34 Pa. Code § 303.1 - Hazardous Substance Survey Forms
(a) The Hazardous Substance Survey Form shall
contain the following information:
(1) The
names of hazardous substances present in the workplace as they appear in
Appendix A.
(2) The Chemical
Abstracts Service (CAS) number, if a number has been assigned.
(3) The employer name, address and Federal
Employer Identification Number (FEIN).
(4) The workplace name.
(5) The time period covered by the
survey.
(6) The date the Hazardous
Substance Survey Form was completed.
(7) An indication as to whether a substance
is a special hazardous substance or an environmental hazard.
(8) The name, title and signature of the
employer or employer representative completing the Hazardous Substance Survey
Form.
(9) The name and telephone
number of a contact person who can provide additional information.
(b) The initial Hazardous
Substance Survey Form for a workplace shall be completed on a form supplied by
the Department no later than December 1, 1986.
(c) The Hazardous Substance Survey Form may
constitute the lists of substances required to be posted under section 7(a)(1)
of the act (35 P. S. §
7307(a)(1)) and §
311.2(a)(1)-(3)
(relating to workplace postings). If the workplace and work area are identical,
the completed Hazardous Substance Survey Form may constitute the work area list
required to be made available under section 7(a)(1) of act and §
305.4 (relating to maintenance and
disclosure of work area lists).
(d)
The Hazardous Substance Survey Form shall be updated at least annually, based
on the most current Hazardous Substance List, Environmental Hazard List and
Special Hazardous Substance List published by the Department under section 3 of
the act (35 P. S. §
7303) and
this chapter.
(e) Updated Hazardous
Substance Survey Forms shall be completed no later than April 1 of each year
and shall include hazardous substances which were present in the workplace
during the prior calendar year. To the extent this form is also used to meet
the requirements of §
305.4 it shall be updated when
necessary.
(f) In meeting the
requirements of this section, employers may either use forms provided by the
Department or develop their own form which contains information required in
this section and is legible and understandable.
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