CREATING AN APPROPRIATE LABEL FOR A SECONDARY CONTAINER TASK EVALUATION FORM

CREATING AN APPROPRIATE LABEL FOR A SECONDARY CONTAINER TASK EVALUATION FORM

Please add the student name as shown on the ID

Objective: By following a routine procedure that meets stated protocols, the student will demonstrate the proper technique for using information from a material safety data sheet (MSDS) to complete a chemical label for a secondary container.

Competency: The student will set up armamentarium and Students will be taught the proper technique for using information from a material safety data sheet (MSDS) to complete a chemical label for a secondary container.

Practice Required: 3

Wrote the manufacturer’s name and address on the label.

Wrote the name of the chemical(s) on the label.

Wrote the appropriate health hazard code in the blue triangle.

Wrote the appropriate flammability and explosion hazard code in the red triangle

Wrote the appropriate reactivity code in the yellow triangle.

Wrote the appropriate specific hazard warning in the white triangle.

Total Possible Points = 24 points

Minimum passing score = 24 points

If step is missed or minimum competency is not met, the evaluated procedure fails and must be repeated.

All Tasks are critical to the procedure Scoring:
1. Below basic skill level – No concept of skill.
2. Basic skill level – Minimum concept of skill, guidance needed.
3. Proficient skill level – Able to perform skill with minimal guidance.
4. Advanced skill level – Able to perform skill with no guidance.

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