Protocol Title:
Appendix K – Hazardous Chemical Summary
Environmental Health Services (EHS) Coordination
The principal investigator/instructor (PI) is responsible for insuring that all special requirements for personal protective equipment (PPE), agent
handling/containment, animal handling/containment, and waste disposal are conducted in accordance with the provisions set forth in an approved
laboratory Chemical Hygiene Plan and that the procedures described in this animal use protocol comply with all applicable OSU, state, and federal
regulations. IACUC approval shall be withheld until an OSU chemical inventory list (CIL) that includes all hazardous chemicals listed below is on file with
EHS and EHS has determined that hazardous chemical usage/procedures/practices described herein are in full compliance.
This appendix and all relevant information of this animal protocol have been reviewed for EHS compliance. I hereby assure that the CIL and
procedures/practices described are in accordance with EHS standards.
EHS Officer
Date
K.1
Applicable Chemical Inventory List (CIL) Date:
K.2
Hazardous Chemical Listing and Location(s) where they are Used:
Laboratory
Chemical Name
K.3
Building
Animal Facility
Room
Building
Room
Hazardous Chemical Use and Administration: (Complete the dosage regime table for each chemical and briefly
describe how each will be administered.)
Chemical
PELs
Description of Chemical Use/Application
K.4
Required Personal Protective Equipment (PPE):
K.5
Required Personnel Monitoring:
K.6
Hazardous Chemical Waste Disposal:
K-1
Version 1/2004