
shields, etc. to be utilized when handling a hazardous material.
~t
(F): A scale for measuring temperature. On the Fahrenheit scale
water boils at 212 degrees and freezes at 32 de~rees.
U.S. Food and Drug A~m~~~; under the provisions of the
Federal Food, Drug and Cosmetic Act, the F~A establishes
rec~irements for the labeling of foods and drugs to protec~
consumers fi-om misbranded, unwholesome, ineffective, and
hazardous products. F~A regulates materials for food ccntac~
service and conditions under which such materials are approved.
First Aid
Emergency measures to be taken when a person is suffering
overexposure to a hazardous material, '~efore regular medical held
can be obtained.
Fl,~,,m~hle
]'.'[mits
The rar~e of gas or vapor concentration in the air that may
ignite or explode if an ignition source is present.
Fi~hle
Aerosol
An aerosol that when tested by the method described in 16 CFR
1500.45 yields a flame projection exceeding 18 inches at full
valve opening, or a flashback (a flame extending back to the
valve) at any degree of valve opening.
F1
(1) A qas that, at ambient tamperatur~ and pressure, forms a
flammable mixture with air at a concentration of thirteen percent
(13%) by volume or less; or (2) a gas that at ambient teamperature
and pressure, forms a range of flammable mixtures with air, wider
than twelve percent (12%) by volume, regardless of the lower
limit.
Fl~hle
Any liquid having a flashpoint below 100 degrees F (37.8 d~
C), except any mixture havir~ components with flashpoints of 100
degrees F (37.8 degrees C) or higher, the total of which make up
ninety-nine percent (99%) or more of the total volume of the
mixture.
RWHCP G- 4
Fl~hle
C~c
Water
A solid, other than a blasting agent or explosive, as defined
29 CFR 1910. (a) that is liable to cause fire through fri~icn,
absorption of moisture, spontaneous dnemical dnange, or retained
heat fi-om manufacturing processing, or '~?~i~h can be ignited
readily and when ignited burns so vigorously and persistently as
to create a serious hazard.
The tenlDera~ at which a liquid will give off enough fla~able
vapor to ignite if an ignition source is present.
Feasibility Study: See Remedial Investigation Feasibili~-Y S~adx,
Airborne dispersion consisting of minute solid particles arisL~g
fz~u the heatiog of a solid body, such as lead. This heating is
often aco~nnied by a chemical reaction, such as ox/dation.
A non-proprietary name for a material.
Water found beneath the earth's surface that fills pores be~.,-een
materials such as sand, soil, or gr~vel. In aquifers, ~grc~_nd
water occurs in sufficient quantities that it can be used for
drinking water, irrigation and other purposes.
Specific type of gloves or other P~nnd protec~ion required
prevent harmful exposure to hazardous materials.
tion
Any chemical wh/ch is a physical hazard cra heait~h b~zard
The hazardous substances that make up a mixture
Polymerization is a chemical reaction in wh/~h one or more -~wai!
molecules combine to fora larger molecules. A hazardcus
polymerization is such a reaction winich takes place at a ra~e
which releases large amounts of energy. If hazardcus
polymerization con occur with a given mtarial, the MSDS usually
will list conditions which could start the reaction; and since
the material usually contains a polymerization inhibitor, t~he
expected time period before the inhibitor is used up.
Any Substance which if improperly handled can be damaging to t~he
health and well-being of humans. Examples are classified as
poisons, corrosive chemicals, flammable material, explosives and
oxidizers, reactive material, and ~adioactive chemicals cr
substances. A hazarnlous mt~_r~l becc~ a
the mt~al has be~n used for its original i~ purpose ar~
is goin~ to be discarded or recyoled.
RWHCP G - 5
~L~ ?~rdoLls
I~nitable
T ~m~rvious
Ingestion
Inhalation
Insoluble
LD/50
Any material that poses a threat to rublic health and/cr ~he
environment. Typical hazardous substances ar~ materials ~hat are
toxic, corrosive, ignitable, explosive, or chemically react~;e.
Any substance that may cause or sicnificant!¥ ~ontribut~ to
serious illness or death, or pose a sabs~nntial threau to h~.
health or the environment %~hen imprcperly managed.
A chemical for which there is statistically significant evidence
based on at least one study conducted in accordance
established scientific principles that acute or ~hronic health
effects may occur in _exposed ~nlployees. The term "health b_=£~''
includes chemicals which are carcinogens, tcxic, or higb_ly tcxic
agents, reproductive toxins, irritants, corrosives, sensitizers,
hepatotoxins, nephrotoxins, neurotoxins, agents ;~?Lich act cn
hematopoietis .system, and agents which damage the lungs, skin,
eyes or mucous membranes.
Capable of being set afire
A mtarial that does not allow another substance to pass t~cugh
it.
Burning of cel~ain types of solid, licuid, or qasecus materi~ls
under controlled conditions to destroy ~azar~ous waste.
Materials w~nich could cause dangercus teach, ions from dire~
contact with one another.
The taking in of a substance tP~cugh the rDuLh.
The breathing in of a substance in the form of a gas, ~=~x~,
fume, mist, or dust.
Incapable of being dissolved in a liqunid.
A substance which, by contact in sufficient concentration for a
sufficient pericdof time, will cause an inflammatory response or
reaction of the eye, skin, or respiratory system. The conta~
may be a single exposure or multiple exposures. Some primary
irritants; chromic acid, nitric acid, sodium hydroxide, calcih~
chloride, amines, metallic~salts, chlorinated hydrocarbons,
ketones, alcohols.
Lethal dose 50%; a single dose of a material which on the basis
of laboratory tests is expected to kill 50% of a group of test
animals. The LD/50 dose is usually expressed as m/lligran~ or
grams of material per kilogram of animal body weight (mg/k~ er
g/k~). If a mterial has a low ID then only a very small amount
is needed to cause an adverse effect and that substance would be
considered highly toxic. Generally substances with low ID/50
have high toxicity and vice versa.
WHCP C- 6
A contaminated liquid resulting ;,~en w~ter percolates, or
trickles, through waste materials and collects cu~onents of
A system for capturing and exhausting contaminants f~cm ~he air
at the point where the contam/3%an~s are produced (weidLng,
grinding, sanding, other processes or c~uerations).
A respLl-ator used to protect against airborne par~iculate ranter
like dust, mists, metal fume, and ~noke. ~.~-hanical filter
respirators do not provide protecticn against %~dses, ~.~pcrs, or
oxygen deficient a~r~-pheres.
S'lIL'Vmill~
The systematic collection and analysis of hea~t~h infor~aticn on
groups of workers potentially exposed to harm~n~l agents for t~he
purpose of identifying health effec-~s a~ an early and possibly
reversible stage.
M~-lting Point The temperature at which a solid ~r~nce ~=%nqes to a li~_aid
state. For mixtures, the melting range may be given.
Suspended liquid droplets generatsd by ccndensanicn frcm the
gaseous to the liquid sta~e, or by breaking u~ a licuid Lnto a
dispersed state, such as splashing, fcaming cr atc~..~Lng, i.~st
is formed when a finely divided liquid is _suspended Ln air.
Any c~r~bination of two or more ~hemicals if Lhe c~binaticn is
not in w~ole or part, the result of a dne~ical raa~icn.
Special wells drilled at .specific !ocaticns cn or off a site
where ground water can be sampled at s~_iected deot_hs and s~a~ied
to deteI/n/ne such th/rigs as the d~ ~ion in ¥,?%~c~h ground
fl~ws and the ~fpes and amounts of ccntaminants present.
Material Safety Data Sheet
A chemical that alters a cell's genetic Lnforration and may lead
to undesirable inherited conditions.
Nausea
The tendency to vomit, feeling of sickness at the stomach.
Ne~otoxin
Neurotoxin
A substance that causes injury to the kidneys
A material that affects the nerve cells and may p~oduce emotional
or behavior-al abnormalities.
Neutralize
To eliminate potential hazards by deactivating strong acids,
caustics and oxidizers. For example, acids can be neutralized by
adding an appropriate amount of caustic substance to the spill.
RWHCP G - 7
NFPA
Nonfl a~ble
Coordinator
ORM
Oxidizer
Nat/coal Fir~ Prot__~cticn Associaticn: An Lnter~.~tlcnai
membership or%~anizanicn to prc::Dte/L?rcve fL~e .~rcr_~icn ~.d
prevention and to establish safe~s a~.~ainst icss cf life
pruperty by_ fire. Best k,"nc'..,'n cn r2._~ L~.dustrial sc~ne for
National FLre Codes, standards, and recusant.ended ?r~ices.
National Institute for Occupational Safety. and Healt~h
Public . Health Service, U.S. Depa!--~..ent of Healtin .~.~d
Services; A Federal agency %~ic~h re~ru~nds ccc_.~aticna!
limits for varicus substances and assists C~r_~ Lq
safety and he~ith L~vestigaticns and research.
Not easily ignited, or if ignited, not kurnL.~g r~pid?:-.
The official %,~o cocrdinates and d~-.~ects acticP~.
Used in or taken Lnto +~he body_ t_~ca~h T_he mcurln.
Occupational Safety ar~ Health ~nin/~ticn cf ~ '-.S.
De~t of Labor; A Federal ace_nc; ~.;ir_h safe~.- ~.~d
regulatory and epforce_ment autlncri~ies =c~ mcst U.S.
busi~.ess.
Other R~ulatsd Mat~r~al: ~/~ese rateria!s are
they ~ pcse an unreasonable risk to health ~.~d safe~--.- cr
property, but do ncr meet the defL~ticp_~ of
classes in t~he DOT hazardous materials recAiiatic~.
.Old-A; Are raterials t~-~t P~ve ~n anesrinatic, :
noxious, tcxic or other sL.-~!ar prcper~_;. _-nay cmn
extreme annoyance or disc~Cr~.
2o
OIl-B; Are materials w~ic~h cculd cause d~.ace nc a v-~.irle
or vessel frcm contact. '!he rain danger frcm %nese
materials is t~heir corresiviT/ to aluminum.
e
C~}-C; .Are materials '~/c~h are unsui~%ble=~_~r tra~moc~
unless properly identified and prepared fcr
mainly by water.
O~4-D; Are ccnsumer cu~,,,odities Ln packages like Lhcse found
on store shelves. They present minim, al hazard because cf
quantity or packaging.
Se
(Aq~-E; Are those materials not included in any or_her hazard
classification but ~n/ch are either Hazardous Waste or
Hazardous Substances as defined by r~he EPA.
Exposure to a hazardous .material beyond the all~ble
levels.
Support ccmbusticn
RWHCP G - 8
Responsible
Pyrolytic
Remedial
m_~tion
to express low concentr~io~ of contaminants. For eoeur?ie, if
cne drop of a substance is mixed in a co~etiticn-size
pool, the water will contain about 1 ppb o~ ~he substmnce.
Yhese materials are licmnids and solids :-Jmicin are to:tic to ....
through ingestion (eating).
PRP: Any bxiividual('s) or company(s) (such as ~.~ners, c._n~r=~ncr cr
~rters or generators) potentially re_smonsible ~c- --
contributing to the contamir,~tion problems at a' site.
Relating to, or associated with, the lungs.
A ~hemical that will ignite spontaneously in air at a
of 130 degrees F (54.4 degrees C) or bel~.q.
(QA/QC) Q~ality Control: A system of procedures, cinecks, -
and corrective aCtions used to ensure r~at field work
laboratory analysis during the investigation and cleanu~ of sites
meet established standards.
A chemical transformation or cb~nnge; the interacticn cf ~..;o or
.more sn~bsr~nces to form new substances.
See Unstable
A description of the tendency of a substance no underco' ~.-~-.~' ~
~-maction with the release of emergy. Undesirable effec~s -
as pressure buildup, temperature increase, fcrm,,a~icn cf nc.Yic~s,
toxic, or corrosive by-products ~.~ay occur because of ~-~.e
reactivity of a substance to heating, burrutng, direct
witch other materials or other conditions in use or Ln szcrnce.
(RA): The actual construction or implementaticn phase L~n
follc~m the remedial design of a cleanup alternative for a site.
(RD): An engineering phase that follows the Record of Eecisicn
',~en technical drawings and specifications are develcped fcr
subsequent remedial action at the site
A long-term action that stops or substantially reduces a release
or threatened release of hazardous substances that is sericus,
but does not pose an immediate threat to public health ~d/cr
An immediate action taken over the short-term to add.~ss a
release or threatened release of hazardous substances.
Substances that affect either male or female reproductive syst~?s
and may impair the ability to have children.
RWHCP G- 9
~ of
Site
Inspe~on
In Water
Solvent
Resource Cc~=er~atic~ and Recovery Act: A fede_ral law that
estsblished a regulatory system to track hazardous substances
from the time of generation to disposal. The law requ~ ires safe
storing, and disposing of hazardous ~substances.
Devices that will protect the wearer's respiratory system frcm
overexposure by inhalaticn to aJ_~borne ccntamip~nts. Respirator;
protection is used %R]en a worker ~ work in an area :There ~he{z
might be exposed to concentrations in excess of the .all~.~ble
exposure limit.
The breathing system; includes tine lun~s and air passages
(trachea or "windpipe", laryr~, mouth and nose) to the air
outside the body, plus the associated nel~;ous and circulator7
supply.
An evaluation performed as Fart cf the r~medial investigation to
a~sess conditions at a site and de =tarmine Lhe risk posed to
public health and/or the environment.
The means by v~Lich material may ~ain access to r~he body, for
example, inhalation, ir~estion, injection and skin contact.
Self-Oor~ Breathing Apparatus; A reso~ancrv protecticn
device of supplied air.
A substance which, on finest _exposure, cau_~es little or no
reaction in man or test ani~.~ls but w~i~h, on repeated exposure,
may cause a n~3rked response not necessarily limited to tke
contact site. Skin sensitization is r~he mcsn cc~n form of
sensitization in the industrial setting, althcu_c~ .respirntor~_-
sensitization to a few chemicals is also ~nn~.~n to ccoar,
Examples of sensitizers include poison ivy_, pollen and scme
A technical ph~e that foll~.~ a prelLn~inary assessment desi~cned
to collect more extensive information on a hazardous ~aste site.
Ability of some hazardous chemicals to pass directly through the
skin and enter the bloodstream.
A term expressing the percentage of a material (by weight) that
will dissolve in water at ambient (room) tempern~e. Solubility
information can be useful in determining spill cleanup methods
and fire-extinguishing agents and methods, for a material.
A substance, usually a liquid, in which other substances are
dissolved. The most co~n solven~ is ~ater.
Non-reactive materials used to cleanup chemical spills. ~xamples
are clays and vermiculite.
RWHCP G - 10
SpJll or
The methods, equipment and precautions tbmt ~_hould be used to
control or clean up a leak or spill.
~ly A material that ignites as a r=~-ult of renaLned heat frcm
Cmmhust~ble processing, or %~nich will oxidize to genernte heat and ignite, er
which absorbs moisture to generate heat and ignite.
An expression of the ability of a material to remain unchanced,
For MSDS purposes, a material is stm_ble if it remaLp-~ in t~he ~e
form under expected and reasonable conditions of storage cr use.
Conditions :~nic~h may cause ip~tabiti~; (dang~e_rcus ~nanqe} ~e
stated. Examples are t~tures above 150 degrees F, shock
fi o~, dropping.
~ A~mWm~n~s and Rmauthorizaticn Act: A modificaticn to
CERCLA enacted cn October 17, 1986
Supplied Air
Respirator
Air line respirators Or self-contained brear~h/ng apparatus.
Another name or names by which a ra~eriai is k~n. Methyl
alcohol, for exmaple, is also k~n as r. er~2~n, ol, or wood alcchcl.
~c
A poison which spreads thrcu?~out the bo~f, affectir~ all body
systems and organs. It's adverse effec~ is noU localized Ln ~l
spot or area.
Taruet
A toxic substance that attacF~ a ~?ecific o _r%rmn of the body. Fcr
example, overexposure to carbon
damage.
A substance or agent to vJnich exposure of a pregn~ ant fe~.ale ~can
result in malformations in the fetus. An exarp_le is t~halidcmide.
TLV
~lreshold Limit Value; The term used by ACG~q to ~xpress tine
airborne concentration of a ratarial to %.ahi~h nearly all pers_ons
can be exposed day after day, without adverse effects. ACGIH
expresses TLV's in three %rays;
TLV-R~NA: the allow-able time weighted average concentration
for a normal 8 hour work day or 40 hour week~.
e
TLV-STE~,: the short-term exposure 1 imit, or maximum
concentration for a continuous 15 minute exposure period
(maximum of four such periods per day, with at least 60
minutes between exposure periods, and provided that the
daily TLV-R]~A is not exceeded).
TLV-C: the ceiling limit - the concentration that should not
be exceeded even instantaneously.
RWHCP G - 11
Toxic
Toxicity
T~-ade
Trade Secret
Unstable
Vapor
Ventilation
Vermiculite
Volatility
Viscosity
Water
Purveyor
Water
Reactive
.Any substance ~hich can cause acute cr ~nrcnic ?.ju~f tc tke
b~man body, or ~Tnich is suspected of bei-.g able to cause di?~_ases
or injury under scme ccnditicns.
The sum of adverme effects resulting frcm. ~_._vpcmdre ~o a .-.aneriai,
generally by the mouth, skin, or respir~_~cry r~a~.
The tI-adenmtrk name or ccmmercial name fcra material.
Any confidential formula, pattern, process, device, infcrr, anicn
or compilation of information L%.~t is used in mhd =_.~lcver's
business, and t_hat gives the ennployer an cppo~r~ni~y ~o cbtain ~n
advantage over compe~itor~ who do not )mcw or use it.
Trea~n~=nt Storage, and Disposal FacLlity: Amy building, stru~are
or iP~-tallation %~ere a inazar~ous suksr2ance b_~s keen
stored or cli _sposed of, generally a~er a 90 day acc~ulaticn.
~nese are regulated facilities.
A chemical which in the pure s~at_=, er as pr~du~ cr
transported, will vigorously polyr~rize, decc~.~cse, condense, cr
will become self-reactive under conditions cf ~nock, pressure or
t~peI-ature. These chemicals are also referr~ 5o as reaCtive.
The qaseous form of a solid or liquid ~dbsnance as it evapor=~n=_s.
C~rulating fresh air to replace ccnr. mrd_na~ air.
~m ~expanded mica (hydrated magnesi~.~-ai~.-~..~n-ircn siiica~e'~ ~ed
as a sorbent for spill control ~nd clean up.
A .measure of h~ quicFJ[y a subsr~nce fcr~...$ a vapor at o~in.a_~-
t~._~_ratures. -
The tendency of a fluid to resist Lnternal fl~,.; without regnr~ to
it' s density.
A public utility, mutual water ccm~any, county %rater district or
..municipality that delivers drinking water to c~sso~.~.
A ~hemical that reacts with water to release a gas that is eit~her
flammable or presents a health hazard.
RWHCP G - 12
)ECTION SUMMARY:
SU~{ARY DETAILS
COMPLAINT
bispositton Symb.
1-In Compliance 2- Correction Needed 3- Verbally Warned
4-Verbally Warned Re/Insp 5-N.0.V 6- Citation 7-Referred to (Specify)
EMERGENCY PROCEDURES (CCR TITLE ]9-2729 & $])
~ Agency Notification Plan (O.E.S., FD)
~. Employee Notification & Evac. Plan
~ Emergency Responder Notification
D. Medical ASsistance
E. Private Response Team Procedures
TRAINING REQUIREMENTS (CCR TITLE 19-2732)
F. Training Records
O. MSDS Available to Employees
H. Employees Familiar with MSDS --
I. use~of Personal Protective Equipment
.ste Material Permits & License
,loyees familiar with evacuation
PREVENTION & CLEANUP PROCEDURES (CCR TITLE 19-2731
~/ L. Work Area Safety
~ ~ M. Clean-up Materials placement/availability
~ N. Clean-up Equipment
) -0. Fire Protection Systems /
/ P. Waste Handling & Storage
Q. Availability of Protective Equipment -~-~//
INV. & DIAGRAM VERIFICATION (CCR TITLE 19-2729)
R. Inventory Quantities
S. Storage, Container Cond., & Labeling
~. Location in Facility Unit
U. Emergency Water Supply .
~. Evacuation Plan & A~ea
W. Surrounding Exposures
I plan. , : ~- / X. Utility Shut-offs
,~ 'x ~ Other
I:',,::'.r .... : , ,' , .... '~ ~ s /,
learance Granted
rted :
Re-Inspection Requtred/./~ on ~ / ~/ /~:::~
Completed~: ~ Total Elapsed Time__: __ D.E.__
Insp
Owner/Manager
B~ERSF!ELD CI~! FIRE DEPAR'
2130 "G" STREET
BAKERSFIELD. CA 93301
(805) 326-3979
IUSINESS
.Y~ME
OFFICIAL USE ONLY
ID:
HAZARDOUS lvt~ITERIALS
BUSINESS PLAN AS A WHOLE
FORM 2A
INSTRUCTIONS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible.
SECTION 1: BUSI,XIESS IDENTIFICATION DATA
A. BUSINESS NAME: Federated Department Stores DBA Ralmhs Grocery Company
B. LOCATION / STREET ADDRESS: 3-737 Rosedal~ HiGhway
CITY: B_aker.~fiei~d't CA ZIP: 93'308 BUS.PHONE: (8D$) 327_-4587
SECTION 2: EMERGENCY NOTIFICATIONS
In case of-an emergency involving the release or threatened release.of a
hazardous mater£al, call 911 and 1-800-852-7550 or 1-916-427-4341. This will notify
your !ecai fire ~epartment'And the State Office of Emeryency Services as required by
law.
EMPLOYEES TO NOTIFY IN CASE OF LMERGENCY:
NAME AND TITLE DURING BUS. HRS. AFTER BUS. h-RS.
A. Walt Hastings - Director Ph.= (805)32~-4587 Ph~180~}254-5772
B. 'Henry Winckel-Mana, qeroOp-~ra~ti0n~h= (805)%27-4587 Ph:(,~09)539,-34],2
SECTION 3: LOCATION OF UTILI/~f SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: S/W corner near Receivinq (exterior)
B. ELECTRICAL: Interior - East mezzanine exterior-S/E corner
C. WATER: Pit valve in grass median in front of parkinq lot
D. SPECIAL: None
E. LOCK BOX: YES ./~.~ IF YES, .LOCATION:
IF YES. DOES IT CONTAIN SITE PLANS? YES / NO' MSOSS?
FLOOR PLANS? YES / NO KEYS?
YES / NO
'/'ES ./ NO
- 2A -
SECTION 4: PRIVATE RESPONSE TE'~M FOR BUSINESS AS A WHOLE
Store management staff can handle minor incidents such as consumer-
type materials spills. In all cases, local fire officials would be
called for assistance.
SECTION 5: LOCAL EMERGENCY .MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE
- Willard Christiansen, M.D.
2021 22nd Street
Bakersfield, CA 93301
- Greater Bakersfield Memorial Hospital
420 34th Street
Bakersfield, CA 93301
(805) 327-9617
(805) 327-1792
SECTION 6: EMPLOYEE TRAINING
E}IPLO%~RS ARE REQUIRED TO HAYq~ A PROGRAM WHIC}~.PROViDES EMPLOYEES WITH iNiTiAL AND
REFRESHER TRAiNiNG IN THE FOLLOWING AREAS.
CIRCLE YES OR NO iNITIAL
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
>~TERIALS: ....................................... ~ NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WI,H R~SPONSE AGENCIES: .......................... NO NO
C. FROPER USE OF SAFE~ EQUIPMES~: .................. NO NO
D. EMERGENCY EVACUATION PROCEDURES:..~ .............. 'NO NO
E. DO YOU MAiN~AiN EMPLO%~E ~AINING RECORDS: ....... NO NO
REFRESHER
NO
SECTION 7: HAZARDOUS .MATERIAL
CIRCLE YES - NO - NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS ~¢TERIAL IN QUANTITIES LESS THAN 500 POUNDS OF A
$5 GALLONS OF A LIQUID. OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ~ NO
SOLID.
I. Larry Mollen , certify that the above information is accurate.
I understand that this information will'be used to fulfill my firm's obliyations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. 25500 Et Al.) and that inaccurate information constitutes perjury.
'SIGNATL~E
TITLE Manaqer-Safety
DATE 3/2]./88
- 2B -
BAKERSFIELD CITY FiRE DEPART.~"I
2130 "G" STREET
BAKERSFIELD. CA 93301
· V
BUSINESS XA. tE:
OFF~iAL,,. USE ONLY
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM SA
INSTRUCTIONS I. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR ANSWERS IN ENGLISH.
3. Answer the questions below for THE FACILITY UNIT LISTED BELOW
~S~ possible.'
4. Be as BRIEF and CONC' ? as
FACILITV UNITm
FACILITY UNIT NAME:
SECTION 1: MITIGATION, PREVENTION~ ABATEMEN-r PROCEDURES
Ail hazardous material is stored in consumer-size containers,
stored on the sales floor on metal' shelving. All products,
except those used for minor cleaning, remain in original
containers as received from the manufacturer.
Spill control plans include isolation of material with absorbent
material, evacuation of hazard (fumes, dusts, etc.), potential
evacuation of store and proper disposal_of material. 'In all cases
other than minor spills, the Fire Department will be called to
assist.
SECTION 2: NOTIFICATION AND Ew;ACUATION PROCEDL-RES AT THIS L'N"IT OYLY
Nokification of a medium or greater spill of hazardous material
will be to the Fire Department via phone by the Store Director
or Manager of Operations.
When necessary and if directed by the Fire Department, the store
would be evacuated (employees and customers) by the Store Director
or Manager of Operations.
SECTION 3: HAZARDOUS MATERIALS FOR THIS b~IT ONLY
A. Does this Facility Unit contain Hazardous Materials? ...... ~ NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES O
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form ~4A-1)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (yellow form =4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
The building is fully sprinklered with water feed from public
mains. Two 8" risers serve a typical grid system. Sprinkler
system is wet-type with three outside hydrants.
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPON~DERS
Fire hydrants located at: S/W corner
S/E corner
North central parkinq lot
SECTION S: LOCATION OF L~ILITY $~-OFFS AT THI~ L~IT ~¥.
A. 5.'AT. GAS.,'PROPANE~
\
S/W corner near Receiving Dock
B. ELECTRICAL:
C. WATER:
Interior - East mezzanine near stairs
Exterior - East wall near S/E corner
Pit valve in median between Rosedale Highway
and parking lot (center of lot)
D. SPECIAL: None
E. LOCK BOX: YES .'(~ iF YES. LOCATION:
IF %'ES, SITE PLANS?
FLOOR PLANS?
YES / NO
YES / NO
- 3B -
MSDSs?
KEYS?
YES / NO
YES / NO
ORTH SC,:,LZ: ~"-200' 3USINESS .~A.'.tE: P-.,6,kf>a.6, ~Ii:OCF=R.N' Cd, Fr__COR: I
(C:{ECX ONE) SITE DIAGR:&X[ V/ FACILITY OIAGR.~sI
I~O...fiE DALE 14 I~ 14WAy
Inspector's Comments}:
-OFFiCiAL USE ONLY-
- 5A -
ROLL-Up
ROLL-UP
DOOR
· FE
,4
ORTH
SCALE: BUSINESS NAME:
~: ~0~
DATErB /z~/~6 FACiLiTY N~~:E: ~ (..-~lEOCeTl~V/ (-.~.
_--£CCR: I C.-- t
( C.,-C,x ONE )
S~TE D[AGR:~
FAC.L.,--Y DIAGR-~%j
_._S~E5 FL,,dOR_
F.V&¢UA'r~ot,I ~.
lnsgectou's CommenTs):
.-OFFiCiAL USE ONLY-
- 5A -
II
F
1'4 (.') ~ -- T I~ A
iIAZ AI~I.i)IO IJS r, IAT
I I I II^X
· . 132G
92.G. ....
1850G
2 .q '1
^111111^1, I,O(:Al'l()rl III TII
.A.H!!gI!.L .,_IL~ ! I, I T L_g.I! I T
~ales Floor
Sales Floor
1290G
. 700G
80G
· Sales Floor
Sales Floor
4A-I
Front of
2400G iales Floor
I~!IIIII',III;Y (:till'fACT
t1~. I Ralphs Grocerv~_.C~ompa .q~_".Czi~t-'l FAC i I, I T Y
3737 Rosedale H.w_y: _FAalI, ITY UIIIT IIAHE:
I Bakersfield. CA._ 93308 ,..
(~05) 327-4587_, Jt)rFl(:l^h
:ti (till IIi'Y I:IIIIrACT :.He_~n.r~. Winckel
p. IHI II'^l,: iiII~IIII:S9 ^CTIVITYt..R--e.,tai,l-,,-Gr-,°cery
g
Ha, ir S~r~y
AlcohoL.
Lysol
0
~ I1¥
UT,_
40%
-\
30%.
, ~race
_\
10%
10%
40%
Trace
Trace
18
100%
Ethyl Akcohol
:phenyl-Pbeno1
Ant and 'Roach
Killer
2 (1-Methylethoy) Phenol Methyl
pe~rQI,~pm Distillate
Raid BUq Killer
Pyretbr.i__nq
pipero_qn~ Butoxide
Sodium Nitrate
Charcoal Liqhter
Naphtha
Illl$ ~
I101111S:
11119. 111111 ~
TITI Zt Mana~a~J~OI011ATIJREI ..... -~ -~
Walt Hastinqs -TITI,E;I ,,Store Director E i BUS
, , AFTER IIIl~
TITLffl, Manaqer-ODeration~s__PIIOll£ I Bll9
AFTEn
I ;I I:
tllll'l' I :..1.
USE CF IHS CI)III'
Ill
IA 7. Alii;
EXPL,..
EXPL .
EXPL
EXPL
FLL. Q .
l)~ ~;3_Z'..~3/88
(805 ..3.~1~.587
{805) 254-5772
(805) 327-4587
(805) 539-3412
I) I
Il I
,'; I II1~:;
I1%, 7,
III)ill,
I t^ll
ti.,,
~ ll^lll,{:
: ........ i.8_0.5 ) 32,.7-4.587
!!"!{ !. ,6[!YY!!L
7G _90G
200G _
20% _
_ phenozZ) vinyl ...............
Holidaz_ F°qqer .... _~EX_P_L_.
Sales Floor
Sales Floor
Sales Floor
Floo]
70%
-- Automotive Antifreeze
CMLQ
'{[~'~-v-:~u 1 len T I TI ~ I
I¥11~1%1'.111~¥ i:(IIITAI:T:__Walt Hastinqs ,
:11 II~il III'Y I'.IIII[~C7: Henr~ W~nckel .... -
........ Retail Grocery
I/Itif IIoAI,.i IiII~IIII~R~ ACTIVITVt..~ .--,
100% ,.
~ Sodium Hydroxide
-- Motor_Q~
100% Petrpl__eu__m Distallate
-- Transmission Fluid
EXPL
100%_ Petroleum Distallate
CMLQ_..
CMLQ
AFTER
-- TITI,EI_ Director AFTER BUS IlllSt
TITLBI Mana~er-ODerattnns---PIlOttE I 8lis
- - fillS, IIRS:
(805) 2.54-5~2
( 805 )iI .327 ~14~ ~]I . .
(805) 539--3412
ll^lll{ll_R__alphs Grocery Company
3737 Rosedale Hiqhwav
I I; , ?.Ii;' Bakersfie.l_d.; CA 93308
I
kl .....
M
M ~ ~09_
M,~'~¢'=~- .2G,
M. ' 5G
2960LB
50G
540GAL.
20GAL
.~0GAL
41400LB
I,(~(:^1' I IIII 1 II TIII fi l
IL6.~ I h I TL.~It I T
Sales Floor
Sales Floor
.Sales F1oqr
Sales Floor
Sales Floor
Sales Floor
,Ill'.' 'ga~.~ _~..u_l 1 e n
;~1 Il fi l',ll l: ¥ I:IIIITACT: Walt Hastinqs
:ll.ll~ltlll'T C(IIITAf:~: Hen_rz Wi.nckel ........
I, lt;I II'^l,,. IIIISlIIES,q ^CTI¥1?¥1 Grocer..y. Reta.il
§
X IIY
100%
80~,,
~o0
100%
lO%
80%
~I()FF I CI^I, USE
.: o It I, ¥ ..
C Il ~_I'IU; 61,__9!! C °HHL)!!-!] -A- Q E~'
Rubb iln. ~.oA 1 q oho 1
' I soprop¥1 Alcohol
Static Guard
Dimethy~ Ditallon Ammonium
Chloride
IIA ?. A It II
Spray N. Wash
Petroleum Distallate
Wp-4O
Petro.!eBm Distillate
STP Ga~__Treatment
Mineral ~pirits
Laund~_Deterqent
Anlonic Surfactant
Sodium Sulfates
.~LLO ....
ORME
T I TI ~, ~ Mana~errSD~Y_~ 81011^TUR k J _~i% [)^ 1 [ 8Z~.3/88
~ - ', -, lie I I]ll~ Ji~[[[~ :(1~05). 32'~2.~..5..87
TITI,EI D,~reqtor ,,,
, AFTER
~ Manaqer-ODerations--_ PIIOIIE I
fiFT£n
llll,~ IlllS: {805)
BII9 IlOllllS ~(805 )
Illl~. 11tiS: (805)
254-5772
327-4587
539-3412
II ii I
"e
3737 Rosedale Highway
I': Bakersfield, CA 93308
(805) 327-4587
.... ~30G.,
GAL
t;l'.llCY (:(III'[A~:T:
TITI
Walt Hastinqs
7
i,(,(:^'rl(,ll Ill Till
IL~c I h I JL_glil T
Sales Floor
Sales Floor
0
~ 71Y
~00%
100%.
OIl^TUnE I.
Veqetable Oil
Beer/W~ne/Liquor
Ethyl ~ohol
TITI,.I Director
~lJI. ilI'Y I:(Illi'ACI:
)f r,l'^l,.. II Il !l l ll l: n ,q
He__qn~ Winckel
^(:'rlVITY~
CF I I1~ CIII)I'
CML9,
l) l) I
UIt(,.~ ~ I)tJs .()..s, (80~_)_~.?.:?.'.-',<s87
^rTE;II IIll,.Cl IIIISl (805) 254-5772
TITL~l_Manaqer-Operation~___PIlOllE I IIlIS IlOllitS~ (80,5) 327-4587 ..
..,.G_r_ocery. Retail AFTEI1 III1~. IIRS I (80'5) 539-34_1__2_ ,
- ,11~, I - ''
**AMMENDED
BUSINESS NAME: RALPHS Grocery Co.
I.I^KI~IISF l I':Li] F I Ill'; Ill~i'^ll I*I~II';N'I'
4A-1
NON - 'I'I~,AJI~.I3 i ~ 1I_~(3 I~, ~F~
'
OWNER NAME: RALPHS G,~ocery Co.
FACILITY/UNIT #: 188
ADDRESS: 3737 ROSEDALE HIGHWAY ADDRESS: P.O. Box 54143 FACILITY/UNIT NAME: BAKERSFIE]
CITY, ZIP: BAKERSFIELD, CA 93308 CITY, ZIP: Los Anqelesr CA 90054
PHONE #: (805) 327-4587 PHONE #: (818) 502-5614
........ I
~ .~ 4 n o ? 6 g
IIAZAI{II I).
Al. If)l/ltl .AMOUNT UNIT CODE CODfi F~CII, ITV.UNIT ..WT~ CII~'NICAf, O~ COMMON NAME CODE
238,:/' N/A ::? GAL 9/10 99 SW CORNER OF STO~ ~'
.,, (400 V~ITIES) < 15/40 ethyl alcohol (CAS~64-17-5) ~ . /
~ CORNER' OF STORE
- ~onxa in solution
25 ~ '. N/A NE CORNER 0F STORE .
...... G~ 10 09 ISLE 13 ANTIF~EZE/COO~T O~S N/A
99 (8 V~ITIES) ~ 90 - ethyl a~ohol ..... . ~ ,
n~ & 10- & .... ~ ~ CORNER OF STORE' --
176,.;',~ 54 LBS 11 08 _ISLE ] 4 .... HOUSEHOLD BLOCS O~S N/A
· - ~odium. h~ochlorite
- sodi~ hydroxide
--.,,. < .6 (CAS] 1310-73r2)
< 5 - hydrogen peroxide
' (CAS] 7722-84-1
GAL & 10 & 08' NE CO~ER OF STO~
130,j '54,~ ,, LBS 11 ISLE 13 CLRNERS-HOUSEHOLD DISINFECTAN[ _O~S
{ - ~ime~hyl benzyla~oni~
99 (38 V~ITIES) ~..5 (CAS~ 001-330-207)
- dime~hyl glycol menoethyl et] ter
~ . ...... : ~1-3 . (CAS~ 000-115-105)
dimethly ethylbenzyl a~onia chlori~ les
~ 5 . (CAS% 7664~41-7.)
~ /
NAME: DAVID E. HANSEN CSSP TITLE: SAFETY ADMINISTRATOR SIGNATU~'~~ ~~ DATE:2/14/8
EMERGENCY CONTACT: WALT HASTINGS TITLE: STORE DIRECTOR PHONE & BUS HOURS: 805-327-4~87 (6A-10P)24B
ALTERNATE EMERGENCY CONTACT: Id%RRY MULLEN TITLE: SAFETY MANAGER PHONE & BUS HOURS.:818-502-b614
PRINCIPAL BUSINESS ACTIVITY: RETAIL GROCERY SALES (SIC: 5411) AFTER BUSINESS HOURS:~
EMERGENCY: 818-502-5600 (SECURI
of'5
, /',~,::!? t'.1,~,'{ ^i'lt';ll^l. (;lINT U.':JI': I.(It:^TlOl't IN TIIIO ~ BY IIA?.^llll
"CODE^I. IIJIJII'I AHUIJNI' UNll' COUE COBB FACII, IT¥.U,N!T ~ CIIEHICAL Ur CUIqtlUlt HAI~IF,, CUIJE UUll
~,~ 'GAL S 10 S NE CORNER OF sToRE N_/j
M ~:' / 72'~., ~ '" ~ 54' LBS 11 08 ISLE 13 ' CLEANERS-HOUSEHOLD GENERAL USE ORMS
/ ' '" - monoethanoamine
99 (41 VARITIES) < 1 ~1_41-.43-.3,). . .~ ...
--' - Dotas_sium hydroxide
CAS# 1310-58-3) ' _____
: - 2-butanol
i c 78-92-2 ) ....
- -- - ethylene glycol
<.5 (CAS% 000-112-345
'" ~ - aliphatic naphta
__~.=_1 ~008-032~324 )
.... 9 & NE CORNER OF STORE CLEANERS-HOUSEHOLD/GLASS ORMS N/A
M.I~ 53 > · 54 GAL 10 08 ISLE 13
.... - isopropanol alcohol
99 .(15 VARITIES) __ ~ (CAS# 67-63-0)
- .~ '" - 2-butoxyethanol
~ (CAS# 111-76-2 )
..... isoproDyl alcohol
~ 8 (CA~# ~7-63-01)
- methyl alcohol
< .4. ,, (CAS%.... 000-067-561)
· ' GAL ~ 10& NE CORNER OF STORE
Mi.: 18 ~ ..... 10 LBS 13 08 ISLE 13 DRAIN OPENER-_HOUSEHOLD O___~S__ N/~
........... - sodium hydroxide
99 (6 VARITIES) <.5 (CAS# 1310-73-2) ,. __
------------ - sodium h~pochlorite
< 8 (CAS# 141~43-5) ..... _
. -- - sodium silicate
~10 (CA,={ 001-344-09. i~,)
NAME: DAVID E. HANSEN CSSP TITLE: SA~ ~ ? ~
EMERGENCY CONTACT: WALT HASTINGS TITLE: STORE DIRECTOR PHONE & BUS HOURS: 805-327-4587 (6A-10P)24H
ALTERNATE EMERGENCY CONTACT: LARRY MULL~N TITLE: SAFETY MANAGER PHONE & BUS HOURS:818-502-b614
PRINCIPAL BUSINESS ACTIVITY: RETAIL GROCERY SALES (SIC: 5411) AFTER BUSINESS HOURS:2d~~56
EMERGENCY: 818-502-5600 (SECURI
I]^KBIISF lBbl) F I Il'l; { III~I'All I'III;NI'
FORMi4A-1, ~
**AMMENDED IIAZAI%DC~US · ~I./~*I'EI~I A~SI I NVI{NTOI~¥
BUSINESS NAME: RALPHS Grocery Co. OWNER NAME: RAL~HS i'i
. Grocery Co. FACILITY/UNIT %: 18~
ADDRESS: 3737 ROSEDALE HIGHWAY ADDRESS: P.O.'BOx 5'4143 FACILITY/UNIT NAME: BAKERSFIE]
CITY, ZIP: BAKERSFIELD, CA' 93308 CITY, ZIP: Los Angeles~ CA 90054
PHONE ~: (805) 327-4587 PHONE #: (818) 502-5614 J0FFI(;IAI' USg
* *AMMENDED
I.IAKEIIgF 1 F. LII F I I!1'1 ! Illil'^ll I'tlI':N'I'
of- 5
BUSINESS NAME: RALPHS Grocery Co. OWNER NAME: RA~PHS ,Grocery co. FACILITY/UNIT #: 188_
ADDRESS: 3737 ROSEDALE HIGHWAY ADDRESS: P.O. Box 54143 " FACILITY/UNIT NAME: BAKERSFIEI
CITY, ZIP: BAKERSFIELD, CA 93308 CITY, ZIP: Los Angeles~ CA 90054 [
PHONE {: (805) 327-4587 PHONE #: (818) 502-5614 UFFICIAI, USE CFIR9 t:OI)£
I
(~t~l,Y
1 2 n 4 ~ e v " ~ g
]:~OD~ I. IA3- A/IIIII^I. (;,,,'r ll~E I.{IUATIIII{ Iff Till6 ~ DY II^ZAIll) I).l)'
..-.=-.~ h /.I fl l)!l '.l' .AHUIJNI'. UNIT COUE CODE FAUII~ITy. UNIT HI,_ CIIE'fllCAI, UR CUFIMUIt HAME _UUII__E
DRAIN OPENER-HOUSEHOLD (CONTINI,ED FR~
- n-butane
__~.]~1~~0-110-634) .
- chlorotoluene
~. 1 (CAS# 95-49-8)
M '] 34'~ N/A '~ lO& NE CORNER oF STORE
~ GAA"" 11' 08 ISLE 13 FLOOR/FURNITURE PRODUCTS-HOUSE]fOLD O~ IS
- styrene/acrylic polymers
99 (11 VARITIES) <10 (CAS# 000-100-425)
=~ diethylene glycol monoethyl et].er
<1 (CAS# 000-112-345)
- ammonia
~ . 5 CAS 664-41-
- formaldehyde
<.1 (CAS#,,50-00-0)
~"] ~"38~ 5 GAL 10& NE CORNER OF STORE
~ 24 iSLE 13 . J~dLT-Ig~ - · ORMS
· - hydramethylnon
99 (25 VARITIES) <1 (CAS# 6748-29-4)
- petroleum distillates
<73 ~CAS# 64742-47-8) .,,
- ~-(1-methy~ethoxy) phenol me~,hly ca:'baml
~ '7 (CAS# 114-26-1)
- 2,2-dichlorovinyl dimethyl p]~osphat~
....... : -~- 2 (CAS~ 6~ __
NAME: DAVID E. HANSEN CSSP TITLE: SAFETY ADMINISTRATOR 'SIGNA'I'U~'/~~ ._/~~ DATE:2/14/8
EMERGENCY CONTACT: WALT HASTINGS TITLE: STORE DIRECTOR PHONE & BUS HOURS: 805-327-4587 (6A-10P)24H
ALTERNATE EMERGENCY CONTACT: LARRY MULLEN TITLE: ~/~FETY MANAGER PHONE & BUS HOURS:818-502-b614
PRINCIPAL BUSINESS ACTIVITY: RETAIL GROCERY SALES (SIC: 5411 ) AFTER BUSINESS HOURS: fl] 8-502-56
EMERGENCY: 818-502-5600 (SECURI
**AMMENDED
BUSINESS NAME: RALPHS Grocery C°.
ADDRESS: 3737 ROSEDALE HIGHWAY
CITY, ZIP: BAKERSFIELD, CA 93308
PHONE #: (805) 327-4587
4 of!/~5__
OWNER NAME: RA~PHS Grocery Co. FACILITY/UNIT ~:.188
ADDRESS: P.O. Box 54143 FACILITY/UNIT NAME: BAKERSFI~
CITY, ZIP: Los Angeles, CA 90054
PHONE #: (818) 502-5614 UFFICI^{, USE CFIR$
1 ;~ n 4 n o '? 0 g
~...,,-'~*:'. I. IA,'{ AUI/IIAI, C{}N'F II.gF, I,(}'[:ATION IN Tills ~ BY IIAT, AI{I}
coDE AHUUII'I ,AMUUNI' UNII' CUUE COUfi F~CII~ITV.U~!T,, Hl~ CIIE'MICAL UR CUMMUU NAFIE CODE
H CO~ER OF STO~ ~DRy DETERGENT-HOUSEHOLD O~S N/~
M/ '> 148 ~ N/A. ' G~ 10&~" 08 ISLE 14 (~7 UA,~R~ )
1
-- trisodi~ phosDhate
..... 99.. ~25 (CAS% 7601-54-9)
- glycol ether
'~' --- - sodi~ carbonate
~ 15 (CAS% 497-19-8) ........
: '~ ........ - sodi~ metasilicate
~ 30 (~ 10213-79-3)
', 10& ~FRONT CENTER OF STOl E
M 20 ~ N~A' GAL 13... 19 ISLE 2 ..(5 V~ITIES) nI~F~~C~COaLliqhter ~ N/t
- naphta
99 ~ ~
' - saturated hydrocarbins
.~ ~-~ LUBRiCATiNG OIL/MOTOR OIL O~S N/2
M 51 N/A-. ~ GAL i0&' NE CORNER OF ST0~
, 13 26 iSLE 13 (6 V~ITIES:)
_, - highly refined base oils
99 ~ (CAS~ 64742-65-0 )
- aLnc. a~g~.d~h~gphosphate
M
' ~ ..... sodi~ hydroxide
99 < 5 (~S~ 1310-73-2)
.... monoethanol~ine
~ (CAS~ 141-43-5) ....
' -' diethylene glycol monobutyl ~ther
. 10 (CAS 112-34-5~ ./
NAME: DAVID E. HANSEN CSSP TITLE: SAFETY ADMINIS )~..~c~. i
EMERGENCY CONTACT: WALT HASTINGS TITLE: STORE DIRECTOR PHONE ~BUS, HOURS/ 805-327-4587 (6A-10P)24H
ALTERNATE EMERGENCY CONTACT: LARRY MULLEN TITLE: SAFETY MANAGER PHONE & BUS HOURS:818-502-b614
PRINCIPAL BUSINESS ACTIVITY: RETAIL GROCERY SALES (SIC: 5411) AFTER BUSINESS HOURS:RI8-502-56
EMERGENCY: 818-502-5600 (SECURI
**AMMENDED
BUSINESS NAME: RALPHS Grocery Co.
ADDRESS: 3737 ROSEDALE HIGHWAY
CITY, ZIP: BAKERSFIELD, CA 93308
I.I^KI:;II&IF I k'l,!! F I IIl';i III~I'AII I'i~II';NI'
FORM 4A-l'
0~ER N~: ~PHS },Grocery Co.
ADDRESS: P.O. Box 54143
CITY, ZIP: Los ~qeles~ ~ 90054
of 5
FACILITY/UNIT %: 188
FACILITY/UNIT NAME: BAKERSFIE!
PHONE #: (805) 327-4587 PHONE #: (818) 502-5614 IiUFF~CI^I,
USE;
CFIRS
I
.'.'}') I. IA~ ^UIIII^I, (;lINT IISI~ I, OUATION IN TIII8 ~ DY IIAZARII I).{t
CODE al. lltl/ll'l .AMUUNr UNIT CODE CODE EACII, IT¥.UNIT ~ CIIE'HICAt, UR COMMON NAME ..._qCUIJE;
-,',- GAL i-0 SW CORNER OF STORE N~
M/j:i 42 "N/A'? LBS 11 08 ~6.__VAR~TIES) ,. POOL SUPPLIES-HOUSEHOLD ORMS
<10 - chlorine
99 {C. AS# 77~2-50-5) ~~ ·
· SPECIFIC "EI~'LOYEE USE EXPI~SURE" to HAZARDOUS M/~TERIA]iS IS DETAILED THROUGH THE HAZ. :OMM. PItOG~
· * THIS STORE ~[S THE OPTIIIN oFusIN~ CONSUMERPAClr~(;ED PR~DUCTS FROM SHELF IT~IS (limited use on.y)
· *~ THIS IS A RET~IL GR)CERY OPE~ iTIO~ THAT OFFERS CON~IUI~R ?AClr~GED PRODUCTS FOR RETAIL SALI TO TH~
· *** THE " I~g/~RDouI MATE tlALS tSUBS~?ANCES~' ~'TI-I~T ~ IN II~L[ ~ fOUNTS AT THIS FACILITy ARE REGUlaTED B'~
STATI AND'FEDIIHAL g iENC!IIS AS CONSUlaIR PACl~GED PR{IDUCTS~q.ND ~OT AS THOSE REGUI.~TED BY D.O.T.
(FEDtRAL DEP~F2g~OFT]~NRPl~RTATTON) RTIT.~ ~RTDMRli~
NAME: DAVID E. HANSEN CSSP TITLE: SAF~TYADMINISTKATOR : i t ~
EMERGENCY CONTACT: WALT HASTINGS TITLE: STORE DIRECTOR PHONE &--BUS HOURS: 805-327-4~87 (6A-10P)24H
ALTERNATE EMERGENCY CONTACT: LARRY MULLEN TITLE: SAFETY MANAGER PHONE & BUS HOURS:818-502-b614
PRINCIPAL BUSINESS ACTIVITY: RETAIL GROCERY SALES (SIC: 5411) AFTER BUSINESS HOURS:fl]fl-502~56
EMERGENCY: 818-502-5600 (SECURI
z 30 S EET RECEIVED
(805) 326-39?9 ~A~ 2 5 1988
IUS INESS MA.ME
OFFICIAL USE ONLY
ID=
HAZARDOUS IvtZ%TE R I ALS
00t23
BUS I NESS
PLAN AS A WHOLE
FORM 2A
!NSTRUCTI 0NS:
1. To avoid further action, return this form by
2. TYPE/PRINT ANSWERS IN ENGLISH.
3. Answer the questions below for the business as a whole.
4. Be as brief and concise as possible
SECTION 1: BUSINESS IDENTIFICATION DATA
A. BUSINESS NAME: Federated Department Sto~es DBA Ralphs Grocerv Company
B. LOCATION / STREET ADDRESS: 3'73:7 .Rosedale'-Hiqhway.,
CITY: ha~-e~'~-id-i:~5'- CA/· ZIP: 93'308 BUS,PHONE:
SECTION 2: EMERGENCY NOTIFICATIONS
In case off'an emerMency ~nvolvinM the release or threatened release of a
hazardous mater~al, call 91'1 and 1-800-8~2-7~50 or 1-91~-427-484I. This will notify
· Of .... of Eme-*~ncv SerT~ces as required bu
ycur.~___~-~ fire 3~partment%nd.~ the State ~o .~ . -
law.
EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY:
NAME AND TITLE _DURING BUS. HRS. AFTER BUS. HRS.
A.;::~ai~ 'Hastinqs ...... ":', ~i~e-~°-~ ..... "~"~-~.. ph#<'"id0'5) 327~"4587 Ph~.i805') 9.54z'~772
B. Henry WinckeleManaq'er'~O~eratlo~h~ (805)327-4587 Ph:(,~09'.)539. k3412
SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE
A. NAT. GAS/PROPANE: S/W corner near ReCeivinq (exterior)
B. ELECTRICAL: Interior - East mezzanine exterior-S/E corner
C. WATER: Pit valve in grass median in front of parkinq lot
D. SPECIAL: None
E. LOCK BOX: YES /~ IF YES, LOCATION:
IF YES, DOES IT CONTAIN SITE PLANS?
FLOOR PLANS?
YES / NO' MSDSS? YES / NO
YES / NO KEYS? YES / NO
- 2A -
SECTION 4: 'PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE
Store management staff can handle minor incidents such as consumer-
t.ype~ma~eulals spills. In all cases, local fire officials would be
cail~'~"~'~ assistance
SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOPq~ BUSINESS AS A WHOLE
- Willard Christiansen, M.D.
2021 22nd Street
Bakersfield, CA 93301
- Greater Bakersfield Memorial Hospital
420 34th Street
Bakersfield, CA 93301
(805) 327-9617
(805) 327-1792
SECTION 6: EMPLOYEE TRAINING
EMPL0%"ERS ARE REQUIRED TO HA¥~ A PROGRAM WHICH.?ROViDES EMPLOYEES WITH iNiTIAL AND
REFRESHER TRAiXiNG IN THE FOLLOWING AREAS. ' '
cIRCLE YES OR NO INITIAL
A. METHODS FOR SAFE HANDLING OF HAZARDOUS
>~TERIALS Q NO
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... ~ NO
C. PROPER USE OF SAFETY EQUIPMENT: .................. ~ NO
D. EMERGENCY EVACUATION PROCEDURES: ................. ·NO
E. DO YOU MAiNTAiN EMPL0%~E TRAINING RECORDS: ....... NO
REFRESHER
ONO
NO
NO
NO
NO
SECTION ?: HAZARDOUS MATERIAL
CIRCLE YES -; NO v NONE
DOES YOUR BUSINESS HANDLE HAZARDOUS ~TERIAL IN QUANTITIES LESS 'THAN 50O POUNDS: OF A
SOLID, 55 GALLONS,OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: .... ;.. ~iES]~ N0
I. Larry Mullen , certify that the above information is accurate.
I understand that this information will-be used to fulfill my firm's obligations under
the new California Health and Safety code on Hazardous Materials (Div. 20 Chapter 6.95
Sec. ~5500 Et Al.) and that inaccurate information constitutes perjury.
SIGNATURE
TITLE Manaqer-Safety
- 2B -
BAKERSFIELD CITY FiRE DEPARTS~NT
2130 "G" STREET
BAKERSFIELD. CA 93301
BUSINESS NA.hE:
OFFiCiAL USE ONLY
ID#
BUSINESS PLAN
SINGLE FACILITY UNIT
FORM 3A
INSTRUCTIONS · I. To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR A'.YSWER$ IN ENGLISH.
3. Ans~er the questions below for THE FACII.ITY UNIT LISTED BELOW
4. Be as BRIEF and CONCISE as possible.'
FACILITY UNITm
FACILITY UNIT NAME:
SECTION 1: MITIGATION, PREVENTION, ABATEMEN'r PROCEDb~RES
Ail hazardous material is stored in consumer-size containers,
stored on the sales floor on metal shelving. All products,
except those used for minor cleaning, remain in original
containers as received from the manufacturer.
Spill control plans include isolation of material with absorbent
material, evacuation of hazard (fumes, dusks, etc.), potential
evacuation of store and proper disposal of material. In all cases
other than minor spills, the Fire Department will be called to
assist.
SECTION 2: NOTIFICATION AND EVACUATION PROCEDURES AT THIS L~."IT ONLY
Notification of a medium or greater Spill of hazardous material
will be to the Fire Department via phone by the Store Director
or Manager of Operations.
When necessary and if directed by the Fire Department, the store
would be evacuated (employees and customers) by the Store Director
or Manager of Operations.
SECTION 3: HAZARDOUS MATERIALS FOR THIS b~IT 0NIY
A. Does this Facility Unit contain Hazardous Materials? ...... 9'0
If iYES, see B.
If NO, Continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade Secret YES
If No, complete a separate hazardous materials inventory
form marked: NON-TRADE SECRETS ONLY (white form ~'4A-1)
If Yes, complete a hazardous materials inventory form marked:
TRADE SECRETS ONLY (~.;ellow form =4A-2) in addition to the non-trade
secret form. List only the trade secrets on form 4A-2.
SECTION 4: PRIVATE FIRE PROTECTION
The building is fully sprinklered with water feed from public
mains. Two 8'I risers serve a typical grid system. Sprinkler.
system is wetttype with three outside hydrants.
SECTION 5: LOCATION OF WATER SUPPLY FOR USE BY EMERGENCY RESPONDERS
Fire hydrantsllocated at: S/W corner
i S/E corner
~ North central parking lot
SECTION 6:. LOCATION OF UTILITY S~-OFFS AT THIS UNIT O~'LY.
A. 3.'AT. GAS/PROPANE':
\
S/W corner near Receiving Dock
B. ELECTRICAL:
C. WATER:
D. SPECIAL:
Interior - East mezzanine near stairs
Exterior - East wall near S/E corner
Pit valve in median between Rosedale Highway
and parking lot (center of lot)
None
E. LOCK BOX: YES .' T= YES, LOCATI0,,:
IF MES, SITE PLANS?
FLOOR PLANS?
YES / X0 MSDSs? YES ." ¥0
YES .,/ NO KEYS? YES / XO
- 3B -
ORTH
SCALE: ~'t- ~00'_ 8US'[.YESS
DATE: ~ ."2~/ ~ FACiLiTY
(CHECX ONE) SITE
RALPH..~
:nspe¢~o~'s Comments):
-OFFiCiAL USE ONLY-
CALE: BUSINESS NAME:
DATE: ~ .."ZB/~ FAC Z L ZT¥ .Nm.-:
(CHECX ONE) SITE
.cNIC
Iinspec~or
's Comments):
-OFFiCiAL USE ONLY-
II I
I~'; I II1:;i~ I1^111'; :_R_al_phs
I,I~HI'.!;;;: 3737 Rosedale Highway
I I', . 7.1i;: Bakersfiel__d., CA 93308_
I1,,111; ,': ......... [8_Q.5 ) 327-4.587
II
Ill.
M
M
M
M
2
flAX
^llllllll I
132G
.50~._
80G
Grocery Companv]~OWIl~ll II~tlEIRalphs Grocery_Compan~ "~%an~'l FACIhliY Ilrll'[ I:
AlIIIIIEO81 3737 Rosedale H~y. .. FAC I I, ITY IJtilT IIAtlE:~ph~
I:ITY,~II'~ BakersfiDld. CA._ 93308
I'IIHIIB It (805) 327-4587_. ()FFII:IAh
· Walt Hastings
lin III TIll8
.,_E.A.~u ! I, I T Y
_S~a les Floor
Sales Floor
\
Sales Floor
Sales Floor
Front of
Sales Floor
8
40%
30%..
Trace
10%
40%
Trace
Trace
100%
TITIZ~~e_~:~~8
_ TITl,~l_'$tore
CIIEI'IIt;AI, 011 (;()HHI)N llAtlE~
Grocery.
Hair SD_r. ay
Alcohol.
Lysol
Ethyl Al. cohol
Phenyl-Phenol
Ant and Roach Killer
2 (1-Methyletho¥) Phenol Methyl
Petroleum Distillate
Raid'Bug Killer
Pyrethr~__nq
Pipero_qnyl Butoxide
Sodium Nitrate
Charcoal Lighter
..1.
lis
I II
IIA 7. AIIII I
._t]!!!!!i
EXPL ....
EXPL
EXPL
FLL. Q .
'~ ,ln. I -
Naphtha
' '
~Ti'ii~,'~ .... ' ..f~^~E,3_/.~3/88
Director 11(111.8: (805) 32~=~.587
AFTER IIIJS Illl$~ (805) 254-5772
Manaqer:ODerations__ PII011£ ; 8lis II(IIJRS: (805) 327-4587
AFTER 11118. IIRS: (805) 539-3412
Il t
' II g I IIl'.:l.q
I~lill I::; :i:
I I'~, Zli;~ ........... Bakersfield. CA
Illllll: I: ......... 1_8._.0.5 ) 327-4,587
fl^x
^ii!!.!l !..6
lil%J~i,iiXi'ii:,l,ii ~,l,, , , ..... I ai:u ....°2. '
F()Itll 4A-I
N
~ ,,~,~ FACII. ITY IIIIl'[ I :..1.
IIAII[{ Ral~hs Grocery Compan~ "Giant''OHIl~ll IIAtlZIRalohs Grocer_-.~~.~;. ,.~ -.I] IIAH~lpks
: .... . ,, -3737 Rosedale ~ ~"u'"'' .....
3737 Rosedale ~i~hwa~ ___
93308_ "i:l~, 111'~ Bakersfi~ld-
~ 0 0 IIAT. AIIli 11 ii I
..__i~~~~
7G 90G _
.~QO_. 31____0. G____
· ZO_G._ 300G _
20%
15G
- ~[~'~-v-7~u 11 e n
~lii:. ' ....~:.._ ~ ........ ,
Il! Bt;I'.Ili:Y i;IIII'[AI~T :__Walt Hastinqs
Henry Winckel
i ni ll,~tll'i'Y i:iiII[AC~: ........... Retail ~~
,,~,~'f~i.l'p~l,, llilnllll:Sfl ACTIVITYt_.~ .-
._Sales Floor
Sales Floor
Holiday_Foqqer
EXPL
CMLQ
-- Automotive Antifreeze
100%
EXPL
Sales Floor
_ _50G 70% :.~Hydroxide .....
_1 .[LQ_Q-C~- Distallate ....
100%
CMLQ
-- --- ~ Transmission Fluid
200G ...
100% __Petroleum Distallate ......
TITI 1.1 Manaqer_~r-S.afety -ulOIIATU11BI 11(111118: (805)
T ! TI,E i_Director
T ! T[~[~ I_Manager-Op~ra~-~ on_a___
! IIIIS 327-4587
AFTE11 IIIIA IIIIS~ (805) 2,54-5772__.
PIIOIIE # IlllS III)IIRS; (805) 327-4587..
AFTE11 1illS. 11118: (805) 539-341.2.
~ullll'.",q Il^IlK. _R__a!phs Grocery Companv
I,ll,li'.i:i: 3737 Rosedale Highwav
I I; . /.Ii; ........... 'Bakersfieldz CA 93308
II
^11
FIIIIII IA-I
"Giant"0811~ll II~tlZ iRalphs Grocer~ Compan~ "Giant" ~AC I I, I $ Y
AlIIIIIZ881 3737 Ro.~edale~w~. _~ACII, ITY IItlIT IIAHE' Ralphs
IJ I TJ ~ I J I~ I_ Bakersfield, C~.._ 93309
I'llllll~ I~ (805) 327-4587 ~ll~llll&l, IISZ I:FIiIS
- - 0 II I.
10. 36
..2G.. 80G ~
3G 50G GAL 10 03
~.~ 540GAL .... GA~ 10 08
· 2G 20GAL GAL 13 261.
5G _~0GAL GA. L i____Q_0 01...
160LB 41400LB LBS 10 08
Hastings
II111'[ I :l...
I',1111 I'
100% Zsopro~' ~lcohol
5ales Floor -- Static Guard ..... ~__H~...
80~., Dimethy.~.Ditallon Ammonium
- Chloride
Sales Floor -- Spray ~. Wash
80% Petrol.e~m,Distallate .......
Sales Floor -- WD-40 .... CM~.
100% Petroleum Distilla.~.~__.
-- STP Ga~__~reatment FLLQ.
Sales ~loor -
100% Mineral spirits
Sales Floor ~ Laundry_Detergent ORME
10% Anlonic Surfactant
80%.. Sodi_______u~.Sulfates
II I
:Il I~fJlIII'Y I:(IIITACT: Hen_rfz Wi.nckel .,
I,L.I)( ~!l'?l,.. iiIISlIII~S.~ ^CTIVIT¥I Grocer_y.=Retail.
TiTi~,Ha~~~_.;_~_D_t,.~:__8 OIIATUnE~ ~_~1/~)/~ ~ ~/88
TITI, ZI Director lie I flUB 11(Illfl8:(805) 327~.~.~.87
- -' AFTER IlllB IlllSJ (805) 254-5772_.
TIT~EI Manaqer-0perati°ns-- PII011E I ~IIS IlllUflS~(805) 327-4587
ALTER JIllS. IIRS: (805..) 539-3412
- ,In. I
FOflH 4A- I
'; I fl li :; .q II^ltl.;:Ralphs Grocery Company "Giant" OWIIRI! IIAtlRI Ralphs Grocery_C~ompa.n~ "Giant" FACII, ITY IIIIl'r J :1...
I,lll:'.;:~: 3737 Rosedale Highway AI)lllIZ981_ 3737 Rosedale HWy...FACII, ITY tJIIIT IIAH£:_~olphs
I',. 7.1i; .......... ~akersfield, CA 93308 I:ITY,ZIi'I Bakersfield, .C_A._ 93308
,,IJl: ~. ' ........ i~05) 327-4587 -- I'II()IIB #t (805) 327-4587. I)FFICIAI, riSE (:Fills
- - o I! I.
I I!
II^X
n-- ? o O
Ifil', I,OCAI'I(III Itl TIII8 ~ IIY
.~t.J_u,E .,_EArl !,!TL_P.I!/I T lit (:liE: 'lit; ...................
99
'~ood Sales Floor 100% Veqet.a..b_~l_e Oil
99
?ood Sales Floor Beer/Wi_ne/Liquor
100% IEth¥1 .A..!_cohol
\
,
...... ' _": ~.":' .":-=.%2. ...... %"%A A~qC%,
(:llllr
.3 IIAZAIII! II Il I
CMLQ
7500G
__F L__L_Q~.
T I T i i., I ~, Ma n a _CT e../..r~,C.C...t~ O UIIATIJR~ I ... ~ ~ ...... A ] ~,: 3_~..2.3/88
Walt Hastinqs TITI, ZI D~rector
, AFTER IIIJ9 IIIlSt (805) 254-5772
I', .Larr, Mdllen
Ill;l'.lll'.Y I:(III'[ACT:
TIT6BI Manaqer-Operation~___PIlONg ! BUR II()IJR8~ (805) 327-4587 ..
I:(lllfA¢lT:__Henr~ ...... Winckel ..., _ AFTF.~ 11118, 11fiSt (80'5) 539-3412
II1~I III'Y
Grocery. Retail -- - .........
Il'Ah,, IIII,q I III:tiff ^c'r I v I TV
· ",, .... - ,lA' I -
INSPECTION SUMMARY: ANNUAL INSPECTION EXEMPTION RE-INSPECTION COMPLAINT
SUMMARY DETAILS
Disposition Symb. 1-In Compliance 2- Correction Needed 3- Verbally Warned
4-Verbally Warned Re/Insp §-N.O.V 6- Citation ?-Referred to (Specify)
EMERGENCY PROCEDURES (CCR TITLE 19-2729 & 31) PREVENTION & CLEANUP PROCEDURES (CCR TITLE 19-2731
A. Agency Notifi'cation Plan (O.E.S., FD)
B. Employee Notification & Evac. Plan
C. Emergency Responder Notification
D. Medical Assistance
E. Private Response Team Procedures
L. Work Area Safety ./
M. Clean-up Materials placement/availability
N, Clean-up Equipment
O. Fire Protection Systems /
P. Waste Handling & Storage
Q. Availability of Protective Equipment
TRAINING REQUIREMENTS (ccR TITLE 19-2732)
INV. & DIAGRAM VERIFICATION (CCR TITLE 19-2729)
Training Records
MSDS Available to Employees
Employees Familiar with MSDS
Use of Personal Protective Equipment
Waste Material Permits & License
Employees familiar with evacuation
plan.
Z R. Inventory Quantities
-- S. Storage, Container Cond., & Labeling
-- T. Location in Facility Unit
~- U. Emergency Water Supply
· -- V. Evacuation Plan & Area
W. Surrounding Exposures
~-- X. Utility Shut-offs
Q Other
/
Z.
i
i
/ b' u '
Clearance Granted
Started :
Re-Inspection Required '~/5~ on y / ~/ / ff
Completed__:__ Total Elapsed Time__:__ D.E.
Miles/pn Insp . ~ /
In~pect~ / ' - '
Owner/Manager
KERN COUNTY FIRE DEPARTNENT
5642 VICTOR STREET,
BAKERSFIELD, CA 93308
BUSINESS NAME
INSPECTOR QUEST~IONNAIRE
BUS I NESS PLAN AS A ~rI-IOLE
FOR USE WITH THOSE BUSINESSES COMPLETING A BUSINESS PLAN (2A).
INSTRUCT IONS: 1. Complete this form only once for each occupancy.
2. Attach this form to BUSINESS PLAN (2A) and forward to Data Entry.
BUSINESS PLAN VERIFIED ON: a / ~/ / ~
SECTION 1: RESPONSE SUNNY (Limit to 4-5 lines)
SECTION 2: NOTIFICATION / EVACUATION OF AFFECTED PUBLIC (Limit to 13 lines)
H~ICU~
November 28, 1988 DEC 5 1988
GENERAL OFFICES
P.O. BOX S4143 · LO8 ANGEL~$, CALIF~NIA } elephone (213) 637-1101
Ans'd ............
Mr. Ralph E. Huey
Hazardous Material Coordinator
Bakersfield City Fire Department
21340 "G" St.
Bakersfield, CA 93301
Dear Mr. Huey,
The purpose of this correspondence is to affirm my intention to
comply with your departments requirements, as outlined within your
inspection report of June 24, 1988. Specifically, the Ralphs
store facility located in Bakersfield.
I am in the process of re-writing our employee/community
right-to-know program that will include much of the information
you require.
I clearly understand the difference between a written program and
field implementation. And I assure you that this has the highest
priority. Although I cannot give you the exact date for the
Bakersfield Store, the employee training program should be fully
implemented by the end of February.
I can send you the draft program for your review, if you would
like. And of course, I continue to do everything possible to be
of any assistance in meeting your requirements as guickly as
possible.
Please keep me advised of your intentions in ths matter.
Respectfully,
Davxd Hansen
Safety Administrator
DH/lms