LABORATORY SAFETY PLAN APPENDIX

LABORATORY SAFETY PLAN APPENDIX

APPENDIX 1 REQUIRED CEE LAB ACCESS FORMS

CEE Laboratory User Form As a laboratory user in the Department of Civil and Environmental Engineering at Northeastern University, I confirm that I have read and will comply with the Department s Laboratory Safety Plan. I understand that if I am found in noncompliance with any provisions of the Laboratory Safety Plan that my laboratory privileges may be suspended or revoked. This form must be signed, dated, and returned to the Department Safety Officer before any work is conducted in any department laboratory and must be resubmitted yearly. Signature Date Print Name NU ID# Analytical Instruments Used

Department of Civil and Environmental Engineering Access Request and Sponsored Internet Account Information Form Today s Date: [ ]Faculty [ ]Staff [ ]Graduate [ ]Undergraduate 1 [ ]Other Applicant s Name: NU ID Number: NU E-Mail Address: Office Address and Phone Number: Home Address: Phone Numbers: Home: Cell: Type of Support: RA TA Fellow Other (specify) Program: MS PhD Full time Part time Advisor s/supervisor s Name Type of access requested and location: Access (Y/N) Key (Y/N) Building Room PI Signature (if different from Advisor) Note for Swipe Card Access: Once approved, Husky ID cards will need to be encoded by going to the Customer Service Center located at 140 Cullinane Hall. Purpose of access: Applicant: I agree to accept responsibility for all university keys or access by security code or ID swipe card. Keys/security codes/id swipe cards will allow me to access offices/labs so that I can work on my university-related work in my designated laboratory, computer, or office space. I will not allow non-northeastern University students or personnel to access the facilities using my keys, security codes, or ID swipe card. I will not make duplicate copies of these keys nor loan them to anyone for any reason, nor will I share security codes or ID swipe cards. I agree that upon my departure from the University or completion of duties requiring my access to the facility, (i.e., graduation, separation from the University for any other reason, completion of TA course, etc.) I will return all university keys to the Academic Operations Manager in 403 Snell Engineering Center.

I have read and agree to the statements above. Applicant s Signature: Date: Advisor s Signature (required for laboratory access requests): Laboratory Manager s Signature: Date: Date: Note: Kyle Coleman s (ky.coleman@neu.edu) signature (20 SN) is required for the STReSS Laboratory at the George J. Kostas Research Institute for Homeland Security. All other access can be signed by Ally Mayer (403 SN) Academic Operations Manager s Signature: Date: 1. Offices only, no laboratories 2. For laboratory access, applicant must document satisfactory completion of the safety training 3 and have the department Academic Operations Manager s signature before a key will be issued. This applies to the following CEE locations: Snell Engineering: 008, 050, 050A, 058, 068, 402, 406, 408, 458. 466, 468, and any other departmental laboratories; George J. Kostas Research Institute for Homeland Security: STReSS Laboratory 3. Go to http://www.ehs.neu.edu/training, select Online training and then Training application. Login using your first and last name. At a minimum, you must complete Chemical Hygiene Parts 1 and 2 and Hazard Communication. Sponsored Internet Account Information for Teaching Assistants, Research Assistants, Visiting Scholars and Students, and Temporary Employees To meet the electronic access requirements of individuals who have temporary or variable associations with the University and in compliance with regulatory responsibilities around taking appropriate steps to safeguard information, the University offers a Sponsored Account service. This service provides workstation access and "neu.edu" e-mail access to visiting professors, lecturers, contractors, consultants and related roles. To request a sponsored account, please fill out the application found on the IS website noted below: http://www.northeastern.edu/infoservices/?page_id=7969 Please list Allison Mayer as your sponsor when completing the sponsored account request form. If you will not be checking your neu.edu e-mail account on a regular basis, please be sure to set the mail forward to your preferred address.

APPENDIX 2 ENVIRONMENTAL HEALTH & SAFETY WEBSITE

APPENDIX 3 CHEMICAL/SUPPLY REQUISITION FORM

APPENDIX 4 CHEMICAL COMPATIBILITY CHART

CHEMICAL COMPATABILITY CHART Certain hazardous chemicals should not be mixed or stored with other chemicals because a severe reaction can take place or an extremely toxic reaction product can result. The label and MSDS will contain information on incompatibilities. The following table contains examples of incompatible chemicals: CHEMICAL Acetic Acid Acetone Acetylene Alkali Metals Ammonia, anhydrous KEEP OUT OF CONTACT WITH Chromic acid, nitric acid hydroxyl compounds, ethylene, glycol, perchloric acid, peroxides, permanganates Concentrated nitric and sulfuric acid mixtures Chlorine, bromine, copper, fluorine, silver, mercury Water, carbon tetrachloride or other chlorinated hydrocarbons, carbon dioxide, the halogens Mercury, chlorine, calcium hypochlorite, iodine, bromine, hydrofluoric acid Ammonium Nitrate Acids, metal powders, flammable liquids, chlorates, nitrites, sulfur, finely divided organic or combustible materials Aniline Nitric acid, hydrogen peroxide Arsenical materials Any reducing agent Azides Bromine Calcium Oxide Acids Same as chlorine Water Carbon (activated) Calcium hypochlorite, all oxidizing agents. Carbon tetrachloride Chlorates Chromic Acid Chlorine Sodium Ammonium salts, acids, metal powders, sulfur, finely divided organic or combustible materials Acetic acid, naphthalene, camphor, glycerin, turpentine, alcohol, flammable liquids in general Ammonia, acetylene, butadiene, butane, methane, propane (or other

petroleum gases), hydrogen, sodium carbide, turpentine, benzene, finely divided metals Chlorine Dioxide Copper Cumene Hydroperoxide Cyanides Flammable Liquids Hydrocarbons Ammonia, methane, phosphine, hydrogen sulfide Acetylene, hydrogen peroxide Acids, organic or inorganic Acids Ammonium nitrate, chromic acid, hydrogen peroxide, nitric acid, sodium peroxide, halogens Fluorine, chlorine, bromine, chromic acid, sodium peroxide Hydrocyanic Acid Nitric acid, alkali Hydrofluoric Acid Ammonia, aqueous or anhydrous Hydrogen Peroxide Hydrogen Sulfide Hypochlorites Iodine Mercury Nitrates Nitric Acid (concentrated) Nitrites Nitroparaffins Oxalic Acid Oxygen Perchloric Acid Copper, chromium, iron, most metals or their salts, alcohols, acetone, organic materials, aniline, nitromethane, flammable liquids, oxidizing gases Fuming nitric acid, oxidizing gases, acetylene, ammonia (aqueous or anhydrous), hydrogen Acids, activated carbon Acetylene, ammonia (aqueous or anhydrous), hydrogen Acetylene, fulminic acid, ammonia Sulfuric acid Acetic acid, aniline, chromic acid, hydrocyanic acid, hydrogen sulfide, flammable liquids, flammable gases Acids Inorganic bases, amines Silver, mercury Oils, grease, hydrogen; flammable liquids, solids, or gases Acetic anhydride, bismuth and its alloys, alcohol, paper, wood

Peroxides, organic Acids (organic or mineral), avoid friction, store cold Phosphorus (white) Air, oxygen, alkalies, reducing agents Potassium Carbon tetrachloride, carbon dioxide, water Potassium Chlorate Sulfuric and other acids Potassium Permanganate Selenides Silver Sodium Sodium nitrite Sodium Peroxide Sulfides Sulfuric Acid Glycerin, ethylene glycol, benzaldehyde, sulfuric acid Reducing agents Acetylene, oxalic acid, tartaric acid, ammonium compounds Carbon tetrachloride, carbon dioxide, water Ammonium nitrate and other ammonium salts Ethyl or methyl alcohol, glacial acetic acid, acetic anhydride, benzaldehyde, carbon disulfide, glycerin, ethylene glycol, ethyl acetate, methyl acetate, furfural Acids Potassium chlorate, potassium perchlorate, potassium permanganate (or compounds with similar light metals, such as sodium, lithium, etc.) Tellurides Reducing agents (From Manufacturing Chemists' Association, Guide for Safety in the Chemical Laboratory, pp.215-217.)

APPENDIX 5 CEE LABORATORY FACILITIES

402 SN Environmental Biotechnology/ Genomics Laboratory

408 SN Environmental Chemistry/ Process Laboratory

466/468 SN Environmental Analytical Laboratory

054 SN Environmental Chemistry/ Process Laboratory

APPENDIX 6 LABORATORY CLOSEOUT CHECKLIST