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1 P a g e 1 WHMIS 2015 Practical Workplace Exercise Congratulations you have completed the Online WHMIS 2015 education module. The next step is to complete a practical workplace exercise with your supervisor on the hazardous products in your workplace. Please print off this exercise, discuss with your supervisor any questions that you may have then begin. Upon completion of this exercise you must return to the online education module and complete the course survey at which time you will be issued a Certificate of Completion. Should you or your supervisor have any questions please contact the Department Safety Coordinator or Joint Occupational Health and Safety Committee Representative/Member. You may also contact Corporate Health & Safety by safety@gov.yk.ca Workers Name Department Supervisor Name Department
2 P a g e 2 WHMIS 2015 Practical Workplace Exercise My supervisor has provided me with instruction and training on the following Emergency Equipment & Procedures Workplace Emergency Equipment & Procedures I have received instruction and training on the care, use and storage of the following Personal Protective Equipment PPE How to report an Injury Protective Eye Wear First Aid Kit Protective Googles First Aid Attendants Protective Face Shield Emergency Eye Wash Station Protective Gloves Emergency Shower Station Protective Apron Emergency Evacuation Procedures Protective Mask Emergency Muster Location Respirator Fire Extinguisher Locations Mask Fit Test Date Emergency Spill Kit Respirator Fit Test Date Supplier Label Workplace Hazardous Products #1 Locate a hazardous product and complete the information found on the Supplier Label Product Identifier Pictograms (circle all) Signal Words Precautionary Statements Hazard Statements Supplier Identifier
3 P a g e 3 Product Identifier Supplier Label Workplace Hazardous Products #2 Pictograms (circle all) Signal Words Precautionary Statements Hazard Statements Supplier Identifier Product Identifier Supplier Label Workplace Hazardous Products #3 Pictograms (circle all) Signal Words Precautionary Statements Hazard Statements Supplier Identifier
4 P a g e 4 Safety Data Sheet Workplace Hazardous Products #1 Complete the information for the hazardous products found using the Safety Data Sheets Product Information Composition/information on ingredients Emergency Measures Preventative Measures Other Information Safety Data Sheet Workplace Hazardous Products #2 Complete the information for the hazardous products found using the Safety Data Sheets Product Information Composition/information on ingredients Emergency Measures Preventative Measures
5 P a g e 5 Other Information Safety Data Sheet Workplace Hazardous Products #3 Complete the information for the hazardous products found using the Safety Data Sheets Product Information Composition/information on ingredients Emergency Measures Preventative Measures Other Information
6 Supervisor Workplace Specific Hazards The supervisor shall identify any additional workplace specific hazards and provide education & training. Storage of hazardous products Lockers Cabinets Separation of flammable & oxidizing products Securing cylinders Handling of hazardous products Use of carts, dollies etc Bonding & grounding Disposal of hazardous products Waste collection P a g e 6 Worker Name Signature Date Supervisor Name Signature Date
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