AGRICULTURAL HEALTH CHECKLIST
Injury and Illness Prevention Program (See Appendix B)
Medical Aid (See Appendix B)
Hazard Communication Program
1. Are material safety data sheets (MSDSs) for hazardous
substances readily accessible during each work shift to
employees? [5194(g)(8)]
2. Are employees trained on how to read and understand the MSDSs?
[5194(h)(2)(F)]
3. Do employees receive information and training on specific
health hazards associated with the materials they use, handle,
or are exposed to including cleaners, chemical fertilizers,
and pesticides? [5194(h)(1)]
4. Are all containers which hold hazardous materials properly
labelled? [5194(f)(4)]
Heat Stress
5. Do employees receive training on the cause, recognition and
prevention of heat-related illness? [3203(a)(7)]
6. Is there an adequate water supply and are employees allowed
frequent water breaks? [3457(c)(1)(A)]
Noise
7. Are any employees are being overexposed to noise? [5096(b)]
8. Are earplugs, or other forms of hearing protection, provided
to employees working around noisy equipment, i.e., when noise
level meet or exceeds an 8-hour time-weighted average of 90
decibels? [5096(b)]
Dusts
9. Are employees provided adequate personal protection including
respirators when working in dusty conditions such as tilling
or other tractor work? [3203(a)(6), 5155(c)(1), or 5141(c)]
Harmful Materials/Pesticides
10. Is a physician available to provide medical supervision to
employees who regularly work with pesticides? [3450]
11. Does the employer keep a record of all medical recommendations
made by the physician? [3450]
12. Are machines, aircraft, or applicators decontaminated before
being repaired or placed in storage? [3451(a)]
13. Are employees' medical records and records of exposure to
toxic substances made available to employees and their
authorized representatives? [3204]
14. Is at least five gallons of clean water available when working
with anhydrous ammonia? [3453(g)]
Cumulative Trauma Disorders (CTDs)
15. Are employees using short-handled hand tools? [3456]
C-46, Attachment C (08/01/94)