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ENVIRONMENTAL HEALTH AND SAFETY

Chemical Spill or Contamination Follow-up Report

First Name: 
Last Name: 
Phone Number: 
E-mail: 
Lab Group or Department: 
Date and Time spill occurred or was discovered: 

Location of spill or contamination

Building/Location: 
Room Number: 

Description of spill or contamination

Name of material spilled (if known): 
Estimated amount spilled (include units): 
Approximate area covered by spill (include units): 
Any personnel contamination? 
Any contamination of soil or water? 
Narrative of event:  Please provide a brief statement describing what happened, any cleanup steps that were taken, any injuries or exposures, and what was done with contaminated supplies or cleanup waste.

 

 

Environmental Health & Safety
7400 York Road Building, Suite 301

Hours: Monday - Friday, 7 a.m. to 5:00 p.m.

Phone: (410) 296-7593
Fax: (410) 296-5076
E-mail: safety@towson.edu

 

 

 

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