Workplace Hazardous Waste Disposal Compliance

Workplace Hazardous Waste Disposal Compliance

Employee Information:

Employee Name:

[Your Name]

Department: 

[Department]

Job Title:

[Job Title]

Date:

[Month Day, Year]

Description of Hazardous Waste:

Type of Waste:

Chemical solvent (Acetone)

Quantity:

5 gallons

Physical State: 

Liquid

Chemical Composition:

Acetone (CAS No. 67-64-1)

Storage Container Type:

Sealed metal drum

Disposal Method:

Preferred Disposal Method:

Incineration

Reason for Disposal: 

Waste accumulation from expired solvent batches.

Documentation of SDS: 

Attached


Safety Measures Undertaken:

Personal Protective Equipment Used:

Handling Precautions Taken:

Training Received:

Certification:

I certify that the information provided above is accurate to the best of my knowledge. I understand the importance of proper hazardous waste disposal and have adhered to company policies and procedures in handling and disposing of the mentioned waste.

Employee Signature:

Date: [Month Day, Year]

Supervisor Approval:

I have reviewed the information provided by the employee and confirm compliance with company guidelines for hazardous waste disposal.

Supervisor Name: [Name]

Date: [Month Day, Year]

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