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21 - Special Procedures/Provisions

    [Department or laboratory name, building, room number(s)]

has certain procedures or activities that require prior approval from:

    (name, title, campus address and campus telephone number)

before implementation. These procedures are as follows:

(List or insert specific procedures/circumstances that apply.)


There are special provisions for additional employee protection for work with particularly hazardous substances used. These substances include "select" carcinogens, reproductive toxins, and substances which have a high degree of acute toxicity.

Specific considerations for the particular hazardous substances are listed as follows:

(List or insert specific procedures for each particularly hazardous substances which could include establishment of a designated area, use of containment devices such as fume hoods or glove boxes, procedures for safe removal of contaminated wastes, and decontamination procedures.)


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