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
ADDITIONAL PAGES
2. If substance is present, indicate the department where it is used, nature of the use (i.e. direct or indirect)
and the quantity purchased per month or year (continued from page 10):
Product Name Department
How Used?
Direct/Indirect
Container
Type/Size
Quantity used
per Month/year
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