Mercury Spill Clean-up Documentation
Incident Information
Date
Time
Location of Spill
Reported By
Spill Description
Estimated Quantity Spilled
Description of Spill
Cause of Spill
Personnel Involved
Names of Personnel Involved in Clean-Up
Protective Equipment
PPE Used
Clean-up Procedures
Steps Taken for Clean-up
Equipment and Materials Used
Waste Disposal
How Was Waste Collected and Disposed Of?
Decontamination
Decontamination Procedures
Follow-up Actions
Follow-up Actions Required/Completed
Additional Notes
Other Information
Signatures
Clean-up Personnel Signature
Date
Supervisor Signature