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Appendix

H

SAFETY

CHECKLIST

(To

be

completed by the Study

Director)

Methott

Title:

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'ruT

}

-

*.

¡i,4;N

ñt

¡y,¿-d

*î"?":¡s

f

/:tk

d

{-*,"*'*io"

t"

Please

click

on desired check box:

QUESTIONS

YES

L

Are

any

matelials

used

or

compounds

forrned that

ale

explosive or

flammable?

I

2.

Ale

there any side reactions

that could

occur

that

might

produce

flammable or explosive

products

or

conditions?

E

3.

Are

there any hazards created

fi'onl electric or

mechanical

equiprnent?

X

4. Are

pressure

differentials

created

that could result in

an

explosion or

implosion?

I

5.

Are

any

substances used

or formed which

are:

a)

radioactive?

b)

carcinogenic?

c) rnutagenic?

d)

tetratogenic?

e) abortogenic:

l.¡

otherwise

a

significant

health

hazarcl?

6.

Would

there be increased hazards

if

the

reactiolì

tetuperature were

increased even

modestly?

I

E

7.

Are

special procedures

required

if

a

spill

of

the

reaction tnixture

occurs?

[]

M

8.

ls

there

a

risk

in producing

a

dangerous

aerosol?

I

M

9.

Are

special procedures

required for

the disposal

ofreagents or reaction

products?

E

[l

reaction

products?

þ;

t

B

p¿¡5{f-

,{fn

,!-ii

¡

ti

¡_¡rf..r

"çve

l}

*Z}5

*t}4*5N:

I

0.

Are

there any organisrns

and/or their products

used/present

that

are:

a) pathogenic?

b)

allergenic?

c)

carcinogenic?

d)

nrutagenic?

e)

tetratogenic?

t)

otherwise

a

signifìcant

health

hazard?

ll.

Are thele

any

potential

hazards

in handling or

stot'age

of

reagents,

test sarnples,

or

standards?

Y-fíy'{

"f,gv¿-¿þr:..e:3

pf-.{&,r

,:"sr,¿¡;ffi*¿'

ir".4"z'&xe:;"*/¿:e"¿''d

,9;x;;$

f

u*'nr

¿;

f,?fçç,c.

iîç"--F?l

*

&,{"/:Jt

{*

¿é"1t{

"r't:

e':¿!¡'t

ñ¡*Å} /

T}¡t-/

i

YES

NO

trH

Appendix

H

January 2002

NO

tr

l-;l

ÊJ

tJl

yJ.

F

E

E

E

E

E

w

tr

n

tr

n

T

T

n

K

M

E

F

tr:

T

E

n

tr

n

n

n

K

12.

Are

there any

other

hazards

that should

be

addressed

regarding

the method?

AOAC

INTERNAT]ONAL

I

OMA

Program

Manual