Workbook for Designated Substance Assessments
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366-BPV-01-IMOT © 2024, Workplace Safety & Prevention Services (WSPS)
1 877 494 WSPS (9777) | 905 614 1400 | WSPS.CA
ASSESSMENT – WORKSHEET 5: WALK THROUGH CONCLUSIONS
1.(a) Were any areas found where controls are required or where existing controls may require
improvement?
YES NO
1.(b) If YES, indicate the areas where the controls may be required or where existing controls may
require improvement?
AREA SUGGESTED IMPROVEMENT
2.(a) Is there concern that workers may be exposed to the designated substance in the air?
YES NO
If YES, to meet the duty to limit airborne exposure outlined in Section 16 of Regulation 490,
monitoring of the worker's exposure to airborne concentrations of the designated substance is
crucial. The results will help to understand the exposures that your workers are experiencing.
2.(b) If YES, indicate what areas are of concern:
3. Indicate any workers for whom medical testing and/or examinations may be required because of
potential exposure to the designated substance:
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