Mercury Audit: Assessment Checklist for Schools

School Name: ______

City: ______Contact’s Name:______

Contact’s Phone No.: ( ) ______-______Contact’s e-mail: ______

Science, Chemistry, Physics, Biology, Home Economics Rooms
Item (list temperature ranges for all thermometers) / How Many? / Estimated Total Weight?
Elemental Mercury (Hg)
Mercury Lab Thermometers (_____ - _____º C)
Mercury Lab Thermometers (_____ - _____º C)
Mercury Lab Thermometers (_____ - _____º C)
Mercury Lab Thermometers (_____ - _____ º C)
Mercury Lab Thermometers (_____ - _____º C)
Mercury Lab Thermometers (_____ - _____º C)
Mercury Soil Thermometers (_____ - _____º C)
Mercury Barometers (indicate wall or desk model)
Mercury Vacuum Gauges (Manometers)
Mercury Spectral Tubes
Mercury Molecular Motion Devices
Mercury Hygrometers (e.g,. Sling Psychrometers)
Mercury Compounds
Mercury Oxide
Mercury (II) Chloride
Mercury (II) Sulfate
Mercury Nitrate
Mercury Iodine
Zenker’s Solution
Mercury Spill Kit, contaminated
Millon’s Solution
Mercury Cooking Thermometers (_____ - _____º F)

(continued on reverse)

Nurse’s Office/Medical
Item
/ How Many? / Estimated Weight
Mercury Fever Thermometers (_____ - _____ º F)
Sphygmomanometers (blood pressure devices) with Silver Liquid
Merthiolate Antiseptic
Contact Lens Solution (with Hg preservative Thimerosal)
Facilities
Item / In Use? / How Many/Wt. /
Location
Fluorescent Lamps
Mercury Thermostats
Mercury Vapor Lamps, Metal Halide Lamps, Highpressure Sodium Vapor Lamps
Mercury Gauges
“Silent” Light Switches
Mercury Float Control Switches (e.g., on Sump Pumps)
Flow Meters with Mercury Switches
Other Equipment with Mercury Switches (e.g., Flame Sensors, Fire Alarms, Safety Valves)
Polyurethane Floor Finish (may contain mercury)
Tartan Flooring (may contain mercury)
Older Fungicides and Pesticides (prior to 1991)
Other
Item / In Use? / How Many/Wt. /
Location
True Vermillion Paint (contains mercuric sulfide)
Cadmium Vermillion Red Paint
Mercury Oxide/Mercury Zinc Batteries (old alkaline type, prior to 1996, and current button batteries)
Other:
Other:
Other:
Other:

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