Workbook for Designated Substance Assessments
11
366-BPV-01-IMOT © 2024, Workplace Safety & Prevention Services (WSPS)
1 877 494 WSPS (9777) | 905 614 1400 | WSPS.CA
CONCLUSIONS
Read statements and check applicable box:
Substance not present anywhere in workplace; regulation does not apply. No Assessment needed.
(Note: Although you do not need to proceed further, you should retain this worksheet on record.)
Date Completed: ____________________________________________
Processes activities have been identified where substance present.
Proceed to worksheet 2.
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