
BUSINESS NAME (Same as FACILITY NAME or DBA – Doing Business As) 
 
 
2. TRAINING FOR PERSONNEL  
Not applicable because facility has no employees  
Personnel are trained in the following procedures: 
Internal alarm/notification  
Evacuation/re-entry procedures & assembly point locations  
Emergency incident reporting  
External emergency response organization notification  
Location(s) and contents of Emergency Response/Contingency Plan  
Facility evacuation drills, that are conducted at least: (Specify: “Quarterly", etc.)  
 
3. TRAINING FOR CHEMICAL HANDLERS 
Chemical Handlers are additionally trained in the following: 
Safe methods for handling and storage of hazardous materials  
Location(s) and proper use of fire and spill control equipment  
Spill procedures/emergency procedures  
Proper use of personal protective equipment 
Specific hazard(s) of each chemical to which they may be exposed, including routes of exposure 
(i.e., inhalation, ingestion, absorption)  
Hazardous Waste Handlers/Managers are trained in all aspects of hazardous waste management 
specific to their job duties (e.g., container accumulation time requirements, labeling 
requirements, storage area inspection requirements, manifesting requirements, etc.) 
 
4. EMERGENCY RESPONSE TEAM  
Members are capable of and engaged in the following:  
Complete this section only if you have an in-house emergency response team 
Personnel rescue procedures  
Liaison with responding agencies  
Use, maintenance, and replacement of emergency response equipment  
Refresher training, which is provided at least annually  
Emergency response drills, which are conducted at least:  
(Specify: “Quarterly", etc.)