Silica Exposure Plan sample. Edit it or build your own.

Silica Exposure Plan Form

A silica written exposure control plan including over 1,000 questions with sections like materials, asphalt, brick, cement, concrete, drywall, grout, mortar, and more. Checkout the Forms Library »

Silica Exposure Plan - Printable PDF
Download a printable Silica Exposure Plan (PDF).

What is a Silica Exposure Plan?

A Silica Exposure Plan is a document that establishes a plan identifying tasks involving potential silica expose along with methods to protect personnel and equipment.

Silica (also known as Silicon dioxide) is a common mineral found in the earth’s crust. When workers are grinding, drilling, cutting, or removing natural materials they may encounter silica which can be very dangerous - causing permanent damage like silicosis (scarring of the lungs which makes breathing difficult), tuberculosis, or lung cancer. Materials that may contain silica include (but are not limited to):

  • asphalt
  • brick
  • cement
  • concrete
  • dry wall
  • fiber cement
  • grout
  • gunite/shotcrete
  • mortar
  • paints
  • plaster
  • refractory mortar/castables
  • refactory units
  • rock
  • roof tile (concrete)
  • sand
  • soil
  • stone
  • stucco / EIFS
  • terrazzo
  • tile (clay and ceramic)

Because of the risks with working with silica, a significant amount of preparation and planning must go into working with silica related projects. A typical silica exposure plan will walk the team through the potential producers of silica and what control methods will be used to eliminate the hazard.

This form is a sample report which can be imported into your iScout account and modified to fit your organization's policies and procedures.

If you don't have an iScout account, download the printable Silica Exposure Plan PDF form so your team can fill out a paper copy.



Check out the forms library.
Check out the forms library.

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